Fellows gain exposure to diverse patient populations, reflecting a variety of ethnic, socioeconomic, and cultural backgrounds at UT Southwestern-affiliated hospitals, including Parkland, William P. Clements Jr. University Hospital, and the Dallas Veterans Affairs Medical Center. The diverse patient population and opportunity to work with and learn from our large psychiatry faculty at these three teaching hospitals are strengths of our program.

• Parkland is a publicly funded, 862-bed county hospital that opened in 2015. Parkland allows trainees to see patients on a variety of medical services and practice liaison care within the context of a large hospital system with a Level 1 Trauma Center, one of the largest civilian burn units in the United States, and one of the busiest obstetrics services in the nation. Fellows will work on the Addiction Psychiatry CL service and have opportunities for buprenorphine waiver training.
  
  Fellows will attend Parkland Institutional Ethics Committee meetings each month while on the Parkland Consult-Liaison rotation and may also participate in an ethics consultation service elective. The Parkland Institutional Ethics Committee meets its consultation mission through a robust clinical ethics consult service, with a volume of 200 consults/year. Fellows are invited to participate in new consults that arise during their rotation on the committee. In order to improve the care delivery to our patients, families and loved ones with behavioral health concerns, fellows may also participate in an ethics consultation service elective for 1-4 weeks during the year. During the elective, fellows will be expected to participate in facilitating ethics consultation services, serving as the primary contact for ethics consults with behavioral health concerns. Fellows will also be expected to work collaboratively with behavioral health team members on the ethics committee to identify interdisciplinary care team members needing support. Jennifer M Wimberly, Medical Director of Clinical Ethics and Resiliency and Theresa Larsen, Advance Practice Service Lead of Consult-Liaison Psychiatry at Parkland Health will serve as points of contact for the rotation and elective.
  
  
• William P. Clements Jr. University Hospital  is a 751-bed university hospital that opened in 2014 and received a major expansion in 2020 as a state-of-the-art facility designed to be patient centered. The hospital is the inpatient home of the Peter O’Donnell Brain Institute and allows for consultation with neurology colleagues and their patients with complex, often rare, neurological conditions. UT Southwestern Transplant Services are based at this hospital, adding to the CL Psychiatry training opportunities, along with consultation to the medical, surgical, and obstetrics services and the Emergency Department. One of our CL psychiatry faculty, Dr. Jonathan deVries, works full-time in the MICU, providing a 1-month rotation for fellows in critical care psychiatry.
  
  
• Dallas Veterans Affairs Medical Center  is a vibrant academic medical center and part of the Veterans Administration (VA) North Texas Health Care System, which is the second largest VA in the US. It provides fellows with specialized CL clinical, research, and educational experiences in the Spinal Cord Injury Center and the Traumatic Brain Injury and Polytrauma centers, in addition to the medical and surgical units, Emergency Department, and Primary Care-Mental Health Integration outpatient clinics.
  
  CL fellows have ambulatory care experiences in integrated/collaborative care in various outpatient clinical settings, such as HIV, Pain, Neuropsychiatry, Oncology, Maternal Fetal Medicine, Transplant, Integrated Internal Medicine-Psychiatry clinics, and integrated Family Medicine-Psychiatry clinics.
  
  CL fellows receive multiple opportunities to enhance their clinical, communication, leadership, and teambuilding skills as they serve a patient population at UT Southwestern that presents from a variety of backgrounds, speaks a variety of languages, and may present with extremely challenging and complicated medical, neurological, psychiatric, and social histories.

Our consultation-liaison (CL) psychiatrists and psychologists care for medically ill patients at Parkland Memorial Hospital, UT Southwestern University Hospitals, and the Dallas Veterans Affairs Medical Center (VAMC).

University Hospitals CL Psychiatry Faculty

Cate Orsak, M.D.

• Professor
• Program Director, CL Psychiatry Fellowship
• Medical Director, CL Psychiatry Service, Clements University Hospital
• Interests: PTSD, TBI, Transplant, Functional Neurological Disorder, Somatic Symptom Disorder

Sherwood Brown, M.D., Ph.D.

