Overview

Mission and Goals

The Partners Healthcare Geriatric Psychiatry Fellowship brings together the remarkable breadth and depth of four major Boston institutions in a year-long ACGME-accredited training program that meets the requirements for American Board of Psychiatry and Neurology certification in the sub-specialty of geriatric psychiatry.

Currently, we accept one candidate per year for 12 months of fellowship training. The fellowship utilizes the expertise of four participating facilities:

Focused clinical experiences, dedicated teaching and mentorship and a unique scope of research opportunitis combine to distinguish the Partners Healthcare Geriatric Psychiatry Fellowship program as outstanding training for academically-oriented geriatric psychiatrists. During the course of our program, a strong foundation is built through a variety of outpatient clinical experiences in neuropsychiatry, psychotherapy, and psychopharmacology in a variety of settings:

  • Inpatient units focused on both late life illness and advanced dementia
  • Consultation to hospital units
  • Geriatric medicine clinics
  • Long-term care and nursing home facilities

Each year, our fellow also dedicates elective time to particular clinical interests and is encouraged to pursue research projects and publication.

Curriculum

Rotations

Fellows participate in supervised clinical rotations drawing on the resources of the four participating institutions to develop competencies in the care of geriatric patients delivered throughout the full range of clinical settings. All clinical work occurs during weekday business hours on a schedule consistent with ACGME standards. There are no required nights, weekend or holiday on-call times. The fellow’s clinical responsibility for patients is supervised by board-certified geriatric psychiatrists and clinical coverage is available when the fellow is unavailable.

Massachusetts General Hospital Rotations

  • Longitudinal Outpatient Clinic (Psychotherapy and Psychopharmacology)
  • Outpatient Consultation to Geriatric Medicine clinic
  • Inpatient Psychiatric Consultation/Liaison Service  
  • Option to participate in Optimum Care Committee

McLean Hospital Rotations

  • Inpatient Geriatric Psychiatry  (Late Life Illness and Advanced Dementia units)
  • ECT and TMS
  • Group Therapy for Substance Abuse
  • Longitudinal Neuropsychiatry Clinic

Hebrew Senior Life Rotation

  • Consultations for Nursing Home and Long Term Care

A month of elective time is also available during which the fellow can pursue additional clinical rotations (such as palliative care or psycho-oncology) or work on a research project consistent with his or her specific interests and goals. This elective is intended to take place within one of the participating Partners institutions and typically results in an oral or written presentation.

Didactics

The depth of clinical and research expertise represented among the staff members of the participating Partners HealthCare institutions provides an opportunity for a rich and comprehensive didactic experience. Fellows meet with the program director for weekly supervision in addition to regular supervision with site directors and psychotherapy supervisors. In addition to case conferences and journal clubs, didactics are also organized at each institution. On many of the fellowship rotations, there will be opportunities to participate in the teaching of psychiatric residents.

Sample Didactic Topics

Mass General:

  • Minor and major neurocognitive disorder
  • Late life affective illness
  • Bereavement
  • Personality disorders
  • Cardiac psychiatry
  • Catatonia

McLean Hospital:

  • Psychology of aging
  • End of life planning
  • CT/MRI/PET scanning
  • Substance use disorders
  • Successful aging

Brigham and Women's Hospital:

  • Reading a manuscript
  • Cross-cultural aspects of aging
  • Management of neuropsychiatric symptoms
  • Delirium
  • Suicide
  • Psychosis in dementia

 

Fellows

Current fellow

fellow James Wilkins

James Wilkins

James Wilkins graduated from Bowdoin College, completed a DPhil in human genetics at the University of Oxford as a Marshall Scholar, and received an MD from Harvard Medical School. He pursued his psychiatry residency in the Massachusetts General Hospital-McLean Hospital Adult Psychiatry Residency Program, where he served as chief resident in geriatric psychiatry. His academic interests lie at the interface of geriatric psychiatry and bioethics and he completed a fellowship in bioethics through the Center for Bioethics at Harvard Medical School. After fellowship, he is interested in clinical care of older adults with dementia and research into the ethical aspects of decision making, particularly surrogate decision making for individuals with dementia.

How to Apply

Applicant requirements:

  • Must be U.S. Citizens or have a permanent resident visa
  • Massachusetts medical license required
  • Must have completed approved residency in psychiatry by time of starting fellowship

Download fellowship application

Application Due Date:

April 15th of the year prior to entry

Interviews:

Interviews will occur in spring/early summer with no formal binding response required prior to November 1st

Please contact us with any questions.

Contact us

For more information, please contact:

Program Director
Feyza E. Marouf, MD, Massachusetts General Hospital
fmarouf@mgh.harvard.edu
617-724-5600

Fellowship Coordinator
Patricia Kneeland, Massachusetts General Hospital
pkneeland1@mgh.harvard.edu
55 Fruit Street
Bulfinch Building, Suite 360
Boston, MA 02114
617-724-3119

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