Consultation-Liaison Psychiatry Fellowship

Fellowship Overview

The University of Michigan's Consultation-Liaison Psychiatry Fellowship is a one-year ACGME-accredited fellowship with a flexible schedule that is tailored to match the fellow’s areas of interest. One to two fellows per year are accepted. Training occurs in a 50/50 split between Michigan Medicine (the clinical name for University of Michigan sites) and the Ann Arbor VA Healthcare System, both on inpatient and outpatient settings, with supervision from consultation-liaison boarded faculty at both sites.  Board certified general psychiatrists in good standing who complete this program are qualified to sit for the subspecialty examination in consultation-liaison psychiatry offered by the American Board of Psychiatry and Neurology.

The goal of our Fellowship is to provide high quality training in general consultation liaison psychiatry, as well as in subspecialized fields such as transplant psychiatry, collaborative care, reproductive psychiatry, child and adolescent consult psychiatry, among others. 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 call. 

House Officers Association 

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.

Program Director and Other Faculty

Dr. Amy Rosinski was born in a suburb of Detroit, and has enjoyed living in Arbor since the beginning of her medical school training, many years ago. She chose to continue residency and fellowship training at the University of Michigan, and stayed on as a faculty member, working on the inpatient consultation-liaison service at University Hospital since 2008. 

Dr. Rosinski has many years of experience supervising medical students, residents, and fellows, and takes great pride in watching trainees build skill and passion for CL Psychiatry. She also feels passionately about the quality of medical care in Ann Arbor.  

Dr. Rosinski belongs to the national Academy of Consultation-Liaison Psychiatry and serves on a subcommittee for education there. She also sits on several workgroups at Michigan Medicine, including the Delirium Workgroup, and the Pharmacy and Therapeutics Committee, and is also active in the Michigan Psychiatric Society. 

Rotation Schedule

The CL Psychiatry rotation schedule is developed in conjunction with the fellow and tailored to their clinical and career development interests. While there are no absolute requirements, at least several months of general inpatient CL psychiatry are highly recommended.  Some rotations options are more longitudinal, while some are more month to month based. Examples include:

  • Inpatient CL Psychiatry at Michigan Medicine:
  • Inpatient CL Psychiatry at the Ann Arbor VA:
  • Transplant Psychiatry at Michigan Medicine
  • Psychogenic Non-Epileptic Seizures Clinic at Michigan Medicine
  • Alcohol-Related Liver Disease Clinic at Michigan Medicine
  • Perinatal Psychiatry Clinic/High Risk OB Clinic at Michigan Medicine
  • Inpatient Addiction Consult Service at Michigan Medicine
  • Collaborative Care Psychiatry at the Ann Arbor VA and Michigan Medicine
  • Electroconvulsive Therapy at the AAVA or Michigan Medicine
  • Palliative Medicine at the AAVA
  • Eating Disorders Partial Hospital and Intensive Outpatient Program at MM
  • Movement Disorders or Cognitive Disorders Clinics at AAVA and MM

Didactics Schedule/Scholarly Activity

Fellows participate in a variety of activities meant to improve medical knowledge in consultation liaison psychiatry. These include:

  • Weekly lecture series covering core CL topics such as advanced delirium, pain, psychopharmacology, transplant psychiatry, reproductive psychiatry, HIV/AIDS, cardiac, palliative care, seizure disorders and psychogenic nonepileptic seizures, movement disorders, among many others.  Lecturers include CL faculty, neurologists, psychologists and many more.
  • Psychiatry Grand Rounds at the AAVAMC and Michigan Medicine, which highlights the work of scholar across the psychiatric spectrum.
  • Quarterly Consultation-Liaison Psychiatry Case Conferences in conjunction with child and adolescent consultation psychiatry.
  • Weekly CL textbook chapter reviews: medical students, residents, fellows, and faculty read an entire CL text through the course of the year and write multiple choice questions that are answered together in a weekly group meeting.
  • Fellowship director and fellow do a series of clinical vignettes developed by the ACLP (https://www.clpsychiatry.org/educationcareers/), helping to cement knowledge and bolster clinical management skills.
  • Fellows share in giving the Consultation-Liaison Psychiatry lecture to medical students rotating on their psychiatry clerkship.
  • Fellows are expected to engage in a “scholarly project” during the year, which may include a quality improvement project, a clinical topic review, clinical research, among others.  This is presented at Grand Rounds at either Michigan Medicine or the Ann Arbor VA.

Michigan Medicine is an exciting place to practice Consultation-Liaison Psychiatry, with exposure to medically complex patient populations, and a strong national reputation for clinical excellence. Faculty are warm and approachable, and invested in our fellows' education. We look forward to meeting you!

Amy Rosinski, M.D., Fellowship Director

Why Michigan?

  • Reputation!
    Michigan Medicine is a quaternary care center for the Midwestern region, with multiple department specialties in the top 20 in the nation. Fellows see a wide variety of cases, ranging from more routine to highly complex, and are well-equipped to practice in academic medicine or other CL settings post-graduation.
  • Life in Ann Arbor
    Smaller town convenience with big city amenities: parks and trails, dining, international music/dance/theater, Midwestern falls, kayaking the Huron River, trips to Detroit, 30 minutes to Detroit Metro airport, Zingerman’s Deli, and many more!
  • Welcoming faculty with a high level of clinical acumen and dedication to education.
  • Strong opportunities for teaching
    University of Michigan has a highly ranked medical school and psychiatry residency program, with opportunities to develop mentoring relationships and friendships.
  • Multiple other psychiatry fellowships, with some shared lectures and opportunities for friendship.