Consultation-Liaison Psychiatry Fellowship Program

II. Consultation-Liaison Psychiatry Fellowship Program Description

The Fellowship Experience

The Consult-Liaison Psychiatry (CLP) Fellowship Training Program provides a rich learning environment for our fellows while providing a unique and specialized service to our institution. The CLP Service manages the psychiatric and psychological needs of patients, in every medico-surgical unit at SHC and affiliated facilities, in addition to providing primary psychiatric care to patients in the Emergency Department and the outpatient medico surgical specialty clinics. We provide unique psychiatric evaluation and support to organ transplant candidates, donors, and their families. We manage delirium, agitation, alcohol and substance intoxication and withdrawal, and all kinds of psychiatric emergencies throughout the medical center, in addition to providing support, counseling and psychiatric care to those with chronic medical illness (e.g., cancer, HIV, and many others) and the hospital personnel that care for them, especially after traumatic events, through our Critical Debriefing Service.

Content

The one-year Stanford Consultation-Liaison Psychiatry (CLP) Fellowship Program, developed and directed by José R. Maldonado MD and supported by a robust and diverse group of CL psychiatrists, offers advanced training in the field of Consultation-Liaison Psychiatry in both hospital and ambulatory settings with abundant clinical, educational, and innovative research opportunities. The Consultation-Liaison Psychiatry Fellowship received full accreditation by the American Council for Graduate Medical Education (ACGME) since its inception in 2010.

The program allows the fellow to engage in a variety of required and elective clinical and research rotations as well as to engage in a wide variety of educational activities where the fellow can serve as a learner and as an educator. The program also allows each CLP-Fellow to develop his or her own unique strengths and interests. Every member of our core faculty is either CLP-Board Certified or eligible.

Beginning with the 2023 – 2024 fellowship class, the number of fellow training positions will go up to four clinical fellows. Fellows will be allowed to choose a fellowship curriculum that confers them excellent training in General Consultation Liaison Psychiatry, but it also offers two optional sub-specialty tracks: Critical Care Psychiatry or Psychosocial Oncology (also known as Psycho-oncology). 

General CLP (GCP) Fellows

Critical Care Psychiatry (CCP) Fellows

Psychosocial Oncology (PSO) Fellows

We offer fellows a total of 8 core rotations, with the fellow’s ability to choose up to 3 of 8 available elective rotations, as well as protected time to allow fellows to carry out a QI or research project. Our rich clinical training experience is complemented by a robust didactic program, which includes a series of innovative seminars designed to provide fellows with everything they need to know to manage almost any clinical problem they will encounter in their career.

III. Consultation-Liaison Psychiatry Fellowship Curriculum

The main educational objective of our program is to develop fellow’s expertise through a combination of didactic, clinical, research experiences and exposure to a wide range of patients in a tertiary, state of the art, academic medical center, under the supervision of board-certified Consultation-Liaison Psychiatry specialists.

These experiences are developed to provide the skills and expertise necessary to independently evaluate and treat complex psychosocial, psychiatric, and behavioral problems in the medically ill patient in a multidisciplinary team approach.
The various clinical settings and didactic experiences that comprise the fellow’s training experience at the Stanford Consultation-Liaison Psychiatry Program described below: 

A. Clinical Training Experience

1. Main Training Site
   
    Stanford University Medical Center
   The Stanford University Medical Center is comprised of three world-renowned institutions: Stanford Hospital & Clinics, which includes the Comprehensive Cancer Center; the Stanford University School of Medicine, the oldest medical school in the Western United States; and Lucile Packard Children's Hospital, an adjacent pediatric teaching hospital providing general acute and tertiary care.
   
