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Fellowship Structure and Daily Schedule

Fellows perform a mix of outpatient clinical work, shadowing, self and collaborative study, clinical case review, didactic learning, conference attendance, and teaching.

Outpatient care: Each fellow has a panel of patients at Family Health Center of Worcester commensurate with a four-clinic-per-week schedule, with particular focus on primary and psychiatric care for patients with psychiatric conditions and substance use disorders. FHCW is a federally-qualified community health center serving a large and diverse population of patients, including those who are working class, poor, BIPOC, immigrant, refugee, asylum seeking, LGBTQ+, unhoused, living with HIV, and struggling with substance use disorders.

In addition, fellows provide in-house consultation support to the PCPs of other patients with psychiatric care needs. They are also encouraged to maintain their prenatal care skills by caring for prenatal patients with psychiatric conditions and substance use disorders. Fellows are able to receive training in psychotherapy techniques such as motivational interviewing and CBT and can provide psychotherapy under the supervision of behavioral health faculty.

Shadowing: Fellows are able to shadow in various specialty clinics through our UMMS affiliation, such as:

  • FHCW Child and Adolescent Psychiatric Consultations
  • FHCW ADHD Clinic
  • FHCW Office-Based Addiction Treatment Intake Clinic
  • UMass Psychopharmacology Clinic
  • UMass Bipolar and Depression Specialty Clinic
  • CHL Screening and Treatment of Early Psychosis (STEP) Clinic
  • UMass Community Psychiatry Clinic
  • UMass Geriatric Psychiatry Clinic
  • UMass Neuropsychiatry Clinic

Self and collaborative study: Fellows use the curricular theme schedule (learn more under Curriculum) as a guide for self-directed readings. Fellows develop and maintain a list of suggested readings for each subject, which can be used as a starting point for subsequent fellows. Study materials include books, journal articles, online lectures and webinars, and other materials identified by the fellow, fellowship director, associate fellowship director, and collaborating psychiatry faculty.

Clinical case review: The fellow meets with collaborating members of the psychiatry faculty, including their clinical and academic mentor, on a weekly basis to discuss clinical cases or readings on the current curricular theme. They also meet weekly with the fellowship director and/or associate director for a case review and education seminar.

Didactics: Fellows attend didactics provided by the UMass Psychiatry Residency each week, including case conferences and seminars on Psychopharmacology, Biological Psychiatry, Child and Adolescent Psychiatry, and Clinical Neuroscience. They also attend Grand Rounds in both the Department of Psychiatry and the Department of Family Medicine and Community Health. They are also welcome to attend UMass Family Medicine Behavioral Health Fellow didactics when their schedule permits. During the fall, they have the opportunity to complete the Certificate of Intensive Training in Motivational Interviewing within the UMMS Center for Integrated Primary Care.

Conferences: Fellows can use their CME funds to attend various conference, which may include:

  • California Psychiatry Association’s Essentials of Primary Care Psychiatry Conference
  • Integrated Care Conference by the Collaborative Family Healthcare Association
  • Annual Meeting of the Society for the Study of Psychiatry and Culture
  • Steven J. Parker Memorial Developmental-Behavioral Pediatric Conference
  • Society of Teachers of Family Medicine Annual Spring Conference
  • Association of Medicine and Psychiatry Annual Conference

Teaching: Developing teaching skills and resources is one of the main foci of the fellowship. Throughout the fellowship, fellows are scheduled to teach on primary care psychiatry topics in various settings, such as FM residency didactics, provider meetings, and afternoon chart rounds.

Evaluation: Though the fellowship is not accredited, fellows are evaluated according to the ACGME core competencies, namely patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. They are also evaluated in the development of their teaching skills.