ICP Goals, Didactics, and Rotations

The Integrated Care Pathway (ICP) is a program within the Division of Population Health of the University of Washington Department of Psychiatry and Behavioral Sciences. This career development pathway for psychiatry residents, one of the first of its kind, provides a rich array of experiences to learn about integrated care and to develop unique clinical skills. 

The goals of the Integrated Care Pathway are:

  • Increase resident exposure to the spectrum of care integrating behavioral and physical health care.
  • Provide mentorship to psychiatry residents interested in exploring a career in psychiatry in medical settings.
  • Enhance knowledge of the emerging field of integration of physical health programs into behavioral health settings.
  • Provide support to work on a project in an integrated care setting, such as the development of an educational tool, quality improvement project, or health services research.
  • Provide residents the opportunity to get experience working in integrated care settings

Integrated Care Pathway Meetings

ICP hosts regular lunchtime meetings in which the presenter discusses an aspect of integrated care, particularly in terms of career opportunities. Previously ICP hosted a journal club, in which a faculty member facilitated discussion of a journal article . These meetings help residents see if they might be interested in joining the ICP.

  • These meetings are held every other month throughout the year on Thursdays from noon – 1:00 in the UW Medical Center (currently held via Zoom). Before each meeting a newsletter is sent which features items of interest related to integrated care, a featured faculty member, and details of upcoming meetings.
  • Ramanpreet Toor, MD is the faculty contact for the ICP.

Didactics

  • PGY-2: 1-hour session focusing on an introduction to integrated care models and a more in-depth introduction to the Collaborative Care Model (CoCM).
  • PGY-3: 1.25-hour session focusing on current issues in mental health access and pros and cons of different consultation (integrated care) models. In-depth discussion about CoCM, team members, and roles. Case review and registry are also covered.
  • PGY-4: 2.75-hour session covering more advanced system-based topics including how to think of quality improvement, billing, and implementation of CoCM.

Elective Rotations

  • Population Health and Collaborative Care for PGY-2:
    • Faculty Lead: Ramanpreet Toor, MD
    • 3-week rotation that introduces residents to Collaborative Care, telepsychiatry and implementation of Collaborative Care
  • Outpatient Clinical Consultation for PGY-3 and 4 :
    • Collaborative Care Model
      • UW Neighborhood Primary Care Clinics
    • Co-located Consultation Models
    • General Internal Medicine at Roosevelt
    • Madison HIV/AIDS
    • Neurology Clinic
    • Cardiology Clinic
    • Pain clinic
    • Memory Brain and Wellness Center at HMC
    • Adult Medicine Clinic at HMC
    • International Clinic at HMC
    • Maternal Infant Care Clinic
    • Psych-Oncology at SSCA
    • Transplant Clinic
  •  OtherElective Rotations in PGY-4
    • Implementation Rotation:
      • Faculty Lead: Jessica Whitfield, MD; Staff Lead: Debra Morrison
      • 6- to12-month, half-day, non-clinical rotation with a focus on the CoCM implementation process in primary care clinics
    • Lummi Tribal Health Center Rotation:
      • Faculty Lead: Jessica Whitfield, MD and George Vana, MD
      • 6- to 12-month, one day a week clinical rotation
      • The goal of this rotation is to increase resident exposure to working in a tribal health center. It will include direct patient care, case reviews, and didactics.
    • Integrated Care Fellowship Didactic Series
      • Faculty Lead: Ramanpreet Toor, MD; Staff Lead: Betsy Payn, MA, PMP
      • Fellows have the opportunity to learn more in depth about clinical- and system-based topics for practicing in CoCM. These almost-weekly didactics will include online content followed by a one-hour in-person or Zoom meeting with faculty and peers.

Area of Distinction

Residents who would like to graduate with formal recognition for their participation in integrated care training have the opportunity to apply to participate in the Area of Distinction Program in Integrated Care. Residents would need to  complete the following:

  • Participate in lunchtime ICP meetings
  • Complete Population Health and Integrated Care elective rotation
  • Complete a clinical rotation in Collaborative Care
  • Be paired with a mentor and complete a project related to integrated care. This project could be the development of an educational tool for a medical setting, quality improvement project or health services research. Residents would be encouraged to present this project.