Key Faculty. J. Michael Smith, DHSc, PA-C, CAQ Psychiatry. Residency Training Director. Bengi B. Melton, MD Residency Medical Director

Similar documents
2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement

Thomas Jefferson University Hospital. Institutional Policies and Procedures For Graduate Medical Education Programs

GUIDELINES FOR COMBINED TRAINING IN PEDIATRICS AND MEDICAL GENETICS LEADING TO DUAL CERTIFICATION

American College of Emergency Physicians National Emergency Medicine Medical Student Award Nomination Form. Due Date: February 14, 2012

Tools to SUPPORT IMPLEMENTATION OF a monitoring system for regularly scheduled series

AnMed Health Family Medicine Residency Program Curriculum and Benefits

Information and Instructions

FELLOWSHIP PROGRAM FELLOW APPLICATION

Surgical Residency Program & Director KEN N KUO MD, FACS

Improving recruitment, hiring, and retention practices for VA psychologists: An analysis of the benefits of Title 38

THE BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN, NEW YORK 11212

MSW Application Packet

Pharmacy Technician Program

APPLICATION DEADLINE: 5:00 PM, December 25, 2013

DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT

Application for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist

Northwest Georgia RESA

FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES

Section on Pediatrics, APTA

Basic Standards for Residency Training in Internal Medicine. American Osteopathic Association and American College of Osteopathic Internists

2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE

Department of Social Work Master of Social Work Program

Instructions & Application

Mayo School of Health Sciences. Clinical Pastoral Education Residency. Rochester, Minnesota.

INTERNAL MEDICINE IN-TRAINING EXAMINATION (IM-ITE SM )

Curriculum Vitae of. JOHN W. LIEDEL, M.D. Developmental-Behavioral Pediatrician

Application for Fellowship Leave

PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014

San Antonio Breast Cancer Symposium

Physician Assistant Program Goals, Indicators and Outcomes Report

Mayo School of Health Sciences. Clinical Pastoral Education Internship. Rochester, Minnesota.

Upward Bound Math & Science Program

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke

THE FIELD LEARNING PLAN

Longitudinal Integrated Clerkship Program Frequently Asked Questions

Graduate Student Travel Award

Completed applications due via online submission at by 11:59pm or to the SEC Information Desk by 7:59pm.

LONDON CLINICAL PSYCHOLOGY RESIDENCY CONSORTIUM

Curricular Practical Training (CPT) is a type of employment authorization for students in F-1 status who Eligibility

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

LONDON CLINICAL PSYCHOLOGY RESIDENCY CONSORTIUM

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON MCGOVERN MEDICAL SCHOOL CATALOG ADDENDUM

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone

Young Women in Public Affairs Award A Zonta International Program, Funded by the Zonta International Foundation

Puerto Rico Chapter Scientific Meeting

School of Basic Biomedical Sciences College of Medicine. M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

Internship Program. Employer and Student Handbook

NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION

2018 Kentucky Teacher of the Year

INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM

THE UNIVERSITY OF TEXAS SYSTEM MEDICAL FOUNDATION

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or

Vocational Training. Pre-Application

ALAMO CITY OPHTHALMOLOGY

Application for Admission

Student Admissions, Outcomes, and Other Data

Freshman Admission Application 2016

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON MCGOVERN MEDICAL SCHOOL CATALOG ADDENDUM

Glenn County Special Education Local Plan Area. SELPA Agreement

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)

Loudoun Scholarship Application

The application is available on the AAEA website at org. Click on "Constituent Groups", then AAFC and then AAFC Scholarship.

Enrollment Forms Packet (EFP)

Early Career Awards (ECA) - Overview

INDEPENDENT STUDY PROGRAM

Guidelines for the Use of the Continuing Education Unit (CEU)

Global Health Kitwe, Zambia Elective Curriculum

Application for Admission. Medical Laboratory Science Program

Joint Board Certification Project Team

February 5, 2015 THE BEACON Volume XXXV Number 5

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE.

