The Saint Louis University Division of Psychiatry and Behavioral Neuroscience foster
resident interest in clinical or basic research. We train aspiring psychiatrists who
will provide high quality and state-of-the-art care to their patients and credibly
represent themselves among their colleagues.
Adult Psychiatry Residency Program
The residency training program in psychiatry at Saint Louis University provides excellent
broad based training in the diagnosis, prevention, study and treatment of mental disorders.
We prepare our graduates to deliver high-quality psychiatric care using all the modalities
available to the modern psychiatrist. These include a variety of psychotherapies,
medications and both established and newly emerging brain stimulation therapies.
Through teaching time-honored principles of patient care, as well as evidence-based
medicine practices, we prepare our residents to use both the treatments of today and
Our close-knit community of faculty and residents work together on meeting the goals
of learners while providing world-class psychiatric care to our patients. Residency
training is a time of immense personal and professional growth and we provide a supportive
environment to help promote that growth. We try to provide a consistent residency
experience while accommodating the specific goals and aspirations of individual trainees.
Our recent graduates have been very competitive applicants for fellowship programs
and have matched at their first or second ranked programs in disciplines such as child
and adolescent psychiatry, forensic psychiatry and geriatric psychiatry.
It is a testimony to the community in which we live in and the positive experience
of residency that many of our graduates have chosen to make the St. Louis area their
home. They work in a variety of areas including private practice, the Veterans Affairs
Medical Center, state mental health facilities and academic psychiatry across the
greater St. Louis area.
The objective of SLU’s adult psychiatry residency program is to provide a comprehensive
educational experience for residents with increasing levels of responsibility in the
care of all patients with psychiatric disorders.
The program emphasizes the residents' continued professional development and competence
for the modern practice of psychiatry. Our clinical faculty represents many points
of view and our clinical settings expose our residents to culturally and economically
diverse patient populations. Both contribute to a rich training experience that offers
many exciting opportunities for professional and personal growth.
Residents at SLU are educated to be proficient in the diagnosis, treatment and prevention
of all major psychiatric disorders and common medical and neurological disorders that
interface with the practice of psychiatry. During the course of training, our residents
develop essential clinical skills, judgment, professionalism and the sensitivity necessary
to become skilled and empathic psychiatrists in the settings of academic medicine
or psychiatric practice.
The program includes training in clinical skills, doctor-patient interactions, administrative
and organizational skills and exposure to the requirements of managed health care.
It encourages active involvement in research activities to stimulate and develop the
residents' ability to critically evaluate psychiatric literature and to promote those
interested in pursuing an academic career.
As per the requirements of the Psychiatry RRC and the American Board of Psychiatry
and Neurology, the PGY3 year is spent doing 12 months full-time outpatient psychiatry,
including an experience in community psychiatry.
Departmental grand rounds are held every Thursday from 8-9 a.m. in Schwitalla Hall.
They vary between separate neurology and psychiatry grand rounds and a combined grand
rounds format with speakers and topics of relevance to both parts of the department.
Attendance is required of residents unless they are on an off-service rotation.
These include a mix of invited preeminent speakers from the region or beyond and presentations
by our own faculty and senior residents, as well as case presentations and morbidity
and mortality conference.
The journal club exposes residents to primary research in the field of psychiatry,
teaches critical appraisal skills and improves understanding of research methods.
Resident Journal Club is held from 11 a.m. to noon on the first and third Tuesdays
of the month. Residents are assigned to present and choose an article from the literature.
They meet with the academic chief resident and one of our research faculty to discuss
the article ahead of time. They then lead the resident group through a discussion
of the article, including strengths and weaknesses of the paper, relevance to clinical
practice and a learning issue pertaining to study design or statistics.
Process group is a weekly confidential forum for residents to freely discuss their
experiences, resolve interpersonal issues and share the highs and lows of their week.
This highly valued part of residency is conducted in a group therapy format by a faculty
member from outside the department.
Crash Course in Basic Psychiatry: An intensive introductory overview covering essentials of diagnosis and treatment,
legal and ethical issues, and administrative procedures in psychiatry, including specifics
for the residency environment.
Introduction to Child and Adolescent Psychiatry: The foundations of the spectrum of disorders, psychopathology, diagnosis and treatment.
