The clinical rotation curriculum highlights the strengths of training within Kaiser Permanente’s integrated medical system while also intentionally extending residents’ experience into community, county, nonprofit, and partner clinical settings.
Within Kaiser Permanente, residents train in population-based care, integrated behavioral health, specialty clinics, crisis services, and longitudinal outpatient systems that reflect the needs of diverse South Bay communities.
Outside of KP, residents rotate through or may pursue experiences with community partners such as San Jose Behavioral Health, Santa Clara Valley Medical Center Emergency Psychiatric Services, Momentum for Mental Health, San Quentin Rehabilitation Center/CDCR, and other community-based or forensic settings.
These experiences help residents understand how psychiatric care is delivered across systems, how social determinants of mental health shape access and outcomes, and how psychiatrists can partner with patients, families, teams, and communities to improve care.
Clinical Competency Development
Clinical competency development is woven throughout the Kaiser Permanente San Jose Psychiatry Residency Program. Residents progress from foundational clinical skills in PGY-1 to advanced outpatient practice, specialty care, leadership, teaching, and transition to independent practice by PGY-4. Competency is developed through direct patient care, supervision, didactics, psychotherapy training, quality improvement, evidence-based medicine, feedback, and reflective practice.
Evidence-Based Medicine
Evidence-based medicine is a core thread across clinical rotations, didactics, Journal Club, supervision, and scholarly activity. Residents learn to critically appraise the literature, apply clinical guidelines thoughtfully, use measurement-based care, interpret emerging evidence, and translate research into patient-centered treatment plans. Through Journal Club, quality improvement, Grand Rounds, scholarly projects, and day-to-day supervision, residents develop the habits of asking clinically meaningful questions and using evidence to improve care.
Leadership and Team-Based Care
Leadership development begins early and grows across training. Residents learn to lead multidisciplinary treatment teams, coordinate care across systems, teach medical students and junior residents, participate in program committees, contribute to quality improvement, and communicate effectively with patients, families, faculty, nurses, social workers, therapists, primary care physicians, and community partners. By graduation, residents are prepared not only to provide excellent psychiatric care, but also to lead teams, improve systems, and advocate for patients and communities.
Clinical Teaching and Near-Peer Education
Residents build clinical teaching skills through progressive practice in supervision, case discussion, bedside and team-based teaching, modeling clinical reasoning, and giving constructive feedback. Across training, residents work with medical students, sub-interns, PGY-1 residents, senior residents, interprofessional trainees, and multidisciplinary team members. As they advance, residents develop competencies in orienting learners, assessing clinical presentations with students and junior residents, explaining decision-making, creating psychologically safe learning environments, and leading educational discussions across clinical settings.
Assessment, Feedback, and Growth
Resident growth is supported through multiple feedback systems, including faculty observation, rotation evaluations, psychotherapy supervision, Clinical Competency Committee review, milestone-based assessment, self-reflection, and individualized learning plans. These processes help residents understand their strengths, identify growth areas, and receive timely support as they progress toward independent practice.
Progression to Independent Practice
| PGY-1
Foundational Skills |
PGY-2
Expanding Specialty Skills |
PGY-3
Longitudinal Outpatient Practice |
PGY-4
Independent Practice Readiness |
| Build core skills in psychiatric interviewing, diagnostic assessment, safety and risk assessment, acute stabilization, inpatient psychiatry, medicine, neurology, and evidence-based treatment. | Deepen care across specialty settings, including child and adolescent psychiatry, geriatric psychiatry, consultation-liaison psychiatry, emergency psychiatry, psychotherapy, and medical-psychiatric care. | Manage a longitudinal outpatient panel, integrate medication management and psychotherapy, coordinate systems-based care, participate in scholarship and QI, and develop teaching identity. | Function with senior autonomy through leadership, teaching, electives, community psychiatry, advanced consultation, board preparation, and transition-to-practice experiences. |
| Developmental outcome: reliable foundation for supervised psychiatric care. | Developmental outcome: flexible clinical reasoning across populations and settings. | Developmental outcome: independent outpatient management and professional identity formation. | Developmental outcome: readiness to lead teams, teach others, and enter independent practice. |
How Feedback Works
| 1. Supervision | Residents receive direct observation, coaching, and formative feedback from faculty across clinical, psychotherapy, consultation, emergency, outpatient, and community settings. |
| 2. Evaluations | Rotation evaluations, faculty feedback, psychotherapy supervision, self-reflection, and learner assessments identify strengths, growth areas, and progress toward milestones. |
| 3. CCC Review | The Clinical Competency Committee reviews aggregate assessment data to understand each resident’s developmental progress and recommend individualized support. |
| 4. Individualized Learning Plan | Residents use feedback to update goals, target skill development, request additional experiences, and track growth over time with faculty and program leadership. |
| 5. Growth Loop | Feedback returns to supervision and clinical practice, creating an ongoing cycle of observation, reflection, coaching, and progressive autonomy. |
Review the sample block schedule below:
Sub-specialty Highlights
PGY-1
PGY1 year is a blend of clinical experience in both inpatient psychiatry, intensive outpatient psychiatry and general medicine.
