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psychiatry1 Psych residents psychiatry3

department of psychiatry and behavioral science

 

Clinical Training

 

The primary training clinical programs for residents and medical students are as follows:

  • Inpatient. Inpatient training occurs on multiple of our acute inpatient units. The faculty is on the unit 5 to 7 hours each day and this is their only clinical assignment for the department, thus assuring attending availability all day for the residents and medical students. Medical students are assigned to the acute units as well as the extended acute inpatient units. For these attendings the inpatient unit is the primary clinical assignment for the department.
  • Crisis Response Center. This is the psychiatric emergency service which is open 24/7 all year. It is staffed during the day by 2 attending physicians and in the evening by a moonlighting resident. Moonlighting residents also provide coverage on Saturdays and Sundays from 9 a.m. until 9 p.m.
    There are residents assigned to the CRC rotation during the days, and overnight call is covered by the 2nd or 3rd year resident and the night float intern. An attending is always on call and available by phone at night. Medical students are also assigned to the Crisis Service and rotate from 8 a.m. until 5 p.m. and then all medical students work in a rotation in the evening from 5 p.m. until 11 p.m. on weekdays and either 8 a.m. to 4 p.m. or 11 a.m. to 7 p.m.
  • Consultation and Liaison Service.  The service is located at Temple University Hospital which is a 721-bed teaching hospital for Temple University School of Medicine. This service is staffed by four attendings. Two to three residents are assigned each rotation and 2 or 3 medical students are also assigned. A PhD licensed psychologist for the department provides another 10-12 hours week support to the transplant services.
  • Outpatient Services.  The outpatient services are located in the Medical Arts Building at Episcopal Hospital. This newly refurbished space has offices with large bay windows for each resident. Residents begin to learn about the outpatient experience during the end of their second year when many are assigned 1-2 outpatient. During their third year, residents are given their own office and are responsible for seeing 19 patients per week on average per month. The Medical Director for the service is assigned full time and has an office adjacent to the residents. In addition, other supporting faculty members have offices in the outpatient suite so that attendings are always available to residents. One faculty members in the outpatient suite is a child and adolescent psychiatrist and provides onsite individual and group supervision when the need arises. The outpatient department also has video capabilities for teaching purposes and continuous case conference held weekly with Dr. Steinhouse, the program director.

 

Clinical Programming

 

  • One of the most innovative programs developed at Temple University Hospital Episcopal Campus has been the pharmacy program, which is a collaborative effort between the inpatient program and a neighborhood pharmacy, Philadelphia Pharmacy, to provide all patients with their medication before they are discharged from the hospital. To facilitate this, a meeting was held with six pharmaceutical companies to make coupons available for patients who have no health insurance or whose insurance has no or limited pharmacy benefits. The coupons provide from 5 to 30 days of free medication. Since this program was initiated in April 2004, an additional two pharmaceutical companies have made coupons available. The day prior to discharge the patient’s prescriptions are sent to the pharmacy and medications are delivered to the patient’s unit by 10 a.m. the next day. This program was described in the September 10th edition of the Philadelphia Business Journal.
  • The Extended Acute Care Program was completely revised to be even more therapeutic to prepare patients for discharge. An internationally recognized expert in psychosocial rehabilitation and psychosocial education, Susan Gingrich, MSW, was engaged to restructure our Extended Acute Care Program and provide ongoing training and mentoring to all staff. The therapeutic approach on the unit now focuses on psychosocial rehabilitation and recovery groups.
  • In August 2004, a major programming change was implemented in the Crisis Response Center. A 23-hour, 6-bed observation program was started in cooperation with Community Behavioral Health, the City of Philadelphia’s mental health Medicaid company. This is the first Crisis Response Center in Philadelphia and the first clinical program in Philadelphia to have a 23-hour bed program in the Crisis Response Center. To date, this has been highly successful with an 80% diversion rate of patients from acute inpatient hospitalization.
  • Weight loss education and smoking cessation programs were implemented for all inpatients at TUH-EC. A multidisciplinary task force developed these programs, which are part of the Performance Improvement (PI) program. The focus is on identification and education of patients who are overweight or addicted to nicotine on the acute units with appropriate outpatient follow up to treat these problems. The Extended Acute Unit provides treatment and designated outcome parameters measure the success of the program.

 

Awards

 

  • Philadelphia Magazine recognized the behavioral health programs as a Center of Excellence in March 2003
 
  • Press Ganey 2005 Compass Award for greatest improvement in patient satisfaction scores in a one year period
 
  • StuderGroup Fire Starter Award 2006 for outstanding employee and patient satisfaction
 
  • Summit Award 2008, given by Press Ganey to hospitals who have been at the 95th percentile every quarter for at least 3 years
 
  • Philadelphia Magazine Best of Philadelphia, Behavioral Health Program 2008
 
  • Brighter Futures Award November 2009, presented by the Philadelphia County department of Mental Retardation for “helping patients with developmental disabilities and co-occurring behavioral health needs achieve positive outcomes"