Effects of divorce, child abuse and suicide are also covered.
Basic Clinical Psychiatry: Establishes a sound foundation of knowledge to support and develop the development
of psychiatric clinical skills. We have systematic study of the main psychiatric disorders
and the foundation of the use of psychiatric medications.
Consultation and Emergency Psychiatry: The knowledge and skills necessary to diagnose, triage and treat psychiatric emergencies
and psychiatric disorders encountered on the medical-surgical services. It includes
clinical case presentations and seminars and meets weekly throughout the year.
Research Methods: Basic principles and applications of research methodology, statistical analysis
of quantitative data, enabling residents to read, critique and apply research findings
published in the literature.
Neuroanatomy and Neurophysiology
Introduction to Psychodynamic Psychiatry: Familiarizes the beginning resident with the core psychodynamic concepts, understanding
patient’s behavior and symptoms, the doctor-patient relationship and the bio-psychosocial
model of illness.
ECT: Covers issues of patient’s selection, methodology, anesthesia and side-effects.
Family Therapy: Basic concepts of family therapy, utilizing lectures and videotaped family sessions.
Cognitive Behavioral Therapy: Theory and case studies are used to illustrate how a variety of disorders can be
conceptualized and treated using this method.
Psychological Testing: Psychometric principles, assessment techniques, personality testing and testing to
specific psychiatric conditions, both lectures and clinical case material are used.
Psychosocial Development: Aspects of normal psychological development through the life cycle. Various theoretical
perspectives are introduced through guided readings of selected literature and class
Representative Course: May changes as revisions occur.
Dynamic Theory and Technique: Lecture format on the process of psychotherapy, evaluation, diagnostic assessment,
indications, beginning phase, mid-phase and termination of treatment. Aspects of the
therapeutic relationship, transference, interpretation, and other aspects of technique
Human Sexuality and Sexual Dysfunction: Normal developmental and physiological aspects of human sexuality. Interview and
sexual history taking are presented through lecture and group exercise. Various aspects
of sexual dysfunction and therapeutic interventions are introduced. Advanced level
courses are given in subsequent years of training.
Family Therapy Clinical Seminar: Advanced seminar in the clinical setting. Residents observe and actively participate
as co-therapist with the instructor in ongoing family therapy sessions, Discussions,
supervision and readings are also provided.
Clinical Issues Seminar: Weekly, yearlong seminars covering a variety of clinical issues, treatment approaches
(somatic and psychodynamic), and other areas of special interest.
Outpatient Case Conference: Residents alternate presenting new cases. Issues of differential diagnosis, treatment
plan, family/marital issues, sociocultural issues and countertransference aspects
Psychodynamic Clinical Case: Case presentations are analyzed to sharpen the residents’ skills in making Psychodynamic
formulations and identifying and handling various issues of ongoing dynamic therapy,
including combined use of medication with psychotherapy. This course is the clinical
parallel to the theoretical course in the previous year.
Group Psychotherapy: Yearlong seminar covers both theory and technique. Process group,
readings, class discussions and participation as co-therapist in an ongoing, patient
group are provided.
Representative Course: May changes as revisions occur.
Psychopharmacology Case Conference: A two-year course providing an in depth familiarity
with clinical issues in the use of various medications.
Cultural Issues in Psychiatry: Various cultural and social values in American society and views of mental illness
in other cultures.
Ethics in Psychiatry: Medical and psychiatric ethical issues and guidelines.
Private Practice and Managed Care: Developments in health care, managed care protocols, quality assurance, utilization,
mental care economics and issues confronting the psychiatrist in today's private practice.
Six months inpatient Psychiatry, including major psychiatric syndromes, substance
abuse and emergency psychiatry.
Four months medicine/pediatrics.
Two months neurology.
Two months geriatric psychiatry
Five months inpatient psychiatry
12 months outpatient psychiatry clinic, half day per week
Two months child psychiatry
Two months consultation/liaison psychiatry
One month addiction psychiatry
12 months full-time outpatient psychiatry including community psychiatry and managed
Three months junior attending at the VA St. Louis Health Care System
Two months eating disorders
Two months administrative psychiatry
Two months consultation/liaison psychiatry
Three months selective
12 months of half day/week outpatient psychiatry clinic
Special arrangements have been made to allow all the first-postgraduate-year residents
to "come home" every Tuesday from 11 a.m. to 5 p.m. to be with their fellow psychiatric
residents, attend a residents meeting, have a business lunch and attend didactic lectures
Starting in the PGY-2 year, residents spend one-half day per week in the adult outpatient
clinic, evaluating and treating patients whom they can follow in therapy until graduation.
