Psychosomatic Medicine Fellowship

Consultation Liaison Psychiatry

Overview

Psychosomatic medicine is the newest board-certified subspecialty in psychiatry. Psychosomatic medicine, also known as consultation liaison psychiatry, is the psychiatry of the medically ill. Specialists in this area provide consultation and continuing care in both inpatient and outpatient medical settings.

The subject matter of the field includes psychiatric aspects of medical illness, both its physiological effects and its psychological aspects, ranging from delirium to the emotional adaptation to the ill state. The subject matter also includes the medical aspects of psychiatric illness, ranging from side effects of psychiatric medications to the sequelae of anorexia.

Board certification requires completion of an ACGME-approved 12-month fellowship. Our program provides supervised clinical training in both inpatient hospital and outpatient clinics, based at the Yale-New Haven Hospital and the VA Connecticut Healthcare System.

Core Philosophy

Direct clinical experience with sophisticated supervision is the primary forum for learning to care for patients in the Yale fellowship program. Adequate training involves knowledge and skill acquisition in direct patient care, often as a member of a multidisciplinary team.

In the process of training it is anticipated that each psychiatric fellow will acquire specialized clinical skills strongly grounded in a theoretical knowledge base, while learning to work effectively with allied mental health professionals. The advancement of qualities central to professional identity development, including a strong sense of patient responsibility, integrity, empathy and respect for patients, is emphasized.

Core Values

  1. Medical Knowledge – Knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of the knowledge to patient care.
  2. Patient Care – Provide patient care that is compassionate, appropriate, evidence based, and effective for the treatment of health problems and the promotion of health.
  3. Interpersonal Communication Skills – Interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families and multidisciplinary health professionals.
  4. Professionalism – A commitment to carrying out professional responsibilities and an adherence to ethical principals.
  5. Practice Based Leaning and Improvement – Ability to investigate and evaluate their care of patients, appraise and assimilate scientific evidence and continuously improve patient care based on constant self-evaluation and life-long learning.
  6. Systems Based Practice – Understand the system of care, how it functions and how to advocate for their patients receiving the best available care.
  7. Innovation and Self Development – Active in improving their practice and contribute to the development and dissemination of new knowledge.