Mission and Goals
The Partners HealthCare Geriatric Psychiatry Fellowship is an ACGME-accredited fellowship which fulfills the specialized post-residency training requirement necessary for American Board of Psychiatry and Neurology (ABPN) certification in the sub-specialty of geriatric psychiatry. One to two candidates are accepted into this program each year for one year of training.
Through a series of well-supervised clinical and educational experiences, our geriatric psychiatry fellows become knowledgeable about the relationships of normal and pathological aging to mental health. Fellows acquire knowledge and experience in the prevention, diagnosis, evaluation and treatment of psychiatric signs, symptoms and disorders seen in older adult patients.
In order to provide a training experience of unique breadth and depth, this fellowship makes use of the clinical, didactic and research expertise of four participating Partners HealthCare facilities:
To develop competencies in the care of geriatric patients delivered throughout the full range of clinical settings (inpatient psychiatry, inpatient medical/surgical, outpatient, long term care facilities and in the community), fellows participate in a series of supervised clinical rotations drawing upon the resources of the four participating Partners HealthCare institutions.All clinical work occurs on a schedule consistent with ACGME standards, during weekday business hours. There are no required nights, weekend or holiday on-call times.
During the five months sited primarily at McLean Hospital, the fellow provides care for inpatients with and without dementia. A weekly didactic/clinical experience in geriatric substance abuse treatment is incorporated into this rotation. The four months sited at the Brigham and Women's and Faulkner Hospitals provide experiences in the Consultation/Liaison care of older adults on medical/surgical units (at Faulkner) and integrated neuropsychiatric evaluation and treatment in the Behavioral Neurology service (at Brigham and Women's). During the two months sited full-time at Massachusetts General Hospital, the fellow observes and delivers care in the ECT service, community and home settings, and long term care facilities. Throughout the training year, Massachusetts General Hospital also provides the setting for the fellow's ongoing outpatient experience delivering individual and group treatment to older adults. The fellow’s clinical responsibility for patients is supervised by board certified geriatric psychiatrists and clinical coverage is available when the fellow is unavailable, e.g. on vacation. A month of elective time is available during which the fellow can acquire research experience through work on a project consistent with his or her specific interests and goals. This elective is intended to take place within one of the participating Partners institutions unless other arrangements are approved, and typically results in an oral or written presentation.
Interested fellows may also participate in the preparation of a manuscript to be submitted for review and possible publication in a journal.p>
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. Under the direction of the fellowship's program director, a weekly minimum of four didactic hours is provided along with individual supervision.
- The neuroanatomy, neurophysiology and neuropathology of aging
- The genetics of mental disorders in the elderly
- Social and economic factors related to late life psychiatric disorders
- Cross-cultural issues
- Elder abuse
- Psychiatry in the long-term care setting
- Working with families of elders
- Palliative and hospice care
- Use of laboratory tests and neuroimaging in geriatric psychiatry
- Neuropsychological assessment techniques
- Research design, use of statistics and principles of evidence-based medicine
- How to read and review a manuscript
- Treatment of specific disorders in the elderly, including anxiety disorders, sexual disorders, bereavement and adjustment disorders, substance abuse problems, personality disorders, psychotic disorders, mood disorders and cognitive disorders
- Specific topics coordinated with the clinical experiences provided at each participating institution
Each participating institution also provides "grand rounds" and "journal club" experiences which the fellow will attend. On many of the fellowship rotations, there will be opportunities to participate in the teaching of psychiatric residents. The fellow’s teaching, clinical work, and professional development will be mentored by the program director through regular weekly meetings.
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.
- 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
Application Due Date:
April 15th of the year prior to entry
Interviews will occur in spring/early summer with no formal binding response required prior to November 1st
Please contact us with any questions.
For more information, please contact:
Feyza E. Marouf, MD, Massachusetts General Hospital
Patricia Kneeland, Massachusetts General Hospital
55 Fruit Street
Bulfinch Building, Suite 360
Boston, MA 02114