General Psychiatry Residency Program: Training Sites
Inpatient
University Hospital
University hospital is the flagship teaching hospital for University of Texas Health San Antonio and is also a premier Level I Trauma Center in the South Texas region. It is a 713-bed facility, and a national leader in patient care, clinical education and research. University Hospital also serves as the public district hospital for the San Antonio metropolitan area, providing charity care to the city’s most vulnerable populations. Psychiatry interns complete rotations on the hospital’s 20-bed inpatient psychiatric unit, as well off-service rotations on the general medicine, neurology, and emergency medicine services. PGY2 residents also rotate on the inpatient service, as well as the busy psychiatry consult-liaison service. PGY4 residents return to the inpatient and C/L services as a “junior faculty” to provide supervision and support to PGY1-2 residents. Residents take in-house weekend call and may also moonlight at the hospital. University Hospital provides residents with a solid foundation in the treatment of high-acuity patients with serious mental illness and psychiatric disorders in medically ill patients.
*New: University Hospital recently opened a brand new 12 story, 300 bed women and children’s hospital located adjacent to the main campus. Here, psychiatry residents are able to provide consultation services to the busy obgyn ER and inpatient services.
Brooke Army Medical Center
Brooke Army Medical Center (BAMC)—also referred to as San Antonio Military Medical Center (SAMMC)—is the largest hospital in the U.S. Department of Defense. Located on Fort Sam Houston, it is jointly staffed by both the Army and the Air Force and provides specialty care to active duty service members, retirees, and their family members from all service branches. BAMC is also home to a Level I Trauma Center and world-class Burn Center. Psychiatry interns complete rotations on the hospital’s inpatient psychiatric unit, as well as off-service rotations on the general medicine, and neurology services. PGY2 residents rotate on the psychiatry consult-liaison service. PGY4 residents return to the inpatient and C/L services in a “junior faculty” capacity to provide supervision and support to PGY1-2 residents. PGY4 residents also have the opportunity to rotate on the hospital’s inpatient substance use disorder unit. Residents provide in-house night and weekend call coverage for the hospital. BAMC provides residents with a unique exposure to military medicine and the opportunity to care for U.S. service members.
Audie L. Murphy Memorial VA Hospital
Named in honor of the nation’s most decorated World War II hero, the Audie L. Murphy Memorial VA Hospital is a quaternary care facility that provides access to specialty care for a population of over 153,000 military veterans living in the San Antonio area. The hospital is conveniently located across the street from University Hospital, with an enclosed skyway in between the two facilities. Residents complete core rotations in inpatient psychiatry, emergency triage, and the consult-liaison service as well as off-service rotations in general medicine, neurology, and palliative medicine. PGY4 residents return to the inpatient and C/L services as a “junior faculty” to provide supervision and support to PGY1-2 residents. Residents provide in-house night and weekend call coverage for the hospital. Interns get additional exposure in triaging inpatient ward and emergency room concerns on a new night-float rotation as well. Psychiatry residents are well supported as inpatient care is rendered under an interdisciplinary team model consisting of social workers, a doctorate in pharmacy, and occupational/recreational therapists. Other supportive services are available for our teams to aid in the veteran’s transition back into the community, such as inpatient electroconvulsive therapy, counseling services, housing assistance, an employment program, and residential and outpatient substance recovery referrals.