Psychiatry residency is four years long. The intern year is spent in Internal Medicine, Neurology and Acute (Inpatient) Psychiatry. The following three years consist of multiple rotations, including child and adolescent psychiatry, consult liaison psychiatry, addiction psychiatry, geriatric psychiatry, outpatient psychiatry, and training in psychotherapy. Psychotherapy training is longitudinal, and residents are required to have cases in a multitude of different psychotherapy modalities.
There are also combined degree programs. Triple Board (Adult Psychiatry, Child and Adolescent Psychiatry, and Pediatrics) is 5 years long. Med-Psych (Adult Psychiatry and Internal Medicine) is 5 years long. There is no additional training required beyond these residencies, but there are several boarded fellowships available.
It is sometimes possible to combine Psychiatry residency with Child and Adolescent Psychiatry fellowship by applying for fellowship to start after the PGY3 year. This reduces a year off the training time for a total of 5 years instead of 6 years.
There are multiple boarded fellowships: Child and Adolescent Psychiatry (2 years), Geriatric Psychiatry (1 year), Forensic Psychiatry (1 year), Addiction Psychiatry (1 year), and Psychosomatic Medicine (1 year), Hospice and Palliative Medicine, Sleep Medicine, and Pain Management. There are also non-boarded fellowships/trainings in many areas including, but not limited to, Perinatal Psychiatry, Infant Mental Health, Eating Disorders, HIV Psychiatry, Integrative Medicine, Research, Schizophrenia, Community Psychiatry, Electroconvulsive Therapy, and other minimally invasive procedures.
What Does a Typical Workday Look Like?
Important Qualities and Traits
Qualities recognized as important to psychiatry include:
- The ability to listen “actively” and observe “comprehensively.”
- Psychological mindedness and curiosity.
- The ability to skillfully engage and develop therapeutic alliance with patients from the first encounter.
- Compassion and empathy, but pragmatic firmness about boundaries.
- Nonjudgmental stance and cognizance of one’s own limitations.
- Impeccable integrity and ethical conduct.
There are multiple areas of research occurring within the Department of Psychiatry including:
- Infant Mental Health – the effects from neglect and deprivation
- Collaborative care models
- Genetics – the effects on DNA from stress and trauma
- Schizophrenia and outcomes with first-episode psychosis intervention
- PTSD in children and the best treatment modalities
- PTSD and family therapy
There is a research webpage where details can be accessed.
Additionally, students may want to pursue research opportunities through the DeBakey Scholars Program. This program offers medical students the opportunity to pursue and complete a longitudinal, structured, closely supervised research experience culminating in a capstone presentation prior to graduation. For more information, contact Dr. Derek Pociask.
Mentorship: Residents in Tulane’s Department of Psychiatry and Behavioral Sciences are paired with students based on common interests. Both adult psychiatry and child and adolescent psychiatry residents have offered to mentor students.
Education: We hold three lunch presentations throughout the year, which bring in speakers to discuss a range of mental health topics. We also sponsor medical student attendance at Tulane's Brain and Behavior Conference in December and Forensic Psychiatry Conference in April, including a special lunch with faculty.
Service: This varies year to year. In the recent past students have volunteered at the Sensory Friendly Family Night at the Louisiana Children’s Museum, a time when the museum is opened just for children with Autism Spectrum Disorders and their families so they can enjoy the museum after hours.
Who are the Specialty Academic/Career Advisors for this Specialty?
Dr. Ashley Weiss -- Director of Medical Student Education
Dr. Rachel Hammer - Med/Psych
Dr. Myo Myint - Triple Board
One of the most common questions we get asked is “How do I know if I’m competitive for this specialty?” There are a lot of metrics that are provided by sources like the NRMP’s Charting Outcomes report that can help you gauge whether you are a competitive applicant, and help guide your choices of activities.
The table below shows the 25th percentile, the median and the 75th percentile for a number of the more regularly used metrics to gauge competitiveness. It’s important for you to understand what these numbers represent, and why they may be different from the averages you might see elsewhere.
