GERIATRIC PSYCHIATRY CONCENTRATION Brigham and Womens Hospital Harvard

GERIATRIC PSYCHIATRY CONCENTRATION Brigham and Women’s Hospital / Harvard Medical School Psychiatry Residency Program

Mission • To teach residents about the work and career possibilities in Geriatric Psychiatry • To help residents acquire clinical and academic experience in Geriatric Psychiatry and Geriatric Neuropsychiatry • To foster residents relationships with clinicians, academic faculty and other residents working within BWH Geriatric Psychiatry and with affiliated services and departments. • To provide access to mentorship for scholarly work and guidance for specialty training

Concentration Objectives • Learn about geriatric psychiatry disorders. • Gain experience in the evaluation and treatment of geriatric psychiatry patients and their families by working with BWH geriatric psychiatrists and other clinicians and faculty • Learn about how geriatric psychiatry interfaces with other aspects of psychiatry, medical specialties and community resources. • Learn about career options & trajectories in geriatric psychiatry from BWH faculty and staff and other trainees. • Learn about the larger geriatric psychiatry community locally, regionally and nationally and how to get connected. • Opportunity for mentorship in these activities & applying for geriatric psychiatry fellowships.

Overview of Geriatric Psychiatry at BWH

SITES Geriatric Neuropsychiatry Outpatient Services FACULTY Juan Carlos Urizar MD, Nancy Donovan MD LOCATION 60 Fenwood Rd, Boston, MA Geriatric Psychiatry Outpatient Care Cathy Gonzalez MD, Abby Altman at Brigham Psychiatric Services Ph. D, Karen Wrenn LICSW 221 Longwood, Boston, MA Collaborations with Center for Brain Laura Morrissey LICSW, Mind Medicine (Neuropsychiatry, Karin Wannamaker LICSW, Behavioral Neurology, Shreya Raj MD, Gaston Baslet MD Neuropsychology, Social Work) 60 Fenwood Rd, Boston, MA Collaborative Care Initiatives: Geriatric Psychiatry & Primary Care Juan Carlos Urizar MD, Jane Erb MD, Abby Altman Ph. D 200 South Huntington Ave, Boston, MA Geriatric Psychiatry Inpatient Care at BWH-Faulkner Hospital Carolina Jimenez-Mediedo MD 1153 Centre St, Boston, MA Neuropsychiatry of Aging Research Group Nancy Donovan MD 60 Fenwood Rd, Boston, MA Collaboration with Center for Alzheimer Research and Treatment Nancy Donovan MD 60 Fenwood Rd, Boston, MA

Concentration Leadership, Faculty & Trainees • Who to contact: Juan Carlos Urizar and Nancy Donovan • Emails: jurizar@bwh. harvard. edu; njdonovan@bwh. harvard. edu. • Office hours: Third Thursday of every month 2 -3 pm and as needed. Please schedule in advance. • Geriatric Psychiatry Division Meetings: be part of the listserve for division meetings • Contact Kelsey Biddle at kdbiddle@bwh. harvard. edu • Regular meetings 2 nd and 4 th Monday of each month @ 3 -4 PM. 1 st Wednesday of each month @1: 30 -2: 30 PM • Meet other geriatric psychiatry faculty • Cathy Gonzalez MD cgonzalez 7@bwh. harvard. edu • Carolina Jimenez-Mediedo MD CJIMENEZMADIEDO@PARTNERS. ORG • Abby Altman Ph. D analtman@bwh. harvard. edu • Meet Partners geriatric psychiatry fellow(s): • Caroline Bader MD (2018 -2019) csbader@partners. org • Megan Dawson MD (2019 -2020) mdawson 2@partners. org • Rachel Ann Meyen MD (2019 -2020) • Residents involved in geriatric psychiatry concentration as of 2019 -2020 • Jennie Davidow MD (PGY-4), Hema Kher MD (PGY-3), Arthi Kumaravel MD (PGY-3), Erica Siwila-Sackman MD (PGY -2), Sanjali Kumar MD (PGY-2)

Residency Framework and Elective Options

PGY 1 GOAL: Introduction to geriatric psychiatry and related services at BWH. PGY 2 GOAL: Introduction to geriatric psychiatry at BWH and broader concentration experiences. PGY 3 PGY 4 GOAL: Introduction to geriatric psychiatry and related services at BWH or continued professional growth and individuation within concentration. OPPORTUNITIES FOR SHADOWING: § § Juan Carlos Urizar MD (Geriatric Neuropsychiatry); Cathy Gonzalez MD (Geriatric Psychiatry Clinic) Abby Altman Ph. D (Psychology group (Behavioral Activation Group on Monday afternoon) or individual therapy) Neuropsychological testing (Dorene Rentz Psy. D; Kate Papp Ph. D; Margaret O’Connor Ph. D); Social work (Laura Morrissey LICSW) Memory Training Group/Margaret O’Connor Ph. D and/or Executive Function Training Group/Kim Willment Ph. D OPPORTUNITIES FOR SHADOWING - IN DEVELOPMENT: § Visit long-term care center, BWH Osher Center, and/or Hospice/Palliative Care Visit § Alzheimer’s Association MA/NH Chapter visit § Gerontology and Collaborative Care visit at BWH South Huntington Primary Care Practice; Neurology consultations at FH; Neuropathology ENGAGEMENT WITH FACULTY/MENTORING: § Attend Center for Brain Mind Medicine Teaching Rounds and Geriatric Psychiatry Division meetings § Meet with JC Urizar and/or Nancy Donovan to discuss geriatric psychiatry interests PGY 1 OPTIONS: § Attend HMS Neuropsychiatry CME; HMS Dementia CME § Attend AAGP or GSA meeting § Join APA and Mass Psychiatric Society Geriatric Interest Group § Think ahead to PGY 2 electives PGY 2 OPTIONS: § PGY 1 Options Available § Complementary Concentration Experience § Apply to AAGP Scholars Program § Lead/engage in project & poster for Mysell Day or AAGP meeting § Think ahead to PGY 3 electives PGY 3 OPTIONS: § PGY 1 & PGY 2 Options Available § Longitudinal Geripsych Clinic § Co-leadership Behavioral Activation Group § Apply to Geriatric Psychiatry or BWH Neuropsychiatry Fellowship or other training § Define an academic project § Think ahead to PGY 4 electives PGY 4 OPTIONS: § PGY 1, PGY 2 & PGY 3 Options Available § Execute an academic project § Leadership opportunities (possible chiefship 2020 -21) § Apply to fellowship programs (implies a gap year) § Apply for a HMS research fellowship

