Adult Psychiatry Residency Program

Overview

Dear Resident and Fellow Candidates:

As Chairman of the Department of Psychiatry and Psychology at Cleveland Clinic, I would like to thank you for taking a genuine interest in our programs. Our Department consists of over 90 professional staff members that provide over 65,000 outpatient visits and 10,000 inpatient admissions yearly. Patients come locally, nationally, and internationally to seek our care. We see some of the most complex patients in the country. We work as a team with physicians, psychologists, advanced practice providers, and therapists. Our superb faculty and teaching sites provide a robust outpatient, inpatient, and consultation liaison psychiatry experience that make our trainees uniquely qualified to tackle any patient scenario they may encounter. Our medical students, residents, and fellows are an integral part of Cleveland Clinic’s mission, which is “Caring for Life, Researching for Health, and Educating those who Serve.

The COVID-19 pandemic has highlighted more than ever the importance of mental health for patients and caregivers alike. The Department is highly valued for the collegial, empathic, and expert clinical care we deliver. Leveraging telemedicine, collaborative, and value based care, our psychiatry residents and fellows are well positioned to navigate and adapt to the future of health care. Cleveland Clinic is at the forefront of medical innovations and health care delivery models, and behavioral health is a partner in these ventures. I hope you will join us in this journey!

Best Regards,

Leo Pozuelo, MD, MBA, FACP, FACLP
Department Chair

Introduction

The Adult Psychiatry Residency at Cleveland Clinic offers a unique training opportunity at one of the most renowned medical centers in the world. Cleveland Clinic is a trusted healthcare leader. We’re recognized in the U.S. and through the world for our expertise and care.

Cleveland Clinic has been internationally recognized as a leader in the development of innovative solutions to the changing face of healthcare. At the October 3, 2012 Presidential debate, President Barack Obama said of Cleveland Clinic: "At the Cleveland Clinic, one of the best healthcare systems in the world, they actually provide great care cheaper than average. And the reason they do is because they do some smart things."

The Department of Psychiatry and Psychology operates within the framework of the Neurological Institute, a multidisciplinary group of more than 300 medical, surgical and research specialists dedicated to the treatment of patients with neurological and psychiatric disorders. The Neurological Institute offers a disease-specific, patient focused approach to care with close collaboration between Psychiatry, Psychology, Neurology, Neurosurgery and Neuroradiology.

Program Highlights

• Expert Faculty who consistently operate with an approachable, open-door policy.
• Rigorous training in both Biological Psychiatry and Psychotherapy.
• Specialty training in Neuropsychiatry (including epilepsy, movement disorders, multiple sclerosis).
• Psychodynamic Psychotherapy training led by the Cleveland Psychoanalytic Center.
• Comprehensive didactic curriculum with protected time away from clinical duties.
• Flexible “Longitudinal” Schedule in PGY3 and PGY4 years – each is unique, designed by the resident.
• Opportunities for the development of resident-run specialty clinics (e.g. Bariatrics, Women’s Mental Health, LGBTQ+, Spanish-Speaking).
• Opportunities for institution-funded travel to national meetings to present scholarly work/research.
• Diversity of faculty, resident group, and patient population.
• No mandatory call or weekend duties for 3rd and 4th year residents.

Fellowship Opportunities

• View Fellowship Opportunities at Cleveland Clinic's Neurological Institute.

History

The Department of Psychiatry and Psychology is one of four departments within Cleveland Clinic's Neurological Institute, which includes Neurology, Neurosurgery and Neuroradiology. The department has its origins in the vision of Cleveland Clinic’s first chairman of Neurological Surgery, W. James Gardener, MD, who at a 1943 meeting of Cleveland Clinic’s Administrative Board, proposed adding a department of psychiatry to the growing Cleveland Clinic. Eventually, in 1946 the Department of Neuropsychiatry opened, and in 1960 split into separate departments with A. Dixon Weatherhead, MD, serving as Psychiatry’s first Chairman. In July, 1961 the Department welcomed its first resident trainee, and by 1976 the General Adult Psychiatry Residency Training Program had achieved full accreditation.

Leadership

Program Directors

Vrashali Jain, MD
Program Director

Thank you for your interest in the Cleveland Clinic Psychiatry Residency Program. As a current program director and past associate program director from 2020-24, it is my absolute honor to represent our residency family.

The Cleveland Clinic Psychiatry Residency Program stands as a beacon of excellence in the medical community. We offer a comprehensive educational experience that is both rigorous and nurturing. With a dedicated team of faculty and a diverse group of residents, the program fosters a culture of growth, interdisciplinary collaboration, and a strong commitment to patient-centered care. The programs emphasize a balanced curriculum ensures that residents are well-equipped to handle the complexities of psychiatric care, while also encouraging personal development and work-life balance.

Cleveland Clinic Psychiatry Residency Program is not just about creating psychiatrists; it's about nurturing the next generation of compassionate, ethical, and skilled physicians.

On a personal note, I have now been a proud Clevelander since 2009. I did my residency and fellowship in consult-liaison psychiatry at the Cleveland Clinic and maintain an interest towards Education, Neuropsychiatry, Ethics in psychiatry and End of life care. When off-duty, I volunteer most of my time as a "parent uber" to my teenager, when I can I like to discover new restaurants, read and run as I continue my work on solving the mystery of work-life balance.

Karen Jacobs, DO
Associate Program Director

Greetings! My name is Karen Jacobs and while I served for the previous DECADE as the Program Director of the Adult Psychiatry Residency, I swapped roles with Dr. Jain and am now an Associate Program Director. My passion is working with residents, so I am elated to continue doing what I love most!

I have practiced as an outpatient psychiatrist for the past 32+ years. The first fourteen were in private practice before I was recruited back to Cleveland Clinic. While my roles here have evolved over time, my interest in the longitudinal relationships with patients, colleagues and residents remains steadfast. I am devoted to the education and wellness of our residents and to being a strong advocate for our patients and profession.

What is so special about the Cleveland Clinic Adult Psychiatry Residency? While we are part of a world-renowned enterprise, we are a community. Our residency will become your second family and while we take every opportunity to celebrate (this spring we will welcome the 5th birth in the past 2 years!), we are also there in tough times. Our residency is quite diverse, varying backgrounds, cultures, and from places far and near! We relish learning about one another. Your exposure to a myriad of psychiatric cases is unparalleled at Cleveland Clinic, and you will be well equipped to enter the profession of Psychiatry.

While I am not at Cleveland Clinic, I love to read, travel, learn about various cultures, hike, listen to music, keep up with the local sports teams, attend theater productions, try new restaurants and especially cherish spending time with family and friends.

Gabriella Stamper, MD
Associate Program Director

Hello, and thank you for looking into Cleveland Clinic for your residency. My name is Gabriella Stamper, and I began serving as Associate Program Director in 2023. I have been with the Cleveland Clinic since 2021 after completing my Adult Psychiatry Residency at the University of Washington. The decision to leave Washington was difficult, but the choice to join Cleveland Clinic was easy! If you are a lifelong learner, value comradery with your peers and want to live, work and play in a vibrant environment, Cleveland Clinic and the wider community cannot be beat.

I primarily see patients in the outpatient setting, splitting my time between Cleveland Clinic's Main Campus and Stephanie Tubbs Jones Family Health Center. My particular interests lie within women's mental health and working to implement collaborative care. I have had the fortune of working with our trainees in multiple venues, both in their outpatient clinics and embedded within my own. Having the opportunity to teach and mentor residents has been a highlight of my job, and I continue to learn from them on a daily basis. Outside of work, I love to spend time with my family, watch movies, play outdoors and ride rollercoasters at Cedar Point.

