Our program has been accredited since 1971 we meet ACGME criteria for a psychiatry residency program. Additionally, we focus on having fundamental medical knowledge based on advances in clinical science and in neurosciences. The core of each resident’s education is rich clinical experience. We focus on our training involving exposure to a broad range of psychopathology and learning to treat them within a variety of treatment settings. The residents go through experiencing and learning the roles of a psychiatrist in modern medicine ranging from being the primary provider to a consultant, from med management to therapy.
All the training occurs in the presence of skilled supervision from our outstanding faculty.
The clinical experience is complemented by our comprehensive didactic curriculum, grand rounds, case conferences and journal clubs.
While there are a set of core experiences and education that all our trainees are exposed to we also keep in mind individual interests and needs. We encourage a broad range of elective opportunities in the fourth year where the residents design their individual year. Our third years also have the opportunity to choose between a VA track, Integrative Medicine and Perinatal Psychiatry.
- Psychiatry Integrative Medicine in Residency
- Psychiatry Research
- Forensic Psychiatry
- Perinatal Psychiatry
ACGME Milestones for Psychiatry training emphasize competency in the area of patient care, medical knowledge, practice-based learning and improvement, and professionalism. One goal for training is to become a psychiatrist who serves as a role model and teacher of compassion, integrity, respect for others, and sensitivity to diverse patient populations. A goal under medical knowledge includes knowing drug interactions including herbal and alternative medications. One milestone that is evaluated for residents is “accountability to self, patients, colleagues and the profession” with subsection for fatigue management and work balance.
Integrative Medicine broadly defines a clinical paradigm that is patient-centered, healing-oriented, health promoting, and embracing of appropriate therapeutic approaches whether they originate in conventional or complementary medicine (Dodds et al, 2013). It reaffirms the importance of the therapeutic relationship, focuses comprehensively on the whole person, and renews attention to healing (Institute of Medicine, 2009b). Mind body medicine, which is an important component of integrative medicine, particularly emphasizes and provides skills for provider wellness, self-awareness, reflection, and compassion toward the self and others.
The Psychiatry Integrative Medicine in Residency (Psychiatry IMR) is an elective curriculum designed to accompany psychiatric residency and fellowship training, with the following key goals:
Goal 1: Evidence-based Integrative Medicine
The primary goal of the curriculum is to introduce the resident to the field of evidence-based integrative medicine as it related to mental health. Many patients have questions about integrative therapies. It is important for psychiatrists in training to have an understanding of this expanding field, and to have familiarity with evidence-based integrative medicine research and resources, whether they will use and/or prescribe integrative medicine or not. As the resident participates through the curriculum he/she will see that some areas of integrative medicine have strong supporting research and others areas may not. We will delineate the boundaries of the current research.
Goal 2: Resident Wellness
A second essential goal of the Psychiatry IMR curriculum is to raise awareness about the importance of resident health and wellness. For this reason, the resident will find a blend of pediatric and adult evidence-based integrative curriculum throughout the Psychiatry IMR, especially in the areas of preventative health, integrative mental health and mind-body medicine. A core philosophy of the Arizona Center for Integrative Medicine is self-care for the physician-learner, with an eye to helping them become better role models and more effective counselors to their patients and families. Practice-based curriculum specific to this goal of physician wellness will be highlighted as such for clarity.
Goal 3: Mindfulness in Medicine
A third key goal of the Psychiatry IMR is to provide an introduction to evidence-based mind-body medicine with a strong foundation in mindfulness in medicine. This topic is emphasized deliberately in large part due to the emerging literature in mindfulness in medicine, and in response to the newly revised core competencies in training in the areas of personal and professional development. This new core competency specifically calls for the development and evaluation of resident skills in self-awareness, a reflective approach to hands-on learning, effective stress management, and self-regulation. The Psychiatry IMR curriculum in this area is designed to provide a robust research background in addition to experiential exercises. This was done to provide a multi-dimensional approach to a topic that may be new to many in the medical field.
This program is a collaborative effort between Arizona Center for Integrative Medicine and University of Arizona Department of Psychiatry.
The elective is offered to 3rd and 4th year psychiatry residents in the Department of Psychiatry at University of Arizona, as well as 1st and 2nd year Child and Adolescent Psychiatry Fellows.
The Department of Psychiatry offers unique opportunities for active research involvement with close mentoring by award-winning research faculty. Research tracks can begin as early as the PGY-I year, and can be tailored to address individual interests and needs. Less formal involvement is also encouraged for those who select to participate in research at a more general level.
Research mentoring affords access to faculty members with outstanding credentials. Richard Lane, MD, PhD, is world-renowned expert in the field of cognitive neuroscience. Eric Reiman, MD, the Scientific Director of the Samaritan PET Center in Phoenix and an Associate Professor of Psychiatry at the University of Arizona, recently received national press coverage when his research using brain imaging and genetic screening to test potential treatments of Alzheimer's was published in the New England Journal of Medicine. Residents in the research program have been very successful‚ winning fellowships in Minority Research Training, fellowships to the American College of Neuropsychopharmacology, New Investigations Award to the New Clinical Drug Evaluation Unit, and NIMH-sponsored fellowships and awards.
A wide spectrum of research opportunities exists, including: clinical services and service systems research in the public sector; neurobiological research, primarily focused on the biological aspects of mood disorders and on PET studies; psychopharmacology research, exploring treatments for depression, anxiety, schizophrenia and bipolar disorder; emotion research; health psychology research related to the psychological aspects of medical illness and consult-liaison issues; crosscultural research with an emphasis on Hispanic and Native American mental health; and research in child psychiatry. Individualized research tracks can be created to accommodate any combination of interests in these areas.
Scott Killgore, PhD is a neuropsychologist who's current research, funded by the Department of Defense, utilizes neuroimaging to study performance in active military personnel and combat veterans.
The Early Psychosis Intervention Center (EPICenter) aims to study and treat patients ages 15-35 with early onset psychosis.
Residents receive a rich exposure to forensic psychiatry during their residency. We have two Board-certified forensic psychiatrists on staff and also have a forensic fellowship affiliated with our program. Residents have experience in their first and second years with civil commitment. During their third year, receive a fifteen-week course in ethics and forensic psychiatry. In the fourth year, residents may elect to receive more intensive exposure to forensic psychiatry including observing and participating in a wide variety of forensic evaluations. Finally, there are a number of psychologists and psychiatrists in the community and the department who do forensic consultations for various issues, both civil and criminal. These clinicians welcome residents to participate in their frequent evaluations.
We have had women’s health programs in various forms associated with our program for a long time. Currently we offer an outpatient experience for both PGY3 and PGY4 residents. Our clinic offers consultation and treatment for any woman with a mental health condition who is pregnant, considering becoming pregnant or who has recently given birth. Residents get trained in assessment and associated psychopharmacology. We also focus on preconception counseling regarding management of psychiatric disorders during pregnancy/lactation to help patients prepare for the healthiest pregnancy possible. Residents learn informed consent, medication management and therapeutic challenges in this population. There is also a focus on working collaboratively with other providers managing the pregnancy.
Information coming soon!