Meet the distinguished faculty and staff of the Psychiatry Residency Program.
Thank you for taking the time to visit the Family Health Centers of San Diego Psychiatry Residency Program website. We would like to take a moment to share with you what drew us here and why we feel so fortunate to be a part of it today. Before we dive in, we would like to provide a brief history of the program and mission of the broader organization, deeply rooted in anti-racism and social justice.
FHCSD has an inspiring origin story in and of itself. FHCSD was founded in 1970 through the advocacy of dedicated local leader Laura Rodriguez. She and a group of community activists sought to bring much-needed medical services to Barrio Logan, an underserved, predominantly Mexican-American community in the heart of San Diego.
Today, FHCSD has grown from the Chicano Free Clinic into one of the nation’s ten largest Federally Qualified Health Centers (FQHC), serving over 227,000 patients annually and ranked among the top 20% in the country by clinical quality metrics. As a Title X-funded provider, FHCSD provides sexual and reproductive health care services to over 42,000 unique patients each year.
We operate more than 70 sites across San Diego County, including primary care clinics, behavioral health facilities, dental clinics, an outpatient substance use treatment program, vision clinics, physical therapy clinics, mobile counseling centers, mobile medical units and a pharmacy to support services throughout San Diego County.
Over 50 years later and continuing in the tradition of care for the urban underserved, our residency program was born out of the Teaching Health Centers Graduate Medical Education Program. This grant awards funds to community health centers to create training programs in hopes of addressing the primary care shortage in communities with the greatest need. The idea of a residency program within FHCSD began long before this, a dream cultivated by our esteemed CEO, Fran Butler-Cohen, and our passionate founding faculty.
Our residents work primarily out of the City Heights Family Health Center, an accredited patient-centered medical home serving one of the most diverse and underserved communities in San Diego. We take care of those who need it most; the income of 91% of our patients is below or near the federal poverty level and 29% are uninsured. Our patients and their families come from all over the world—nearly half (42.4%) of people currently living in City Heights were born outside of the United States. In a sense, it feels like practicing all around the world without leaving the country, taking care of migrants, immigrants, refugees and asylum seekers, no matter their legal status. In recent years, some of the most represented groups in City Heights include Latinx, Somali, Ethiopian, Congolese, Vietnamese, Haitian, Iraqi, Syrian, Afghan, Burmese, Laotian and Cambodian individuals and families, with over 41 languages spoken in our clinic! This global diversity enriches us all.
Additionally, our inpatient rotations are at Scripps Mercy Hospital in Hillcrest, which functions as a safety net for the city, including many people experiencing homelessness and substance use disorders. This experience affords further expertise in caring for the underserved in a variety of settings.
2024 is our program’s preliminary year. The program will blossom into a robust, competitive and enriching site to train in the practice of community-based urban underserved psychiatry. The goal is not only to produce strong, competent psychiatrists, but also community leaders. The program will deliver on its promise to create a new generation of highly qualified community psychiatrists dedicated to the care of everyone, with a special commitment to people who are uninsured or underinsured, low-income and medically underserved.
Faculty and staff are continually looking at ways to improve the program, and our inaugural resident class’s ideas will quickly be translated into actionable change. We are currently working on expanding our didactics curriculum to include education regarding structural racism within the medical community and developing new strategies to help combat the sequela from generations of discrimination and bias within medicine. We are passionate about social justice and strive to be part of this paradigm shift surrounding recognizing inequalities amongst various groups that had previously been disregarded and further diversifying our own program to include those groups often underrepresented in medicine.
Lastly, the close-knit feel of the Family Health Centers of San Diego community is palpable even to prospective residents during interviews and social gatherings, and it is truly one of the aspects of this program that sets it apart. We enjoy a healthy work-life balance, with San Diego providing endless opportunities for hiking, beaches, water sports, museums, restaurants, breweries and more. The list goes on! We are both so proud to be a part of the FHCSD family, surrounded by inspiring faculty and staff who are leaders in our community. We could not be more excited to share our love for this program with you.
