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Psychiatry Residency Training Program
  Applicants Department GME Office Home School of Medicine UW UWHA

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Brain Stimulation Elective at Seattle Neuropsychiatric Treatment Center (NTC)


  • Resident to gain procedural competency in ECT and TMS.
  • Resident to understand the indications and preparation for ECT, TMS, VNS, DBS and be able to comfortably communicate these to patients and other providers.
  • Resident to gain competency in treatment planning for ECT and TMS patients.

ECT exposure:

Senior residents will administer ECT with the attending physician one morning per week.  They will have hands on experience in how to run an ECT clinic, procedural set-up, evidence-based procedural technique and managing side effects related to ECT.

TMS exposure:

Residents will have the opportunity to learn about TMS and be involved in the hands-on administration of TMS.  They will learn how to determine treatment location and dosing for both standard TMS and deep TMS.  They will learn how to manage side effects related to TMS.  They will be exposed not only to TMS for depression, but also to TMS for experimental indications through our clinical research trials.

VNS/DBS exposure:

Residents may be involved in the care of patients being worked-up for DBS for OCD as cases are available.  Residents may meet with patients already with VNS or DBS devices and see how these devices are programmed for maintenance care.

Brain Stimulation Consultation and Treatment Planning:

Residents will participate in outpatient brain stimulation consultation. The resident will gather basic information over one hour, present the information to the attending, formulate brain stimulation treatment options, and finish out the case with the attending and patient. Each patient will be educated on the variety of brain stimulation techniques and what they are candidates for. This will provide a unique and invaluable experience of how to manage Treatment Resistant Depression. This experience will prove invaluable for knowing how to administer ECT and TMS or who to refer for brain stimulation therapies. Additionally, the resident will learn about a variety of combined and novel pharmacotherapies, evidence-based and emerging, that they will be able to us in practice with treatment resistant depression.

Residents will also see patients undergoing clinical TMS or ECT for follow-up appointments to learn why, when and how changes are made to standing treatment plans, including, but not limited to, making procedural changes, making medication adjustments, moving to continuation or maintenance treatment or stopping treatment.

Didactics and Additional Teaching/Supervision:

  • Most of the learning will be “hands-on”.
  • Supervision will take place for 30 to 60 min, once a week, following brain stimulation consultations.
  • Additional didactics for residents to understand the indications, preparation, and assessment for brain stimulation may be offered. 
  • A required and an optional supplementary reading list will be provided.

Formal Assessment:

  • Residents will complete a knowledge-based assessment at the completion of their elective.
  • Simulation Center procedural assessment could be a future possibility.


  • 2 half days a week; one morning and one afternoon (except Wednesday PM).  It doesn’t have to be on the same day.
  • 1 resident per 6 months

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560