Most rotations have a 1:1 or 1:2 attending to fellow ratio. We see patients in a tri-state area (WV, KY, OH). We have some specialty clinics and inpatient programs that are not common, such as a sex offender residential program and a gender affirming clinic that our fellows rotate through. We also offer a dedicated psychotherapy clinic during the outpatient year and opportunities to participate in a multidisciplinary autism evaluation.