Karim Ghobrial-Sedky, M.D.Program Director
Dr. Karim Ghobrial-Sedky has been the Family Health Centers of San Diego Psychiatry Program Director since its inception. He is board-certified in general psychiatry, child and adolescent psychiatry, sleep medicine and addiction medicine. He is a member of the American Psychiatric Association and American Academy of Sleep Medicine. He speaks English and Arabic.
He graduated from Alexandria University in Alexandria, Egypt. He completed his psychiatry residency at Drexel University (formerly known as MCP Hahnemann), as well as a child and adolescent psychiatry residency in the same program. Dr. Sedky have held several leadership and educational positions including the director of the inpatient unit at Hershey Medical Center, medical student educational director at Cooper University Hospital/Cooper Medical School of Rowan University (CUH/CMSRU) and the psychiatry program director at CUH.
Dr. Sedky has a passion for teaching, education and research. He has several awards, including a Residency Award for Research Excellence, Penn State Milton Hershey Resident’s Award for Teaching Excellence and was recognized by Cooper Health System and Rowan University in 2018. In addition, he was the recipient of the Techiner Award in 2021 to support the psychodynamic curriculum development at CUH program. He has been involved in both ADMSEP and AADPRT over the years. In addition, Dr. Sedky is well published and is very interested in the intersection between psychiatry, addiction and sleep medicine.
In his free time, Dr. Sedky enjoys water-related activities such as fishing, swimming and snorkeling, as well as traveling.
Joe Sepulveda, M.D., FAPA, FASAMCore Faculty
Joe Anthony Sepulveda, M.D., FAPA, FASAM, serves as the department chair, chief of psychiatry and medical director for substance use disorder services at Family Health Centers of San Diego, the largest Federally Qualified Health Center in San Diego. He is double boarded by the American Board of Psychiatry and Neurology and the American Board of Preventive Medicine, certified in the subspecialty of addiction medicine and a fellow of both the American Psychiatric Association and the American Society of Addiction Medicine. Dr. Sepulveda has held several leadership positions throughout his career and is a member of the American Psychiatric Association, the San Diego Psychiatric Society, the American Society of Addiction Medicine and the California Society of Addiction Medicine, where he also is a member of the Committee on Opioids.
Dr. Sepulveda is a graduate of the David Geffen School of Medicine at University of California, Los Angeles (UCLA). He completed his psychiatry training at Stanford University Hospital and Clinics after which he joined FHCSD in 2013.
Dr. Sepulveda has obtained several grants over the years and is well published. He has received several awards throughout his undergraduate, medical school and graduate school training and is a recipient of the FHCSD Provider of Compassion Award in 2018 for his dedication to patient care, service to the underserved and leadership within the departments of mental health and substance use disorder services at FHCSD.
Graduate medical education and teaching have been a central focus throughout Dr. Sepulveda’s career. In addition to being on the core faculty for the Adult Psychiatry Residency Program, Dr. Sepulveda is an assistant clinical professor at the University of California, San Diego (UCSD) Department of Psychiatry and is on the clinical teaching faculty for the UCSD Addiction Psychiatry Fellowship Program, the UCSD Community Psychiatry Residency Program, the FHCSD Family Medicine Residency Program and oversees the FHCSD Psychiatric Nurse Practitioner Program and the University of San Diego (USD) Psychiatric Nurse Practitioner clinical training program at FHCSD. He is a sought-after lecturer and in the San Diego community and has been a voice for educating the public on mental health issues and substance use disorders on both television and radio.
In his free time, Dr. Sepulveda enjoys traveling, the cinema and swimming.
Claudio Cabrejos, M.D., MPH, FAPACore Faculty
Dr. Claudio Cabrejos is assistant medical director of psychiatry at Family Health Centers of San Diego. He has been part of FHCSD since 2002 and became a core faculty member in 2022.
Dr. Cabrejos received his medical degree in 1988 from the Universidad Nacional Mayor de San Marcos in Lima, Peru. After earning his master’s degree in public health from the University of Miami, he joined the psychiatry residency program at the Tulane University School of Medicine. With the school’s medical anthropology department, he provided mental health services, including psychosocial assessments and treatment, to displaced communities in the Peruvian Andes. Upon completion of his residency at Tulane University, Dr. Cabrejos joined an advanced psychiatry residency program at Yale University, where he specialized in addiction psychiatry.