Assessment System for M.S. in Health Professions Education (rev. 4/2011)

Wyoming Psychological Association 2017 Fall Conference Continuing Education for Mental Health Professionals

Trauma Informed Child-Parent Psychotherapy (TI-CPP) Application Guidance for

PROGRAM REQUIREMENTS FOR RESIDENCY EDUCATION IN DEVELOPMENTAL-BEHAVIORAL PEDIATRICS

P920 Higher Nationals Recognition of Prior Learning

2. Related Documents (refer to policies.rutgers.edu for additional information)

GRADUATE ASSISTANTSHIP

The Chapter Activation Form (to submit in your application) is on page 6 of this document.

CIN-SCHOLARSHIP APPLICATION

UNI University Wide Internship

REGULATION RESPECTING THE TERMS AND CONDITIONS FOR THE ISSUANCE OF THE PERMIT AND SPECIALIST'S CERTIFICATES BY THE COLLÈGE DES MÉDECINS DU QUÉBEC

Children and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Children

Pharmaceutical Medicine

Phase 3 Standard Policies and Procedures

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!

PROGRAM REQUIREMENTS FOR CLINICAL FELLOWSHIP TRAINING IN GENERAL COSMETIC SURGERY

HSC/SOM GOAL 1: IMPROVE HEALTH AND HEALTHCARE IN THE POPULATIONS WE SERVE.

Bellevue University Admission Application

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER

Tennessee Chapter Scientific Meeting

Verification Program Health Authority Abu Dhabi

MANDATORY CONTINUING LEGAL EDUCATION REGULATIONS PURPOSE

Emergency Medical Technician Course Application

FLORIDA GULF COAST UNIVERSITY COLLEGE OF HEALTH PROFESSIONS DIVISION OF HEALTH SCIENCES

AFFILIATION AGREEMENT

Equine Surgery Residency Program

COUNSELING AND CAREER DEVELOPMENT MASTER S DEGREE PROGRAM HANDBOOK

Transcription:

Physician Assistant Post-Graduate Residency In Adult Mental Health Sponsore d BY Michae l E. De Bakey VA Me dical Cen ter & Baylor College of Me dicine Texas Me dical Center, Houston, Te xas Generous Stipend (Currently $83,922 for the residency training year) Benefits: Vacation and sick leave Key Faculty J. Michael Smith, DHSc, PA-C, CAQ Psychiatry Residency Training Director Eligible for life and health insurance Vision and dental insurance available Federal Employees Liability Reform and Tort Compensation Act Coverage Time in residency applies to Federal longevity Graduates will be eligible for preferential hiring within the VA system and consideration for VA Education Debt Reduction Program (EDRP) Bengi B. Melton, MD Residency Medical Director Carl Fasser, PA Baylor College of Medicine PA Program Academic Advisor The Department of Veterans Affairs is an equal opportunity employer. A p pl i c ations are being accepted. Please contact: J. Michael Smith, DHSc, PA-C Residency Training Director 2002 Holcombe Blvd. Tel: 713-791-1414 x26937 E-mail: james.smith323826@va.gov

Physician Assistant Mental Health Residency Program (PA -MHR) Residency Information The one-year PA-MHR provides approximately 500 didactic and 2000 clinical hours of training in adult mental health disorders. PA residents train alongside physician residents, attending many of the same didactic lectures and training as their MD resident colleagues. All clinical training occurs at the Michael E. DeBakey VA Medical Center (MEDVAMC) and it s affiliated Community-based Outpatient Clinics. Didactic education occurs at MEDVAMC and Baylor College of Medicine (BCM) facilities. Residents will be expected to complete 150 hours of additional CME in Psychiatry to meet the requirement for NCCPA s Certificate of Added Qualifications (CAQ) in Psychiatry, and will be eligible to sit for the board exam at the end of the residency. Upon completion of the residency, residents will receive a certificate of completion from Baylor College of Medicine. Residents will have the opportunity to teach PA students performing their clinical rotation in mental health, and may have the opportunity to be involved in research, if interested. Mission Statement The mission of the PA-MHR is to graduate PAs prepared to care for the mental health needs of veterans and the general community. Along with expertise in caring for mental illness, program graduates will demonstrate cultural sensitivity, ethical behavior, and professionalism in all interactions with the recipients of care and members of the healthcare team, and a commitment to life long learning to ensure the continued provision of high quality mental health care Program Goals The primary goal of the PA-MHR is to provide PA residents with the expanded knowledge and skills requisite to the assessment and management of mental health disorders effecting our Veterans. By completion of the PA-MHR, PA residents will exhibit competency in the following six areas: Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism and Systems- Based Practice, enabling them to excel in a Mental Health service delivery setting. Didactic Curriculum Components Participation in selected components of BCM Psychiatry Resident lecture series. Psychiatry Grand Rounds Weekly case conferences Journal Club Assigned readings Faculty mentorship Clinical Training Areas General Mental Health Clinic Inpatient Mental Health Wards Substance Dependence Treatment Program PTSD Treatment Program Primary Care Mental Health Women s Clinic Geriatrics Clinic Pain Clinic Sleep Disorders Clinic Community-based Outpatient Clinics Admission Requirements Qualified applicants must have each of the following by the time of application: Graduation or expected graduation from an ARC-PA accredited PA Program Certification by NCCPA or eligible to sit for PANCE US citizenship Required documents include: transcripts from PA program and any graduate-level programs, documentation of NCCPA certification or eligibility, two letters of recommendation, personal essay. Competitive applicants will be interviewed.

