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UCLA-Kern Psychiatry Curriculum and Rotations

 

TRAINING

The residents' first year training includes five months of inpatient psychiatry, four months in primary care (internal medicine, family practice, and pediatrics), two months of neurology, and one month in emergency psychiatry.   The second year starts the same as the first year with a five month rotation in inpatient psychiatry, one month of emergency psychiatry, and rounds out with four months of consultation/liaison psychiatry, one month of geriatric psychiatry, and one month of addiction psychiatry.

The third year is spent entirely in outpatient training.  Half the time will be spent at the Mary K. Shell Mental Health Facility, while the other half is spent at county mental health facilities throughout the city.  Special services during the third year include working with developmentally disabled children, adolescents, and geriatric patients.  Training at Kern County Mental Health facilities include social/cultural and community psychiatry and child/adolescent psychiatry.  In addition, there is one month of training in administration and one month in forensic psychiatry.

During the fourth year, residents have an opportunity to pursue elective experiences to facilitate transition from residency.  Elective outpatient experiences are facilitated through the County Mental Health System, inpatient, emergency psychiatry, and consultation services.  Special research opportunities are available in clinical psychopharmacology and medical education.

Rotations

PGY-1

Weeks

Inpatient Psychiatry PGY-1

20

Internal Medicine

12

Neurology

8

Family Practice

4

Emergency Psychiatry

4

   

PGY-2

Weeks

Inpatient Psychiatry PGY-2

20

Consultation/Liaison Psychiatry

16

Geriatric Psychiatry

4

Emergency Psychiatry

4

Addiction Psychiatry

4

 

 

PGY-3

Weeks

Child/Adolescent Psychiatry

2 FTE Mos

Social/Cultural/Community Psychiatry, Forensic/Correctional Psychiatry, Administrative Psychiatry, Outpatient/Residency Clinic

10 FTE Mos

   

PGY-4

Weeks

Electives (50%)

48

Outpatient Psychiatry (50%)

48

Kern Medical Center Psychiatry Inpatient Service

Residents in their first and second years of training will complete five months, full time rotation, during the Kern Medical Center Inpatient Psychiatry Service rotation.  The faculty includes three full time psychiatrists, two full time social workers, one consulting psychologist, one clinical pharmacist, and one nurse practitioner.  All residents receive a minimum of two hours of individual supervision per week.  In addition, there is daily group supervision and weekly case conferences and rounds.  Residents will have the opportunity to admit, manage, and discharge acute psychiatric inpatients; attend (and lead) teaching, training, and case conferences; work with interdisciplinary teams to manage all patients; read and report on current research literature and textbooks in teaching conferences; and develop standards of practice.

Kern Medical Center Inpatient Internal Medicine Rotation

Residents in their first year of training will complete three months, full time rotation, during the Kern Medical Center Inpatient Internal Medicine rotation.  All of the faculty are UCLA appointed, full time, board certified internal medicine attendings.  Residents are supervised by one attending and two senior residents who review their inpatient service case load.  Residents spend four to six hours a day performing patient care duties.  They are in case conferences for one hour a week, morning report four hours a week, didactic lecture series four hours a week, and attending teaching rounds eight to ten hours a week.

David Geffen University of California, Los Angeles School of Medicine–Neurology Training Program at Olive View Medical Center

Olive View Medical Center is located approximately 90 miles from Kern Medical Center.  Residents in their first year of training will complete a two month full time rotation at the Olive View Medical Center.  Housing for this rotation is at UCLA School of Medicine facilities, which are approximately 10-15 miles from the Olive View Medical Center. 

Olive View Medical Center is staffed by six full time neurologists, two physician assistants, one case manager, one social worker, one neuropharmacologist, and one epilepsy center coordinator.  Residents will spend 10-12 hours per week in case conferences, formal teaching rounds, and seminars.  The remainder of time will be spent in primary patient care.  Residents round with one to three attendings each day, and the attendings are available for additional consultation.  During the rotation, residents have the opportunity to see patients with a broad spectrum of neurological disorders from acute to chronic damage to the central and peripheral nervous systems.  This includes such disorders as ischemic cerebral infarcts, cerebral hemorrhage, dementia, movement disorders, ataxia, neuropathies, epilepsy, and neuromuscular disorders.  In addition, there is a general neurology and epilepsy clinic twice a week, where residents may see between two to three new neurology patients per clinic, as well as ongoing follow up patients. 

Family Practice at Kern Medical Center

Residents in their first year of training will complete one month, full time rotation, during the Family Practice at Kern Medical Center rotation.  The faculty includes two to three full time primary care physicians.  These clinics are for general primary care assessment and treatment.  Specialty care is referred to Internal Medicine Outpatient clinics, which are also part of the first year psychiatry experience.  This experience compliments the resident's exposure to the interface between psychiatric and general medical problems, with each case presented to faculty for ongoing supervision.

Kern County Mental Health Psychiatric Evaluation Center & Crisis Unit (PEC)

Residents in their first and second years of training will complete one month, full time rotation, during the Psychiatric Evaluation Center & Crisis Unit rotation.  The faculty includes three full time psychiatrists, two full time social workers, three mental health technicians, and nursing staff.  UCLA-Kern has the only psychiatric crisis unit in the County of Kern.  There are over 3,000 evaluations and 1,000 inpatient admissions per year.  The average number of patients seen and evaluated by a resident is five to ten per day.  All residents receive two hours of scheduled individual supervision per week, in addition to case supervision.  This rotation provides a rich and comprehensive experience in emergency psychiatry.

Kern Medical Center Consultation Liaison Psychiatry

Residents in their second year of training will complete four months, full time rotation, during the Kern Medical Center Consultation/Liaison Psychiatry rotation.  The faculty includes two full time psychiatrists, one full time clinical psychologist, and one nurse practitioner.  Residents experience a variety of educational and clinical activities including differential diagnoses of delirium vs. dementia, factitious disorders, psychosomatic factors influencing onset, course, and outcome of illness, and the course of psychiatric "behavioral conditions" commonly encountered in medical settings.  There are approximately three to four consultations per day to the medical, surgical, obstetrics and gynecology, and pediatric services.  Each patient receives a BioPsychoSocial evaluation.  There are daily rounds with the attendings, wherein each case is discussed and the attending accompanies residents to perform the psychiatric evaluations. 

Kern Medical Center Geriatric Psychiatry

Residents in their second year of training will complete one month, full time rotation, during the Kern Medical Center Geriatric Psychiatry rotation.  The faculty includes one geropsychiatrist, one physician neuroscientist, one psychologist, and one pharmacist.  During this rotation, residents will see four to six consultations for inpatient medicine wards at Kern Medical Center, experience outpatient geropsychiatry clinic with ongoing patient caseload, and vist home-based health care patients at various community agencies.  There is a varied case load of patients with the opportunity work with an interdisciplinary team approach, including pharmacy, social work, rehabilitation medicine, psychology, and geriatric medicine.

Kern County Mental Health Department

Residents in their third year of training will complete six months, half time rotation, during the Kern County Mental Health System of Care rotation.  The faculty includes three child psychiatrists, two LCSW's, two nurse practitioners, four full time psychologists, and one educational psychologist.  Residents attend weekly clinical team meetings, grand rounds, and child seminars, including psychiatry special topics and child psychiatry core curriculum, play therapy and family therapy.    Outpatient diagnoses most frequently seen include:  oppositional defiant disorder, ADHD and other behavior disorders; depression; specific and pervasive developmental disorders; PTSD; and parent-child problems.  The child and adolescent clinic is located approximately one mile from Kern Medical Center.