We provide several formal didactics. The first is a 22-week-long course on CL psychiatry. We invite experts in this field as guest lecturers to complement our own faculty. Topics you will cover include psychopharmacology; neuropsychiatry; substance abuse; psycho-oncology; psychiatric aspects of movement disorders, liver transplant, obstetrics and nursing, death, dying and palliative care; cross cultural issues; pain management; coping and adaptation to illness; somatic symptom disorders; malingering; and factitious disorders.
Seminar with Joel, Wallack, MD: Introduction to Advanced PM
In this seminar you review classic papers in Psychosomatic Medicine on such topics as coping and adaptation to medical illness, approach to managing the difficult patient, and working as liaison to a medical or surgical team.
This year-long, weekly seminar with didactics explores advanced topics in Psychosomatic Medicine, including severe drug reactions, pain management, and CL aspects of cardiac, renal, endocrine, gastrointestinal and other areas. You review classic papers, current text books and papers, and meet with a journal club each month to critically evaluate recently published studies.
This weekly journal club is centered on the care of patients with HIV. You read and discuss journal articles and material on the psychiatric care of patients with HIV.
Research and Academic Project Meeting
In this weekly meeting you discuss academic projects and elements of your eventual Grand Rounds presentation. You learn basics of research design, how to run a literature search, write abstracts, create posters, workshops and presentation format. Many of our fellows present at the Academy of Psychosomatic Medicine and the American Psychiatric Association annual meetings.
In this weekly conference you evaluate patients with diverse diagnoses, led by senior faculty or visiting attendings with a breadth of specific expertise, you learn how to teach in the case conference format, gain skills in interviewing in front of a group, and understand how and what to teach trainees at different educational levels.
Teaching, Supervising, Administration, and Committees
Part of your training entails the supervision of Family Medicine third-year residents rotating through CL, as well as PGY-2 Psychiatry residents and third and fourth year medical students. You teach in journal club, seminars, formal lectures, rounds and in the case conference format.
During six months of administrative duties you coordinate consult services, work with non-psychiatry physicians, triage consultation requests, and collaborate closely on the patient log and database. You learn about financial aspects of the CL service, clinical information systems, diagnostic codes, and the Medicare, Medicaid, and other third party payer processes. You serve on key committees and participate in program development, evaluation, and improvement at multiple levels as well.
Research, Academic Projects, and Conferences
You are required to participate in academic projects, either joining one already in progress or developing your own. You make presentations throughout the year at various functions and are encouraged to write up findings for publication.
You attend the Annual Meeting of the Academy of Psychosomatic Medicine in November with expenses paid for by the division.
Supervision and Evaluation
Our full-time faculty supervises all of your clinical work, teaching, administrative, liaison, and academic activities. As a fellow you meet daily with your supervisor to review cases. You are directly observed in your duties as clinician, teacher, and administrator, progressing toward indirect supervision.
You are formally evaluated three times a year and at other points (following a presentation, after a patient encounter, etc.) by attendings, patients, non-physician staff, your trainees, and peers, on your skills in clinical information hand over, communication, professionalism, and teaching.
We offer a generous benefits package including stipend, discounted housing, full-service libraries, access to computers and research databases, as well as VPN remote access.
The Division of Consultation-Liaison Psychiatry and Department of Psychiatry at Mount Sinai Beth Israel strive for a pleasant and collegial working environment. We take your concerns seriously and foster many opportunities for socializing throughout the Health System.
For an application and other inquiries, please contact:
Daniel Safin, MD
Chief and Fellowship Program Director
Division of Psychosomatic Medicine
Mount Sinai Beth Israel
First Avenue at 16th St., Fierman Hall, 5F09
New York, NY 10003
Joel Wallack, MD
Associate Program Director, Fellowship in Psychosomatic Medicine