Travis Krew, MD
Associate Program Director

Welcome! My name is Travis Krew, and I had the privilege of being appointed as one of the Associate Program Directors in 2023. I completed my residency training at the Cleveland Clinic in 2020, and part of my decision to continue as staff was the opportunity to educate and engage with trainees.

I am an inpatient psychiatrist on one of the acute units at Lutheran Hospital. I will work closely with you while you learn about inpatient psychiatry during your first year, and my goal is to provide you with a firm foundation for your training. I am also passionate about electroconvulsive therapy, and I manage our robust service at Lutheran while offering guidance to other treating providers in the region. The growth of our interventional services, including electroconvulsive therapy, esketamine, and transmagnetic cranial stimulation, over the past few years has been exciting.

I was born and raised in Northeast Ohio, and it's a great region to build a career and raise a family. World-class culture and outdoor recreation are easy to access, and the cost of living can't be beat.

Chief Residents

Kristin Kinsley, MD
PGY-4
Academic Chief

Branden Vurgnick, MD
PGY-4
Outpatient Chief

Seth Williams, MD
PGY-4
Administrative Chief

Hello! Congratulations on all your hard work and making it to this exciting moment in your career. We are thrilled that you have chosen psychiatry and are interested in learning more about what we can offer at the Cleveland Clinic. Training at one of the largest healthcare systems in the United States will give you access to a diverse cultural and socioeconomic patient population. We see a large variety of patients on our many inpatient, outpatient and consult-liaison services, including patients that are neurologically and medically complex. Our on-call experience gives residents early autonomy to manage patients while also having easy access to supervision when necessary. Our graduates regularly report back on how well prepared they felt for independent practice!

While residency can be busy, we also appreciate the work-life balance offered by our program. There is no mandatory call during PGY3-4, so you have the freedom to pursue what is most important to you! In your free time, you will find Cleveland to be a proud, historic, and affordable city with access to the outdoors, professional sports, arts, cultural events, and so much more.

Most importantly, our greatest strength comes from the character of our residents, the moments we’ve shared, and the relationships that will last long after our training ends. We may be biased in thinking that our co-residents are the very best, but they are personable, passionate, brilliant and committed, among many other things.

In only a few months, you will make a difficult, life-changing decision on where to train for the next four years. We hope that you will consider spending that time here with us.

Wishing you all the best,

Kinsley, Branden and Seth

Current Residents

PGY-4

Grant Daugherty, MD
Hometown: Tulsa, Oklahoma
Undergraduate: University of Tulsa
Medical School: University of Oklahoma – Tulsa, School of Community Medicine
Clinical Interests: Inpatient, outpatient, psychotherapy, novel treatments for depression/anxiety/bipolar, and teaching
Personal Interests: Sci-fi/psychology/philosophy books, running, cycling, rock-climbing, and competitive video games

Mikhail Heber, MD
Hometown: Chicago, Illinois
Undergraduate: University of Notre Dame
Medical School: Rush Medical College
Clinical Interests: Interventional psychiatry including TMS, ECT, IV/IN Ketamine, inpatient psychiatry
Personal Interests: Power lifting, fishing, hiking, audiobooks/podcasts, personal finance, FIRE, video games

Kristin Kinsley, MD
Hometown: The Woodlands, Texas
Undergraduate: Old Dominion University
Medical School: Texas Tech Health Sciences Center School of Medicine
Clinical Interests: Inpatient, Acute Psychosis/Mania
Personal Interests: cats, watching documentaries, laughing, playing outside (anything in the sun makes me happy), dad jokes/puns, and spending time with friends/family (and not to be too cheesy, but spending time w/ my co-residents)

Cezary Mikoluk, MD
Hometown: Nowa Sól, Poland
Undergraduate: Penn State Schreyer Honors College
Medical School: Penn State College of Medicine
Clinical Interests: Forensic and CL psychiatry, catatonia
Personal Interests:Exercising, vegan cooking, watching sports and hanging out with my mini goldendoodle, Emmi

Branden Vugrnick, MD
Hometown: Oak Creek, WI
Undergraduate: Cardinal Stritch University
Medical School: Medical College of Wisconsin
Clinical Interests: Mood Disorders
Personal Interests: Tennis, pickle ball, golf

Seth Williams, MD
Hometown: Kilgore, Texas
Undergraduate: Texas A&M University
Medical School: University of Texas Medical Branch
Clinical Interests: LGBTQAI+ Mental Health, Emergency psychiatry
Personal Interests: Cooking, basketball, volleyball, running, watching TV, hanging with friends, spending time outdoors

Allison Withers, MD
Hometown: Savannah, Georgia
Undergraduate: United States Naval Academy
Medical School: Medical College of Georgia
Clinical Interests: Outpatient, Women's Health
Personal Interests: Spending time with family and friends exploring the local area

Gabriel Yepes, MD
Hometown: Washington, D.C.
Undergraduate: University of Maryland
Medical School: University of Colorado School of Medicine
Clinical Interests: Mood disorders, treatment resistant depression, interventional psychiatry, cultural psychiatry
Personal Interests: Cooking, hiking, reading (science fiction, horror, travel), and formula 1

PGY-3

Anna-Maria Campana, MD
Hometown: Mesagne, Brindisi, Italy
Undergraduate: University of Pavia, Italy
Medical School: University of Pavia, Italy
Clinical Interests: Child and Adolescent psychiatry, Women’s mental health and eating disorders
Personal Interests: Travelling (especially back home, in Italy!), spending time with friends, loving my cat, biking in nature, exploring new beauty products, and baking fit pies

Otte de Boer, MD
Hometown: Den Haag, Netherlands
Undergraduate: University of New Hampshire
Medical School: NEOMED
Clinical Interests: Psychotic Disorders
Personal Interests: I love hanging out with my family, traveling, cooking, looking for news bars and restaurants, and especially love hiking

Sarah Fracci, MD
Hometown: Mentor, OH
Undergraduate: University of Notre Dame
Medical School: Loyola University Stritch School of Medicine
Clinical Interests: Child & Adolescent Psychiatry, Trauma- and stress- related disorders, Psychotherapy
Personal Interests: Traveling, Playing Tennis, Painting, Coffee, Spending time with my family

Jonathon Hoffman, MD
Hometown: Buffalo, NY
Undergraduate: University at Buffalo
Medical School: Jacobs School of Medicine and Biomedical Sciences
Clinical Interests: Inpatient, Consult Liaison, Psychotic Disorders, Academics & Teaching
Personal Interests: Film photography (35mm and medium format), classical piano, guitar, hiking & visiting National Parks, plants, indie movies

Christopher Re, MD, MS
Hometown: Buffalo, NY
Undergraduate: University at Buffalo
Medical School: Cooper Medical School of Rowan University
Clinical Interests: Inpatient, consult-liaison, substance use disorders, teaching
Personal Interests: Ice hockey, pickleball, Buffalo Sabres hockey, The Sopranos, hanging out with my dog and 3 cats, birding, rap music, exploring restaurants and breweries

Stacey Roll, DO
Hometown: Cleveland, OH
Undergraduate: Kent State University
Medical School: Ohio University Heritage College of Osteopathic Medicine
Clinical Interests: Addiction, Consultation-Liaison Psychiatry, Psychoanalytic Psychotherapy
Personal Interests: cats, graphic design, camping, hiking, video games, board games, spending time with family

Samuel Shin, MD, PhD
Hometown: Seoul, South Korea
Medical School: Loma Linda University School of Medicine
Clinical Interests: Neuromodulation, Geriatric/Neuropsychiatry, Nutrition and Lifestyle Medicine
Personal Interests: Camping, stand-up paddle boarding

Karen Slater, MD
Hometown: Houston, TX
Undergraduate: University of Texas at Austin
Medical School: McGovern Medical School at the University of Texas Health Science Center at Houston
Clinical Interests: Inpatient psychiatry, medical education, physician advocacy
Personal Interests: Reading, PC gaming, exploring Cleveland with my husband, loving on my dog and cat, baking, and fitness

PGY-2

Phillip Doubell, DO
Hometown: Stow, OH
Undergraduate: Kent State University
Medical School: Ohio University Heritage College of Osteopathic Medicine
Clinical Interests: Child and Adolescent Psychiatry, Psychedelics, Interventional Psychiatry
Personal Interests: Exercising, Hiking, Gardening, Real-Estate Investing, Reading, Walking my dog Kona

Kiran Garg, MD
Hometown: Buffalo, NY
Undergraduate: Case Western Reserve University
Medical School: Case Western Reserve University School of Medicine
Clinical Interests: Psychedelics, Autism
Personal Interests: Dancing, volleyball, walking my dogs, and hiking.

