Clinical assignments in the third year emphasize longer term care in outpatient settings. The resident divides his or her time between assignments at an outpatient clinic for patients with severe and persistent mental illness at VAMC or BTGH, a wide variety of subspecialty outpatient clinics, and the Baylor Psychiatry Clinic for an increased assignment in psychotherapy. At the outpatient clinics, emphasis is placed on the development of integrative skills with special attention to interdisciplinary, psychosocial, and cross-cultural parameters of mental health. Clinical experience and supervision are provided in consultation, mental health administration, and program planning/evaluation. Residents provide direct patient care, supervise staff members and more junior trainees and medical students, and serve as resource persons for in-service training exercises.

Two or three residents from each class may elect to take a research tract during the third postgraduate year. These residents devote one quarter time throughout the academic year to a clinical research project. Most of these residents have used an elective month during PGY-II to develop a research protocol under the guidance of a research mentor.

The didactic curriculum for the third year includes seminars in Development Psychiatry, Family Theory and Family Therapy, Community Psychiatry, Group Psychotherapy, Brain and Behavior, Ethics, The History of Psychiatry, Advanced Psychopharmacology, Brief Psychotherapy, Teaching Residents to Teach and Individual Psychotherapy. Each clinical service has a weekly teaching conference and provides a minimum of one hour of supervision for each four hours of clinical activity. In addition, two individual supervisors provide ongoing education and supervision for long-term individual psychotherapy cases.
Postgraduate Year-IV
This year allows flexibility so that the resident is able to pursue areas of interest discovered in the first three years of training. The residents continue to treat ongoing patients at the Baylor Psychiatry Clinic, serve as senior administrative or chief resident and rotate on one of the five clinical units at The Menninger Clinic of Houston. In the administrative chief capacity, the resident has a significant teaching role for first- and second-year residents and medical students. Fourth-year residents may also choose a variety of advanced elective and selective rotations: subspecialty programs of The Methodist Hospital, the VAMC, and the Baylor Psychiatry Clinic, clinical research initiatives with a faculty mentor, assignments at Jester IV Prison, Brookwood Community, Assertive Community Treatment at the VAMC, Intensive Outpatient Program at BTGH, Baylor Sleep Disorders Center, NASA and many others.