Advanced Specialty Training Program in Women’s Reproductive Psychiatry
This is a training program designed to train board-eligible psychiatrists in the subspecialty field of women’s reproductive psychiatry. Reproductive psychiatry is the study and treatment of psychiatric illness during reproductive transitions – that is, during times characterized by hormonal flux and/or social role change. Specifically, that means pregnancy, the postpartum period, infertility, pregnancy loss, premenstrual dysphoric disorder, and perimenopause.
- Fifty percent of all patients are women; 80% of those will experience at least one pregnancy, and 50% of all pregnancies are unplanned.
- Perinatal mental illness is common, morbid and often missed.
- In the United States, postpartum depression occurs after 15-20% of all pregnancies – yet we do not expect competency in treating it.
We believe that all psychiatrists should achieve a basic core level of competence in the assessment and treatment of women throughout the reproductive life cycle, but these disorders are complex and the literature is expanding exponentially. A PubMed search for “pregnancy and depression” will yield 10,000 hits, over 700 of which have been published in the past year alone.
It is therefore vital that medical institutions train specialists in this area, and new fellowship programs are being added every year. At least 16 postgraduate training programs have already been established (up from 5 just 8 years ago), and many leading institutions (including Mass General and Columbia) already have established programs.
Lauren M. Osborne, M.D., Associate Professor of Psychiatry and Behavioral Sciences and Associate Director, Women’s Mood Disorders Center (WMDC)
Number of trainees anticipated:
Criteria for acceptance of trainees:
Medical school graduation and anticipated completion of core residency training in psychiatry prior to beginning of appointment
Length of program:
The fellowship is 50% research and 50% clinical.
- 2.5 days per week
- enroll in biostatistics and epidemiology training from Johns Hopkins Bloomberg School of Public Health
- serve as research study clinician, learn skills of data analysis, paper writing, and grant writing, applied to all studies in WMDC
- engage in at least one major academic project extending over the entire fellowship, which should result in either a publishable paper or a grant application; can involve literature review, collection of data, analysis of preexisting data, for which trainee will take the lead role
- 2.5 days per week
- ½ day per week: individual clinical experiences at WMDC, including new intakes and limited follow-up visits
- ½ day per week: WMDC residents’ clinic, intakes and follow-ups
- ½ day per week: clinical care in interdisciplinary Women’s Wellness Center, focusing in perimenopause
- 2 mornings per week: intakes and follow-ups in OB co-located care (JHOC and Nelson 2), focusing on perinatal
- All of the above experiences will include supervision of residents and medical students rotating on our service
- Bi-monthly case conference with Drs. Payne, Osborne, Standeven, and 3rd year residents
- Weekly individual supervision with Dr. Osborne for case management and discussion of research ideas
- Weekly clinical supervision meeting with entire WMDC team
- Weekly research meeting with entire WMDC team
- Weekly didactics with 3rd year residents, repeated in a six-month cycle; first six-month cycle fellow will observe Dr. Osborne or Dr. Standeven; second 6-month cycle fellow will teach with observation and immediate feedback; second year fellow will teach independently
Activities requiring faculty supervision:
All trainees will receive weekly one-on-one supervision from Dr. Osborne for all cases. All trainees will also attend weekly group supervision within the division. The initial consult in each location will be done with faculty (Dr. Payne, Dr. Osborne, or Dr. Standeven) in attendance for the entire session. In addition, for all cases in the first 3 months the trainee will have in-person supervision from Dr. Osborne, who will discuss the plan and see the patient together with the trainee. For the second 3 months, for all cases requiring prescription of medication during pregnancy or breastfeeding, the trainee will be required to present the case to a faculty member for approval of the medication plan prior to prescription.
Applications for the academic year beginning 2022 are due September 1, 2021.