Harbor-UCLA
1. Ease of Communication: Emails with housestaff coordinator who was quickly responsive. They were able to easily accomodate interviewing me on short notice as I was in the area for an away rotation.
2. Accomodation & Food: No accomodations provided or pre-interview dinner. No list of area hotels provided although this was a non-issue for me as I was staying with family in the area.
3. Interview Day: Parking was fairly easy to find on the hospital campus with the map provided by the coordinator. The day started at 8 AM at the program'sadministrative offices on the 8th floor of the hospital with an interview with the PD (Dr. Burgoyne). The interview was low stress as Dr. Burgoyne genuinely seemed interested in learning about me and in selling the program as a good place to be. At the interview with the PD I was given a packet which showed where the graduates of the program had ended up since 2008, listed the current residents, and detailed the curriculum.
After this initial interview I was escorted by the coordinator to another building where a separate inpatient unit is housed to meet the associate training director. This interview was a bit more formal as he asked me several questions about my interest in the field, experiences in psychiatry in medical school, and why I wanted to come to Southern California (I'm from the Midwest). I was asked specifically if I speak any second languages as the makeup of patients at Harbor was noted to be 30% Hispanic (half of which are solely Spanish speaking), 30% African American, 30% Caucasian, and 10% Asian. This large Spanish speaking population lends itself to one entire outpatient clinic being conducted in Spanish. Interpreters were noted to be readily available. The socioeconomic makeup of patients served is mostly lower to middle class although the associatiate PD noted that most of the LA homeless population are served by USC. He mentioned that residents work very hard at Harbor and that the first and second years are particularly busy with q4 short call and bi-monthly overnight call but did say that residents are allowed to begin moonlighting in the psychiatric ER during second year and that they all feel prepared to do so.
My third interview was in the outpatient buildings which were essentially old barracks that are separate from the main hospital building. Walking outside between buildings was nice but I can see how it would be troublesome if there was substantial rain (if El Niño is as bad as predicted this may be the case). This interview was with the director of the dual diagnosis program and was very conversational and again brought up my interest in Harbor, what I look for in a program, and my interest in Southern California. He had done some of his training in the Midwest and noted that transplants are comfortable in Torrance as it has a feel that is a bit removed from the bustle of LA.
After this, myself and the other applicant were escorted back to the C/L building to observe C/L rounds with the associate PD. This was fairly standard staffing of patients but we were able to meet two residents and learned about one
of the unique perks of Harbor (as LAX is in the catchment of Harbor, any psychiatric patient from there is transported to Harbor for treatment and if they wish to fly home, are usually accompanied by a Harbor resident who essentially gets a trip for free). One of the residents at rounds was actually leaving for Istanbul that afternoon to accompany a patient who was returning to Turkey.
Lunch was in the area of the cafeteria reserved for doctors (who eat for free) and was attended by 5 residents. They were all supportive of the program highlighting the family feel of the residency, the strong therapy training, the strong PER and county experience, and the supportive and responsive faculty. After lunch, one of the chief residents took us on a tour of the PER (smaller than I anticipated), inpatient unit, C/L unit, and the outpatient clinics. She had recently returned for 4th year after being on an extended maternity leave (which I feel speaks to the program's supporriveness)
I had one final interview with a third year resident at the outpatient clinics which was mainly him answering any questions I had. After this, I was free to go.
4. Program Overview:
8 categorical spots each year with 1 additional intern spot reserved for the UCLA-NPI/Harbor track resident
PGY-1: 7 months psychiatry (4 mo inpatient, 2 months psych ER, 1 month dual diagnosis) and 5 months medical rotations (wards, ambulatory, med ER, neurology)
PGY-2: Harbor starts outpatient during second year and most residents carry 30-40 patients throughout the year. Most of the additional time is spent on the inpatient units. They also do an additional month of neurology.
PGY-3: 4 months of child, 5 months of C/L, 1 month geriatric (at West LA VA), 1 month forensic, 1 month elective. Outpatient clinics continue and 3rd years carry 35-50 patients.
PGY-4: A firm breakdown was not provided in the packet I receieved. It seems that some inpatient team supervision is built in and most of the time is reserved for electives at Harbor, NPI, or with the LAC-DMH. Outpatient clinics continue and the 4th years carry 50-60 patients.
Most outpatients are seen at the Harbor clinics but residents do carry several long-term patients at a Kaiser facility for psychotherapy supervision and private practice experience (which was noted to be excellent)
5. Faculty Achievement & Involvements: Many faculty involved in their own research, it was unclear how easy it was for residents to become involved in a scholarly project. Multiple residents noted that they felt very supported by faculty and that the teaching they received was top notch.
6. Location & Lifestyle: The Harbor hospital is a county facility with all the pluses and minuses that brings. You'll certainly see very sick patients and be providing a service that many would not get otherwise. The main hospital was recently renovated and while it looks nice, much of the heart of the hospital retains the slightly run-down asthetic (grafitti in elevators, dirty bathrooms, bleak hallways) although renovation to some areas is still ongoing. The psychiatric units for the most part were standard psych units. Call rooms were standard (they had a computer and a bed) and were on the same floor as the main psych unit which was nice. The outpatient clinics are housed in old barracks with paint peeling on the outside. The insides of the clinics were nice and each residents receives their own office from 2nd-4th year and can decorate them as they see fit.
Torrance is definitely removed the glitz of many parts of LA but it seemed fairly safe and liveable. It seems that most residents live west of the hospital more near the beach cities. Commute was said to be mild as most residents could be at the hospital in 15-20 minutes. The associate program director said that the residents worked hard but none of the residents I interacted with seemed run down. There are ample recreational oppurtunities in LA although most would have to be driven to.
7. Salary & Benefits:
Per website:
Salary (effective
10/2/2014)
PGY-1 : $ 3,811.04/month
PGY-2 : $ 4,263.64/month
PGY-3 : $ 4,619.73/month
PGY-4 : $ 4,978.26/month
24 vacation days per year
8 sick days per year (accumulated at a rate of 1 sick day per month to a max of 8)
Website details parental leave
Health and dental offered to resident, coverage for family at a fee
Malpractice covered
Meals while on duty
White coats furnished and laundered
8. Program Strengths:
- Top notch psych ER experience
- Majority of experience in county facility (can be a weakness for some)
- Underserved and diverse population
- High acuity patients (can be a weakness if you're looking for an easy resideny)
- Supportive PD and faculty
- Collegial feel
- Residents have their own office from the 2nd year onward
- Residents accompany patients who are transported out of California via LAX
- Ability to do electives at NPI and with DMH
- Internal moonlighting starting second year (quoted $100/hr)
- Therapy training noted to be excellent
- Good cost of living (can live by beach) and easy commute
- Harbor graduates sought after by recruiters
9. Program Weaknesses:
- Run down facilities
- No VA exposure
- Busy call schedule (plus for me, minus for others)
- Not as much exposure to upper class patients (if you're looking to establish that kind of practice after residency)
- 3 separate EMR systems (main EMR is Cerner Powerchart)
- Majority of homeless population seen by USC
- High percentage of Spanish speaking population (if this isn't your thing)
- Unclear path for residents interested in research, told by faculty that research isn't main focus
- No external moonlighting