Interactive Program Information

Interactive Program Booklet

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For more information about our program, please contact Sara Lehman, our Program Coordinator, at (727) 588-5704.

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  • ERAS: 4001100315
  • NRMP: 1981400C0

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Welcome from our Program Director

The Psychiatry program at Largo Medical Center is a four-year, fully accredited ACGME program that provides trainees with the educational and practical clinical experience that will enable them to deliver superior specialized care to patients.

Mission Statement

The Largo Medical Center Psychiatry Residency program’s mission is to develop the next generation of physicians and physician leaders. As a part of HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.

This program is designed to offer residents a rewarding, educational environment where residents are provided individualized learning opportunities by faculty and staff who support and sustain one another throughout quality care delivery. Our faculty are committed to ensuring the residents' clinical experience and educational needs are fulfilled while expanding residents’ perspectives to be inclusive of cultures, values, and ideals.

Program Overview

The Largo Medical Center Psychiatry Residency Program has made it our mission to create compassionate and strong clinical psychiatrists that excel in the leadership of the biopsychosocial treatment team.

We provide a clinically and academically rigorous training program that includes a well-balanced curriculum covering acute psychiatric inpatient care, outpatient care which develops residents' own panel of patients as well as experience working in a collaborative environment with therapists, psychiatric consultation, addiction psychiatry, forensic psychiatry, and more.

This experience gives trainees the education required to discern between different therapeutic approaches in an acute care setting and the experience in both crisis management and stabilization of the patient for successful discharge into the outpatient setting.

Our program spans the wide spectrum of modalities that psychiatry as a specialty offers, allowing considerable exposure in a multitude of inpatient and outpatient settings. We are very excited about our launch of electroconvulsive therapy here at Largo Medical Center, an important treatment option in the field of psychiatric care.

The strength of our program training is the volume and variety within our community, as well as the depth and breadth of our clinical care, with emphasis on bedside teaching and mastery of clinical skills. With the support and resources of HCA Healthcare GME, our faculty provide our trainees with the skills they need for a successful career, and to develop as a leader in psychiatric medicine.

We are committed to:

  • teaching competent, outstanding physicians in a collegial environment who deliver high-quality, patient-centered health care, for the good of all people, no matter their circumstance;
  • outstanding medical student education which enhances the training of our residents for in helping to teach new generations of physicians, residents will grow and solidify their own knowledge
  • fostering resident interest in scientific investigation and evidence-based practice;
  • providing our resident physicians with the necessary clinical skills to be competent, compassionate, patient-centric psychiatrists;
  • developing professional relationships and collaborating with interprofessional teams and colleagues across the professional continuum;
  • positively impacting public health throughout the communities we serve;
  • guiding competent, outstanding physicians into being efficient and effective psychiatrists.

The hard work and dedication invested during residency here will lead to countless rewards for not only yourself but each and every patient you serve.

Get to Know the Team

Francis Kevin Butler, MD, MBA, MPH, Program Director

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Program Details

The Psychiatry Residency Program located at Largo Medical Center is a Statutory Teaching Hospital designated by the Florida Agency for Health Care Administration (AHCA).

Our program is fully accredited by the ACGME and affiliated with the University of South Florida Morsani College of Medicine. We are dedicated to meeting the health care needs of the community we serve.

Our residency program and program faculty are committed to maintaining high standards of educational quality. Resident physicians are first and foremost learners.

Accordingly, a resident’s educational needs should be the primary determinant of any assigned patient care services.

Residents must, however, remain mindful of their oath as physicians and recognize that their responsibilities to their patients always take priority over purely educational considerations.

Conference Schedule


All the residency programs at Largo Medical Center use a web-based, residency management system called MedHub to process evaluations, update vital information as well as submission of timesheets. A

Additionally, you will enter your scholarly activity in MedHub throughout your training.


Attending evaluations of residents, resident evaluations of faculty, and resident evaluations of service will be completed on MedHub. These must be completed and signed by all required parties and should be submitted within two weeks of the end of each block.

Clinical Skills Evaluations

The clinical skills evaluation (CSE) is an American Board of Psychiatry and Neurology (ABPN) requirement for all residents. Each evaluation focuses on three components: physician-patient relationship, psychiatric interview including mental status evaluation, and case presentation.

Our program conducts CSEs annually. The evaluations are valid for seven years after the completion of residency training. For more information, check out the ABPN website.


