Tufts Medical Center• TMC represents the union of four institutions:• The Boston Dispensary (established in 1796)• The Floating Hospital for Infants and Children (established in 1894)• The Pratt Clinic New England Center Hospital (established in 1938)• The Rehabilitation Institute (established in 1958)• Is a Level One Trauma Center of Adults and Peds.• Ranked 6th nationwide in the 2010 University Health System Consortium Quality Study• Honored as Most Admired Health Care Institution in Boston by Boston Business Journal in Feb 2012.
Tufts UniversitySchool of Medicine Arthur M. Sackler Center for Health Communications
Tufts Medical Center - A Home for Residents • 600 residents and fellows are trained in 45 programs • 150 residents or fellows from other hospitals rotate through Tufts Medical Center • Newly revamped GME council with superb responsiveness to resident issues. • Psychiatry just received a 5 year re- accreditation schedule (the longest offered).
Paul Summergrad, MDProfessor and Chairman, Tufts University School of MedicinePsychiatrist-in-Chief, Tufts Medical Center • Trained in Internal Medicine at Boston City Hospital and Boston University School of Medicine • Trained in Psychiatry at Massachusetts General Hospital and Harvard Medical School • Former Chief of Inpatient Psychiatry at MGH • Leader in the formation of Partners Psychiatry and Mental Health including MGH, BWH and McLean hospitals • National expert in the care of medically ill psychiatric patients • Former President of the American Association of General Hospital Psychiatrists
Jody Schindelheim, MDVice-Chairman, Education & TrainingDirector, Residency Training Program • Trained at Harvard and Tufts Medical Center • 30 year teaching experience • 31 awards for excellence in teaching • Boston magazine, “Top Doctors for Women” • Faculty of Psychoanalytic Institute of New England and Massachusetts Institute of Psychoanalysis
PGY 1 Rotations PGY I• 4 months Medicine • 3 months - Tufts Medical Center – 1 month Inpatient (or pediatrics at TMC) – 1 month Consult (or pediatrics at TMC) – 1 month Medicine ER • 1 month - Lemuel Shattuck Hospital inpatient• 2 months Neurology • Tufts Medical Center• 2-3 months Inpatient Psychiatry • Tufts Medical Center• 1 month Substance Abuse • Arbour JP Hospital• 2-3 months Emergency Psychiatry • Tufts Medical Center• 0-1 months Consult – Liaison Psychiatry • Tufts Medical Center
PGY 2 Rotations PGY II• 3-4 months Adult Inpatient Psychiatry (including 1 month of ECT) • Tufts Medical Center• 1 month Child Inpatient • Metro West• 1-2 months Emergency Psychiatry • Tufts Medical Center• 1 month Geriatric Psychiatry • Lawrence Memorial Hospital• 1 month Forensic Inpatient Psychiatry • Solomon Carter Fuller Mental Health Center• 4 months Consultation Liaison • Tufts Medical Center • Lemuel Shattuck Hospital
Medicine 4 months 1 month – Consultation/Liaison at Tufts Medical Center 1 month – Inpatient at Tufts Medical Center1 month – Emergency Medicine at Tufts Medical Center 1 month – Inpatient at Lemuel Shattuck Hospital
PediatricsFloating Hospital - established in 1894 as a hospital ship, sailing Boston Harbor and encouraging mothers to participate in their children’s healthcare Sundeck therapy for infants with Vitamin D deficiency, 1920
Neurology Consult Service •Residents spend 2 months rotating with the Neurology Consultation/Liaison Service. • The service is run by Senior Neurology Residents and Neurology Attendings who rotate biweekly.
Tufts Medical Center Emergency Room Emergency Psychiatry Dr. Manuel Pacheco Director of Consultation Liaison and ER • Consultant to the Emergency Department of Tufts Medical Center • Evaluations are performed by residents under the supervision of senior residents and attending psychiatrists • Assistance of staff social workers, rotating medical students and physician assistant students.
Consult – Liaison Psychiatry at Tufts Medical Center • Due to the busy nature of our ED and Consult Services two teams are dedicated to staffing these consults. • Dr. Manuel Pacheco serves as the regular attending for both services.
