FACULTY OF MEDICINE
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Department of Psychiatry |
Mental Health Services in Richmond offer an eclectic and comprehensive opportunity for medical student and resident teaching in the discipline of psychiatry. In brief, services within Richmond Hospital include an 18-bed inpatient unit and an active emergency and consultation-liaison service. A unique group-focused outpatient program is also located within Richmond Hospital and provides a number of specialized groups for specific mood, anxiety and posttraumatic disorders. Since Fall, 2004, the outpatient program has also begun operating specialized clinics, initially in the areas of the anxiety and mood disorders, geriatric psychiatry, women’s mental health and cross-cultural psychiatry.
Services located within the community are extensive and are housed close to Richmond Hospital in separate facilities. Community-based programs include an Adult Program, an Older Adult Program, and a Child and Adolescent Program. All programs are actively linked with local organizations and services such as CHIMO’s Crisis Line and Crisis and Suicide Intervention program, Richmond Addiction Services, and the Richmond School program for children with severe emotional and behavioural difficulties. Mobile emergency services are also provided within the community via Mental Health Emergency Services and TRACC – Team Response to Adolescents and Children in Crisis. And beginning Sept 2005, the Richmond Bridge House will be a 10 bed multidisciplinary service home assisting patients in psychiatric crisis.
Richmond Mental Health Services has a long history of providing a variety of medical student and resident rotations. In particular, final-year Canadian and international medical students have frequently selected Richmond Hospital for a 4 week community assignment in psychiatry as part of UBC’s Clerkship Electives program. Family practice residents from the UBC’s Dept of Family Practice’s Rural Residency Program have also been assigned to Richmond’s community mental health team and UBC psychiatry residents have selected Richmond for an elective in community psychiatry.
A significantly enhanced commitment to teaching took place at the beginning of 2004 with the appointment of Dr. Sheldon Zipursky as Dept Head and Dr. Harry Karlinsky as Coordinator of Medical/Education Professional Development. In 2004, Faculty made a significant contribution to the second year UBC medical student Clinical Skills II Teaching program and has provided well-received psychiatry rotations for an increasing number of medical students and residents (see Complete list of 2004/5 rotations in Appendix 1). Experiences in 2005 already include a 6-month elective rotation for a
PGY-5 psychiatry resident, as well as rotations for family practice residents and international medical students. In addition, a successful pilot clerkship experience in psychiatry for III year UBC medical students has recently occurred, and as of July, 2005, two clerkships in psychiatry occur on a continuous basis. Also as of July, 2005 there are two UBC PGY-II psychiatry residents on their inpatient/outpatient rotations.
In addition to supervision and teaching provided by a variety of clinical supervisors, students and residents meet with Dr. Karlinsky on a weekly basis to review ongoing learning needs and experiences to-date. Dr. Choo provides an innovative teaching opportunity concerning the Mental Health Act with Richmond having pioneered standardized Mental Health Act implementation procedures for the Vancouver Coastal Health Authority region. Mr. Dean Elbe, a pharmacist at Richmond Hospital provides seminars on the psychoactive medications. These teaching seminars, along with others, are now integrated into a comprehensive seminar series.
Public education is also part of the teaching agenda. In partnership with CMHA and Richmond Mental Health Consumers and Friends Society, educational film screenings now occur during October’s Mental Illness Awareness Week and May’s Mental Health week.
Didactic teaching programs are extensive and include a monthly Grand Rounds, a monthly case round series (call Lunch and Learn Rounds) and a weekly Inpatient Formulation Rounds. All rounds are accredited Section 1 Royal College of Physicians and Surgeons Group Learning Activities. Additional initiatives include an Annual Academic Clinical Day with a focus on emergency psychiatry.
Richmond Hospital Inpatient Unit: An 18-bed short-stay unit located within Richmond Hospital offers multidisciplinary assessment and treatment for a wide-range of psychiatric illnesses. There are four attending psychiatrists, involved family physicians (including a primary responsibility for medical care), primary care nursing and a variety of specialized inpatient groups such as those focused on Medications and the Mental Health Act. The interdisciplinary teams also include a psychologist, pharmacist, social worker and rehabilitation therapists.
Outpatient services and clinics; Richmond Hospital’s Outpatient program includes a 12 week group therapy program primarily for individuals with mood and anxiety disorders, and a variety of specialized group programs that include a Post-Sexual Trauma Group, Depression Group, Panic Disorder Group, Intensive Psychodynamic Group, Supportive Interpersonal Group, Obsessive-Compulsive Disorder Group, Assertiveness Group, and Changeways Groups (in English, Cantonese and Mandarin). Since the Fall, 2004, the Outpatient program also began operating specialized clinics, initially in the areas of the anxiety and mood disorders, geriatric psychiatry, and women’s mental health. A cross-cultural psychiatry clinic will begin in September, 2005.
