Staff Psychiatrist

University of California San Francisco•San Francisco, CA

About The Position

The primary role of the Staff Psychiatrist is to provide direct psychiatric assessment/ consultation and psychiatry medication management to patients who have been referred for the treatment of trauma-related disorders and related symptoms (e.g., sleep disturbance). Additionally, patients may need support for pre-existing psychiatric disorders such as recurrent major depression, bipolar disorder or substance use disorder. Approximately 1/3 of TRC-RTC patients accept or request referral to psychiatric care, with needs ranging from support for insomnia to complex pharmacology for those with co-morbid diagnoses. Working with TRC-RTC therapist colleagues, the staff psychiatrist will support screening for SUD and offer MAT for those whose use interferes with recovery from trauma. The staff psychiatrist is responsible for consultation to therapist colleagues on complex diagnostic or management issues and will support short-term disability consultations as clinically indicated. As many patients are followed in Community Mental Health clinics, the staff psychiatrist will also communicate on psychiatric medications to the primary care providers and coordinate medical care such as lab follow-up etc., as needed. Patients who are psychiatrically stable on easily managed medications can be transferred back to primary care, with the understanding that the staff psychiatrist remains available for consultation or reassessment while the patient is completing treatment at TRC-RTC. Examples include someone taking trazodone or mirtazapine for sleep, or who has responded to a therapeutic dose of SSRI for severe anxiety. Additional duties include supervising naloxone distribution in the clinic: naloxone is available free from the CBH pharmacy, and made available to patients by clinicians. Annually, the staff psychiatrist will review naloxone administration with clinic staff. The staff psychiatrist will also provide annual de-escalation training. It is hoped that the staff psychiatrist will be able to take on QI projects helpful to clinic function, in consultation with the Division Director and other clinic staff. The final salary and offer components are subject to additional approvals based on UC policy. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles) Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Requirements

MD or equivalent, board certified/eligible in Psychiatry
Graduate of an ACGME-accredited psychiatry training program
License to practice medicine in California and DEA certification
Minimum two years’ experience with the chronically mentally ill, preferably with patients with a dual diagnosis (substance abuse/mental illness) required
Must be able to obtain Medical Staff privileges through the ZSFG Medical Staff Office
Experience in the treatment of psychiatric patients in an outpatient setting
Demonstrated skills in the areas of diagnosis, treatment planning (including pharmacotherapy), legal issues
Demonstrated administrative skills
Ability to work cooperatively and communicate effectively with others.
Excellent organizational skills, including the ability to work productively with effective time management.
Ability to follow oral and written instructions accurately and be detail-oriented
Ability to efficiently prepare written summaries of activities, set priorities and complete reports within required timeframes.
Ability to work with all patients and program staff
Ability to work with patients through an equity and trauma informed lens.
Ability to work as a team member and leader in a fast paced, academic, specialty mental health clinic
Excellent communication and interpersonal skills
Demonstrated excellent attendance and reliability

Nice To Haves

Prior related ZSFG experience
Prior UCSF or UC experience
Preference for, but not required, a bilingual applicant who is able to provide treatment in Spanish
Demonstrated comfort and competence in working with underserved and culturally diverse populations

Responsibilities

Provide direct psychiatric assessment/ consultation and psychiatry medication management to patients who have been referred for the treatment of trauma-related disorders and related symptoms (e.g., sleep disturbance).
Support patients who may need support for pre-existing psychiatric disorders such as recurrent major depression, bipolar disorder or substance use disorder.
Support screening for SUD and offer MAT for those whose use interferes with recovery from trauma.
Consult with therapist colleagues on complex diagnostic or management issues
Support short-term disability consultations as clinically indicated.
Communicate on psychiatric medications to the primary care providers and coordinate medical care such as lab follow-up etc., as needed.
Supervise naloxone distribution in the clinic
Annually review naloxone administration with clinic staff.
Provide annual de-escalation training.
Take on QI projects helpful to clinic function, in consultation with the Division Director and other clinic staff.