The PGY-IV year is an entirely elective year, designed to allow residents the maximum flexibility in pursuing special interests of their choice. The range of electives is exceptionally broad and may be tailored to suit individual needs. Residents who are interested in research careers may elect to use some or all of the year to immerse themselves in a research project under the tutelage of a member of the faculty. Research opportunities are available in both clinical and basic science research. Many residents choose to serve as junior attendings on one of the inpatient units or in the Intensive Outpatient Program. Other recent electives have included senior rotations at the undergraduate student health center, the psychoanalytic center, the women's mental health center, and mental health clinics for the homeless. Many residents begin teaching this year, with electives available in medical student teaching and in how to plan and teach a course. During this year, residents continue to see outpatients and to receive psychotherapy and psychopharmacology supervision, helping them to consolidate their learning in these areas. Daily didactics and the weekly process group continue, which help to maintain a sense of class cohesion. This year solidifies the residents' psychiatric knowledge and skills, and helps them to prepare for their future psychiatric careers.