Dr. Cabrejos has held several leadership positions, including medical director of Shoreline Recovery Centers and assistant medical director for adult services at FHCSD. He has a passion for teaching and has been involved in teaching psychiatry curriculum for the Family Medicine Residency Program at FHCSD and San Diego State University.
He is board-certified by the American Board of Psychiatry and Neurology and the American Board of Addiction Psychiatry. He is a member of the American Psychiatric Association (APA) and is a fellow of the APA. He enjoys working with adult patients with a special focus on cultural psychiatry, including refugee health and addiction services. He is fluent in English, Spanish and Portuguese.
In his free time, he enjoys camping with his family, surfing, free diving, koi breeding and art collecting.
Dane Crockford, Psy.D., FAIHM, CMIPCore Faculty
Dr. Dane Crockford is a licensed clinical psychologist and mental health manager for Oceanside Family Counseling Center. He has been working at FHCSD since 2016 and became core faculty for the psychiatry residency in 2022.
Prior to studying psychology, Dr. Crockford completed his B.S. in aerospace engineering at USC and worked both as an engineer and IT consultant, before later deciding to transition into a helping profession. He completed his Psy.D. degree from Alliant International University, California School of Professional Psychology. He is trained in family systems, emotion-focused therapy, EMDR, mindfulness and yoga. Dane has a passion for leveraging technology to solve problems.
Dane believes deeply in the mission of FHCSD to provide the highest quality health care services to underserved populations. During his time at FHCSD, his passion for connecting across disciplines led him to apply to the Academy of Integrative Health and Medicine Fellowship where he completed a two-year program. He is currently working with a multi-disciplinary team to help broaden the scope of integrative wellness services offered at FHCSD, including an integrative health pilot for chronic pain.
Outside of work he enjoys spending time in nature, doing jiu jitsu, going to the dog park and having conversations over coffee. Dane is a lifelong helper committed to making integrative health care a reality in our communities.
Andrea Cruz, M.D.Core Faculty
Dr. Andrea Cruz has been with Family Health Centers of San Diego since 2020 and became a core faculty member in 2022. She received her medical degree from Universidad El Rosario, Bogota, Colombia. She worked as a primary care provider for underserved and vulnerable communities in Colombia from 2011 to 2013. After completing additional studies in both bioethics and epidemiology, she joined her psychiatry residency training at Virginia Commonwealth University (VCU) in Richmond, VA. During her training, she was a member of the house-staff council. She has helped train medical students and residents since 2015 and was acknowledged with the Residents as Teachers Award in 2016.
Dr. Cruz is board-certified in general psychiatry and is a member of the American Psychiatric Association and the Colombian Psychiatric Association. She has a special interest in cultural psychiatry, global mental health and integrative psychiatry. She is the site director for our City Heights Family Health Center clinic. In her free time, she enjoys meditation, reading, traveling, abstract painting and outdoor activities. She speaks English and Spanish.
Mark Knight, M.D. Assistant Medical Director, Child Psychiatry
Dr. Mark Knight joined Family Health Centers of San Diego in 2014 and became a core faculty member in 2022. He is the assistant director for the child and adolescent division.
Dr. Knight received his medical degree from University of California, San Francisco (UCSF). His passion to help individuals struggling with psychiatric conditions lead him to complete his general psychiatry training at Cedars Sinai Medical Center. Dr. Knight then went on to further his training by completing a child and adolescent psychiatry fellowship at University of California, Los Angeles (UCLA).
Dr. Knight specializes in treating children and adolescents with a focus on psychopharmacology and psychotherapy, especially mindfulness therapy. Dr. Knight is board-certified in general psychiatry, as well as child and adolescent psychiatry. As he enjoys teaching, he has been voluntary faculty at University of California, San Diego (UCSD), precepting the child and adolescent fellows during their outpatient clinic experience. He is also heavily involved in teaching child psychiatry curriculum to FHCSD’s family medicine residents. He was awarded the Top Doctors Award in San Diego Magazine in 2012. In his free time, he enjoys spending time with family.
