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Fellowship in Medical (Consultation-Liaison) Psychiatry
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Brigham & Women’s and Faulkner Hospitals’ Fellowship in Psychosomatic Medicine
Dana-Farber Cancer Institute (DFCI)
West Roxbury V.A. Medical Center (WRVAMC)
Harvard Medical School (HMS)
The Fellowship in Psychosomatic Medicine at Brigham and Women’s / Faulkner Hospitals, West Roxbury VA Medical Center, Dana Farber Cancer Institute and Harvard Medical School has a nearly forty-year tradition of providing the highest quality education and training in the knowledge base and clinical practice of consultation-liaison psychiatry. The fellowship, which is fully accredited by the ACGME, provides a strong teaching and supervisory attending team while maintaining for fellows a considerable amount of individual autonomy in the evaluation and management of the patients on which they consult. A desire to learn the subspecialty of Consultation-Liaison Psychiatry and a mature willingness to work both independently and as part of a team are predictors of success in the fellowship.
Fellows participate in daily work rounds, weekly teaching case conference/walk rounds, and weekly didactics. They receive individual supervision both at the bedside and in formal sessions. Fellows are also valued educators and take part in the training and supervision of PGY III and IV residents in the Harvard Longwood Psychiatry Residency Training Program and Harvard medical students rotating through the Medical Psychiatry Service. Longwood Medical Area is an exciting location for physicians in training; both Harvard Medical School and Countway Medical Library are directly across the street from the BWH Medical Psychiatry offices.
Currently, there are three PGY V fellowship positions in Medical Psychiatry at Brigham & Women’s/ Faulkner Hospitals, one PGY V fellowship position in Medical Psychiatry at the West Roxbury VA Hospital, and one PGY V fellowship position in Adult Psychosocial Oncology at Brigham & Women’s Hospital/ Dana-Farber Cancer Institute.
Fellowship Opportunities
Brigham & Women’s / Faulkner Hospitals (BWH/FH)
3 PGY V positions
Brigham and Women’s Hospital is one of the leading academic tertiary care medical centers in the United States, a “Top Ten” hospital as noted in US News and World Report. The medical psychiatry service at BWH consists of the consultation-liaison psychiatry and the addiction psychiatry services. Together these services are responsible for all consultations to medical/surgical inpatients with co-morbid psychiatric, substance abuse, and/or behavioral problems at Brigham and Women’s and Dana Farber. These total over 3000 new cases and an additional 4000 follow-up visits each year.
In 1998 Brigham and Women’s Hospital corporately merged with Faulkner Hospital, a community teaching hospital 3 miles from BWH in the Jamaica Plain neighborhood of Boston. In 2001, psychiatry at BWH and Faulkner Hospital became clinically and academically integrated into a single department. The medical psychiatry service at Faulkner Hospital sees 700 new med/surg inpatient consultations and 1100 emergency department consultations per year. At Faulkner Hospital, fellows have the opportunity to practice medical psychiatry in a high-quality primary/secondary care hospital under the supervision of experienced C-L faculty.
The BWH/F Department of Psychiatry boasts a strong and growing research subdivision headed by Dr. Arthur Barsky. Fellows are encouraged, though not required, to undertake or involve themselves in a research project during their fellowship year.
In July 2008, Dr. David A. Silbersweig, a pioneer in functional neuroimaging and an accomplished researcher and educator in psychiatry and neurology, began as the chair of the Department of Psychiatry at Brigham and Women’s/Faulkner Hospitals and as chair of the Institute for the Neurosciences. Boarded in both psychiatry and neurology, Dr. Silbersweig has made medical psychiatry and neuropsychiatry priorities in the mission of the department. Fellows have the opportunity to work with Dr. Silbersweig and his research team in various modalities.
BW/F fellows are encouraged to set up a liaison experience during the year. Options include: the cardiac, lung or bone marrow transplantation teams; epilepsy service; primary care outpatient clinic (Brigham Internal Medicine Associates); burn trauma unit; coronary care unit; neurosurgery; brain tumor clinic; arthritis and rheumatology; obstetrics/gynecology; pain service; emergency department; and the dialysis and renal transplantation service.
Brigham and Women’s Hospital / West Roxbury VA Medical Center (BWH/VA)
1 PGY V position
The West Roxbury VA Medical Center is now the major Boston medical and surgical care facility in the VA system. It is located in suburban West Roxbury and is a state-of-the-art tertiary care hospital. It is a major teaching site for Harvard medicine and surgery programs. The BWH/VA fellow shares time between these two major teaching centers.
The West Roxbury VA medical psychiatry service is responsible for over 700 consultations each year. Specialty consultations are provided in sleep disorders, pain disorders, and to a spinal cord injury center. Evaluation services are also provided to the emergency department and the outpatient primary care service. The fellow will have the autonomy of administering the active clinical service under close supervision of attending psychiatrists. Responsibilities include supervising the clinical activities of two PGY IV residents in primary care psychiatry, a PGY III and PGY II resident, and several medical students each year. The fellow will be actively involved in performing clinical consultations as a full member of the medical psychiatry service. In addition, the fellow rotates 30 % of the time to Brigham and Women’s Hospital with full access to all didactics and supervision available there.
Brigham and Women’s Hospital / Dana Farber Cancer Institute (BWH/DFCI)
1 PGY V position
The BWH/ DFCI fellow receives primary training in psychosocial oncology and palliative care psychiatry. Training is focused at Dana Farber Cancer Institute, a world-renowned tertiary care cancer center. Responsibilities include clinical service to cancer patients and their families, consultation and follow-up with inpatients, development of collaborative relationships with oncology subspecialty practices, and other disciplines. Mentored research and teaching opportunities are available and clinical opportunities in palliative care are offered. The psychosocial oncology and palliative care faculty who provide fellow supervision are nationally recognized leaders in their field.