   Stanford Hospital & Clinics (SHC) is a 600-bed general medical and surgical facility with over 26,000 admissions a year. Stanford is known worldwide for advanced treatment of complex disorders in areas such as cardiovascular care, cancer treatment, neurosciences, surgery, and organ transplants. In November of 2019 we inaugurated our new hospital building equipped with innovative facilities to combine superb clinical care, world-class research, and Stanford University’s groundbreaking education programs. The new, four towers, seven-story facility, houses a new Trauma Center and Emergency Department, and an enhanced capacity for patient care with 20 additional state-of-the-art operating rooms, state of the art radiology and imaging services, and a rapidly expanding world-class cancer center.
   
   Stanford Health Care's renowned Stanford Hospital has again been recognized as one of the nation's premier hospitals by U.S. News & World Report, earning a spot on its national Honor Roll. As in previous years, U.S. News & World Report gathered and analyzed data for more than 4,500 medical centers. Stanford Health Care is among the top 10 hospitals in the nation, according to the U.S. News & World Report’s 2022-2023 Best Hospitals rankings.
   
   The hospital was named in the top three in California and the best in the San Jose metropolitan area. For the eighth consecutive year, Stanford Hospital was included in the honor roll, which recognizes the 20 best-performing hospitals nationwide for a variety of medical specialties, procedures, and conditions. Stanford Health Care’s strong showing reflects expertise in numerous specialties and complex procedures. It was recognized as No. 1 in the country for ear, nose and throat, and it earned top-10 rankings for cardiology and heart surgery as well as obstetrics and gynecology.
   
   
2. Specialty Rotations
   In addition to the required rotations, the fellow spends half day a week, on average, in up to three sub-specialty rotations. Available rotations include: Neurocritical Care, HIV/AIDS Clinic, Women Wellness Clinic, Pain Service, Palliative Care Service at the Palo Alto VAHCS, Transplant programs, Pulmonary Clinic; GI Clinic, Psycho-oncology, and Clinical Research.
   
   
3. In-patient Rotations
   
   Consultation-Liaison Psychiatry Service at Stanford University Medical Center – Inpatient Service
   The inpatient Consultation-Liaison Psychiatry (CLP) Service provides consultation throughout the hospital’s 23 medical/surgical units for the management of psychiatric conditions arising within the context of medical and surgical conditions, including the critical care units, cancer center, and organ transplantation. The service consists of a full time CLP attending physicians, 1–2 CLP fellows, 2 – 3 PGY2 psychiatry residents, 0 – 2 internal medicine or neurology residents, and 0 – 2 medical students. Fellows learn to evaluate patients and provide a wide range of treatment recommendations, including pharmacotherapy, hypnosis, cognitive-behavioral management plans, brief supportive psychotherapy, alterations in the milieu, meetings with family or members of support system and recommend interventions by other disciplines such as neurology, social work, the spiritual care, or rehabilitation services. Fellows provide on-going supportive psychotherapy and family counseling, and may arrange and chair, focused, multidisciplinary staff conferences to deal with difficult management problems. They learn to communicate clearly, orally and in writing to medical and surgical colleagues and develop liaison relationships with other departments. They also participate in competency and conservatorship proceedings, as well as in initiating and extending psychiatric holds.
   
   In addition to direct patient care, the fellow is heavily involved in educational activities on the service, providing teaching and peer supervision to other trainees on the team (medical students, residents). This is a required rotation.
   
   Service Director: Jose Maldonado, MD, FACLP, FACFE.
   
   Critical Care Psychiatry [CCP] Service
   The rotation’s purpose is to introduce trainees to the diagnosis and management of neuropsychiatric syndromes associated with critical care illness and/or its treatment. Most disorders encountered during this rotation are those associated with acute severe medical disorders (e.g., pneumonia, myocardial infarctions), acute and chronic end organ failure, acute trauma, and immediate post-operative states. The service consists of a full time CLP attending physicians, one CCP fellow, 1 – 2 PGY2 psychiatry residents, 0 – 2 internal medicine or neurology residents, 0 – 1 Critical Care Medicine fellow, and 0 – 2 medical students. The most common diagnoses trainees will be exposed to in this environment include delirium, post-operative neuro cognitive syndrome, post-traumatic stress disorder, and traumatic brain injury. Fellows will rotate through Stanford’s ten (10) specialized critical care units. This is a required rotation. Beginning with the 2023-2024 academic year, CLP fellows with special interest will be able participate in a subspecialty CCU concentration/ track.
   
