Overview of Rotations and Clinical Services

General Consultation:

Fellows will play an integral role in the general consultation service.  The CL service at the UCMC provides consultation on the assessment and management of psychiatric issues in patients with complex multi-morbidity at this tertiary referral center.  Fellows will gain clinical expertise in managing medically complex patients, administrative skills in overseeing the CL team and teaching experience with psychiatry residents (PGYI, II, and IV), residents in internal medicine, pain fellows and medical students.

Speciality Consultation:

Solid Organ Transplant

Surgical teams at UCMC perform transplantations for liver, kidney, heart, lung and pancreas.  Additionally, a growing number of patients are being placed on left ventricular assist devices (LVAD).  The Fellow will spend six months (one half day per week) working under the supervision of a CL psychiatrist with PM specialty certification and expertise in the field of solid organ transplantation.  Fellows will get the opportunity to perform pre-transplant psychiatric evaluations, on donors and prospective recipients, follow patients post-transplant and participate in multidisciplinary transplant team activities.

Psycho-Oncology:

The UCMC Cancer Center is a designated comprehensive cancer center, and home to one of the largest Phase I trial programs for advanced cancers.  Working under the supervision of a CL psychiatrist with PM certification and expertise in Psych-oncology fellows will spend six months (one half day per week) evaluating and managing psychiatric disorders in patients with co-morbid cancers.  As part of this experience Fellows will work closely with other members of the psycho-oncology multidisciplinary team.  Fellows will also have the opportunity to co-facilitate a cancer support group.

Neurology:

Fellows will gain invaluable experience in the assessment and management of co-morbid psychiatric and neurologic working under the direct supervision of one of the most experienced and eminent neurologists of UCMC.  This experience will be gained during a four month outpatient clinic experience (one half day per week).  Fellows will also gain experience in epileptic form disorders on the inpatient video-monitoring unit.

Anesthesia /Pain Management Clinic :

The pain management service at UCMC is a multidisciplinary team led by experts in the field of pain management.  Fellows will work under the direct supervision of a Pain Attending to learn leading edge pharmacologic and intervention treatment of complex plain syndromes. 

Gynecology Oncology/PRISM Clinic:

UCMC Cancer Center has a large program treating patients with advanced gynecologic cancers.  These patients present with complex medical, psychological and social challenges.  Fellows will be embedded in the outpatient clinic performing evaluation and management of psychiatric syndromes under the supervision of an attending oncologist for one half day per week during a two month period.  During a subsequent two mouth period Fellows will participate specifically in the assessment of sexual health in patients undergoing oncologic treatments and in cancer survivors by participating directing in the specialty PRISM Clinic, which is a leading program in integrative sexual medicine for cancer patients.

Fellowship in Biomedical Ethics:

The opportunity to complete a one-year part-time fellowship in medial ethics will be open to successful PM Fellow applicants.  This program designed for clinicians and academic physicians is offered by the distinguished faculty of the prestigious Dorothy J. MacLean Center for medical ethics (the nation’s first program devoted to clinical medical ethics). For further information on this exciting opportunity go to:  http://medicine.uchicago.edu/centers/ethics/fellowship.html

**Early application is encourage as acceptance to the part-time ethics fellowship is dependent on successfully completing the additional interview process.