Skip Navigation

Message from the Chief Resident

Dr. Melisa Tyndall      Dr. Raj Patel      Dr. Derek Ayers
Dr. Melisa Tyndall     Dr. Raj Patel    Dr. Derek Ayers
Chief Residents 2016 - 2017

Welcome to the Wake Forest University general psychiatry training program! We are honored to be the co-chief residents for 2016-2017 and would like to provide you with a closer look at our residency training program, especially from a resident perspective.

During the first year of residency training, interns complete five blocks (each block is 4 weeks) of adult inpatient psychiatry on the adult inpatient unit at Wake Forest Baptist Medical Center (WFBMC), one block of med-psych inpatient psychiatry at the Salisbury VA, one block of night float, and six blocks of off-service work.  This is to include one block of outpatient neurology at WFBMC, one block of outpatient neurology at the Salisbury VA, two blocks of outpatient general medicine at the Salisbury VA, one block of outpatient pediatrics at a local hospital-run satellite clinic and one block of emergency medicine at the WFBMC.

A real strength of our program is that all overnight call taken by psychiatry residents is psychiatry call.  There is no neurology, pediatrics, or general medicine call taken by our psychiatry residents. This allows our interns to develop a solid foundation in emergency psychiatry early in their postgraduate training experience, which serves them well in residency and beyond. Also, all residents rotating through outpatient clerkships are free from clinical responsibilities on Fridays, which is when the department holds all of its various resident seminars, journal clubs, grand rounds, and resident meetings. Friday afternoon is also a great time to see psychotherapy patients. We feel that this arrangement sets an appropriate balance between clinical work and resident education. The only exception to this is during the first year.  Interns round on the inpatient unit on Friday mornings, and then attend an intern-specific lecture series in the afternoon. 

The second year in our curriculum includes exposure to various subspecialty clinics.  Residents will spend 3 months in the Suboxone, ECT, Geriatric, Neurobehavioral, and Child/Adolescent Psychiatry clinics, along with 6 months of consultation-liaison psychiatry.  We feel that this gives residents early exposure to most subspecialty areas of Psychiatry so that they can begin to prepare their career in the area of most interest.  Most of these rotations take place at our medical center but there is exposure to the VA Medical Center as well.

In addition, second-year residents begin working with their own psychotherapy patients. This is often the most exciting (and anxiety-provoking!) part of resident training and to assist with this task, each of our upper-level residents is assigned two psychotherapy supervisors for 1:1 guidance. Residents meet for one hour with each supervisor on a weekly basis to review their psychotherapy cases and discuss important learning issues. This individual attention nicely complements the dedicated psychotherapy didactics provided weekly in our department. In order to give residents a broad education in different psychotherapy modalities, residents change supervisors every year so that they have the opportunity to work with supervisors specializing in the various psychotherapy "schools" (i.e. CBT, psychodynamic psychotherapy, humanistic psychotherapy, brief psychotherapy, etc.). This experience continues until the completion of residency training.

During the third year of training, residents complete 12 consecutive months of adult outpatient psychiatry. A significant portion of this experience is done in our department at WFBMC, but there is also training at the VAMC in Salisbury, NC. Residents also rotate through several off-site psychiatry clinics during their fourth year of training, which exposes the residents to a greater degree of diversity regarding patient background, level/type of care provided and geography.

Adult outpatient off-site locations include the Kernersville VA outpatient clinic, the HOTT project (Samaritan Homeless Shelter) and other rotations that are under development.

In addition to the adult outpatient rotation, PGY-IIIs and PGY-IVs complete three months of psychiatry work at the W. G. Hefner VA Medical Center in Salisbury. The VAMC offers a great deal of flexibility with this rotation, depending upon individual resident interests. This experience can be inpatient, outpatient, medication management, psychotherapy, substance abuse/dual diagnosis, geriatric, young adult, PTSD-oriented, traumatic brain injury-oriented, or some combination thereof. This is especially enjoyable, as it allows residents to work closely with the department's child/adolescent psychiatry fellowship program. During the final two years of their training, residents rotate off-site for additional adult inpatient psychiatry exposure. 

Our residency program offers five months of dedicated elective work. Residents are given a great deal of latitude in arranging these electives. Residents frequently arrange electives in forensic psychiatry, sleep medicine, administrative psychiatry and research. Residents are given the opportunity to conduct off-service electives, such as rotations in neuro-rehabilitation and in neurologic movement disorders.

Throughout the entire training experience, education, research and service are actively encouraged and supported. Various opportunities for research are provided granting residents the opportunity work with MD and PhD level faculty on diverse projects. Multiple residents are actively involved in research projects and have authored publications.

We hope that this brief introduction to the general psychiatry residency program at Wake Forest School of Medicine has been helpful and informative. Of course, the information provided in this message represents only the tip of the iceberg when it comes to outlining the strengths of our program. If you are interested in our training program, please do not hesitate to contact us, as we would love to hear from you!


Melisa Tyndall, MD
Raj Patel, MD
Derek Ayers, DO

Chief Residents, 2016-2017

Quick Reference

Psychiatry and Behavioral Medicine

Clinical Appointments

Monday - Friday
8 a.m. - 5 p.m.


791 Jonestown Road, Winston-Salem, NC  27103

Find A Doctor Ways to Give


Residency Program

Our residents and fellows create opportunities for professional growth within our rich and wide-ranging educational and clinical programs.

Last Updated: 08-24-2016
Six Wake Forest Baptist Specialties Earn U.S. News RankingsComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsMagnet Hospital RecognitionJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

© Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved.