Consultation–Liaison Psychiatry Fellowship | NYU Langone Health

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Psychiatry Fellowships Consultation–Liaison Psychiatry Fellowship

Consultation–Liaison Psychiatry Fellowship

The Department of Psychiatry’s Consultation–Liaison Psychiatry Fellowship provides graduates with the clinical experience, expert skills, and fundamental knowledge to function as leaders of psychiatric services for medically complex patients.

Under the leadership of Mark V. Bradley, MD, program director, our clinical training sites include NYC Health + Hospitals/Bellevue, NYU Langone’s Tisch Hospital, and the VA NY Harbor Healthcare System.

Fellows spend four months on the inpatient consultation–liaison service at each facility, providing psychiatric care integrated with inpatient medical and surgical services. Additionally, trainees spend one or two half days per week at each site in ambulatory care settings, including a variety of specialized clinics.

The one-year program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). Upon completion, fellows are eligible to sit for subspecialty boards in consultation–liaison psychiatry.

Clinical Training for Fellows at Bellevue

Fellows rotate through several Bellevue services and programs.

Inpatient Rotation: Consultation–Liaison Service

Fellows on this consultation–liaison psychiatry service conduct inpatient consultations in numerous specialty services under faculty supervision and participate in all clinical and educational activities, including supervising second-year and fourth-year residents and medical students, teaching rounds, and leading case conferences. Fellows also present at Bellevue grand rounds.

Outpatient Rotation: Virology Clinic

While on this virology clinic outpatient rotation, fellows provide expertise in the diagnosis and management of mood, anxiety, cognitive, psychotic, and personality disorders. Trainees also consult on antiretroviral treatment adherence, HIV-related stigma, decision-making capacity, palliative care, and neuropsychiatric side effects of antiretrovirals and antibiotics. Fellows can participate in ongoing HIV psychiatry academic initiatives. The time commitment for this rotation is one half day per week.

Outpatient Rotation: Survivors of Torture Program

During the Survivors of Torture Program rotation, fellows participate in the intake process, provide psychopharmacological evaluations and treatment, and provide ongoing group or individual therapy. Fellows may help create affidavits and provide expert testimony during the political asylum process. This elective is three hours per week. Fellows may also design a four-month research project or literature review using the program’s database and patient records.

Outpatient Rotation: Reproductive Psychiatry and Women’s Health Center

During the reproductive psychiatry and Women’s Health Center rotation, fellows learn to assess and treat psychiatric symptoms that occur during the perinatal period. They also see patients with psychiatric disorders associated with the menstrual cycle, pregnancy, and the postpartum period. This rotation requires one half day per week.

Clinical Training for Fellows at the VA NY Harbor Healthcare System

Rotations at the VA NY Harbor Healthcare System include the following.

Inpatient Rotation: Consultation–Liaison Service

Fellows rotate on the consultation–liaison service with psychiatry and neurology residents, pain medicine fellows, and health psychology postdoctoral fellows. With faculty supervision, the fellow serves as team leader, overseeing the service’s daily operations and educational activities of junior trainees. Fellows are encouraged to pursue quality improvement and research activity related to their work.

Outpatient Rotation: Primary Care–Mental Health Integration

During the Primary Care–Mental Health Integration rotation, fellows conduct new evaluations and short-term follow-up, focusing on patients with psychiatric symptoms co-morbid with chronic medical diseases. Target disorders for the program include depression and anxiety, PTSD, and alcohol abuse disorders. This rotation requires a commitment of one half day per week.

Clinical Training for Fellows at Tisch Hospital

Several rotations are held at Tisch Hospital.

Inpatient Rotation: Consultation–Liaison Service

During this rotation, fellows work closely with faculty to provide psychiatric consultations across all inpatient medical and surgical units, as well as NYU Langone’s Rusk Rehabilitation. Fellows rotate with general psychiatry residents, medical students, and a geriatric psychiatry fellow.

