OHSU Psychiatry Residency Training Facilities

Training Facilities

Oregon Health & Science University Hospital and Clinics
Psychiatry has five basic services located at OHSU. There is one psychiatric inpatient ward , a consultation/liaison service, an adult outpatient clinic, a child outpatient clinic and an emergency room service.

Inpatient Care Unit is a 20-bed acute psychiatric hospital ward at OHSU. Patients are usually referred from other facilities, other physicians in the community, the medical and surgical services within the hospital, or from the emergency room. The average length of stay is one week, with emphasis on a thorough assessment of psychiatric and medical problems and appropriate short-term therapy including medication, and individual, family and psychotherapy.
Consultation/Liaison Service consists of Dr. Maricle and a second year psychiatry resident working for a 6-week full time block. Consultations occur throughout the hospital, including general medical and surgical wards, as well as neurology, OB-GYN, critical care and other specialty units. The C/L Service also provides limited consultation to the Emergency Medicine Department. Residents find the rotation rewarding, fun and educational.
Adult Outpatient Clinic consists of the General Adult Outpatient Clinic, as well as subspecialty clinics, including an International Clinic, a Geriatric Clinic, a Seasonal Affective Disorders Clinic an Obsessive Compulsive Disorder Clinic, a Neuropsychiatry Clinic and a Chronic Patient Clinic. Residents also see about 25 patients per week in individual, group and family therapy.
Child & Adolescent Psychiatry Outpatient Clinic offers a wide range of diagnostic and treatment services for children, adolescents, and their families. This clinic sees about 3,700 outpatients per year, including 1,400 adolescents. The emphasis is on both individual and family interventions.

Portland Veterans Affairs Medical Center (PVAMC)
The Portland VAMC provides a full range of services, from primary to tertiary care, for eligible veterans Residents receive training on medical and neurology wards and in the Emergency Care Unit (ECU) as well as psychiatric training in Mental health Division programs. The latter include inpatient, emergency, consultation, outpatient, and substance abuse programs.

Inpatient Service The VA operates a locked inpatient ward (5C) in Portland. The average census is about 20 patients with an average length of stay of 8 days. Residents work with an attending psychiatrist, social wroker, and nursing staff on one of three teams. The multidisciplinary model including occupational therapy, recreation therapy, and psychology staff members along with other team members. Patients have a variety of problems and diagnosies variably requireing complex neuropsychiatric, medical, substance abuse, and psychosocial assessments and interventions. In addition to medicatin, treatment includes individual, group and family therapy within a therapeutically organized milieu.
Consultation/Liaison Service This service sees about 80 consults per month on the medical and surgical wards.
Emergency Care Unit Psychiatric Consultation The VA Mental Health Division provides consultation to the Emergency Care Unit (ECU) and crisis support to patients awaiting mental health clinic appointments. A third year resident works with our team of psychiatric nurse practitioners during the day. Inpatient and ECU Psychiatry residents are on-call to the ECU at night. A total of about 125 patients are seen each month as ECU consultations (75 during the day, 50 on-call), and an additional 75 crisis support ("interim care") patients are seen (primarily by nurse practitioners).
Substance Abuse Treatment (Chemical Addiction Rehabilitation Service, CARS) This program, based primarily at the Vancouver Divsion, provides evaluation, intensive outpatient treatment, follow-up care, and consultation to other services for veterans with alcohol and other substance abuse problems, Older patients and patients with co-morbid psychiatric problems are treated. Residents work closely with an addictions psychiatrist, working with primary substance abusing and dually diagnosed patients.
Behavioral Medicine and Ambulatory Psychiatry Service (PRIME) Behavioral medicine occurs at the Portland division where residents serve as consultation/liaison psychiatrist to the oupatient clinics at the VA, as well as primary therapists for a wide range of patients with problems at the interface between medicine and psychiatry. Between 5 and 10 patients are seen per day in individual, group and family therapy.
Veterans Outpatient Clinic This clinic emphasizes the treatment of service-connected veterans, especially the chronically mentally ill. Residents see about 30 patients per week in individual, group and family therapy.

PGY-1 residents also receive experience on the Neurology Inpatient Service, on the General Internal Medicine Wards and in the General Medicine Ambulatory Care Clinic at the Portland VA.

The Ambulatory Care Clinic functions as a walk-in clinic, emergency care facility and an outpatient clinic for general medicine patients.

Portland Oregon State Hospital
POSH is a state psychiatric hospital located in Portland. The average length of stay is about 40 days. Two residents at a time are assigned to POSH and each has a maximum caseload of abou 10 patients.

Community Mental Health Clinics (CMHCs)
PGY-3 residents on their required rotation in community psychiatry and PGY-4 residents electing to spend more time in this area are assigned to any of Oregon's community mental health clinics where they might choose to work.

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