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Psychiatry
Residency Training Program
Department of Psychiatry
Email: psych@ohsu.edu
Telephone: (503) 494-6149
Fax: (503) 494-3282
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 an attending 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 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 Intercultural Clinic, a Geriatric Clinic,
an Obsessive Compulsive
Disorder Clinic, and a Neuropsychiatry 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
an 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 worker,
and nursing staff. The multidisciplinary
worker model includes occupational therapy, recreation therapy, and
psychology staff members along with other team members. Patients
have a variety of diagnoses vary requiring
complex neuropsychiatric, medical, substance abuse, and psychosocial
assessments and interventions. In addition to medication, treatment
includes individual, group and family therapy within a therapeutically
organized milieu.
- Consultation/Liaison Service This
service sees about 50 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. On call 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 Program (SATP) This program,
based primarily at the Vancouver Division, 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.
- General Medicine Psychiatry (GM Psych) General Medicine Psychiatry occurs
at the Portland and Vancouver VA where residents serve as consultation/liaison
psychiatrist to the primary care clinics at the VA, and provide brief therapy 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 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 Emergency Care Unit at the Portland VA.
The Emergency Care Clinic functions as a walk-in clinic and emergency
care facility that serves acute and subacute patients.
Portland Oregon State Hospital
POSH is a state psychiatric hospital located in Portland. The average
length of stay is about 2 - 3 months. Two residents at a time are assigned
to POSH and each has a maximum caseload of about 10 patients. Residents are usually call free during this 3 month rotation.
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 may chose to work in any of Oregon's community mental health clinics.
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