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Los Angeles County + University of Southern California PSYCHIATRY RESIDENCY TRAINING PROGRAM 2015 – 2016
Los Angeles County + University of Southern California PSYCHIATRY RESIDENCY TRAINING PROGRAM
2015 – 2016
Welcome to the University of Southern California (USC) Psychiatry Residency Training Program!
We hope that during your visit with us and in the pages to follow, you sense our enthusiasm and passion for training new generations of psychiatrists.
The USC Psychiatry Residency Training Program began in 1943 and has always had exceptional strength in public sector and community psychiatry. In recent years, our Department has significantly grown and greatly expanded clinical, research, and teaching opportunities for residents. Our goal is to help develop psychiatrists who provide compassionate, quality mental health care for diverse persons; have the capacity to teach and to understand and engage in high quality research; possess skills necessary for lifelong learning; and abide by the highest ethical and professional standards.
The training program is primarily based at two state of the art medical centers: the 1.1 billion dollar Los Angeles County (LAC) + USC Medical Center and the private Keck Hospital of USC. These clinical facilities and associated sites provide unparalleled exposure to a rich and diverse clinical population. Our highly dedicated faculty takes great pride in their roles as educators and mentors. Most importantly, our residents are dedicated learners, clinicians, teachers, and scholars, who are critically involved in all aspects of our training program. They are our greatest ambassadors!
We look forward to sharing our program with you at this important and exciting time in your career.
Isabel Lagomasino, MD MSHS Residency Program Director
Darin Signorelli, MD Associate Program Director
Robert Cobb, MD Associate Program Director
The USC/LAC+USC psychiatric residency program has an established history of providing an excellent diverse training experience for the next generation of clinical and research psychiatrists. The department's educational mission is built on fundamentals of robust clinical experiences, learning theory (pedagogy, learner-‐based objectives), and expert supervision. Training programs and faculty facilitate reflection, critical thinking, and a culture of sharing ideas. Learners, teachers, clinicians, and the Department emphasize compassion, shared decision-‐making, safety, prevention, and bio-‐psycho-‐social-‐cultural approaches to patient care. Clinical, educational, and scholarship (writing, research, evaluation, quality improvement) skills are emphasized for students, residents, fellows, and others. Our belief is that professional training shapes skills and attitudes more than knowledge, preparing graduates to be leaders of interdisciplinary teams, experts in problem-‐solving, and collaborators in medicine, health care, and international organizations.
David Baron, MSed, DO, DFAPA Professor and Interim Chair, Department of Psychiatry Assistant Dean, International Relations, Keck School of Medicine at USC Psychiatrist-‐in-‐Chief, Keck Medical Center at USC Director, Global Center for Exercise, Psychiatry, and Sports at USC
LAC+USC Psychiatry Residency Training Program 2015-‐2016
CURRENT FACULTY 2015-‐2016
USC FACULTY PRIMARY SERVICE SPECIAL INTERESTS Akra, Grace HIV Psychosomatics, HIV Baron, David Consultation-‐Liaison Sports medicine, traumatic brain injury, ADHD Bendaoud, Reda Emergency Child psychiatry Botello, Timothy Inpatient, Forensics Forensics, graduate medical education Briere, John Inpatient, Research Trauma, PTSD Cahn, Baruch Rael Emergency Mindfulness, meditative based practices in psychiatry Chamberlain, Bryan Emergency Forensics Chameides, Walter Outpatient Psychopharmacology, psychotherapy Chavira, Cynthia Inpatient Forensics Cobb, Robert Emergency Emergency psychiatry, psychopharmacology, psychosomatics Dias, Colin Emergency, Administration Emergency psychiatry, PTSD Dossett, Emily Outpatient Women's mental health Eaton, Elaine Inpatient Interpersonal psychotherapy, neuropsychological testing Epstein, Sarah HIV Psychosomatics, HIV Gera, Nikhil Emergency Psychopharmacology Goin, Marcia Outpatient Psychodynamic psychotherapy Goldstein, Maria Adolescent Inpatient Cross-‐cultural psychiatry Gross, Bruce Forensics Psychology, law, and public policy Gross, Lawrence Outpatient Neuropsychiatry, psychopharmacology Hicklin, Thomas Child