Geriatric Psychiatry Residency Program
SLU’s geriatric psychiatry track program offers training in both general psychiatry
and geriatric psychiatry. Our purpose is to train future geriatric psychiatrists to
fulfill the needs of the growing aging population.
In the first four years, residents fulfill the core requirements for the general adult
psychiatry and are eligible to the general psychiatry boards. The program also introduces
aspects of geriatric psychiatry throughout the four years of training.
After completing the four years of general psychiatry training, candidates are expected
to continue as a fifth year resident in the geriatric psychiatry fellowship program
at Saint Louis University. At the end of five years, candidates will be eligible for
both general psychiatry and geriatric psychiatry boards.
National and international reputation of excellence.
Geriatric psychiatry fellowship training since 1983.
Three ACGME-accredited geriatric psychiatry fellowship positions are available every
Our graduates have assumed positions of leadership nationally and internationally.
Geriatric Psychiatry Fellowship Program
By 2020, there will be 53 million people over the age of 65. The number of people
living with mental illness will double to 15 million. Clinical skills and expertise
to treat this group will become a necessity and there is shortage of geriatric psychiatrists.
Our fellowship program provides training in the care of adults aged 65 and older in
a variety of service settings:
Inpatient hospital unit
Geriatric psychiatry assessment and continuity outpatient clinic
Healthy brain aging center
Mood and anxiety clinic
Geriatric consultations to other hospital services and long-term care facilities
Electives with Alzheimer’s Association and palliative care/ hospice agencies
Applicants with one of the following qualifications are eligible for appointment to
our accredited residency programs:
September 15: Program begins downloading and reviewing applications. October 15: Program stops downloading new applications. Applications entered into ERAS after this
date will not be entertained. November 1: Interview residency applicants. February 28: Interviews are on Thursdays, with dinner the preceding evening.
USMLE Step I and II CK and CS results. Candidates must have successfully completed
both USMLE steps I and II before they can be invited for interview.
Medical school transcript and diploma/certificate
Dean’s letter and three letters of recommendation
ECFMG certificate if applicable
Additional Requirements for Geriatric Residency
Only two positions available annually. The program welcomes U.S. citizens, international
medical graduates and holders of immigrant visas (green card holders). We can sponsor
J-1 visas but cannot sponsor H-1B visas.
In addition to meeting the general criteria for residency in the department above,
the program criteria are as follows:
Commitment and sincere interest in geriatric psychiatry as a career path.
Applicants with experience in direct clinical care or related medical research during
the time or since their graduation will be given preference (e.g., individuals who
have a neuroscience-related graduate degree or training in the neurosciences or research
in the field of geriatric psychiatry).
Dean's letter and three letters of recommendation. Reference letters from preceptors
in the field of psychiatry are a plus.
A well-written one-to-two page personal statement that provides information regarding
the applicant’s interest in geriatric psychiatry.
Three-digit passing scores and not more than three attempts. Preference will be given
to candidates with an USMLE step IIIl. All three steps to be completed within a seven-year
Exceptions can be made for excellent eligible candidates with dedicated interest in
Interview and Selection Process
The program director or a designee reviews the file of each applicant as soon as it
is received. If the applicant has suitable qualifications, they are invited to come
for a personal interview. The usual interview process requires a full day and includes
individual interviews with three to four faculty members, a resident and a fellow,
and a tour of the medical center.
Candidates are selected on based on past academic and research experience, related
geriatric experience and performance in the personal interview. A Ranking list will
be submitted to NRMP.
The program recruits and selects from among eligible applicants on the basis of preparedness,
ability, aptitude, academic credentials, communication skills, and personal qualities
including motivation and integrity. The program will not discriminate with regard
to gender, race, age, religion, sexual orientation, national origin, disability or
veteran status. The applicant selection process will follow the ACGME guidelines,
as well as our program guidelines.