Psychosomatic Medicine Fellowship: The Training Program
Inpatient Consultation Service —
Hartford Hospital
A required,
year-long, full- to part-time rotation offering fellows the opportunity to
consult to Connecticut’s largest tertiary referral center. Residents are taught
by senior consultation/liaison educators with specialized expertise in areas
such as palliative care, internal medicine, adolescent and family psychiatry,
HIV disease, substance-induced syndromes and oncology. Especially strong relationships exist with
oncology, HIV, transplantation, palliative care, internal medicine, cardiology
and the medical and surgical intensive care units. Fellows begin by consulting
individually on one to four new consults per day and carry a total of seven
to 10 patients individually. As attendings-in-training and supervisors of more
junior trainees, they follow 15 to 20 patients, approximately five of whom they
carry independently. Patient responsibilities are reduced as fellows spend more
time in outpatient and liaison psychiatry.
Fellow-as Educator Service — Hartford Hospital
A required, part-time, 10-month rotation
that provides fellows with the opportunity to enhance their skills as
educators and supervisors. Many of the faculty are themselves recipients of
teaching awards. One to two days each week, fellows serve as attendings-in-training,
working alongside their assigned faculty members and conducting case-management
rounds, bedside teaching rounds and case-based literature reviews. Other
responsibilities include supervising PGY-2 psychiatry residents and PGY-3
internal medicine residents in preparation for two Combined Internal
Medicine/Psychiatry Case Conferences, conducting Internal Medicine Morning
Report, and giving several PGY-1 lectures in psychosomatic medicine topics of
interest.
Disease Management Team Liaison Service —
Hartford Hospital
A required, part-time, eight-month
rotation in which the fellow serves as liaison to a subspecialty area of the
hospital and provides leadership to the psychosocial team. The fellow
attends meetings of the multidisciplinary team, identifies and provides for
unique patient care needs, attends to the educational and patient management
needs of the service area, and examines systems issues that arise. He/she
also case-finds and provides formal and informal consultation to the team.
The fellow carries two to seven patients from the liaison area weekly,
either individually or as supervisor of junior trainees.
Psychosomatic Medicine Outpatient Continuity and
Outpatient Subspecialty Services — Hartford Hospital
A required, part-time rotation that
includes12 months in continuity outpatient and six months in subspecialty
outpatient work. In the continuity outpatient rotation, the fellow carries outpatients from
his/her
inpatient C/L experience under supervision. Frequency of sessions may range
from once a week for psychotherapy and/or psychotropic medication management
to once every few months for psychotropic medication management alone. In
outpatient subspecialty, the fellow selects an outpatient subspecialty
service and spends one-half day in the selected clinic.
Scholarship Service — Hartford Hospital
or The Institute of Living
During this part-time, 10-month rotation,
the fellow engages in required scholarly pursuit or research activities. The
scholarship results in either a Grand Rounds or Psychopharmacology and
Neuroscience Rounds presentation at year’s end. Alternatively, the fellow joins
an ongoing research project or develops a feasible one of his/her own, working
with our research faculty.
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