Consultation-Liaison Psychiatry Fellowship

The University of Michigansay Consultation-Liaison Psychiatry Fellowship is a one-year ACGME-accredited fellowship with a strong multidisciplinary emphasis, and a flexible schedule that is tailored to match the fellow’s areas of interest.  At the end of this training, fellows are expected to be compassionate, knowledgeable, and astute subspecialists fully qualified to take and pass the examination for certification in the medical subspecialty of consultation liaison psychiatry.

The goal of our Fellowship is to provide high quality subspecialty health services and training in consultation liaison psychiatry. The focus of the fellowship experience is to train fellows to evaluate and treat psychiatric disorders in complex medically ill patients. Our program provides a broad-based clinical experience, and opportunities to achieve skills in education, administration, and research, in an extraordinarily rich academic environment, with no night or weekend on-call.  Supervision is provided by attendings with board certification in consultation liaison psychiatry.

Consultation liaison psychiatry fellows, along with all University of Michigan house officers, are represented by the House Officers Association (HOA) and receive excellent benefits and compensation based on a contract negotiated by the HOA.   The benefits package includes health, dental, and disability insurance, vacation days and holiday pay, and more.

Why consultation liaison psychiatry?

consultation liaison psychiatry is that branch of psychiatry that deals with the understanding and advancement of medical science, education, and healthcare for persons with comorbid psychiatric and general medical conditions and is also referred to as Consultation-Liaison (C-L) Psychiatry or Hospital Psychiatry.  Whatever its name, it is an exciting and gratifying psychiatry subspecialty that, given the direction medicine and medical care is heading in the U.S., will be an important way new psychiatrists will be able to play an active role in the comprehensive medical care of a large portion of the population.

Training in PM currently follows completion of a General Psychiatry residency training program; PM fellows typically spend one additional year in training, although some training programs include an optional additional year.  There are now more than 50 ACGME-accredited PM Fellowship training programs, with numbers steadily increasing. Satisfactory completion of a PM fellowship qualifies each graduate to sit for the subspecialty board examination in PM administered by the American Board of Psychiatry and Neurology.

There are many ways a specialist in PM may be helpful to an in- or outpatient and to those caring for someone with comorbid psychiatric and medical or surgical conditions.  Some examples include: treatment of delirium tremens in an elderly woman with unsuspected alcohol dependence who just received coronary artery bypass surgery (CABG), consultation to an outpatient HIV/AIDS Clinic to help manage psychotropic medications for a patient about to begin a new antiretroviral regimen, co-treatment with the Maternal and Fetal Medicine Service of a young woman with Bipolar Disorder who is taking lithium for mania prophylaxis and who wishes to become pregnant, and inpatient consultation to the Oncology Service for a depressed middle-aged man with newly diagnosed, widespread pancreatic cancer.  In addition, PM physicians often work in primary care and outpatient specialty clinics (such as Diabetes and Women's Health clinics) and have key roles in developing population-based collaborative care models for patients with depression and anxiety and other mental health conditions.

Consultation liaison psychiatry gives one the opportunity to "hold on to" a great deal of his or her medical and surgical training and to use it effectively and in addition, the chance to work more closely with medical and surgical colleagues than is typically the case for most psychiatrists.  It's a great way to make a big difference in the lives of those with complicated medical or surgical conditions who are suffering emotionally, those in hospital whose behaviors place them or others at risk, and for those who care for them.

Terry Rabinowitz, MD, DDS, FAPM

Chair, Academy of Consultation liaison psychiatry Fellowship Education Subcommittee

Rotation Schedule

Consultation liaison psychiatry fellows will participate in required rotation experiences at Michigan Medicine and the VA Ann Arbor Healthcare System with their choice of a wide and rich variety of elective rotation experiences.  Educational experiences are tailored to assure that fellows master the fundamental skills in consultation liaison psychiatry and have the opportunity to develop individual interests and talents, a unique blend of academic excellence and clinical experiences!

Sample Rotation Schedule

Flexible rotation schedule provides opportunities to develop individual interests and talents, while still receiving the highest quality subspecialty training in consultation liaison psychiatry.

Elective Rotations

  • Inpatient Child and Adolescent Consultation Liaison Service

  • Movement and Cognitive Disorders Clinic

  • High-Risk Obstetrics Clinic

  • Eating Disorders Clinic

  • Perinatal Clinic

  • Epilepsy Surgery Clinic

  • Electroconvulsive Therapy Clinic

  • And many more!

Didactic Schedule

  • Weekly, multidisciplinary lecture series

  • Journal Club lead opportunity throughout the year

  • Clinical vignettes that covers all topics/disorders that are listed under the Medical Knowledge section of the ACGME-approved Consultation liaison psychiatry Core Competencies

  • Grand Rounds lecture series at the Department of Psychiatry at Michigan Medicine, and the Psychiatry Service at the Ann Arbor VA, which highlights the work of scholars across the psychiatric spectrum discussing various topics

    • A combination of research seminars, clinical case conferences and prominent outside speakers covering the whole range of topics in the various disciplines. The psychosomatic fellow may choose to attend whichever weekly lecture is most relevant to the field of Consultation liaison psychiatry.

  • Experience teaching medical students, residents, and other healthcare professionals

  • Quarterly Psychosomatic Case Conferences

    • The consultation liaison psychiatry fellow will work with residents to select a case for presentation and to select a lead discussant. The case considers key issues in diagnosis and treatment. The

Training Sites

Michigan Medicine

Michigan Medicine

The diagnosis and treatment of psychiatric disorders in complex medically ill patients is of vital importance to Michigan Medicine. Fellows will gain experience in evaluating patients with a broad range of medical illnesses and comorbid psychiatric, substance abuse, or behavioral disorders.

The VA Ann Arbor Healthcare System (VAAAHS)

VAAAHS

The VA has had a long-standing relationship with Michigan Medicine graduate medical education programs.  Fellows will gain experience in evaluating and managing psychiatric illness, including delirium, as well as other major psychiatric disorders in a setting of acute medical/surgical illness.

How to Apply

Qualified applicants must have successfully completed an ACGME-accredited U.S. Psychiatry Residency and must have passed all necessary examinations to obtain a physician’s license in the State of Michigan.  To begin the process, please: 

  1. Download the Consultation liaison psychiatry Program Application Form (download) and return the completed form to: cmatzing@med.umich.edu

    1. Along with: Curriculum Vitae

    2. Personal Statement

    3. USMLE or COMLEX Scores

  2. Mail four original letters of recommendation; one of the letters must come from your current or last residency program director.