Five Year Program = Three Years Psychiatry + Two Years of Child and Adolescent Psychiatry

The UK College of Medicine Psychiatry Department offers a child and adolescent integrated track. This program is a five-year integrated program that features three years of general psychiatry followed by two years of fellowship training in child and adolescent psychiatry. 

The first three years of this track allow up to two months of primary care training in pediatrics and at least one month of child neurology. This early focus on pediatrics leads to an early focus on development and to having a family focus. Early mentorship by child and adolescent faculty members also contributes to engagement. Opportunities to treat transition age youth and adolescents begin as early as the PGY-2 year. Residents have a chance to work together and with other general psychiatry interns, triple board and pediatric interns.

Upon completion of the integrated child and adolescent program, the resident is prepared to provide competent evaluations and appropriate treatment to children, adolescents and adults with psychiatric disorders and their families.

Applicants can apply to both the categorical psychiatry residency and the integrated child and adolescent track through ERAS but must apply to each program separately to be considered for both programs. The two programs have separate NRMP numbers and can be ranked separately.

International Students

Applicants who are international medical graduates are required to have current Educational Commission for Foreign Medical Graduates (ECFMG) certification. We sponsor J-1 visas only.

Successful Applicants

Part of our mission is to train quality psychiatrists to help fill the clinical need in our region. Therefore, we consider ties to the region as part of our screening process but do value maintaining a diverse group of residents. Preference is given to applicants who have graduated medical school within two years of the application date. In addition, here are some key elements (there may be others) we look for in an applicant when reviewing applications AND during the interview:

Well-Written Personal Statement

A well-written personal statement that clearly describes how various professional and personal experiences led you to decide upon child and adolescent psychiatry as a specialty.

Preference: passed USMLE or COMLEX Step 1, and Step 2 CK on the first attempt.

Preference will be given to applicants that have passed USMLE or COMLEX Step 1, and Step 2 CK on the first attempt. A passing score is required for either USMLE Step 1 or COMLEX Level 1 for application and a passing score for USMLE Step 2 CK or COMLEX Level 2 CE must be submitted prior to the rank list submission deadline or the applicant will not be ranked by the program.

Minimum of Two Letters of Recommendation

A minimum of two letters of recommendation that clearly describe the author's familiarity with you and your interest in psychiatry should be included in your application. At least one letter must be from a psychiatrist, ideally in an ACGME-accredited residency program on residency program letterhead.

At Least Two to Three Rotations in Psychiatry

The applicant should have done at least two to three rotations in psychiatry during medical school in a variety of clinical setting


Prior to interviewing, all prospective interview candidates should visit the UK GME prospective residents and fellows page found here to review information related to the following:

  • Stipends and benefits
  • Contract 
  • GME policies and procedures
  • Interview acknowledgement forms

Scheduling the Interview

All interviews in the 2021-22 recruitment season will be done virtually. Interviews will be on Mondays from early November 2021 through January 2022. For all our interview scheduling, we use the program 'Thalamus'. This program will be an important tool for candidates selected for interview as it will be a secure and reliable connection to our availability and communications.  Interview invitations will be sent out on Friday afternoons.

Interview Day

Please be dressed professionally. Remember that the entire time you are with) we are reviewing your potential as a future resident. Also, ensure that all communications with us following the interview are professional with timely responses to our queries. 

A typical interview day is as follows: 

  • Introduction and program overview with the program director(s)
  • Four to five one-on-one interviews with faculty and chief residents from both the adult and child programs
  • Video tour of Lexington and core rotation sites
  • A chance to interact virtually with residents from the psychiatry residency and child psychiatry fellowship

Year 1: Rotating Internship

Name of Rotation Length of Rotation
Inpatient Pediatrics 1 month
Outpatient Pediatrics 1 month
Inpatient Internal Medicine 1 month
Inpatient Family Medicine 1 month
Adult Neurology 1 month
General Inpatient Psychiatry 3 months
Community Inpatient Psychiatry 1 month
Emergency Psychiatry 2 months
Psychiatry Consultation Liaison Service     1 month


PGY-1 residents are allotted 10 days of vacation

Year 2: Acute Psychiatric Care

Name of Rotation

Length of Rotation

Inpatient Child and Adolescent Psychiatry   

1 month

Child Neurology

1 month

Emergency Psychiatry

1 month

Psychiatry Consultation Liaison Service

4 months

General Inpatient Psychiatry

1 month

Inpatient Geriatric Psychiatric 

1 month

Child and Adolescent Psychiatry Elective

1 month

General Inpatient Psychiatry (supervisor)

2 months


PGY-2 residents are allotted 15 days of vacation

Year 3: Outpatient Psychiatry

Name of Rotation

Length of Rotation

Outpatient Child and Adolescent Psychiatry

½ day a week for 1 year

Student Mental Health Clinic

1 day a week for 1 year

UK Outpatient Adult Psychiatry

1.5 days a week for 1 year

Outpatient Addiction Psychiatry Clinic

½ day a week for 6 months

VA Outpatient Adult Psychiatry

1 day a week for 1 year

Outpatient elective (addiction, Telepsychiatry, research, community mental health)    

1/2 day a week for 6 months – 1 year


PGY-3 residents are allotted 15 days of vacation

Year 4: CAP Fellowship, First Year

Name of Rotation

Length of Rotation

Inpatient Child and Adolescent Psychiatry

4 months

Child and Adolescent Consultation Liaison Psychiatry    

2 months

Outpatient Child and Adolescent  Psychiatry 

6 months


PGY-4 Fellows receive 15 days of vacation

Year 5: CAP Fellowship, Second Year

Name of Rotation

Length of Rotation

Outpatient Child and Adolescent Psychiatry   

1-2 days a week

School Consultations

1 day a week for 6 months to 1 year

Developmental Disorders Clinic 

1 day a week for 6 months to 1 year

Telepsychiatry Community Consultation

½ day a week for 6 months

Juvenile Justice Facilities

½ day a week twice a month

Community Mental Health

½ day a week for 6 months to 1 year

Sunrise Group Home Experience

1 day a week for one year

Center on Trauma and Children Elective

½ day a week for 6 months to 1 year - Elective

Ridge Behavioral Health Inpatient Elective

½ day a week for 3 months - Elective


PGY-5 fellows receive 15 days of vacation

Marian Swope, MD

Positions Held:
  • Professor
  • Program Director, Child and Adolescent Psychiatry Fellowship

Sandra D Batsel-Thomas, MD

Positions Held:
  • Associate Professor
  • Program Director, Psychiatry Residency Program