Psychosomatic Medicine Fellowship: Campus and Facilities

Hartford Hospital (HH) and The Institute of Living (IOL) share a campus located just south of downtown Hartford and the state capitol, and just a few blocks east of Trinity College. Along with the adjacent Connecticut Children’s Medical Center (CCMC), the hospitals form one of the nation’s most sophisticated medical complexes.

The core clinical facilities for the Hartford Hospital/Institute of Living Psychosomatic Medicine Fellowship Program include:

Hartford Hospital

The 850-bed Hartford Hospital is a tertiary referral center and the largest general hospital in the state of Connecticut.

A Learning Community

Hartford Hospital serves as a major affiliated training site for University of Connecticut (UConn) School of Medicine house officers and medical students in psychiatry, medicine, surgery, pediatrics, ob-gyn, emergency medicine, neurology, surgical subspecialties (ENT, orthopedics, urology), cardiology, critical care, trauma surgery and a variety of internal medicine fields. HH/IOL and UConn residents rotate at Hartford Hospital on internal medicine, neurology, consultation/liaison psychiatry, and emergency room/crisis intervention services. A variety of PGY-4 electives are available.

Psychiatry’s Role

Psychiatry at Hartford Hospital includes an extensive consultation/liaison program and the state’s largest and busiest Emergency Psychiatry Service. The psychiatry staff who are involved in the training program hold full academic or clinical appointments with the University of Connecticut School of Medicine and participate fully in the didactic and supervisory “medicine-psychiatry” interface of many of the training programs. Patients treated at Hartford Hospital include individuals with a full range of disorders. The patient population is socioeconomically and ethnically diverse.

Hospital  Resources

Hartford Hospital has seven intensive care units: medical, cardiac, pulmonary rehabilitation, surgical, cardiothoracic surgery, neurosurgical and neonatal. Each has an attached step-down unit. The hospital also has medical, surgical, surgical subspeciality (ENT, orthopedic, urology), obstetrics, gynecology, neurology and cardiology units, as well as specialty units in oncology, palliative care, Level 1 surgical trauma, transplantation and dialysis. Outpatient clinics also serve a full spectrum of patients.

The Institute of Living/Hartford Hospital

The Institute of Living (IOL) is the Department of Psychiatry of Hartford Hospital. The IOL provides a full complement of psychiatric services, treating patients with a wide range of disorders. The facility includes three 28-bed general adult locked inpatient units.  It also has a Child and Adolescent Inpatient Unit and a Geriatric Inpatient Unit with a subspecialized dementia treatment section.

Range of Resources

Partial hospital programs at the IOL include the General Adult Program, the Addiction Recovery Service, the Eating Disorders Program, the Geriatric Program, the Professionals Program, the Trauma Track (of the Adult Program) and the Schizophrenia Rehabilitation Program. The Outpatient Department provides general adult care as well as subspecialized services in Anxiety Disorders, Geriatric Psychiatry, Couples and Family Treatment, Forensic Psychiatry and Sexual Disorders. The Assessment Center provides unscheduled ambulatory evaluations and home-based outreach services. The Crisis Intervention Service provides short-term focused treatment and referral for patients initially seen in the Emergency Department and on the Consultation/Liaison Service at Hartford Hospital. The Geriatric Program provides inpatient, outpatient, and partial hospital treatment, as well as nursing home consultation and home visits. The Child and Adolescent Program provides a full range of services, including inpatient, partial and outpatient services. Primary, middle and secondary schools on the grounds provide education in collaboration with the Day Treatment Program and Inpatient Services.

Training

Training for PGY-1 and PGY-2 inpatient and addiction rotations occurs on general adult inpatient units. Training for the inpatient component of the geriatric rotations occurs on the geriatric services. The IOL provides clinical sites for rotations in inpatient, outpatient, child and adolescent, crisis intervention, addiction and geriatric psychiatry. A variety of PGY-4 elective slots are also available.

The psychiatry staff of the IOL who are involved in the training program hold full academic or clinical appointments with the University of Connecticut School of Medicine, and they participate fully in the didactic and supervisory aspects of the training program.

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