Community Programs: As indicated above, services located within the community are extensive. Community-based programs include an Adult Program, an Older Adult Program, and a Child and Adolescent Program. All programs are actively linked with local organizations and services such as CHIMO’s Crisis Line and Crisis and Suicide Intervention program, CHIMO’s Eating Disorders Program, Richmond Addiction Services, and the Richmond school program for children with severe emotional and behavioural difficulties. Mobile emergency services are also provided within the community via Mental Health Emergency Services and TRACC – Team Response to Adolescents and Children in Crisis. A new community=based program is the Bridge House. This is a 10-bed multidisciplinary service home assisting patients in psychiatric crisis and staffed by two attending psychiatrists, nursing, social work and rehab staff.
There is also a busy Emergency Service and an active Consultation-liaison service based within Richmond Hospital provided by Drs Raymond Au, Caroline Choo and David Cohen to inpatients on the medical and surgical wards. An outpatient/consultation-liaison experience in Addiction Medicine (including HIV and HepC) is also available in the Gilwest Clinic (located within Richmond Hospital) with supervision provided by Dr. H. Donaldson. Drs Darren Thompson and David Cohen provide geriatric psychiatry consultation-liaison services to Minoru Residence.
Classroom Space: Multiple meeting rooms are available on the Psychiatric inpatient and outpatient unit, in the Community Mental Health Team facility and throughout Richmond Hospital. There is also a 200 persons Auditorium and Computer Training Room within Richmond Hospital.
Office Space: There is a dedicated office with a computer station for the psychiatry residents.
Computer access: Two computer stations with online access are available 24 hours/day within Richmond Hospital’s library.
Audiovisual Equipment: Available through Richmond Hospital’s Education Dept. Available equipment includes Multimedia projector, laptops, overhead and slide projector, and TV/VCR unit. The Hospital’s 200-seat auditorium also has sophisticated built-in audiovisual equipment, including a multimedia projector and a projection booth.
Pagers: Available through Hospital administration.
On-call rooms. Three on-call rooms are available in Room 413 on 4N in Richmond Hospital. These are accessible to on-call medical students and residents.
Parking/Public transportation: Both the Richmond Hospital and Community Mental Health Team are on major bus routs. Parking is also available on-site (student passes $3.00 day; $40.00 month).
Student/lounge/lockers/washrooms – Staff lounges and washrooms are available in both settings and shower-access is available within Richmond Hospital.
The staff of the Department of Psychiatry at the Richmond Hospital is presently composed of thirteen Psychiatrists: Drs Raymond Au, Abi Dahi, Caroline Choo, June Ye, Jamal Mirmiran, Raj Katta, Heather Donaldson, Darren Thompson, Harry Karlinsky, Sheldon Zipursky, Jas Bhopal, David Cohen, and Mike Shabbits. Eleven of these Psychiatrists have an appointment with the UBC Dept of Psychiatry (with ranks from Instructor to Clinical Professor) and the remaining two have appointment applications in process. The range of clinical and educational expertise is extensive, and includes mood and anxiety disorders, women’s mental health, geriatric psychiatry, addiction medicine, individual and group therapy, ECT, cross-cultural psychiatry, and schizophrenia, Dr. Ingrid Sochting, a registered psychologist, is also a valued member of the Dept and is Clinical Instructor with the UBC Dept of Psychiatry. Dr. Lorne Brandt, an experienced child psychiatrist, will be joining the Dept in September, 2005.
There are also the following sixteen physicians at the Richmond Mental Health Team (12 psychiatrist, 4 GP/Mental Health physicians):
Psychiatrists: Drs Raymond Au, Jas Bhopal, David Cohen, Ernest Fullagar, Brain Harris (Child psychiatrist), Eduardo Tesler-Mabe, Yoram Minnes (Child psychiatrist), Jamal Mirmiran, David Rabin (Adult/Geriatric psychiatrist), Mike Shabbits, Darren Thompson (Geriatric psychiatrist) and June Ye.
Family Physicians: Drs Paula Flynn, Robert McKenzie, David Mullard and Sheldon Nathanson (special interest in Geriatrics, Member UBC Dept of Family Practice).
August 2005
FACULTY OF MEDICINE
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Department of Psychiatry |