Clinical Experiences and Education
LAC+USC Medical Center
LAC+USC Medical Center is a vast complex of county medical facilities located immediately across the street from the USC Health Sciences Campus. The iconic art deco General Hospital that was once the cornerstone of clinical care and graduate medical education was replaced in November of 2008 with a state-of-the-art 600-bed hospital. LAC+USC Medical Center serves a vital training mission, providing residency education for over 900 physicians annually, including over 60 physicians in psychiatry training programs. The medical center’s size, abundance of rich clinical experiences, and expertise in medical education have established the LAC+USC Medical Center as a dominant medical influence in Southern California for decades and the largest provider of healthcare in Los Angeles. As one of the busiest public hospitals in the United States, we are proud to serve diverse, underserved, and historically marginalized patient populations across Los Angeles County.
Augustus Hawkins Mental Health Center
Inpatient psychiatric services are based at the 62-bed facility at the Augustus Hawkins Mental Health Center, which is located approximately 18 miles south of the LAC+USC Medical Center. The inpatient hospital contains three adult teaching wards (33 beds) and the only adolescent ward in the county (10 beds). Admissions are primarily involuntary. Patients are predominately underserved patients with a high level of psychiatric acuity, often facing complex psychosocial stressors including poverty, substance abuse, housing instability, trauma, and legal concerns.
The USC Health Sciences Campus
The University of Southern California is a large private university with two campuses located seven miles apart. The University Park Campus is southwest of downtown Los Angeles; the Health Sciences Campus is two miles northeast of downtown. The Health Sciences Campus is home to the Keck School of Medicine, which has more than 700 students, and to the School of Pharmacy. The campus includes three modern private hospitals: Keck Hospital of USC, the Norris Comprehensive Cancer Center, and the Roski Eye Institute.
Rotations at USC-affiliated VA facilities in downtown and West Los Angeles allow for specialized training in addiction and geriatric psychiatry.
Core Rotations & Rotation Schedule
|Year 1||4 Blocks||2 Blocks||4 Blocks||2 Blocks||1 Block|
|Internal Medicine/Pediatrics||Neurology||Adult Inpatient Psychiatry||Emergency Psychiatry||QI/Research|
Our Inpatient Psychiatry rotation is located at Augustus Hawkins Mental Health Center. This rotation provides an intensive experience in diagnostic evaluation and treatment of severe psychiatric illness as well as introductions to major psychopathologies. This rotation also provides extensive experience in forensic and legal issues, including hospital- and court- based hearings.
|Year 2||3 Months||1 Month||3 Months||1 Month||1 Month||1 Month||1 Month||1 Month|
|Adult Inpatient Psychiatry||Adolescent Inpatient Psychiatry||LAC+USC Consultation-Liaison Psychiatry||Keck CL Psychiatry||Emergency Psychiatry||Child CL/Outpatient Psychiatry||Addiction Psychiatry||Geriatric Psychiatry|
|LAC+USC Adult Outpatient Clinic (5%)|
|Year 3||12 Months|
|LAC+USC Adult Outpatient Clinic (70%)|
|Keck Adult Outpatient Clinic (10%)|
|Integrated Care (10%)|
|Year 4||1 Month||1 Month||3 Months||7 Months|
|Child CL & Emergency Psychiatry||Integrated Care||Senior Core Rotations (Inpatient, CL, Emergency, and/or Outpatient Psychiatry)||Electives|
|Chief Residency (40%)|
Many of our residents choose to be chief residents in their fourth year, and all residents have extensive elective opportunities. With some of their elective time most residents choose to continue their therapy training. Popular electives include:
- Student mental health
- Palliative care
- Sleep medicine
- Psychotherapy (CBT, DBT, Psychodynamic, IPT, ISTDP, Group)
- USC Coursework
All residents have protected time to attend a half-day of core lectures weekly. The didactic curriculum for each year is designed to augment training and teaching provided on individual clinical services and to ensure comprehensive instruction in all ACGME milestone areas in psychiatry.
Each major clinical service including inpatient, emergency, consultation-liaison, and ambulatory services sponsors a separative curriculum including content specific to each service, including case conferences, ethics discussions, and journal club meetings.