Outpatient Rotation: Perlmutter Cancer Center

At Perlmutter Cancer Center, fellows help provide psychiatric evaluations and referrals, crisis intervention, psychopharmacological assessment and treatment, counseling, clinical staff training, and patient seminars and workshops. Fellows also collaborate with pain management and palliative care faculty, provide physician and clinical staff consultation, and help coordinate inpatient services. The commitment for this rotation is one half day per week at the center.

Outpatient Rotation: Behavioral Neurology Clinic

During this rotation, fellows work with neurology and psychiatry double board residents to see patients who have neuropsychiatric diagnostic challenges or who require comprehensive neurologic and psychiatric care. Patients include those with movement disorders, psychosis, mood disorders, brain injuries, autism spectrum disorders, dementias, and strokes, among other issues, often appearing in combination. The time commitment is one half day per week.

Outpatient Rotation: Multiple Sclerosis Center

At the Multiple Sclerosis Comprehensive Care Center, fellows correlate cognitive and affective symptoms with imaging and learn about neuropsychiatric symptoms associated with disease-modifying MS treatments. Fellows also involve social support and other modalities to treat MS-related psychiatric conditions. The time commitment for fellows is one half day per week.

Didactic Training for Fellows

Weekly seminars provide fellows with the theoretical foundation and knowledge needed to become an expert in the psychiatric care of medically ill patients. In addition to the core consultation–liaison faculty, teaching faculty come from multiple specialty areas across NYU Langone, including reproductive psychiatry, neurology, neuropsychology, neuroradiology, health psychology, and addiction psychiatry.

Core didactic sessions focus on the management of psychiatric syndromes in the medical setting, acquisition of scholarship competencies, and the development of best practices at the systems level. Each of the three consultation–liaison teaching services incorporates a unique set of weekly academic conferences and teaching rounds. Fellows also attend weekly Psychiatry Grand Rounds.

Fellowship Eligibility Requirements

We have three fellowship positions available for each academic year. We look for mature, motivated applicants who have satisfactorily completed an ACGME-accredited general psychiatry residency.

Fellowship Application Process

Application materials for the upcoming training year may be submitted beginning on May 1. Applicants to the Consultation–Liaison Psychiatry Fellowship should apply through the National Resident Matching Program® (NRMP®) psychiatric subspecialties match. Electronic Residency Application Service® (ERAS®) applications are not accepted.

We require a core application and two to three letters of reference.

Core Application

Please submit the following materials:

  • a completed application form
  • your CV
  • a personal statement about why you wish to train in this fellowship (one to two pages)
  • a letter from your medical school dean
  • your photograph

International applicants must also submit the following items:

  • a valid Educational Commission for Foreign Medical Graduates® (ECFMG®) certificate
  • proof of visa status or U.S. citizenship

We also accept the Academy of Consultation–Liaison Psychiatry common application. Kindly note, we do ask you to supplement the common application with page 2 of our Department of Psychiatry fellowship application form.

The complete core application should be emailed as a single PDF document to Tanisha Young-Nuzzi, senior program coordinator, at tanisha.young-nuzzi@nyulangone.org. The subject line of the email should be: Consultation–Liaison Psychiatry Fellowship Application [APPLICANT LAST NAME, APPLICANT FIRST NAME].

No application is considered until all required materials have been received, including the training or clinical director’s letter of reference.

Letters of Reference

Please arrange for a minimum of two, but no more than three, letters of reference from people who are familiar with the nature and quality of your work. One of these individuals must be the program director of your general psychiatry residency program. Letters of reference should be submitted directly by their authors to Tanisha Young-Nuzzi, preferably emailed as PDF documents.

Interviews

A screening committee reviews applications and identifies a short list of candidates to interview. Interviews begin in September and usually finish by mid-November. They typically take a full day, during which time you meet with faculty from several different rotations and have the chance to meet current fellows.

Offers

An offer of employment is not final until you are successfully credentialed by NYU Grossman School of Medicine’s Office of Graduate Medical Education. Read more about terms of employment and our graduate medical education policies and services.

Contact Us

If you have questions about our fellowship, please contact Dr. Bradley at mark.bradley2@va.gov or 212-686-7500, extension 7180.

For more information about the application process, please contact Tanisha Young-Nuzzi at tanisha.young-nuzzi@nyulangone.org.