Brianna Gibney, MD
Hometown: Grand Islands, NY Undergraduate: Canisius University
Medical School: Oakland University William Beaumont School of Medicine
Clinical Interests: Mood Disorders, Psychotherapy, and ECT
Personal Interests: International Travel, Boxing, Group Fitness Classes, Dancing, anything Spa related activity, trying new bars and restaurants.

April Miller, MD
Hometown: Bergen County, NJ Undergraduate: University of Pittsburg
Medical School: Case Western Reserve University
Clinical Interests: Forensic Psychiatry, Inpatient Psychiatry
Personal Interests: Reading, binging Korean reality TV with my husband, spontaneous road trips, thrifting

Christine Nguyen, MD
Hometown: Fairfax, VA
Undergraduate: University of Central Florida
Medical School: University of Michigan Medical School
Clinical Interests: Geriatrics, Pain
Personal Interests: Reading and Fitness

Swati Pandruvada, MD
Hometown: Portland, OR
Undergraduate: Case Western Reserve University
Medical School: University of Toledo College of Medicine
Clinical Interests: Child & Adolescent Psychiatry, Neuropsychiatry, Addiction, and Sleep Medicine
Personal Interests: Being an unofficial tour guide & passionately rattling on about the Pacific Northwest, hiking in mountains, watching Love Island UK with my chihuahua mix, calling my Mom & Dad, and lots of singing

Gaelle Rached, MD
Hometown: Beirut, Lebanon Undergraduate: Saint Joseph’s University
Medical School: St Joseph’s University, Beirut Lebanon
Clinical Interests: Child and Adolescent Psychiatry, Interventional Psychiatry, and Addiction Psychiatry
Personal Interests: Traveling, Baking, Swing Dancing, Reading

Vaghasia Zeel, MD
Hometown: Mentor, OH Undergraduate: University of Akron
Medical School: Northeast Ohio Medical University
Clinical Interests: Psychosis, Inpatient psychiatry, integrative medicine, Alternative treatments, and Psychedelics
Personal Interests: Hiking, exploring Cleveland, Painting, Dancing, Cooking and trying recipes I find on social media, watching comedy tv series, and Gardening

PGY-1

Alex Collins, MD, MBA
Hometown: Budapest, Hungary
Undergraduate: UT Dallas
Medical School: Texas Tech Health Sciences Center School of Medicine
Clinical Interests: Addiction medicine, CAP, First-episode Psychosis
Personal Interests: Hiking, biking, snowboarding (pretty much anything that keeps me active), baking, dog training, history, teaching, trying new bars and restaurants, rewatching Friends/The Office

Dimitri Fiani, MD
Hometown: Beirut, Lebanon
Undergraduate: Saint Joseph University of Beirut
Medical School: Saint Joseph University of Beirut
Clinical Interests: Child and Adolescent Psychiatry, Consultation-Liaison Psychiatry, and Public Psychiatry
Personal Interests: Cinema, yoga, books, discovering new music, eating garlic bread, and learning languages

Michael Dareon Freeman, DO
Hometown: Cleveland, Ohio
Undergraduate: Ohio University, Athens
Medical School: Ohio University Heritage College of Osteopathic Medicine, Cleveland Campus
Clinical Interests: Emergency Psychiatry, Neuropsychiatry, and Community Psychiatry
Personal Interests: Woodworking/Carpentry, Hiking/Backpacking, Kayaking, Ancestral studies//Genealogy

Shanen Greenhill, DO
Hometown: Westlake Village, CA
Undergraduate: San Diego State University
Medical School: Arizona College of Osteopathic Medicine - Midwestern University
Clinical Interests: Women's Health, Substance Use Disorders, PTSD, Psychotherapy, & Psychedelics
Personal Interests: Cooking, Pilates, Walking with my two Aussies, Fitz & Rosie, at Edgewater Park

Gabriel Hastreiter, MD
Hometown: Curitiba, Brazil
Undergraduate: Universidade Federal do Paraná
Medical School: Universidade Federal do Paraná
Clinical Interests: Interventional Psychiatry, Treatment-Resistant Depression, Catatonia, Sports Psychiatry
Personal Interests: Doing Crossfit with my wife, Chess, and losing to my friends in Fantasy Basketball

Daniel Heringer, MD
Hometown: Juiz de Fora, Brazil
Undergraduate: Universidade de São Paulo, FMRP-USP, Brazil
Medical School: Universidade de São Paulo, FMRP-USP, Brazil
Clinical Interests: Healthcare Innovation, Bipolar Disorder, Addiction Psychiatry
Personal Interests: Dancing Forró, specialty coffee tasting, binge watching TV shows, travelling

Arushi Mahajan, MD
Hometown: Fremont, CA
Undergraduate: University of North Carolina at Chapel Hill
Medical School: Case Western Reserve University
Clinical Interests: Undecided
Personal Interests: Dance, Bouldering, Traveling, Film

Quinn Painter, MD, MS
Hometown: Denver, Colorado
Undergraduate: Loyola Marymount University
Medical School: Creighton University
Clinical Interests: Reproductive psychiatry, collaborative care, substance use disorders, psychotherapy
Personal Interests: Cooking, decorating, going to the thrift store, dance, gymnastics, reading, and my perfect cat Clementine

Application Process

We welcome U.S. and international allopathic and osteopathic medical graduates to apply. Only applications submitted through the Electronic Residency Application Service (ERAS) are accepted. The program participates in the National Resident Matching Program (NRMP) adhering to the "All­ in" policy which requires all positions within a participating program to be filled through the Match. We are unable to offer positions outside of the match. Information regarding fees and ERAS application procedures can be found at: www.aamc.org/services/eras.

Those who match are expected to attend a mandatory orientation that begins in June, two weeks prior to the starting date of July 1.

We do not endorse any cutoff for USMLE / COMLEX scores. All applications are thoroughly considered.

Averages for our PGY-1 class are:

*Exam scores are only one part of a diverse evaluation process utilized when applicants are being considered. While the above numbers are provided for reference, they only represent averages. We will always prioritize finding well rounded residents in all areas, not just exam scores.

The following criteria must be met by all program applicants:

• Enrollment in an accredited allopathic or osteopathic medical school.
• Passing score on Part I of the USMLE or COMLEX.
• At least two letters of recommendation from an ABPN certified psychiatrist with whom you have had direct clinical experience.
• Strongly preferred interest in psychiatry as a primary career choice.

Application Calendar:

• Applicants begin applying to ACGME-accredited residency programs. All applications are due by November 1.
• Invitations to interview are made on a rolling basis.
• Interviews will be held October-January.

The following additional criteria must be met by all International Medical Graduates:

• ECFMG certification.
• Passing all parts of the USMLE.
• At least two letters of recommendation from a U.S. or Canadian clinical experience in psychiatry (substantial or outstanding academic research in psychiatry may substitute for clinical experience in certain situations).

