Rotations and Schedule

Consultation-Liaison (C-L):

Fellows run a thriving C-L service in our 378-bed teaching hospital. Fellows have the opportunity to complete consults on all medical units of the hospital, working collaboratively with various specialties, including Internal Medicine, Neurology, Cardiology, and Physical Medicine and Rehabilitation. Fellows are highly-valued members of the treatment team, assisting with cases related to medical decision-making capacity, adjustment to medical conditions and adherence, psychiatric symptoms/diagnoses, and substance-related issues.  The fellow on CL rotation manages the service, responds to inquiries from treatment teams, and completes consults along with co-fellows. Additionally, all fellows provide CL coverage on the weekends on a rotating basis, along with supervising faculty, resulting in being on-call approximately once per month. 

Integrated Primary Care (IPC):

Fellows spend a majority of this rotation embedded in the Family Medicine and Internal Medicine Clinics providing IPC services to a wide variety of patients. Following the Hunter-Goodie model, fellows provide brief, function focused assessments and interventions at the time of patients’ medical appointments. Common referrals range from lifestyle change (i.e., smoking cessation, weight management) to mild psychiatric symptoms (i.e., depression, anxiety). Several transdisciplinary clinics are also run, including Geriatric Assessment Clinic and Diabetic Comprehensive Clinic. Fellows maintain strong collaborations with Family Medicine and Internal Medicine Physicians, promoting optimal patient care and satisfaction. Though not the primary focus of this rotation, fellows often have the opportunity to provide education to FM and IM residents through co-managing patients, and to doctoral level practicum students who are also providing IPC.

Teaching/Medical Education:

On this rotation, fellows engage in numerous medical education activities with a variety of learners. They are responsible for formal didactics in the Family Medicine Residency and Michigan State University Medical Student Psychiatry Clerkship. Fellows have the freedom to create their own curriculum, develop lecture series, and deliver didactics in a highly engaged learning environment. Fellows also engage in live observation and shadowing with residents and students, providing assessment and feedback on clinical interviewing skills and appropriate identification and treatment of behavioral health issues. Video Review of patient-doctor encounters, curbside consultation, and formal assessment of learners’ skills are additional components of this rotation. Fellows develop strong knowledge of the medical education system, including Accreditation Council for Graduate Medical Education (ACGME) program requirements, and are highly competitive for jobs in the medical education field upon graduation from fellowship. Fellows also provide a wellness curriculum and activities for medical students and resident physicians. 

Specialty Care:

As an ever-evolving rotation, fellows gain exposure to various specialties within the medical setting. Current experiences on this rotation include psycho-oncology, bariatric care, and pain management. At the Karmanos Cancer Center at McLaren Flint (NCI Accreditation), fellows engage in an integrative approach to patient care and work collaboratively with nurse navigators, surgical and radiation oncologists, and an art therapist, to provide brief individual, and group therapy. At the McLaren Bariatric and Metabolic Institute, experiences include providing pre-surgical psychological assessments, outpatient psychoeducational groups, post-operative follow-up assessment and intervention. In collaboration with the Pain Management Specialists at McLaren, fellows provide assessment and treatment to patients with chronic pain, including pre-surgical psychological evaluations for spinal-cord stimulator or intrathecal pain pump surgical candidates. Fellows may also be involved in the development and implementation of a chronic pain group visit.

 

Example Rotation Schedules (*please note rotation schedules often change due to changing needs of the community)

Teaching Rotation

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Family Medicine Video Review & Precepting

Patient Care

CL

Choose Your Own Activity 

Family Medicine Video Review & Precepting

PM

MICAPT didactics 

Admin

Family Medicine Video Review & Precepting

Practicum Student Didactics

Med Student Didactics

CL/Academic Half Day

 

 

 

 

 

 

 

 

Integrated Primary Care (IPC)

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

IPC (FM & IM)

Admin

IPC (IM & FM)

Patient Care

CL

PM

MICAPT didactics

IPC (FM & IM)

Geriatric Assessment Clinc 

Choose Your Own Activity 

CL

 

Consultation-Liasion (C-L)

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

CL

CL

CL

 

CL

CL

PM

MICAPT didactics 

CL

Choose Your Own Activity 

Admin

CL

 

Specialty

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

CL

Bariatrics

Cancer Center

Choose Your Own Activity

Cardiac Rehab (1x month)

Patient Care

PM

MICAPT didactics

Cancer Center

Free Clinic 1xmonth​

Pain Evaluations

CL

Admin

 

* Those interested can apply for these positions through the MICAPT Application Process that opens October 1, 2019. The start date for those selected to fill these positions would be September 1, 2020.