Michael E. DeBakey Veterans Affairs Medical Center Physician Assistant Residency in Mental Health Application Return Application To: US Mail Post-Graduate Physician Assistant Mental Health Residency 2002 Holcombe Blvd (Mail Code 116A) Questions may be addressed to: 713-791-1414 x26937 James.smith323826@va.gov FedEx or other delivery service Post-Graduate Physician Assistant Mental Health Residency 2002 Holcombe Blvd, Room 6B-128 Notes: Prior to beginning the program, applicants must graduate from an ARC-PA accredited program The Residency is affiliated with Baylor College of Medicine Applicants must be US Citizens A personal essay is required Begin: July 1, 2017 July 1, 2018 Other: Application deadline: November 1, 2016 Application deadline: January 1, 2018 Interviews / admission decisions begin October 1, 2016 Interviews and admission decisions begin December 1, 2017 Name Last First Middle Present Telephone (Home) Telephone (Cell) Birth date MM/DD/YYYY e-mail Permanent Home Name and address of someone always able to contact you Do you have any conditions which might impair your participation in this program? If so, please describe. Have you ever used any other name(s)? Rev. 12/5/2016

EDUCATION and EXPERIENCE (attach additional sheet(s) if necessary): High School From To College From To Degree PA Program From To (Exp.) Grad. Date MS or PhD Included? Research or Thesis Topic, if applicable Previous Residency Graduate School Practice or Other Clinical Experience Complete Licensing History Use additional sheet if necessary Program From To Field City and State College From To Degree(s) Field(s) Location From To Type Location From To Type State TYPE STATUS Dates (Full, Standard, Limited, Restricted, etc) State STATUS Dates Have you ever: Been denied a license Had your Scope of Practice limited Had a license revoked or suspended Been denied hospital privileges Had other licensure issues Had hospital privileges limited or suspended Been reported to National Provider Database Been disciplined for academic performance or professional conduct by ANY institution or training program If any of the above apply, please attach an additional sheet with explanation. NCCPA Certification or Eligibility: Membership in Honorary or Professional Societies, prizes, awards, fellowships, etc. (attach extra sheet if necessary) Publications and Faculty Appointments: If applicable, please list publications and/or faculty appointments on a separate sheet or include in CV.

PROFESSIONAL REFERENCES: Please request two (2) professional letters of evaluation to be mailed to the address above. It is encouraged that one letter be from the PA Program Director or supervising physician. Please request that evaluators comment on academic and personal attributes including judgment, industry, interpersonal relations, capacity to assume responsibility and professional ethics. Reference 1 Title Reference 2 Title PERSONAL STATEMENT A personal essay is required, including personal motivations and professional goals. CHECKLIST The following required items are attached or completed: Transcript requested to be sent to address on first page, from PA program Transcript requested to be sent from any graduate-level programs attended GRE scores requested to be sent, if GRE has ever been taken Documentation of NCCPA certification, if applicable CV, if it includes information not included elsewhere in this application packet TWO letters of evaluation requested to be sent Personal statement Proof of US citizenship will be required prior to acceptance into program. ~ Following the receipt of all documents, competitive applicants will be invited to participate in an interview. ~ I certify that to the best of my knowledge the above information is accurate and correct: Signature: Date: