Program Description

The University of Michigan Geriatric Psychiatry Fellowship is a one year ACGME- accredited program that provides broad-based clinical experience in inpatient, outpatient and nursing home settings in an extraordinarily rich academic environment. The one year clinical fellowship prepares for certification in geriatric psychiatry. For applicants with a strong research interest destined for an academic career, a two-year research track fellowship is available. The research track provides the same clinical experience but has research opportunities available in basic, clinical and health services research.

The overall goal of the Geriatric Psychiatry Fellowship is the provision of the highest quality subspecialty training in geropsychiatry to residency-trained psychiatrists, at the PGY-V and PGY-VI levels, in preparation for ABPN certification with Added Qualifications in Geriatric Psychiatry and for a career as a subspecialist in this field. The major components of this experience are (1) development of expertise in the psychiatric care of the elderly patient in multiple settings, and (2) literature review and experience in teaching and in this field.

These goals are achieved through:

  1. supervised clinical training, involving inpatients and outpatients, in both traditional psychiatric settings, as well as multidisciplinary settings, in collaboration with faculty from related disciplines;

  2. structured didactic sessions covering such topics as biological and psychosocial aspects of normal aging; assessment and treatment of psychiatric disorders in the elderly; the neurology and neuropsychology of aging; interactions between medical and psychiatric illness in the elderly; and research design;

  3. experience in didactic and clinical teaching of medical students, residents and other healthcare professionals.

Geriatric psychiatry fellows provide evaluation, consultation, and management services to older patients with a wide range of psychiatric diagnoses; multiple psychiatric disorders and medical comorbidity, substance abuse, and  dementia- including the behavioral and psychiatric symptoms of dementia (BPSD), to patients in  multiple settings to gain experience with different patient populations in various systems of care.

Fellows experience longitudinal geriatric psychiatry outpatient care through parallel yearlong clinics at the University of Michigan multidisciplinary Geriatrics Center. Other University rotations include inpatient geriatric medicine consults, inpatient psychiatry, ECT and outpatient neurology cognitive and movement disorders clinics. Fellows also experience care in community long-term care settings at Chelsea Retirement Community’s 100 bed Towsley Village Memory Care Center and Glazier Commons Assisted Living.

Through the longstanding VA Ann Arbor Healthcare System’s relationship with Michigan Medicine graduate medical education, rotations include inpatient, consultation, and palliative medicine. Long term care is provided to Veterans at Heartland Health Center and at the VA Mental Health Clinic.

Didactics

  • Weekly, multidisciplinary lecture series
  • Bi-Monthly Journal Club
  • Textbook of Geriatric Psychiatry readings complement seminar series
  • Experience teaching medical students, residents, and other healthcare professionals
  • Weekly University of Michigan Psychiatry Grand Rounds Series; and weekly VA Ann Arbor Healthcare System Psychiatry Service Grand Rounds Lecture Series