UAB Psychiatry residents train at clinical sites all within several blocks of each other in the downtown Birmingham Medical Center District. This arrangement provides our residents the advantage of training in several different medical environments with the convenience of one central location.
From a small hospital in the heart of downtown Birmingham, UAB Hospital has expanded to encompass 11 city blocks and is now the centerpiece of the UAB Medical Center. UAB Hospital is a 1,000 bed state-of-the-art facility that serves as the tertiary referral center for the state of Alabama and beyond. All medical and surgical subspecialties are available with outstanding ancillary services and nursing care. In addition to the common medical conditions seen at any hospital, UAB Hospital also regularly provides care for patients suffering from unusual diseases referred from all over the Southeast. As a University hospital, UAB Hospital is a major center for clinical research and the home of some of the top medical programs in America. November 2004 marked the opening of the new UAB Hospital facility. The 885,000-foot, 11-story hospital includes 37 operating suites, 2 procedure rooms, 3 medical surgical units, 4 intensive care units – trauma and burn intensive care, surgical intensive care, neuroscience intensive care, and cardiovascular intensive care, and a 38,000 square foot emergency department. Psychiatry holds a strong presence in the UAB health system through our highly utilized Consultation-Liaison Psychiatry Service and Psychiatric Emergency Service. Our Psychiatric Emergency Service is housed in the heart of the ER (POD 4); Staffing includes 3 onsite Psychiatric Attendings (eight departmental psychiatry faculty members rotate coverage on nights/weekends), 1-2 Psychiatry Residents, Psychiatric Nurses, Psychiatric Social workers, Substance Abuse Counselors and sees on average 350 patients per month.
Rotations at UAB Hospital
PGY1: Internal Medicine, Emergency Medicine, Psychiatric Emergency Service
PGY2: Consult Liaison Psychiatry, Psychiatric Emergency Service
PGY4: Acting Attending Elective: Consult Liaison Psychiatry, Psychiatric Emergency Service
Center for Psychiatric Medicine (CPM)
The Center for Psychiatric Medicine is located within one block of UAB Hospital and provides comprehensive clinical inpatient and outpatient treatment to a wide variety of patients suffering from various psychiatric conditions. The UAB Department of Psychiatry and Behavioral Neurobiology maintains a balanced commitment to knowledge discovery, teaching excellence and high-quality clinical care by capitalizing on the resources, primary of which, are our faculty and many colleagues across the UAB community, the United States and countries all over the world. Our clinical philosophy combines evidence based care with a focus on the patient. Residents are trained to utilize the Biopsychosocial treatment approach to patient care with daily interdisciplinary team rounds. Treatment teams consist of an Attending Psychiatrist, a Psychiatric Resident, 1-2 Medical Students, Social workers, Occupational therapists and Nurses. The CPM is 7 stories tall; and with 118 beds, it is able to house eight distinct patient care units including: a Geriatric unit, an Adult Acute Psychiatric Intensive Care unit, 2 Adult Step-down units, an Acute Adolescent unit, a Long-term Department of Mental Health Adolescent unit with a fully accredited state funded Adolescent Education Program for the patients that are committed to the custody of the State, and an Addiction Recovery Stabilization Unit with an Addiction Recovery Outpatient Program. Along with inpatient Behavioral Health Units the CPM also houses ambulatory care clinic services in Adult, Geriatric and Addiction Recovery. With an onsite Jefferson County Probate Court Room, residents are able to participate in court room procedures early in their training.
Rotations at CPM
PGY1: Adult Inpatient
PGY2: Adult Inpatient, Geriatric Inpatient, Adolescent Inpatient, Addiction Recovery Program
PGY4: Acting Attending Elective: Adult Inpatient
Children’s Of Alabama
Children’s of Alabama Hospital provides exceptional pediatric-specific training and patient care. Children’s of Alabama, adjacent to the UAB Medical Center, is a 332 bed Children’s facility, serving as a resource to the entire state and region. The Benjamin Russell Hospital for Children recently opened in August 2012 and provides State of the Art facilities with individual ICU beds, specialty specific floors, and an expanded Surgery Department. The hospital includes a 24 bed Child & Adolescent Behavior Health Unit with 9 Child inpatient beds and 16 Adolescent inpatient beds. With the new developments mentioned above the Child & Adolescent Behavior Health Unit will soon expand to 34 beds. Child & Adolescent Psychiatry outpatient clinics also located directly adjacent to the hospital.
