What We Do

Clinical Rotations, Primary Psychiatric Training Sites, Community Engagement, Global Health Experiences, and Teaching Experiences

Unique Curriculum Features

Early outpatient experience (psychiatry, medicine, neurology)
Early psychotherapy training
Scholarly concentration (protected time for independent academic interests including research, community and global work, and educational projects)
Multiple clinical sites with varied health care delivery systems

PGY1 Clinical Rotations

PGY2 Clinical Rotations

PGY3 Clinical Rotations

PGY4 Clinical Rotations

or

Call Schedule

PGY1

On average, 3-4 evenings per month and 1-2 weekend days per month (except on inpatient medicine and neurology; night float)

2 weekend shifts per year: Arbor Free Clinic, psychiatry division

PGY2

On average, 2-3 evenings per month and 1-2 weekend days per month

PGY3

On average, 2-3 evenings per month and 1 weekend day per month

PGY4

No Call

Primary Psychiatric Training Sites

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Stanford Outpatient Clinics

Opportunity to rotate through various outpatient clinics in 6 month blocks including depression, bipolar, dual diagnosis, women’s wellness, OCD, ECT/TMS, psychosomatic, geriatric, neuropsychiatry clinics.
General continuity clinic/precision psychiatry research collaboration
CBT and psychodynamic psychotherapy training

Stanford Hospital

Locked (15 beds) and unlocked (14 beds) inpatient units; Geriatric and Consult Liaison services
High acuity, psychotic and severe mood disorders on locked unit; Lower acuity, eating disorders, personality disorders, pain disorders on unlocked unit
All SES with mix of insurance coverage (commercial, Medicare, Medical, and uninsured)
Highlights: Interdisciplinary rounds, significant legal/forensic experience (in hospital and superior court hearings), ECT treatment
Neurology rotations (inpatient, outpatient)

Palo Alto VA

Locked inpatient psychiatry units; 60 beds
Patient population: Severe mental illness, dual diagnosis. Primarily male patients of all socioeconomic backgrounds from a large catchment area
Highlights: Interdisciplinary rounds, journal club, health provider wellness discussions
Medicine rotations (inpatient, outpatient, consults)

Menlo Park VA

Opportunity to rotate through various outpatient clinics in 6 month blocks including telepsychiatry, serious mental illness clinics, addiction treatment services, trauma-focused psychiatry including evidence-based psychotherapy for combat and violence-related conditions, and residential programs for gender-based sexual trauma and PTSD
Research/Educational focus on Implementation Science and Healthcare System Innovation

Parent Playbook, interactive theater produced by Stanford’s CHIPAO (Communication Health Interactive for Parents and Others)

Community Organizations that Host Resident Core Rotations

Arbor Clinic: Medical student and resident-run community clinic with mental health services
PACE clinic: Psychiatric clinic embedded in an HIV primary care clinic
Asian Americans for Community Involvement (AACI) Center for Survivors of Torture: Psychiatric evaluation and treatment for political asylum cases
Momentum for Mental Health: Largest nonprofit provider for mental health in Santa Clara County; Popular site for moonlighting as well
Bill Wilson Center: Mental Health services with a holistic provider of services to family and children with a focus on homelessness

Resident-Driven Community-based Initiatives/Initiatives that Residents are involved with

Local Schools

Working with the Palo Alto Unified School District and local communities for prevention of teen suicide
Community Interactive for Parents and Others (CHIPAO): Workshops and Interactive vignettes focused on communication and mental health awareness in Asian American Families
Suicide Prevention Policy- East Side Union High School District
East Palo Alto Charter School (EPACS) and East Palo Alto Academy
High School Mental Health Innovation Challenge

Stanford University

CAPS
Weiland: Promote mental health and wellness across gender identity spectrum
Women in Science and Engineering Groups (WISE)
Med Student Support/Reflection Groups
Student Athlete Mental Health- Started a Student-Athlete Clinic, psychotherapy and outreach with athletes