Outpatient Neuropsychiatry, PTSD Hinds, Alexis Emergency Child psychiatry, gender variance Holschneider, Daniel Consultation-‐Liaison, Research Neuroscience research, psychosomatics Jacobson, Julie Child Consultation Psychosomatics, delirium in children Kapetanovic, Suad Consultation-‐Liaison, Outpatient Child psychiatry, HIV/AIDS Kendall, Laura Inpatient Psychopharmacology, dialectical behavior therapy Knowles, James Research Psychiatric genetics research Lagomasino, Isabel Outpatient, Research Health services research, graduate medical education Nguyen, Duc Emergency, Outpatient Psychosomatics Ordorica, Patricia Consultation-‐Liaison Addiction, women’s mental health, gender issues Park, Susie Outpatient Psychopharmacology Pawluczyk, Sonia Outpatient Geriatric psychiatry, Alzheimer's disease Peterson, Brad Administration, Research Child psychiatry, neuroimaging Pine, Janet Outpatient Severe mental illness Pompl, Patrick Consultation-‐Liaison Psychosomatic, mindfulness therapy Sassano-‐Higgins, Sean Outpatient CBT, OCD, Social Anxiety Disorder Schneider, Lon Outpatient Geriatric psychiatry, Alzheimer's disease Semple, Randye Outpatient Interpersonal therapy, mindfulness therapy Sheski, David Consultation-‐Liaison Medical ethics Shoemaker, Erica Child Outpatient, Administration Child psychiatry, graduate medical education Signorelli, Darin Inpatient, Outpatient Graduate & medical school education & advising Snowdy, Christopher Child Outpatient Child psychiatry, music therapy Sugar, Jeffrey Child Inpatient PTSD Turkel, Susan Child Consultation Psychosomatics Van Noppen, Barbara Outpatient, Administration Cognitive behavioral therapy, OCD Weinberger, Linda Forensics Psychology, law, and correctional mental health Wincor, Michael Outpatient Psychopharmacology, sleep disorders Xiao, Anna Outpatient Health administration AFFILIATED FACULTY PRIMARY SERVICE SPECIAL INTERESTS Feil, Denise VA Geriatrics Geriatric psychiatry Jones, James Department of Mental Health Community Psychiatry Moore, Edward VA Addiction Alcohol dependence, HIV Sultzer, David VA Geriatrics Alzheimer's disease
Los Angeles County (LAC) + University of Southern California (USC) PSYCHIATRY RESIDENCY PROGRAM
OUR HISTORY In 1878, the Los Angeles County (LAC) Board of Supervisors purchased 77 acres and built a 100-‐bed hospital to serve the population of central and northeast Los Angeles County. In 1884, the LAC Medical Center entered a unique partnership with the University of Southern California (USC) School of Medicine to provide both clinical services and graduate medical education programs. The LAC+USC Medical Center quickly became the largest public health care facility and training center in Southern California and one of the largest in the nation. In 1913, the LAC+USC Medical Center began offering psychiatric services, and in 1943, the first psychiatry residents began their training. THE USC HEALTH SCIENCES CAMPUS USC is a large private university with two campuses located seven miles apart. The University Park campus is southwest of downtown Los Angeles; the Health Sciences campus is two miles northeast of downtown Los Angeles. The Health Sciences Campus is home to the Keck School of Medicine, which has more than 700 students, and to the School of Pharmacy. Also on campus are three modern private hospitals: the Keck Hospital of USC, the Norris Cancer Hospital, and the Doheny Eye Hospital. In 2003, the Zilkha Neurogenetic Institute Building opened to promote multidisciplinary research into the underlying causes of neurologic and psychiatric disorders. THE LAC+USC MEDICAL CENTER The LAC+USC Medical Center is a vast complex of county medical facilities located immediately across the street from the USC Health Sciences Campus. The large, iconic, art deco General Hospital that was once the cornerstone of clinical care and graduate medical education was replaced in November of 2008 with a brand new, state-‐of-‐the-‐art, 600-‐bed Replacement Hospital. The LAC+USC Medical Center serves a vital training mission, providing residency education for over 800 physicians annually, including 60 in psychiatry training programs. Residency training programs are sponsored by the LAC+USC Medical Center, and attend teaching conferences and rounds residency positions are funded by LAC. The medical center’s size, abundance of rich clinical experiences, and expertise in medical education have established the LAC+USC Medical Center as a dominant medical influence in Ssouthern California for several decades.
