The unique culture of Bermuda owes much to its geography and its position as the oldest British colony in the western hemisphere. Human settlement started in 1609, as a result of a British shipwreck, and this is said to have given Shakespeare the original story on which to base The Tempest. The current population estimate is 65,365, with a population density of 3,160 per square mile, Bermuda's gross domestic product (GDP) was $5.85 billion in 2007, or $91,477 per capita, giving Bermuda the highest GDP per-capita in the world. The population is relatively stable, with multigenerational families as the norm; ethnic breakdown is 54.8% black, 34.1% white, and 6.4% multiracial (1). As part of a 2-month elective rotation, 4th-year psychiatry residents at Howard University Hospital will spend time at St. Brendan's Hospital, Bermuda's only inpatient treatment center, which opened in 1835 (2). Residents will also spend time in one of the three community psychiatry rehabilitation centers, the psychiatric daycare center, and the outpatient psychiatric clinic. The length of stay in the acute inpatient setting is considerably longer in Bermuda than in the United States; this will provide a more varied perspective for the U.S. residents. Unlike in the United States, all the outpatient services are fully integrated with the inpatient services in Bermuda, often with the same psychiatrist providing the full spectrum of services. Bermuda currently has five full-time psychiatrists, who have practiced there for most of their careers; most of the psychiatric patients are well known to staff and psychiatrists.