   Service Director: Jose Maldonado, MD, FACLP, FACFE.
   
   Neuro-Critical Care Medicine [NCC] Rotation
   This rotation is an immersion experience into the world of Neurocritical Care Service. It also serves as a great refresher of basic neurological anatomy and physiology; presentation and management of acute neurological disorders (e.g., stroke, epilepsy, traumatic brain injury). This is a required rotation; with extra time allowed as elective rotation time.
   
   Service Director: Anna Finley, MD (Neuro-Critical Care)
   
   
4. Out-patient Rotations
   
   Consultation–Liaison Psychiatry (CLP) Evaluation & Continuity Clinic
   The Consultation–Liaison Psychiatry (CLP) Evaluation & Continuity Clinic specializes in the diagnosis and treatment of psychiatric syndromes associated with medical and surgical conditions and their treatment. The clinic provides assessment and management of the major psychiatric disorders encountered in the medical/surgical patients including Adjustment Disorders, Anxiety Disorders (e.g., Panic Disorder, Post-Traumatic Stress Disorder), Mood Disorders (e.g. Major Depression), Cognitive Impairment Disorders (e.g. Delirium, Dementia), Psychotic Disorders, and Somatic symptom disorders, using combined psychopharmacology and psychotherapy. The clinic also provides pre-organ transplant psychiatric evaluation and post-transplant psychiatric follow-ups for various organ transplant services at SHC. This is a required rotation.
   
   Clinic Director: Yelizaveta Sher, MD, FACLP.
   
   HIV Psychiatry Clinic
   The Stanford Positive Care Program serves approximately 2000 HIV+ patients in two multidisciplinary clinics located in Atherton and San Jose. The Consultation-Liaison Psychiatry Fellow will become experienced in the evaluation and treatment of new and returning patients for a wide variety of conditions, including HIV-Associated Neurocognitive Disorder (HAND), substance abuse (predominately methamphetamine), and neuropsychiatric presentations of opportunistic infections, sexually transmitted diseases, and side effects of antiretroviral medications. Approximately thirty percent of the patients positive for Hepatitis C, management of which involves close psychiatric assessment and treatment. Fellows will also become familiar with the latest treatments for HIV/AIDS, Hepatitis C, and the management of drug-drug interactions. Previous fellows have elected to participate more extensively in community activities, including HIV/AIDS support groups, research, and educational programs (e.g., telemedicine consultations and webinars for primary care providers). This is an elective rotation.
   
   Clinic Director: Lawrence McGlynn, MD.
   
   
5. Combined In & Out-patient Rotations
   
   Abdominal Transplantation Psychiatry Service
   
   Fellows will get experience working with organ transplant services participating in pre-transplant psychiatric evaluation, screening of prospective living donors, post-transplant management of psychiatric complications, and inpatient consults of abdominal transplantation (i.e., liver, kidney, pancreas, small intestine) patients. This is an elective rotation.
   
   Service Director: Filza Hussain, MD, FACLP.
   
   Thoracic Transplantation Psychiatry Service
   This clinical rotation provides a variety of outpatient and in-patient experiences. This service provides primary consultation to the Heart and Vascular Clinics (e.g., General Cardiology, Adult Congenital Heart Program, Amyloid Center, Cardiac Arrhythmia Service). In Addition, this team serves as primary consultant to the Heart Failure and Cardiomyopathy Clinic, the Heart Transplant Program, and the Mechanical Circulatory Support Program. In that capacity, we perform pre-transplant/pre-LVAD evaluations, as well as provide support to heart/LVAD post-transplant patients. This is an elective rotation.
   
   Service Director: Yelizaveta Sher, MD, FACLP.
   
   Cystic Fibrosis/Pulmonary Medicine Psychiatry
   This clinical rotation takes advantage of a new embedded clinic developed by Dr. Sher, a recognized expert in the psychiatric aspects of Cystic Fibrosis. This clinic provides trainees with an opportunity to be exposed to the psychosocial aspects of a chronic medical illness process (including end stages) with significant mental health sequelae. This is an elective rotation.
   
   Service Director: Yelizaveta Sher, MD, FACLP.
   
   Hospice & Palliative Care Medicine
   This rotation is an immersion experience into the world of the Palo Alto-VA, In-patient Palliative Care Unit; a specialized, inter-professional unit caring for medically complex patients who are seriously ill. The Stanford University Hospice and Palliative Medicine Fellowship is the oldest training program in the nation. We were also the first program in the nation to be funded by the Department of Veterans Affairs. This rotation takes place at the Palo Alto – Veterans Administration Health Care System, where specialized palliative care is available through inpatient consultation teams at the Palo Alto–VA. During this rotation, fellows participate in the activities common to a Palliative Care Service, including symptom management; discussion and planning for care options; how best to support patients and families with stress associated with illness. This is a required rotation.
   
   Service Director: VJ Periyakoil, MD, Professor of Medicine; Associate Dean of Research (Geriatrics and Palliative Care), Founding Director, the Stanford Hospice & Palliative Care Program
   
   Psycho-oncology Service
   Consultation-Liaison Psychiatry Fellows have an opportunity to rotate on the Comprehensive Cancer Center (CCC) Psycho-Oncology Service. The exact duration of the elective and time invested is to be determined based on programmatic needs and fellow’s preferences.
   
   During the course of this rotation Consultation-Liaison Psychiatry Fellows will learn to assess psychiatric symptoms and psychological distress and coping mechanisms in patients at various stages of a cancer diagnosis, including: diagnosis, treatment, and remission/survivorship or terminal disease; develop proficiency in using psychiatric medications in the context of various cancer treatments (e.g., chemotherapy, radiation therapy, surgery, bone marrow transplantation); develop competency in providing various form of psychotherapy (e.g., supportive, cognitive behavioral, couples/family, and end of life/existential) and dealing with family dynamics, grief, and countertransference amongst medical staff; and gain experience working in a multi-disciplinary setting (i.e. oncologists, nurses, social workers, chaplains) and utilizing liaison skills. This is an elective rotation. Beginning with the 2023-2024 academic year, CLP fellows with special interest will be able participate in a subspecialty Psycho-oncology concentration/ track.
   
   Service Director: Sheila Lahijani, MD, FACLP.
   
   

B. Formal Didactic Experience – Seminars and Conferences Series

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:

Faculty Director: Filza Hussain, MD, FACLP

The “Critical Care Psychiatry Series” which 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:

Faculty Director: José Maldonado, MD, FACLP, FACFE

The “Transplant Psychiatry Series” which provides and introduction to the psychosocial evaluation to transplantation, as well as the psychological syndromes associated with the post-transplant period;

Faculty Director: Yelizaveta Sher, MD, FACLP

The “Healthcare Disparities Seminar” – intended to highlight and understand disparities within our healthcare system – due to socioeconomic, racial and gender based societal differences.

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.

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.

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 PM 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 PM 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.

Psychosomatic Medicine – O/P Clinic Case Review: All outpatient cases seen by PM-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 PM-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: PM-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.

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.

Accreditation

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

Certifications

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)

IV. Consultation-Liaison Psychiatry Fellowship – Application Process

Program Eligibility Criteria and Application Requirements

1. Before entry into the program, applicants must complete or have completed an ACGME accredited psychiatry residency program, or a general psychiatry program in Canada accredited by the Royal College of Physicians and Surgeons of Canada, which qualifies them to sit for the ABPN Psychiatry Board.
   
   
2. Applicants must be a U.S. citizen or possess the appropriate documentation to allow them to legally train at the Stanford University Medical Center according to School of Medicine Department of Graduate Medical Education policy. http://med.stanford.edu/gme/
   
   Please note that Stanford Health Care does not sponsor H-1B Visas; only J-1 Visas can be sponsored for this fellowship.
   
   
3. Our program accepts applications through ERAS (program code 4090513055) or via e-mail using the ACLP Common Application. Applications for the Consultation-Liaison Psychiatry fellowship program must include:
   1. The Academy of Consultation-Liaison Psychiatry Common Application for Consultation-Liaison Psychiatry Fellowship form
   2. Curriculum Vitae
   3. Personal Statement
   4. Copy of medical school diploma and/or transcripts
   5. Documentation of post-graduate medical education completed elsewhere
   6. Copies of state medical license(s), DEA certificate, board certifications, when applicable
   7. Documentation of ECFMG certification, when applicable
   8. Three (3) professional letters of recommendation, one must be from the psychiatry training director documenting that the applicant meets the eligibility criterion (#1 above); and at least one from a Consultation-Liaison Psychiatry supervisor.
   9. Documentation of successful passing scores on USMLE parts 1, 2, and 3.
   10. For International Medical Graduates (IMGs) – Documentation of VISA status:
       Stanford Hospital and Clinics uses the J-1 visa program sponsored by the Educational Commission for Foreign Medical Graduates (ECFMG). Stanford does not sponsor H-1B visas for graduates of international medical schools. Graduates of Canadian medical schools must also use the J-1 program. For more information visit the SHC-GME website.
       
       
4. Applicants must be eligible for medical licensure in the State of California.
   Graduates of foreign medical schools should contact the Medical Board of California to ensure the requirements to obtain a license and practice medicine in this state have been met. You must obtain an 'Evaluation Status Letter' from the Medical Board of California, stating that your credentials are adequate to practice in this state and submit this letter with your application so your file may be reviewed.
   
   
5. The Stanford Consultation-Liaison Psychiatry Fellowship Program will be participating in the National Resident Matching Program® (NRMP®) through the Specialties Matching Service® (SMS®), as are most USA – ACGME approved PM fellowship programs.
   
   Please note the following key Psychiatry Match dates:
   
   October 18, 2023 - Match Opens at 12:00 p.m. ET
   November 8, 2023 – Ranking Opens at 12:00 p.m. ET
   December 6, 2023 – Programs: Quota Change Deadline at 11:59 p.m. ET
   December 20, 2023 – Rank Order List Certification Deadline at 9:00 p.m. ET
   January 10, 2024 – Match Day at 12:00 p.m. ET!
   
   For more fellowship Match information, please see http://www.nrmp.org/
   
   
6. Due to the new realities associated by the COVID-19 pandemic, this year we will not be conducting on-campus visits; interviews will be conducted virtually. Please feel free to watch the following videos designed to provide you with a sense of the Stanford Medical Center and our campus:

V. Faculty & Fellows

Fellowship Faculty: (in alphabetical order)

Past & Current Consultation-Liaison Psychiatry Fellows

• 2011 – 2012: Yelizaveta Sher, MD
• 2013 – 2014: Vidushi Savant, MD
• 2014 – 2015: Renee Garcia, MD
• 2015 – 2016: Anna Piotrowski, MD and Luke White, MD
• 2016 – 2017: Andrea Ament, MD and Earl De Guzman, MD
• 2017 – 2018: Anita Chang, DO, and Tiffany Chan, MD
• 2018 – 2019: Kyle Johnson, MD, and Mira Zein, MD, MPH
• 2019 – 2020: Beatrice Rabkin, MD, and Nafisa Reza, MD
• 2020 – 2021: Dany LaMothe, MD and Jeff Ha, MD
• 2021 – 2022: Jonathan deVries DO, and Gabrianna Saks, DO
• 2022 – 2023: Matthew Gunther, MD, MA, and Shixie Jiang, MD

VI. Program Leadership & Contact Information

For more information, please visit the GME office site: https://med.stanford.edu/gme.html