The goals of this rotation are:

1. To learn about the impact of hospitalization on a person.
2. To learn about the specifics of different illnesses.
3. To consult with the physicians regarding the psycho-social aspects of care.
4. To provide direct service to the patient when requested by the team. (e.g. assessment of depression, formal evaluation of mental status, to discuss with a patient their feelings about care)
5. To expand the care discussion to include the whole person in the context of their family and culture.

A consultation binder has been created for reference; this binder includes articles on topics of relevance to in-patient care. It is expected that as trainees read about their work that they will add helpful articles to this “work in progress” reference binder.

One hour of individual supervision weekly will be provided focusing exclusively on consultation.

The Department of Family and Community Medicine has multiple grants to develop a chronic illness management program. We have focused on diabetes, heart disease, asthma and obstetrics initially. Two multi-disciplinary clinics have been designed to create educational opportunities for residents and psychologists to collaborate with patients related to their health.

Planned Visits: Planned visits are currently offered at the Davis and Rancho Cordova UC Davis Medical Group locations. Patients with Type II Diabetes are invited to attend a pre-scheduled appointment with other patients where they will meet with a multidisciplinary team including their physician, a diabetes educator to review medications and blood glucose testing, a dietician, and a behavioral scientist to discuss mental health related to diabetes management. Interns have the opportunity to co-facilitate with Dr. Henderson and gain experience in this up-and-coming aspect of primary care psychology.

OB Clinic: The OB Teaching Clinic was designed to teach first year residents to evaluate new pregnant patients, including a psycho-social assessment. The teaching clinic training includes videotaping the residents’ interviews with the patient and feedback from the psychology trainee and the medical attending. This clinic involves the principles of chronic illness management with a focus on lifestyle, health behavior, and regular pre-natal care. The Journal Club will include first and second year residents, psychology interns/fellows, and the medical and behavioral science attendings. It will be problem-based focused on issues which surface during patient care. There are articles available in the clinic on such topics as violence, sexual assault reporting, eating disorders, depression/suicide, and substance abuse.

Teen Clinic: Teen clinic occurs Monday afternoons in the Family Practice Clinic. The psychology intern works with the medical resident and attending physician in this multi-disciplinary clinic. This teaching clinic addresses topics such as effectively communicating with teens and parents information regarding age appropriate anticipatory guidelines, developmental milestones, nutrition, and prevention guidelines. Goals for the psychology intern are: 1) to develop facilitation skills working with a multidisciplinary team, 2) to increase knowledge of the unique risk factors of teens, 3) develop knowledge of psychosocial assessment tool specific to teens.