UCSD MEDICAL CENTER

UC San Diego Medical Center, is a modern 440-bed full-service teaching and research facility built in 1963 and renovated in 1993. The medical center is located in the Hillcrest area of San Diego, about twenty minutes by car from the main UCSD campus in La Jolla.

Neuropsychiatry Behavioral Medicine Unit (NBMU)
NBMU is an eighteen-bed, acute care psychiatric unit that is staffed by a full time attending physician, chief resident, psychiatric residents, psychologist, occupational therapist, medical students, psychiatric R.N.'s and L.V.N.'s, and social workers. The unit emphasizes use of treatment teams, family therapy, and a milieu approach in addition to incorporating state-of-the-art psychopharmacolgic therapy, supportive psychotherapy techniques, and electroconvulsive treatment (ECT). Selected patients also participate in research protocols that are designed to investigate the psychophysiology, neuropsychology and neurobiology of schizophrenia and other mental illnesses. The patients' primary psychiatric physicians are PGY1 residents who coordinate all aspects of patient care with the help of the treatment team.

UCSD Medical Center Consultation-Liaison (CL) Psychiatry
The CL program provides consultation and liaison services to the UCSD Medical Center and UCSD Thornton Hospital. Special liaison activities include: pediatrics, intensive care unit, burn unit, dialysis, transplant program, AIDS clinic, and oncology. PGY2 residents rotate through both CL services. PGY1, 2 and 3 residents provide nighttime coverage for the CL services at the UCSD Medical Center with supervision and provided by faculty and senior residents.

UCSD Senior Behavioral Health Program (SBH)
The SBH has three components: a 14 bed inpatient unit located on 7E at the Hillcrest Medical Center, two outpatient clinics, and a community consultation service. Patients are evaluated and treated by a multi-disciplinary team that includes board-certified geriatric psychiatrists, geriatric internal medicine specialists, psychologists, social workers, psychiatric nurses, registered dietitians, occupational therapists, and physical therapists. Residents rotate on the state-of-the-art SBH inpatient unit for at least 1 month during PGY-2.

UCSD Child and Adolescent Psychiatry Services (CAPS)
CAPS is a twenty-eight-bed, inpatient service that includes an adolescent inpatient service with children ages 14-17 years, and a combined child-adolescent inpatient service where the age range is 2-14. Treatment approaches include individual and group psychotherapy, behavior modification, therapeutic community, psychopharmacology, and family therapy. Rotating through this service for two to three months during PGY2, resident share primary responsibility for two to four patients at a time, and may also participate in care for up to four additional patients where the resident does not personally provide all aspects of care.

UCSD Outpatient Psychiatric Services
UCSD Outpatient Psychiatric Services is located at the UCSD Medical Center in the Hillcrest area of San Diego and provides over 30,000 patient visits per year. Part of the clinic serves as an outpatient "private practice" model for our training program. The clinic also provides services for county-funded patients. Clinic staff consists of attending physicians, residents, medical students, social workers, psychologists, MFCC interns, and a psychiatric nurse. Using a multidisciplinary approach, the service provides training for psychiatric residents, social workers, psychology students, medical students, and non-psychiatric physicians. A number of specialty clinics and programs enrich the outpatient experience for trainees. These include a dual diagnosis program, obsessive-compulsive disorders clinic, mood clinic, schizophrenic spectrum disorders, clinic and the unique family survivors of violent of death program.

Treatment modalities include individual, couples, family and group psychotherapy-both dynamic and behavioral-and medication treatment. Selected patients participate in psychopharmacology research and innovative "biologically informed psychotherapies." PGY3 residents spend their entire year based at the Outpatient Clinic where they function as outpatient psychiatrists. In addition, selected patients are followed by PGY2 and PGY4 residents. This provides the potential of a three-year longitudinal experience in psychotherapy.

UCSD EATING DISORDERS PROGRAM
The Department of Psychiatry at UCSD is proud to announce plans for an Inpatient Eating Disorder Program. The unit will be located at the UCSD Medical Center in Hillcrest and is planned to open sometime in late fall of 2003.

SAN DIEGO VETERANS ADMINISTRATION MEDICAL CENTER

San Diego Veterans Administration Medical Center (SDVAMC), is a 350-bed facility located next to the main campus of UCSD in La Jolla. It is one of the most modern, best equipped VA hospitals in the country. The professional staff consists almost entirely of full-time members of the UCSD faculty.

Inpatient Unit
The General Psychiatry Inpatient Unit, also called "2 South", is a 53-bed inpatient psychiatric unit that is staffed by three full-time attending physicians, three senior residents, 6 junior residents, medical students, psychiatric R.N.'s and L.V.N.'s, occupational therapists, social workers, and psychiatric pharmacists.

