SPECIFIC TRAINING
TRAINING FORMS|
Psychiatry Residency Training Program Department of Psychiatry |
|
Oregon Health & Science University and the Portland VA Medical Center
(1) VA Mental Health Division. Mental Health Division at Portland VAMC is a major academic service, with 21 staff psychiatrists, all with faculty appointments at OHSU. There are 15 General Psychiatry Residency positions (fully integrated within a total OHSU-VA program of 32 positions), 24 acute beds, clinics totaling over 40,000 visits annually, and active inpatient and outpatient consultation programs. The following geriatric services are in place: (2) Geriatric Medicine. This program includes the Geriatric Assessment Clinic (GAC). (3) Neurology Service. We have a close, congenial relationship with Neurology, which has a strong orientation to Geriatric Central Nervous System Disorders. Dr. Jeffrey Kaye leads Geriatric Neurology activities. A Geroneurology Fellowship also exists. (4) Dementia Program. This is a multidisciplinary program led by Dr. Kaye that also includes Geriatric Psychiatry (Dr. Douglas) and Neurology (Dr. Joe Quinn). The Dementia Program is part of the Oregon Aging and Alzheimer’s Disease Center (AADC), along with OHSU. Oregon AADC is supported in part by a legislative Oregon State income tax refund check-off program. OHSU and Oregon AADC are recipients of an Alzheimer’s Disease Center Research Grant from the National Institute on Aging. (5) General. The full range of academically oriented medical and surgical specialty services is well represented within the hospital.
(1) Geriatric Medicine Residents. Reciprocal teaching opportunities occur during the GAC and consultation rotations, in the NSCU, and in seminars. Opportunities for teaching diverse groups of health professionals exist through the Oregon Geriatric Education Center, and VAMC-based consortium programs (VA, OHSU and Portland State University) supported by the USPHS Bureau of Health Professions to develop faculty and train health professionals throughout the state. (2) Medical Students. Opportunities exist to teach medical students in small groups.
Geriatric Psychiatry Clinic, conducted by Dr. Smith, evaluates and treats a broad range of demented and nondemented elderly women and men. An ECT (electroconvulsive therapy) service administers between 60 and 80 treatments per month. The Public Psychiatry Program is a unique program which links the Department with the State Mental Health Division in a variety of teaching, research and administrative enterprises. The Aging and Dementia Clinic at OHSU is the clinical component of OHSU’s NIH funded Alzheimer’s Disease Research Center. (2) Research, including the Vollum Institute. See Section 6-5 below. (3) Biomedical Information Communication Center. This program combines traditional library and computing services, biomedical communications, and medical informatics research, and is supervised by Dr. Douglas, Chief of Informatics at the Portland VAMC. (4) Center for the Ethics in Health Care. The center is funded by grants from several private foundations and has an interdisciplinary faculty (OHSU and VA). The program currently focuses on four areas: education, research, patient consultation, and health policy development. Dr. Ganzini, a Senior Scholar at the Ethics Center, supervises educational and research opportunities in ethics and end-of-life care.
Multnomah County Aging Services Division. Our program has ties to this large local Area Agency on Aging Program.
Research opportunities. Research resources here are excellent. The following groups can accommodate Fellows for special projects. (1) Dementias and healthy brain aging. Under the general direction of Dr. Jeffrey Kaye, ADCO Clinical Director, studies on the genetics and epidemiology of Alzheimer’s disease are in progress, as well as projects on the development of assessment instruments, clinical drug trials, and a study of motor vehicle driving in Dementia, using the resources of the ADCO Consortium (VAMC, OHSU, Good Samaritan). Dr. Kaye also heads the Oregon Brain Aging Study, a clinical-morphological (clinical, neuropsychological, imaging and postmortem brain analysis) longitudinal study of healthy brain aging in the old. (2) Affective and sleep disorders. Dr. Alfred Lewy at OHSU also heads an internationally recognized group studying, pineal physiology in the elderly and effects of bright light in chronobiologic and mood disorders. This lab also includes Dr. Robert Sack (circadian rhythm and disorders in the blind and treatment of sleep disorders) and Dr. Jonathan Emens. (3) End-of-life care. Dr. Linda Ganzini currently conducts research on the effects of depression on patient desire for life-sustaining interventions in medically ill elderly, physician-assisted suicide, prevalence of mental disorders in hospice patients, and patient decision-making capacity. Clinical experiences in Palliative Care are available. (4) Epidemiology and advanced biostatistics. Dr. McFarland leads several projects. Using a large automated database at Kaiser Permanente HMO (which has over 300,000 enrollees locally), he is studying risk for automobile accidents among elderly users of different benzodiazepines, and risk of fall in older users of low versus high potency neuroleptic agents. His other projects, within the State Mental Health Division, include a study of the consequences of Congressionally mandated regulation of access of mentally-ill persons to nursing homes, and a study of the efficacy of Sodium Valproate for mania in persons over age 60. (5) Vollum Institute for Advance Biomedical Research. Based at OHSU, this is a premier center for molecular neurobiology. For scientifically qualified fellows, access to the Vollum Institute as a setting for a basic science project can be arranged through Dr. Lewy.
Applications
for July 2008 will be accepted through December 31, 2007. An
interview with Fellowship faculty may be required at the applicant's
expense. The 2008 - 2009 stipend level for PGY-5 is $55,100. For
more information on academic and student educational programs and
a graduate medicine link, access the OHSU home page at http://www.ohsu.edu/ohsuedu/academic/som/GME/. Linda Ganzini, MD MPH Those interested in entering
at the PGY-4 level need to contact Dr. Ganzini at: Application on the Web Applicants are required to submit the following documentation: To obtain an application
form, click below and print. Fellowship Completion Certification of Fellowship completion will be awarded at the end of the PGY-5 year. Psychiatrists completing the Fellowship will have met requirements for the Geriatric Psychiatry Added-Qualification Examination offered by the American Board of Psychiatry and Neurology, Inc. 
HOME
| How to Apply | Appendix:
Supplemental Materials
Psychiatry Home | Faculty | Clinics | Sounding Board | Grand Rounds | OHSU |
PORTLAND VAMC
is one of the best-equipped academic general hospitals in the
VA system. Wards, clinics, offices, conferences rooms, laboratories
and equipment are first rate. Outstanding clinical and research
staff in psychiatry, medicine and neurology are closely allied
with their counterparts at OHSU, physically located just one-quarter
mile away. The two institutions are joined by an enclosed sky
bridge, making the trip between the two institutions even more
convenient. The hospital’s catchment area includes metropolitan
Portland (population 1.5 million and growing rapidly) and a large
rural area with another 1 million.
(1) Psychiatry
Department.
This large and active department houses several nationally prominent
academic research and training programs. Most notable are programs
on the Biology of Affective Disorders, Psychopharmacology, Psychiatric
Epidemiology, and community and social psychiatry (transcultural,
forensic and public psychiatry). Geriatric Psychiatry faculty
at OHSU who teach residents includes Dr. Kevin Smith, and Dr.
Bentson McFarland, former Milbank Scholar in Psychiatric Epidemiology
and Burroughs-Wellcome Scholar in Pharmacoepidemiology.