Formal Didactic Experience

Consultation-Liaison Psychiatry Fellowship

In addition to the extensive clinical experience offered through the various rotations listed above, the CLP Fellowship at Stanford truly provides a rich, didactic environment that promotes a framework for a life-long learning process. The purpose of the program is to provide the foundations to CLP, along with an opportunity to scholarly development and career development, through a number of seminars and conferences as listed below.

Immersion to CLP Didactic Series

This is the crown jewel of our didactic program – Based on feedback from previous trainees, we collaborate with partners throughout the Stanford School of Medicine for this innovative seminar, unique to Stanford CLP Fellowship. Occurring during the first 8 weeks of fellowship on Wednesdays and Fridays at noon, it is geared towards arming our incoming Fellows with advanced medical knowledge germane to daily clinical work in CL Psychiatry. Topics taught by medicine faculty include ICU medicine, Neuroimaging, Cardiology, Hepatology and renal medicine and Oncology. Our own faculty presents on transplant psychiatry, delirium, and alcohol withdrawal. This is a required didactic activity.

Topics covered in this lecture series include:



Department Speaker


Diagnosis, Pathophysiology, & Treatment of Delirium in the Medically Ill Patient


Alcohol withdrawal

AWS: Pathophysiology & Tx – Benzo sparing Protocol

Addiction Medicine

Psychiatric Emergencies

Serotonin Syndrome, NMS/NIC, Central Anticholinergic Syndrome



Staging, side effects, survival curves and prognosis discussions


CL Psych and COVID

COVID’s effects on CNS & Behavior



Liver Failure, MELD, HE


Sleep Medicine

Inpatient issues

Sleep Medicine

Legal issues/ Capacity

CA specific issues in psychiatry & the law


Neurology for psychiatrists

Basics of neuroimaging

Neurocritical Care

Women’s health

Women wellness & mental health during puerperium

Women Wellness

Community Resources

Mental Health Community Resources in the Bay area



Uremia, dialysis, pharmacological considerations in renal failure



How to choose and start a QI Project

Internal Medicine

Critical Care Medicine

Ventilation, ABG interpretation, risk stratification

Critical Care Medicine


Diagnosis, resources, and treatment of FND



QTc, VADS, ICD, Cardiac function & Psychotropic agents


Faculty Director: Filza Hussain, MD, FACLP

The “Critical Care Psychiatry Series”

Provides a review of the highly specialized systems in the intensive care units, as well as the pharmacokinetic and dynamic changes associated with critical illness:



Department Speaker

ICU Delirium

Diagnosis & Management of Delirium in the critically ill patient


ECMO – Sedation, Pain & Delirium

Special pharmacological consideration in ECMO patients


Advanced Critical Care Medicine

An in-depth review of Ventilation, ABG interpretation, risk stratification

Critical Care Medicine

Sleep Issues in the ICU

Circadian Rhythm & physiological regulation – Mechanisms of Sleep & Use of Hypnotics


Pharmacology for the CCP Specialist

Special pharmacological consideration in critically ill patients


The GABA Receptor Complex

The GABA-receptor complex: agents to manipulate it

Idiosyncrasies of GABA-ergic agents in CCU patients


Dyspnea, Air Hunger & Extubation

The experience, physiology, and management of dyspnea


Ventilatory & ECMO Mechanics

Understanding the mechanics of ventilation and ECMO systems

Critical Care Medicine

Advance Mental Status/Neurologic Assessment - I

Review of the Mental Status & Neurological Exam for Critically ill patients

Neurocritical Care

Advance Mental Status/Neurologic Assessment - II

Differential Diagnosis of AMS in the CCU


Faculty Director: José Maldonado, MD, FACLP, FACFE

The “Transplant Psychiatry Series” 

Provides an introduction to the psychosocial evaluation to transplantation, as well as the psychological syndromes associated with the post-transplant period;



