Consultation-Liaison Psychiatry Fellowship

Clinical Rotations and Training Facilities

The primary training site for fellows is the Consultation-Liaison Psychiatry Service, which treats patients at Montefiore Moses Division, and its affiliated hospitals and clinics.

This service is an active training site for psychiatry residents, medical students, and neurology residents. Opportunities for teaching and clinical research are available and the collegial atmosphere of the service allows for substantial mentoring. We make every effort to accommodate each fellow’s particular clinical or research interests.

All training sites are located in the Bronx, with the exception of the Bioethics Seminar, which takes place in Manhattan.

Each fellow spends the majority of his/her time on the Montefiore Adult Psychiatric Consultation Service. There we see approximately 200 patients per month. Afternoon rounds are conducted daily by the attendings, who see each new patient with a team, led by the fellow and made up of the PGY IV chief resident, PGY II psychiatry residents and other trainees, including a PGY IV neurology resident and medical students.

Fellows spend a full day weekly at other sites, including the Psychiatry Consultation Services at the Jack D. Weiler Hospital Division and the Wakefield Division and in our Integrated/Collaborative Care Outpatient Clinics.

In addition, each fellow spends up to four months on the in-patient and out-patient Solid Organ Transplant Service, evaluating and treating patients requiring heart, liver, kidney, pancreas, intestine or lung transplants. Fellows also spend one month on the in-patient Pain and Palliative Care Consultation Service and one month on the in-patient Addiction Psychiatry Consultation Service. We offer an optional elective month and try to take fellows’ clinical and research interests into consideration in making best use of elective time.

Fellows may also spend one afternoon a month acting as a supervisor to an Observed Simulated Clinical Evaluation (OSCE) program for family medicine residents.

In addition, fellows have the option to pursue formal graduate level training in Bioethics via a year-long off-campus interdisciplinary Bioethics course, which provides graduates with a Certificate in Bioethics as well as credits towards a Master’s Degree in Bioethics.

Fellows also take part in Departmental Quality Improvement activities.

There is no night or weekend call obligation.

 

Consultation-Liaison Psychiatry Pediatric Fellowship Track

Applicants who have completed Child and Adolescent Psychiatry Fellowship training may choose this specialized track, spending six to nine months focused on the care of medically ill children and adolescents in both in-patient and out-patient settings in the Children's Hospital at Montefiore (CHAM). US News and World Report has named CHAM as one of the nation's best childrens' hospitals in the nation. Fellows are supervised by the staff of the Child and Adolescent Psychiatric Consult Service, who are certified in Child Psychiatry and Consultation-Liaison Psychiatry.

 

Case Conferences, Rounds and Seminars

Weekly learning opportunities include a reading seminar, focused on major texts in the field and a weekly Clinical Case Conference, at which trainees present difficult cases to a panel of attendings with a wide range of experience and interests.

In addition, we hold a bi-weekly joint Neurology-Psychiatry Case Conference to discuss cases on the interface between Psychiatry and Neurology, co-led by David M. Kaufman, M.D., a renowned neurologist and author of Kaufman’s Clinical Neurology for the Psychiatrist.

Psychiatry Department Grand Rounds take place every Thursday and feature leading speakers, who cover a wide range of topics. A monthly journal club is open to all trainees on the service. In addition, Mary Alice O’Dowd, MD leads a monthly Service Director’s Journal Club for the fellows.

Lectures on topics in Consultation-Liaison Psychiatry, Pain and Palliative Care, QI and Peer Review, and Addiction Psychiatry are offered at different times through-out the year, as well as biweekly focused seminars based on the Case Vignettes developed by the Academy of Consultation-Liaison Psychiatry (formerly the Academy of Psychosomatic Medicine).

 

Supervision

Supervision takes place daily, formally in rounds and less formally throughout the day, as the primary attendings are always on site and available. Supervision is an integral part of each of the clinic activities. In addition, fellows meet twice monthly with senior staff to provide more advanced supervision.

 

Evaluation

As an essential part of the training program, timely and clear feedback provides residents with a personalized guide for fully developing their clinical skills. Supervisors complete computerized evaluations toward the end of each rotation, at quarterly and six-month intervals.

Residents also provide anonymous computerized feedback to supervisors and course instructors and evaluate the clinical rotations. Additionally, residents participate in our annual curriculum review. Our Training Committee meets biannually to review the progress of all trainees. Our Directors of Training provide direct feedback based on this review, as well as written evaluations.

Click here to log in