2. 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.
4. 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).
5. Paul Summergrad, MD
Professor and Chairman, Tufts University School of Medicine
Psychiatrist-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
6. Jody Schindelheim, MD
Vice-Chairman, Education & Training
Director, 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
7.
8. 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
9. 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
10. Medicine
4 months
1 month – Consultation/Liaison at Tufts Medical Center
1 month – Inpatient at Tufts Medical Center
1 month – Emergency Medicine at Tufts Medical Center
1 month – Inpatient at Lemuel Shattuck Hospital
11. Pediatrics
Floating 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
12. 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.
13. 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.
14. 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.
15. Tufts Medical Center Inpatient Psychiatry
Scott Freeman, MD Timothy R. Moore, MD
Director of Inpatient Psychiatry
Residency: Harvard Longwood Residency: Tufts Medical Center
Fellowship in Forensics at Medical School: University of Michigan
University of Cincinnati Institute Interests: Psychotic Disorders
Medical School: Northwestern
16. 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
17. 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 Medical
Center
•Special Interests:
Schizophrenia
18. 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
19. Child Psychiatry Inpatient Units
The Walker School Metro West Medical Center
Short term residential treatment 12 bed locked inpatient unit
(CBAT) unit
Patients ages 5-17
Length of stay 2-4 weeks
Mood Disorders, Psychotic
Dr. Christopher Bellonci Disorders, Autism Spectrum
Medical Director Disorders, Disruptive Disorders and
Anxiety Disorders
20. 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.
21. Solomon Carter Fuller Mental Health Center
• Marco L. Caicedo, MD, MPH
– Medical Director
• Forensic Psychiatry
• State hospital
22. 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
23. 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
24. Outpatient Department
Rebecca Schmitt – Administrative Director of the Department of Psychiatry
Leo Balestrero – Billing Coordinator
Caitlin Bennett – Intake Coordinator
Melinda Wong - Administrative Coordinator
25. Mood and Anxiety Disorder Clinic
David Adler, MD
Director
• 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
26. Child and Adolescent Family
Therapy Clinic
John Sargent ,MD
•Director of Child & Adolescent
Psychiatry
•Director of Triple Board &
Child/Adolescent Psychiatry
Training Program
27. Child Clinics
• Joseph J. Jankowski, MD
– Child and adolescent psychiatry,
genetics, medical psychiatry,
bipolar disorder,
Tourette's syndrome
• Sigalit Hoffman, MD
– Child Trauma Clinic
• Neha Sharma, MD
– Child Anxiety Disorders Clinic
• Elina Cymerman, PhD
– Diagnostic assessment, child
and adult psychotherapy
28. 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
29. 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 aggression
Carl Fulwiler, MD, PhD
30. South Boston Court South Boston
Clinic Behavioral Health Clinic
Stephen 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.
31. • 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
32.
33. Supervision
Group 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
34. 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)
38. 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
39. 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
40. Individual Training Opportunities
Psychotherapy lectures (weekly)
•The Boston psychoanalytic society and Institute
•Psychoanalytic Society of New England, East
Neuroscience lectures (monthly)
•The Boston Society of Neurology and Psychiatry
at Tufts Medical Center
Psychopharmacology Lectures
•Annual psychopharmacology conference by MPS
45. City of Museums
Over 50 different museums…
Isabella Stewart
Gardner Museum
Museum of Fine Arts
46. Boston – Family Friendly
• Excellent school system
• Many great places for kids to learn and have fun
• Many other residents with children of their own
