Psychiatry and Behavioral Medicine

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Psychosomatic Medicine Fellowship



Christina L. Wichman, DO
Director
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Beverly Pernitzke, C-TAGME
Medical Education Coordinator 1 - Psychiatry Fellowship Programs
(414) 955-7240
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Current Fellow
Karole Kuslak, DO


Program Description
This one-year, ACGME accredited, psychosomatic medicine fellowship through the Medical College of Wisconsin is for individuals who would like advanced education in Psychosomatic Medicine and Consultation-Liaison Psychiatry in both inpatient and outpatient settings.

Psychosomatic Medicine psychiatrists are psychiatrists who have special training and experience in evaluating and treating patients who are referred from other physicians or who are cared for in integrated practice settings. They are very comfortable helping patients who have complex or severe medical or surgical problems that may exacerbate or be exacerbated by psychiatric issues.  Additional information regarding the field of Psychosomatic Medicine can be found at the Academy of Psychosomatic Medicine

The goal of this program is to train fellows to become knowledgeable, astute and compassionate physicians with unique expertise in the diagnosis and treatment of complex psychiatric disorders in complex medically ill patients.

As a Psychosomatic Medicine Fellow, you will provide psychiatric services to all other medical and surgical departments within Froedtert Memorial Lutheran Hospital and the Clement J. Zablocki VA Medical Center (VAMC), including Internal Medicine and medical sub-specialties, Neurology, surgical services, intensive care units, and rehabilitation medicine.

http://www.mcw.edu/GME/residenciesandfellowships/ClinicalFellowships.htm

Accreditation
The Psychosomatic Medicine Fellowship is accredited by the American Council for Graduate Medical Education (ACGME).  We recently received 5-year accreditation by the ACGME.

Certifications
After successful completion of the Psychosomatic Medicine Fellowship Program, fellows will be able to take the Psychosomatic Medicine certification examination offered by the American Board of Psychiatry and Neurology (ABPN).

Program History
The Psychosomatic Medicine Fellowship Program at the Medical College of Wisconsin was established in 2010; our first fellows entered in the program in June 2011.  We have two positions within the fellowship and accept ongoing applications. Typically, interviews take place in the late fall for the upcoming academic year. Letters of offer are typically provided by December 1st for the next academic year.      

Faculty
Froedtert Hospital (FH) Consultation-Liaison Faculty
Harold Harsch, MD
Thomas Heinrich, MD
Jennifer Knight, MD
Kimberly Stoner, MD
Christina L. Wichman, DO
Mark Wright, MD

VA Medical Center (VAMC) Consultation-Liaison Faculty
Patty Guedet, MD
Lisa Henriksen, MD
Jon Lehrmann, MD
Carol I-Ping Tsao, MD, JD

Clinical Training
Fellows receive extensive experience in medically-oriented psychiatric consultation in both inpatient and outpatient settings. Fellows will gain the skills and experience necessary to independently evaluate and treat complex psychological problems.

Please click here to view the block schedule.


Required Rotation Descriptions

Inpatient Consultation Service: FH

Froedtert Hospital (FH), a 400-bed private hospital, the primary teaching hospital of the Medical College of Wisconsin, serves as the venue for one of the main inpatient psychiatry consultation-liaison (C/L) rotations. The psychiatric consultation service at Froedtert Hospital sees approximately 1,000 new consults each academic year.  Fellows will present and discuss all new and follow-up cases seen in clinical supervision with attending PM psychiatrists.  Daily clinical rounds and supervision with attending PM psychiatrists provide a great deal of clinically relevant education as fellows will see a wide variety of complex patients experiencing significant medical, surgical and psychiatric comorbidity.  Fellows will learn to appreciate and integrate the conceptual models of care of individuals suffering from comorbid conditions.  Additionally, all team members participate in weekly bedside round for additional learning opportunities.  Fellows will also work closely and supervise general adult psychiatry residents (PGY-III) and medical students.

Inpatient Consultation Service: Clement J. Zablocki VA Medical Center
The VA Medical Center (VAMC) serves as the other venue for the main inpatient psychiatry consultation-liaison (C/L) rotations. The psychiatric consultation service at VAMC sees approximately 55 new consults per month. Fellows will present and discuss all new and follow-up cases seen in clinical supervision with attending PM psychiatrists.  Daily clinical rounds and supervision with attending PM psychiatrists provide a great deal of clinically relevant education as fellows will see a wide variety of complex patients experiencing significant medical, surgical and psychiatric comorbidity.  Fellows will learn to appreciate and integrate the conceptual models of care of individuals suffering from comorbid conditions.  Fellows will also work closely and supervise general adult psychiatry residents (PGY-III), senior neurology residents, and medical students.

As part of your time at VAMC, you will spend a ½ day week in a continuity clinic seeing patients referred from the inpatient consultation service.


Elective Rotations
Psychosomatic Medicine fellows have 2-3 ½ days weekly to participate in elective rotations of their choosing. The fellow has the opportunity to select from the following elective rotations:

• Psycho-oncology
• Perinatal Psychiatry
• Transplant Psychiatry
• HIV/AIDS Psychiatry
• Neuropsychiatry
• Inpatient Consultation-Liaison Psychiatry at Community Memorial Hospital
• Mental Health Urgent Care
• Inpatient Palliative Care Consult Service


Didactic Training
The educational program consists of daily rounds, seminars, and formal and informal case discussions. Daily interaction between the program faculty and fellows will result in a close working relationship and a dynamic learning environment. In addition to daily informal education, the fellow will also participate in the following:

Weekly Psychosomatic Medicine Didactics. Click here to see didactics goals and objectives for current academic year.

Weekly Department of Psychiatry and Behavioral Medicine Grand Rounds

Monthly Journal Club: Combined with Geriatrics Fellowship

Participation in the Academy of Psychosomatic Medicine annual meeting



Research Training
Research opportunities at the Medical College of Wisconsin are abundant. Due to the wealth of patient material, prospective or retrospective investigations are possible. Fellows have the opportunity to work with established clinical researchers on ongoing projects, as well as develop independent research projects. Fellows are required to complete at least one academic project by the end of their fellowship; this may include a Grand Rounds presentation, national presentation or publication.

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Page Updated 09/03/2014