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Geriatric Psychiatry Fellowship
Geriatric Psychiatry Fellowship
Department of Psychiatry
Massachusetts General Hospital
55 Fruit Street
Boston, MA 2114
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Mission and Goals
The Mass General Brigham 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:
- Massachusetts General Hospital (the sponsoring institution)
- Brigham and Women's Hospital
- McLean Hospital
- Hebrew SeniorLife
Focused clinical experiences, dedicated teaching and mentorship and a unique scope of research opportunities combine to distinguish the 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.
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.
- Longitudinal outpatient clinic (Psychotherapy and psychopharmacology)
- Outpatient consultation to Geriatric Medicine Clinic
- Inpatient Psychiatric Consultation/Liaison Service
- Option to participate in Optimum Care Committee
- Inpatient Geriatric Psychiatry (Late life illness and advanced dementia units)
- ECT and TMS
- Group therapy for substance use disorder
- Longitudinal Neuropsychiatry Clinic
Hebrew Senior Life
- 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 Mass General Brigham institutions and typically results in an oral or written presentation.
The depth of clinical and research expertise represented among the staff members of the participating Mass General Brigham 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.
- Minor and major neurocognitive disorder
- Late life affective illness
- Personality disorders
- Cardiac psychiatry
- 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
- Psychosis in dementia
Caroline Bader MD recently completed the Mass General Brigham fellowship in geriatric psychiatry in June 2019. Prior to that she completed her undergraduate education at Bowdoin College in Brunswick, ME, attended medical school at the Albert Einstein College of Medicine in Bronx, NY, and completed her residency in general adult psychiatry in the Harvard Longwood Program at Beth Israel Deaconess Medical Center and Brigham and Women’s Hospital. Her specific areas of interest include palliative care, end of life issues, delirium, and psychodynamic psychotherapy. She will be joining the McLean Hospital faculty in September 2019 where she will be working in the outpatient geriatric psychiatry department seeing clinical and research patients, as well as working as a geriatric psychiatrist in a local assisted living partnered with McLean.
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
- 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: May 1st of the year prior to entry
Interviews: Interviews will occur in spring/early summer with no formal binding response required prior to November 1st
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