Core Rotation Sites
Boston Medical Center (BMC) is an academic hospital with 496 inpatient beds and a full spectrum of outpatient services. BMC was formed in 1996 from the merger of University Hospital and Boston City Hospital. The merger brought together a public hospital and a private academic hospital. The culture born from this merger maintains a commitment to service for the people of Boston regardless of social status or ability to pay. The patient population ranges from patients with full private insurance to homeless patients with public or no insurance. The diversity of the patient population is remarkably broad and the commitment to “exceptional care without exception” remarkably strong. The majority of training takes place at Boston Medical Center, which is also the major training site for the Psychosomatic Medicine Fellows. Residents work in a collegial environment of medical education and training with colleagues in all medical and surgical specialties. Residents have training experiences in the new and expanded Psychiatry Emergency area of the Emergency Room, a level one trauma center. The Psychiatric Emergency Team is the lead in the Boston Emergency Service Team that serves the greater Boston area. Residents are part of the Consultation-Liaison Team, a busy service that is highly valued by the medical/surgical teams who treat a population with many psychosocial concerns. The outpatient Behavioral Health Service is a very busy full service outpatient clinic where residents begin treating outpatients with psychotherapy and/or psychopharmacotherapy in the second year and continue through the completion of training. Fourth year electives in clinic and research are valued options for residents.
The VA Boston Healthcare System grew from the merger of 3 veteran hospitals to create a larger, integrated healthcare systems for veterans in Boston and surrounding suburbs extending through the south and southeastern parts of Massachusetts. Today, the VA Boston Healthcare System has 3 campuses: Jamaica Plain, West Roxbury and Brockton, and a series of Community Based Outpatient Clinics (CBOC). The Boston University Psychiatry Residency Program has training on the Jamaica Plain and West Roxbury campuses and in the CBOC located in the historic North End. Outpatient Primary Care medicine, Cognitive Behavioral Clinic, and fourth year electives at the National Centers for PTSD take place on the Jamaica Plain campus. Consultation-Liaison psychiatry, Integrated Care, and night float rotations are on the West Roxbury Campus, the primary site for medical and surgical care of veterans in the VA Boston Healthcare System. The West Roxbury campus is a major training site for the Psychosomatic Medicine and Addiction Psychiatry Fellowship programs. The North End CBOC is a training site for third and fourth year residents for long-term treatment of veterans with psychiatric illness and substance use disorders and in specialized programs such as Schizophrenia. This CBOC is a major training site for the Addiction Psychiatry Fellowship where fellows and residents are taught by a team led by one of the leading national experts in Addiction Psychiatry, John Renner MD.
Edith Nourse Rogers began a long career of service to veterans during the First World War when she volunteered with the Red Cross in France and at the Walter Reed Army Hospital in Washington, where her husband was a United States Representative from Massachusetts. At various times, she held the post of inspector of new Veterans Administration hospitals and served as a member of the electoral college, but after her husband died and she was herself elected to Congress for 35 continuous years, she became primarily known for her effective support of veterans’ legislation and her advocacy for military auxiliary organizations and for female members of the military. The veterans’ hospital that bears her name today is located in Bedford, Massachusetts, about 16 miles northwest of Boston in an area surrounded by woods and a golf course, and accessible by bus and by car. The hospital maintains active medical and psychiatric outpatient clinics. Inpatient units are primarily psychiatric, with the exception of medical geriatric and nursing wards. The Geriatric Research and Education Clinical Center (GRECC) is located at Bedford VA providing additional learning opportunities in Geriatric Psychiatry. Many of the Psychiatry Faculty have added qualifications in Geriatric Psychiatry. First year residents learn inpatient psychiatry on an acute general unit. Second year residents train in geriatric psychiatry and a successful Integrated Care rotation in a general medicine clinic. We have developed a successful Integrated Care rotation (required second year and elective fourth year) where residents and an attending psychiatrist are embedded in a primary care clinic with other behavioral health clinicians to prepare residents for future systems of clinical practice. A second year rotation and fourth year elective on the Interprofessional Psychiatry Team provides a learning experience as a team member and leader in the care of patients working with psychologists, social workers, nurses, physician assistants, and peer counselors to provide optimal care for veterans though a number of outreach services, including Telepsychiatry. Bedford VA Department of Psychiatry is a national leader in the use of Telepsychiatry. These two training experiences are designed to teach residents the essential skills and knowledge for the future of clinical practice of psychiatry. Bedford VA is a training site for the Residency Program and Addiction Psychiatry Fellows.