Cleveland Clinic supports J-1 and H-1B visas if all GME requirements are met. Please visit the Graduate Medical Education (GME) website for details.

Questions about the application process should be directed to NIEducation@ccf.org.

Salary & Benefits

Salary: clinical residents and fellows

Please refer to the table below for salary rates, effective May 16, 2024:

As a trainee, you are compensated at the graduate level required to enter the program in which you are starting, regardless of the past training experience you may have acquired. Many trainees are appointed a year or more in advance. Due to the timing of your appointment, the salary as stated in the appointment letter may be incorrect.

Trainees are paid via direct deposit on the 15th and the last working day of the month.

Benefits

Competitive health, dental, and vision insurance are provided. Disability insurance is also included.

Learn more about Graduate Medical Education Benefits.

Maternity/parental leave

Cleveland Clinic offers the benefit of fully paid maternity and parental leave to caregivers at their United States locations. Caregivers eligible for maternity leave (biological mothers) will receive 100% pay for up to 8 consecutive weeks following the birth of a child. Parental leave is for use by all parents to care for and/or bond with their newborn or newly adopted child. Caregivers eligible for parental leave (biological mother or father or adopting parent) will receive 100% pay for up to 4 consecutive weeks following the birth or adoption of a child. Caregivers eligible for both benefits will receive up to 8 consecutive weeks of maternity leave plus up to 4 consecutive weeks of parental leave — for a total of 12 weeks with 100% pay. Trainees are urged to discuss maternity and parental leave with their program director to determine if they will need to make up time to meet board requirements.

Vacation and paid personal days

Residents receive three weeks (15 working days) of vacation per academic year as well as a minimum of five (5) personal days and one (1) wellness day per year.

Academic meetings

PGY-2 level and above clinical trainees in accredited programs can be reimbursed for a maximum of $2,500 (as of July 1, 2023) to present at one meeting per year.

Additionally, the NI Education Office funds eligible residents a maximum reimbursement of $2,500 who exhausted their annual GME conference reimbursement. PGY-1 residents whose research is a Cleveland Clinic project and not a project continued from medical school will be considered on a case-by-case basis by the program director.

Educational allowance funds

GME provides each clinical trainee an annual academic year educational allowance of $1,000 for the purpose of enhancing their learning experience.

On-call meals

Eligible trainees who take in-house overnight required calls use a debit card system for on-call meal allowances.

Uniforms

Monogrammed lab coats are provided and laundered by Cleveland Clinic.

Walker Fitness Center

The on-campus fitness center is open Monday through Friday and offers free membership to employees and their dependents who are covered by the “Employee Health Plan-Aetna” insurance. The facility features a variety of amenities, including locker rooms with showers and daily-use lockers (with an option to rent a locker for a year at $60), a range of cardiovascular equipment, a weight room with machines and free weights, a heated pool, and both indoor and outdoor tracks. Group fitness classes are included in the membership, and parking is free for up to three hours. Personal training is also available at an additional cost.

Curriculum

A modular schedule is used to organize clinical rotations, with each module lasting four weeks (28 days) resulting in 13 modules per year. 

PGY-1 

The PGY1 year includes seven modules of psychiatry and six modules of off-service rotations.  The psychiatry modules and off-service modules are scheduled concurrently throughout the year, instead of front-loading all the off-service rotations during the first half of the year.   

The off-service rotations are broken up into two blocks of inpatient medicine, one block of outpatient medicine, one block of inpatient general neurology, one block of inpatient consult neurology, and one block of emergency medicine.  The inpatient internal medicine rotations are an opportunity to learn and practice "bread and butter" medicine at South Pointe Hospital. On-call at South Pointe is done on a rotating basis, with approximately one overnight call shift every seven days. The outpatient internal medicine rotation provides an opportunity to serve a historically underserved population at Stephanie Tubbs Jones Health Center. The emergency medicine rotation is completed at the Cleveland Clinic Main Campus alongside rotators from a variety of specialties. Both the neurology consult and inpatient neurology rotations are completed at the Main Campus. On-call during the neurology inpatient rotation is done as one week of night float, in addition to two short call shifts per week. Additionally, while off-service, all first-year residents have protected didactic time on Thursdays to attend psychiatry lectures (more information about protected didactic days can be found below).     

Psychiatry rotations during the first year are performed at Cleveland Clinic's Lutheran Hospital, our primary facility for inpatient psychiatry consisting of around 100 inpatient beds. Interns will spend one of their first two modules at Lutheran Hospital doing a block of onboarding, where they are exposed to one week each of inpatient psychiatry, drug and alcohol detox, evening coverage, and night float all while having direct supervision with a senior resident.  The remaining inpatient psychiatry modules will be completed throughout the year and are spent on Lutheran's high-acuity psychiatry units. Call coverage is done as four to six weeks of night-float and equal weeks of evening float, during which interns will cover new admissions to the psychiatric and acute detox floors. Weekend coverage includes Saturday morning rounds on some weekends.    

Finally, in preparation for PGY2 call at Main Campus, towards the end of the year each intern will spend five weekend shifts with the PGY2 on-call resident. This allows the PGY1 resident to gain exposure to inpatient consults and emergency psychiatry and helps to prepare them for PGY2. 

PGY-2 

The PGY2 year provides an opportunity to gain experience in Consult Liaison, child and adolescent, geriatric, forensic, and emergency psychiatry, in addition to further modules on an acute drug and alcohol detox unit. Outpatient continuity clinics begin during the second year, where residents spend one afternoon per week seeing outpatients for medication management. Starting in the Fall of this year, residents also begin their exposure to psychotherapy, where each resident is assigned one weekly psychotherapy patient and weekly supervision with a dedicated psychotherapy supervisor.  

Call responsibilities during PGY2 involve coverage of the psychiatry consult service at Main Campus, responding to consults for patients both in the ED and those admitted to the med-surg floors. This call is covered with a short-call and night float system during weekdays, and with weekend call split evenly between the remaining residents in 12-hour shifts. There are no 24-hour call shifts except for holidays.  

PGY-3 

By the start of PGY3 year, residents have completed all their mandatory call, and there is a shift in focus to outpatient program requirements. Further, with most required rotations now complete, residents can focus on areas of interest within psychiatry. Residents also spend one module gaining exposure to neuropsychiatry by rotating through various subspeciality clinics including epilepsy, movement disorders, neuropsychology, and dementia. In the spring before the start of this year, residents will meet with the Associate Program Director and the assigned academic advisor to design their schedule.  

Electives may be performed as 4-week modules. Popular electives often include, though are not limited to: 

• Women's mental health  
• Psycho-oncology  
• Transplant  
• Neuropsychiatry clinics (epilepsy, movement disorders, dementia, neuropsychology)  
• Sleep/CBT for insomnia  
• Chronic pain 
• Lesbian Gay Bisexual Transgender (LGBTQ+) Clinic  
• Bioethics  
• ADHD Clinic 
• ECT  
• Research  

PGY-4 

During the PGY4 year, residents are required to rotate on the inpatient psychiatry units at Lutheran hospital in a junior-attending role.  The remainder of the year is free for elective rotations. There is also an opportunity for residents to create sub-specialty clinics to serve the unmet needs of special populations. With both faculty and departmental support, residents can create clinics or rotations that fit their interests. Resident-created clinics have included: women’s mental health clinic, LGBTQ+ clinic, bariatrics clinic, and Spanish-speaking clinic. As in the PGY3 year, residents will meet with the Associate Program Director and academic chief resident to help design the year's schedule. 

Electives may be done as modular experiences.

