Topics covered in the Psychosomatic Medicine seminars
The curriculum of the fellowship will adhere closely to the ACGME guidelines for educational topics that ought to be covered in a Psychosomatic Medicine fellowship didactic seminar series.
These include:
- the nature and extent of psychiatric morbidity in medical illness and its treatments
- the impact of comorbid psychiatric disorders on the course of medical illness
- understanding of how and why patients respond to illness
- knowledge of appropriate treatment interventions for co-existing psychiatric disorders in the medically ill
- psychological and psychiatric effects of new medical or surgical therapies
- the epidemiology of psychiatric illness and its treatment in medical disease, and knowledge of the nature and factors that influence the physician-patient relationship
- psychiatric complications of medical illnesses
- psychiatric complications of medical treatments, especially medications, new surgical or medical procedures, transplantation, and a range of experimental therapies
- typical and atypical presentations of psychiatric disorders that are due to medical, neurological, and surgical illnesses
- evaluation and management of delirium, dementia, and secondary (“organic”) psychiatric disorders
- evaluation and management of somatoform disorders and chronic pain
- assessment of capacity to give informed consent for medical and surgical procedures in the presence of cognitive impairment
- provision of non-pharmacologic interventions, including cognitive-behavioral psychotherapy, interpersonal psychotherapy, as well as focused, short-term psychotherapy in patients suffering the effects of complex medical disorders or their treatments
- indications for, and use of psychotropics in specific medical, neurological, obstetrical, and surgical conditions
- interactions between psychotropic medications and the full range of medications used for a variety of medical and surgical conditions
- collaboration with other physicians, and other members of the multidisciplinary treatment team
- teaching other physicians and other members of the multidisciplinary team how to recognize and respond to Psychosomatic Medicine and various psychiatric disorders
- leading an integrated psychosocial health care team in the medical setting