OUR HISTORY In 1878, the Los Angeles County (LAC) Board of Supervisors purchased 77 acres and built a 100-‐bed hospital to serve the population of central and northeast Los Angeles County. In 1884, the LAC Medical Center entered a unique partnership with the University of Southern California (USC) School of Medicine to provide both clinical services and graduate medical education programs. The LAC+USC Medical Center quickly became the largest public health care facility and training center in Southern California and one of the largest in the nation. In 1913, the LAC+USC Medical Center began offering psychiatric services, and in 1943, the first psychiatry residents began their training. THE USC HEALTH SCIENCES CAMPUS USC is a large private university with two campuses located seven miles apart. The University Park campus is southwest of downtown Los Angeles; the Health Sciences campus is two miles northeast of downtown Los Angeles. The Health Sciences Campus is home to the Keck School of Medicine, which has more than 700 students, and to the School of Pharmacy. Also on campus are three modern private hospitals: the Keck Hospital of USC, the Norris Cancer Hospital, and the Doheny Eye Hospital. In 2003, the Zilkha Neurogenetic Institute Building opened to promote multidisciplinary research into the underlying causes of neurologic and psychiatric disorders. THE LAC+USC MEDICAL CENTER The LAC+USC Medical Center is a vast complex of county medical facilities located immediately across the street from the USC Health Sciences Campus. The large, iconic, art deco General Hospital that was once the cornerstone of clinical care and graduate medical education was replaced in November of 2008 with a brand new, state-‐of-‐the-‐art, 600-‐bed Replacement Hospital. The LAC+USC Medical Center serves a vital training mission, providing residency education for over 800 physicians annually, including 60 in psychiatry training programs. Residency training programs are sponsored by the LAC+USC Medical Center, and attend teaching conferences and rounds residency positions are funded by LAC. The medical center’s size, abundance of rich clinical experiences, and expertise in medical education have established the LAC+USC Medical Center as a dominant medical influence in Ssouthern California for several decades.
LAC+USC Medical Center
OUR HISTORY In 1878, the Los Angeles County (LAC) Board of Supervisors purchased 77 acres and built a 100-‐bed hospital to serve the population of central and northeast Los Angeles County. In 1884, the LAC Medical Center entered a unique partnership with the University of Southern California (USC) School of Medicine to provide both clinical services and graduate medical education programs. The LAC+USC Medical Center quickly became the largest public health care facility and training center in Southern California and one of the largest in the nation. In 1913, the LAC+USC Medical Center began offering psychiatric services, and in 1943, the first psychiatry residents began their training.
Keck School of Medicine
THE USC HEALTH SCIENCES CAMPUS USC is a large private university with two campuses located seven miles apart. The University Park campus is southwest of downtown Los Angeles; the Health Sciences campus is two miles northeast of downtown Los Angeles. The Health Sciences Campus is home to the Keck School of Medicine, which has more than 700 students, and to the School of Pharmacy. Also on campus are three modern private hospitals: the Keck Hospital of USC, the Norris Cancer Hospital, and the Doheny Eye Hospital. In 2003, the Zilkha Neurogenetic Institute Building opened to promote multidisciplinary research into the underlying causes of neurologic and psychiatric disorders.
Zilkha Neurogenetic Institute
THE LAC+USC MEDICAL CENTER The LAC+USC Medical Center is a vast complex of county medical facilities located immediately across the street from the USC Health Sciences Campus. The large, iconic, art deco General Hospital that was once the cornerstone of clinical care and graduate medical education was replaced in November of 2008 with a brand new, state-‐of-‐the-‐art, 600-‐bed Replacement Hospital. The LAC+USC Medical Center serves a vital training mission, providing residency education for over 800 physicians annually, including 60 in psychiatry training programs. Residency training programs are sponsored by the LAC+USC Medical Center, and attend teaching conferences and rounds residency positions are funded by LAC. The medical center’s size, abundance of rich clinical experiences, and expertise in medical education have established the LAC+USC Medical Center as a dominant medical influence in Southern California for several decades.
THE DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCES The USC Keck School of Medicine Department of Psychiatry & Behavioral Sciences is committed to excellence in three equally important areas: clinical care, education, and research. We are proud of a long record of clinical service to county residents, particularly in public sector systems of care. We offer ACGME-‐accredited training programs in General, Child & Adolescent, Forensic, and Psychosomatic Psychiatry. These programs provide excellent graduate educational experiences by combining the rich clinical resources of a large, public medical center and private clinical facilities with the academic excellence of a vibrant medical school department. Our diverse research programs have experienced unprecedented growth, particularly in the areas of psychiatric genetics, clinical treatments, and health services research.
