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.