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2020 Jun Psychiatric Clinical Faculty #5 Association at Ucla Newsletter

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2020 Jun Psychiatric Clinical Faculty #5 Association at Ucla Newsletter 2020 JUN PSYCHIATRIC CLINICAL FACULTY #5 ASSOCIATION AT UCLA NEWSLETTER Table of Contents 1 PRESIDENT’S COLUMN By Paul R. Puri, M.D., President The Times They 3 2020 DISTINGUISHED PSYCHIATRIST SEMINAR SERIES: A PRESCRIPTION FOR OUR TIMES By J. Zeb Little, M.D., Ph.D., DPSS Chair 4 Are A-Changin’ CHILD & ADOLESCENT By Paul R. Puri, M.D., President PSYCHIATRY FELLOWSHIP YEAR IN REVIEW By Elizabeth Dohrmann, M.D. and Sabrina Reed, M.D., Co-Chief t’s with honor and humility Psychotherapy 483 program. Child & Adolescent Fellows that I’ve stepped into the role But the winds of change are 5 & 15 Iof President of the PCFA in blowing. HIGHLIGHTS 2020. The PCFA has a long 6 and storied history of not just Amidst the Covid-19 pandemic, TELEPSYCHIATRY DURING supporting the UCLA residency, the needs of patients are shifting, THE COVID-19 PANDEMIC but of being a standalone body and in turn so are the needs By Richard J. Metzner, M.D. of outpatient psychiatrists of the residents from us. The 8 with a wealth of knowledge, dramatic shift to telehealth, CHIEF CHAT especially in psychotherapy, while necessary, has happened By Juliet Edgcomb, M.D. and Dax and thus a counterpoint to a purely without attention to the educational implications Volle, M.D., Co-Chief Residents psychopharmacological approach. In this way for residents, or the repercussions for patients. 11 we both contrast and complement the full-time Residents working in the hospital can get THE PSYCHOTHERAPY PROGRAM: STAYING CONNECTED faculty at UCLA. substantially less patient exposure on the inpatient IN A REMOTE WORLD units, because of the extensive time required to By Caroly Pataki, M.D. But the PCFA may have a disconnect problem. set up patient interactions. On the other hand, 12 In some ways, that’s by design. As a group of the use of Zoom for outpatient therapy visits has UPDATE ON DGSOM AND community psychiatrists, the residents have meant that some residents can record sessions UCLA MEDICAL STUDENTS little direct access to us aside from our events. and get more attentive supervision. But the By Margaret Stuber, M.D. At the same time, anecdotally, many of our technological requirements for telehealth can 13 PCFA members feel they know little about the worsen the socioeconomic barriers to access to ANNOUNCEMENTS happenings of the residency or even the PCFA care, furthering the disparities of justice, equity, 14 board. As such, I wanted to reflect here on diversity, and inclusion in mental health. While HOMAGE TO DONALD A. where we’ve come from, where we are, and the PCFA may not be able to solve the patient SCHWARTZ, M.D. By Richard Tuch, M.D. where we’re going. access issues easily, we can look within to make sure we’re modeling to the best of our ability. 16 SIGNIFICANT FINANCIAL Overall the PCFA continues to be steady, CHALLENGES AHEAD supporting a broad range of programming With the need for social isolation, some of By Alex S. Lin, M.D., Treasurer including an intern psychotherapy retreat, our programming has had to adapt. Our 16 residency recruitment happy hours, direct annual Intern Psychotherapy Retreat, both DONATIONS TO THE PSYCHIATRIC therapy supervision, movie nights, and the a bonding experience for interns, and an CLINICAL FACULTY ASSOCIATION Psychiatric Clinical Faculty Association June 2020 1 opportunity to dip their toe into the field and if they would be interested in being of psychotherapy, was truncated from two more involved. If you’d like to reach out As a group of community days to two hours and done via Zoom. to me first, always feel free to contact me Hopefully a full retreat will be possible psychiatrists, the residents at [email protected]. in the fall, but that’s to be determined. have little direct access to us Other experiences are moving online as aside from our events. At the In the last year the PCFA became a well, such as Supervisor “Speed Dating,” CME provider. While this was originally same time, anecdotally, many where residents can meet possible intended to give us autonomy for the supervisors for the first time, and our new of our PCFA members feel purposes of our Distinguished Psychiatrist Psychotherapy Boot Camp, a more in- they know little about the Series, it has opened the opportunity to depth intensive for rising PGY-3s. happenings of the residency broaden our offerings to our members, and perhaps even to the broader mental or even the PCFA board. Yet turning our attention online can health community. In the coming year also be an asset. Under the wise work of we will be exploring CMEs that our Alex Lin, our Treasurer and Webmaster, members might find appealing. many of the programs are getting about areas for improvement. This digitized, from payment and tracking in year they indicated wanting a better Growth and Diversity Psychotherapy 483, to making teaching emphasis on education, rather than