Solid Organ Transplant

Medical Indications of transplantation

Pre-Transplant Assessments – I

Psychiatric and Psychosocial assessments

Pre-Transplant Assessments – II

Psychosocial evaluation for transplantation - discussion of cases/practice

Post-Transplant Course

Post-transplant course, recovery, and complications

Post-Transplant Course

Neuropsychiatric complications after transplantation - didactic

Post-Transplant Course

Neuropsychiatric complications after transplantation - discussion of cases/practice

Transplant Psychiatry Nuances

Drug Interactions and other considerations

Social Inequities/Issues in Transplantation

Racial, ethnical, and cultural considerations in transplantation: differences and disparities

Faculty Director: Yelizaveta Sher, MD, FACLP

Explore More

Summary of Didactic and Clinical Experiences throughout the Academic Year

In-Patient [I/P] Rotations:

  • General Consultation Liaison Psychiatry [CLP] Service (R)
  • Critical Care Psychiatry [CCP] Service (R)
  • Neuro-Critical Care Medicine [NCC] (R)

Out-Patient (O/P) Rotations:

  • Psychiatry Consultation – Evaluation & Continuity Clinic [ECC] (R)
  • Cystic Fibrosis Psychiatry Clinic [CFP] (E)
  • Functional Neurological Disorders Clinic [FND] (E)
  • HIV Psychiatry – Positive Care Clinic [PCC] (E)
  • Integrative Medicine Clinic [IMC] (E)
  • Women Wellness Clinic [WWC] (E)

Combined I/P & O/P Services:

  • Transplant Psychiatry Service [ATP] (R)
  • Palliative Care Medicine – PAVA [PCM] (R)
  • Psychosocial Oncology Service [PSO] (R)
  • Pulmonary Psychiatry Service [PPS] (E)

Legend: (R) required; (E) elective; (M) monthly; (W) weekly; (Q) quarterly.

Besides the required Consultation-Liaison Psychiatry Inpatient and Outpatient rotations, the Fellowship offers a menu of elective rotations, including Research/Scholarly Concentration, Positive Care Clinic (HIV Psychiatry), Psycho-Oncology, Pulmonary Medicine–Psychiatry Clinic, Ethics, Transplant Psychiatry.


The Consultation-Liaison Psychiatry Fellowship received full accreditation by the American Council for Graduate Medical Education (ACGME) since its inception in 2010.


Trainees who successfully complete the Consultation-Liaison Psychiatry Fellowship Program are eligible to take the subspecialty certification examination in Consultation-Liaison Psychiatry offered by the American Board of Psychiatry and Neurology (ABPN)

The “Healthcare Disparities Seminar” 

Intended to highlight and understand disparities within our healthcare system – due to socioeconomic, racial and gender based societal differences.



Structural Competency

Social determinants of health

Structural Vulnerability

socioeconomic, political, and cultural/normative hierarchies and health outcomes

Structural racism and Bias

What public policies, institutional practices, cultural representations, and other norms work in various, often reinforcing ways to perpetuate racial group inequity

Explicit Vs Implicit biases

Structural Interventions

understanding the source of public-health problems in factors in the social, economic, and political environments that shape and constrain individual, community, and social health outcomes

Faculty Director: Mira Zein, MD

The “Psychotherapy of the Medically Ill / Death & Dying Series”

Intended to provide the skills and knowledge to provide bedside psychotherapy to the medically ill, including addressing issues such as demoralization and existential conflicts associated with death & dying.




