Resident Handbook - UC Davis Health System

B. Service DescriptionC. DutiesA two-week rotation occurs in the first year, and includes a variety of elements ofbehavioral medicine, psychiatry and psychopharmacology. Two half-days per month areallocated for to an ongoing “special clinic” devoted to psychiatry which occursthroughout the year and residents will rotate individually through this clinic at the MercyFamily Health Center (viz., FPC). In addition to the specific first year curriculum and thespecial clinic, behavioral science is integrated into the entire three-year experience at theFPC, in lectures, hospital rounds, clinic “shadowing”, “curbside” consulting, and whenrequested, through elective experiences. During the first year, periodic site visits may beconducted to vital community agencies and mental health programs. This will provideresidents with practice in networking within a mental health community and will providethem with referral and consultation resources. Some aspects of behavioral health trainingcan be best implemented in an experiential manner including Counseling Skills Training,Interviewing Skills Training, Relaxation and Stress Management (for both residents andsignificant others), psychological testing and behavioral science precepting.During the first year rotation, the Resident will spend face-to-face time with mentalhealth professionals and patients in relevant facilities and agencies, and will undergo thevarious experiential training activities, as described above. Each Resident will have theopportunity to observe and experience the paradigm differences and similarities betweenthe mental health field and the medical arenas to which they have become accustomed.Orientation to a range of mental health disciplines (e.g., psychiatry, clinical psychology,marriage and family therapy, etc.) will typically take place. Residents will also serve asobservers or co-therapists, as indicated, in psychotherapy and counseling sessions.Whenever possible, this will encompass a range of therapeutic modalities, includingindividual, group, couples, and family, depending upon the availability of cases andresources. Every effort will be made to orient Residents to community referral resourcesand relevant mental health legal issues.Residents will be given the opportunity to sit in with and assist practicing psychiatrists asthey meet with patients in community settings. This will not only provide valuable rolemodeling, but will provide practical and focused training in the use of psychotropicmedication. Integration of Behavioral Science with general clinic-based outpatientmedicine will occur during the rotation (and also during the second and third years oftraining) through precepting in which Behavioral Science faculty will see patients alongwith Residents during typical clinic visits. During the course of the first year rotation, theResident will have regular contact with the Behavioral Science Coordinator who willprovide supervision and will help the Resident process and integrate his/her experiencesin therapy, intakes and with other professionals and agencies. Each Resident will beevaluated by the Behavioral Science Coordinator with respect to his/her competencies inthis domain. Each mental health professional with whom the Resident came into contactduring the rotation will also have an opportunity to provide feedback about the Resident.The Resident will also be given feedback and an oral review during a closure sessionwith the Behavioral Science Coordinator.Page 27 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc