Consultation-Liaison Psychiatry Fellowship

Site: U-M Health

Run primarily by addiction medicine providers, this inpatient consultation service sees hospitalized patients with a variety of substance use disorders with the main focus on management of opioid use disorders in complex, medically-ill patients. Some C/L Psychiatry faculty attend on this service, and the fellow gets exposure to MOUD and the comorbid management of pain in substance use disorders.

Site: U-M Health

The Adult Inpatient Consultation-Liaison Psychiatry Service performs psychiatric consultations for 4 hospitals on the main medical campus.  University Hospital (UH) is the 550-bed main hospital encompassing medical, surgical and psychiatric inpatient units, as well as multiple intensive care units including trauma-burn, medical critical care and surgical critical care.  The Frankel Cardiovascular Center is a 48-bed facility with intensive care and moderate care units for cardiothoracic/vascular surgery patients. VonVoigtlander Women’s Hospital/C.S. Mott Children’s Hospital is home to a 50-bed obstetrical floor as well as oncology/bone marrow transplant units. Finally, the D. Dan and Betty Kahn Pavilion opened in late 2025 and houses neurology and neurocritical care units, cardiology and cardiac critical care units, and other surgical sub-specialties.  General and transplant psychiatry consults are seen in this hospital.

These hospitals care for some of the most severely ill patients in the state, including oncologic and transplant patients. Consults are requested for a variety of reasons including delirium, agitation, capacity, primary mental illness, depression, anxiety, acute stress disorder and safety assessments to name a few. There is a separate Psychiatric Emergency Services that performs evaluations for patients in the Emergency Department and is staffed separately from the Adult Consultation-Liaison Psychiatry Service.

The inpatient CL Service consists of two teams, each led by one faculty attending, with one social worker per team. There are typically 2-4 PGY2 psychiatry residents, 1 PGY4 psychiatry resident, 2-3 medical students, 1-2 advanced practice professionals, and sometimes a neurology resident. There are 2 part-time health psychologists and 2 clinical nurse specialists who support nurses on the non-psychiatric floors. The fellow may take cases on their own early in the year but later progresses to supervising resident and medical student cases and running one of the consult teams.

Site: Ann Arbor Veteran’s Hospital (AAVA)

The Ann Arbor Veteran’s Hospital has 105 acute care beds and an additional 40 bed community living center. Fellows provide consults to patients admitted to the hospital and living center and take an active role in leading the consult team as well as doing extensive teaching with U-M Medical School students and a PGY-1 psychiatry resident. The AAVA has general care beds as well as intensive care units.

Site: U-M Health

This innovative clinic was one of the first in the country to co-locate psychiatry in a hepatology clinic with the goal to treat patients with liver disease from alcohol use disorder and comorbid mental health conditions and the hope of intervening to prevent the need for liver transplant.

Site: U-M Health

This service performs consults on patients under the age of 25 in C.S. Mott Children’s Hospital. Team members include child-adolescent psychiatry trained faculty, child psychiatry fellows and a variety of other multidisciplinary team members. This service gives the fellow more intensive exposure to inpatients with developmental disorders, eating disorders, somatic symptom disorders, among other diagnoses.

Sites: U-M Health, Ann Arbor VA, and Packard Health

Fellows work with a psychiatry attending and collaborative care case managers in managing a panel of primary care patients, tracking metrics and providing behavioral health guidance and education to primary care providers. Packard Health is a Federally Qualified Health Center that provides primary care, substance use treatment and behavioral health care to a vast network of Washtenaw County residents.

Site: U-M Health

Fellows can rotate in this outpatient-based program with psychiatrists, psychologists and social workers in treating teens and young adults with disordered eating. For fellows with more interest in this area, they can also work with the Adolescent Medicine consult team at C.S. Mott Children’s Hospital.

Site: U-M Health and Ann Arbor VA

Fellows can rotate on these services either at U-M Health or the Ann Arbor VA. At U-M Health, fellows attend at least 2 mornings per week of ECT cases and do some inpatient and outpatient consultations. They can qualify for an ECT certification letter if completing certain requirements. Emphasis on ECT in the medically ill, including those admitted to medical services with diagnoses like NMS and catatonia, is given.

Site: U-M Health

This is a multidisciplinary clinic started by a partnership between neurology and psychiatry with patients seen by neurology, psychiatry, psychology and social work during one clinic visit and a final meeting with the entire team and patient at the end of the assessment. Fellows gain experience in talking to patients about functional seizures and learning techniques from the manualized therapy done in the clinic. Expansion to other functional neurologic disorders is in development.

Site: U-M Health

Co-located in the Infectious Disease HIV clinic, the fellow works with a psychiatry faculty member in managing common psychiatric comorbidities and ensuring safe use of psychotropic medications along with the patient’s antiretroviral regimen.

Site: U-M Health and Ann Arbor VA

While rotating on other services, or as a separate month, fellows can rotate in specialty neurology clinics such as cognitive disorders, movement disorders, and epilepsy. Fellows gain experience in assessing and treating psychiatric comorbidities in these neurologic conditions and learning how primary psychiatric conditions/medications exacerbate neurologic symptoms. Fellows will train at U-M Medical School or AAVA.

Site: Ann Arbor VA

C/L Psychiatry Fellows work with palliative medicine attendings and fellows on primarily a hospital-based consultation service at AAVA. Psychiatry fellows gain skill in symptom management of pain, fatigue and other conditions in patients with severe medical illness, particularly oncologic patients, and also get more training in goals-of-care discussions.

The fellow will have the opportunity to work with the program director in seeing patients with cancer and comorbid mental health concerns.  

Site: U-M Health

The general inpatient psychiatry consult service sees pregnant and post-partum patients admitted to the obstetrical floor. The fellow may also participate in other outpatient experiences involving reproductive psychiatry. These include:

• The Perinatal and Reproductive Psychiatry Clinic through the Department of Psychiatry, staffed by dedicated reproductive psychiatry faculty
• The Partnering for the Future Clinic, a clinic co-located in the obstetrical clinics, with a focus on substance use disorders in pregnancy and higher risk psychiatric populations
• Collaborative Care opportunities in Reproductive Psychiatry, including the MC3 program.

Site: U-M Health

A separate inpatient consultation-liaison transplant service is run by CLP board-certified faculty. The fellow can rotate on the inpatient consultation service and combine with outpatient transplant clinics during the week. Pre-transplant evaluations are done in both settings, in collaboration with social work and psychology. 

Post-transplant patients can be followed closely on the consultation service to manage delirium and other post-transplant neuropsychiatric issues. Post-transplant patients are also followed in clinic. Fellows participate as well in multidisciplinary transplant meetings.