Physician Patient

Psychiatry and Behavioral Medicine

Consultation-Liaison Psychiatry Fellowship

Consultation-Liaison (CL) Psychiatrists 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 consultation-liaison psychiatry can be found at the Academy of Consultation-Liaison Psychiatry.

The Medical College of Wisconsin offers a one-year, ACGME-accredited consultation-liaison psychiatry fellowship in Milwaukee, WI. 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 psychiatric disorders in complex medically ill patients.

As a Consultation-Liaison Psychiatry Fellow, you will provide psychiatric services to all other medical and surgical departments within Froedtert Hospital (FH) and the Clement J. Zablocki VA Medical Center (VAMC), including internal medicine and medical subspecialties, neurology, surgical services, intensive care units, and rehabilitation medicine.

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

Rotation and Didactic Information

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Clinical Rotations
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.

Inpatient Consultation Service
Froedtert Hospital

The psychiatric consultation service at FH sees approximately 1,200 new consults each year. Fellows will present and discuss all new and follow-up cases seen in clinical supervision with attending PM psychiatrists.

Clinical rounds and supervision with attending CL psychiatrists occur each day. Fellows will also work closely and supervise general adult psychiatry residents (PGY III) and medical students.

Inpatient Consultation Service
Veterans Affairs Medical Center

The psychiatric consultation service at VAMC sees approximately 700 new consults per year. Fellows will present and discuss all new and follow-up cases seen in clinical supervision with attending CL psychiatrists. Table and bedside rounds occur daily.

Fellows will also work closely and supervise general adult psychiatry residents (PGY III), senior neurology residents, and medical students.
Didactics

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 weekly didactics. Didactics includes 40 topics taught by several different psychiatry, medicine and surgical faculty, as well as several sessions co-taught by psychiatry and medicine faculty. Fellows will also participate in:

Elective Rotations

Consultation-Liaison fellows have 3 half-days per week to participate in elective rotations of their choosing. The fellow has the opportunity to select from several different elective rotations at various clinical sites.

AIDS Resource Center of Wisconsin

  • HIV/AIDS Psychiatry

Aurora Health Care

  • Eating Disorders
  • Addiction Psychiatry
  • Inpatient Consultation-Liaison Psychiatry

Community Memorial Hospital

  • Inpatient Consultation-Liaison Psychiatry

Froedtert Hospital

  • Geriatric Psychiatry
  • Integrated Primary Care
  • Psycho-oncology
  • Perinatal Psychiatry
  • Transplant Psychiatry

VAMC

  • Immediate Mental Health Access Center
  • Inpatient Palliative Care Consult Service

Research Training for Fellows

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, regional or national presentation or publication.

Dri. Christina Wichman

Meet the Director

Dr. Christina Wichman is an Associate Professor of Psychiatry and Obstetrics and Gynecology at the Medical College of Wisconsin. She completed residency in Adult Psychiatry and fellowship in Consultation-Liaison Psychiatry at Mayo Clinic. She has been incredibly involved with the Academy of Consultation-Liaison Psychiatry since her training years, having served on the Academy Council since 2013 and is currently the Annual Meeting Program Chair for 2018.

Clinically, Dr. Wichman created and directs a co-located perinatal psychiatric service, embedded within the Department of Obstetrics and Gynecology, and is the Director of Women’s Mental Health at the Medical College of Wisconsin. She is the Medical Director for The Periscope Project, a provider-to-provider teleconsultation service for providers caring for perinatal patients with psychiatric or substance use disorders.

Dr. Wichman has been the fellowship director for the Consultation-Liaison Fellowship at MCW since its inception and prides herself on creating a fellowship experience unique to each individual fellow, as dictated by each fellows particular interests.

Application Process

The Consultation-Liaison Fellowship Program at the Medical College of Wisconsin has three (3) positions and accepts ongoing applications. Typically, interviews take place in the fall for the upcoming academic year. Our program does not utilize ERAS and does not accept the universal application from the Academy of Psychosomatic Medicine. Our program participates in the National Resident Matching Program (NRMP) and abides by regulations as outlined by the NRMP.

Accreditation Statement

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

Questions?

We would love to hear from you! Please direct any questions to either Dr. Christina Wichman or Beverly Hayes.