Program Leadership
David Silbersweig, M.D., Psychiatrist in Chief and Chairman, Brigham and Women’s / Faulkner Hospitals Departments of Psychiatry; Professor of Psychiatry, HMS: Neuropsychiatry and Neuropsychiatric Imaging; translational research. David Gitlin, M.D., Program Director; Director, Division of Medical Psychiatry, Brigham and Women’s/Faulkner Hospitals; Assistant Professor of Psychiatry, HMS: emergency psychiatry, competency issues, resident/ fellowship education, transplantation psychiatry, primary care psychiatry
Marcus Tjia, M.D., Associate Program Director; Assistant Director, Division of Medical Psychiatry, Brigham and Women’s Hospital, Instructor of Psychiatry, HMS: psychosomatic medicine, epilepsy
Michael J. Mufson, M.D., WRVAMC Site Director; Director of Psychiatry, WRVAMC; Assistant Professor of Psychiatry, HMS: pain medication and eating disorders
John R. Peteet, M.D., DFCI Site Director; Associate Professor of Psychiatry, HMS: psycho-oncology and addictions psychiatry
Florina Haimovici, M.D., Faulkner Hospital Site Director; Instructor of Psychiatry, HMS: reproductive issues and bariatric surgery
Core Supervisory Faculty
Arthur J. Barsky, M.D., Director of Research, Brigham and Women’s Hospital; Professor of Psychiatry, HMS: cardiac psychiatry, somatoform disorders and psychosomatic medicine research
Susan D. Block, M.D., Chief, Division of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute; Professor of Psychiatry, HMS: psycho-oncology and palliative care
Vivian Ecker, M.D., Director, Medical Psychiatry Service, Faulkner Hospital: general adult psychiatry, emergency psychiatry, geriatric psychiatry, psychotherapy and psychopharmacology.
Brandon Erdos, M.D., Instructor of Psychiatry, HMS; Clinical Coordinator, West Roxbury VA Medical Center
Randy S. Glassman, M.D., Director, Women’s Psychiatry Service, Brigham and Women’s Hospital; Assistant Professor of Psychiatry, HMS: general internal medicine, psychotherapy, psychosomatics, obstetrics/gynecology and women's psychiatry
Meghan Kolodziej, M.D., Instructor of Psychiatry, HMS: psychosomatic medicine, cardiac transplant psychiatry
Joji Suzuki, M.D., Medical Director, Addiction Psychiatry Service, Brigham and Women’s Hospital; Instructor of Psychiatry, HMS: addiction psychiatry; suboxone treatment
Halyna L. Vitagliano, M.D., M.Sci., Instructor of Psychiatry, HMS; psychosomatic medicine, psycho-oncology, neuropsychiatry
David Wolfe, M.D., M.P.H., Associate Director of Harvard Longwood Residency Training Program at BWH; Instructor of Psychiatry, HMS: psychosomatic medicine, psychotic-spectrum and conversion disorders, pulmonary transplant psychiatry
Affiliated Attending Staff
Orit Avni-Barron, M.D., Director, Women’s Mental Health, The Fish Center for Women's Health, Brigham and Women’s Hospital; Instructor in Psychiatry, HMS.
Jonathan F. Borus, M.D., Director, BWH Graduate Medical Education; Professor of Psychiatry, HMS: health systems, psychiatric education, psychiatry and primary care
Lisa Carbone, M.D., Assistant Professor of Psychiatry, HMS: general consultation psychiatry and women’s issues
Grace Chang, M.D., Associate Professor of Psychiatry, HMS: substance abuse, women’s research and health services research.
Jane L. Erb, M.D., Director, Psychopharmacology Service, Brigham and Women’s Hospital; Assistant Professor of Psychiatry, HMS: psychopharmacology
Alison Fife, M.D., MPH, Assistant Professor of Psychiatry, HMS: Addictions psychiatry, transplantation psychiatry, cardiac psychiatry, psycho-oncology and forensic psychiatry
John Grimaldi, M.D., Assistant Professor of Psychiatry, HMS: HIV/AIDS psychiatry
Martin J. Kelly, M.D., Associate Professor of Psychiatry, HMS: forensic consultation psychiatry, transplantation psychiatry, dangerousness/suicide assessments and medical/psychiatric health systems issues
Quentin R. Regestein, M.D., Associate Professor of Psychiatry, HMS: sleep disorders, attention and arousal problems, psychiatric aspects of menopause and somatization
George E. Vaillant, M.D., Professor of Psychiatry, HMS: alcoholism and substance abuse, adult development and psychodynamic psychiatry research
Employment & Compensation
Clinical Fellows receive appointments to the Brigham & Women’s Physician Organization and Harvard Medical School. All trainees shall be employees of Brigham & Women’s Physicians Organization and will receive salary, fringe benefits and liability insurance coverage. Visit http://www.partners.org/research/gme/research_gme.asp for more information pertaining to graduate medical education through Partner’s Healthcare. The House Officer’s Manual provides further details surrounding salary, benefits and employee services.
Application Process
Residents interested in any of the three fellowship tracks should email the fellowship program coordinator, Sally Paustian, at spaustian@partners.org for application materials. Applicants are invited to interview from September through late November for positions in the following academic year. Fellowship offers are made by early December.
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 Send Feedback to: Gary Chinman, MD at gchinman@partners.org
This page was last modified on 9/24/2009
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