- The 25th percentile represents the lower range of “normal” for a successful applicant in this specialty.
- The median represents an average for successful applicants in this specialty.
- The 75th percentile represents the higher range of “normal” for a successful applicant in this specialty.
Medical students are usually over-achievers, who have exceeded expectations throughout their educational years. However, it’s important to realize that overachievement is not always a good thing when it comes to match. Instead, you should aim for “fit.” This means that you should fall somewhere between the 25th and 75th percentile on these metrics. Below the 25th percentile, and you have a relatively low chance of match (25% chance, to be specific). Above the 75th percentile, and you also have a lower chance of matching (again, 25% chance), as program directors are typically looking for candidates who “fit” their profiles more so than those who exceed those profiles.
Between the 25th and 75th percentiles is the sweet spot. This range spans 50% of successful applicants, with only 25% of successful applicants falling above the 75th percentile and 25% of successful applicants falling below the 25th percentile. The closer you fall to the median (i.e., the 50th percentile), the better! This doesn’t mean you’re average, but rather that you are fitting the demands of this specialty!
A note about medians vs. means as a measure of “average”: We use medians to determine competitiveness rather than means for a simple reason. Medians are not as warped as means by outliers, or those successful candidates who fall very much outside the average on a particular measure. You may have heard that the “average” Step 2 score or number of publications for a specialty are incredibly high (or low), and you may wonder how it’s even possible to hit this “average.” These unrealistic “averages” are typically means that have been influenced by just a very small number of people who have incredibly high (or low) scores or numbers of publications, and often those high numbers of publications in particular, are the result of having earned a research Ph.D. or having spent years in a research career! This is NOT the expectation, but rather an exception!
| PYCH | 25th percentile | Median | 75th percentile | |
| Step 1 First Time Pass Rate | 97.60% | |||
| National Step 2 CK | 236 | 247 | 256 | |
| Successful Tulane Step 2 CK (2022-2026) | 232 | 239 | 247 | |
| Research Experiences | 3 | 4 | 6 | |
| Abstracts | 0 | 1 | 3 | |
| Presentations | 2 | 3 | 6 | |
| Publications | 1 | 2 | 4 | |
| Volunteer | 3 | 5 | 8 | |
| Work | 1 | 2 | 4 |
Special Considerations When Applying for Residency
If there is anything on your application that may raise concerns, please strongly consider dual applying with another specialty. You’re advised to discuss dual application options and plans with Dr. Katrina D’Aquin and your specialty advisor.
Away rotations are not necessary, but if interested in a specific program, are a good way to make yourself known. If you are interested in a program in which you have a connection (i.e., you went to undergrad there and want to move back), you should convey that to the program.
Students should look for programs they feel are a good fit in terms of size, program strengths coinciding with student interests, and “personality” of the program as a whole.
Personal statements are fairly important in this field and should clearly address why one is pursuing psychiatry. Letters of recommendation, even the ones NOT from psychiatrists, should convey the qualities about the student that are consistent with success as a psychiatrist. Always ask people writing letters to highlight your interpersonal skills.
Always reach out to programs you are truly interested in if you haven’t heard from them within a month after residency applications.
