Vanderbilt University Medical Center offers a one-year ACGME accredited program with two fellowship positions available each year open to board-eligible psychiatrists. The C-L Fellowship is based at Vanderbilt University Medical Center and provides extraordinary and rigorous training in the field of Consultation-Liaison Psychiatry.

During the 12 months of training, the fellows’ clinical work is grounded in their experience on the Adult General Psychiatric Consultation service. VUMC has over 1000 beds, and provides tertiary and quaternary care for a referral base encompassing a large area of the Southeastern United States.

On the inpatient consult service, the fellow will see an unparalleled variety of patients. The high level of acuity seen at VUMC allows us to train our fellows to recognize and treat primary psychiatric disorders, rare neuropsychiatric conditions, and assist in management of emotional and behavioral symptoms across a broad clinical context.  The fellows will also be exposed to subspecialty consultation services including the Homeless Health Service, Addiction Consultation Service, Transplant Psychiatry Service, Emergency Psychiatry Service, and the Psychiatric Medical Unity housed in the Nashville Veterans Administration Hospital.  Fellows will also provide consultation services for the affiliated Vanderbilt Stallworth Rehabilitation Hospital, giving access to patients during recovery from major orthopedic and traumatic brain injury. 

Other clinic experiences include a longitudinal outpatient consultation-liaison clinic where fellows will experience persons struggling with mental illness who have co-morbid medical illnesses that require liaison with other specialty services such as OB/GYN, Neurology, Infectious Disease, and Endocrinology.  Given the large referral base for this service, fellows are encouraged and empowered to develop subspecialty interests within this clinic.

Teaching is an important part of training, and C-L fellows will be given educational responsibilities as well. There are a wide variety of trainees on the consultation service, including Vanderbilt University School of Medicine MS-III’s, sub-interns (MS-IV’s) from all over the country, VUMC Neurology Residents (PGY-2s), and psychiatry residents (PGY-2s). C-L fellows will run regular didactic fellows rounds, and will have graduated responsibilities on the clinical services, becoming comfortable serving as a junior attending and ending their fellowship comfortable running a consultation team as an attending physician.  Fellows will have their own weekly supervision to aid in their educational, clinical, and professional development.  The fellowship program values the unique interests of fellows and attempts to meet fellows' academic and clinical goals by helping leverage psychiatry's strong relationship with other departments into unique elective opportunities.

VUMC and the Department of Psychiatry and Behavioral Sciences offers opportunities to join ongoing research efforts and fellows with defined interests can be offered protected time to further their research efforts.  

 

Seminars/Rounds/Conferences

Monthly C-L Journal Clubs
Weekly Psychiatry Case Conferences
Weekly Psychiatry Grand Rounds
Geriatrics Conferences
Toxicology Conferences
Ethics Conferences
Biannual Critical Incident C-L Conferences

 

Core Clinical Experiences

Adult Inpatient Psychiatry Consults
Subspecialty Homeless Psychiatry Consults
Subspecialty Transplant Psychiatry Service
Subspecialty Addiction Consult Service
Adult Inpatient Psychiatry Consults Junior Attending Experience
Psychiatric Consultation Subspecialty Services
VA Psychiatric Medical Unit
Educational Half Day (Seminar, Research, Teaching)

 

Electives

Inpatient Subspecialty Services-Neuropsychiatry, Infectious Disease and HIV, Burn and Trauma
Surgery, Critical Care, Geriatric Medicine, Oncology
Inpatient & Outpatient Electroconvulsive Therapy (can obtain ECT certification)
Emergency Psychiatry
Child and Adoleschent Psychiatry Consultation Service
Inpatient/Outpatient Toxicology
Outpatient Transplant Psychiatry
Outpatient Epilepsy Clinic
Outpatient Women's Health Clinic
Outpatient Integrative Health
Outpatient Huntington's Disease Clinic
Outpatient Street Psychiatry/Inpatient Homeless Consults
Outpatient Palliative Care/Outpatient Hospice
Inpatient Palliative Care
Inpatient Pain Service
Inpatient Geriatrics/Outpatient Geriatrics
Research Elective

 

Sample Fellow Schedule

Fellows will have blocks of time on inpatient clinical services with regular times allocated to longitudinal clinical experiences. A sample weekly and block schedule is displayed below.

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

Morning

Clinical Service

Consultation Clinic

Clinical Service

Clinical Service

Educational Half Day

Afternoon

Clinical Service

Clinical Service

Women's Health Clinic

Clinical Service

Clinical Service

 

Block

Clinical Service

1

Homeless Health Service/Addiction Consultation Service

2

General CL Service

3

Acting Attending Service

4

Subspecialty Consultations in Neuropsychiatry

5

Toxicology/ Transplant Psychiatry

6

Psychiatry-Medicine Inpatient Unit

7

General CL Service

8

Subspecialty Consultations in Infectious Diseases

9

General CL Service

10

Subspecialty Consultations in Geriatric Medicine

11

Acting Attending Service

12

General CL Service

13

Acting Attending Service

 

Applicant Qualifications:

Completion of an ACGME-accredited residency program in psychiatry by start of fellowship
Passing score on the USMLE STEP 3 examination
Eligibility for medical licensure in the State of Tennessee

 

Application Process:

We accept the PM Common Application
Applications are accepted between July 1st and November 15th (earlier applications preferred)
Interviews will take place from September through November
Positions are offered through the NRMP Match

Applications should be emailed to elizabeth.h.wilson@vumc.org or sent to:

Attn: Elizabeth H. Wilson
Department of Psychiatry and Behavioral Sciences
1601 23rd Avenue South, Suite 3105
Nashville, TN  37212

For additional questions regarding the application process for the fellowship, please contact Elizabeth H. Wilson, Associate Program Manager or Shana Scanlin, Program Manager.

 

132834.jpg Sheryl B. Fleisch, MD
Assistant Professor of Psychiatry and Behavioral Sciences
Director, Consultation-Liaison Psychiatry Fellowship
Medical Director, Homeless Health Services Program
Director, Vanderbilt Street Psychiatry Program
   
Smith_Jonathan

John D. Smith, MD
Assistant Professor of Psychiatry and Behavioral Sciences
 Medical Director, Adult Consultation-Liaison Psychiatry
Assistant Director, Consultation-Liaison Psychiatry Fellowship