Consultation-Liaison Psychiatry Fellowship


Clinical Facilities

Jamaica Hospital Medical Center is the primary institution. Patients treated at this tertiary care center are from a diverse ethnic and socioeconomic population, with strong Guyanese and other international populations. Here, the general psychiatry residency training program is located. This is the primary base site for the Fellowship.

Flushing Hospital Medical Center is the secondary institution for Fellowship training. This hospital serves a different ethnic population with more Asian and South Asian patients. Fellows will gain a varied experience in consultation-liaison psychiatry at this site. The hospital is the base for our addiction treatment services for the Medisys Healthcare Network. Here, Fellows will gain more intense training in substance related issues for patients with medical problems. There are more liaison opportunities related to substance-related issues here as well.

Fellowship Program Information

Number of Fellows: Two
Length of Program: Twelve Months
Accreditation by the Accreditation Council for General Medical Education: Yes
Fellows who complete the program will meet all ABPN eligibility requirements to sit for the
Consultation-Liaison Psychiatry boards.

Rotation Blocks

Jamaica Hospital Flushing Hospital
Core Rotation 100% Core Rotation 100%
6 months 6 months
Outpatient Rotation 12 months (Jamaica Hospital; 1/2 day per week) 10%

Goals and Objectives of Program

To provide trainees with a forum in which to become proficient in Consultation-Liaison Psychiatry. Fellows will become proficient in the six general competencies as defined by the ACGME as they relate to Consultation-Liaison Psychiatry. This will be accomplished through clinical experience, didactic seminars, and individual teaching and supervision.

Types of Clinical Experience

In addition to patients with primary psychiatric conditions, Fellows will treat patients with psychiatric disorders due to medical illnesses, delirium, dementia, somatic symptom and related disorders, and pain disorders. Fellows will be able to evaluate patients with a variety of psychiatric complications of medical illnesses and their treatments.

They will assess patients for capacity to consent or refuse procedures and make other decisions. Fellows will gain experiences in treating patients with pharmacological and nonpharmacological means. They will work with physicians of various medical specialties, as well as with other members of the multidisciplinary treatment team. Fellows will have the opportunity to teach other physicians and trainees and help integrate good psychological health for patients treated in the medical setting.

Didactic Seminars

Formal didactic seminars are specifically for Consultation-Liaison Psychiatry Fellows. Core faculty and others will provide these seminars.
Seminars include:

  • Consultation-Liaison Lecture Series
  • Consultation-Liaison Clinical Pearls
  • Consultation-Liaison Clinical Monographs

Departmental Educational Activities

  • Grand Rounds – Jamaica & Flushing Hospitals
  • Case Conferences – Jamaica & Flushing Hospital

Research and Scholarly Activities

Each Fellow will be required to complete one research project related to Consultation-Liaison Psychiatry by the end of the Fellowship.
This must be a project worthy of publication. The Fellows will be involved in other scholarly activities, as well. These include teaching psychiatry residents, residents from other specialties, medical students and other trainees about Consultation-Liaison Psychiatry. Fellows are encouraged to become members of professional societies, participate in local, regional, and national meetings, and make presentations at these meetings.

Continuity of Care

Fellows will have an outpatient Consultation-Liaison Psychiatry experience by following patients in the Family Medicine Center at Jamaica Hospital. Fellows will follow patients on a continuous basis in this primary care clinic. They will have a separate supervisor for patients at these locations. Patients will be selected based on their interface with psychiatry and these primary care specialties.

Supervision

Fellows will have designated supervisors at each of the training sites, who are part of the core faculty. In addition to formal supervision, Fellows will discuss each of the consults they do with one of the Consultation-Liaison Psychiatry Attendings. All Psychiatry Attendings will be available 24 hours through the pager system to answer any questions Fellows may have.

Teaching

Fellows will be required to teach residents from the General Psychiatry Residency of Jamaica Hospital while they are on their Consultation-Liaison Psychiatry rotation. Fellows will teach formal classes, as well as provide informal teaching through supervision of the residents’ cases. Fellows will also teach other trainees rotating through the department, including residents from other specialties and medical students rotating through the department.