We offer a one-year fellowship in Geriatric Psychiatry, approved by the Accreditation Council for Graduate Medical Education, providing a wealth of academic and training opportunities in the Division of Geriatric Psychiatry. As a trainee you are exposed to experiences specifically tailored to maximize educational content and breadth of patient exposure. Our fellowship includes community and hospital-based outpatient as well as acute and long-term inpatient care settings. Throughout your training, you will interact with and learn from colleagues in the Departments of Geriatrics and Palliative Care, Rehabilitation Medicine, and Neurology.
Our program prepares you to evaluate, diagnose, and longitudinally treat geriatric patients presenting with a variety of psychiatric problems in diverse clinical settings. You gain experience treating major mental illnesses in the aging patient, including anxiety disorders, geriatric depression, and psychosis in the elderly. Experts in the field teach and supervise you in the management of primary cognitive disorders such as Alzheimer’s disease, Lewy body dementia, the Frontotemporal dementias, and post-stroke neuropsychiatric conditions. Our division has particular distinction in the areas of electroconvulsive therapy (ECT) and neurocognitive disorders. Also throughout your training we give prominent attention to the psychosocial and ethical aspects of care, such as adaptation to retirement, loss of spouse, loneliness/alienation, and societal ageism. For those interested in academic psychiatry or research, we offer you many opportunities to get additional mentoring and experience in your own areas of interest. As the population ages, our division is responding head on to the growing need for psychiatrists with expertise in the mental health problems of the elderly. The Mount Sinai Health System is a world leader in integrated clinical care, education, and research focused on the needs of older adults, and our training program will position you at the forefront of the field. During this fellowship you learn from nationally and internationally renowned leaders as you care for patients, develop research interests, and collaborate with colleagues throughout the institution.
By the time you complete the Geriatric Psychiatry Fellowship you should expect to have achieved:
- Clinical expertise in the multidisciplinary care of geriatric psychiatric patients in a variety of settings (inpatient, outpatient, skilled nursing facilities, medical units, community)
- Understanding of the phenomenology of psychiatric illness in older adults and how it differs from younger patients
- Insight into psychosocial changes of aging
- Understanding of neuropsychological assessments
- Teaching and team leadership skills
- Proficiency in evaluating the geriatric psychiatry literature from an evidence-based medicine perspective
- Familiarity with the design and implementation of clinical research currently in progress throughout the Mount Sinai Health System
Following are the details of how your time will be divided during the Geriatric Psychiatry Fellowship.
The Mount Sinai Hospital (6 months)
For six months you rotate through division services at The Mount Sinai Hospital on Manhattan’s Upper East Side, dividing your time between the Outpatient Geriatric Psychiatry Clinic, the ECT service, and the Inpatient Geriatric Psychiatry Unit. In each setting of care, you have rich opportunities for learning and teaching as you interact with multidisciplinary treatment teams and other trainees.
Outpatient Geriatric Psychiatry
The Geriatric Psychiatry Clinic (located in the Martha Stewart Center for Living) is home to a multidisciplinary team of dedicated professionals who provide comprehensive neuropsychiatric assessments, psychopharmacology, individual and group therapy, ECT, and support groups. Because family members often need support as well, we offer caregiver support groups.
Inpatient Geriatric Psychiatry
The 21-bed Inpatient Geriatric Psychiatry Unit (located on 7 South of the Klingenstein Clinical Center) provides care for older patients suffering from serious neuropsychiatric illness that requires intensive evaluation and treatment. Our specialized team of physicians, nurses, social workers, and rehabilitation therapists is skilled in providing comprehensive neuropsychiatric and medical evaluations, and developing the most effective treatment plan for each patient. The inpatient care we provide includes psychopharmacotherapy, individual and group psychotherapy (including art therapy, drama therapy, and music therapy), ECT, and after-care planning.
Electroconvulsive Therapy (ECT) Service
The ECT Service provides both inpatient and outpatient electroconvulsive therapy. Our multidisciplinary team of ECT psychiatrists, anesthesiologists, and psychiatric nurses collaborates to provide state-of-the-art care for patients with severe mood and psychotic disorders. Eligible patients may participate in a multi-site research project funded by the National Institute of Mental Health and investigating maintenance ECT for treating geriatric depression. We offer referrals for ECT evaluation on both an outpatient and inpatient basis.
James J. Peters VA Medical Center (JJP VAMC) (6 months)
The James J. Peters VA is a major teaching affiliate of The Mount Sinai Hospital and the Icahn School of Medicine at Mount Sinai. The center provides tertiary services to a veteran population from the Bronx, Westchester, and Rockland counties, Northern New Jersey, and the New York City metropolitan area. The facility serves as a comprehensive cancer center; a national center for Alzheimer's disease, schizophrenia, and alcohol abuse; a spinal cord injury center; and a post-traumatic stress disorder center.
You rotate through the Geriatric Psychiatry service for six consecutive months working in the outpatient geriatric psychiatry clinic and serving as primary consultant to the on-site VA nursing home. Your schedule also includes varied exposure to neurology, rehab medicine, and palliative care clinics. You have the opportunity to work in the Icahn School of Medicine’s Alzheimer’s Disease Research Center (ADRC) clinics assessing research subjects enrolled in longitudinal studies and clinical trials. We provide shuttle service throughout the day between The Mount Sinai Hospital and the JJP VAMC for trainees.
Fellows' Lecture Series: You are given protected time to attend a series of lectures designed for all advanced psychiatry fellows at The Mount Sinai Hospital. We provide weekly lectures, and faculty rotates from the Geriatric Psychiatry, Psychosomatic Medicine, and Addiction Psychiatry services.
Other Seminars: You are encouraged to attend ADRC case conferences and the weekly geriatric medicine seminar for fellows in the Brookdale Department of Geriatrics and Palliative Medicine.