GERIATRIC PSYCHIATRY - 3 South UCLA RNPH, 2 Months
You will learn about the evaluation and treatment of patients 55 years and older with psychiatric problems associated with aging (i.e. dementia, delirium, depression). This is an excellent learning experience with exposure to a great breadth of psychiatric pathology, ECT and also internal medicine.

HARBOR PSYCHIATRIC EMERGENCY ROOM - Harbor General Hospital, 1 month
This rotation exposes you to acute diagnosis and management of psychiatric patients in the Harbor Psychiatric Emergency Room. This service is traditionally one of the favorites of the intern class and the teaching is first rate. The Harbor Psych ER provides services to approximately 5000 patients a year and its LA County catchment area includes over 1% of the psych population of the USA. Call at Harbor 3-4 times during the month.

PSYCHIATRIC INTENSIVE CARE UNIT (PICU) - 2WAB VA Hospital, 1 month
This is a locked 12 person unit located on 2WAB of the VA hospital. Here you will see a range of pathology -- schizophrenia, mood disorders, substance abuse, and acute suicide risk and malingering. The patients that are admitted to the PICU generally need the highest level of care/security and all are on holds. Psychiatric call, see below

PSYCHIATRIC EMERGENCY ROOM - VA Hospital, 1 month
You will learn how to do an ER evaluation of all psychiatric patients presenting to the WLA VA ER and learn which patient’s require admission and which can be seen in outpatient mental health clinics. There are many chronic schizophrenic patients, homeless patients and patients with personality disorders, malingering and substance abuse. Psychiatric call, see below.

PSYCHIATRY NIGHTFLOAT - VA Hospital, 2 two week blocks
Night float at the VA is a service unique to the interns of this program. You will work with a variety of R2s, learn to be independent and efficient evaluating all patients presenting to the VA emergency room in addition to seeing emergency consults from other services from 5pm-8am approximately 5 nights per week.

INTERNAL MEDICINE – UCLA Center for Health Sciences, 1 month
This is one of the busiest rotations of the year, given that you are on an inpatient medicine team at a tertiary care center. You will learn how to work with many different services and hospital staff and learn how to deal with acute and complicated medical problems. On medicine call overnight every fifth night with your team.

OUTPATIENT MEDICINE - Sepulveda VA, 1 month
This rotation will give you exposure to “bread and butter” outpatient medicine – hypertension, diabetes, COPD, respiratory infections, skin infections, etc in the outpatient care setting. Psychiatric call, see below.

EMERGENCY MEDICINE - VA Hospital, 1 month
This rotation will give you exposure to a wide variety of acute medical problems. You will see patients with a variety of diagnoses ranging from upper respiratory infections, MI's, CHF exacerbations, GI bleeds, fractures, headache, stroke, etc. Six 10-12 hour shifts per week with no overnights, no call.

INTERNAL MEDICINE - VA Hospital, 1 month
This month is similar to the internal medicine ward month at UCLA CHS, except it’s the VA which means more “bread and butter” pathology, and a different patient population (mostly men, higher homeless population, and higher substance user population). On medicine call overnight every fifth night with your team.

NEUROLOGY - VA Hospital, 1 month
This is a combined outpatient and inpatient and consult service which carries mostly consult patients and few primary patients. You will learn how to perform full neurologic examinations and work-ups. You will see a variety of movement disorders, seizure disorders, dementias, sensory deficits, stoke, traumatic brain injuries, etc. Psychiatric call, see below.

NEUROBEHAVIOR - VA Hospital, 1 month
Neurobehavior is a consult and outpatient clinic service only. You will primarily see dementia, movement disorders, and epilepsy focusing on the cognitive deficits. You will perform a full neurological workup including history, examination, and standardized neurobehavioral testing and learn subtleties of differentiating dementias and their unique presentations. Psychiatric call, see below.

CALL RESPONSIBILITIES: With the exception of the rotations where call is outlined above, you will take overnight psychiatric call at either UCLA or the VA approximately every 6-7 nights. UCLA calls are 5pm-8am with an R2 overnight and an R3 until 11pm. Interns have protected time from 9:30pm-2am. VA calls are from 6pm-8am with an R2 overnight.