Rotations at Children’s Of Alabama
PGY1: Pediatrics Inpatient
PGY2: Inpatient and Outpatient Child & Adolescent Psychiatry
Veterans Affairs Medical Center
The Birmingham Veteran’s Administration Medical Center (VA) is a 313 bed acute care facility with a state-of-the-art computer system. It is located in downtown Birmingham Medical Center District directly across the street from UAB Hospital. The VA provides primary care services to Birmingham’s veterans and serves as the main referral center for veterans throughout the state of Alabama.
Rotations at the VA
PGY1: Internal Medicine Inpatient, Neurology Inpatient and Outpatient Subspecialty Clinics
PGY3: Outpatient Continuity Care Clinic: Residents work with veteran patients from a very large catchment area including urban and rural counties from all over the state ofAlabama. Patient diagnoses include PTSD, TBI, dementia, substance use disorders, psychotic disorders, anxiety disorders and mood disorders.
UAB Community Care Building
Community Psychiatry Program
The Community Care Building is home to our Community Psychiatry Program. The UAB Community Psychiatry Program (CPP) is one of the largest ambulatory clinics at UAB and serves over 4,000 adults residing in the catchment area of central Jefferson County. The UAB Community Psychiatry Program’s mission is to promote patient care, research, and education in the field of serious mental illness. Here residents are able to provide innovative treatment and services for people with schizophrenia, mood disorders, severe anxiety disorders and co-occurring substance abuse disorders.
Residents are exposed to a wide variety of community based psychiatric services including:
Evaluation Clinic – Evaluation clinics are provided throughout the week at CPP and are open to those residing in the Community Psychiatry Program (CPP) catchment area. Evaluation Clinic is the entry way to services here and the point at which eligibility for continued treatment is determined for persons that meet criteria for serious mental illness (SMI), which include functional impairment.
Psychotherapy Service – Psychotherapy services offer individual, family and group psychotherapy. Currently groups include Dialectical Behavior Therapy, Anxiety, Co-Occuring and Illness Management and Recovery groups. Treatment is individualized and some clients may be involved in more than one clinic or group, as well as being seen periodically in psychopharmacology clinic.
Engel Adult Day Treatment Program – Engel Adult day Treatment Program is offered to patients ages 19-64 who have been diagnosed with a serious mental illness and functional impairment. This program offers educational groups that focus on improving an individual’s functioning within the community, developing skills for reducing the symptoms of their serious mental illness, preventing relapse, including hospitalization and strengthening their recovery process.
REACT (Research and Evaluation of Assertive Community Treatment) – Established in 2000, the REACT Program is Alabama’s first Assertive Community Treatment (ACT) team. REACT is a evidence based practice team of professionals including a psychiatrist, social workers, nurses, counselors, and case managers who provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illness such as schizophrenia. Consumers served by the REACT program are individuals with severe functional impairments who have avoided or not responded well to traditional outpatient mental health care and psychiatric rehabilitation services. REACT provides intensive individualized psychiatric care, case management, substance abuse, housing, vocational, and other services and supports critical to an individual’s ability to live successfully in the community.
Psychopharmacology Clinic – Psychopharmacology clinic serves patients who have been diagnosed with a serious mental illness and who need follow-up services including monitoring of response to medications, psychiatric prescriptions, side effects to medications and general psychosocial assessment. The clinic nurses provide these services, as well as doing crisis intervention, consultation with other professionals, administering parental medications, and addressing all patient phone calls.
Neuropsychological Evaluation – Neuropsychological and diagnostic testing services are provided by Dr. Robert Savage, in addition to clinical psychology interns or psychology technician staff. Dr. Savage is a trained neuropsychologist who specializes in the evaluation of the seriously mentally ill patients at CPP. Assessment of cognitive and clinical symptoms associated with psychosis, mood and anxiety disorders and other co-morbidities seen in this population are the focus on most evaluations conducted in this clinic.
Rotations at the Community Psychiatry Program
PGY3: Outpatient Continuity Care Clinic
PGY4: Community Psychiatry Electives
Callahan Eye Hospital
The UAB Callahan Eye Hospital (CEH) is the state’s only facility dedicated to providing quality medical and surgical eye care to the people of Alabama and the Southeast. Moreover, the hospital offers a 24-hour, 7 day a week eye emergency room and is the region’s only Level I Trauma Center.
The Callahan Eye Hospital is also home to our Psychiatry Outpatient Clinics including the Resident Psychotherapy Clinic, Faculty Consultation Clinic, Longitudinal Psychopharmacology Clinic and the Child & Adolescent Outpatient Clinic.
Rotations at the Callahan Eye Foundation Hospital
PGY2: Didactics, Resident Psychotherapy Clinic, Child & Adolescent Psychiatry Clinic
PGY3-4: Didactics, Resident Psychotherapy Clinic, Faculty Consultation Clinic, Longitudinal Psychopharmacology Clinic