Inpatient Adult Psychiatry at Behavioral Health Center – 2 Blocks
Facility: Kaiser Permanente Santa Clara Behavioral Health Center
Site Director: Anna Shvartsur, MD
Residents rotate at the Behavioral Health Center, a 24-bed inpatient Psychiatric Health Facility licensed by the California Department of Mental Health, with an adjacent six-station outpatient Crisis Stabilization Program. The inpatient unit serves medically stable adult patients, primarily from the South and West Bay, who require acute psychiatric stabilization, assessment, treatment planning, and coordinated discharge support. The Crisis Stabilization Program provides rapid intervention, observation, triage, and treatment services within a 23-hour care model. Together, these services expand access to timely psychiatric care in the community and give residents experience across the continuum of acute adult behavioral health services.
Inpatient Adult Psychiatry – 2 Blocks
Facility: San Jose Behavioral Health
Site Director: Michael Serna, MD
Residents spend 4 months on the inpatient psychiatric floor at San Jose Behavioral Health, a 133-bed hospital that accepts all insurances and services a diverse population from the greater South Bay area. The team consists of 1-2 PGY1 residents, one PGY2 senior resident, and an attending physician. Learning points consist of conducting new patient intakes, follow up assessments, medication treatment, emergency medication decisions, brief focused psychotherapy, risk assessment, safety planning, and coordination of care. Daily treatment planning with a multidisciplinary care team including Social Work support, managing complex psychosocial needs. Collaborative work environment that emphasizes opportunities for formative feedback. Working 1 weekend a month depending on attending schedule.
Intensive Outpatient Program – 1 Block
Facility: Kaiser Permanente San Jose
Site Director: Goutham Ganesan, MD, PhD
Residents spend one month with the Intensive Outpatient Psychiatry team, caring for patients who are transitioning from inpatient hospitalization or who need a higher level of support than standard outpatient care. Residents work with patients experiencing psychotic disorders, acute life crises, severe depression, and intermittent suicidal ideation. The rotation emphasizes medication management intakes, risk assessment, coordination of supportive resources, and collaboration with a multidisciplinary treatment team. Residents may also have opportunities to facilitate educational group therapy activities and work alongside fourth-year medical students completing sub-internship rotations and senior residents completing their longitudinal outpatient year.
Inpatient Addiction Medicine – 1 Block
Facility: Kaiser Permanente Santa Clara
Site Director: Wasi Mohamed, MD
Residents spend one month on the inpatient addiction medicine consult service, rounding with an attending physician on the medical floors and in the emergency department. The rotation focuses on the assessment and management of patients with acute detoxification needs, complex medical sequelae of substance use, and significant psychosocial stressors. Residents gain exposure to evidence-based treatment approaches, including benzodiazepine-sparing protocols, buprenorphine treatment, and linkage to Kaiser Permanente Addiction Medicine and Recovery Services (AMRS) programming for ongoing care. The schedule is Monday through Saturday.
Neurology – 2 Blocks
Facilities: Kaiser Permanente San Jose and Kaiser Permanente Santa Clara
Site Directors: Pezhman Zadeh, MD and Khamidulla Bakhadirov, MD
Residents train on the Neurology inpatient consult service, 1 month at Kaiser Permanente Santa Clara and 1 month at Kaiser Permanente San Jose. Residents round on the medical floors, seeing patients with a variety of emergent and chronic neurological concerns including strokes, seizure disorders, spinal injuries, altered mental status, and other findings. Attendings provide teaching on neurological exam skills, interpreting imaging, differential diagnosis, management of complex conditions, and prevention of progression of or development of future strokes.
