Academic Programs
General Psychiatry Residency
Clinical Training Sites
Site Description
A 646-bed medical center, level 1 trauma center and tertiary care medical center
Patient Population
Medical/surgical inpatients in a wide variety of clinical settings
Team
PGY-1 residents, PGY-4 senior resident, CL fellow, attending, medical students, clinical pharmacist and nurse practitioner
Conferences and Learning Opportunities
- Daily interdisciplinary rounds
- Weekly clinical case conference
- Weekly med-psych conference
Site Description
A 100-bed general emergency department and 8-bed behavioral health unit
Patient Population
Emergency patients co-managed with emergency department physicians. Majority of patients are on 5150 legal holds. Occasional delirium and dementia cases, substance intoxication and withdrawal.
Team
PGY-1 resident(s), PGY-4 senior resident, attending(s), medical students, clinical pharmacist, nurse practitioners, physician assistant students, emergency department discharge planners, social workers and patient navigators
Conferences and Learning Opportunities
- Daily interdisciplinary rounds
Site Description
An outpatient psychiatry clinic
Patient Population
Commercially insured and Medi-Care insured patients in the greater Northern California region
Team
PGY-3 residents, attendings, psychologists, social workers and pharmacists
Conferences and Learning Opportunities
- Site-specific didactics
- CBT and psychodynamic psychotherapy case conferences
Description
A 17-bed LPS unit
Patient Population
Pre-sentenced and sentenced individuals with serious mental health care needs, and individuals awaiting transfer to state hospital or other placements in the community
Team
PGY-1 resident, PGY-4 senior resident, attending medical students, nurse practitioners, physician assistants, social workers, custody and a variety of other team members
Conferences and Learning Opportunities
Daily interdisciplinary rounds
Site Description
A 23-hour crisis stabilization unit (CSU) and a 50-bed psychiatric health facility (PHF). PHFs are a type of inpatient unit unique to California.
Patient Population
Uninsured and Medi-Cal (Medicaid)-insured Sacramento County residents who have severe mental illness. The majority of patients at MHTC suffer from psychotic and mood disorders (including schizophrenia, schizoaffective disorder and bipolar disorder).
Team
Attending psychiatrist, two PGY-2 residents, one to two third-year medical students, three psychologists/social workers, a nurse, a discharge planner, a pharmacist and a Peer Partner
Conferences and Learning Opportunities
- Daily interdisciplinary rounds
- Bi-weekly case conference/afternoon report/journal club
Site Description
Adult community mental health clinic
Patient Population
Economically disadvantaged patients, including those uninsured and those insured through California's Medicaid program. The clinic provides for an ethnically diverse population including refugees from several countries and undocumented patients. The most common disorders are PTSD, mood, anxiety and psychotic disorders.
Team
PGY-2, PGY-5 residents, attendings, nurses, therapists, Peer Partners and case managers
Conferences and Learning Opportunities
- Daily educational rounds/specific site didactics
Site Description
A 16-bed locked, acute psychiatric facility
Patient Population
Part of the Northern California VA Health Care System, which serves a population of about 350,000 veterans annually, scattered over 17 counties and 40,000 square miles
Team
PGY-1 residents, attendings, medical students, addiction therapists, chaplains, dietitians, health technicians, nurses, nurse practitioners, nursing assistants, occupational therapists, psychologists and social workers
Conferences and Learning Opportunities
- Daily interdisciplinary rounds
Site Description
A substance use disorder (SUD) and dual diagnosis outpatient clinic
Patient Population
Part of the Northern California VA Health Care System, which serves a population of about 350,000 veterans annually, scattered over 17 counties and 40,000 square miles
Team
PGY-2 residents, attendings and psychologists
Conferences and Learning Opportunities
- Site-specific didactics
- Interdepartmental buprenorphine meeting
- MI case conference
Site Description
Kaiser Permanente memory clinic, Sutter Health memory clinic, skilled nursing facilities
Patient Population
Seniors with neurodegenerative and comorbid mental health conditions. Kaiser Permanente is one of the largest managed care providers in Northern California (12.5 million patients). There are patients from all socioeconomic backgrounds (MediCal, Medi-Care, privately insured).
Team
PGY-2 resident, psychiatry or neurology attendings, social worker, psych RN, licensed psych tech
Conferences and Learning Opportunities
Residents can participate in our monthly case or impromptu conferences on the care coordination of complex patients, collaborating with a multidisciplinary team alongside their attending psychiatrist, case managers, social workers, nurses and psychiatric technicians.