Clinical Rotations

During the Fellowship, fellows spend twelve months working at the Mount Sinai Hospital, gaining 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. Fellows perform initial and follow-up psychiatric consultation for patients hospitalized on the inpatient medical/surgical/obstetrical services and for patients seen in outpatient medical specialty practices, including HIV, Primary Care, Obstetrics, Oncology, and Transplant Clinics. Fellows also provide staff support and appropriate in-service education to consulting treatment teams. Throughout the rotations, fellows learn administrative skills and serve as a junior attending, supervising the consults of rotating medical students and psychiatry residents.

In addition to rotating on the general consult service, fellows also spent 4 months serving as the administrative and educational fellow as well as two 4 month-long blocks serving as liaison to several specialty services of their choice. The liaison experience includes both inpatient and outpatient clinical work. Possible specialty liaison experiences include those listed below.

Sample Schedule

Collaborative Care

The collaborative care model at IMA incorporates mental health services into the primary care setting, providing support to a population of over 20,000 patients and their providers. During this rotation, you will work with the consulting psychiatrist to explore the role of the psychiatrist in the collaborative care model. You will learn about population health and systems based practices, time efficiency and cost effectiveness. You will interact with a multidisciplinary clinical team during weekly clinical discussions and develop the skill of providing mental health consultation based on case presentation and chart review.

HIV Psychiatry

Fellows can spend 3-4 months serving as the liaison to the Infectious Disease team.  Fellows spend one to two half-days per week in one of the outpatient HIV clinics doing initial psychiatric evaluations as well as follow-up visits for medication management and individual psychotherapy. Fellows have the option to co-lead an HIV support group as well as to work with the Obstetrics/Infectious Disease team.

Transgender Psychiatry

Fellows spend one to two half days per week over 3-4 months working at Mount Sinai’s Center for Transgender Medicine and Surgery, doing initial psychiatric evaluations as well as follow-up visits for medication management and individual psychotherapy. Fellows will gain knowledge around transgender specific psychiatric evaluation, cultural sensitivity, hormone therapy, and indications and contraindications for surgery.

Reproductive Psychiatry

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 perinatal psychiatry.

Psycho-Oncology

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.

Transplant Psychiatry

Fellows can spend 3-4 months serving as the liaison to the Recanati/Miller Transplantation Institute at The Mount Sinai Hospital, working with patients undergoing liver, kidney, small bowel, heart, and pancreas transplants. Fellows provide pre- and post-transplant psychiatric evaluations. Including living donor evaluations. . Fellows attend a biweekly recipient review committee meeting with the multidisciplinary transplant team.

Elective

You may allocate up to one month of your fellowship time to a full-time 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 integrated behavioral health team, multiple sclerosis, obstetrics, oncology, rehabilitation medicine, neuropsychiatry, geriatrics, palliative care, and primary care.