UC Davis Medical Center Psychiatry Consult-Liaison Service

Site Description

A 646-bed medical center, level 1 trauma center and tertiary care medical center

Patient Population

Medical/surgical inpatients in a wide variety of clinical settings

Team

PGY-1 residents, PGY-4 senior resident, CL fellow, attending, medical students, clinical pharmacist and nurse practitioner

Conferences and Learning Opportunities

  • Daily interdisciplinary rounds
  • Weekly clinical case conference
  • Weekly med-psych conference

UC Davis Medical Center Psychiatry Emergency Department Service

Site Description

A 100-bed general emergency department and 8-bed behavioral health unit

Patient Population

Emergency patients co-managed with emergency department physicians. Majority of patients are on 5150 legal holds. Occasional delirium and dementia cases, substance intoxication and withdrawal. 

Team

PGY-1 resident(s), PGY-4 senior resident, attending(s), medical students, clinical pharmacist, nurse practitioners, physician assistant students, emergency department discharge planners, social workers and patient navigators

Conferences and Learning Opportunities

  • Daily interdisciplinary rounds

Sacramento County Jail Psychiatric Services

Site Description

A 17-bed LPS unit

Patient Population

Pre-sentenced and sentenced individuals with serious mental health care needs, and individuals awaiting transfer to state hospital or other placements in the community

Team

PGY-1 resident, PGY-4 senior resident, attending medical students, nurse practitioners, physician assistants, social workers, custody and a variety of other team members

Conferences and Learning Opportunities

  • Daily interdisciplinary rounds

VA Behavioral Health Intensive Care Unit

Site Description

A 16-bed locked, acute psychiatric facility

Patient Population

Part of the Northern California VA Health Care System, which serves a population of about 350,000 veterans annually, scattered over 17 counties and 40,000 square miles

Team

PGY-1 residents, attendings, medical students, addiction therapists, chaplains, dietitians, health technicians, nurses, nurse practitioners, nursing assistants, occupational therapists, psychologists and social workers

Conferences and Learning Opportunities

  • Daily interdisciplinary rounds

Sacramento County Mental Health Treatment Center

Site Description

A 23-hour crisis stabilization unit (CSU) and a 50-bed psychiatric health facility (PHF). PHFs are a type of inpatient unit unique to California. 

Patient Population

Uninsured and Medi-Cal (Medicaid)-insured Sacramento County residents who have severe mental illness. The majority of patients at MHTC suffer from psychotic and mood disorders (including schizophrenia, schizoaffective disorder and bipolar disorder).

Team

Attending psychiatrist, two PGY-2 residents, one to two third-year medical students, three psychologists/social workers, a nurse, a discharge planner, a pharmacist and a Peer Partner

Conferences and Learning Opportunities

  • Daily interdisciplinary rounds
  • Bi-weekly case conference/afternoon report/journal club

Sacramento County Adult Psychiatric Services Clinic (APSS)

Site Description

Adult community mental health clinic

Patient Population

Economically disadvantaged patients, including those uninsured and those insured through California's Medicaid program. The clinic provides for an ethnically diverse population including refugees from several countries and undocumented patients. The most common disorders are PTSD, mood, anxiety and psychotic disorders. 

Team

PGY-2, PGY-5 residents, attendings, nurses, therapists, Peer Partners and case managers

Conferences and Learning Opportunities

  • Daily educational rounds/specific site didactics

VA Addiction Recovery Treatment Service

Site Description

A substance use disorder (SUD) and dual diagnosis outpatient clinic

Patient Population

Part of the Northern California VA Health Care System, which serves a population of about 350,000 veterans annually, scattered over 17 counties and 40,000 square miles

Team

PGY-2 residents, attendings and psychologists

Conferences and Learning Opportunities

  • Site-specific didactics
  • Interdepartmental buprenorphine meeting
  • MI case conference

Geriatric Psychiatry Rotation (Multiple sites)

Site Description

Kaiser Permanente memory clinic, Sutter Health memory clinic, skilled nursing facilities

Patient Population

Seniors with neurodegenerative and comorbid mental health conditions. Kaiser Permanente is one of the largest managed care providers in Northern California (12.5 million patients). There are patients from all socioeconomic backgrounds (MediCal, Medi-Care, privately insured).

Team

PGY-2 resident, psychiatry or neurology attendings, social worker, psych RN, licensed psych tech

Conferences and Learning Opportunities

Residents can participate in our monthly case or impromptu conferences on the care coordination of complex patients, collaborating with a multidisciplinary team alongside their attending psychiatrist, case managers, social workers, nurses and psychiatric technicians.

UC Davis Medical Center Behavioral Health Clinic

Site Description

An outpatient psychiatry clinic

Patient Population

Commercially insured and Medi-Care insured patients in the greater Northern California region

Team

PGY-3 residents, attendings, psychologists, social workers and pharmacists

Conferences and Learning Opportunities

  • Site-specific didactics
  • CBT and psychodynamic psychotherapy case conferences