Didactics 

Education and camaraderie are fundamental to our program, which is why we dedicate an entire academic day to our extensive didactic curriculum. Every Thursday, from 8:30 AM to 12 PM, residents are excused from their clinical duties to concentrate on academic objectives. Following this, from 12:15 PM to 1 PM, residents participate in grand rounds led by distinguished leaders in their respective fields. 

In the afternoon, residents engage in a private process group with a chosen facilitator. This setting fosters group dynamics and provides a safe space for discussing both positive and challenging experiences throughout residency. Depending on the specific service, only a select few residents may be required to return to their clinical duties after the process group for call coverage.  

Training Sites 

Cleveland Clinic Main Campus 
Cleveland Clinic Main Campus stands proudly as one of the top hospital systems in the United States and the world, renowned for its excellence in healthcare. Here, residents will embark on a journey through rotations in consultation-liaison psychiatry, general neurology, neurology consults, and emergency medicine. Additionally, they will have the opportunity to personalize their training with select electives. This diverse and dynamic curriculum promises to equip residents with exceptional skills and knowledge, preparing them to excel and lead in the field of psychiatry. 

Cleveland Clinic Lutheran Hospital 
Lutheran Hospital, conveniently located just a 12-minute drive from the main campus on West 25th Street, serves as the principal facility for the Adult Inpatient Psychiatry units within the Cleveland Clinic Department of Psychiatry. This institution boasts 100 behavioral health beds, thoughtfully allocated across general psychiatry, geriatric psychiatry, and a specialized mood disorders unit. Additionally, Lutheran Hospital is home to the Alcohol and Drug Recovery Center (ADRC), offering comprehensive services including inpatient detoxification, partial hospitalization, and an intensive outpatient rehabilitation program. Situated just blocks away from the iconic West Side Market and a vibrant culinary scene, Lutheran Hospital stands at the heart of a thriving, diverse community. 

Cleveland Clinic Fairview Hospital 
Fairview Hospital, a 500-bed Level II trauma center located on the west side of Cleveland, is home to a specialized 13-bed child and adolescent psychiatry unit. Here, PGY2 residents have the invaluable opportunity to rotate for two months, gaining hands-on experience in the child unit, in addition to completing a consults module.  

Cleveland Clinic Hillcrest Hospital 
Hillcrest Hospital, a 496-bed Level II trauma center situated on the east side of Cleveland, hosts the second-year Consultation-Liaison regional hospital rotation. This rotation provides residents with a unique opportunity to develop their consultation skills in a smaller, regional hospital setting, offering a diverse and enriching clinical experience in consult liaison psychiatry. 

Cleveland Clinic Marymount Hospital 
Founded in 1949 by the Sisters of St. Joseph of the Third Order of St. Francis, Marymount Hospital has seamlessly blended compassionate patient care with exceptional medical expertise and cutting-edge technology. This 269-bed acute care hospital serves the vibrant communities of southern and southeastern Cuyahoga County, offering a unique and enriching environment for resident rotations.

Cuyahoga County Jail 
Psychiatry residents participating in the rotation at Cuyahoga County Jail will collaborate with a MetroHealth provider to deepen their understanding of correctional psychiatry. They will assist in creating and implementing treatment plans tailored to the unique needs of the incarcerated population and perform comprehensive safety assessments to ensure the well-being of both patients and staff. This rotation provides a valuable opportunity to enhance clinical skills and address the mental health challenges specific to the correctional setting. 

Northcoast Behavioral Healthcare 
Northcoast, one of six Ohio state psychiatric hospitals, is located on the south side of Cleveland. This facility is the site of the second-year Forensics rotation, where PGY2 residents spend a month on a restoration to competency unit. During this rotation, residents also engage in forensic didactics alongside forensic psychiatry fellows, offering a comprehensive and immersive experience in forensic psychiatry. 

Resident Life

Salary and Benefits

A comprehensive description of resident benefits can be found with Cleveland Clinic's Graduate Medical Education Department.

• Health, Vision, Dental, Insurance, and Investment Plan Summary.
• Salary and financial highlights.
• Graduate Physicians Manual.

Time Away

• Vacation and Personal/Sick Days: 4 weeks (20 paid working days) + 1 wellness day.
• Maternity: 12 weeks paid leave.
• Paternity: 4 weeks paid leave.
• The Family Medical Leave Act (FMLA): Entitles all employees up to 12 weeks off, unpaid, after one year of employment. See Graduate Physicians Manual for further information.

On-call Meals

When taking overnight call at the Main Campus, residents are provided with an allotment for dinner and breakfast. Lunch is also provided for weekend day calls. These funds may be used at most Cleveland Clinic dining facilities, including all hospital cafeterias, Panera Bread, Moe's Southwest Grill, Aladdin's Eatery, and Subway.

Wellness & Preventive Medicine

In 2007, the Cleveland Clinic appointed the country's first Chief Wellness Officer, Michael F. Roizen, MD. Wellness & Preventive Medicine is responsible for implementing wide-­reaching programs that aggressively advocate for healthy living. Wellness initiatives implemented for all employees, including residents, include: free membership to Cleveland Clinic fitness centers, yoga classes, trans-­fats banned from all public and patient menus, sugared beverages removed from cafeterias and vending machines, smoke-­free campuses and workforce, weekly farmer’s market on-­campus and a dedicated wellness store. Learn more about Employee Wellness at Cleveland Clinic.

In addition, our residency program has also implemented wellness initiatives of our own. We take into consideration the individual wellness needs of each resident to best tailor each individual's experience. Specific initiatives include making sure residents have time to attend doctor's appointments, an additional "wellness day" that was implemented in 2019 in addition to current vacation policies, truly protected didactic time, a weekly class specific process group, and separate resident work/lounge spaces at both Main Campus and Lutheran Hospital.

Resident Social Activities

Outside of the work setting, our residents are social and engage in various activities not only as individual classes, but also between classes. Activities enjoyed together by our current residents span a wide variety of interests, include physical activities such as hiking in the Cleveland MetroParks or Cuyahoga Valley National Park, rock-climbing, biking, and ultimate frisbee, as well as attending concerts at Blossom Music Center, local brewery trivia nights, trying new restaurants and bars in Cleveland, playing both board and video games, as well as knitting.

While many of our institution focused resident activities have been placed on hold due to pandemic restrictions, we are looking forward to resuming activities as soon as it is safe to do so. Below is a list of previously scheduled department resident activities.

Annual Welcome Picnic
This family-friendly annual event serves to welcome our new interns and to show appreciation for the hard work of our faculty. This event is often held at the Program Director's home or a local Metropark.

Spring Resident Retreat
The spring retreat is an opportunity for residents to get off campus for a day to focus on team-building, wellness and academic enrichment activities. Previous retreats were held at local campus where residents had the opportunity to participate in a high-ropes course, rock-climbing wall, and workshops about boundaries, fun neuroscience, team building, the Cleveland Botanical Gardens, and top golf.

Movie Club
Held at least once per year, movie club is an opportunity for residents to get together outside of work to discuss issues of psychiatry in film. Previous locations have including resident or faculty homes.

Book Club
Book Club events are held at least once per year, and have been held in local MetroParks and breweries.

Cleveland Psychedelic Science Group

Resident led and founded in 2020, this interest group hosts monthly, evidence-based lectures that discuss topics such as medical applications of psychedelics, psychedelic neurobiology, and cultural and epidemiological aspects of naturalistic psychedelic use. The group's multidisciplinary membership spans across various medical and non-medical departments within Cleveland Clinic, as well as other local academic institutions. To accelerate cultivation of psychedelic research within Cleveland and collaborations among members, we also host in- person social events around the city. Current group leaders are PGY-4 Alexsandra Kovacevich and PGY-1 Kiran Garg with faculty mentorship from Brian Barnett.