• Vice Chair, Clinical Research
• Chief, Division of Clinical Neuroscience
• Interest: Co-occurring Conditions in people with Mood Disorders (e.g., asthma, cortisol elevations)

Molly Camp, M.D.

• Associate Professor

Jonathan deVries, D.O.

• Assistant Professor
• Interests: ICU Delirium, Clinical Hypnosis, Augmentation Strategies for Catatonia, ECMO Sedation

Nhan (Dennis) Le, M.D.

• Associate Professor

Chadrick Lane, M.D.

• Assistant Professor
• O'Donnell Clinical Neuroscience Scholar
• Interests: Neuropsychiatry, Functional Neurological Disorders, Epilepsy

Ben Lippe, Ph.D.

• Assistant Professor
• Interests: Transplant Psychiatry, Health Psychology, Chronic Pain Management

Valerie Loehr, Ph.D.

• Assistant Professor

Michael Rafferty, M.D.

• Associate Professor
• Interests: Addiction, Buprenorphine Micro-dosing, Delirium, Catatonia, Autoimmune Encephalitis

Jasmine Stephens, M.D.

• Assistant Professor
• Interest: Women's Reproductive Mental Health

Sidarth Wakhlu, M.D.

• Professor of Psychiatry
• Interest: Addiction Psychiatry

Parkland CL Psychiatry Faculty

Mallory Cash, M.D.

• Assistant Professor
• Medical Director, CL Psychiatry Service

Amor A. Correa, Ph.D.

• Assistant Professor
• Interests: Forensic Psychology, Psychological Assessment with Spanish-Speaking and Culturally Diverse Populations, Malingering and Other Response Styles, Test Development, Delusional Disorders

Meitra Doty, M.D.

• Associate Professor
• Interests: Women's Mental Health, Maternal Mental Health, Trauma-related Disorders

Abbie Ewell, M.D.

• Assistant Professor
• Interests: Addiction, Dual Diagnosis, Mood Disorders

Pedro Fernandez, M.D.

• Assistant Professor
• Co-Chief of Psychiatry

Latoya Frolov, M.D.

• Assistant Professor

Christian Goans,Ph.D.

• Assistant Professor
• Interests: Motivational Interviewing, Suicide Risk Assessment

Michael Jennings, M.D.

• Assistant Professor

Abhisek (Chandan) Khandai, M.D.

• Assistant Professor
• Interests: Integrated and Collaborative Care; Women's Mental Health; Diversity, Equity, and Inclusion

Kapila Marambage, M.D.

• Assistant Professor

Kimberly Roaten, Ph.D.

• Associate Professor
• Interests: Suicide Prevention, Quality Improvement, Psychological Recovery after Burn Injury 

Diana Robinson, M.D.

• Assistant Professor
• Interests: Neuropsychiatry (especially catatonia, delirium), Addiction 

Jennifer M. Wimberly, M.D., M.A., HEC-C

• Chair, Institutional Ethics Committee
• Medical Director, Resiliency

VAMC CL Psychiatry Faculty

Ahmad Arain, M.D.

• Assistant Professor
• Interests: Neuropsychiatry, Addiction Psychiatry

Monica Barbosa, M.D.

• Assistant Professor
• Interest: Addiction Psychiatry

Do Gwak, M.D.

• Assistant Professor

Pierre Joseph, M.D.

• Assistant Professor

Henry Weisman, M.D.

• Medical Director of Mental Health Consult-Liaison Team, Dallas VAMC

CL Psychiatry Faculty, Family, and Fellow Celebrating Graduation in 2021

Mehreen Khan, M.D., M.H.A.

Mehreen Khan, M.D., M.H.A., earned her medical degree from Foundation University Medical College, Pakistan. After finishing her family medicine internship at FF Hospital, Pakistan, she joined the University of Maryland to complete her master’s degree in health administration. Dr. Khan completed her psychiatry residency at John Peter Smith Hospital, Fort Worth, TX. Currently, she is pursuing a fellowship in consultation-liaison psychiatry at UT Southwestern, Dallas, TX. Her passions include academia, mentorship, and community involvement, and she has worked for several non-profit organizations as an administrator and health care provider. At the 2023 annual meeting of the Academy of Consultation-Liaison Psychiatry, Dr. Khan participated in the Developing Scholars Research Colloquium.

