Integrated Medicine-Psychiatry Clinic

The Integrated Medicine-Psychiatry Clinic is located at the Iowa City VA Health Care System. The clinic serves 3 functions:

• Consultation service to the Primary Care and Specialty clinics regarding patients with co-morbid medical and psychiatric illness.
• Ongoing psychiatric and primary care to a group of patients with co-morbid medical and psychiatric illness.
• Primary care for individuals with Severe/Chronic Mental Illness who are seen in the Mental Health Clinic and in the assertive community treatment program

Common problems encountered and managed in this clinic include depression and psychosis co-morbid with neurological disorders (like Parkinson's disease and cerebrovascular disease); patients with dementia and complex medical comorbidity; patients with somatoform disorders and medically unexplained illnesses; patients with chronic pain and psychiatric comorbidity.  The clinic is served by a dedicated case manager, and two clinical pharmacists.

Dually-trained attending physicians:
Vicki Kijewski, M.D.
Thad Abrams, M.D.

Continuity clinic for Medicine-Psychiatry Residents

PGY1	Medicine Continuity clinic ½ day per week
PGY2	Medicine Continuity clinic ½ day per week
PGY3	Medicine Continuity clinic ½ day per week	Psychiatry outpatient clinic 4½ days per week
PGY4	Psychiatry outpatient clinic 4½ days per week	Integrated Medicine-Psychiatry Clinic ½ day per week
PGY5	Integrated Medicine-Psychiatry Clinic ½ day per week

As your clinical experience grows, the weekly ½ day integrated medicine-psychiatry clinic at the VA
hospital will replace your ½ day VA internal medicine clinic, as you begin PGY4, and continue through
PGY5.

- You will have the option of continuing your outpatient continuity clinic in internal medicine at the
University of Iowa hospital for one half day every other week.