Selected presentations include:

• Classic Psychedelics for the Promotion of Mental Health: A re-emerging Treatment Paradigm by Peter Hendricks PhD.
• Psychedelic-Assisted Psychotherapy Practices and Human Caring Science by Andrew Penn RN, MS, PMHNP.
• Psilocybin in the treatment of Obsessive-Compulsive Disorder by Francisco A. Moreno MD.
• Family Matters in Psychedelic Psychotherapy by Adele Lafrance PhD, C. Psych.
• Understanding Set and Setting by Ido Hartogsohn PhD.
• Psychedelics for Addiction by Brian Barnett MD.
• Bridging the Mystical and the Medical: The Emergence of Psychedelic Chaplaincy by B. Jeffrey Vidt MAT, MAR.
• NPS Discovery and the Hunt for Emerging Synthetic Drugs by Alex J. Krotulski PhD.
• Treatment of Opioid Use Disorder with Ibogaine: does the 'psychedelic experience' matter? by Thomas Kingsley Brown PhD.

Living in Cleveland

One thing you'll always hear from a native Clevelander is how much they love the city. Our residents agree. Cleveland offers the balance of a big city, historic suburbs and beautiful countryside, all within a 30-mile radius. Greater Cleveland is home to the Rock and Roll Hall of Fame, Severance Hall and the Cleveland Symphony Orchestra, the Cleveland Museum of Art, and the Cleveland Botanical Garden – all within just minutes of the clinic. Cleveland also boasts a number of professional sports teams, including the Cleveland Indians, Cleveland Browns, and Cleveland Cavaliers. Cleveland is becoming quickly famous for the rapidly growing food and restaurant scene and is proud to claim Iron Chef Michael Symon as one of its own.

The Cleveland Clinic is centrally located with easy access to downtown, the “Eastside” and the “Westside.” Most residents live in one of these three areas and find that the cost of living in Cleveland is affordable and traffic is quick and easy. The Cleveland metro area has a number of excellent public school systems as well as numerous private school alternatives.

The Greater Cleveland area has much to offer any outdoor enthusiast, from the shores of Lake Erie to the north, to the gradually rolling foothills of the Allegheny Mountain Range to the east. The snowy winters are ideal for skiing, snowshoeing, or just sipping hot cocoa in front of a fire. Our residents enjoy hiking in the Cuyahoga Valley National Park, or in the over 22,000 acres of nature reserve at one of the eighteen Cleveland Metroparks; its bicycle paths for mountain or road bikes stretch for miles. Lake Erie boasts a number of beaches and water sports, as well as a flourishing wine industry with over 180 wineries in the state.

Cleveland is also a great place for kids and families. The Cleveland Metroparks Zoo is a hotspot for kids of all ages and frequently offers discounts to Cleveland Clinic employees. Patterson Fruit Farm, located in beautiful Geauga County, offers apple, peach, and strawberry picking, and an annual Family Fun Fest in the fall, at which the Cleveland Clinic House Staff Association link out holds a yearly free event. The Cleveland Botanical Garden is home of the Hershey Children’s Garden and the Glasshouse, which offers daily butterfly releases. The Cuyahoga Valley Scenic Railroad offers children’s programs including the famous Polar Express Train.

Cleveland Children’s Academy

The Cleveland Children’s Academy is a partner of the Cleveland Clinic and is a top choice of Cleveland Clinic residents for childcare. Located adjacent to the Main Campus, the Children’s Academy offers daycare from 6am to 7:30pm, M-F, for children aged 6 weeks to Interactive Kindergarten (5-6 y/o). As this is a popular choice for residents, spaces fill up quickly and there is usually a fairly long wait list.

• Cleveland Children's Academy.

Cleveland Clinic House Staff Association

House Staff Association
The House Staff Association (HSA) represents the resident body of Cleveland Clinic trainees and works to promote well-being, interests and education of Cleveland Clinic residents. For more information, contact hsa@ccf.org.

House Staff Spouse Association
The House Staff Spouse Association (HSSA) sponsors many family-friendly events throughout the year at significantly reduced cost. It is also a great resource for spouses and resident parents. Click here for access to the latest issues of the Stethoscoop, the monthly newsletter of the HSSA.

• House Staff Spouse Association.

Where Do Our Residents Go From Here

2022

• Yale University, Addiction Fellowship.
• Brigham and Women's Hospital, Consultation-Psychiatry Fellowship.
• University of Cincinnati, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Compass Health Center (IL), Staff Psychiatrist.
• University of Maryland Shore Medical Group, Staff Psychiatrist.
• Wellstar Cobb Hospital (GA), Staff Psychiatrist.

2021

• University of Maryland, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.
• Spectrum Health (Michigan), Staff Psychiatrist.
• Kaiser Permanente (CA), Staff Psychiatrist.
• Texas, Staff Psychiatrist.

2020

• Cleveland Clinic, Consultation-Liaison Psychiatry Fellowship.
• Cleveland Clinic, Consultation-Liaison Psychiatry Fellowship.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.
• Cleveland Clinic, Staff Psychiatrist.

2019

• Akron Children’s Hospital, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic, Consultation-Liaison Psychiatry Fellowship.
• Cleveland Clinic, Staff Psychiatrist.
• Community Mental Health (MI), Staff Psychiatrist.
• Meridian Psychiatric Partners (IL), Staff Psychiatrist.
• Inpatient Women’s Mental Health (PA), Staff Psychiatrist.
• Kaiser Permanente (CA), Staff Psychiatrist.
• University of California San Francisco, Staff Psychiatrist.
• Private Practice (San Diego), Staff Psychiatrist.

2018

• University Hospitals, Consultation-Liaison Fellowship.
• Cleveland Clinic, Consultation-Liaison Fellowship.
• Cleveland Clinic, Child & Adolescent Psychiatry Fellowship.
• Ohio State University, Child & Adolescent Psychiatry Fellowship.
• Cleveland Clinic Akron General, Staff Psychiatrist.
• Northcoast Behavioral Health, Staff Psychiatrist.
• Private Practice, Psychiatrist.

Program Research

Research opportunities exist across the department and the institution. The Department of Psychiatry has a robust research program, which provides excellent opportunities for faculty, fellows, residents, and medical students. Research is conducted in various disorders, including substance dependence, child psychiatry, mood disorders, pain, bariatrics, consultation-liaison psychiatry, and community psychiatry. Areas of research include genetics, brain imaging, neuroinflammatory biomarkers, and other biomarkers for diagnosis and treatment effects. Several clinical trials are ongoing for a range of treatment modalities, including pharmacological agents, neurostimulation techniques, psychotherapies, and community interventions. Outcome research is also an area of particular interest. In addition, active collaboration opportunities are available with colleagues in other specialties, including neurology, neurosurgery, cardiology, primary care, and oncology.

PGY2 residents are introduced to common elements of research early in the year as part of the Academic Half Day curriculum. Each resident is required to present at the Department of Psychiatry Grand Rounds in their final year and also complete a quality improvement project, typically with their class. Residents are encouraged to publish papers or present at regional and national meetings.

Trainees have participated in projects on neuromodulation, delirium, suicide, ovarian cancer, women’s health, chronic pain, seizure disorders, sleep disorders, post-myocardial infarction depression, transplant psychiatry, and many more.