Tufts Medical Center Inpatient Psychiatry Scott Freeman, MD Timothy R. Moore, MDDirector of Inpatient PsychiatryResidency: Harvard Longwood Residency: Tufts Medical CenterFellowship in Forensics at Medical School: University of MichiganUniversity of Cincinnati Institute Interests: Psychotic DisordersMedical School: Northwestern
Pratt 2 Psychiatry Inpatient Unit Newly Renovated in 2012! • 20 bed locked adult inpatient unit • Psychiatric care in tertiary medical illness • Collaborative care with Tufts Medical Center specialty services • Staff includes: 2 full-time psychiatrists, 2 full-time social workers, an occupational therapist, nursing staff and licensed mental health workers
Lemuel Shattuck Hospital (State Hospital) Med/Surg/Behavioral Service: Serves patients with chronic mental illness in a medical setting.Thomas Posever, MD•Trained at Tufts MedicalCenter•Special Interests:Schizophrenia
Arbour Jamaica Plain• Private psychiatric hospital in the Arbour Health System• Located in Jamaica Plain – an area of Boston• Locked Adult Dual Diagnosis Unit Medhat Migeed, MD Inpatient Attending
Child Psychiatry Inpatient UnitsThe Walker School Metro West Medical CenterShort term residential treatment 12 bed locked inpatient unit(CBAT) unit Patients ages 5-17Length of stay 2-4 weeks Mood Disorders, PsychoticDr. Christopher Bellonci Disorders, Autism SpectrumMedical Director Disorders, Disruptive Disorders and Anxiety Disorders
Lawrence Memorial Hospital• Site of 1 month Geriatric PGY II rotation; located in Medford, MA• 18 bed open and 16 bed secure geriatric inpatient units allow exposure to elderly patients suffering from a full range of psychiatric and neuropsychiatric disorders.• During this rotation, residents also become skilled in the evaluation and treatment of significant medical co- morbidity.
Solomon Carter Fuller Mental Health Center• Marco L. Caicedo, MD, MPH – Medical Director• Forensic Psychiatry• State hospital
PGY 3 Rotations PGY III – Child/Adolescent Clinics• 12 months Outpatient Psychiatry • Tufts Medical Center – Adult Clinics – ADHD Clinic – CAP Clinic • Tufts Medical Center – Kid and Family Therapy – Mood and Anxiety Clinic Disorders – Child Anxiety Disorders – General Intake Clinic – Child Trauma Clinic • Dr. Fulwiler’s Community Integration Clinic • Shattuck Shelter • South Boston Court Clinic • South Boston Behavioral Health Clinic • Solomon Carter Fuller DMH Clinic
PGY 4 Rotations• 2 months Emergency Psychiatry • Tufts Medical Center• 1 month Child Psychiatry • Walker School• 9 months Elective/Research • Forensic Court Clinics • C/L • DMH • Shattuck State Hospital • Entrepreneurship • Payers and Funding • Medical Innovation • Research
Outpatient DepartmentRebecca Schmitt – Administrative Director of the Department of PsychiatryLeo Balestrero – Billing CoordinatorCaitlin Bennett – Intake CoordinatorMelinda Wong - Administrative Coordinator
Mood and Anxiety Disorder ClinicDavid Adler, MDDirector• Professor of Psychiatry and Medicine• Trained at Yale and Harvard• 28 year teaching experience• served on 48 different committees since 1974• 9 research grants since 1994• Research interest: – mental health service in primary care – long term treatment for personality disorders
Child and Adolescent Family Therapy Clinic John Sargent ,MD •Director of Child & Adolescent Psychiatry •Director of Triple Board & Child/Adolescent Psychiatry Training Program
Child Clinics• Joseph J. Jankowski, MD – Child and adolescent psychiatry, genetics, medical psychiatry, bipolar disorder, Tourettes syndrome• Sigalit Hoffman, MD – Child Trauma Clinic• Neha Sharma, MD – Child Anxiety Disorders Clinic• Elina Cymerman, PhD – Diagnostic assessment, child and adult psychotherapy
Learning Disorders & ADHD Clinic Judith Robinson, MD Hope Schreiber, PsyD, ABPP/CN• Director of College Learning • Director of ADHD Clinic Disorders / ADHD Program • Trained in General Psychiatry• Co-Director of ADHD Clinic and Child/Adolescent Psychiatry• Clinical Neuropsychologist at Tufts Medical Center• 20+ years of experience • Specializes in ADHD through the• Current research interests include: lifespan - co-morbidities of learning disorders • Board Certified in Psychiatry in adults and Child/Adolescent Psychiatry - adult outcomes of neurodevelopmental disorders - neurobiology of learning disorders