OUR FACILITIES The USC Department of Psychiatry & Behavioral Sciences benefits from access to diverse locations for optimizing clinical, educational, and research activities. In 2007, a new department headquarters was opened on the second floor of the Clinical Sciences Center on Alcazar Street. This remodeled space houses core administrative and research offices, is home to the Department Chair, and is utilized for resident lectures. The Residency Training Program offices are located in the Outpatient Department Building near the General Hospital. A resident lounge for both work related activities and relaxation/social time has workstations with computers, a fax machine/printer/scanner, a refrigerator and microwave, and a casual seating area. Most clinical psychiatric services are based at the new LAC+USC General Hospital, which houses the Psychiatric Emergency Service, Consultation-‐Liaison Service, and Behavioral Medicine Unit; an adjacent Clinic Tower houses the Adult Outpatient Clinic. On the USC Health Sciences Campus, residents provide inpatient, consultation, and ambulatory care services at Keck Hospital of USC and the Healthcare Consultation Center. Additional adult and adolescent inpatient services are provided at the Augustus Hawkins Mental Health Center. Rotations at USC-‐affiliated VA facilities in downtown and West Los Angeles allow for specialized training in addiction and geriatric psychiatry. Finally, a partnership with the LAC Department of Mental Health provides unique opportunities for understanding the delivery of mental health care to underserved communities.
LAC+USC Medical Center
THE GENERAL PSYCHIATRY RESIDENCY TRAINING PROGRAM The goal of the USC Residency Training Program is to train psychiatrists who are caring, skilled clinicians; are confident in their abilities to teach and to understand research; possess the skills necessary for lifelong learning; and abide by the highest ethical and professional standards. Graduates should be well prepared to pursue career opportunities in diverse clinical, academic, and research areas. During their training, our residents learn through a variety of clinical, didactic, and mentored experiences. Residents provide direct clinical care on all services for persons from all age and ethnic groups who are suffering from a wide variety of psychiatric disorders. Our faculty has expertise in all major psychiatric disorders and treatment modalities, thus providing residents with opportunities to learn about diverse clinical populations, theoretical paradigms, and therapeutic interventions. No paradigm is paramount; rather, residents are encouraged to apply diverse biological, psychological, and social frameworks in their understanding and treatment of psychiatric illness. The residency experience is enriched by didactic instruction in understanding and applying medical literature; opportunities to participate in research; and mentored experiences in teaching more junior residents and medical students. The leadership of the USC Psychiatry Residency Training Program includes the Residency Program Director, Dr. Isabel Lagomasino, as well as Associate Program Directors, Dr. Darin Signorelli and Dr. Robert Cobb, who are attending physicians in the outpatient and emergency services, respectively. The Department of Psychiatry & Behavioral Sciences offers a four-‐year training program in general psychiatry that includes an internship year for graduating medical students who apply through the National Residents Matching Program (NRMP). In the event of an opening, positions are offered through the NRMP to physicians who have completed an ACGME-‐accredited internship year elsewhere (i.e., Pediatrics, Internal Medicine, Family Medicine, or Psychiatry) and are at an advanced level of training.
