Public Psychiatry Fellowship
of Columbia University
 

Faculty
Fellows and Alumni
Syllabus
Brochure Application Form
Public Psychiatry Education

Now in its thirty-second year, the Public Psychiatry Fellowship of New York State Psychiatric Institute at Columbia University Medical Center was initiated in 1981 with funds from the New York State Office of Mental Health (OMH). OMH's goal was to facilitate recruitment and retention of high caliber psychiatrists in the public sector.  The Fellowship is a one year full-time training program for ten psychiatrists who have completed accredited psychiatric residency training and who plan to devote their careers to working with high risk populations in the public sector. Residents whose PGY4 year is entirely elective are also eligible to apply.
As the oldest, largest and best known program training post-graduate psychiatrists to be public sector leaders, the fellowship is frequently consulted by professionals around the country interested in establishing such programs. In response, the faculty developed seven Core Elements which they view as essential for such a training program.  In the past seven years, 14 public and community psychiatry fellowships have been created. Most have modeled their programs on the Columbia model, and four fellowships are run by Columbia alumni.

Fellows spend  two days a week in seminars, supervision and consultation with the Fellowship faculty at Psychiatric Institute, learning the major principles and practices of public psychiatry.  They apply these concepts, three days a week, at  a  community- or hospital-based public mental health service organization selected as a placement site.  Each Fellow meets weekly with a core faculty preceptor who provides crucial guidance in all didactic and field experiences, and with a field placement supervisor who provides clinical and administrative supervision of work at the field site.

Of special interest are :
The academic curriculum is organized as a series of seminar sequences that run throughout the year (see Syllabus for overview). In addition, Fellows use the academic framework to organize a series of clinical, management and fiscal presentations of their field placement experiences. These presentations are a crucial aspect of the fellowship year, offering Fellows the opportunity to organize, present and evaluate their efforts at implementing the concepts they have learned during the year.

Each year, approximately 20 alumni make presentations to Fellows. Most of these alumni are program or agency medical directors.  They describe their agencies briefly, and then present a current or past management issue. Fellows and faculty give feedback as to how to deal with the issue presented. Not only do these presentations provide an opportunity for alumni to receive valuable yearly feedback on their roles as medical directors, but they also give Fellows an opportunity to meet their predecessors and learn the range of issues with which they are dealing.

The stipend for the academic year starting July 2014 is expected to be at least $88,000 for Fellows at the PGY5 level, and $94,000 for Fellows at the PGY6 level. Approximately 2/3 of that stipend is paid by the field placement agency, and 1/3 by New York State Psychiatric Institute (NYSPI). For those who already have 3-5 day per week positions, the supplementary stipend paid by NYS PI is approximately $28,000 - $29,000 depending on PGY level.

Partial tuition support is available for one Fellow per year enrolled simultaneously in the MPH program at the Mailman School of Public Health

The application process involves two steps: an interview with the fellowship faculty, and separate interviews at prospective field placement agencies. For details see  information for applicants.  Applicants must possess a New York State Medical License by the time the program commences in July. Columbia University Department of Psychiatry promotes diversity and inclusion.

Applicants should start the process by e-mailing or calling the fellowship director, and completing the online Application Form.

There are approximately 260 alumni. An extraordinary number are currently serving in leadership positions in the New York metropolitan area, throughout NY State, the country and beyond: 21 at NY State OMH facilities, 14 at NYC municipal and VA hospitals, 20 at NYC nonprofit hospitals, 19 at NYC community based agencies and 5 in managed care organizations. Twenty-seven have leadership roles beyond the NYC metropolitan area in 18 other states (See Programs Run by Alumni), and 10 have leadership positions in other countries. Four alumni are running public and community psychiatry fellowships throughout the country. 

Published surveys (see links, below)  reveal that Fellowship alumni rate their experience in the Fellowship as crucial to their development as public psychiatrists. According to our current records, over 95% identify their primary work setting as a public agency (state, federal, CMHC, municipal, public voluntary) and over 80% have academic appointments. The vast majority work essentially full-time at these sites, and 66% have management positions. These surveys confirms that the Fellowship fulfills its mandate to train psychiatrists committed to public sector work. The increasing quality and quantity of applicants to the fellowship each year is testimony to the vitality of the commitment of young psychiatrists to actively participate in the shaping and delivery of mental health services in the public sector.

An article describing the Fellowship and results of the alumni survey was published in May 1996 (Psychiatric Services 47:512-516, 1996; See article ) .

A second article, appearing in the July 1997 issue of Psychiatric Services , reports that based upon a survey of alumni's roles in public agencies, medical directors perform a significantly greater variety of tasks and report significantly greater job satisfaction compared to staff psychiatrists ( Psychiatric Services 48:915-20, 1997; See article) .

A third article,  published in Psychiatric Services in September 1998, further examines the results of the survey of alumni's roles in public agencies. Despite respondents' belief that clinical collaboration activities most contribute to job satisfaction, it is in fact the performance of administrative tasks that are best correlated with overall job satisfaction. Most of the medical directors in the survey had program, rather than agency, level responsibilities. The article concludes that the role of program medical director can serve as a crucial next step for staff psychiatrists, offering the opportunity to perform administrative tasks. (Psychiatric Services 49:1203-7, 1998 See article).

An interview with Dr. Ranz , director of the Fellowship, summarizing the above findings, was published in the September 15th, 2000 issue of Psychiatric News.

In 2009, Drs Ranz and Deakins initiated a new column in Psychiatric Services, called Case Studies in Public-Sector Leadership, simulating discussions that take place when alumni present their roles to Fellows. The first column, was authored by Dianna Dragatsi and Susan Deakins (see article). The second column was authored by Chris Tam (article), the third by Tomer Levin (article) and the fourth by Pat Runnels (article)

Reunion Pictures

2013 - Sue Deakins' Retirement
2011 - 30th
2009
2006 - 25th
2004
2001 - 20th

Pictures of the Fellows and Faculty of the Classes of:



2012-13 2011-12 2010-11
2009-10 2008-09
2007-08 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02
2000-01 1999-2000 1998-99 1997-98 1996-97 1995-96 1994-95

Further Information is available about each of following:
Definition of Public Psychiatry Director Faculty
Fellows and Alumni Syllabus Field Placements
Surveys Program Evaluation #1 Prog Eval #2

For information about applying to the Fellowship contact Jules Ranz, M.D., Fellowship director (telephone: 212-543-5655, fax: 212-543-6608)

e-mail: jmr1@columbia.edu

To New York State Psychiatric Institute Home Page
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This document was last updated on January 27, 2014