Resident Handbook - UC Davis Health System

Priority for the psychiatry “special clinic” at the FPC will be given to second and thirdyear residents whenever the clinic schedule permits. This is because, for the most part, itwill be a more advanced experience designed to assist residents in learning to provideindependent, primary care level psychiatric services. However, when a first year residentis assigned to this training experience, teaching will be focused and guided toward theresidents’ level of training and experience. The special psychiatry clinic is an importanttraining opportunity for all residents inasmuch as Family physicians are frequently calledupon to provide initial psychiatric screening and treatment in both inpatient andoutpatient settings. They are also frequently required to provide longitudinalpsychotropic medication management for patients whose primary clinical issues arepsychiatric and yet are not severe enough that a referral to a psychiatrist is mandated.Accordingly, it is essential for residents to gain experience in handling this level ofprimary care independently. Services will mostly involve psychotropic medicationmanagement, but there will be elements of psychotherapy and counseling, crisisintervention, and coordination of special referrals. The focus of teaching with these caseswill be appropriate for primary care physicians, resulting in a better integration of generalmedicine and psychiatry.A. Service GoalsCARDIOLOGYThe goal of this experience is to prepare a resident to enter practice with the knowledge,attitudes, and skills to effectively evaluate, manage, and treat patients with cardiacconditions. Residents will also learn when to seek consultation appropriately. (See alsoResidency Goals and Competencies)B. Service DescriptionThe cardiology rotation has occurred as a two-week block in the third year of residency.Beginning in 2011, cardiology will be incorporated into the one month EUO rotation,now EUOC. This experience is designed to expose residents to the evaluation andmanagement of common cardiac conditions that present in the ambulatory and inpatientsettings. The experience is based in a cardiologist’s office practice with case based, oneon one teaching. Where appropriate to accomplish educational goals, residents mayaccompany cardiology preceptors into the hospital setting to consult on hospitalizedpatients. This rotation represents one component of a resident's training in cardiology.Substantial training in the primary care of patients with cardiac conditions is received inthe Family Practice Center and during time spent on the inpatient medicine service.Responsibility for the medical management of inpatients with cardiac conditions occursthroughout residency training.Page 28 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc