An interprofessional fellowship certificate program for improved access to mental health care

UC Davis TNT PCP is a year-long clinical education certificate program for primary care oriented trainees and providers (e.g. internal medicine, family medicine, emergency medicine, neurology, physician assistant, nurse practitioner, psychiatric nursing) who wish to receive advanced training in primary care psychiatry.  Primary care psychiatry is targeted at the most frequently encountered mental health related disorders and treatments. Mental health providers may also benefit from this fellowship and are also welcome to submit an application for enrollment. This is not a traditional or ACGME-approved fellowship.

The primary goal of the TNT PCP fellowship is to provide mentorship and teaching in the area of primary care psychiatry. Trainees will learn how to complete an evidence-based and efficient psychiatric interview in the busy primary care or medical setting. They will also be trained to effectively diagnose and treat commonly encountered psychiatric conditions such as: mood, anxiety, psychotic and substance misuse disorders. Most importantly, these trainees will learn how to teach these principles to their primary care colleagues.

 

TNT PCP Fellows 2016
2016 Train New Trainers Primary Care Psychiatry Fellows

Learn more about the TNT PCP Fellowship Program   YouTube play button

 
UC Davis Health System Feature Article - "Treating Patients, Brain to Toe"

 

UC Davis Health System Center for Reducing Health Disparities

 

Health Matters: Making mental health care more accesible

 

“The TNT PCP fellowship has provided an additive of knowledge to both my practice in the county setting and private practice. Starting with the basics and building with cases and one-on-one time with my mentor, I have been able to immediately change how I interact with patients to help them with better outcomes and help me with less stressful, more streamlined methods.  The mentors and lecturers are leaders in their respective blended psychiatric and medial fields. I am so glad you offered this remarkable program."

Michelle Leary, D.O.
Assistant Professor – Primary Care Department
Touro University College of Osteopathic Medicine
Family Medicine – Solano County

“It makes sense to treat all of my patients’ health issues at once, rather than limit my help solely to their physical illnesses.”

Sara Teasdale, M.D.
Associate Physician
Department of Internal Medicine
UC Davis Medical Center

"I am a practicing pediatrician and see firsthand how many children and teens need mental health support. After participating in TNT, I now feel as though I can more actively treat my patients' symptoms with the techniques taught in the fellowship program. The case based modules and practical experience gained during the program have enhanced my learning and increased my confidence in delivering mental health support to my patients in the office.”

Anita Jain, M.D.
Department of Pediatrics
Primary Care Network
UC Davis Medical Center


"The program helped me become more aware of signs and symptoms of people who may be suffering from undiagnosed mental illnesses. It provided excellent training so I can work with patients to figure out what’s really bothering them. Research demonstrates that we are all influenced by our physical, emotional, and social (bio-psycho-social) situations. None of these conditions occurs in a vacuum—they all influence each other."

Larry Aguirre, P.A.
Little Lake Health Center
Willits, CA

Contact Information

For more information or questions about the TNT PCP Fellowship, please contact the program coordinator, Katherine Howes at khowes@ucdavis.edu or 916-734-8534.

The curriculum Includes over 50 required hours of training and will lead to a certificate of completion from the UC Davis Department of Psychiatry and Behavioral Sciences.

  1. Two weekend teaching sessions (20-24 CME hours) 
  2. One hour per month of individualized, in person or teleconferenced mentoring sessions with a TNT PCP fellowship faculty member/mentor (12 non-CME hours)
  3. Twice per month, live, case-based discussions and patient interviews with a focus on integrated primary care psychiatry (20 CME hours).  Learning sessions are held on the second Monday of each month from 12:00 - 1:00 PM and the third Monday of each month from 5:30 - 6:30 PM in person or via teleconference.

A minimum of 40 hours of CME will be included as part of the fellowship tuition (for 100% attendance of all sessions).

Classes will start in January 2017 and coincide with the first weekend learning session, which will be in Sacramento in January 2017 (date TBD).  The second weekend learning session will take place in the early fall of 2017 in southern California (date TBD).  Both weekend sessions will be held concurrently with a Primary Care Psychiatry Update CME conference, which will be open to the public and co-sponsored by the California Psychiatric Association.  Registration for both learning sessions is covered as part of the fellowship tuition (please note that travel expenses are not included in the fellowship tuition). TNT PCP fellows will take part in some of this larger conference, but will also use meeting space to have small group supervision with TNT PCP faculty.

Reading materials will be provided, including a primary care psychiatry curriculum, which was developed by UC Davis family medicine, internal medicine and psychiatry faculty.  An emphasis will be placed on how best to provide culturally/linguistically-competent and person-centered clinical care.

