Teaching health center (THC) graduate medical education (GME) payment program - 1. Name of project: family health centers of SAN diego-psychiatry residency program 2. Proposed discipline: psychiatry…

Teaching health center (THC) graduate medical education (GME) payment program - 1. Name of project: family health centers of SAN diego-psychiatry residency program 2. Proposed discipline: psychiatry (HRSA-24-091) 3. Type of application: new program 4. Eligible entity type: community-based ambulatory patient care center and fqhc applicant name: family health centers of SAN diego, INC. (operating alone) address: 823 gateway center way, SAN diego, CA 92102-4541 5. Year program began training residents: 2024 6. Website address: WWW.FHCSD.ORG 7. Overview: family health centers of SAN diego (FHCSD)'S graduate medical education department requests HRSA thcgme funding for a new four-year residency program in adult psychiatry that began training post-graduate residents on july 1, 2024. The FHCSD psychiatry residency program is accredited by the accreditation council for graduate medical education effective july 1, 2022, for up to six psychiatry resident ftes per academic year (6-0-0-0). As the accredited sponsoring institution, FHCSD requests a funding preference as a federally qualified health center with a facility-based health professional shortage area (HPSA) score of 18 (4 PTS.); and as a new program whose primary training site will be located in a medically underserved area (2 PTS.). Psychiatry residents will be trained and based at FHCSD's EL cerrito family counseling center, located at 5472 EL cajon blvd. #101, SAN diego CA 92115. In 2023, 97% of FHCSD's unduplicated patients residing in the service areas surrounding this clinic reported income below 200% of the federal poverty line (FPL). Of those who reported ethnicity, 43.7% were hispanic, 9% were african american, 4% were asian/pacific islander, and 4.3% were multiracial. EL cerrito is located in the central region of SAN diego county. FHCSD serves more uninsured patients than any other community clinic in the nation (42,523 people). In 2023, FHCSD delivered culturally sensitive services to 159,114 unduplicated patients with low or extremely low-income in SAN DIE go county, 89% of whom lived at or below 200% of the FPL and 39% of whom were best served in a language other than english. Patients reported persistent health disparities at a greater rate than residents in other regions of the county. 8. Total resident FTE positions requested to be funded under this program for all post-graduate years of training: 24 (6-6-6-6) resident FTE above the baseline of zero (0-0-0-0) in academic year (AY) 2022-2024. 9. Resident FTE positions requested to be funded under this program for the first AY of funding in AY 2024-2025: 6 (6-0-0-0). 10. Rotation sites: in addition to resident's training at the EL cerrito FCC, residents will rotate through various subspecialties at six additional outpatient clinical training sites within FHCSD's network of care (city heights family health center, hillcrest family health center, logan heights family health center, LA mesa family counseling center, landis avenue family counseling center, and sweetwater family counseling center). FHCSD also has fully executed program letters of agreement in place with two local teaching hospitals to facilitate inpatient psychiatric rotations (scripps mercy hospital and sharp mesa vista), as well as three outpatient ambulatory patient care centers that will provide additional participating clinical training sites for psychiatry residents' rotations (the U.S. Naval medical center-SAN diego, the university of california SAN diego health system, and the neurology center of southern california).