Community Shattuck Shelter Integration Clinic Located at the Lemuel Shattuck Hospital Based at Lemuel Shattuck Hospital Provides integrated mental health and Post-detox, intensive residential substance abuse treatment and program for homeless men. community services for people with past or present involvement with the criminal Residents assist program staff in justice system. assessing clients for dual disorders and provide brief psychoeducation to clients Residents work closely with primary care about those disorders in individual and providers at the Shattuck outpatient group formats. clinic. • Committees: Forensic Advisory Forum of Massachusetts Department of Metal Health • Forensic services program of UMASS • Research interest: • (1) Neurobiological factors involved in violent behavior • (2) Effect of alcohol on aggressive behavior • (3) Neuroimaging of aggressionCarl Fulwiler, MD, PhD
South Boston Court South Boston Clinic Behavioral Health ClinicStephen Porter, MD, Director George Sigel, MD, Director• A District Court located in South • Tufts Medical Center satellite clinic Boston, where residents are a part of located in South Boston that serves the Psychiatric Court Clinic and gain adults, adolescents, and children. experience in Forensic Psychiatry. • Residents see intakes, follow-ups,• Residents learn to work with the and walk-ins in this community various members of the court system, outpatient clinic. including police officers, judges, • Residents gain experience in a team attorneys, and parole officers. treatment approach by working with Social Workers and Psychiatric• Residents gain experience in Nurse Practitioners. evaluating offenders, testifying in court, and writing evaluations for the court.
• Neuroscience Course• Neuroscience Course • Psychopathology• Psychopathology • Psychopharmacology• Psychopharmacology • Advanced Psychopharmacology• Advanced Psychopharmacology • Child Psychiatry Series • Evidence Based Psychiatry• Child Psychiatry Series • Journal Club• Evidence Based Psychiatry • Mock Boards • Board Review/Preparation • Consultation/Liaison Seminar • Psychodynamic Therapy • Cog-Behavioral Therapy • Family/Couples Therapy • Group Therapy • American Culture • Special Topics • Chief Rounds • Critical Readings in Psychiatry • Differential Psychotherapeutics • Residency Meeting
SupervisionGroup supervision weekly: Individual Supervisors-Child and Adolescent Psychiatry-CBT PGY I PGY II PGY III, IV-Dual Diagnosis Core one one one Psychotherapy one two
Night Call• PGY I – Psychiatry: On psychiatry and neurology rotations the intern does “long day” from 5 pm – 8 pm on weekdays and 8am – 8 pm on weekends in a rotating schedule with other interns. Areas covered include Pratt 2 and the Psych ER. Oversight and case review with the supervising resident takes place with each case. – Medicine: Tufts-Short call, until 10 PM q 4 days Shattuck- one week of night float with a PYG 3 medicine resident• PGY II : Averages 3 times/mo• PGY III: Averages 2 times/mo• PGY IV: Averages about once every 2 months (weekdays only)
Training Benefits of Boston • Strong psychiatry tradition • Balanced psychodynamic, neurobiologic, and medical psychiatric supervision • Multiple diverse training opportunities and conferences • Diverse and distinct ethnic, cultural and religious communities • Safe, pleasant, and family friendly
Tufts Medical Center Benefits• Tufts Medical Center offers a flexible benefits package which includes: – Health Insurance – Dental Insurance – Long and Short Term Disability Insurance – Life Insurance• Residents also receive: – Malpractice Insurance – Meal Tickets for on-call nights at Tufts Medical Center – Computer Services – 4 weeks paid time-off (2 weeks per 6-month period to be used for vacation or conference/didactic leave) – Full access to the Tufts University School of Medicine Library – An educational stipend is being added for next year
Individual Training OpportunitiesPsychotherapy lectures (weekly)•The Boston psychoanalytic society and Institute•Psychoanalytic Society of New England, EastNeuroscience lectures (monthly)•The Boston Society of Neurology and Psychiatryat Tufts Medical CenterPsychopharmacology Lectures•Annual psychopharmacology conference by MPS