Kerin Orbe, D.O.Core Faculty
Dr. Kerin Orbe is assistant medical director of specialty services, which involves oversight of the Clozaril program, long-acting injectable clinic and the concentrated program. She joined FHCSD in 2019 and became core faculty in 2022.
Dr. Orbe received her medical degree from New York School of Osteopathic Medicine and completed her psychiatric residency at New York Medical College at Westchester Medical Center in Valhalla, New York, where she was the chief resident in her last training year. Her passion for education was highlighted by supervising and teaching third- and fourth-year medical students throughout the years. She currently supervises FHCSD’s nurse practitioners. She is involved in FHCSD’s Family Medicine Residency teaching, including providing clinical rotation experience in psychiatry, as well as psychiatry lectures. She has provided electroconvulsive therapy for her patients over the years.
In 2014, Dr. Orbe was the recipient of a Caregram Award for employee of the month. She was elected as one of the “Best in California” as a featured psychiatrist representing San Diego, which will be published in the 2023 magazine edition.
She is board-certified in general psychiatry and is a member of the American Psychiatric Association, the American Osteopathic Association and the Neurology Education Institute. She has worked with patients of all ages, but has a special interest in working with the elderly. Dr. Orbe is also fluent in English and Spanish.
In her free time, Dr. Orbe enjoys spending time with her family and pets, dancing and exercising.
Christian Ramers, M.D., MPH, FIDSA, AAHIVSCore Faculty
Dr. Christian Ramers fulfills the role of assistant medical director for research and special populations, concurrently serving as the program Designated Institutional Official (DIO) at Family Health Centers of San Diego. He earned his medical degree from the University of California, San Diego in 2003 and completed his internship and residency at Duke University Medical Center in internal medicine/pediatrics. He completed a fellowship in adult infectious diseases and received a graduate degree in public health at the University of Washington. Dr. Ramers leads several clinical and educational programs supporting HIV and hepatitis C treatment within our clinics, consults for the California Office of AIDS, the CDC and Project ECHO on HIV and HCV-related clinical care initiatives and is a co-investigator on several NIH-sponsored research projects in collaboration with University of California, San Diego and San Diego State University investigators. Dr. Ramers maintains a busy bilingual clinical practice providing specialty and primary care to underserved and homeless individuals of all ages.
Jake ChristensenResidency Program, Manager
Mr. Jake Christensen, has been the program manager at Family Health Centers of San Diego Psychiatry Residency since its creation. In his previous career, Mr. Christensen held the rank of Sergent and title of Forward Air Controller in a Mobile Marine Task Force while serving with the United States Marine Corps. During his years of active duty he was honored to receive multiple meritorious promotions and field accommodations. Later Mr. Christensen attended the University of California, San Diego and earned a degree in International Studies, Political Science, Middle Eastern influence. Afterwards he spent several years travelling internationally from Vanuatu to Chile before returning to San Diego to work in the non-profit arena. His most notable work was with the Soldiers Project, assisting post 9/11 veterans and their families access free mental and behavioral health care.
Following this, Jake and his wife moved their lives to Arizona to continue her medical education. At this point he realized a new passion working in undergraduate medical education for the University of Arizona. Now back in San Diego, Jake looks forward to growing his career path in the development of graduate medical education.
In his free time, Mr. Christensen enjoys spending his time with his wife, a family medicine resident physician and their two children.
Madeline StutzCoordinator, Residency Program
Madeline Stutz joined Family Health Centers of San Diego in 2023 and serves as the Psychiatry Residency Program Coordinator. Before working for FHCSD Madeline completed her B.S. in anthropology from the University of Oregon. Soon after graduating from undergrad, she started her Master of Public Health program through the University of North Carolina at Chapel Hill. Madeline is passionate about public health topics such as: mental health, maternal and child health, and sexual and reproductive health.
Madeline comes to FHCSD with administrative experience in both the for-profit and non-profit sectors, where she honed her interpersonal communication and leadership skills. Outside of work she loves to read, take walks in Balboa Park, hang out at the beach, and do art to alleviate stress.