Residents presenting at national meetings are eligible for registration and travel reimbursement by the neurological institute and GME. In the past, residents have presented at:

• American Psychiatric Association
• Academy of Consultation-Liaison Psychiatry
• American Association of Directors of Psychiatry Residency Training
• Cleveland Consultation-Liaison Society

Residents may also present their work at Cleveland Clinic Neurological Institute Research Day (NIRD), which is held annually at the Intercontinental Hotel and Conference Center on the Cleveland Clinic Main Campus. Generous cash awards are given to the most outstanding poster and platform presentations – our residents have consistently been recipients.
The Cleveland Clinic Adult Psychiatry Residency Program offers numerous opportunities for residents interested in learning more about how to conduct research. We have both a one- month research elective in the third or fourth year of the program and a dedicated research track for highly qualified applicants who have had significant research experience prior to residency. Below is a partial list of staff in the Department of Psychiatry and Psychology who have volunteered to serve or are currently serving as research mentors for residents.

• Murat Altinay, MD is an adult psychiatrist with interests in treatment resistant mood disorders (major depressive disorder and bipolar disorder), neuromodulation (transranial magnetic stimulation (TMS), deep brain stimulation (DBS)) and LGBT mental health. He is currently the principal investigator of several clinical trials including the “Electroconvulsive Therapy (ECT) vs. Ketamine in Patients with Treatment Resistant Depression (TRD) (ELEKT-D) study”, “Transcranial Magnetic Stimulation in Smokers: an Examination of Mediating Neural Pathways”, “Modulation of anterior cingulate and dorsolateral prefrontal cortex GABA and functional connectivity following repetitive transcranial magnetic stimulation therapy in major depressive disorder”, and “Registry: Patients Having Repeated Intravenous Ketamine Infusions for the Treatment of Highly Treatment-Resistant Depression”. He is also a co-investigator of “Ketamine Treatment of Youth Suicide Attempters for Fast Reduction of Severe Suicide Risk and Facilitation of Long-term Collaborative Clinical Engagement: A Double Blind Randomized Placebo Controlled Trial” and “Transgender Women’s Perspectives on Mental Health Care Related to Gender Affirmation Surgery”.
• Selected publications:
1. Cha J, Speaker S, Hu B, Altinay M, Koirala P, Karne H, Spielberg J, Kuceyeski A, Dhamala E, Anand A. Neuroimaging correlates of emotional response-inhibition discriminate between young depressed adults with and without sub-threshold bipolar symptoms (Emotional Response-inhibition in Young Depressed Adults). J Affect Disord. 2021 Feb 15;281:303-311. doi: 10.1016/j.jad.2020.12.037. Epub 2020 Dec 10. PMID: 33341013; PMCID: PMC8311442.
2. Wanta JW, Niforatos JD, Durbak E, Viguera A, Altinay M. Mental Health Diagnoses Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Study. Transgend Health. 2019 Nov 1;4(1):313-315. doi: 10.1089/trgh.2019.0029. PMID: 31701012; PMCID: PMC6830528.
3. Dale RM, Bryant KA, Finnegan N, Cromer K, Thompson NR, Altinay M, Anand A. The NEO-FFI domain of openness to experience moderates ketamine response in treatment resistant depression. J Affect Disord. 2020 Jan 1;260:323-328. doi: 10.1016/j.jad.2019.09.010. Epub 2019 Sep 3. PMID: 31521869.
4. Altinay M, Anand A. Neuroimaging gender dysphoria: a novel psychobiological model. Brain Imaging Behav. 2020 Aug;14(4):1281-1297. doi: 10.1007/s11682-019-00121-8. PMID: 31134582.
• Brian Barnett, MD is an adult psychiatrist with research interests in psychedelic assisted therapies, ketamine, substance use disorders, catatonia, and treatment resistant mood disorders. Dr. Barnett’s research approaches include developing surveys and analyzing data from Epic, patient reported symptom scales, and publicly available sources such as the National Survey on Drug Use and Health, Reddit, and the Monitoring the Future Study. He is also a co-investigator on the Electroconvulsive Therapy (ECT) vs. Ketamine in Patients with Treatment Resistant Depression (TRD) (ELEKT-D) study.
• Selected publications:
1. Barnett BS, Beaussant Y, King F 4th, Doblin R. Psychedelic Knowledge and Opinions in Psychiatrists at Two Professional Conferences: An Exploratory Survey. J Psychoactive Drugs. 2021 Aug 19:1-9. doi: 10.1080/02791072.2021.1957183. Epub ahead of print. PMID: 34409921.
2. Barnett BS, Greer GR. Psychedelic Psychiatry and the Consult-Liaison Psychiatrist: A Primer. J Acad Consult Liaison Psychiatry. 2021 Jul-Aug;62(4):460-471. doi: 10.1016/j.jaclp.2020.12.011. Epub 2021 Jan 21. PMID: 34210406.
3. Barnett BS, Doblin R. Dissemination of Erroneous Research Findings and Subsequent Retraction in High-Circulation Newspapers: A Case Study of Alleged MDMA-Induced Dopaminergic Neurotoxicity in Primates. J Psychoactive Drugs. 2021 Apr-Jun;53(2):104-110. doi: 10.1080/02791072.2020.1847365. Epub 2020 Nov 26. PMID: 33241981.
4. Barnett BS, Siu WO, Pope HG Jr. A Survey of American Psychiatrists' Attitudes Toward Classic Hallucinogens. J Nerv Ment Dis. 2018 Jun;206(6):476-480. doi: 10.1097/NMD.0000000000000828. PMID: 29781894.
• Selected research projects currently involving residents
1. Analysis of benzodiazepine prescribing patterns among primary care providers
2. Bibliometric analysis of the catatonia literature from 1965 through 2020
3. Bibliometric analysis of psychedelic clinical trial literature from 1965-2020
4. Survey of cancer healthcare professionals' perceptions toward psychedelic-assisted psychotherapy
5. Firearm access among patients admitted to a hospital-based SUD treatment service
• Tatiana Falcone MD, MPH is a child and adolescent psychiatrist.
• Her research interests are:
1. Prevention of suicide
• By identifying blood biomarkers in patients at risk, our group has focused on inflammatory biomarkers and the blood-brain barrier (Project PIMS -PI)
• Randomized Controlled Trial to understand successful interventions to prevent suicide in teens after a suicide attempt (Project PASS PI)
• The role of emotional trauma in suicide (identifying blood biomarkers)
• Evaluating the impact of social medial (using big data and AI) in suicide prevention,
• By evaluating novel treatments for suicide prevention - PI Ketamine vs CAMS to evaluate the effectiveness to decrease suicidal ideation and prevent future suicides in youth (15-24) after a suicide attempt.
2. Improvement of collaborative care for
• Children with special health care needs (epilepsy) using telemedicine
• Improving the outreach to pediatricians to provide care for psychiatric comorbidities
• Transition of care (both from child to adult - in children with special health care needs) also from inpatient to outpatient after a suicide attempt - PI- Project IMPACTT
3. Mental Health in minorities
• Selected publications:
1. Dagar A, Falcone T. Psychiatric Comorbidities in Pediatric Epilepsy. Curr Psychiatry Rep. 2020 Oct 31;22(12):77. doi: 10.1007/s11920-020-01195-8. PMID: 33128638.
2. Dagar A, Falcone T. High Viewership of Videos About Teenage Suicide on YouTube. J Am Acad Child Adolesc Psychiatry. 2020 Jan;59(1):1-3.e1. doi: 10.1016/j.jaac.2019.10.012. Epub 2019 Oct 31. PMID: 31678555.
3. Dagar A, Anand A, Pestana-Knight E, Timmons-Mitchell J, Tossone K, Zemba D, Falcone T. Screening for suicidality and its relation to undiagnosed psychiatric comorbidities in children and youth with epilepsy. Epilepsy Behav. 2020 Dec;113:107443. doi: 10.1016/j.yebeh.2020.107443. Epub 2020 Nov 3. PMID: 33152581.
4. Falcone T, Dagar A, Castilla-Puentes RC, Anand A, Brethenoux C, Valleta LG, Furey P, Timmons-Mitchell J, Pestana-Knight E. Digital conversations about suicide among teenagers and adults with epilepsy: A big-data, machine learning analysis. Epilepsia. 2020 May;61(5):951-958. doi: 10.1111/epi.16507. Epub 2020 May 8. PMID: 32383797; PMCID: PMC7384181.
• Leslie Heinberg, PhD, MA is an adult psychologist. Dr. Heinberg's research focuses on the interaction between biological and behavioral variables as they impact weight loss (and weight regain) in patients with severe obesity. More specifically, her work addresses disordered eating (binge eating disorder, night eating syndrome), adherence, cognition, psychiatric co-morbidity and the microbiome. She is a PI on a NIDDK funded R01 examining long-term predictors of bariatric surgery outcomes. Additionally, she is a co-Investigator studies on alcohol and opioid use disorders in bariatric surgery patients, personality factors that predict surgical outcomes and the use of ecological momentary assessments in dietary behaviors and physical activity.
• Selected publications:
1. Heinberg LJ, Steffen K. Social Isolation and Loneliness During the COVID-19 Pandemic: Impact on Weight. Curr Obes Rep. 2021 Sep;10(3):365-370. doi: 10.1007/s13679-021-00447-9. Epub 2021 Jul 23. PMID: 34297344; PMCID: PMC8300081.
2. Ivezaj V, Carr MM, Brode C, Devlin M, Heinberg LJ, Kalarchian MA, Sysko R, Williams-Kerver G, Mitchell JE. Disordered eating following bariatric surgery: a review of measurement and conceptual considerations. Surg Obes Relat Dis. 2021 Aug;17(8):1510-1520. doi: 10.1016/j.soard.2021.03.008. Epub 2021 Mar 18. PMID: 34083136.
3. Heinberg LJ, Mitchell JE, Peat C, Steffen K. DSM 5 Lifetime Psychiatric Diagnoses in Two Bariatric Surgery Programs. Obes Surg. 2021 Jun;31(6):2812-2816. doi: 10.1007/s11695-021-05236-w. Epub 2021 Feb 8. PMID: 33555449.
4. Diggins A, Heinberg L. Marijuana and Bariatric Surgery. Curr Psychiatry Rep. 2021 Jan 12;23(2):10. doi: 10.1007/s11920-020-01218-4. PMID: 33433700.
• Katherine Taljan, MD is an adult psychiatrist with interest in women’s mental health and reproductive psychiatry. Dr. Taljan’s research methods include surveys, chart review, and use of patient-reported outcomes. She is co-investigator on collaborative studies with the Women’s Health Institute assessing postpartum depression in COVID-positive patients and perceptions of the COVID-19 vaccines among perinatal patients.
• Adele Viguera, MD is an adult psychiatrist with interests in CL psychiatry related topics including delirium, steroid induced psychosis, etc and women’s mental health (PMDD, mood and anxiety disorders during the perinatal period, postpartum psychosis, risk of malformations associated with psychotropics, breastfeeding and psychotropics). Dr Viguera’s research methods include registries, surveys, retrospective studies, case series, reviews, data mining from EPIC.
• Selected publications:
1. Viguera AC, Freeman MP, Góez-Mogollón L, Sosinsky AZ, McElheny SA, Church TR, Young AV, Caplin PS, Chitayat D, Hernández-Díaz S, Cohen LS. Reproductive Safety of Second-Generation Antipsychotics: Updated Data From the Massachusetts General Hospital National Pregnancy Registry for Atypical Antipsychotics. J Clin Psychiatry. 2021 Aug 3;82(4):20m13745. doi: 10.4088/JCP.20m13745. PMID: 34352165.
2. Viguera AC, Vanderkruik R, Gaccione P, Caplin PS, Kobylski LA, Freeman MP, Cohen LS. Breastfeeding practices among women taking second-generation antipsychotics: findings from the National Pregnancy Registry for Atypical Antipsychotics. Arch Women's Ment Health. 2021 Jul 28. doi: 10.1007/s00737-021-01162-z. Epub ahead of print. PMID: 34318375.
3. Oyem PC, Wang PR, Viguera AC. Prevalence of anxiety symptoms among COVID-19 patients during the acute versus post symptomatic window. J Psychosom Res. 2021 Jun;145:110432. doi: 10.1016/j.jpsychores.2021.110432. Epub 2021 Mar 23. PMID: 33820642; PMCID: PMC7986345.
4. Wang PR, Oyem PC, Viguera AC. Prevalence of psychiatric morbidity following discharge after COVID-19 hospitalization. Gen Hosp Psychiatry. 2021 Mar-Apr;69:131-132. doi: 10.1016/j.genhosppsych.2020.12.013. Epub 2020 Dec 28. PMID: 33494979; PMCID: PMC7834109.

