1. ACCOMMODATIONS/FOOD- No accommodations provided. The school provided lists of hotels (small, boutique) and B&Bs close to campus, but you might also just try searching for downtown hotels and taking the N-Judah MUNI line (think light rail) that gets you to UCSF in about 20 minutes. Lunch was catered on-site at Langley Porter (inpatient unit). There was an option to have an early dinner with the residents the night before, which I found extremely helpful, with about a 1:1 resident-to-applicant ratio. Very informative.
2. INTERVIEW DAY- Early start (8:00 a.m.) with an orientation by the program director, then 35 minute interviews with one resident and two faculty members. Also a 15 minute interview with the Program Director. The interviews were surprisingly low stress (disclosure- I was quite surprised to actually be getting this interview and may have felt a bit intimidated and therefore pleasantly surprised), with lots of questions about what I was looking for in a program then seemingly authentic feedback about whether I'd find what I wanted here. After lunch was a series of three tours that lasted about 4 hours in total due to transit times. There was a tour of the VA, which is a crowd-pleaser due mostly to having literally one of the best views in San Francisco. There is also a tour of San Francisco General Hospital, which is a great county-type environment with a long tradition as being the main acute care facility in the city. Lastly was a tour of Langley Porter, which was the inpatient psychiatry unit for the insured population. There was a final half-hour Q&A session with the Program Director and Interim Chair.
3. PROGRAM OVERVIEW- I have a longtime requited love for San Francisco and was desperately hoping to absolutely fall in love with the UCSF program. I found the program to be a strong one, but I didn't walk away as impressed as I thought I would be. I've been blown away by programs I didn't know what to expect when I applied there (OHSU and University of New Mexico being two) and blown away by programs that I had high expectations for (UCLA being one). With UCSF, I had extremely high expectations and walked away with a "strong work" impression: I wasn't disappointed, but I wasn't totally blown away, like I thought I'd be. I talked to a lot of other applicants who shared this impression. Speaking to classmates who interviewed at other non-psych UCSF residency programs, they also experienced a similar feeling that many have attributed to a sort of subdued snobbines. I think a lot of my impression was shaped by the interview day being notably low on the "sales" factor and very little of a feel of being marketed to, which is a complete 180 from programs like UCLA. I realized that the impression I had of UCSF's interview day was a little like going on a long roadtrip in which you finally hit a state without billboards: much as you gripe about advertising, when it suddenly disappears, the landscape looks almost a little drab. With any residency programs, it helps to do lots of investigating beforehand, and this is particularly true with UCSF. It's a fantastic program with amazing offerings and wonderful faculty, but if you don't discover that yourself, it may not be conveyed to your liking during interview day.
UCSF as a whole is very strong in research and very well positioned for it, and this is reflected in the Psychiatry department. I think literally just about any research area you had in mind for psychiatry could be accommodated here. Probably the most opportunity on the west coast (though you could make a good argument that this should accolade should go to UCLA). Clinically, UCSF has a great reputation for working with the underserved and attention to issues of cultural psychiatry (though the culture-specific inpatient units are now changed to culture-specific teams due to budget). There is a lot of VA exposure with a lot of active research there as well. In short, research-minded folks would be in heaven here, but those with more clinically-based interests should find a lot to scratch their itch. The website has somewhat limited information about the clinics and clinical opportunities and I would suggest coming to the resident dinner and interview day armed with specific hopes and ideas. I did this and found that there was a lot more opportunities that I had been hoping for than was reflected on their website.
4. FACULTY- Hard to say, as I interviewed with only two faculty members. One was incredibly friendly and the interview was very conversation-based (though she did manage to hit all of the obvious talking points she was hoping to) while the other was slightly stilted (older faculty member who used the 8-second pause thing after each of my answers... ugh...). Residents raved about faculty as a whole, though some of them seemed to be more "impressed by" than "close to," if that makes sense. I didn't get the feeling that I'd be knocking back pints with faculty at my local after work.
5. LOCATION/LIFESTYLE- San Francisco is a very specific place. Most folks move here and end up loving it, though folks who don't usually end up really loathing it. As much as it self-identifies as being an antithesis of Los Angeles, it has its own pretentiousness (which is usually the pretention of being anti- whatever is considered cool by mass culture). As long as you can laugh off that aspect, it's a vibrant city with near unparalleled culture in terms of food, art, and the like, far more than a city of its small size has any rights to. Nearly everything is accessible by public transportation. The weather would be considered a plus by most folks outside of California or the southwest. Rent is frighteningly expensive, really ridiculously so, but this is supplemented by a fairly good-paying job economy if you have a professional or technical spouse. UCSF itself is in a residential area of the city that has a few blocks of life and is otherwise small apartments and flats with some houses. It's conveniently on a MUNI line with many buses ending up here. Great views of the city. As for lifestyle, I had somewhat mixed responses to this. Some off-service residents that we came across just looked tired, but most folks said the lifestyle was okay. UCSF has the reputation of working residents hard, as does UCLA and UW, which incidentally are also considered some of the best of the west coast programs. My personal contention is that the programs with the best reputations for producing great clinicians also have the reputation for working residents hard and I don't think that's incidental.
6. BENEFITS- Typical for California, but supplemented by a $640/month housing allowance, though I think you still have far more options in LA or San Diego with $48K than you have in San Francisco with $55K. One of the adjustments with living in San Francisco is coming to terms with the fact that you will be forever paying a larger-than-you-should portion of your pay to rent until you get a fantastic paying job and then will be paying a larger-than-you-should portion of your pay to a mortgage on a smaller-than-it-should-be house.
7. STRENGTHS- Research strengths in just about everything, particularly strong in anything bench. Other than that, there is a great diversity of clinical opportunities to you if you really look into it beyond the website. Any particular interest area you have will likely be accommodated. The fellow residents could be viewed as a big strength, as they seemed to be universally very bright. I was impressed with the residents, but with several people it was definitely in a top-of-the-class kind of way rather than a life-experience kind of way. Not sure if this is common in the top programs, as I didn't interview at many. San Francisco is a big, big plus for most people.
8. WEAKNESSES- They have gone something like three years without a Chair, though I've heard nothing but great things about their long-term interim one. This will not be a residency easy on the hours, but I haven't heard anyone who is in it or gone through it complain and everyone raves about their training. SF cost-of-living is a big weakness, even with the housing supplement, and it's a particularly tough town to raise a family in as the public schools are fairly atrocious, a sin in a town that considers itself so liberal.