Shadowing Opportunities MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY AM JC Urizar MD 1 Abby Altman Ph. D 2 Dorene Rentz Psy. D 3 Margaret O’Connor Ph. D 3 Laura Morrissey LICSW 4 (Cathy Gonzalez MD 5) AM Abby Altman Ph. D 2 Margaret O’Connor Ph. D 3 Laura Morrissey LICSW 4 AM Abby Altman Ph. D 2 Kate Papp Ph. D 3 Margaret O’Connor Ph. D 3 Laura Morrissey LICSW 4 (Cathy Gonzalez MD 5) AM Laura Morrissey LICSW 4 (JC Urizar MD 1) PM Abby Altman Ph. D 2 Dorene Rentz Psy. D 3 Margaret O’Connor Ph. D 3 Laura Morrissey LICSW 4 PM Abby Altman Ph. D 2 Laura Morrissey LICSW 4 Margaret O’Connor Ph. D/ Memory Training Group PM Abby Altman Ph. D 2 Kate Papp Ph. D 3 Margaret O’Connor Ph. D 3 Laura Morrissey LICSW 4 Kim Willment Ph. D /Executive Function Training Group PM Laura Morrissey LICSW 4 1 Geriatric Neuropsychiatry; 2 Geriatric Psychology; 3 Neuropsychology (evaluations involve AM and PM); 4 Social Work, 5 Geriatric Psychiatry. In parentheses: tentative days

Relevant Dates for Geriatric Psychiatry Month Projected Event Dates and Due Dates July Alzheimer’s Association International Conference (AAIC) August September October HMS Neuropsychiatry CME Applications due for AAGP scholars program and for AAGP annual meeting posters. November Gerontological Society of American Annual Meeting December HMS Psychiatry Research Fellowship application due BPSI 1 year Fellowship application period December-March January Mysell Research Day poster application due. AAIC poster application due. February March American Association for Geriatric Psychiatry (AAGP) Annual Meeting American Neuropsychiatric Association Annual Meeting; HMS Gerontology CME April HMS Psychiatry Mysell Research Day May Partners Geriatric Psychiatry Fellowship application due BWH Neuropsychiatry Fellowship application due June HMS Dementia CME (late May-early June)

ACADEMIC DEVELOPMENT SKILLS DEVELOPMENT § Oral and Written Scientific Communication Skills: the ability to write a professional abstract/paper and the ability to present a medical/scientific talk. § Practical professional skills: the Harvard CV, academic calendar and time management OWNERSHIP, LEADERSHIP AND COLLABORATION § Intellectual growth within geriatric psychiatry as a clinician, educator and/or researcher § Developing a professional identity and establishing a roadmap § Developing professional relationships POSSIBLE VEHICLES FOR ACADEMIC GROWTH § Work with faculty to develop teaching materials for medical students/residents or patients/families (e. g. yearly updates to HMS geriatric psychiatry lectures, HMS Neuropsychiatry CME, BWH PGY-3 Didactics) § Participate in optimizing clinical care (e. g. implementing or expanding virtual visits or virtual groups) § Write a case report in the Harvard Review of Psychiatry style § Co-author a book chapter or journal editorial with faculty § Pilot a clinical tool or intervention § Initiate a new outreach activity or relationship (e. g. , Alzheimer’s Association; Alzheimer’s Buddies; Berklee music therapy) § Pursue specialized training (mindfulness, psychotherapy) § Pursue research training (e. g. , Harvard Catalyst) § Pursue mentored research (e. g. , Neuropsychiatry of Aging) § Attend and participate in academic conferences (e. g. , AAGP, AAIC, GSA) § Participate in professional associations (e. g. , AAGP or APA/ Massachusetts Psychiatric Society Geriatric Interest Group) § Perform academic work in related specialty (e. g. Neurology, Neuropathology, Gerontology, Orthopedics)

PGY 3 Didactics for Geriatric Psychiatry Faculty PGY-3 Didactics in Geriatric Psychiatry Workshop (90 min); Interactive Lecture (60 min) Donovan Neuropsychiatry of Alzheimer’s disease. Natural History and Evidence Based Treatments Urizar Late Life Depression- Differential Diagnosis and Treatment Gonzalez Aging with Psychiatric Disorders Altman Evidenced Based Therapies in Older Patients and in Older Patients with Cognitive Impairment

QUESTIONS? For more information- http: //www. geriatricpsychiatry. bwh. harvard. edu http: //nearesearch. bwh. harvard. edu/