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Psychiatry Residency Training Program
  Applicants Department GME Office Home School of Medicine UW UWHA

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The Community Leadership Pathway (CLP) is a specialized pathway for University of Washington psychiatry residents with the goal of developing interests and skills in community psychiatry as well as encouraging residents to work in public psychiatry and become leaders in the field.

Community psychiatry is broadly defined as the area of psychiatry focused on publicly funded patients with severe mental illness.  CLP allows residents to learn more about this field including issues related to clinical care, roles for psychiatrists, history, policies, and ethics.

Community Leadership Pathway Membership:To be a member of the pathway, residents must apply and be accepted.  Then a community psychiatry mentor will be assigned and it is expected that residents will participate in most CLP meetings.  Residents who complete all the CLP pathway requirements will be recognized at graduation as having achieved an Area of Distinction in Community Psychiatry.

Community Leadership Interest Group: All residents (whether CLP members or not) are welcome to attend the didactic/discussion series and resident organized activities to develop their interest in community psychiatry. There is no application or requirements to be in the Interest Group.

Community Leadership Pathway Components:

Mentorship: Each CLP member will be assigned a mentor who is a psychiatrist working in community psychiatry. It is expected that the resident will meet with their mentor at least once a year to help articulate and develop career interests. When possible it is recommended that a resident visit/shadow their mentor in a community setting early in their CLP experience.

Didactic Education: It is expected that CLP members attend the didactic/discussion series that will take place every 2-3 months. Recently these meetings have been held from 6-8 pm with dinner provided. Residents are encouraged to give input about their specific interests to help in speaker selection. Speakers have included state senators involved in mental health legislation, community psychiatrists, medical directors of mental health centers and Western State Hospital, peer counselors, and representatives from the Seattle Police Department. Examples of topics include experiences working in this field, ITA laws, recovery oriented care, homelessness in this population, and PACT teams.

Resident Organized Meetings: Approximately every other month there will be a less formal meeting of the CLP group that pathway members should attend. Based on the CLP group's interests and goals, each CLP resident (working with other residents, mentors, or the CLP director if they wish) is expected to organize one meeting a year. Options include field trips, journal article discussions, informal get-togethers with psychiatrists working in public psychiatry, review of clinical rotation options, and presentations of ongoing research projects.

Clinical Requirements: CLP members are expected to complete at least two rotations working with a publicly funded population with severe mental illness, at least one of these in a setting outside an academic center (UW, HMC, VA) and at least one of these at an outpatient clinic. Academic rotations include HMHS IRT, Rehab Team, Recovery Rotation, Addictions Team, and VA PRC and ATC. Community rotations include DESC HOST, DESC PACT, CPC, Valley Cities, Echo Glen, ACRS, SCS, Kitsap Mental Health, Western State Hospital, and CSTC. It is also recommended that CLP residents rotate in a publicly funded primary care clinic to provide psychiatric consultation, including Country Doc, 45th St. Clinic, Greenwood clinic, and MHIP in a Community Health Center.

Academic Requirements: At least one academic project or teaching session related to community psychiatry is required at some point during residency. This can be fulfilled with current residency requirements (including scholarly projects, QI projects, case presentations at HMC Monday conference, R1 didactics taught by R4s). Other options include poster presentations at conferences such as Psychiatric Services, research projects, review articles, med student teaching sessions, business meeting presentations, and HMC Friday noon conference presentations.

Residents can also gain research and policy development experience through collaboration with Community Division faculty research. As the Community Division provides technical assistance to a number of policy making agents (DSHS, DOC, KC mental health division), residents have a unique opportunity to observe and participate in policy development.

All CLP residents are encouraged to attend a Psychiatric Services meeting. Residency educational funds and educational leave can be used to assist with this.

Application: Residents (R1-R4) with a strong interest in community psychiatry and working with individuals with severe mental illness are encouraged to apply to the Community Leadership Pathway by submitting a brief written statement of interests and goals to the CLP director. It is recommended that residents start CLP early in their residency to allow for participation throughout all of the residency training years. Residents in the Spokane, Idaho, and Alaska tracks are welcome to participate in CLP and can finish any needed requirements outside the Seattle area.


For more information please contact:

Carolyn Brenner, MD
Community Leadership Pathway Director
(206) 744-9678

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560