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Psychiatry and Behavioral Medicine

Geriatric Psychiatry Fellowship

The Medical College of Wisconsin’s ACGME-accredited geriatric psychiatry fellowship is designed to train the next generation of clinical and academic leaders in the field of geriatric psychiatry. Upon successful completion of the program, fellows will be eligible to take the American Board of Psychiatry and Neurology (ABPN) Examination for Added Qualification in Geriatric Psychiatry.

The program is closely linked with the ACGME-accredited MCW Geriatric Medicine Fellowship program and the MCW Department of Neurology. Fellows gain comprehensive knowledge in the adaptive and maladaptive responses to the biological and psychosocial changes associated with aging, psychopathology beginning in and continuing into late-life, psychiatric aspects of medical and neurocognitive disorders, evidence-based pharmacotherapy, psychosocial- and community-based interventions in treating late-life mental and neurocognitive disorders, and the sociocultural, ethnic, legal and ethical issues pertinent to geriatric psychiatric disorders and their treatment.

Clinical Rotations

The program provides in-depth opportunities to care for older adults in diverse clinical sites, including inpatient, outpatient, consultation-liaison, in-home, community-based, and long-term care settings that enable the trainees to acquire the expertise needed to evaluate, diagnose, and treat a wide range of late-life mental and neurocognitive disorders. The fellows will work closely with the geriatric medicine faculty and trainees, behavioral neurologists, geriatric psychologists, neuropsychologists, nurse practitioners, nurses, social workers, and other professional members in various multidisciplinary settings. Download the rotation schedule template (PDF).

Clinical Rotation Sites

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Clement J. Zablocki VA Medical Center
Fellows work as consultants at the subacute units which include the geriatric evaluation and management, palliative care, nursing home care, and the comprehensive integrated inpatient rehabilitation units. The VA Medical Center also provides longitudinal outpatient clinic experience through the memory disorders clinic, and the geriatric psychiatry clinic rotations. During the VA Neuropsychology clinic rotations, the fellows will participate in weekly comprehensive neuropsychological evaluations. Under the direct supervision of the faculty, the fellows will conduct interviews, learn to score and interpret test reports, and gain proficiency in writing final neuropsychological testing reports. The fellows will also complete a rotation with the Home-based primary care program.

Froedtert Hospital
Froedtert & The Medical College of Wisconsin Froedtert Hospital Campus (FH), a 400-bed private hospital, the primary teaching hospital of the Medical College serves as the venue for the geriatric psychiatry consultation-liaison (C/L) rotations. The fellows will present and discuss all new and follow-up cases seen with consultation-liaison psychiatry and/or geriatric psychiatry faculty. The fellows will learn to integrate conceptual models for understanding complex geriatric problems in medical/surgical settings, and refine consultation skills using the biopsychosocial model approach to the C/L work. The fellows will teach and supervise medical students and general psychiatry residents, and function as the geriatric component of the psychosomatic medicine team.

Community Memorial Hospital
The outpatient senior health memory and mood disorders clinics located at the Froedtert Health North Hills health center, and embedded in a primary care clinic setting offers the fellow unique opportunities to work in close collaboration with a multidisciplinary team comprising of nurse practitioners, nurses, medical assistants and therapists.

The inpatient geriatric psychiatry experience is obtained at the Community Memorial Hospital. Under the supervision of faculty, the fellows will function in a junior level attending role, provide direction to a multidisciplinary treatment team, and supervise general psychiatry residents and medical students.
Village at Manor Park
Village at Manor Park (VMP) Continuing Care Retirement Community is a non-profit organization that provides a multitude of services for the elderly including independent living and assisted living apartments, skilled nursing, dementia care and ventilator care units. VMP will be a longitudinal rotation where the fellows function as a consultant to the patients at the assisted living, skilled nursing and ventilator care units. In addition, VMP also has a rehabilitation center where the fellows interact with the speech, occupational, and physical therapists, and participate in functional evaluations.

Elective Rotations

The Geriatric Psychiatry fellows will have one-half day per week to participate in elective rotations. Several elective rotation opportunities are available at different sites.

