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 the opportunity for 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 daily in morning on rounds, permitting team discussion of the fellows’ consultations and also permitting each trainee exposure to all consultations seen by the service. Fellows receive close supervision, as 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.
The Veterans Administration Connecticut Healthcare System (VACHS)
Fellows may complete their outpatient experiences at the VACHS. VACHS is a tertiary care facility associated with the Yale University School of Medicine. 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. VACHS is situated approximately 4 miles from YNHH. A shuttle runs continuously between the VACHS and YNHH during the day.