Our consultation-liaison (CL) psychiatry service provides support for our medical and surgical colleagues taking care of inpatients at Mayo Clinic Hospital — Rochester. The hospital has two campuses about a mile apart from one another, with regular transportation between them:

• Saint Marys campus. The campus has 1,265 inpatients beds, including our general medical and surgical units, medical and surgical intensive care units, specialty care units (neurology-neurosurgery intensive care, heart failure and respiratory care, for example), children's hospital, physical medicine rehabilitation unit, psychiatric inpatient units (for children, adults, geriatric, and medical-psychiatric patients), and emergency medical services.
• Methodist campus. The campus has 794 beds, including dedicated units for obstetrics and gynecology, and transplant surgery.

Our CL service receives about 2,600 new consultations annually. The service is staffed Monday through Friday by two faculty members, two psychiatric nurse practitioners or physician assistants, rotating psychiatry and neurology residents, medical students, and our consultation-liaison psychiatry fellow (when assigned). Staffing on weekends is one faculty member and one psychiatry resident.

As a fellow, you have opportunities to work in two distinct roles on the CL service:

• In a traditional academic role, where you act as a hands-on teacher for residents and students, while receiving mentorship from faculty members on your clinical and teaching skills, allowing you to develop these professional abilities simultaneously
• Where you serve as the supervising physician for our nurse practitioners and physician assistants, giving you the chance to gain valuable experience in a role that is becoming increasingly important in today's medical practice

Mayo Clinic's founders were surgeons who recognized that achieving the best patient outcomes required a health care team. Our psychosomatic medicine psychiatrists and clinical health psychologists work closely with colleagues in medical and surgical departments throughout the institution to evaluate and treat patients.

The BMP is one of your outpatient homes as a fellow. There you will join our team of psychiatrists, psychologists, nurses and masters' level therapists to offer collaborative care to patients with structural and functional neurological disorders with colleagues in neurology and physical medicine and rehabilitation (PM&R), functional GI disorders with staff from GI medicine and PM&R, and vestibular and balance disorders with clinicians in ENT, neurology, and PM&R.

You will collaborate with medical, surgical, and radiation oncologists to provide individual and group therapy and medication management to patients with cancer distress. You also will work with colleagues in neurosurgery and neurology to evaluate patients who may benefit from implantable neuromodulating devices to treat Parkinson's disease, other movement disorders, and intractable pain.

Evaluations and treatment interventions are fully integrated across medical, surgical, and psychiatric disciplines at Mayo Clinic. Our psychiatrists and psychologists shape diagnostic impressions and treatment plans right from the start of care.

Outside of the BMP, you are able to choose from numerous electives that allow you to play an integral role in our Transplant Center, weight management and obesity program, Transgender and Intersex Specialty Care Clinic (TISCC), and comprehensive Pain Rehabilitation Center. These experiences will give you an appreciation for 21st century concepts of psychosomatic disorders and help you to acquire a range of skills to treat these conditions successfully. You are prepared to work in full partnership with medical and surgical colleagues to address these conditions.

All of Mayo Clinic's primary care internal medicine and family medicine practices in Rochester receive psychiatric and psychological support though our IBH program. In primary care, patients receive regular screening for depression, anxiety, and other mental health problems, which are then managed by their primary care clinicians with on-site support from care managers (usually experienced psychiatric nurses) and a dedicated group of psychiatrists and psychologists who belong to the IBH teams.

IBH psychiatrists review evaluations performed by primary care clinicians and care managers, interface with primary care colleagues, and examine patients personally when needed. IBH teams track the progress of patients throughout their treatment. This approach allows our psychiatrists to ensure that primary care patients receive high-quality mental health care.

Minnesota was the first state in the country where Medicaid and all major private insurers agreed to pay for the IBH model of care. Medicare now pays for this service nationwide, but Mayo Clinic has been using this approach for more than a decade. Throughout your fellowship, you spend one afternoon a week leading an IBH team under the mentorship of a seasoned IBH faculty member. This gives you future-oriented skills in team leadership and population health management.

• Pain Rehabilitation Center
• Psycho-oncology — Cancer stress management program
• Transgender and Intersex Specialty Care Clinic (TISCC)
• Weight management and obesity — endocrinology, surgery, and clinical health psychology clinics
• Women's health
• Additional time on the inpatient C/L service, Medical Psychiatry Inpatient Unit, or outpatient Behavioral Medicine Program may be selected by those who wish to concentrate in these areas.

• Neuropsychological and psychological testing
• Neuroradiology

• Addiction psychiatry
• Child and adolescent psychiatry
• Geriatric psychiatry
• Mayo Clinic Depression Center
• Neuromodulation (electroconvulsive therapy, transcranial magnetic stimulation, deep brain stimulation)

• Fibromyalgia and chronic fatigue program
• Functional GI disorders — GI Clinics, motility laboratory, and pelvic floor training program
• Functional neurological spells — Epilepsy Clinic, EEG laboratory, Epilepsy Monitoring Unit
• Functional movement disorders — Movement disorders clinic, Movement Disorder Laboratory, and behavioral shaping therapy program
• Functional vestibular disorders — neuro-otology clinics, Vestibular and Balance Testing Laboratory, vestibular rehabilitation
• Palliative care and hospice service
• Physiatry — inpatient rehabilitation unit (brain rehabilitation and general physical medicine services)

These are two-week blocks:

• Ethics consultation service (generally combined with palliative care)
• Chaplain's consultation service

You may use more than one elective for research:

• Research education: We offer introductory and advances courses, such as statistics and project design.
• Research experience: This could be a basic science, clinical, or health sciences research project.

These might include some other medical or surgical specialty or subspecialty setting approved by the training committee.