Kaweah Delta Health Care District (KDHCD) is a large, public, non-profit health care organization with over 400 medical/surgical and 50 psychiatric beds that serves a huge catchment area. KDHCD is a Level 3 Trauma Center with a helipad, over 300 staff physicians and over 90 specialists. Annually, the entire hospital has over 27,000 inpatient admissions, 58,000 outpatient appointments and 80,000 Emergency Department visits. Our 50-bed psychiatric program is consistently busy and in high demand for its excellent quality of care. Residents directly participate in program development and quality improvement as well as obtain robust clinical experience and gradually take on progressive responsibility for patients, under the supervision of Faculty Attendings, over the four years of the program.
While KDHCD prepares residents for all traditional certification requirements and positions, we place special value on innovation. We utilize new creative models of mental health delivery recommended by the Affordable Care Act such as embedded Outpatient Consult Psychiatrists in primary care medical clinics. Residents interested in medical leadership, change management, quality improvement, medical technology and program development are particularly suited for KDHCD. KDHCD has received the Computerworld Laureate award for innovation in medical technology for a variety of projects including telemedicine, a 2,500 square foot simulation lab, Sharepoint integration, and a sophisticated electronic medical record that can be securely accessed from any internet connected computer, smart phone, or tablet device. All residents receive a free iPad and high-speed wireless internet connectivity is available throughout each clinical site.
The KDHCD patient population is quite diverse with many immigrants and patients from different cultural backgrounds. Global Mental Health and Cultural Psychiatry are key areas of our program specialization. The Central Valley of California is home to specialized subpopulations including immigrant farmworkers from Mexico, Hmong immigrants from Vietnam and various indigenous tribes of the Yokut peoples. Residents have specialized monthly training in cultural psychiatry and each resident has an option of completing International psychiatry electives during their PGY-4 year with our Global training partners. While not required, we encourage applications from those with multi-cultural backgrounds, some type of international experience or bilingual candidates. Training at KDHCD prepares a psychiatrist for working in an exceptionally diverse variety of locations and practices.
KDHCD Psychiatry faculty members are experienced and award-winning clinicians, educators, researchers, writers, and leaders who come from a wide variety of backgrounds and are committed to medical education. Board Certification is required for faculty psychiatrists to receive a UC Irvine academic appointment. Our affiliated clinical sites at Tulare County Mental Health, Good Samaritan Hospital and Kingsview Behavioral Health System provide a similar high degree of excellent clinical experience and faculty expertise.
The KDHCD Psychiatry Residency Program places special emphasis on preparing residents to successfully complete the ABPN Board examination upon graduation. Each August, all PGY 1-4 residents undergo an annual one-month intensive Board Prep course and PRITE examination to prepare for the ABPN Board Examination. KDHCD also uses Harvard’s innovative QStream educational technology to reinforce the knowledge base required for Board Certification. Each weekday, residents complete a 2-minute mini-Board Exam question which is automatically delivered to their iPad or mobile phone device by QStream and continuously prepares residents for the ABPN examination.
KDHCD Psychiatry requires each resident to complete a scholarly project during their training experience. Residents may tap into the vast scholarly activities of the University of California at Irvine School of Medicine. Each PGY-2 resident participates in a required rotation in research under the direction of our Institutional GME Director of Research. Our faculty assists residents in conducting clinical research, publishing case studies, and learning research methodology. For residents particularly interested in teaching and research, we hope to preferentially hire new faculty from among our program graduates giving residents ready access to an academic career.
Graduates of the KDHCD psychiatry residency program will be prepared for jobs in any area of Psychiatry. Each PGY-4 resident serves as a part-time Chief Resident in one specialized area. Most of the remaining PGY-4 year schedule is elective so residents are able to focus their experience in areas of their particular interest and refine skills for career preparation. We anticipate that most of our graduates will secure very desirable job offers early in their PGY-4 year.
TRADITIONS BEHAVIORAL HEALTH
KDHCD Psychiatry Core Faculty and Moonlighters are employees of Traditions Behavioral Health (TBH) – California’s largest group of psychiatrists in institutional and community-based programs. TBH is a very successful company with over 150 psychiatrists throughout California. TBH uses a unique multidisciplinary approach that considers the physical, psychiatric, psychosocial, cultural and medical needs of each patient. Residents will learn the successful TBH model of care, have opportunities for earning additional income by Moonlighting and develop relationships for immediate jobs upon graduation.
KDHCD is located deep in the heart of California in a family-friendly, safe community of 125,000 people with an exceptionally low cost of living. Known as the Gateway to the Sequoias, Visalia lies in the center of the San Joaquin Central Valley near the Sequoia and King’s Canyon National Parks and is a short, weekend excursion to the famous Yosemite National Park. The Central Valley has great shopping, movies, schools, parks, sports, gyms and a famous downtown vintage trolley. Visalia has a well-known Farmer’s Market, over 200 restaurants and was in the top six finalists for the Rand McNally Best Small Town Food competition.
Visalia boasts something for everyone including the annual Blues, Brews and BBQ concert series as well as the Tulare County Symphony at the Fox Theatre. In addition, Visalia has an active popular music scene including recent concerts by Natalie Cole, Peter Frampton, Amy Grant, Vince Gill, BB King, Kenny Loggins, Foreigner and the B52s. In addition, we have popular Visalia Rawhide Class A professional baseball games, the Chinese Cultural Center, Renaissance Faire, New Years Day Polar Bear Dip, Sprint Car Racing, multiple Theatres and a busy 100,000 square foot Convention Center.
Local weather is pleasant (except for our ‘hot’ month of August) and outdoor activities are common including hiking, biking, golfing, camping, fishing, boating, or skiing (please explore the “Links” section of this website to obtain more information regarding the area). Though Visalia is ranked as the 200th largest city in the U.S. and public transportation is readily available, traffic jams are quite uncommon and travelling between clinical sites is rarely more than a few minutes drive. Visalia sits in the middle of California and is a four hour drive to either Los Angeles or San Francisco and a two hour drive west to the beach. Quick commuter flights to Los Angeles and Las Vegas leave daily from the Visalia airport and flights to major national locations from the nearby Fresno International Airport.
KDHCD Psychiatry emphasizes that to be effective healers residents must take care of their personal wellness. All residents receive a free membership to our 55,000 square foot KDHCD Lifestyle Center (health club) conveniently located just steps away from the Psychiatric Hospital. Easy access to the Lifestyle Center is a significant perk for training at KDHCD. The facility includes an indoor heated lap pool, indoor jogging track, two aerobic exercise/yoga studios, indoor basketball gymnasium, climbing rock wall, massage therapy, personal training, registered dietician, physical therapy, spas, circuit weight training and cardio-vascular conditioning equipment