CL Fellowship Alumni Highlights

CL Psychiatry Faculty Dr. Rafferty, 2023 Graduating Fellow Drs. Tea and Gwak,
and Director Dr. Orsak

Juliann Tea, M.D., graduated in 2023 and joined the Baylor College of Medicine CL faculty working at the Houston, Texas, VA.

Do Gwak, M.D. (2023), began working full-time at the Dallas VA Medical Center upon graduation.

Dr. Tea presented a poster at the 2023 annual meeting of the Academy of Consultation-Liaison Psychiatry on research conducted with Dr. Gwak, Dr. Brown, and other colleagues on "The Independent Contributions of Asthma Control and Mental Health on Asthma-Related Quality of Life."

Anne Louise Stewart, M.D. (pictured on the left, with husband), graduated in 2021 and accepted a faculty position at the University of Virginia Department of Psychiatry as a Consultation-Liaison Psychiatrist.

Basar Cenik, M.D., Ph.D., graduated in 2018 and is on the faculty at Northwestern University Medical School.

The following CL Psychiatry Fellow graduates are now faculty members at UT Southwestern:

Ahmad Arain, M.D. (2017 fellowship graduate)
Assistant Professor

Mallory Cash, M.D. (2018 fellowship graduate)
Assistant Professor

Michael Jennings, M.D. (2022 fellowship graduate)
Assistant Professor

Do Gwak, M.D. (2023 fellowship graduate)
Assistant Professor

UT Southwestern Consultation-Liaison Psychiatry Fellowship 2021 Graduate Anne Louise Stewart, M.D., prepared the below descriptions for Parkland and Clements University Hospital after many applicants asked her for an example of a day in the fellowship. 2023 Graduates Do Gwak, M.D., and Juileann Tea, M.D., prepared the content related to the VA. 

Parkland

The Parkland Memorial Hospital Consultation Liaison Psychiatry Service is a large service made up of multiple teams to serve Dallas County. On average, the daily number of consults is 10, with each resident and fellow taking 2 new consults per day. The service includes the Triage Team, made up of a postgraduate year 4 resident, a social worker, up to two advanced practice providers, and a psychiatry registered nurse. This team organizes the consults by acuity and complexity and assigns consults to the rest of the teams. The rest of the service includes two teaching teams, often with two residents who can be psychiatry residents, neurology/psychiatry residents, neurology residents, or internal medicine/psychiatry residents. A separate addiction team is composed of an addiction fellow, multiple psychiatry residents, two social workers, and an advanced practice provider. All these teams have medical students and often physician assistant students as learners. Also, a separate psychology team is staffed by three psychologists with multiple psychology interns. The Consultation Liaison Psychiatry Fellow will meet with Dr. Fernandez and Dr. Robinson to develop a personalized schedule based on interest, which can be a combination of experiences. An average work day is 8 am to 5 pm.

Parkland Faculty

Consultation-Liaison Psychiatry

Mallory Cash, M.D.

Pedro Fernandez, M.D.

Michael Jennings, M.D.

Chandan Khandai, M.D.

Diana Robinson, M.D.

Addiction Psychiatry

Abbie Ewell, M.D.

Kapila Marambage, M.D.

General Psychiatry

Meitra Doty, M.D.

Latoya Frolov, M.D.

Psychologists

Amor Correa, Ph.D.

Christian Goans, Ph.D.

Kimberly Roaten, Ph.D.