ADULT INPATIENT PSYCHIATRY - A floor UCLA RNPH, 5 months
Residents work on one of three teams each devoted to mood disorders, psychosis or substance abuse caring for all psychiatrically hospitalized adults ages 18-54. You will act as a primary caregiver and psychiatrist managing acute suicidal ideation, anxiety, depression, substance abuse, psychotic and manic exacerbations in addition to Axis II pathology. Psychiatry call, see below.

CONSULTATION LIASON - UCLA CHS, 3 months
Residents cover all ER consults and consults from the medical center coming in during the day. There are a variety of problems that are addressed in both ER patients and patients with medical co morbidities working with all services in the medical center. You will treat conditions such as delirium, agitation, depression, consultation for organ transplant and capacity evaluations. Psychiatry call, see below.

CHILD & ADOLESCENT PSYCHIATRY - 2 SOUTH and 2 WEST UCLA RNPH, 2 months
During these two months you will serve as the case coordinator for patients on the adolescent unit ranging from 5-17 years old. You will also serve as the psychiatrist and medical doctor for patients on the eating disorders unit. There are many pathologies such as depression, psychosis, bipolar disorder, ADHD, ODD, conduct disorder, anorexia, OCD, bulimia and fetal alcohol syndrome. You will also conduct many family sessions and work closely with social workers and school systems. Psychiatry call, see below.

PSYCHIATRIC INTENSIVE CARE UNIT (PICU) - 2WAB VA Hospital, 1 month
As in intern year, this is a locked 12 person unit located on 2WAB of the VA hospital. Here you will see a range of pathology --schizophrenia, mood disorders, substance abuse, and acute suicide risk and malingering. The patients that are admitted to the PICU generally need the highest level of care/security and all are on holds. Psychiatric call, see below.

CHRONIC SCHIZOPHRENIA UNIT - 2SAB VA Hospital, 3 months
This is a unique VA ward caring for chronic schizophrenic and occasionally bipolar patients. Most patients on this unit have a longer length of stay than at other hospitals and you are able to follow their inpatient progress for longer periods of time. Community rounds are held several times per week with all attendings and patients together in a group setting in order to enhance therapeutic alliance and social interactions. Psychiatry call, see below.

CALL RESPONSIBILITIES:
Second year residents will take overnight psychiatric call at either UCLA or the VA averaging 45 calls per year. UCLA calls are 5pm-8am (8am-8am on weekends) with an R1 overnight and an R3 until 11pm. R2s have protected time from 2am-7/8am. VA calls are from 5pm-8am with an R1 overnight and have protected time from 11pm-8am and serve as emergency back-up.

Residents must enroll in 6 ½ day clinics per week in the 3rd and 4th years. During these 2 years residents must rotate through at least one of each of the following:

• Anxiety Clinic
• Mood Disorder Clinic
• Psychosis Clinic
• General Outpatient Clinic or Geriatric Psychiatry Clinic
• Community clinic
• Outpatient consultancy clinic (eg, PACC, Women's Comprehensive Clinic, HIV Clinic)

UCLA-Based Clinics

• Anxiety Clinic
• Addiction Clinic
• CBT
• Child Evaluation Clinic
• Couples Therapy
• Eating Disorders Group
• General Outpatient Clinic
• Geropsychiatry
• Interpersonal Psychiatry
• Mood Disorders Clinic
• Schizophrenia Clinic
• Women's Life Center

VA-Based Clinics

• Bipolar Clinic
• CBT for Schizophrenia
• Day Hospital
• Day Treatment
• Domicilliary Residential Rehabilitation Treatment
• Family Therapy
• Geropsychiatry
• HIV
• Mental Health Intensive Case Management Program (MHICM)
• Neurobehavior
• PACC (Outpatient Psychiatry Consultation)
• Post Traumatic Stress Disorder
• Schizophrenia
• Smoking Cessation
• Substance Abuse
• Women's Comprehensive Clinic

Community Clinics

• Edelman-WLA
• Venice Family Clinic
• Beit T'Shuvah

CALL RESPONSIBILITIES:

Third year residents will take psychiatric call at UCLA only with no overnights averaging 26 calls for the year. UCLA calls are 5pm-11pm (8am-11pm on weekends) with an R1 and R2 staying overnight. There is no call at the VA. Fourth years do NOT take call.