Bedside therapy in the medically ill

Basic principles of brief psychotherapy for the medically ill

Sheila Lahijani, MD – Psycho-oncology

Facing Death – I

Patients’ perspective, existential conflicts, death anxiety

Dany Lamothe, MD – Psycho-oncology

Facing Death – II

Physician perspective: how to cope with a dying patient

Dany Lamothe, MD – Psycho-oncology

Meaning Centered Psychotherapy

Structured didactic on MCP sessions and case-based examples 

Sheila Lahijani, MD – Psycho-oncology

Approaches to Demoralization

Descriptions of demoralization, tools for measuring, brief (bedside) approaches 

Daniel Fishman, MD – Psycho-oncology

Supportive Grief Management

Caring for the dying patient and supportive care measures of grief related phenomena for patient and family

Joshua Fronk, DO – Palliative Care Medicine

Spiritual Care 

Role of spiritual health in medical illness and in death/dying 

Palliative Medicine Chaplain

Faculty Director: Sheila Lahijani, MD, FACLP.

The “Humanities in CLP Seminar”

Developed to explore the importance of humanities for clinical practice. Attendees will work through numerous ways of defining mental disorders and look at the limitations of these definitions.




Introduction to the Philosophy of Psychiatry

Explore several ways of defining mental disorder and look at the potential limitations of these definitions and their relevance to the daily practice of Psychiatry.

Dany Lamothe, MD

Literature and First-Person Narrative: Diving into the Experience of Solid Organ Transplantation

This didactic session aims to bring the personal, experiential, and existential aspects of the transplantation process back to the consciousness of providers through literature and discussion.

Dany Lamothe, MD

A History of Ideas in Consultation-Liaison Psychiatry

This session traces the history of Consultation-Liaison Psychiatry to its early origin, when theories about body–mind linkages where first mused by ancient philosophers; then discuss its evolution throughout the years.

Guest Speaker TBD

Faculty Director: Dany Lamothe, MD

Consultation-Liaison Psychiatry Journal Club

On the last Friday of every month, trainees will take turns presenting a CL-related topic of interest. This trainee-led teaching is designed to help trainees critically evaluate published literature, understand evidenced-based medicine, and practice teaching relevant scientific information around a topic. Fellows have access to a list of “must read” literature as well, an evolving list of papers important to our field, and previous resident/fellow produced PowerPoints presentations. Journal presentations are led or supervised by the Fellows. This is a required didactic activity.

Consultation-Liaison Psychiatry Trainees Clinical Conference

On every other Friday, trainees are expected to participate in the didactic process through a lecture series covering the diverse types of medical disorders presenting with psychiatric manifestations, as well as a review of the diagnosis and management of common psychiatric conditions found in the general medical/surgical units. Alternatively, based on particular cases or clinical events, a clinical case conference is held in which medically ill patients with psychiatric disorders or who developed psychiatric/behavioral complications are discussed, followed by an in-depth review of relevant literature. This is a required didactic activity.

Consultation-Liaison Psychiatry Fellow Didactic Series

CLP-Fellows are given a list of essential CLP topics and are expected to research them and prepare a lecture series based on their studies, literature review, supervision with their mentor and PD, as well as develop evidence-based diagnostic and treatment approaches. Fellows will then teach these to trainees on the CLP Service as a way of evaluating their knowledge and consolidate their grasp in the learned material. This is a required didactic activity.

Chief of Service rounds

Every fourth Wednesday of the month, the CLP team comes together for a round table discussion, presided by the Chief of our service, Dr. Jose Maldonado. Attendings or Trainees bring forth a challenging case and pose questions to Dr. Maldonado with the aim of quality improvement, incident debriefing and systems-based practice. This is an opportunity to invite colleagues from other disciplines as well in order to have a well-rounded discussion. This is a required didactic activity.