Inpatient Medicine and ICU – 3 Blocks
Facility: Kaiser Permanente San Jose
Site Director: Thy Pham, MD
Residents will spend 3 months total on inpatient medicine services at the KP San Jose Medical Center to develop a solid foundation of acute inpatient medical care on the general medicine floors, the ICU floors, and emergency department (for admissions). Resident expectations include admitting new patients, consulting specialty services, coordinating discharge plans, and providing evidence-based care for medical and surgical patients. Teams typically include two PGY1 residents, a family medicine senior resident (every other week), and an attending. Opportunity to interface with third year medical students rotating through medicine intermittently. Residents typically work 6 out of 7 days a week.
Outpatient Internal Medicine – 2 Blocks
Facility: Kaiser Permanente San Jose
Site Director: Tony Chen, MD
Residents train for 2 months at the Kaiser Permanente San Jose Internal Medicine outpatient clinic, seeing adult primary care patients with various general medical concerns. There is supervision by a Primary Care Physician faculty member, including feedback and guidance on building your baseline medical knowledge, consulting specialty services, formulating an assessment & plan, history & physical exam skills, and medication management.
PGY-2
The PGY2 year entails building upon foundational psychiatry knowledge, interfacing with different populations and different practice settings.
Child and Adolescent Psychiatry – 3 Blocks
Facilities: Kaiser Permanente San Jose and San Jose Behavioral Health
Site Directors: Myriam Townsend, MD and Michael Serna, MD
PGY-2 residents complete three blocks of child and adolescent psychiatry training, including one block of inpatient child and adolescent psychiatry at San Jose Behavioral Health and two blocks of outpatient child psychiatry at Kaiser Permanente San Jose.
In the outpatient setting, residents provide developmentally informed assessment and longitudinal medication management for children, adolescents, and families. The experience includes brief focused psychotherapy, family-centered communication, collaboration with caregivers and community supports, and opportunities to observe evaluations for autism spectrum disorder and ADHD. Residents may also participate in teen and youth intensive outpatient programming, providing therapeutic support for higher-acuity patients and families in both group and individual settings.
During the inpatient CAP block at San Jose Behavioral Health, residents care for acutely ill youth age 17 and younger in a structured hospital setting. Residents build skills in diagnostic assessment, safety and risk assessment, medication management, family and caregiver collaboration, multidisciplinary treatment planning, and discharge coordination with social work and community partners. The rotation provides exposure to youth from diverse counties, socioeconomic backgrounds, and care systems, including foster youth.
Geriatric Psychiatry – 3 Blocks
Facility: Kaiser Permanente Santa Clara
Site Director: Rochelle Woods, MD
Residents complete three months of geriatric psychiatry training at KP Santa Clara, with exposure to geriatric care in various settings. In addition to a longitudinal medication management clinic, residents are also trained to administer neuropsychological testing for neurocognitive disorder work-up and can assist the consultation-liaison service with MOCA testing. Weekly observation of electroconvulsive therapy (ECT) procedures, learning how to administer treatments and monitor clinical response over time. Residents are supervised by a plethora of geriatric psychiatrists, ensuring opportunities for teaching and support across training settings.
Consultation-Liaison Psychiatry – 2 Blocks
Facilities: Kaiser Permanente San Jose and Santa Clara
Site Directors: Anna Piotrowski, MD and Suhail Sheikh, MD
Residents complete two total blocks of consultation-liaison psychiatry: one at Kaiser Permanente Santa Clara and one at Kaiser Permanente San Jose. Across these settings, residents provide comprehensive psychiatric consultation for patients with comorbid psychiatric and medical conditions on inpatient medical floors and in the emergency department. Residents learn to assess and treat psychopathology in medically ill patients, provide recommendations to primary medical teams, evaluate acute psychiatric presentations in emergency settings, and collaborate with physicians, families, and multidisciplinary health care teams to deliver thorough and compassionate care. The schedule is Monday through Saturday.
Medical Psychiatric Unit – 2 Blocks
Facility: Kaiser Permanente Fremont
Site Director: Rukhsana Khan, MD
Residents have the unique opportunity to also be exposed to inpatient psychiatry in a medical-psychiatric unit (MPU) at Kaiser Fremont, which hosts 18 hospital beds and boasts a multidisciplinary team, including medicine, psychiatry, social work, nursing, occupational therapy, and nutrition, caring for patients with medical comorbidities. Patients admitted to MPU often have acute medical conditions that require stabilization alongside concomitant acute psychiatric symptoms, with common presentations of psychosis, delusional disorders, neurocognitive disorders, catatonia, and severe depression. The MPU also offers inpatient treatment for patients with eating disorders, and residents can play an integral role in learning how to stabilize this population of patients in collaboration with the nutrition & medicine teams. There are also opportunities to manage patients undergoing ECT and observe procedures.
