Improving External Rotations in Psychiatry Residency Programs: A Mixed-Methods Analysis

Introduction External rotations allow psychiatry residents to gain exposure to different clinical settings and practices. However, the availability and quality of these rotations vary significantly across training units. This study evaluates residents’ experiences with external rotations and identifies areas for improvement. Objectives To assess the time allocated for external rotations in different training units and explore residents’ suggestions for improving these rotations. Methods A cross-sectional survey was distributed to psychiatry residents in Spain. Quantitative data regarding the total time allowed for external rotations was collected, and qualitative responses were analyzed to identify recurring themes for improvement. Results A total of 109 responses were analyzed. Quantitatively, 60% of residents reported being allowed 1 to 3 months for external rotations, while 25% stated they had more than 3 months. Only 15% indicated that external rotations were not offered in their unit. Qualitative analysis revealed that the main areas for improvement included more flexibility in choosing rotation locations (40%), better financial support for rotations outside of the home institution (35%), and greater clarity in the application process for external rotations (25%). Rotation Time Allowed Percentage (%) 1 to 3 months 60 More than 3 months 25 No external rotations offered 15 Theme Percentage (%) Flexibility in location choice 40 Financial support 35 Clarity in application process 25 Conclusions The majority of psychiatry residents are allocated 1 to 3 months for external rotations, but many see room for improvement in terms of flexibility, financial support, and clarity in the application process. Enhancing these aspects could make external rotations more accessible and beneficial for residents. Disclosure of Interest None Declared