Bournewood Hospital began as a psychiatric hospital in 1884, moving to its present location in Brookline in 1895 during the period in mental health care known as the Asylum Movement. This movement was championed by the Massachusetts native Dorthea Dix, who believed that people with mental illness needed a healthy environment to heal. Bournewood hospital is an idyllic 12 acre wooded campus with four Victorian buildings that were designed by Boston architect William Ralph Emerson, who was known for his shingle-style houses and inns. The hospital is built over and around outcroppings of the famous Roxbury Conglomerate or Puddingstone, the bedrock of large areas in Boston and Greater Boston. During the Asylum Movement, patients had long lengths of stay where they could play billiards, tennis, croquet, and relax in the small library. Today, Bournewood Hospital is a leader in psychiatric and chemical dependency fields. The Hospital meets the needs of patients combining personalized care with the latest treatment advances in order to remain current in today’s fast-paced medical environment. Many patients are in managed care insurance companies providing residents the benefit of learning patient advocacy and effective communication with managed care benefits managers. A broad range of psychopathology in an acute care setting rapidly advances first year residents’ training in patient evaluation, diagnosis, and treatment. Second year residents train on the inpatient adolescent and day hospital program, learning the unique clinical presentations of adolescents. The Program Chief Resident adds to the education and training of Boston University School of Medicine third year clerks and Psychiatry residents on rotation.
Dr. Solomon Carter Fuller Mental Health Center
The Dr. Solomon Carter Fuller Mental Health Center (DSCFMH) is a Department of Mental Health facility located on the Boston University Medical Center Campus. The center is named after Dr. Solomon Carter Fuller, the first African-American Psychiatrist and contemporary of Freud, Jung, and other leaders in the field of Psychiatry. The DSCFMHC provides care for the most seriously mentally ill and is one of the major Forensic Psychiatry units within the Commonwealth of Massachusetts. Second year residents participate in the care of complex patients while learning psychopharmacology and recovery models and participate in court ordered assessments of competency to stand trial and criminal responsibility, including attending court hearings.
Boston University on the Charles River Campus
Fourth year electives on the Charles River Campus include specialized training in providing treatment to students, staff, faculty, and members of the community in Spiritually Integrated Treatment and Cognitive Behavioral Therapy in one of 2 clinical settings.
The Danielsen Institute is located on beautiful Baystate Road in a classic Boston brownstone. The Danielsen Institute is a nationally recognized leader in the development of Spiritually Integrated Treatment (SIT) for mental illness and is a training site for Pastoral Counselors. The clinic treats students, faculty, and staff who present with a range of mental health concerns. Treatment includes psychodynamic psychotherapy, couple therapy, and pharmacotherapy. Patients determine if their personal spiritual issues may be relevant to their treatment and if so, these issues are integrated into their treatment. The Danielsen Institute is the lead on a grant proposal to disseminate SIT to other clinical settings across the US. Residents interested in expanding their training in psychodynamic psychotherapy and/or in SIT may select this elective.
CARD is located in vibrant Kenmore Square close to Fenway Park, home to the Boston Red Sox, and near the famous Citgo sign and the subway T station. David Barlow PhD, a world renowned expert in anxiety disorders and cognitive-behavioral-therapy (CBT) designed the center as a training center for psychologists specializing in CBT for Anxiety Disorders. CARD remains a vital training site for Psychology trainees and for Boston University Medical Center Psychiatry fourth year residents can to learn evidenced based CBT for a range of anxiety disorders.