Inpatient Adult Psychiatry – 1 Block
Facility: San Jose Behavioral Health
Site Director: Michael Serna, MD
As second years, residents complete one block of inpatient adult psychiatry at San Jose Behavioral Health as the senior resident on the team with an attending and up to two intern residents. Building upon experiences at the same training site during intern year, PGY-2 residents take on increased responsibility, including leading a team of learners, managing a higher patient caseload of up to eight patients, and helping lead multidisciplinary treatment team meetings with social workers and nurses.
Emergency psychiatry – 1 block
Facility: Santa Clara Valley Medical Center Emergency Psychiatric Services
Site Director: Farnaz Hooshmand, MD
Residents spend 1 month at Santa Clara Valley Emergency Psychiatric Services (EPS) as part of their community mental health clinical experience. Here, residents will work with acute patients who usually present on involuntary holds. Residents will gain skills in emergency psychiatric care, safety assessment, and discharge planning. Many patients seen in this setting experience severe mental illness, substance use disorders, and unstable housing. Residents will also work in a multidisciplinary team to arrange for safe discharge and follow up for patients.
Elective – 1 Block
PGY-2 elective time is designed to help residents begin shaping their individual interests while building confidence across specialty psychiatry and systems-based care. Residents may pursue early elective experiences in psychotherapy, child and adolescent psychiatry, geriatric psychiatry, interventional psychiatry, consultation-liaison psychiatry, community psychiatry, neuropsychiatry, forensic psychiatry, scholarly activity, and related areas of clinical or academic interest.
The PGY-2 elective experience is intentionally exploratory and mentorship-driven. Residents are supported in identifying areas they may want to deepen later in training, developing foundational specialty skills, and connecting elective choices to longer-term career goals. This structure allows residents to move from broad exposure toward a more individualized professional pathway as they progress into PGY-3 and PGY-4.
PGY-3
PGY3 is your longitudinal year – outpatient clinics and long-term therapy.
Longitudinal Outpatient Psychiatry – 13 Blocks
Facilities: Kaiser Permanente San Jose and Kaiser Permanente Gilroy
Site Directors: Samuel Ridout, MD and Andrea Gallardo, MD
During the PGY3 year, residents experience the process of managing an outpatient panel throughout the entire academic year, developing longitudinal relationships with patients and gaining insight into the ins and outs of outpatient medicine. Panels consist of follow ups taken on from prior resident panels, and intakes of new patients presenting to the psychiatry department for medication management and diagnosis. Coordination of care including assessing for referral to various modalities of KP therapy options including groups, individual therapy, or classes.
Integrated Urgent Services – 6 Blocks
Facility: Kaiser Permanente San Jose
Site Director: Samuel Ridout, MD
PGY3 residents spend 1 day a week on the daytime outpatient on-call service. Patients who call into the clinic with urgent medication management or assessment needs are seen during office time blocked for these appointments. Assisting with department functions including refilling controlled prescriptions and coordinating with Crisis Intervention Team for any urgent messages received. On call for the “MIND phone”, a hotline that Primary Care Providers or other specialties can call for quick advice on patients presenting with mental health needs in their clinic. Supervision with IUS on-call attending.
Intensive Outpatient Program – 6 Blocks
Facility: Kaiser Permanente San Jose
Site Director: Goutham Ganesan, MD, PhD
Residents spend 4 months with the Intensive Outpatient Psychiatry team, caring for patients who are transitioning from inpatient hospitalization or who need a higher level of support than standard outpatient care. Residents work with patients experiencing psychotic disorders, acute life crises, severe depression, and intermittent suicidal ideation. The rotation emphasizes medication management intakes, risk assessment, coordination of supportive resources, and collaboration with a multidisciplinary treatment team. Residents may also have opportunities to facilitate educational group therapy activities and supervise fourth-year medical students completing sub-internship rotations and PGY-1 residents.
Behavioral Medicine Service – 4 Blocks
Facility: Kaiser Permanente Santa Clara
Site Director: Janele Auranicky, PsyD
One morning half day a week is dedicated to being a provider on the behavioral medicine service (BMS), an outpatient behavioral health consult service embedded within the internal medicine clinic at KP Santa Clara. This is a unique opportunity to see patients at a lower level of acuity who may not be otherwise seen within the psychiatric department. Patients are often referred by their primary care providers to this service to be provided brief, focused psychotherapy, counseling, and referrals to health education classes. Topics discussed with patients include sleep hygiene, nutrition, relaxation techniques, grief, mindfulness, to name a few. Patients screened to have more significant mental health symptoms are referred to Adult Psychiatry for further evaluation and medication management.
