Billings Clinic Psychiatric Residency Applicant Information

Residents in the Billings Clinic Psychiatry Residency complete their four-year program in beautiful Montana. Clinical rotations are designed to provide exposure to a wide variety of patient populations, increase levels of responsibility under supervision, and allow the resident to explore elective opportunities.

PGY1

During the PGY-1 year:

• Residents complete a 6-month internship consisting of 4.5 months of Medicine and 1.5 months of Neurology.
• The other 6 months are spent on inpatient psychiatry services learning assessment of and treatment planning for acutely ill inpatients.

PGY2

The PGY-2 year includes:

• Additional experience in inpatient psychiatry
• Rotations in emergency psychiatry, addictions psychiatry, geriatric psychiatry, and inpatient consultation-liaison psychiatry
• A half-day-per-week outpatient continuity clinic and complete basic psychodynamic and supportive therapy seminars.

PGY3 and PGY4

Because of the unique challenges of working in an underserved area, there is a strong focus on community and integrated care psychiatry in the PGY-3 and PGY-4 years. Residents will complete their neurology requirement during PGY-3.

Residents are encouraged to pursue electives over the course of their third and fourth years. Choices include, but are not limited to:

• Project ECHO Billings Clinic
• Eastern Montana Telemedicine Network
• Integrated behavioral health
• Interventional psychiatry
• EPIC Montana, an early psychosis intervention clinic
• Systems change, leadership, and advocacy training
• Youth partial hospitalization program

Didactics

Throughout residency training, residents will have at least a half day per week of didactics to refine knowledge on topics related to psychopathology to medication management to social determinants of mental health.

Supervision

The amount and type of supervision for each resident depends on the specific clinical rotation, the level of experience and competence of the resident, his/her number of psychotherapy patients, and other individual resident needs or interests.

The program aims to provide each resident with appropriate supervision for each clinical experience, with the general goal of giving residents increasing levels of responsibility and autonomy as they progress through training.

Supervision is provided by on-site and virtual faculty supervising specific clinical rotations and by both regular attending staff and faculty in practice within the broader community, who provide a variety of perspectives in supervising the resident’s psychotherapy cases.

Salary & Benefits

Residents will be employees of the Billings Clinic. The 2025-2026 salary levels are as follows.

Annual Gross Salary

• Postgraduate Year 1 - $65,000.00
• Postgraduate Year 2 - $67,500.00
• Postgraduate Year 3 - $70,000.00
• Postgraduate Year 4 - $72,500.00

View the sample Graduate Medical Training Agreement and Current Benefits.

• Low cost health insurance for you and your family
• Reimbursement for Step 3 and DEA licensing
• Meal allowance on night rotations and free parking
• Billings Clinic discounts at local health clubs
• Resident Lounge with well-equipped kitchen
• Comfortable call rooms w/internet access
• Parental leave
• Library provides access to over 3,000 electronic journals and textbooks