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Clinical
  • Acute Care for the Elderly consultation service
  • Community-based C/L Psychiatry
  • Hospice care
  • Movement Disorders
  • Neuromodulation treatments: repetitive transcranial magnetic stimulation, and electroconvulsive therapies
  • Neuroradiology
  • Neuro rehabilitation service
  • Pain management clinic
  • Palliative Medicine
  • Psycho-oncology clinic
  • Suboxone clinics
  • Transplant psychiatry
Research
The fellows will have access to a broad base of research elective activities relevant to aging, and the opportunity to work with dedicated mentors in completing scholarly or research projects. The fellows are required to complete at least one academic project by the end of their fellowship, which may include a grand rounds presentation, a regional/national presentation, or a publication.

Didactics and Supervision

The fellows will be required to attend comprehensive didactic seminars, geriatric medicine and geriatric psychiatry journal clubs, case conferences, and grand rounds to enrich their learning process. Participation in the American Association of Geriatric Psychiatry annual meeting is encouraged.

Training is designed to emphasize scholarship and self-instruction within the biological and psychosocial aspects of the normal aging process. It includes the psychiatric impact of acute and chronic physical illnesses using the collaborative, multidisciplinary approach to assessment and management of late-life mental illnesses, application of the biopsychosocial model, evidence-based clinical decision making.

Under the supervision of faculty, fellows have unique opportunities to function as team leaders in different settings including teaching and supervising medical students, residents, and other members of the multidisciplinary team. There is ample exposure in providing continuum of care across different clinical environment, and developing skills as clinician educators within and outside MCW and the community.

Dr. Joseph Goveas

Meet the Director

Dr. Joseph Goveas is associate professor of Psychiatry and Behavioral Medicine, and the Institute for Health & Equity at the Medical College of Wisconsin. He completed his medical school at the University of Mangalore in India, adult psychiatry residency at the University of Chicago, and geriatric psychiatry fellowship training at the University of Pennsylvania.

Dr. Goveas is currently funded by the National Institutes of Health (NIH), and is also a co-investigator on the NIH-Funded Alzheimer’s Disease Connectome Project. He previously received funding from the Brain and Behavior Research Foundation (previously NARSAD), and the Alzheimer’s Association International Research Grant program, and served as a co-investigator and consultant for the NIH-funded Women’s Health Initiative suite of studies. He has received several awards including being selected every year since 2009 as the Best Doctors in America, is an elected member of the American College of Psychiatrists, is member of the Society of Biological Psychiatry, was selected as one of the promising junior investigators in Alzheimer’s disease by the 2013 Charleston Conference on Alzheimer’s Disease, was a prior recipient of the Investigator of the year award from the Alzheimer’s Association of Southeastern Wisconsin, and is currently a scholar of the NIMH/Cornell Advanced Research Institute in Geriatric Mental Health. He has several peer-reviewed publications in high-impact medical journals, and has given national and international presentations related to cognitive aging, grief and late-life depression and Alzheimer’s disease and related disorders.

Application Process

The Geriatric Fellowship Program at the Medical College of Wisconsin has two (2) positions and accepts ongoing applications. Interested applicants should complete the MCWAH application form and submit it to the department of psychiatry along with the necessary items from the application packet list. Typically, interviews take place in the fall for the upcoming academic year. Our program does not utilize ERAS.

Interested applicants must submit a completed application packet with the following items:

Application Packet

  • MCWAH application form (PDF)
  • Current curriculum vitae (gaps in time greater than one month must be explained)
  • Personal Statement explaining your interests and goals
  • Original Transcript of Steps 1, 2 and 3 Scores (must pass all 3 steps before applying)
  • Medical School Dean’s Letter
  • Medical School Transcript
  • Copy of Medical School Diploma
  • ECFMG Certificate (international medical school graduates)
  • Visa Status Information (international citizens)
  • 3 Letters of Recommendation
    • One of the letters should be from your current training director and include your residency training summary.
    • Letters of recommendation should be addressed to Dr. Joseph Goveas and sent directly to the Medical College of Wisconsin.

Once all items have been obtained, return the complete application packet to:

Dr. Joseph Goveas
c/o Fellowship Coordinator
Department of Psychiatry at Tosa Health Center
Psychiatry Fellowship Programs-3rd Floor
Medical College of Wisconsin
8701 Watertown Plank Rd.
Milwaukee, WI 53226

All accepted candidates are required to hold a valid Wisconsin Medical License and DEA certificate before starting the program. View information about Graduate Medical Education website. For questions please contact the Fellowship Coordinator.

Accreditation Statement

The Geriatric Fellowship is accredited by the American Council for Graduate Medical Education (ACGME).

Questions?

We would love to hear from you! Please direct any questions to Bev Hayes.