Pre, midpoint, and post-testing will be used to measure changes in practice patterns and general knowledge in primary care psychiatry. Upon completion of this training, fellows will receive a certificate of completion from the UC Davis Department of Psychiatry and Behavioral Sciences.

Core TNT PCP topics include:

  • The primary care-based psychiatric interview using the “AMPS model”
  • The mental status examination
  • How to practice culturally-and linguistically-competent patient care
  • Mood disorders
  • Anxiety disorders
  • Trauma-related disorders
  • Substance misuse disorders
  • Primary and secondary psychotic disorders
  • Somatic symptoms disorders
  • Pain psychiatry
  • Neurocognitive disorders
  • Personality disorders
  • Suicide risk assessment in the primary care setting
  • Cognitive behavioral therapy
  • Supportive psychotherapy
  • Motivational interviewing
  • Fundamentals of psychopharmacology
  • Population-based/collaborative care
  • Cultural Psychiatry and utilization of the Recovery Care Model
  • Overview on how to train providers in primary care psychiatry

Directors

Robert McCarron, D.O.
Co-Director, TNT PCP Fellowship Program
Psychiatry, Internal Medicine, Pain Medicine, and Psychosomatic Medicine
Biography
rmmccarron@ucdavis.edu

Shannon Suo, M.D.
Co-Director, TNT PCP Fellowship Program
Psychiatry, Community Psychiatry, and Family Medicine
Biography
ssuo@ucdavis.edu

Director of Education

Matthew Reed, M.D.
Psychiatry, Internal Medicine, and Pain Medicine
Biography
matt.reed@outlook.com

 

Director of Research

Michelle Burke Parish, M.A.
Doctoral student, UC Davis School of Nursing
Biography
mbparish@ucdavis.edu
 

Director of Outreach

Sergio Aguilar-Gaxiola, M.D., Ph.D.
Clinical Internal Medicine
Biography
aguilargaxiola@ucdavis.edu
 

TNT PCP Faculty

Scott Fishman, M.D.
Psychiatry, Internal Medicine, Pain Medicine, and Palliative Care
Biography
smfishman@ucdavis.edu
John Onate, M.D.
Psychiatry, Community Psychiatry, and Internal Medicine
Biography
jconate@ucdavis.edu
Jaesu Han, M.D.
Psychiatry, Community Psychiatry, and Family Medicine
Biography
jaehan@ucdavis.edu
Amir Ramezani, Ph.D.
Psychology, Pain Psychology, and Neuropsychology
Biography
aramezani@ucdavis.edu
David Liu, M.D.
Psychiatry, Emergency Psychiatry, and Psychosomatic Medicine
Biography
ddliu@ucdavis.edu
Lorin Scher, M.D.
Psychiatry, Emergency Psychiatry, and Psychosomatic Medicine
Biography
lmscher@ucdavis.edu
Anne McBride, M.D.
Psychiatry, Child/Adolescent Psychiatry, and Forensic Psychiatry
Biography
abmcbride@ucdavis.edu
Glen Xiong, M.D.
Psychiatry, Geriatric Psychiatry, and Internal Medicine
Biography
gxiong@ucdavis.edu

TNT PCP Allied Faculty

Richard Bermudes, M.D.
Family Medicine, Psychiatry, CBT, TMS, and Mindfulness
Biography
rabermudes@tmshealthsolutions.com

Jeffrey T. Rado, M.D.
Psychiatry and Internal Medicine
Biography
radojeffrey@yahoo.com

James Bourgeois, M.D., O.D.
Psychiatry, Psychosomatic Medicine
Biography
james.bourgeois@ucsf.edu

Martha Ward, M.D.
Psychiatry and Internal Medicine
Biography
mcraig@emory.edu

Charles Hebert, M.D.
Psychiatry, Internal Medicine
Biography
charles_hebert@rush.edu

Angie Mung Yan Yu, M.D.
Psychiatry and Behavioral Medicine, Internal Medicine
Biography
angie.m.yu@kp.org

Shawn Hersevoort, M.D.
Psychiatry, Psychosomatic Medicine
Biography
shersevoort@fresno.ucsf.edu
 

Eligibility

  • All licensed physicians, nurse practitioners, and physician's assistants
  • To be considered for enrollment, TNT PCP fellowship applicants must complete an application.
  • $15,000 tuition invoiced upon notification of acceptance into fellowship.  (Payment must be received before initiation of fellowship year.)

Program Requirements

TNT PCP fellows must complete the following in order to receive a certificate of completion. 

  1. Attend and participate in both weekend learning sessions.
  2. Attend at least 80% of teleconferenced teaching sessions.
  3. Participate in 12 hours of individualized mentorship. 
  4. Complete all surveys.