The principal component of the fellowship is training in inpatient hospital consultation psychiatry at the YNHH and VACHS.
Yale-New Haven Hospital
Yale-New Haven Hospital (YNHH) is a 700-adult bed urban tertiary care hospital. It is the primary teaching hospital for Yale University School of Medicine, with a full range of advanced specialized units, and a diverse group of patients spanning all socioeconomic strata. The hospital also offers a range of outpatient clinics. Both inpatient and outpatient units provide settings for training of fellows in our program.
The hospital provides a vast diversity of consultations across the spectrum of medical fields. The Psychiatric Consultation Service is well-integrated into the hospital. Consultations seen by the service are reviewed each morning on rounds, permitting team discussion of the fellows’ consultations and also permitting each trainee exposure to all consultations seen by the service. Virtually all consultations are also seen by an attending psychiatrist. Fellows will also participate in education and supervision of more junior psychiatry residents and medical students. Fellows and other members of the consult service often are invited to participate in case conferences and rounds on other services in the hospital, allowing the fellows experience in the liaison and educational aspects of the consultant role. As noted elsewhere, part of the psychiatric consultation service operates in a multidisciplinary, proactive model: fellows will also receive training in this new system, which we believe may become a standard approach in the future healthcare system.
The Veterans Administration Connecticut Healthcare System (VACHS)
VACHS is a tertiary care facility associated with the Yale University School of Medicine. It is approximately 4 miles from YNHH. A shuttle runs continuously between the VACHS and YNHH during the day. The VACHS offers a full range of inpatient, outpatient and rehabilitation care, in medicine, surgery, psychiatry, and neurology. It also offers the Comprehensive Cancer Center, the National Center for PTSD, the Eastern Regional Blind Rehabilitation Center (ERBC), the Northeast Program Evaluation Center (health services delivery research), and the Women’s Health Center. The VACHS is recognized nationally as a psychiatry research center, including research in the areas of Addiction Psychiatry and PTSD.
The Psychiatry Consultation-Liaison Service at the VACHS is an active training site of the Yale University School of Medicine for third and fourth year medical students, PGY 2 and 4 psychiatry fellows, and PGY 5 fellows in addiction, and geriatric psychiatry. The C-L Service is a required training site for Fellows in Psychosomatic Medicine, 3-6 months per year, for 80-90% time. Fellows provide psychiatric consultation to inpatient and rehabilitation settings, totaling 150 beds; this includes consultation to intensive care units, acute inpatient medicine and surgery services, and outpatient rehabilitation settings (Eastern Regional Blind Rehabilitation Center, Geriatric Rehabilitation Service), all on site. Fellows also provide liaison to the National Center for PTSD, Addiction and Geriatric Psychiatry Services, and Inpatient Psychiatry Service, all at the VACHS.