Innovative and Evolving
We are priveliged to care for and learn from our diverse patient population at a wide-array of training sites. As with any program this size, there are a lot of moving parts. Below are the more technical aspects of our robust training schedule. Our program stays agile and flexible through a biannual quality improvement retreat in which residents brainstorm and draft proposals for redesigning and enhancing critical aspects of our residency. Our night float schedule below was the product of one of our recent retreats.
Our faculty approach didactics with a similar spirit of innovation. For example, we divided into groups and put on mini dramatic performances about the stages of childhood development to teach each other during a recent intensive PRITE review session. Many neuroscience didactics include blank diagrams of the brain for residents to label and color with lecture content.
Our residents learn through a robust collection of rotations at a wide range of clinical sites.
|VA Inpat Adult Psych 3-4 months||VA Inpat Adult Psych 1-2 months||BMC Inpat Child Psych 1 month||Junior Attending 1 month|
|BMC Inpat Adult Psych 1 month||BMC Inpat Adult Psych 1-2 month||BMC Inpat Adol. Psych 1 month||SB County Behav Clinic 1 month|
|LLUMC C&L 1-2 months||BMC Inpat Adol. Psych 1-2 months||BMC Inpat Geri Psych 1 month||BHI PHP 2-3 months|
|Night Float 1 month||VA/LLUMC C&L 2-3 months||VA Outpat Geri Psych 1 month||ECT 1 month|
|VA Inpatient Neurology 2 months||Night Float 4-6 weeks||BMC Inpat Addiction Psych 1-2 months||Admission Administration Weekly|
|VA Inpatient Medicine 1 month||VA Primary Care Mental Health 4-6 weeks||VA Outpat Addiction Psych 4-6 weeks||Electives 4 months|
|VA Outpatient Medicine 1 month||Holistic Mental Health, LLUVAH 4-6 weeks||VA Emergency Psychiatry 1-2 months|
|LLUMC Emergency Medicine 1 month||VA Emergency Psychiatry 1-2 months||SB County Half-day Outpat Weekly (full year)|
|SAC Outpatient Medicine 1 month||BHI Half-day Child Clinic Weekly (full year)||VA/SAC Half-day Psychotherapy Clinics Weekly (full year)|
|OPTIONAL Forensic Inpatient Psych Patton State Hospital 2 months|
Didactic Schedule & Wellness Days
Each Thursday afternoon, didactic time is protected. Attendings cover their respective sites so that residents can focus on widening their psychiatric scope through creative and innovative lectures. Once per month, Thursday afternoon is occupied by a required group wellness activity (carving pumpkins, lazer tag, face masks, escape room, scavenger hunt, swimming, etc.).
Grand Rounds and Summer Wellness Series
During Fall, Winter, and Spring, we have a protected hour for Grand Rounds every Wednesday at noon. Our own PGY-3 and PGY-4 residents present as well as distinguished speakers from around the country.
During the summer months, we have a series of interactive lectures that focus on various aspects of wellness in place of grand rounds. Past topics have included meditation, weight-lifting, yoga, spirituality, and art therapy.
Call hours for VA, BMC, and LLUMC are divided between 5 residents each weekend.
|Resident A||7am - 5pm VA/BMC|
|Resident B||7am - 5pm LLUMC|
|Resident C||7am - 5pm VA/BMC|
|Resident D||7am - 5pm LLUMC|
|Resident E||7am - 12 pm VA Weekend Rounding||7am - 12 pm VA Weekend Rounding|
Two residents on Night Float rotation will be covering 3 hospitals (VA and BMC by Short Noc shift; and LLUMC by Long Noc shift) from Sunday-Thursday nights (5pm - 7am). On Friday and Saturday night, two residents from non-night float service will be covering night floats.
NEW: effective starting July 2020 a VA psych NP supports these residents by covering VA ED admissions from 7pm-7am every night except Tuesdays (when NP covers from 7pm-3am).
|Resident A (nightfloat)||5pm - 2amShort Noc||5pm - 7amLong Noc||5pm - 2amShort Noc||5pm - 7amLong Noc||5pm - 2amShort Noc||OFF||OFF|
|Resident B (nightfloat)||5pm - 7amLong Noc||5pm - 2amShort Noc||5pm - 7amLong Noc||5pm - 2amShort Noc||5pm - 7amLong Noc||OFF||OFF|
|Resident C||5pm - 7amLong Noc||OFF|
|Resident D||5pm - 2amShort Noc||OFF|
|Resident E||OFF||5pm - 7amLong Noc|
|Resident F||OFF||5pm - 2amShort Noc|