Psychiatry & Behavioral Sciences Clinical Sciences Center
Outpatient Department Building Resident Lounge
ROTATION SCHEDULES Our department is dedicated to a dynamic approach to education. The training experience for each resident is designed to meet the ACGME specialty training requirements for psychiatry, while allowing residents to tailor their educational experience. Residents have 6-‐7.5 months of elective time in the PGY4 year. They may also chose to complete rotations not as full-‐time, monthly, blocks, but rather as less than full-‐time experiences over a greater number of months, thus combining them with other part-‐time experiences on other services and allowing for longitudinal treatment experiences. The following table depicts the core rotational content of the four-‐year program. The first or internship year includes 4 blocks of Internal Medicine or Pediatrics (or a mix thereof), 2 blocks of Neurology, 6 blocks of Psychiatry (4 blocks of Adult Inpatient Psychiatry and 2 blocks of Emergency Psychiatry) and an introduction to Quality Improvement/Research block. The medicine and psychiatric rotations alternate every two blocks to provide a diverse educational experience. Interns attend core lectures or seminars in psychiatry throughout the year. They also attend teaching conferences and rounds on Internal Medicine, Pediatrics, and Neurology when assigned to those services. Chief resident positions are an integral part of each of the 4 core services – Emergency, Inpatient, Outpatient and Consultation-‐Liaison – and consist of 40% time for those 4th year residents selected. Those 4th year residents not serving as chief residents complete 3 months of senior rotations on their choice of core services. In the event that a resident enters the program after having completed an ACGME-‐accredited internship year elsewhere (i.e., Pediatrics, Internal Medicine, Family Medicine, or Psychiatry), the rotation schedule is similar to that of the four-‐year program but is tailored to ensure that all ACGME specialty requirements are met. CLINICAL ROTATIONS
Year 1
4 Blocks 2 Blocks 4 Blocks 2 Blocks 1 Block
Medicine/Pediatrics Neurology Inpatient Psychiatry
Emergency Psychiatry
QI/Research
Year 2
4 Blocks 1 Block 4 Blocks 1 Block 1 Block 1 Block 1 Block
Inpatient Psychiatry
Emergency Psychiatry
Consultation-‐Liaison Psychiatry
Keck Consult Liaison
Adol Inpatient Psych
VA Geriatric Psych
VA Addiction Psych
Year 3
12 Months
LAC+USC Adult Outpatient Clinic (90%)
Keck Outpatient Clinic (10%)
Year 4
0.5 Mo 1 Mo 3 Months 7.5 Months Comm Psych
Child Consult Liaison*
Core Service Senior Rotation** Electives
LAC+USC Adult Outpatient Clinic (10%) Chief Residency (40%)
*1.0 month FTE **3.0 month FTE for residents not serving as chief residents on ER, Inpatient, CL, or Child Services
CLINICAL SERVICE DESCRIPTIONS Inpatient Psychiatry Inpatient Services are based at a newly renovated 62-‐bed facility at the Augustus Hawkins Mental Health Center, which is located approximately 18 miles south of the LAC+USC Medical Center and houses 3 adult teaching wards (33 beds) and 1 adolescent ward (10 beds). Residents assess and treat approximately 2-‐3 new adult patients per week while carrying a usual caseload of 5-‐7 patients. Faculty psychiatrists supervise residents in their care of all new and ongoing cases. The adult inpatient services emphasize short term, acute psychiatric care with the goal of discharge and continued treatment in less restrictive outpatient settings. This rotation provides an intensive experience in diagnostic evaluation and treatment as well as introductions to major psychopathology and to the legal regulation of inpatient psychiatric practice (e.g. hospital-‐ and court-‐based legal hearings). In addition to resident and faculty physicians, the inpatient staff includes psychologists, clinical pharmacists, psychiatric social workers, occupational and recreational therapists, nursing personnel, and medical caseworkers. Residents teach and supervise medical students, and senior residents supervise junior residents. Residents also have a night float experience in which they work with on-‐site faculty members admitting patients during the night. Emergency Psychiatry The Psychiatric Emergency Service is located on the main floor of the General Hospital. Faculty psychiatrists see patients with residents and discuss diagnoses and treatment plans. Patients either walk in or are brought in by ambulance, police, social agencies, or concerned families and friends. Clinical issues are frequently related to suicidal potential, dangerousness, and the capacity to care for oneself. Residents become skilled in emergency evaluations, acute treatment strategies, crisis intervention, and community resource referrals. In addition to resident and faculty physicians, the emergency room staff includes psychiatric social workers, nurses, and medical caseworkers. Residents also have an opportunity to evaluate and treat children and adolescents who present for emergency care.