opportunities available to our members service, in their training. Resident We must grow our membership. In the through our website. Sophie Rosseel, one of the co-chiefs last year we have added a few younger of the Resident Psychotherapy Clinic, members to our Board of Directors, Some key institutional changes have has made real efforts to improve the including Drs. Harrison Lyu and taken place this year. Andrew Russell, the educational experiences and exposure to Ashley Covington, to help diversify our PCFA-Faculty Liaison and administrator psychotherapy for trainees. With our own representation, bring new insights, and of the Psychotherapy 483 program, Richard Metzner, she created an intern- infuse the board with fresh blood. I aim retired. Caroly Pataki graciously took interviewing course, where once weekly to continue this process, reaching out on the position, and has been working the interns will interview a patient and to qualified and interested psychiatrists to find new ways to coordinate the many observe a PCFA psychiatrist interview in our community to help them join the moving parts of the program, including the same patient. She began developing VCF and get involved with the PCFA. digitizing the administrative aspects. a supportive psychotherapy curriculum That will of course require referrals from Within UCLA and the Department of for the PGY-2s including group our members. Psychiatry, Peter Whybrow recently supervision on the inpatient unit, but that retired as executive chair. Alex Young unfortunately has been postponed due to Technology has taken the position as interim chair. Covid. Finally, she identified that RPC would benefit from more organization, We must leverage technology to improve While Westwood has traditionally been oversight, and an updated system for our system. Much of that is underway, the identified “mothership” of UCLA residents to find appropriate supervisors. but we will be exploring further ways to residencies, there has been growth afoot. Currently it’s still an inefficient process. use video technology to improve therapy Harbor-UCLA continues as strong training and supervision, including as ever, with a particular community All of these areas could benefit from more carrying the torch of Richard Metzner’s focus. The new West LA VA program PCFA involvement. But our disconnect video therapy series. continues, growing under the leadership problem makes that difficult. So with of Margi Stuber. And the Olive View those needs in mind, I have made it In short, the PCFA is a stable force residency relaunched under the watch a mission to spend my two years as within UCLA offering a wide range of of Iljie Fitzgerald, now all county based. President with some particular goals. programming and teaching, and yet we And all the programs are eager for more must adapt. With an increased need for PCFA involvement. The UCLA medical Re-engagement PCFA involvement across the multiple school, on the other hand, has plans to affiliated residencies, we must re-engage phase out the Doctoring course, which I intend to reach out directly to all of our our members, recruit new members, will effectively remove the current path active members during 2020 -- all 200+ and diversify the membership. Finally for volunteer clinical faculty to teach of them, to let them know what we’re we must leverage technology in the age medical students. doing, find out what we can offer them of Covid to both improve our teaching (such as CME activities and trainings), offerings, and to lessen the barriers to Every year the residents are surveyed learn about their areas of specialization, access. We can do it together. I hope you will join me. Psychiatric Clinical Faculty Association 2 June 2020 2020 Distinguished Psychiatrist Seminar Series A PrescriptionFor Our Times By J. Zeb Little, M.D., Ph.D., DPSS Chair Helena B. Hansen, M.D., Ph.D. s the pandemic is still unfolding around us, we collectively grieve and society determinants of disease shows it is not just the loss of life and life’s dignities. The pandemic’s consequences cultural and economic differences but also differences of Alay bare a familiar and, therefore, more tragic reality. In our access and circumstance that impair effective problem society, marginalized people suffer disproportionately. As an example, solving and lead to the learned helplessness sustaining the CDC shows the rate of COVID-19 infection being 3 times greater these inequities. She concludes that for physicians to be for African Americans and a recent survey by The Washington Post successful addressing these entrenched disparities we indicates their mortality rate is six-to-one. These statistics are the tragic must develop structural competencies. consequences of overlapping vulnerabilities that affect marginalized communities in our country. These same vulnerabilities remain Dr. Hansen defines structural competency as a process imbedded in our society despite decades of effort and vocal support for of development which will improve the ability of change.
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