Billings Clinic Psychiatry Residency Program Overview

Billings Clinic Psychiatric Common Space

Our mission is to train psychiatrist-leaders, who will become change agents in the rural communities they serve, by uncovering and nurturing their passions, teaching them evidence-based clinical skills, and inspiring innovative approaches to closing gaps in community-based systems of mental health care.

Montana is known to locals as the “Last Best Place” and “Big Sky Country”. Unfortunately, this beautiful state is also at the epicenter of our country’s mental health crisis, with a statewide suicide rate that has ranked among the worst for the last 40 years. Compared to other states, Montana is home to a disproportionately high number of military veterans and Native Americans, two populations that have been hit especially hard by mental health and substance use problems.

Montana’s First-Ever Psychiatry Residency Program

  • An intimate training experience, with three residents per year, or a total of twelve residents across all four years.
  • Billings, Montana hosts other medical residencies, including an internal medicine residency, nursing residency, and pharmacy residency at Billings Clinic and a family medicine residency at RiverStone Health, a local community health center.
  • Our purpose is to promote health and recovery among individuals with mental illnesses and substance use disorders by treating every patient and every colleague with empathy and dignity, while fostering a safe and supportive environment in which we come together to teach, learn, and deliver outstanding psychiatric care.

Training Opportunities at Billings Clinic

  • All clinical sites in Billings are walking distance from one another. Yes…walking distance.
  • The Basics:
    • 44 inpatient psychiatric beds, with about 1/3 dedicated to youth aged 5-17 years and 2/3 dedicated to adults.
    • Up to 25 patients served in our youth partial hospitalization program.
    • The state’s largest outpatient psychiatric practice.
    • The state’s most comprehensive behavioral health team, including psychiatrists, nurse practitioners, and a board certified psychiatric pharmacist.
  • The Features:
    • Project ECHO Billings Clinic, providing tele-mentoring and teaching support across the state.
    • Psychiatric Stabilization Unit, a specialized observation unit designed to reduce ED waiting times and deliver high quality acute psychiatric care.
    • Billings Clinic is the hub of the Eastern Montana Telemedicine Network, one of the country’s first providers of telepsychiatry services. The Billings Clinic has been providing telepsychiatry services since 1993.
    • Billings Clinic introduced the Collaborative Care Model, the gold standard for integrated behavioral health, in 2017 as part of CPC+, a prestigious CMS funding initiative.
    • Interventional psychiatry, including ECT (currently done in Seattle), ketamine, and triple chronotherapy.
    • Early Psychosis Intervention Clinic, or EPIC Montana, a state-funded initiative led by the Billings Clinic to provide treatment to patients with early onset psychosis.
    • Experiences in leadership, policymaking, and systems change initiatives.

About Billings Clinic

Billings Clinic is Montana’s largest independent health care system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, Billings Clinic is governed by a board of community members, nurses and physicians. Billings Clinic is an integrated multi-specialty group practice with a 336-bed hospital and Level I Trauma Center. Billings Clinic has more than 4,500 employees, including nearly 600 physicians and non-physician providers and advanced practitioners offering more than 80 specialties.

Billings Clinic's vision is to be a national leader in providing the best clinical quality, patient safety, service and value.

Billings Clinic has 14 regional partnerships, including management agreements with 13 Critical Access Hospitals and one outpatient clinic. In addition, we conduct approximately 110 specialty care clinics per month at 21 different regional locations for residents of rural Montana, Wyoming, and North Dakota. We were designated as the first Magnet organization in Montana in 2006, and are a member of the Mayo Clinic Care Network. Affiliated hospitals are located throughout Montana and Wyoming. Physician leadership is embedded in the organization with a physician CEO and through its internal and community governing boards that have physician members. Billings Clinic is consistently recognized nationally for excellent performance in patient quality, safety, and service.

Billings Clinic was the first Montana Magnet®-designated health care organization for nursing excellence and is a member of the Mayo Clinic Care Network.

Related Links

Learn more

Contact us with your questions.

Sarah Watson
Program Coordinator

swatson@billingsclinic.org
406-657-3952


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Applications are accepted through ERAS (Electronic Residency Application Service).