Keck Hospital of USC
Hawkins Mental Health Center
Consultation Psychiatry The Psychiatry Consultation-‐Liaison Service is primarily located in the General Hospital and includes a 24-‐bed Behavioral Medicine ward that is co-‐managed by the Psychiatry and Internal Medicine Departments. Residents evaluate new consult patients while monitoring the care of ongoing cases. Faculty psychiatrists provide supervision for all new and ongoing cases. This clinical service provides comprehensive training in the principles of consultation-‐liaison psychiatry and crisis intervention. Residents become proficient in the evaluation and treatment of psychiatric symptoms among medically and surgically ill patients. Residents also rotate through the USC University Hospital Consultation-‐Liaison Service, where they have opportunities to evaluate and treat patients on specialized medical-‐surgical services, including the transplant, bariatric, and oncology services. This rotation includes training in outpatient ECT. Residents teach and supervise medical students on both services. A specialized Geriatric Psychiatry rotation is offered at the USC-‐affiliated West Los Angeles VA Medical Center, approximately 15 miles from the LAC+USC Medical Center. Residents consult on older medical and surgical inpatients as well as nursing home residents and receive supervision from faculty specialized in geropsychiatry. Ambulatory Psychiatry Ambulatory psychiatric services are primarily provided in the Adult Outpatient Clinic that is located in the Clinic Tower adjacent to the General Hospital. Services are available for patients of all ages, including children, adolescents, and adults. An additional outpatient experience is offered in the Healthcare Consultation Center on the USC Health Sciences Campus. Clinical rotations in ambulatory psychiatry provide intensive training in both long-‐term and short-‐term treatments for diverse psychiatric disorders. Residents typically evaluate 1-‐2 new patients weekly. Ongoing caseloads for mostly medication management services include approximately 75 patients; residents also carry 4-‐6 ongoing psychotherapy cases. Residents are assigned faculty supervisors for each treatment modality (psychopharmacology, psychodynamic psychotherapy, cognitive-‐behavioral psychotherapy); additional consultation is always available. A specialized Addiction Psychiatry rotation is offered at the USC-‐affiliated VA Ambulatory Care Center in downtown Los Angeles, less than 2 miles from the LAC+USC Medical Center. Although training and didactic instruction in addiction psychiatry is provided across all services, this rotation allows residents to focus on the outpatient care of patients with alcohol and drug dependency. Treatment modalities employed include methadone maintenance programs, buprenorphine treatment, pharmacotherapy to decrease withdrawal symptoms, and 12-‐step programs (e.g., Alcoholics Anonymous).
Healthcare Consultation Center II
Clinic Tower
LAC+USC General Hospital
West Los Angeles VA Healthcare Center
Los Angeles VA Ambulatory Care Center
Mental Health Systems Community psychiatry is a core aspect of the training program. A specialized experience in administrative psychiatry and public policy is offered by the LAC Department of Mental Health, the largest county mental health systems in the country. By visiting many different types of facilities and through meetings with clinical program directors, residents gain an appreciation for the administrative and organizational tasks associated with the operation and financing of a mental health system. Residents also gain experience in consulting to community agencies and leading interdisciplinary teams. Elective Time During elective time, residents may select a variety of clinical or research experiences based upon their individual needs and interests. Residents frequently decide to rotate on specific clinical services or to pursue new experiences in addiction, forensics, women’s mental health, specific psychotherapies, or research, and may also design new elective experiences tailored to their interests. CURRICULUM Core Curriculum All residents attend a half-‐day of core lectures weekly. The core curriculum is separated by residency class year, although fourth-‐year residents are encouraged to provide several lectures to the second-‐ and third-‐year residents. Residents have protected time away from clinical services for their core lectures. The curriculum for each year is designed to augment the training and teaching provided on individual clinical services and to ensure comprehensive instruction in psychopathology, evaluation and diagnosis, neuroscience and genetics, psychopharmacology and diverse psychotherapies, evidence-‐based medicine, sociocultural aspects of mental illness, and ethical and legal concerns. The program provides residents with required textbooks and facilitates online access to other educational materials. Service-‐Specific Curricula Each major clinical service, including adult inpatient services, psychiatric emergency services, consultation-‐liaison services, and ambulatory services, sponsors a separate, service-‐specific curriculum. These curricula occur on-‐site and focus on content specific to the given service. In general, each service includes case conferences, journal club meetings, and didactic lectures on clinical topics.
Department Grand Rounds The Psychiatry Grand Rounds is held weekly for the entire department. Twice per month, Grand Rounds features local and visiting professors from all areas of psychiatry presenting their research and selected topics of interest. Once per month, Grand Rounds consists of a Clinical Case Conference, during which a resident presents an interesting case with a faculty discussant. During the remaining week per month, residents meet as a group with the chief residents while faculty attend a business meeting focusing on administrative, medical center, and county issues affecting the department and training program.
Board Review Course A Board review course is offered in July and August of each year in preparation for the Psychiatry Resident In-‐Training Examination (PRITE) each October and for the American Board of Psychiatry and Neurology (ABPN) examination. This course uses a combination of textbook and question learning and is led by residents with faculty participation and consultation. Our goal is for all graduates to become board certified.
