The Adult Psychiatry Residency Training Program has many highlights.
Longitudinal Relationships with Patients, Faculty, and Clinical Systems
Residents have many opportunities during residency to form longitudinal relationships with patients, faculty, and clinical systems. The Longitudinal Clinical Experience (LCE) is one of the backbones of the clinical curriculum. In the LCE, residents are assigned to a half-day clinic where they work in teams with faculty and resident peers (PGY-1 to PGY-4), providing assessment, pharmacotherapy, psychotherapy, and/or management to a cohort of patients in a specific population (e.g.: HIV, PTSD, Women, Geriatric, etc.) that they will follow throughout their four years of residency. The PGY-2 year offers six contiguous months in an ambulatory setting, which serves as a strong foundation for residents to develop skills as an outpatient psychiatrist. The PGY-3 and PGY-4 years are conceptualized as a two-year continuum, in which a part of the continuum footprint is following a cohort of patient for up to two years.
Integrated Care Experiences
During PGY-3 or PGY-4 year, residents serve as clinicians and/or consultants in an integrated care model, in settings such as primary care, obstetrics, pediatrics, oncology, neurology, and others. The experience is highly interdisciplinary and residents have the opportunity to participate in team meetings and clinical encounters emphasizing sequenced visits with other specialties, shared visits with other specialties, open access to mental health services, and warm hand-offs between specialty services. Residents rotate for one half-day over the course of one academic year.
System Leadership Experiences
Residents are expected to develop leadership skills during residency and to be effective agents of change in health care systems. Our leadership curriculum reflects this vision of creating future leaders in the field, with an emphasis on understanding one’s leadership personality and styles and team and group process. At the end of training, residents will have completed several systems/QI projects, served as members on important Residency Training, Department, School of Medicine, and/or University committees; participated as a team leader in a variety of clinical settings, including intensive services and ambulatory care services, and participated in the Department’s leadership seminar in the PGY-4 year.
All residents are expected to pursue several scholarly activities during their training. At the end of training, residents will have completed one scholarship product (e.g. peer-reviewed publication, non-peer-reviewed publication, poster, etc.), delivered two Grand Rounds presentations, one as a PGY-1 in the Clinical Case Conference and one as a PGY-4 in the Senior Talk, and disseminated their work at a local, regional, or national conference. Residents are encouraged to pursue scholarship in groups related to the content of interest. The program provides residents with faculty mentorship and dedicated time for collaboration, mentorship, and scholarly work. For residents whose projects would benefit from collaboration across disciplines or professions, UCSF offers campus-wide networking and mentorship in the UCSF Pathways to Discovery Program. For those residents interested in pursuing a career as a physician-scientist (basic science, translational, clinical, and health services research), the program has an NIMH-funded Resident Research Training Program.
Areas of Distinction
The program offers interested residents the opportunity to graduate with an area of distinction. Residents who graduate with an area of distinction have completed a certain density of clinical experiences, mentorship, teaching, and scholarly activities in a specific area of interest. The current Areas of Distinction include Women’s Mental Health, LGBT Mental Health, Cultural Psychiatry, Psychoanalytic Psychiatry, and Public and Community Psychiatry (fast-track in the UCSF Public Psychiatry Fellowship). Additional Areas of Distinction in development include Clinical Neuroscience and Trauma Psychiatry.
Residents are encouraged to have individualized experiences during their four years of residency training. After satisfying the core training requirements, residents have elective time, starting in the PGY-3 year and accelerating in the PGY-4 year, where they further develop clinical, teaching, leadership, advocacy, and research skills.
Residents are expected and encouraged to develop as educators. At the end of training, residents will have served as an educator to medical students and junior residents in a variety of clinical settings, served as a small group instructor in the School of Medicine’s Brain, Mind, and Behavior courses, and served as curriculum ambassador for a portion of the residency’s didactic curriculum. For those interested in education, there are many opportunities to teach and develop psychiatric curricula with other disciplines and professions.
Diversity of Training Sites
One of the strengths of UCSF is the wealth of training environments. Residents rotate through three very unique and different systems of care, including a San Francisco General Hospital (a county hospital providing care to the underserved), Langley Porter Psychiatric Hospital and Clinics (the mental health services for UCSF), and the San Francisco VA Medical Center (a National Center of Excellence in PTSD and the largest funded research program in the Veterans Health Administration). In addition to these three core sites, residents have the opportunity to work in private health systems (Kaiser Oakland Medical Center), community mental health clinics (e.g. Chinatown Northbeach Clinic and the Alliance Health Project), assertive community treatment programs (e.g. Citywide Case Management), and veterans outreach in correctional settings (e.g. San Quentin State Prison). The training program is continually adding to our portfolio of training settings to reflect the growing and changing needs of the field.
Every resident participates in our Advising Program. The goal of the Advising Program is to connect a resident with an RTP Advisor who will follow that resident longitudinally over the course of his or her adult residency training. The function of the Advisor is fivefold: (1) provides ongoing formative assessment to residents based on all sources of evaluations; (2) assists residents in professional and career development by connecting them to mentors and mentor hubs; (3) advocates and represents residents in the program; (4) assists residents in curricular planning; and (5) assists residents in their scholarship projects. Residents meet with their RTP Advisor twice annually and learn skills to be a lifelong learner as they complete an Individual Learning and Development Plan in preparation for their advising sessions.