Consultation – Liaison Psychiatry Fellowship
Advanced training in leading-edge consultation – liaison psychiatry
USC, in conjunction with LAC+USC Medical Center, annually offers two positions for a one-year, ACGME-accredited fellowship in psychosomatic medicine. Rotations provide fellows opportunities to gain expertise in inpatient and outpatient consultation-liaison psychiatry and to develop clinical research interests and supervise trainees in an academic setting.
Theoretical Background and Mission
Psychosomatic medicine fellows are trained to utilize the bio-psycho-social model and to become familiar with a variety of treatment modalities including pharmacological, cognitive–behavioral and family interventions. We believe that consultation-liaison contributes an essential element to medicine’s multidisciplinary teamwork approach.
We advocate for the special needs of mentally ill patients in non-psychiatric medical care settings and improve the care of medically ill patients by reducing emotional barriers to care.
Our casework is usually complex and challenging. Los Angeles County and Keck Hospitals are centers of excellence for state-of-the-art clinical care, education and research. We value completeness, accuracy and an appropriately nuanced analysis in each and every consultation, and provide fellows the time and resources to meet these expectations. Training is oriented toward preparing fellows for practice in an area of psychiatry specific to consultation-liaison psychiatry with leadership opportunities in teaching and scholarship within our subspecialty.
LAC+USC Medical Center is a 600-bed, publicly funded county hospital and tertiary care center offering full medical, surgical, emergency and intensive care services. Rotations at LAC+USC allow trainees to see patients on a variety of medical and surgical services and practice consultation-liaison psychiatry within the context of a large hospital system that has a culturally rich and highly diverse patient population.
Keck Hospital has rotations that allow trainees to see patients on a variety of medical and surgical services and practice consultation-liaison psychiatry within the context of a private hospital system that houses multiple subspecialties that are integrated into the multi-hospital system.
Outpatient rotations include maternal wellness, transplantation, integrated primary care, medically complex psychiatric consultation clinic, HIV clinic, IP and OP palliative care, and bioethics.
Fellows work closely with medicine and surgery residents and medical students from Keck and LAC + USC. Fellows have opportunities to provide supervision and didactic presentations to PGY3 psychiatry residents, medicine and surgery residents, and medical students who are performing psychiatric evaluations. Teaching activities are required by our program.
Fellows are required to develop skills in scholarship by producing either a paper appropriate for peer-reviewed publication or a proposal for research. Regular meetings with faculty will support and facilitate this objective.
In addition to direct supervision, lecture series and general didactic activities throughout fellowship training, fellows are encouraged to attend the annual meeting of the Academy of Consultation – Liaison Psychiatry in November.
Salaries and Benefits
Fellows are employees of the Los Angeles County. Fellows’ salaries are determined in negotiations among the county’s legal bargaining unit, the Council of Interns and Residents, and the county’s Department of Health Services.
Salary as of July 1, 2020
|Housing||$4,000 housing allowance|
|Bonus||$2,000 for interns progressing to a second year in a county facility|
|Meals||$10 per meal, $25 per day at LAC+USC Medical Center; meals are reimbursed during off-campus rotations, meals at Keck|
|Parking||Available at no cost at LAC+USC Medical Center/Keck|
|Vacation||24 days paid vacation each year|
|Sick leave||8 days per year|
|Professional liability insurance||Provided (Los Angeles County self-insures)|
|Maternity leave||Available — most residents use sick leave, vacation time and limited unpaid leave|
|Parental leave||Available as required by the Family and Medical Leave Act of 1993|
|Medical/dental benefits||Choice of several offered plans; family coverage available at additional cost|
|Life insurance||$2,000 term policy is provided; additional insurance may be purchased|
For more information, contact:
Program Director, Psychosomatic Medicine Fellowship
Phone: (323) 442-4055
Phone: (323) 409-5555