During the Fellowship, you spend twelve months working at the Mount Sinai Hospital, gaining integrative exposure to several medical and surgical disciplines and working with subspecialty teams to foster relationships and become an integral part of a multidisciplinary treatment team. Each week, you attend departmental Grand Rounds and meetings, and work closely with social workers, case managers, and medical colleagues. You provide staff support and appropriate in-service education as needed.
Throughout your rotations you learn administrative skills and serve as a junior attending, supervising the consults of rotating medical students and psychiatry residents.
General Medical/Surgical Inpatient Services
As a key member of the General Medical/Surgical Inpatient Services team, you provide general, primary psychiatric consults on a broad depth of medical and psychiatric knowledge. You form a liaison with various medical teams throughout the hospital.
Serving as liaison to the Infectious Disease team, you spend four months in HIV/AIDS Psychiatry, including two half-days each week in the outpatient HIV clinic. There, you perform initial psychiatric evaluations as well as follow-up visits for medication management and individual psychotherapy. You attend weekly team meetings and give one or two in-service lectures on topics relating to HIV psychiatry and/or psychosomatic medicine. You have the option of co-leading the HIV support group with one of the clinic social workers. You may also work with the obstetrics/infectious disease team, following pregnant HIV-positive women through pregnancy and postpartum.
Fellows can spend three to four months serving as the liaison to the Obstetrics team, evaluating and treating pregnant patients in the Obstetrics clinic, as well as pregnant and postpartum women on the inpatient Labor and Delivery and postpartum floors. Fellows will also assist in supervision of the obstetrical social workers and have the opportunity to collaborate with researchers on ongoing projects in the postpartum depression.
Fellows can spend three to four months , working with our psycho-oncologist as the liaison to Oncology, evaluating and treating inpatients and outpatients with a variety of oncological diagnoses. Outpatients are seen in the Dubin Breast Center or the Derald H. Ruttenberg Treatment Center of The Tisch Cancer Institute.
For four months, you are liaison to the Recanati/Miller Transplantation Institute at The Mount Sinai Hospital, working with patients undergoing liver, kidney, small bowel, and pancreas transplants. You provide pre- and post-transplant psychiatric evaluations and appropriate follow-up care. You also evaluate living related-organ donors, conduct pre-and post-transplant evaluations, post-transplant consultations, and outpatient follow-up.
During biweekly meetings of the Recipient Review Committee, you discuss psychiatric evaluations of pre-transplant patients. You assess each patient’s candidacy for transplant under case supervision of an attending psychiatrist.
You may allocate up to one month of your fellowship time to an elective, focusing on a specific medical, obstetrical, or surgical subspecialty and the most common related psychiatric issues. Working with the primary team, you attend team rounds, see all consults, become familiar with the literature pertaining to the subspecialty area, and provide several in-service training sessions to the team. Elective areas include multiple sclerosis, obstetrics, oncology, rehabilitation medicine, neuropsychiatry, geriatrics, palliative care, and primary care.