The educational objectives of the program are to develop your clinical expertise and, through your teaching and liaison efforts, increase the mental health skills and knowledge of nonpsychiatric physicians and medical center staff.

These objectives are addressed as you perform hospital-based and outpatient consultations, participate in teaching rounds, and complete a formal academic curriculum.

Clinical training

You receive extensive experience in conventional medically oriented psychiatric consultation — both inpatient and outpatient. You gain the skills and experience necessary to independently evaluate and treat complex psychological problems. This program offers you a unique opportunity to participate in a multidisciplinary team approach to psychological problems.

Mayo Clinic offers a unique multidisciplinary practice and academic environment in which you are intimately involved in clinical decision-making with many opportunities to develop your assessment, intervention and teaching skills. There is an emphasis on the integration of science and practice with training in empirically supported interventions.

Rotation schedule

Required rotations

Rotation Length
Inpatient consultation service 3 months
Transplant service 1 month
Medical psychiatry inpatient 1 month
Outpatient consultation service 2 months
Behavioral neurology 1 month

Elective rotations

In addition to the required rotations, you select from these rotations:

  • Addiction medicine (one month)
  • Research (one to four months)
  • Oncology (one month)
  • Palliative care and hospice service/ethics consultation service (one month)
  • Physiatry rehabilitation unit (one month)
  • Pain Rehabilitation Center (one month)
  • Toxicology service (one month)
  • Clinical chaplain's consultation service (two weeks)
  • Fibromyalgia outpatient program (two weeks)
  • Neuroradiology (two weeks)
  • Additional month in required rotation sites (one month)

Rotation descriptions

Inpatient consultation service

You triage the priority of consult requests received, assign consults to team members and complete occasional consults in a primary role. You also observe junior members of the team interviewing and teach interviewing skills, engage in bedside teaching, and oversee didactics on issues relevant to patients.

Transplant service

You complete outpatient consults for pre-transplant psychiatric screening and evaluation of living donors and inpatient consults of transplantation patients. You receive staff supervision on completed outpatient and inpatient consults and provide follow-up care.

Medical psychiatry inpatient

You learn to manage a multidisciplinary team composed of junior residents, nursing staff, social workers, recreational therapists and a chaplain in the care of geriatric and medical psychiatry patients. You learn the optimal use (and limitations) of a medical psychiatry unit as an adjunctive resource in the care of patients commonly encountered on medical-surgical units by a psychiatric consultation service.

Outpatient consultation service

On this rotation, consults are received from virtually every specialty. However, the majority are received from general internal medicine, neurology, gastroenterology, oncology, rheumatology and endocrinology.

This rotation gives you exposure to a wide variety of ethnocultural backgrounds and a broad variety of psychiatric diagnoses, including:

  • Dementia of all types
  • Major depression
  • Bipolar disorder
  • Anxiety disorders
  • Adjustment disorders
  • Personality disorders
  • Substance abuse and dependence
  • Somatoform disorders
  • Psychophysiological illnesses, such as dizziness, irritable bowel syndrome and spells
  • Delusional disorders and other psychotic disorders
  • Psychiatric disorders due to general medical conditions

Behavioral neurology

During this rotation, you develop expertise in recognizing structural deficits in central nervous system imaging and correlating them with neuropsychiatric clinical findings. You also sharpen your neurological examination skills in the context of the overall neuropsychiatric clinical presentation and improve your differential diagnostic skills in patients with concurrent neurological and psychiatric presentations.

Didactic training

The educational program consists of daily rounds, seminars, and formal and informal case discussions. Daily interaction between the program faculty and postgraduate fellows results in a close working relationship and a dynamic learning environment.

During the Psychosomatic Medicine Fellowship, you participate in:

  • Psychosomatic Medicine Core Seminar (weekly)
  • Psychosomatic Medicine Case Conference (monthly)
  • Psychosomatic Medicine Journal Club (monthly)
  • Psychiatry and Psychology Grand Rounds (weekly)
  • Psychosomatic Medicine Supervisory and Administrative Seminar (weekly)
  • General Psychiatry Clinical Case Conference (weekly)
  • Integrated practice ongoing educational offerings

Research training

Your research opportunities at Mayo Clinic are outstanding. Due to the wealth of patient material, prospective or retrospective investigations in either basic science or clinical studies are possible.

You have the opportunity to work with established clinical researchers on ongoing projects, as well as develop independent research projects. You are strongly encouraged to generate at least one national presentation and at least one publication by the end of the fellowship.

Oct. 16, 2013