Philadelphia University + Thomas Jefferson University

Our Fellowship

Consultation-Liaison General Service

Thomas Jefferson University Hospital, established in 1825, is a large 957-bed academic teaching hospital located in the center of Philadelphia. The Consultation-Liaison General Psychiatry Service provides inpatient consultations for a culturally and socioeconomically diverse population. The patients we serve have complex medical and psychiatric conditions, and are seen across all medical specialties, including internal medicine, general surgery, pediatrics, obstetrics and gynecology, neurology, neurosurgery, cardiology, family medicine, geriatrics, oncology, and rehabilitation medicine. Fellows gain expertise in diagnosing and managing a vast array of conditions, to include delirium, dementia, schizophrenia, substance abuse, mood disorders, anxiety disorders, personality disorders, adjustment disorders, post-traumatic stress disorders, somatoform disorders, and disorders due to general medical conditions. A specific emphasis is also placed collaborative care with primary medical services.

Daily formal teaching rounds are led by Psychosomatic Medicine faculty, which are attended by the Fellow, PGY-2 residents, a senior neurology resident and medical students. Fellows discuss treatment with the attending during case presentations on formal teaching rounds. The Fellow provides follow-up teaching on patients on the service. Fellows also take an active role in orienting, teaching and supervision of the PGY-2 residents and medical students.

Methodist Consultation-Liaison General Psychiatry Service

Methodist Hospital, established in 1881, is a 204-bed community-based hospital that serves a diverse a population in South Philadelphia. Fellows will gain expertise providing efficient and thorough consultations in a community-based setting, establishing relationships with providers of various other medical specialties. Common consultations include mood disorders, anxiety disorders, substance abuse, capacity, delirium, and dementia. The Fellow will be given primary responsibility of running the service, along with a PGY-2 resident. The Fellow will take an active role in orienting, teaching, and supervising the resident as well as medical students.

Electives

Fellows spend six months of their fellowship at TJUH, and six months at Methodist. In addition to general consultation-liaison services, Fellows may also elect to participate in: 

Transplantation: Throughout their six-month stay at the main TJUH campus, the Fellow will work directly with the attending transplant psychiatrist to evaluate patients both before and after transplantation. Jefferson boasts strong hepatic, renal, and cardiac transplant programs. The Fellow will gain expertise in evaluating appropriateness for transplantation, identifying, managing, and ameliorating psychiatric risk factors for transplantation, gaining a comprehensive understanding of psychopharmacology as it relates to transplant patients, and managing conditions such as hepatic encephalopathy and post-operative delirium.

Sleep Medicine:  For 6 weeks, the Fellow will work in the Sleep Disorders Center for a half day each week. The Sleep Disorders Center is a clinical, research, and education program.  Its clinical focus is the evaluation and management of patients suffering from a wide variety of sleep-related disorders.  Treatment modalities include, continuous positive airway pressure (CPAP), pharmacological agents, oral applications, surgery (most commonly laser-assisted uvuloplasty and somnoplasty), biofeedback, hypnosis, stimulus control therapy, chronotherapy, sleep hygiene management, CBT for insomnia, phototherapy, and sleep restriction, among others.  The Fellow will assess patients with sleep disorders, and present them to Sleep Medicine attendings,  discussing differential diagnosis and treatment.

Obstetrics and Gynecology: Throughout their six-month stay at the main TJUH campus, the Fellow works with an attending psychiatrist to learn how to evaluate, diagnose, and manage psychiatric conditions that arise in the peripartum period on the OB unit. The Fellow will gain expertise evaluating for and treating peri- and post-partum depression, mania, and psychosis, as well as substance use disorders.

Neuropsychiatry: The Fellow works directly with an attending psychiatrist to evaluate, diagnose, and treat comorbid psychiatric issues that arise in patients with neurological illness. The Fellow will see a wide variety of psychiatric disorders, including mood and thought-spectrum disorders, within a wide variety of neurological conditions, including movement disorders, stroke, dementia, multiple sclerosis, ALS, and others. The Fellow will gain experience providing consultation in both inpatient and outpatient settings.

Psycho-oncology: The Fellow will work for one half-day per week in the Sidney Kimmel Cancer Center, working directly with an attending psychiatrist and a team of oncologists and social workers to evaluate, diagnose, and treat patients with various psychiatric conditions who suffer from cancer. The Fellow will gain expertise in psychopharmacology in this field as well as the cognitive, mood, and thought disorders associated with chemotherapy and radiation treatments. 

Bariatrics: The Fellow will work with an attending psychiatrist to assess patients undergoing evaluation for bariatric surgery. The Fellow will gain expertise identifying and ameliorating psychiatric contraindications to bariatric surgery, as well as evaluating, diagnosing, and treating various eating disorders including binge eating and night eating disorders. Fellows will also learn about issues relating to post-surgical medications absorption, along with mindfulness eating.

Others: Other electives available to fellows include Child C/L Psychiatry, Sports Medicine, Addictions, and Sickle Cell and Hematology. Fellows are encouraged to develop an area of their own interest while being exposed to a wide range of medical issues during the Fellowship year.

Michael J. Vergare, MD

Michael J. Vergare, MD
Daniel Lieberman
Professor & Chair,
Department of Psychiatry
& Human Behavior

Mitchell J. Cohen, MD

Mitchell J. Cohen, MD
Vice Chair for Psychiatric Education

Madeleine Becker, MD

Madeleine Becker, MD
Program Director, Psychosomatic Medicine Fellowship

1020 Sansom Street
Thompson Building,
Suite 1652
Philadelphia, PA 19107

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