ACGME has implemented milestones as a framework for determining resident performance within the six ACGME Core Competencies. Essentially, they are competency-based developmental outcomes. Further information can be obtained at the ACGME website.

Duty Hours

Standard Service Hours are from 7:00 a.m. to 5:00 p.m., Monday – Friday.

  • Psychiatry Didactics will be at 12:00 p.m. – 1:00 p.m. Monday – Thursday.
  • PGY-4 residents each have 1 day of clinic per week, completed at Florida Behavioral Medicine.
  • Weekday Call: 7:00 a.m.-7:00 p.m.
  • Weekend Call:
    • Primary 7:00 a.m.-7:00 p.m.
    • Secondary 7:00 a.m.-2:00 p.m.
    • Home call 2:00pm-5:00 p.m.
    • Tertiary 7:00 a.m.-2:00 p.m.

Salary Information

AY 21 - 22 PGY1 PGY2 PGY3 PGY4
Annual Salary $54,267 $55,869 $57,637 $59,738
On-Call Meals $950 $950 $950 $950
Total $55,217 $56,819 $58,587 $60,688


Health Insurance

Available with a cost share; optional family plan can be purchased.

Dental Coverage

Provided with minimal charge.

Basic Life Insurance

Provided at no cost; additional amounts may be purchased for resident or family.

Professional Liability Insurance

Provided at no cost.

Disability Insurance

Special portable anticipated income disability insurance available at nominal cost.

Vacation/Educational Leave

15 days paid vacation. PTO is utilized for vacation and sick days. Additional educational days are available and must be preapproved by the Program Director and be in accordance with GME policies and procedures.


Research is an important part of our mission at the HCA/USF Morsani College of Medicine Largo Medical Center. There are numerous opportunities for residents to participate in ongoing projects through Largo Medical Center or a project of their own.

Residents are strongly encouraged to participate in research. Opportunities include the ability to present at Grand Rounds, publish manuscripts and present posters at local, regional or national conferences. For residents with a specific research interest, faculty mentorship is required to assist residents in completing the research process.

Residents in our program have the opportunity to become certified in Transcranial Magnetic Stimulation (TMS) and they also get training in Electroconvulsive Therapy (ECT). PGY-3 year offers BrainsWay© training for TMS as well as hands-on clinical experience. During the PGY-4 year, residents complete rotations participating in an interdisciplinary team that provides ECT treatments.

Formal didactic sessions are held Monday-Thursday at noon, with attendance being a minimum of 80% of all didactics and protected from clinical responsibilities.

The didactics are combined for PGY-1 through PGY-4. The curriculum provides systematic instruction on normal development and behavior neuroanatomy and physiology, psychopathology, psychopharmacology, psychological theory, and psychotherapy. Resources are available for individual study. Journal club is conducted with supervising faculty, with residents rotating for presenting the selected material. Feedback for all didactic sessions is requested from the residents in the form of open group discussion at designated meetings during the academic year.

Psychotherapy is an important component of the resident experience and is obtained through didactics, supervision and with clinical experience conducting psychotherapy during the inpatient years with staff trained and licensed in various therapies. This experience provides a perspective on the nature of the psychotherapeutic process and a basis for the understanding of a variety of therapeutic modalities (Psychodynamic, CBT, group therapy, and others). Psychotherapy didactics are held every Thursday from 12:00 p.m. – 1:00 p.m.

All residents complete an annual Clinical Skills Evaluation to assess the development of clinical skills and decision making. Residents are observed while conducting a diagnostic interview and faculty observers provide feedback on the resident's ability to elicit relevant clinical data, to develop a differential diagnosis, a formulation and their delineation of a treatment plan. These experiences help residents master their craft and allow residents to meet the requirements of the American Board of Psychiatry and Neurology and/or the American Osteopathic Board of Neurology and Psychiatry for board-eligibility upon graduation from residency.

Every year all residents sit for the PRITE (Psychiatric Residency In-Training Examination). The PRITE allows residents to be compared to their peer group at the residency as well as national level. Progressive improvement throughout training is expected, and results are used to provide educational feedback to the resident and the training director, and allows for monitoring of the effectiveness of the program's didactics and general training.

Graduating residents are well prepared to take the psychiatry specialty examination offered by the American Board of Psychiatry and Neurology and/or the American Osteopathic Board of Neurology and Psychiatry. Residents are encouraged to do so at their earliest opportunity. Since the inception of the psychiatry program, 100% of all graduates from this program have taken and passed the board examination.