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Nine months of the PGY-IV year are elective. PGY-IV residents receive considerable support from the faculty in tailoring their electives to obtain more experience and knowledge in their areas of interest. Some residents take administrative roles, while others want to sharpen their inpatient skills, outpatient skills, family therapy skills, etc. A number of residents use elective time for research. A wide variety of electives are available in behavioral neurology, student health, psychotherapy, research, public mental health, managed care, forensic psychiatry, neuropsychology, sleep disorders, child and adolescent psychiatry, mood disorders, ECT, rural psychiatry, and informatics. Residents may take Masters of Public Health courses during their elective time and complete requirements for their MPH degree after the conclusion of their psychiatry residency. Concentrations for the MPH are available in Epidemiology and Biometry, Health Administration and Policy, Environmental and Occupational Health, Health Education and Health Promotion, Public Health Nutrition, International Health, Community Health Care, and Generalist Track.
There is a required rotation in substance abuse at Sierra Tucson in the PGY-IV year. The purpose of the rotation is to provide the resident with a comprehensive training program in the field of substance abuse. This is achieved through direct patient care, didactic lectures, independent reading and investigation, observation of treatment styles and techniques, and rotating through a variety of treatment settings within the Tucson area.
There is also a one-month required rotation in ECT/forensics in which residents will participate in ECT three mornings each week (Monday, Wednesday, and Friday) and return to the University Medical Center for additional forensic experiences.
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