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UF Department of Psychiatry

FACILITIES

Residency Training Program From the Residency Training Director Program Faculty Purpose, Philosophy & Goals	TRAINING FACILITIES AND SERVICES The training activities of the Department of Psychiatry are centered at the University of Florida Health Science Center, situated on the campus of the University of Florida in Gainesville. The Health Science Center consists of six colleges (Medicine, Dentistry, Nursing, Pharmacy, Health Related Professions, and Veterinary Medicine), the Shands Teaching Hospital, the University of Florida Clinics, the Gainesville Veterans Administration Medical Center, the Learning Resources Center, and one of the largest medical libraries in the Southeast. Many collaborative educational and research projects are ongoing between the Department of Psychiatry and other departments within the Health Science Center and the University. Thus, an exceptionally broad spectrum of training resources is available to the psychiatric resident.
Training Facilities & Services Clinical Rotations Curriculum Resident Life		Shands Hospital at the University of Florida. There is a 22-bed med/psych unit located at Shands main hospital that specializes in problems of the geriatric population and those with concomitant medical problems; i.e., gero-psych and med-psych. There is an active Electroconvulsive Therapy Service, serving the needs of both inpatients and outpatients. There is much interaction between the psychiatry services and other medical services in order to best meet the needs of our geriatric-psychiatry and medical-psychiatry patients.
Post Graduate Fellowships Application Process About Gainesville, Florida	Shands at Vista. An outstanding location nearby, Vista is an 81-bed freestanding private psychiatric hospital. Residents are required to train on the Adult Inpatient service, Dual disorders and the Child and Adolescent Inpatient service, which are located at Shands at Vista. Residents gain experience with private inpatient psychotherapy (including individual, group, and family therapy) and with the many skills required to treat children and adolescents and their families. State of the art psychopharmacology is taught and practiced. Complex diagnostic and therapeutic problems are often encountered. Close supervision by the attending physicians on the service, and by the therapists off the service, maximizes the learning opportunities.
	Florida Recovery Center at Shands at Vista. The Florida Recovery Center (FRC) offers evaluation and treatment of children, adolescents, and adults with substance use problems. The FRC offers treatment services to patients with acute problems requiring hospitalization and daily treatment of others in residential, a collegiate non-hospital setting. The program includes medical and psychiatric evaluation and management, detoxification, and relapse prevention. Dual disorder evaluation and treatment is also provided. At FRC, the Resident will participate in the evaluation and treatment of impaired health professionals and people from around the State and nation. Resident training starts with interviewing and drug testing and continues with psychiatric evaluations and motivational interviewing and ends with treatment and follow-up. At FRC, patients can be followed for years. Five Year outcomes for Impaired Professionals have just been reported for our group. Residents have the chance to work at one of the nation’s leading facilities with a pioneer in addiction treatment and one of the White House’s experts on teen drug abuse.
	Psychiatry Service at the Gainesville Veterans Administration Medical Center of the North Florida/South Georgia VA Health System. This service, located on campus directly opposite the Health Science Center, consists of 38 inpatient beds, an outpatient clinic and special outpatient programs for Psychosis, PTSD, substance abuse, pain and women's mental health issues. The 38 beds are divided among four clinical teams. One team is dedicated to Psychotic Disorders, another to substance abuse and the remaining two to general psychiatry. The Residential unit services are primarily used for evaluation and short-term management of patients with acute psychiatric problems. Training objectives on this service are to introduce the resident to a wide variety of the more serious psychopathological entities, methods of inpatient diagnosis and assessment, treatment planning and management. In addition, there is a residential Substance Abuse Treatment Unit. The resident will become an active participant in the multidisciplinary team approach, group and milieu therapy, determination of appropriate disposition, and the utilization of community resources for after-care.
			Residents assigned to a clinical team assume primary responsibility for clinical care, with increasing levels of independent decision making over the years of training. Each team consists of an attending physician, who is a full-time member of the Department of Psychiatry, a resident, medical students, nurses, a case manager and consultants from psychology, social work, dietetics, occupational therapy, rehabilitation and trainees from other disciplines. Administrative milieu meetings, conferences and team rounds teach residents diagnostic, therapeutic and administrative principles. Two of the teams also have outpatient components emphasizing continuity of care.