Psychiatric Department/Stanford Hospital

Department-wide Community Psychiatry Workgroup
Resident Community Psychiatry Interest Group: Meetings with speakers in community psychiatry
Partnering with community partners to roll out expanded integrated primary care models
Working with Stanford's hospital systems on models for telepsychiatry implementation
Pacific Adolescent Leadership Counsel (PALC): Pediatric patients with chronic medical illness
Resident Safety Council: Interdepartmental quality improvement council

County and State

Leading the development of a statewide network of early psychosis/prodrome programs, opening up a number of clinical as well as potential policy opportunities:
County partnerships in Santa Clara, San Mateo, Santa Cruz, San Francisco, Contra Costa and Alameda counties
Advocacy for mental health with the Northern California Psychiatric Society (NCPS)

Other Community Partners:

Khalil Center
Immigrant Community Support Workgroup
Assisting with the formation of a county LGBT clinic
Stanford Human Rights in Trauma Mental Health Lab: Research on psychiatric impact of trauma on survivors of human rights abuses with aims of informing the judicial process/system

National Organizations:

Annual NAMI walk in Golden Gate park
APA Fellowships
Psychiatry Innovation Lab

Academically oriented community opportunities:

Community Psychiatry Pathway
Designing tailored opportunities during scholarly concentration time

For more information on community involvement in the department, please see
http://med.stanford.edu/psychiatry/community.html

Global Health Experiences

Through the Center for Innovation in Global Health (CIGH) at Stanford, residents can apply for funding to go abroad. Examples of resident projects are outlined in the image above.

Academically oriented international opportunities

2-week intensive global health course: Residents are encouraged to attend course through CIGH prior to going abroad
Global Health Pathway: Residents can focus on global health by applying as a PGY2
Scholarly Concentration time: Allows residents to design tailored, global opportunities

Additional Global Health Opportunities at Stanford

Stanford Center for Innovation in Global Health Resident Seminars

The Freeman Spogli Institute for International Studies. FSI is a university-wide research and education institution at Stanford devoted to understanding the problems, policies, and processes that cross international borders and affect lives around the world

Teaching Experiences

Residents have opportunities to interact with and teach medical students on their rotations through inpatient and outpatient psychiatry.

Resident-Driven Teaching Initiatives

Mind over Media: Discussion series 1x/month with residents and faculty over lunch that deals with controversial topics in the media. Special guests from other departments on campus (Ex. Law, Philosophy, Psychology), and even the authors of the books/articles themselves frequently are present. Examples include:
- Guns and Mental Illness
- Social Media and Psychiatry
- 13 reasons why and the portrayal of suicide in the media
- Logic’s (1-800-273-8255)
- Group therapy training as part of medical student support groups
- LGBTQ curriculum
Clinical Translational Neuroscience Curriculum
Medical Student Courses
- MS1 course on communication skills with difficult patients
- MS1 course on stigma using patient panel and podcast discussion of:
  This American Life
- MS2 Psychosomatic Medicine Cases class
- Shelf Exam prep for clerkship students

Resident Nina Vasan launched the American Psychiatric Association's Psychiatry Innovation Lab, a mental health incubator for startup venture ideas.

Psychiatry Interest Group: Residents serve on panels, attend events, and act as liaisons helping to facilitate course planning for elective lunchtime seminar (Psyched: Psychiatry Careers and Mental Health Perspectives for Medicine (PSYC 249SI)

Other Opportunities for Residents to Teach and Learn about Education

Clinical Teaching Seminar Series- Honors Certificate Program
Residents:
- PGY4 resident serves as supervisor to PGY 1s in teaching rotation through Evaluation Clinic
- Co-teach didactic courses for residents
- PGY4 pre-attending option on inpatient wards with junior residents and med students
- Tandem call supervision
- Chief resident
- Inpatient didactics at Stanford and the VA
Medical Students:
- Teach lectures and run small groups with Dr. Yasmin Owusu for the Psychiatry Preclinical Clerkship curriculum
- Serve as mentors for medical students
Undergraduates:
- Serve as mentors for undergraduate students
- Serve as Teaching Assistants in:
  - Culture and Madness: Anthropological and Psychiatric Approaches to Mental Illness (ANTHRO/PSYC 286)
  - The Literature of Psychosis (PSYC 282)
- Serve as project mentors in:
  - Leadership and Innovation in Mental Health (PSYC 240)

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