Patients receive comprehensive medical and psychiatric assessments, crisis intervention, psychopharmacologic management, ECT, supportive psychotherapy, and group therapy with PGY1 and 2 residents serving as their primary psychiatric physician. Following discharge, resident often follow their own patients in continuity clinics, providing comprehensive general medical and psychiatric care for the next two or three years.

Alcohol and Drug Treatment Program (ADTP)
The ADTP is a twenty-nine-bed, inpatient alcohol and drug treatment program based at the San Diego VAMC. The unit is staffed by two attending physicians, a senior resident, two PGY2 residents, medical students, substance abuse counselors, nurses and social workers. UCSD's nationally-known Alcohol Research Program and Dual Diagnosis Program base much of its research out of the ADTP. Patients receive complete medical and psychiatric care as well as the most up-to-date treatment of their substance abuse. PGY2 residents rotate through this service for a minimum of two months and may elect to return here in their senior year.

Psychiatric Emergency Clinic (PEC)
This is the triage clinic for all patients at the San Diego VAMC. The clinic is staffed by an attending physician, senior resident, PGY2 resident, medicine intern, medical students, and other psychiatric paraprofessionals. The clinic handles a large volume of patient visits that require a wide range of treatment interventions including acute hospitalization, brief counseling and crisis intervention, and routine psycho-pharmacologic management. All PGY2 residents rotate through PEC for at least one month.

Psychiatric Primary Care Clinic (PPC)
The PPC is one of our most innovative programs, providing residents a combination primary care and psychiatric outpatient experience in the PG2 year. Resident spend one half day weekly in this clinic throughout their second post-graduate training year, and many elect to continue this clinic in years 3 & 4. The clinic is jointly supervised by internal medicine and psychiatry. Patient have a primary chronic psychiatric disorder and are followed for both their psychiatric and (e.g., psychotropic medicines and psychotherapy) and medical needs. This experience is meant to compliment the 4-month Primary Care rotations of the PGY1. In addition, it provides residents a continuity care experience exposure to outpatient supportive psychotherapy and an opportunity to continue following inpatients or ER patients post-discharge in the resident's own clinic. Up to 30 patients comprise the resident caseload in this unique program.

OTHER

Outpatient Psychiatry Services of Children's Hospital and Health Center
Children's Hospital and Health Center is the leading tertiary care center for children in San Diego County. The Outpatient Psychiatry Services is one of the major divisions of Children's Hospital. The staff at the outpatient psychiatry services includes child psychiatrists, psychologists, social workers, pediatric consultants, psychiatric residents and medical students.

St. Vincent de Paul Community Village
St. Vincent de Paul Community Village is an innovative and exciting "feel-good" elective rotation for PGY3 residents who may spend up to one day weekly rotating there during their outpatient year. This unique setting is the primary training site for the UCSD Combined Family Medicine and Psychiatry Residency Training Program. St. Vincent de Paul Village is a world-renowned program of comprehensive services to the San Diego homeless community. Founded in 1987, the Village Medical and Mental Health Clinic provides free health care to uninsured, homeless persons. It serves, as its first priority, the 865+ persons residing in the Village (homeless persons and families entering the recovery program of SVDP may live there for up to two years); next, the thousands of homeless on the street; and the local poor-but - housed (uninsured) as the final priority. On an average half-day shift residents may evaluate one to two new patients and see another two to four patients for return or follow-up visits.

Neurology Service
The residency training program in neurology was established in 1970 and is fully accredited by the Accreditation Council for Graduate Medical Education. Training is offered in adult and pediatric neurology as well as neurologic subspecialties. Opportunities in neurology include: inpatient experience on the neurology ward, consultation service and specialty outpatient clinics (Genetically Handicapped Persons Program for Neurologic Diseases, Stroke, Epilepsy, Dementia, Higher Cortical Function, Peripheral Nerve, and Movement Disorders Clinics). PGY1 residents spend two months as a part of the UCSD neurologic team. The rotation is coordinated by a behavioral neurologist. Senior residents can elect to spend further time as a consultant to a neurology clinic.

Mercy Hospital Medical Center
Mercy Hospital Medical Center is where most PGY1 resident have their four-month inpatient internal medicine clinical experience. For most residents two months are spent on inpatient and two are spent on the Ambulatory Service. The site was selected for the general medicine rotation on the basis of Mercy's outstanding reputation for its clinical care and clinical training and its proximity to the UCSD Medical Center. Mercy Hospital is a 520-bed, acute care inpatient facility, a Level I Trauma Center, and the site of the Mercy Clinic. A full range of tertiary care in internal medicine, surgery and surgical subspecialties, pediatrics and obstetrics, and gynecology is provided both inpatient and outpatient settings, with approximately 400 patients admitted to the internal medicine inpatient service each month. Caseloads are carefully monitored and controlled for both breadth and a variety of experience. Residents participate fully as inpatient physicians as one of two PGY1 members of a medicine ward team, supervised and taught by a senior internal medicine resident and two attending physicians. Additional consultative services are available in medical subspecialties at all times.