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Department of Family and Community Medicine

Required Activities

Clinical Care: Clients are referred by the UCDHS primary care providers through the Behavioral Health Center (BHC), at UCDMC. Clients have Western Health Advantage-Geographic Managed Care MediCal. Their benefit includes psychotherapy focused on present/acute issues for a maximum of 24 visits a year, no more than 2 in a month, except in crisis circumstances. Clients are seen in the Family Practice Clinic in the Lawrence J. Ellison Ambulatory Care Center. Clinical care is oriented towards brief work however there are times when the presenting problems require work that will extend throughout the year. Case formulation will be discussed as a part of supervision ensuring that treatment plans and goals will be consistent with the formulation. Children, adolescents, couples, families, and adults are seen in the Behavioral Medicine Clinic.

Trainees have the opportunity to consult with the primary care provider as well as other members of the health care team. There is also the opportunity to work with Family and Community residents in co-therapy when there is a clear interface between the medicine and the psychology; and where schedules can be coordinated.

It is expected that the billing for each visit be turned in on the day of the visit, that progress notes using a SOAP format be submitted to the supervisor within 24 hours of the visit, and that BHC encounter data be submitted monthly.

Objectives: Interns will

  1. learn skills to formulate care integrating medical, psychological, family and cultural data
  2. learn consultation skills through interaction with referring physicians
  3. be able to develop a therapeutic relationship with clients from diverse backgrounds and a range of psychological and medical presenting problems
  4. will apply psychological theory to clinical care

Supervision: Each intern/fellow receives one hour of individual supervision from Dr. Henderson, Dr. Barton and Dr. Callahan. In addition, each intern/fellow participates in a group supervision process. This group meets from 10:15am to 12:00pm every Wednesday. Three Wednesdays of the month the group will focus on a case presentation made by a trainee. The fourth Wednesday will be dedicated to a discussion on specific topics of interest defined by the group; reading and case material will be an integral part of this meeting.

Training: There is training and/or supervision for many of the specific activities that are part of the internship (see Selected Opportunities). There will be a 2-hour bi-weekly Professional Development Seminar. Supervising psychologists and outside speakers will be invited to present topics relevant to psychologists in a medical setting. This will include regularly scheduled training in ethics, the law, and case formulation. At different times of the year, there will be blocks of time dedicated to training on Chronic Illness Management, human sexuality, substance abuse, consultation in a medical setting, narrative therapy, and couples therapy.

In addition, interns/fellows are invited to go to the Grand Rounds presented weekly by each department in the hospital community. The Department of Family & Community Medicine’s Grand Rounds is on Tuesdays at 12:30pm in the ACC Room 3015B. The Department of Psychiatry’s Grand Rounds is on Fridays at 11:30am in the PSSB ground floor auditorium.