The Medical (Consultation-Liaison) Psychiatry Postgraduate Fellowship Programs
at:
Brigham & Women's Hospital (BWH)
Dana-Farber Cancer Institute (DFCI)
Faulkner Hospital (FH)
West Roxbury V.A. Medical Center (WRVAMC)
and Harvard Medical School (HMS)
The Medical Psychiatry Fellowship Programs at the BWH, WRVAMC, DFCI, and HMS have a thirty-year tradition of providing the highest quality education and training in the knowledge base and clinical practice of consultation-liaison psychiatry. The MPS Fellowships are fully accredited by the Acreditation Council for Graduate Medical Education (ACGME), and accepted as qualification for subspecialty exam status by the American Board of Psychiatry and Neurology. The program provides both strong teaching and supervision, while maintaining considerable individual autonomy in the evaluation and management of patients. A desire to learn the subspecialty of Consultation-Liaison Psychiatry and a mature willingness to work both independently and as part of the team are predictors of success in the fellowship.
Fellows take part in daily teaching rounds, weekly teaching case conference/walk rounds, didactics, and a journal club. They receive individual supervision both at the bedside and in formal sessions. The fellows also are valued educators and take part in the training and supervision of Harvard Longwood Psychiatry Residency Training Program PGY III and IV residents on their C-L Psychiatry rotations, and Harvard medical students rotating through the service. Fellows receive clinical appointments at Harvard Medical School, with full access to all HMS privleges, including the Countway Medical Library directly across the street. In addition to clinical responsibilities, all fellows participate in both liaison training and scholarly projects during the year.
Currently, there are Four PGY V fellowship positions in Medical Psychiatry at Brigham & Women's/ Faulkner Hospital system, and West Roxbury VA Hospital, and one PYG V fellowship position in Adult Psychosocial Oncology at Brigham & Women's/Dana-Farber Cancer Institute.
The supervisory attending staff includes some of the leading experts in the practice and academic study of Consultation-Liaison Psychiatry. Some of their expertise includes:
Jonathan F. Borus, M.D., Psychiatrist in Chief and Chairman, Brigham and Women's/Faulkner Hospitals Department of Psychiatry: Health systems, psychiatric education, psychiatry and primary care
David Gitlin, M.D., Director, Medical Psychiatry Service, BWH/Faulkner Hospitals: Emergency psychiatry, competency issues, resident/fellowship education, transplantation psychiatry, primary care psychiatry
Bernard Vaccaro, M.D., Assistant Director, Medical Psychiatry Service, BWH: Neuropsychiatry, epilepsy, general consultation, cardiac psychiatry
Arthur J. Barsky, M.D., Director of Research: Cardiac psychiatry, somatoform disorders, psychosomatic medicine research
Susan D. Block, M.D., Chief, Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute: Psycho-oncology, palliative care
Lisa Carbone, M.D., General consultation psychiatry, women's issues
Grace Chang, M.D., Substance use and women research, health services research
David P. Curtiss, M.D., Medical Director, Addiction Psychiatry Service: Alcohol and drug counseling and education
Vivian Ecker, M.D., Director, Medical Psychiatry Service, Faulkner Hospital: General adult psychiatry, emergency psychiatry, geriatric psychiatry, psychotherapy, psychopharmacology.
Jane L. Erb, M.D., Director, Psychopharmacology Service: Psychopharmacology
Alison Fife, M.D., MPH, Addictions psychiatry, transplantation psychiatry, cardiac psychiatry, psycho-oncology, forensic
Randy S. Glassman, M.D., Director, Women's Psychiatry Service: General internal medicine, psychotherapy, psychosomatics, obstetrics/gynecology, women's psychiatry
Florina Haimovici, M.D., Reproductive psychiatry, transplantation psychiatry
Christine Kim, M.D., Psychosomatic medicine
Martin J. Kelly, M.D., Forensic consultation psychiatry, transplantation psychiatry, dangerousness/suicide assessments, medical/psychiatric health systems issues.
