Combined Family Medicine/Psychiatry Residency Curriculum
The combined family medicine/psychiatry curriculum at UC Davis ensures that combined residents finish residency with the competency not only to practice as an excellent family physician and psychiatrist but also to fill an important but unmet need in medicine by providing excellent medical care for people with chronic mental illness. In our unique combined curriculum these goals are achieved through rotations and didactics that fulfill the rotational requirements of categorical family medicine and psychiatry residency. The combined curriculum at UC Davis consists of experiences that are shared with the internal medicine/psychiatry program and experiences unique to the family and community medicine/psychiatry program. The shared experiences enrich and broaden the general medical educational experiences of both programs while the unique experiences highlight the specific training for the family physician.
Family Medicine Continuity Clinics
Residents work with family medicine and combined faculty to manage the complete primary care needs for families and individuals on their panel. The patient population is diverse and includes patients with Medi-Cal, Medicare and private insurance. During this five year longitudinal continuity clinic residents are encouraged to evaluate and manage presenting comorbid psychiatric conditions as appropriate. This experience encourages residents to see the "whole" patient and integrate the treatment of the psychiatric and medical issues.
Sacramento County Mental Health Treatment Center
Training largely takes place in a busy 50-bed psychiatric health facility. Residents manage patients in acute psychiatric crises as well as those with chronic illness awaiting long-term placement. All care is provided utilizing interprofessional teams of psychiatrists, psychologists, social workers, nursing, therapists, and other mental health workers.
Residents manage a busy intake unit associated with the psychiatric hospital where they learn to efficiently evaluate common psychiatric conditions in an emergency setting as well as triage patients with common comorbid medical issues such as diabetes and hypertension. Supervision is provided by psychiatry and combined faculty.
UC Davis Medical Center
Psychosomatic Medicine Service (PSM), Family Medicine Wards, Pediatric Wards, OB, ED
The 625-bed UC Davis Medical Center, a Level 1 trauma center and the major tertiary care medical center for the 6 million residents of Northern and Central California, provides the setting for the psychosomatic medicine service. On PSM, residents work with medical students, fellow combined and categorical psychiatry residents and psychosomatic medicine fellows to provide consultative psychiatric evaluations for medical/surgical services. Cases are extremely diverse and truly complement the inpatient experiences at the Sacramento County Mental Health Treatment Center. The Psychosomatic Medicine ED Service also manages patients acutely in the UC Davis Emergency Department and works with emergency room staff in ensuring that psychiatric care is delivered to patients who are deemed unable to be safely discharged into the community. UC Davis Family Medicine also has their own ward admitting service that manages Family Medicine patients, including children and obstetric deliveries and neonates. Residents work with the OB/Gyn Department and FM/OB attendings on Labor and Delivery during their OB rotation, Pediatrics for their inpatient pediatrics experience, and in the Emergency Department seeing acute illness and injuries for both adult and pediatric months in our Level 1 Trauma Center.
Mather Veterans Affairs Hospital
Internal Medicine, ICU, Surgery, inpatient psychiatry
The VA hospital on the Mather campus, 11 miles from UC Davis Medical Center, provides comprehensive care to veterans in the 16 counties surrounding Sacramento in its 248 bed hospital. Residents get experience in internal medicine, including intensive care management, inpatient psychiatry, and surgery over their various rotations at the VA.
Community-based Family Medicine Clinics at Federally Qualified Health Centers (FQHCs)
Residents in their fifth year are assigned to an FQHC for a community-based continuity experience in addition to their UC Davis Family Medicine Clinic. These partnerships with the community allow residents to work with community-based faculty to provide care to the medically underserved residents of Sacramento County and Yolo County and explore the opportunities for integration of psychiatry and primary care within FQHCs.
MPC (Med-Psych Conference)
All family medicine/psychiatry residents are encouraged to attend these weekly conferences held in conjunction with the internal medicine/psychiatry program. The first week of each month is dedicated to a journal article presented by a combined resident. The second week features a faculty presentation, while the third week is a presentation by a combined resident. All topics are intended to focus on topics of interest to physical medicine and psychiatry. Beginning in the second year of training, all family medicine medicine/psychiatry residents are required to give at least one presentation per year.
Psychiatry/Family Medicine electives (various sites)
There are at least three 4-week blocks available for electives in the third and fifth year of residency. Potential offerings can be combined during the rotation and may include:
Telepsychiatry consulting for the many rural communities in northern California
High risk obstetrics and psychiatry (supervised by combined faculty)
Med/Psych consultant at the SCHC (supervised by combined faculty)
SMHTC acting attending
PSM acting attending
Research - there are many ongoing research projects through family medicine, psychiatry and combined faculty that residents may participate in during this elective time.