ALCOHOL AND SUBSTANCE ABUSE
The Alcohol Research Program in the Department of Psychiatry sponsors individual fellows who appear likely to develop academic research and teaching careers. Areas of interest range from basic neurochemistry through clinical treatment trials. Each person is supervised by Marc Schuckit, M.D., frequently in tandem with another faculty member. Fellows work with Dr. Schuckit on a frequent basis, are attached to one of the alcohol or drug research teams, are invited to participate in all meetings, and fully participate in all educational programs established for fellows to increase their knowledge of statistics, research design, and so on. These fellowships are developed with Dr. Schuckit through specific applications to NIAAA, NIDA, or the VA Research and Educational Services. This program also offers the possibility of individuals recruited through other services such as geriatrics, liaison psychiatry, and the CRC to focus their research efforts and part of their training with the Alcohol and Drug Research Group. Anyone interested in this fellowship should contact Dr. Marc Schuckit directly at the San Diego VAMC, (858) 552-8585 ext. 7978.

Consult /Liaison Psychiatry
A one-to-two year fellowship opportunity is available to PGY V Residents or those who have completed a psychiatry residency. The fellowship focuses on both consultation and liaison activities. Special liaison opportunities include: pediatrics, intensive care unit, burn unit, dialysis, transplant program, AIDS clinic, and oncology. For further information, contact David Feifel or Bill Perry at the UCSD Medical Center (619) 543-2485.

HIV Neurobehavioral Research
This fellowship offers an opportunity for postgraduate psychiatrists to pursue clinical and research interests in the neuropsychiatry of HIV infection. Working in the HIV Neurobehavioral Research Center (HNRC), a multidisciplinary inquiry into the neurologic and neurobehavioral consequences of HIV, candidates can be involved in psychodiagnosis, neurocognitive assessment, imaging, and socialpsychologic studies of HIV infected persons. Contact Igor Grant, M.D. at (858) 534-3652 or J. Hampton Atkinson, M.D. at (858) 534-6714.

Geriatric Psychiatry
This is a one to two-year fellowship intended for psychiatrists who have recently completed their residency. Fellowships are funded by the VA and by the NIMH. Candidates should have a serious interest in an academic or research career in Geropsychiatry. Fellows work under the supervision of clinical investigators where they learn the fundamentals of clinical geropsychiatry in both inpatients and outpatients. Further information is available from Dr. Daniel Sewell at the San Diego VA Medical Center, (858) 534-4020.

Research Fellowship In Biological Psychiatry And Neuroscience
The UCSD Fellowship in Biological Psychiatry and Neuroscience is an NIMH-funded training program for research-oriented psychiatrists, psychologists, and basic neuroscientists working in areas relevant to psychiatry. Typically Fellows spend two years in the program, during which they develop a research project under the close supervision of one of the highly productive members of the UCSD Department of Psychiatry, or another investigator in the La Jolla (UCSD/Salk/Scripps) research community. The progress of the research program is monitored by the Fellow's research advisor, and by feedback from members of the Fellowship Advisory Committee, who review the research projects in a format based on NIH peer review. In addition to the trainee's primary project, Fellows participate in a wide range of educational activities, ranging from academic areas such as research ethics and statistical methods to practical subjects such as grant writing, structuring and practicing research presentations, and the peer review of manuscripts. For further information, contact Dr. Eric Turner, Fellowship Director, at eturner@ucsd.edu.

Child and Adolescent Psychiatry
The Child and Adolescent Psychiatry Fellowship Training Program at UCSD is focused upon producing child psychiatrists who are well-schooled in all of the diagnostic and treatment techniques currently proven to be the most effective in dealing with emotionally disturbed children, adolescents and their families; and capable of pursuing research or academic careers.

The program is organized to effect an optimum balance between theory and experience in evaluating and treating children and adolescents. The clinical experience is very carefully supervised and each Fellow has weekly supervision during the entire two years with clinical supervisors who represent a diversity of theoretical persuasions. This eclectic orientation is also reflected in the formal seminars, which range from basic neuromolecular biology to clinical psychopharmacology to psychological theories of child development and child psychoanalysis. The program includes an organized research component and a required research project.

The two-year program is coordinated in such a way as to provide the widest variety of educational experiences within a framework of longitudinal continuity. Some courses such as the Diagnostic-Continuous Case Conference, the Literature Seminars, and the weekly Grand Rounds are planned as two- year experiences while others, such as the Therapeutic Intervention Seminar, are completed in the first year. Other experiences, such as the Inpatient Rotation (first year) and the School Consultation Rotation (second year), are strategically placed in the curriculum in concert with the fellow's level of experience.

The acquisition of diagnostic skills is emphasized early in the training program. A range of diagnostic and treatment experience is provided from the beginning of the first year by presenting the resident with some cases which have been evaluated and are ready for treatment, while others must be evaluated de novo. It is expected that a core of cases, from all developmental phases, will be treated for the entire two years, while others will be seen for shorter periods of time.

Supervisory experience is heavily emphasized. The fellow will be exposed to all of the major models of therapeutic intervention, as he or she rotates through the Outpatient Psychiatry Service (three sites), the Consultation-Liaison rotation at Children's Hospital, the School Program, and the inpatient experience. Further information is available from Dr. Ellen Heyneman at (858) 966-4935.

RESIDENT SELECTION
Each year, we select 9 PGY1's for the General Psychiatry Program and 2 PGY1's for the Combined Family Medicine/Psychiatry Program. We participate in the National Residency Match Program (NRMP) and the Electronic Residency Application System (ERAS). Based on the applicant qualifications (schools attended, Deans' letter, personal statement, letters of recommendation, grades, special interest and accomplishments) we invite approximately 90 applicants for interviews. During the interview day, applicants meet several faculty and residents. The residency selection committee reviews applicant files and the comments provided by interviewers to come up with a rank order list which is submitted to the NRMP. Each year, we aim to enroll a balanced and diverse group of future clinical and research scholars.

LIFE AFTER RESIDENCY
In recent years, more than half of our graduates have entered fellowships, the most popular being Child & Adolescent Psychiatry, Geriatrics and Research Fellowship in Biological Psychiatry and Neuroscience. Often graduates have taken positions at UCSD, other Institutions, or have begun their private practice. The practice opportunities in San Diego are abundant.

RESIDENCY TRAINING OFFICE
The Residency Training Office is located in the VA Medical Center in La Jolla. It consists of a full-time director, four part-time associate directors, a full-time coordinator, and an administrative staff.