Many of our residents are actively involved in research projects. Selected publications authored or co-authored by residents:

• Barnett BS, Parker S, and Weleff J. United States National Institutes of Health grant funding for psychedelic-assisted therapy clinical trials from 2006-2020. International Journal of Drug Policy. (Accepted)
• Dean E, Biehl M, Bash K, Weleff J, Pozuelo L. A view from the other side: neuropsychiatric assessment and management of the ICU survivor. Cleveland Clinic Journal of Medicine. (Accepted)
• Park DY and Weleff J. Lost in Untranslation: The Challenge of Translated and Untranslated Writings Throughout Psychiatry's History. American Journal of Psychiatry Residents' Journal, 2021, 17:1, 10-11.
• Orlins, Z., & Barnett, B. (2021). Tachycardia during Treatment with Risperidone and Paliperidone Palmitate in a Patient without Previous Cardiovascular Disease. Case Reports in Psychiatry, 2021, 9954991. https://doi.org/10.1155/2021/9954991
• Fan S, Nemati S, Akiki TJ, Roscoe J, Averill CL, Fouda S, Averill LA, Abdallah CG. Pretreatment Brain Connectome Fingerprint Predicts Treatment Response in Major Depressive Disorder. Chronic Stress (Thousand Oaks). 2020 Dec 29;4:2470547020984726. doi: 10.1177/2470547020984726. PMID: 33458556; PMCID: PMC7783890.
• Maroney, Z., & Dale, R. (2020). Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy (CADASIL): A Rare Diagnosis in a Patient With Schizophrenia. Psychosomatics, 61(4), 395–399. https://doi.org/10.1016/j.psym.2019.11.003
• Fayed, A. A., Aung, N. M., Manger, K. M., & Jimenez, X. F. (2020). Improving Psychiatric and Complex Case Formulation: an Assessment of the Accuracy and Time to Complete the Biopsychosocial/Three Ps (BPS/PPP) Approach. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 44(1), 64–67. https://doi.org/10.1007/s40596-019-01122-x
• Shapiro, A. P., Krew, T. S., Vazirian, M., Jerry, J., & Sola, C. (2019). Novel Ways to Acquire Designer Benzodiazepines: A Case Report and Discussion of the Changing Role of the Internet. Psychosomatics, 60(6), 625–629. https://doi.org/10.1016/j.psym.2019.02.007
• Pesanti, S., Hamm, B., Esplin, B., Karafa, M., & Jimenez, X. F. (2017). Capacity Evaluation Requests in the Medical Setting: A Retrospective Analysis of Underlying Psychosocial and Ethical Factors. Psychosomatics, 58(5), 483–489. https://doi.org/10.1016/j.psym.2017.03.013
• Hamm, B., Khokhar, N., & Jimenez, X. F. (2017). Refractory Self-Injurious Behavior in Severe Intellectual Disability Responsive to Topiramate: A Case Report. Psychosomatics, 58(2), 209–212. https://doi.org/10.1016/j.psym.2016.11.001