Where Past Tulane Students Have Matched
| ISMMS Mount Sinai Hospital-NY | NEW YORK | NY | 2022 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2022 |
| U Illinois COM-Chicago | CHICAGO | IL | 2022 |
| ISMMS Mount Sinai Hospital-NY | NEW YORK | NY | 2022 |
| VA Greater LA Hlth Sys-CA | LOS ANGELES | CA | 2022 |
| Case Western/Univ Hosps Cleveland Med Ctr-OH | CLEVELAND | OH | 2022 |
| U North Carolina Hospitals | CHAPEL HILL | NC | 2022 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2022 |
| Medical University of SC | CHARLESTON | SC | 2023 |
| Kaiser Permanente-San Jose-CA | SAN JOSE | CA | 2023 |
| Emory Univ SOM-GA | ATLANTA | GA | 2023 |
| Rush University Med Ctr-IL | CHICAGO | IL | 2023 |
| U Florida COM-Jacksonville | JACKSONVILLE | FL | 2023 |
| Mission Community Hosp-CA | PANORAMA CITY, | CA | 2023 |
| George Washington Univ-DC | WASHINGTON | DC | 2023 |
| Med Coll Wisconsin Affil Hosps | MILWAUKEE | WI | 2023 |
| UC Davis Med Ctr-CA | SACRAMENTO | CA | 2023 |
| Olive View-UCLA Med Ctr-CA | SYLMAR | CA | 2023 |
| LSU SOM-Baton Rouge-LA | BATON ROUGE | LA | 2023 |
| Charles R Drew University-CA | LOS ANGELES | CA | 2024 |
| U North Carolina Hospitals | CHAPEL HILL | NC | 2024 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2024 |
| Temple Univ Hosp-PA | PHILADELPHIA | PA | 2024 |
| U North Carolina Hospitals | CHAPEL HILL | NC | 2024 |
| Barnes-Jewish Hosp-MO | ST LOUIS | MO | 2024 |
| St Elizabeths Med Ctr-MA | BOSTON | MA | 2024 |
| LSU SOM-New Orleans-LA | NEW ORLEANS | LA | 2024 |
| U Texas at Austin Dell Medical School | AUSTIN | TX | 2024 |
| LSU SOM-New Orleans-LA | NEW ORLEANS | LA | 2024 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2024 |
| HealthONE-CO | AURORA | CO | 2024 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2025 |
| Harvard South Shore-MA | BROCKTON | MA | 2025 |
| ISMMS Mount Sinai Hospital-NY | NEW YORK | NY | 2025 |
| LSU SOM-New Orleans-LA | NEW ORLEANS | LA | 2025 |
| University of Virginia | CHARLOTTESVILLE | VA | 2025 |
| U Michigan Hosps-Ann Arbor | ANN ARBOR | MI | 2025 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2025 |
| LSU SOM-New Orleans-LA | NEW ORLEANS | LA | 2026 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2026 |
| Morehouse Sch of Med-GA | ATLANTA | GA | 2026 |
| Univ of Chicago Med Ctr-IL | CHICAGO | IL | 2026 |
| Kaiser Permanente-San Jose-CA | SAN JOSE | CA | 2026 |
| Duke Univ Med Ctr-NC | DURHAM | NC | 2026 |
| Carilion Clinic-Virginia Tech Carilion SOM | ROANOKE | VA | 2026 |
| Conn Inst Communities Health-CT | DANBURY | CT | 2026 |
| U Colorado SOM-Denver | AURORA | CO | 2026 |
| Tower Health/Reading Hospital-PA | WEST READING | PA | 2026 |
| Tulane Univ SOM-LA | NEW ORLEANS | LA | 2026 |
| Tower Health/Reading Hospital-PA | WEST READING | PA | 2026 |
| U Arizona COM-Phoenix | PHOENIX | AZ | 2026 |
| U South Florida Morsani COM-Tampa | TAMPA | FL | 2026 |
| Montefiore Med Ctr/Einstein-NY | BRONX | NY | 2026 |
How Many Programs Should I Apply To?
40-75, depending on the strength of your application. ERAS data show MD applicants last year applied to an average of 62 programs.
NRMP's Charting Outcomes in the Match 2026
NRMP's Program Director Survey 2024
Applying to the Psychiatry Match by AACAP
American Psychiatric Association student resource website
American Academy of Child & Adolescent Psychiatry student resource website
Tulane’s Department of Psychiatry
Dr. Katrina D’Aquin can put you in touch with potential mentors.
Books
Reading books based on first-hand experiences with mental illnesses can be very powerful and fascinating. They do not serve to educate about pathology, but to give a window into a person’s experience of pathology. Dr. Weiss’s top three recommendations: