Program Components

The fellowship consists of inpatient consultation experience (approximately 80% of training), elective experience which must include outpatient care (10%), and didactic training (10%).

Inpatient Consultation Experience

Fellows complete their inpatient rotation at the Yale New Haven Hospital (YNHH).

Yale-New Haven Hospital (YNHH) is a 700-adult bed tertiary care hospital. It is the primary teaching hospital for Yale University School of Medicine, with a full range of advanced specialized units. Recent research on our service has indicated that increased, proactive psychiatric consultation can improve care, decrease length of stay and reduce expenses (PubMed link). In consequence, the hospital has provided funding for a proactive, multidisciplinary team including psychiatrists, advanced practice nurses and social workers on certain units. Fellows will therefore have the opportunity to learn both the traditional consultation model and a newer more integrated model of consult service delivery. Click here for a complete description of our Behavioral Intervention Team.

Fellows work as part of a close-knit team and receive instruction in CL psychiatry at the bedside, and also assist in the education of residents in psychiatry, medical students, and other trainees.

Outpatient Experiences and Electives

Outpatient experiences include serving as psychiatric consultant in the Primary Care Clinic, HIV clinic and Yale Transplantation Center. Fellows are typically required to complete three outpatient experiences based at YNHH or at the VA Connecticut Healthcare System (VACHS) in West Haven. The VACHS is a 200-bed tertiary care hospital also affiliated with the School of Medicine. VACHS offers a full range of inpatient, outpatient and rehabilitation care, in medicine, surgery, psychiatry, and neurology.

Depending on the fellow’s educational goals, the fellows may also choose outpatient electives such as bariatric psychiatry, geriatric psychiatry, psychiatric consultant in the palliative care clinic, sickle cell clinic, the addiction clinic or the women’s sexual and intimacy clinic.

Finally, fellows may elect to pursue a research project in CL psychiatry or related area of psychiatry, or other supervised academic work.

Didactic Experience

Fellows participate in weekly didactic seminars in psychosomatic medicine over the course of the year. The seminar series is divided into core topics in the initial part of the year, followed by specialized topics later in the year. Faculty are drawn from the psychosomatic program faculty, but also from a range of other medical specialties.

Another seminar series is oriented towards research methodology. Fellows learn about methodology for clinical trials, case control series, epidemiological research and other types of studies, and then participate in seminars where current published research is used to illustrate these techniques and their difficulties in the consultation population.

Fellows also participate in a case conference series, and have the opportunity to present cases and moderate discussion. The series offers a particular opportunity for multidisciplinary collaboration, both learning from other colleagues and teaching other colleagues.

In addition to these activities, many of the elective rotations offer site-specific rounds/seminars that include case-based discussion and relevant literature review.