Journal Clubs / Scholarship Evidence-‐based medicine/research methods are taught in journal clubs and as separate research courses in each year. Third-‐year residents are required to complete a small, independent research project. Projects are broad in range—recently, they have mostly consisted of literature reviews, case reports or case series, and chart reviews related to improving quality of care on our ambulatory services. Recent research topics have included: the use of ketamine for treatment-‐resistant depression; the role of hormones in the treatment of schizophrenia; the impact of bullying on depressive and anxiety disorders among children and adolescents; treatment of delirium in children; stress and resilience during residency training; the history of restraints in psychiatric practice; and the relationship between global economic indicators and mental health care. These projects were presented in poster sessions to all department members. Some residents chose to submit abstracts of their work to the Annual Meeting of the American Psychiatric Association or to write a manuscript; residents have presented their work as posters or in oral presentations. Faculty advisors are readily available to assist residents with these projects. In addition, the Department provides meeting registration and travel funds for residents who present posters or papers.
Third-‐Year Poster Session
Grand Rounds at the Zilkha
Residents as Teachers Residents receive didactic instruction in effective teaching methods and directly supervise and instruct medical students on most clinical rotations. When residents from more than one residency year are present on a service, including the inpatient or consultation services, senior residents also instruct junior residents. Fourth-‐year residents provide lectures to residents in earlier class years. Residents teach in journal clubs, and many present at case conferences as part of the Department Grand Rounds.
Library and Computer Services The USC Norris Medical Library is a state-‐of-‐the-‐art medical library with expansive online services and access to electronic journals and other resources. Residents are provided with computer and internet access on all clinical services and are encouraged to use the computer facilities in the Outpatient Department Building. RESEARCH OPPORTUNITIES Several residents per year decide to take research electives. Recent examples and possibilities include working with Jim Knowles in the genetics of psychotic, mood, and anxiety disorders; Dr. David Baron on psychiatric issues in sports medicine and traumatic brain injury; Dr. John Briere on post-‐traumatic stress disorder; Dr. Barbara Van Noppen in cognitive-‐behavioral treatment for obsessive compulsive disorder; and Dr. Lagomasino in evidence-‐based primary care interventions for depression among low-‐income Latinos. RESIDENT INVOLVEMENT Department Participation Residents are essential participants in all aspects of the training program. Resident representatives play important roles on both the institutional and departmental Graduate Education Committees and on the Residency Selection Committee. Residents are also included on many departmental workgroups that aim to address issues or concerns as they arise on clinical services or in the training program. Chief residents play key leadership roles on each of the four core psychiatric services – Inpatient, Emergency, Consultation, and Ambulatory (Outpatient). The Residency Program Directors meet at least monthly with all residents and have an open-‐door policy for all residents. The program also has a yearly Residency Retreat, which includes time for program planning and evaluation, team-‐building, and social activities.
CLASS COHESION Despite the fact that each class typically has twelve residents, there is remarkable cohesion among the residents. Like an extended family, residents are quick to volunteer to help a colleague who is ill or in trouble, and they cover each other’s service in times of absence. Close-‐knit friendships form, and it is not uncommon to see residents eating lunch together in the hospital’s Doctors’ Dining Room or heading out for an after-‐hours social gathering. SALARIES AND BENEFITS
Residents are employees of the County of Los Angeles. Resident salaries are determined in negotiations between their legal bargaining unit, the Council of Interns and Residents (CIR), and the LAC Department of Health Services. Effective 6/24/2015
PGY1 $ 46,647 PGY2 $ 52,187 PGY3 $ 56,545 PGY4 $ 60,934 Total $216,313 The sum of salaries for the four years is highly competitive with that of other programs. External moonlighting -‐ off campus in community settings -‐ is permitted on a selected basis. To moonlight, residents must be US citizens or have permanent visas; have California medical licenses; demonstrate excellent clinical and academic performance; have completed four months of outpatient work; and receive approval from the residency program director. OTHER BENEFITS
Bonus $2,000 for interns progressing to second residency year
Meals $10 per meal, $28 per day at the LAC+USC Medical Center; meals are reimbursed during off-‐campus rotations at $25 per day
Parking Available at no cost at the LAC+USC Medical Center
White Coats Provided
Vacation Residents are entitled to 24 days paid vacation each year
Sick Leave 8 days per year, of which 3 may be used for personal leave
Professional Liability Insurance Provided (Los Angeles County self-‐insures)
Maternity Leave Available: most residents use sick leave, vacation time, and limited unpaid leave
Parental Leave Available as required by the Family and Medical Leave Act of 1993
Medical/Dental Benefits Choice of several offered plans; family coverage available at additional cost
Life Insurance $2,000 term policy is provided; additional insurance may be purchased WEBSITES
Department of Psychiatry & Behavioral Sciences www.usc.edu/schools/medicine/departments/psychiatry_behavioralsciences
Office of Graduate Medical Education keck.usc.edu/GME
SPECIAL THANKS To Dr. Charles Patterson, former director of our program, Jennifer Green, and Penny Pourat for their invaluable assistance in developing this brochure.