Perinatal Mental Health – 4 Blocks
Facility: Kaiser Permanente Santa Clara
Site Director: Rajshree Bongale, MD
After the morning half day on BMS, PGY3s spend their afternoon at the women’s clinic at KP Santa Clara under the supervision of an attending psychiatrist with reproductive psychiatry expertise. The women’s clinic is a unique, integrative, and collaborative approach to providing comprehensive mental health care for primarily peripartum women, where PGY2 residents also work alongside OB-GYN residents in caring for women referred to the clinic for mental health concerns. Residents are exposed to appropriate evaluation and management for preexisting mental health conditions prior to pregnancy and psychiatric symptoms during the peripartum period.
PGY-4
Longitudinal Outpatient Psychiatry
Facilities: Kaiser Permanente San Jose and Kaiser Permanente Gilroy
Site Directors: Samuel Ridout, MD and Andrea Gallardo, MD
During the PGY4 year, residents continue to experience the process of managing an outpatient panel throughout the entire academic year, developing longitudinal relationships with patients. Panels consist of follow ups prior year panels, and intakes of new patients presenting to the psychiatry department for medication management and diagnosis.
Forensic Psychiatry
Facility: San Quentin Rehabilitation Center / remote training experience
Site Director: Sarah Jafarpour, DO
Residents will be introduced and gain experience with a variety of correctional health issues, such as but not limited to correctional/prison culture within various inmate security levels and the psychosocial stressors encountered by an incarcerated population, substance use in correctional facilities as well as Medication Assisted Treatment (MAT) and non-medicinal forms of substance use treatment, and involuntary treatment in correctional settings. Residents will plan to rotate here 2 half days a week for 6 weeks.
Outpatient Addiction Medicine and Recovery Services
Facility: Kaiser Permanente San Jose
Site Director: Cody Civiletto, MD
PGY-4 residents gain experience evaluating and treating patients with substance use disorders in a comprehensive outpatient addiction treatment setting. Residents build skills in diagnostic assessment, motivational interviewing, relapse-prevention planning, medication treatment for substance use disorders, supportive psychotherapy, and coordination with interdisciplinary addiction medicine clinicians. The rotation emphasizes longitudinal, recovery-oriented care and helps residents understand how outpatient addiction treatment is integrated within Kaiser Permanente’s broader behavioral health and medical system. Residents work with patients navigating complex psychiatric, medical, and psychosocial needs while learning how to connect individuals to appropriate levels of care, group programming, therapy, medication treatment, and ongoing recovery supports.
Community Psychiatry
Facility: Momentum for Mental Health
Site Director: Shefali Miller, MD
Associate Director: Adrian Juarez, M.P.A., M.H.R.S
PGY-4 residents complete a required 12-month community psychiatry rotation at Momentum for Mental Health, a community-based setting focused on individuals with serious mental illness and complex psychosocial needs. This longitudinal experience allows residents to provide recovery-oriented psychiatric care while developing a deeper understanding of community mental health systems outside of traditional medical center settings. Residents build skills in diagnostic assessment, medication management, longitudinal treatment planning, multidisciplinary collaboration, and coordination with community resources. The rotation emphasizes social determinants of mental health, systems navigation, housing and support needs, and the role of community partnerships in promoting recovery, stability, and access to care.
Electives
PGY-4 elective time is designed for residents to individualize their final year of training and prepare for the next stage of their careers. Senior residents may pursue advanced clinical, academic, leadership, and community-based experiences that align with their professional goals. Elective opportunities include addiction medicine, child and adolescent psychiatry, autism and transitional age youth clinic, community psychiatry, Street Medicine, consultation-liaison psychiatry, forensic and correctional psychiatry, geriatric psychiatry, inpatient psychiatry, interventional psychiatry, neuromodulation, ketamine clinic shadowing, neuropsychiatry, palliative psychiatry, advanced psychoanalytic psychotherapy, women’s mental health, integrative psychiatry, early psychosis, scholarly activity, and individualized independent study.