Mental Health in Medicine Lecture Series & Case Conference: Conducted during the first half of the year. It consists of a lecture series covering the several types of medical disorders presenting with psychiatric manifestations, as well as a review of the diagnosis and management of common psychiatric conditions found in the general medical/surgical units. During the second half of the year, it consists of a clinical case conference in which medically ill patients with psychiatric disorders or who developed psychiatric/behavioral complications are discussed, followed by an in-depth review of relevant literature. This is a required didactic activity. The list of covered topics in the include:

  • Alcohol Withdrawal
  • Anxiety disorders
  • Bipolar disorders
  • Capacity Evaluations
  • Delirium Management
  • Depression/ECT
  • Eating Disorders
  • NMS/Serotonin Syndrome
  • Psychotic Disorders
  • Substance Use Disorders/Addiction Medicine
  • Suicide Prevention


Interdisciplinary Clinical Psychiatry in Neurology series

A clinical case conference in which patients with neuropsychiatric disorders are discussed, followed by an in-depth review of relevant literature. This is a required didactic activity.

Consultation-Liaison Psychiatry – O/P Clinic Case Review

All outpatient cases seen by CLP-Fellows during O/P Clinic are reviewed and discussed with Service Chief and/or senior clinic attending. This is a required didactic activity.

Annual Symposium (Grand Rounds)

Once a year CLP-Fellows will present a Grand Round session on his/her research or on a clinically significant issue. This is an elective didactic activity.

Bedside Psychotherapy Skills in Consultation-Liaison Psychiatry

Review of the diverse types of psychotherapeutic techniques appropriate for the use in the acute setting of the hospital setting; as well as psychotherapeutic techniques useful in the treatment of chronic medical disorders. When possible and available a live interview will take place to allow trainees learn from seasoned clinicians with particular expertise in Consultation-Liaison Psychiatry. This is a required didactic activity.

Ethics Committee Meeting

At this meeting representative members from all major specialties discuss difficult ethical cases, develop hospital policy, and conduct actual ethical consultations. Often, discussions regarding major bioethical principles take place. This is an elective didactic activity.

Psychiatry & the Law Course (Law School)

This course is offered every year at the Stanford School of Law by joint faculty from the Schools of Medicine and Law and is an excellent opportunity to gain experience about the interfaces and clashes of mental health and the law. The course includes a review and discussion of landmark cases in psychiatry, Consultation-Liaison Psychiatry and the Law, issues of competency assessment, decision making capacity, informed consent, right to refuse treatment, substituted decision making, end of life & right to die will be discussed in depth. This is an elective didactic activity.

Long-term Psychotherapy for the Medically Ill

CLP-Fellows are assigned a challenging or complex, long-term psychotherapy case which will be followed longitudinally for the rest of their fellowship (or until the patient needs to terminate for medical reasons, or improvement). A psychotherapy supervisor, skilled in the application of psychotherapy in the medically ill will watch via one-way mirror/video camera and provide active feedback and supervision immediately at the end of each session. This is an elective didactic activity.

Scholarly Concentration

New research projects in development and ongoing project updates are presented and discussed by research and clinical faculty, and CLP-Fellows In this forum scholarly projects (e.g., manuscripts, abstracts, poster) are discussed and presented. The program offers plenty of opportunities for scholarly activities. Participating Consultation-Liaison Psychiatry Fellows are required to join in an existing research project, develop a new research project, design and conducting a case series, or conduct an advanced literature review on a particular topic of interest, with intent to publish the findings. Fellows interested in developing their own research project will obtain training and mentorship in identifying and developing a research idea, delineating and carrying out the steps required to implement a clinical research project (e.g., write study proposal; compose and obtain IRB approval; literature review; search for funding), and writing and submitting a manuscript for publication, or poster presentation at scientific meeting. This is an elective didactic activity.

Methodology of Research in Behavioral Sciences Seminar

Consultation-Liaison Psychiatry Fellows have the opportunity to enroll in the Methodology of Research in Behavioral Sciences Seminar in which the instructors review and discuss essential methodological topics in clinical psychiatric research, including randomized clinical trials and effect size, statistical hypothesis testing: significance & power; discussion of reliability, validity, and sensitivity; medical test evaluation and risk factor research. Instructors: Boil Jo, PhD, Helena Kraemer, PhD. Duration: one quarter. This is required didactic activity.