Consultation-Liaison Psychiatry Fellowship

The Consultation-Liaison Psychiatry Fellowship provides excellent, multidisciplinary training in Consultation-Liaison Psychiatry by integrating broad clinical experiences with comprehensive didactic training, close clinical supervision, and weekly protected scholarly time.

The mission of the Consultation-Liaison Psychiatry Fellowship is to provide excellent, multidisciplinary subspecialty training in Consultation-Liaison Psychiatry by integrating broad clinical experiences with comprehensive didactic training, close clinical supervision, and weekly protected scholarly time which allows a fellow to pursue research and educational activities in a specialized area of interest. Our program provides leadership and organizational skill development together with strong clinical teaching. This drives our mission of developing qualified, competent, compassionate and ethically-minded academic and community-based clinical leaders in the area of consultation-liaison psychiatry.


Fellowship Type(s):
ACGME Fellowship, Clinical Fellowship, Psychiatry Fellowship

This fellowship offers both inpatient and outpatient Consultation-Liaison Psychiatry experiences as well as the opportunity to work with the hospice-palliative team and Ethics Consult team. We have enriched outpatient clinical experiences in geriatrics, neurology, oncology, transplants, pain, HIV, maternal-infant care, integrated care, ECT, and telemedicine. The inpatient consultation services provide fellows with an opportunity to work with medical students, residents, PhD psychologists, social workers and clinical nurse specialists working in an excellent interdisciplinary training setting.

UW Medicine is a national leader in integrated care and all fellows receive training in integrated models of care providing evidence-based psychiatric treatment in primary care settings. Fellows attend three hours of weekly integrated care didactics, learn to manage an integrated care clinic and have the opportunity to work on an implementation project under expert supervisors, if interested. Fellows receive a certificate in Integrated Care at the completion of their training.

Our department is focused on excellent teaching and several of our faculty have been recognized with prestigious teaching awards. We have excellent opportunities for research and teaching and have the ability to individualize training to meet your interests and needs.

In addition to Grand Rounds, journal club and clinical case conferences there are three main didactic series throughout the year:

  • Core fellowship didactics
  • Integrated care didactics
  • Geriatric didactics

Core Fellowship Didactics
All of the core topics in Consultation-Liaison Psychiatry are reviewed in the Thursday morning fellowship meeting with the director.

  • C/L Assessment and the Role of C/L Psychiatry
  • Ethical Issues
  • Psychological Response to Illness
  • Maladaptive Behaviors and Behavioral Plans
  • Assessing Suicidal Patients
  • Legal Issues – Involuntary Treatment, Decisional Capacity, Informed Consent & Surrogate Decision Makers
  • Physical Exam for C/L Psychiatry
  • Delirium
  • Normal Aging
  • Aggression and Violence
  • Dementia
  • Imaging and EEGs
  • Geriatric Medicine and C/L Psychiatry
  • Depression and Anxiety in the Medical Setting
  • Mania, Catatonia and Psychosis
  • Eating Disorders
  • PTSD in the Medical Setting
  • Substance Abuse and C/L Psychiatry
  • Psychopharmacology I – Hearts, Livers and Kidneys
  • Demoralization and Bedside Psychotherapy
  • Deception Syndromes
  • Eating Disorders
  • Sleep Disorders
  • Sexual Disorders
  • Obstetrics/Gynecology and C/L Psychiatry
  • Palliative Care
  • Heart disease
  • Lung disease
  • Gastrointestinal disorders
  • Endocrine and metabolic disorders
  • Infectious disease
  • Rheumatology
  • HIV/AIDS
  • Dermatology
  • Nephrology and C/L Psychiatry
  • Oncology and C/L Psychiatry
  • Neurology/TBI and C/L Psychiatry
  • Transplant Psychiatry
  • Surgery C/L Journal Club
  • ICU Psychiatry
  • Infectious Diseases and C/L Psychiatry
  • Endocrinology and C/L Psychiatry
  • Pain Disorders
  • Psychopharmacology
  • Cross-Cultural and Spiritual Issues in C/L Psychiatry
  • Pediatrics
  • Physical Medicine and Rehabilitation
  • Pain
  • Electroconvulsive therapy
  • Psychosocial treatments
  • Biostatistics in the Literature

