Clinical

Training Sites

ADDICTION RECOVERY AND TREATMENT PROGRAM (UCSD- LA JOLLA)

At the end of the rotation, residents will be able to:

  • Conduct a thorough substance use history
  • Characterize the psychological and social systems of the patient and its impact on patient's current disorders or functioning
  • Explain psychosocial and medication treatment options to patients considering their values in the treatment in order to come to an informed and shared treatment plan
  • Lead specific group based therapies
  • Conduct ambulatory detoxification from alcohol and benzodiazepines in patients who are medically stable enough to do so
  • Understand systems and provision of care in a team-based approach within an Intensive Outpatient Program
  • Describe medication treatments, risks and benefits, and pros and cons as informed by research data for addiction treatment
  • Recommend the appropriate level of addiction treatment, for example medical detox, outpatient, intensive outpatient, or residential, based on the assessment of the patient's needs and the evidence base for each intervention
  • Conduct patient encounters using a motivational interviewing style
  • Participate in coordinated care of a patient with a multidisciplinary team

ADDICTION PSYCHIATRY (VA – ADTP/SARRTP)

At the end of the rotation, residents will be able to:

  • To conduct a thorough interview with substance use disorder patients that will detail the drug use history, prior treatment, patient motivation for treatment and comorbidity.
  • To use treatment methods such as motivational interviewing and supportive confrontation to help move externally motivated patients to internally motivated patients involved in their own care.
  • To apply the chronic illness model to treatment in attending to their addicted patients recognizing the potential for relapse and working with it.
  • To be able to assist addicted patients in moving through the different levels of treatment in this system including outpatient, inpatient, aftercare and the dual diagnosis program.
  • Ability to function as a primary therapist or co-therapist for addicted patients.
  • To develop skills and comfort in a group therapy format.
  • As part of recovery treatment, to learn to utilize Motivational Interviewing and Relapse Prevention techniques. One should know how AA functions, the nature of a mutual help program, the role of a sponsor, and what constitutes the Smart Recovery program.
  • To be able to differentiate a Substance-induced disorder from an Independent psychiatric disorder.
  • To look at these patients developmentally and from the standpoint of their overall functioning including personal assets, ability to relate to others, and liabilities.
  • To gain further experience in the treatment of the co-morbid psychiatric disorders seen in this patient population such as mood and psychotic disorders.
  • To develop the ability and comfort in setting limits with patients based on program rules when necessary.
  • To gain experience in working as the physician member of a multidiscliplinary treatment team.
  • Teaching Goals
  • Teaching of the medical students with a focus on time-line history taking, substance use disorders, motivational interviewing and relapse prevention. In addition, psychiatric diagnosis and psychopharmacology.

CONSULTATION – LIAISON (VASDHS)

At the end of the rotation, resident will have the ability to:

  • Perform basic consultation assessment of patients with addiction including chart review, patient interview, diagnostic formulation treatment recommendations. 
  • Interact effectively with medical/surgical treatment team regarding care of patients with addiction issues.

ADOLESCENT (HBFF)

At the end of the rotation, residents will be able to:

  • Evaluate adolescents and transitional age youth with substance use disorders for psychiatric co-morbid disorders
  • Conduct a thorough developmental history (including ascertaining their early school performance, attachment, behaviors)
  • Characterize the family system of the patient and its impact on patient's current disorders or functioning
  • Explain treatment options to parents and patients considering their values in the treatment of the child in order to come to an informed and shared treatment plan
  • Lead specific group based therapies as the primary intervention for adolescents and transitional age youth

MEDICAL TOXICOLOGY (UCSD – HILLCREST CAMPUS)

At the end of the rotation, residents will be able to:

  • To develop expertise in the diagnosis and treatment of acutely and chronically poisoned patients. This encompasses intentional and accidental poisoning from pharmaceutical agents, plants and venomous animals, household products, and from industrial exposures
  • To become familiar with the medical effects of hazardous materials, and to become competent in managing the medical complications seen after hazardous material incidents
  • To participate in the training of medical personnel ranging from paramedics to physicians in training
  • To become knowledgeable in basic pharmacology, drug interactions and pharmacokinetics, and to provide these services to physicians in the clinical setting.
  • To promote expertise in the operation of a regional poison center and in the public services provided by such a center