The vast majority of the training occurs at the Washington University-Barnes-Jewish Hospital medical center complex where we have outstanding clinical facilities that are continually being upgraded.
The main inpatient psychiatry facility has 48 beds and is divided into three locked units -- intensive care floor, step-down floor and a geropsychiatry floor. The units are located on the 15th floor of the main Barnes-Jewish teaching hospital and are closely integrated into all of the specialty care inpatient units (e.g., surgery, internal medicine, neurology) of the hospital. The 15th floor also houses an ECT suite where approximately 2,000 treatments are done each year. In addition to the procedure room, the suite contains its own pre-treatment holding area and post-anesthesia recovery unit. A second, lower acuity, inpatient facility, called the BJH Psychiatric Support Center, is located 2 miles from the medical center. It has 2 units and can accommodate an additional 50 inpatients. Residents may elect to rotate there for additional inpatient training.
Residents provide psychiatric emergency care in the 70-bed Charles F. Knight Emergency and Trauma Center that is a level 1 trauma center. In this setting our residents work alongside ER physicians and other specialists in providing care to the citizens of Saint Louis.
The Center for Outpatient Health contains specialty clinics for the majority of specialties. In addition to offices for on-site faculty members and staff, the psychiatry clinic contains offices for all of the residents rotating in the clinic and lecture rooms.
St. Louis Children’s Hospital is a free standing hospital located in the medical complex that specializes in the treatment of children and adolescents. Residents who opt to do some pediatric training in their PG1 year rotate on one of its inpatient units. In addition to inpatient units, the hospital also has outpatient clinics and its own emergency room dedicated to the care of children.
During the PG2 year, our residents spend approximately three months off site in the St Louis area. These sites include:
- McCallum Place (8 miles), which is a free standing center that provides intensive outpatient and residential treatment to people afflicted with eating disorders.
- The John Cochran VA Center (3 miles) where the residents learn to provide outpatient care to those afflicted with a chemical dependency.
- Bridgeway Behavioral Health (2 miles) where residents initially stabilize and detoxify patients with substance use disorders in an inpatient setting.