	The University of Florida Psychiatric Consultation and Liaison Service. Residents are assigned to the Psychiatric Consultation and Liaison Service for four to six months during the third postgraduate year. During this rotation, the resident offers psychiatric consultation and collaborative management to the staff and physicians caring for medical and surgical patients who suffer from concomitant psychiatric and emotional problems. This rotation encourages close working relationships with house officers and attending physicians in many specialties, in both inpatient and outpatient settings, and at both academic based and community hospitals. The University of Florida Adult Outpatient Clinic (AOPC). The AOPC is a primary training site for twelve months of the second postgraduate year. In the Clinic, under close attending supervision, the psychiatric resident learns to recognize, evaluate and treat patients with diverse psychiatric problems and from various sociocultural backgrounds. After completion of the formal Outpatient Clinic rotation, the resident is expected to carry several long-term psychotherapy patients allowing a period of at least two years to experience the process of psychotherapy as it unfolds over time. In addition, residents have the opportunity to follow complex patients who require a combination of psychiatric treatments. Child and Adolescent Psychiatry at Shands. The Division of Child Psychiatry staffs a Child Outpatient Clinic, well equipped with playrooms, observation rooms, and audiovisual equipment. Residents are assigned to the Division of Child and Adolescent Psychiatry on a part-time basis during the PGY-2 year, focusing upon diagnostic aspects of child and adolescent psychiatry. The resident becomes familiar with the normative growth of children and adolescents, pertinent age-specific events, and basic psychopathological entities. This is achieved through the use of clinical case assignments, case supervision, a weekly didactic teaching conference, a weekly introduction to child psychiatry seminar, and an optional research project. The resident is introduced to the full scope of childhood psychopathology through the Consultation Service to Pediatrics and with selected outpatients.
	Student Mental Health Service. The Student Mental Health Service (SMHS) of the University of Florida, a division of the Student Health Care Center located at the Infirmary Building on the upper campus, has a close affiliation with the Department of Psychiatry. The SMHS is comprised of a multidisciplinary staff of experienced clinicians. The SMHS offers students of the University of Florida a range of clinical services, including initial evaluations, psychiatric consultations, crisis intervention, psychopharmacology management, psycho-educational programs, individual, couple and group psychotherapies. There are specialty programs in Eating Disorders, Alcoho l and Substance Abuse, Sexual Assault/Abuse Recovery and Multicultural Counseling. Residents in psychiatry may elect to choose a semester rotation at SMHS during their fourth year. Residents have direct patient contact with a unique population of intelligent young adults, who are often making their first contact with mental health services. Interested residents may also seek out more extended electives for participation in longer-term psychotherapy, ongoing groups, or administrative functions of the Service. Supervision is provided on site. Collaborative treatment planning and consultation with other mental health professionals is readily available. Shands Medical Plaza. The Department of Psychiatry's medical clinics, including adult and adolescent eating disorders, obesity, and pain clinics, are located in the Shands Medical Plaza. The new Medical Plaza clinic space is state-of-the-art and a stones throw away from the Shands at UF Teaching Hospital. These medical model evaluation clinics allow us to work side-by-side with surgery, endocrinology, medicine and neurology attendings and housestaff. Rather than the typical psychiatrist in an office model that we also have, these clinics have Dieticians, Exercise Therapists, Alternative Medicine and Clinical Nurse Practioners to complement the psychiatric evaluation and help to provide treatment.
	McKnight Brain Institute (MBI). The Department of Psychiatry has its Headquarters, alongside Neurology, Neurosurgery, and Neuroscience at the MBI. We have research laboratories, the Chair’s Office, the Associate Chairs’ Offices, fMRI and soon PET at MBI. A significant portion of the residency didactic curriculum takes place in the McKnight Brain Institute (MBI) at the University of Florida. This state of the art facility allows easy collaboration among multiple disciplines with as focus on brain pathology. Adjacent to our offices are the department's main developmental, proteomic, imaging and other research laboratories. The facility also has telecommunication capabilities that allow for video-conferencing with offsite clinicians and researchers. It is here that residents have the greatest opportunity to engage in cutting edge research.
	Department of Neurology. The Department of Psychiatry maintains a close relationship with the Department of Neurology to provide training for psychiatric residents. Neurologists often drop in on Clinic and the resident is guaranteed to spend two months on UF’s Neurology Service during the first postgraduate year or during the second postgraduate year for those residents transferring into psychiatry at a more advanced level. The University of Florida’s Brain Institute has attracted and retained some of the nations leaders in behavioral neurology including Kenneth Heilman, M.D. The principles of neurology and neurological evaluation are acquired through primary patient care and case assignment on an outpatient, consultation and inpatient basis, with close supervision of attending neurologists and senior neurology residents. This is augmented by case conferences and both diagnostic and didactic teaching seminars. Several members of both the Departments of Neurology and Psychiatry faculty have particular interest in the study of memory disorders, movement disorders, deep brain stimulation for mood disorders, higher cortical integrative functions, and special arrangements can be made for selected residents to pursue additional study in this area. The Department of Psychiatry and Neurology collaborate in both research and patient evaluations in the Memory Disorder Clinic - a valuable elective rotation for any resident considering a geriatric psychiatry fellowship. Internal Medicine, Pediatrics, and Community Health and Family Medicine. The Department of Psychiatry has established close relationships with the Departments of Internal Medicine, Pediatrics, and Community Health and Family Medicine to provide psychiatry residents with excellent training during the first postgraduate year (Categorical First Year). All these departments maintain ACGME approved residency programs. Inpatient and outpatient rotations are available at Shands Hospital and the VA Medical Center and, when available, at the Family Practice Medical Group. The Department of Pediatrics has outreach community health clinics designed to provide primary patient care in rural areas. During these four- month rotations, the resident encounters numerous medical problems, and acquires the necessary skills for their evaluation, treatment, and management. The resident works under the supervision of faculty and senior residents of the Departments in which they rotate. We have an ongoing collaboration in Psychosomatics and Infectious Disease/Bioterrorism. Cardiac changes and mortality in psychiatric health and disease is a new collaborative effort between psychiatry and neurology.
	OTHER TRAINING SITES The Department of Psychiatry is pleased to have close ties and relationships with many excellent facilities throughout north central Florida. The Department serves as Consultant to State agencies, auditing charts and services throughout Florida. We also have full-time teaching Faculty working in other training sites from Jacksonville to Daytona Beach. Several such sites are valuable components of the required residency training program. Residents can choose these and other sites for elective because of the unique training opportunities afforded them. Shands/UF Jacksonville. The reach of our department's clinical operation extends 85 miles eastward to the coastal city of Jacksonville which has a population over 1 million. Shands at Jacksonville runs an outpatient clinic and provides services to the Sulzbacher Homeless Center. This hospital primarily servesthe indigent urban population of the city of Jacksonville. Many UF medical students select UMCas the site for their psychiatry clinical rotation because of the unique learning experience it provides. In addition to these programs in Jacksonville, we operate outpatient clinics in two other areas of Jacksonville as well as provide medical services to a major drug treatment center, a homeless shelter and several nursing homes. At present, a rotation in Jacksonville is not required but is frequently requested especially for those residents interested in community psychiatry, clinical trials or addictions. Community and Social Psychiatry Service. Meridian Behavioral Healthcare, Inc., Gainesville's community mental health center offers opportunities for the resident's training in Social and Community Psychiatry. Residents may elect to rotate on the Crisis Stabilization and Detoxification Units, Outpatient Clinic, Transitional Programs or other specialized programs. Other services at the community mental health center include treatment for alcoholism, problems of children, youth and the family and gerontology. Liaison is maintained with the more distant Northeast Florida State Hospital in Macclenny, allowing the residents to familiarize themselves with the long-term care of the chronically mentally ill. Residents may also familiarize themselves with the care of forensic populations during electives at the North Florida Evaluation and Treatment Center, which is associated with Florida Department of Corrections.