Michael J. Mufson, M.D., Chief of Psychiatry, WRVAMC, Pain medication, eating disorders
John R. Peteet, M.D., Psycho-oncology, addictions psychiatry
Quentin R. Regestein, M.D., Sleep disorders, attention and arousal problems, psychiatric aspects of menopause, somatization
Malcolm P. Rogers, M.D., Neurosurgical liaison, neuropsychiatry, rheumatology
George E. Vaillant, M.D., Alcoholism and substance abuse, adult development, psychodynamic psychiatry research
Fellowship Options
Brigham and Women's/Faulkner Hospitals 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 (MPS) at BWH consists of Consultation-Liaison Psychiatry and the Addiction Psychiatry Service (APS). The MPS and APS are responsible for all consultations to medical/surgical inpatients with co-morbid psychiatric, substance abuse, and/or behavioral problems at BWH and DFCI, as well as psychiatric and substance abuse patients presenting to the BWH Emergency Department, which together number over 3000 new cases, and an additional 4000 follow-up visits per year. There is also a strong research subdivision headed by Dr. Arthur Barsky, and fellows are encouraged, although not required to undertake a research project.
In 1998 BWH corporately merged with Faulkner Hospital (FH), a community teaching hospital 3 miles from the BWH in the Jamaica Plain neighborhood of Boston. In 2001 Psychiatry at BWH and FH became clinically and academically integrated under a single Chief, Dr. Jonathan Borus, into the BW/F Department of Psychiatry. The FH Medical Psychiatry Service sees 700 new med/surg inpatient consultations and 1100 Emergency Department consultations per year. At FH, the fellows have the opportunity to practice Medical Psychiatry in a high-quality primary/secondary care hospital, under the supervision of experienced C-L faculty.
BW/F fellows are encouraged to set up a liaison experience during the year. Options include work with the Cardiac, Lung, or Bone Marrow Transplantation Teams; Primary Care Outpatient Unit (Brigham Internal Medicine Associates); Burn Trauma Unit; Coronary Care Unit; Neurosurgery; Brain Tumor Clinic; Arthritis and Rheumatology; Obstetrics/Gynecology; Pain Service, Emergency Department, Domestic Violence and Sexual Assault Teams; Dialysis and Renal Transplantation Service.
All BW/F fellows are full-time at BWH for 8 months, and 70 % at FH and 30 % at BWH for 4 months.
BWH/West Roxbury VA Medical Center 1 PGY V position
The BWH/WRVAMC fellow shares time between these two major teaching centers. 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 the Harvard medicine and surgery programs.
The 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 will 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 the Brigham and Women's Hospital Medical Psychiatry program, with full access to all didactics and supervision available there.
BWH/Dana Farber Cancer Institute 1 PGY V position
The Psychosocial Oncology Program is recruiting a full time PGY V fellow in Psychiatry to service the clinical needs of a growing academic psychosocial oncology service based at Dana Farber Cancer Institute and the Brigham and Women’s Hospital. The one-year fellowship period runs from July – June. Applications are now being accepted for 2007 and 2008.
Psychiatrists will acquire knowledge and skills in the psychosocial care of patients and families at all stages of cancer, including the end of life. Fellows participate in didactic and clinical activities of the ACGME accredited psychosomatic medicine fellowship at Brigham and Women’s Hospital of which the fellowship is an integral part, receive supervision in the psychiatric care of both oncology outpatients at the Dana-Farber Cancer Institute (DFCI) and oncology and some non-oncology inpatients at Brigham and Women’s Hospital (BWH). Close contact with faculty of the Psychosocial Oncology and Palliative Care Services of DFCI and the Harvard Medical School Center for Palliative Care provides enhanced opportunities for focused clinical learning about palliative care and the emotional support of patients with cancer.
To apply to BWH/DFCI Fellowship, send Letter of Interest, curriculum vitae, personal statement and 3 letters of recommendation to: John Peteet, M.D., Director, Adult Psychosocial Oncology Program, DFCI, 44 Binney Street, SW 411, Boston, MA 02115. Telephone: 617.632.3195 Fax: 617.632.6180. http://www.dana-farber.org/abo/medical/psycho.asp
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