This elective structure reflects the program’s commitment to flexibility, mentorship, and career development. PGY-4 residents are supported in using elective time to deepen clinical expertise, explore emerging areas of psychiatry, strengthen leadership and teaching skills, and transition confidently into fellowship, faculty roles, community practice, integrated care, or other post-residency pathways.
Psychotherapy Training Program (PGY-2 to PGY-4)
Our longitudinal psychotherapy curriculum provides residents with progressive, supervised training in evidence-based psychotherapies while caring for a diverse outpatient population. Residents develop psychotherapy skills through direct patient care, individual supervision, case conferences, didactic seminars, and experiential learning opportunities.
Longitudinal Clinical Experience
Beginning in PGY-2, residents participate in a half-day weekly psychotherapy clinic where they provide psychotherapy under the supervision of experienced faculty psychotherapists. Training progresses from brief, structured psychotherapy experiences in PGY-2 to longer-term psychotherapy treatment in PGY-3 and PGY-4. Residents typically maintain a panel of psychotherapy patients while receiving weekly individual supervision and participating in group case discussions.
Comprehensive Psychotherapy Training
Residents gain experience in multiple psychotherapy modalities, including:
- Supportive Psychotherapy
- Cognitive Behavioral Therapy (CBT)
- Psychodynamic Psychotherapy
- Problem-focused and Brief Psychotherapy
- Combined Medication Management and Psychotherapy
The curriculum emphasizes development of therapeutic alliance, case formulation, treatment planning, therapeutic technique, professional boundaries, and the application of psychotherapy principles across diverse clinical settings.
| Progressive Learning by Training Year | |
| PGY-2 | Brief Psychotherapy / FOCUS Clinic: Residents provide brief, CBT-oriented psychotherapy in a dedicated psychotherapy clinic, working with patients over a series of focused treatment sessions. Training is supported by weekly supervision, group case conferences, and psychotherapy didactics. |
| PGY-3 | Long-Term Psychotherapy: During the outpatient year, residents transition to longer-term psychotherapy with a variety of therapeutic approaches, including psychodynamic psychotherapy, CBT, interpersonal therapy, and DBT-informed interventions. Residents continue weekly supervision while expanding their psychotherapy caseload and clinical autonomy. |
| PGY-4 | Advanced Psychotherapy: Senior residents may continue longitudinal psychotherapy experiences, refine advanced psychotherapy skills, and pursue individualized learning goals with faculty mentors. |
| Optional PGY-4 Role | Some PGY-4 residents may elect to serve as Psychotherapy Rotation Junior Attending, with opportunities for advanced leadership, administrative, and teaching roles in the rotation. |
Dedicated Supervision and Mentorship
Each resident is paired with an individual psychotherapy supervisor who provides weekly one-on-one supervision focused on clinical cases, psychotherapy development, mentorship, and professional growth. Residents also participate in psychotherapy rounds, group supervision, and case consultation seminars.
| Educational Goal: Psychotherapy Competency by Graduation | |
| By graduation, residents are expected to integrate psychotherapy into comprehensive psychiatric care with increasing autonomy, clinical judgment, professionalism, and reflective practice. Training is aligned with the ACGME Psychiatry Milestones’ developmental framework across patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. | |
| Patient Care | Independently assess patients for psychotherapy, establish a therapeutic alliance, conduct risk-informed treatment planning, select appropriate psychotherapy modalities, and adapt interventions to each patient’s diagnosis, goals, culture, identity, developmental stage, and clinical context. |
| Medical Knowledge | Apply core psychotherapy principles, evidence-based treatment models, case formulation, psychopathology, psychopharmacology integration, and knowledge of indications, contraindications, boundaries, and therapeutic technique across multiple modalities. |
| Interpersonal & Communication Skills | Use empathic, collaborative, culturally responsive communication to build trust, clarify goals, manage ruptures, discuss progress, communicate treatment recommendations, and partner effectively with patients, families, supervisors, and care teams. |
| Practice-Based Learning & Improvement | Use supervision, feedback, measurement-informed care, self-reflection, literature appraisal, and outcome review to refine case formulation, improve therapeutic technique, and develop a lifelong habit of deliberate practice. |
| Professionalism | Demonstrate reliability, ethical practice, confidentiality, appropriate boundaries, respect for patient autonomy, awareness of power and identity, and openness to supervision when navigating complex therapeutic relationships. |
| Systems-Based Practice | Integrate psychotherapy with medication management, primary care, specialty care, group programming, community resources, and Kaiser Permanente’s team-based model to support accessible, coordinated, whole-person psychiatric care. |