In addition, in depth series are held in the following topics taught by experts in the field:

  • Advanced psychopharmacology
  • Addictions Medicine
  • Psychiatry and the law
  • Leadership in Medicine
  • ICU Psychiatry

Integrated Care Didactics
The Integrated Care Didactics are held weekly for 3 hours, and up to one hour of pre-work is expected for each session. At least 30 faculty have contributed to the didactic portion of the fellowship, creating a rich curriculum with didactics in the following areas:

  • Overview and Orientation (3 hours)
  • Transition to Practice (minimum of 18 hours)
    • Introduction to Integrated Care
    • Implementation, Hiring, Managing
    • Liability, Leadership
    • Working on an Inter-Professional Team
    • Contracting
    • Continuing Medical Education
  • Tele-psychiatry (minimum of 15 hours)
    • Introduction to Model and Practices
    • Policy
    • Models and Best Practices
    • Expanding Opportunities
    • Advanced Topics
  • Basic Collaborative Care (minimum of 12 hours)
    • Assessment, Treatment, Depression
    • Bipolar, Anxiety, Safety
    • Advanced Anxiety, Depression, Bipolar
    • Patient Engagement
  • Advanced Collaborative Care (minimum of 12 hours)
    • Substance Use Disorders
    • ADHD, Chronic Pain
    • Difficult Patient, Psychosis
    • Harm Reduction
  • Collaborative Care for Populations (minimum of 21 hours)
    • Maternal Mental Health
    • Geriatrics
    • Child
    • Child Models
    • Advanced Maternal and Perinatal Topics
    • Outliers
    • Primary Care in Mental Health Settings
  • Public Health/Health Services (minimum of 9 hours)
    • Introduction
    • Financing
    • Advanced Topics
  • Quality Improvement (minimum of 9 hours)
    • Basics of QI Theory
    • QI vs. Traditional Research, IRB
    • QI and EHR, Publishing
  • Brief Behavioral Interventions for Primary Care (minimum of 21 hours)
    • Core Elements
    • Basic Skills and Common Elements
    • PST/CBT for Anxiety/Depression
    • Motivational Interviewing
    • Distress Tolerance Skills
    • Health Behavior Change
    • Advanced Topics

The integrated didactic series culminates with a half day retreat for the final session where all faculty and fellows participate.

Geriatric Psychiatry Didactics
Held weekly on Wednesdays at 8 a.m. at the VA. Fellows are expected to attend while at the VA. Geriatric psychiatry and geriatric medicine topics are reviewed.

The fellowship is a fully accredited, one-year program for residents entering their PGY-5 year after completing an ACGME accredited General Psychiatry Residency Program. We will be selecting three fellows who will work across three sites (Harborview Medical Center, University of Washington Medical Center, and the VA Puget Sound). Fellowship interviews are conducted between September and November. Positions are offered through the Match only in December.

You must meet the following requirements to be eligible for our fellowship:
• Complete an ACGME-accredited adult psychiatry residency
• Foreign medical graduates must have a valid ECFMG certificate
• Be eligible for an unrestricted Washington medical license

Additional information:
UW Fellowship Program Agreement (FPA)
UW Visa Policy
APM Fellowship Recruitment guidelines

We use the Common Application from the ACLP website: https://www.clpsychiatry.org/residents-fellows/common-application/

After we receive your completed application, it will be reviewed by the fellowship director. We will then follow up with you about next steps.

Please send your completed application materials to our program coordinator:

Athena Wong
Program Manager, UW Psychosomatic Medicine Fellowship
University of Washington Medical Center
1959 NE Pacific St.; Box 356560
Seattle, WA 98195
Office: 206-543-6577
Fax: 206 685-8952
aswong@uw.edu

If you have other questions, please contact the program director:
Marcella Pascualy, MD
Associate Professor and Director, Psychosomatic Medicine Fellowship
Phone: 206-277-6788
marcella.pascualy@va.gov
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