LIFE IN LOS ANGELES Few areas in the world rival Southern California. The beautiful weather, cultural diversity, expansive beaches, and lush mountains make Los Angeles one of the most desirable cities in which to live. In addition to Hollywood and the motion picture industry, Los Angeles boasts excellent museums and is home to world-‐class restaurants, performing arts, and sporting events. The Los Angeles climate is ideal, with over 300 days of sunshine per year. Temperatures are generally warm with low humidity during the day and are cooler at night. The beaches-‐-‐from Malibu and Santa Monica to Venice and Long Beach-‐-‐are all close for swimming, surfing, and sailing. The beauty of the desert and Palm Springs are only two hours away, and Yosemite National Park is about 5 hours away. In the winter, a two-‐hour trip will provide access to skiing in the San Bernardino Mountains. The Mammoth mountain ski areas are about 6 hours away. Cultural and entertainment events include world-‐class theaters and museums. Dodger stadium is visible from the Medical Center, and it is possible to drive to the Rose Bowl in about 15 minutes or to Disneyland in about 40 minutes. With ten million people in this geographically large county (about a quarter of California’s population), there are all types of vocational and educational opportunities for residents’ families.
PGY4 RESIDENTS 2015-‐2016
RESIDENT EMAIL ADDRESS
Bar Ziv, Danit [email protected]
Chen, Karen [email protected]
De Guzman, Earl [email protected]
Duong, Tammy [email protected]
Keshishian, Talene [email protected]
Lacsina, Jamie [email protected]
Ureste, Peter [email protected]
PGY3 RESIDENTS 2015-‐2016
RESIDENT EMAIL ADDRESS
Adackapara, Nyssa [email protected] Anaya, Valeria [email protected] Borenstein, Yehonatan [email protected] Brown, Donald [email protected] Chen, Chris [email protected] Hassan, Deena [email protected] Idrees, Zaheib [email protected] Marroquin Diaz, Victoria [email protected] Parks, Kimberly [email protected] Rodriguez, Thomas [email protected] Tung, Stephanie [email protected] Wusirika, Lavanya [email protected]
PGY2 RESIDENTS 2015-‐2016
RESIDENT EMAIL ADDRESS Aguilera, Angel [email protected]
Darakijan, Ara [email protected]
Evans, Sarah [email protected]
Girgis, Jacob [email protected]
Hariri, Ladan [email protected]
Kim, Jenice [email protected]
Lee, EunJoo [email protected]
Ottiniano, Emily [email protected]
Peterson, Robert (Clay) [email protected]
Sanchez, Gabriela [email protected]
Whisenhunt, James (Dylan) [email protected]
Wong, Chih-‐An (Andy) Chih-‐[email protected]
PGY1 RESIDENTS 2015-‐2016
RESIDENT EMAIL ADDRESS Carson, Nora [email protected]
Dong, Stephanie [email protected]
Gracer, Mira [email protected]
Hughes, Thomas [email protected]
Huzyk, Theodore [email protected]
Locher, Michael [email protected]
Lueck, Collin [email protected]
Maguire, Marguerite [email protected]
Manchee, Charles [email protected]
Newton, Caroline [email protected]
Perdue, Matthew [email protected]
Rabkin, Beatrice [email protected]
KECK SCHOOL OF MEDICINE OF USC Department of Psychiatry & Behavioral Sciences
2010 Zonal Avenue
OPD Building 1P10
Los Angeles, CA 90033
Phone: 323.409.5555
Email: [email protected]