CL Psychiatry Fellow Inpatient Work at Parkland

• Addiction: Rotate with Dr. Marambage and the addiction fellows treating substance use disorders and psychiatric comorbidities. On this team, one can gain more confidence treating complicated alcohol withdrawal, starting Suboxone (buprenorphine/naloxone) or methadone, treating stimulant withdrawal, and practicing motivational interviewing.
• Junior Attending: Rotate as the junior attending for one of the general CL teaching teams. On this rotation, one can gain experience guiding junior residents in evaluations and treatment of all psychiatric illnesses found on the CL service with evidence-based care, practice giving feedback to junior residents, learn to attest notes, and improve teaching skills for learners at all levels. This is a rotation for a fellow interested in an academic career.
• Psychiatric Early Assessment Team: The PEAT pilot program, started by Dr. Fernandez, screens the overnight admissions on one Parkland Hospital floor. The initial screening identifies risk factors for needing a psychiatric consultation. Secondary screening involves a structured evaluation of the patient to identify if a full psychiatric consultation is needed. This experience is important, as this model of psychiatric care delivery is becoming more common across the country.
• Burn Trauma: The Parkland Burn Center is one of the largest in the United States, caring for over 2,000 burn victims annually. The CL fellow joins the weekly multidisciplinary burn meetings and provides the psychiatric consults for the burn trauma team. This rotation is for the fellow with interest in not only Burn Psychiatry but also ICU Psychiatry and who enjoys being part of a multidisciplinary team.
• Ethics: The ethics rotation is for the CL fellow interested in the intersection of ethical dilemmas and psychiatry. The CL fellow will take the ethics consults that overlap with CL consults and have the opportunity to work with the Chair of the Parkland Ethics Committee on general ethics consults.

CL Psychiatry Fellow Outpatient Work at Parkland

• Psycho-Oncology: Work with Dr. Robinson embedded within the outpatient hematology-oncology clinic treating specific cancer-related and cancer-treatment-related neuropsychiatric symptoms. The CL fellow will work with patients in all stages of illness, from diagnosis to survivorship. This experience also includes a psycho-oncology journal club that the fellow can continue throughout the year.
• Maternal Fetal Medicine: This rotation is an experience for fellows interested in learning not only maternal fetal medicine psychiatry but also another model of collaborative care. The fellow works with Dr. Doty, providing informal and formal consults to the Parkland OB-GYN outpatient clinic.
• Other Outpatient CL Rotations:
  • HIV Clinic
  • Integrated Pain Management Clinic
  • Primary Care-Diabetes

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Clements University Hospital

UT Southwestern Clements University Hospital Consultation Liaison Psychiatry Service comprises two teams made up of psychiatry residents, internal medicine/psychiatry resident, or neurology/psychiatry resident, and the CL faculty. Medical students and physician assistant students are learners on the service. The average number of consults on this service is 4 daily. The Consultation Liaison Psychiatry Fellow will work with Dr. Orsak to develop a schedule based on interest while at Clements, which can be a combination of rotations. In general, the workday is 9 am to 5 pm.

Clements University Hospital Faculty

Consultation Liaison Psychiatry

Jonathan deVries, D.O.

Cate Orsak, M.D.

Michael Rafferty, M.D.

Jasmine Stephens, M.D. (Outpatient Psychiatry Women’s Clinic)

Addiction Psychiatry

Sidarth Wakhlu, M.D.

General Psychiatry

Dennis Le, M.D.

Valerie Loehr, Ph.D.

Geriatric Psychiatry

Molly Camp, M.D.

Chad Lane, M.D.

Transplant Psychology

Ben Lippe, Ph.D.

CL Psychiatry Fellow Inpatient Work at Clements University Hospital

• Junior Attending: One learns the triage process by holding the consult pager and dividing consults as appropriate into curbside consults or full consults. In addition, the CL fellow is the junior attending for the team. One can gain experience guiding junior residents in evaluations and treatment of all psychiatric illnesses found on the CL service with evidence-based care, practice giving feedback to junior residents, learning to attest notes, and improving teaching skills for learners at all levels. This rotation is for a fellow interested in an academic career.
• Transplant Psychiatry: Work with Dr. Lippe, the transplant psychologist at Clements, providing transplant evaluations and participating in multidisciplinary lung and kidney transplant meetings to discuss listing patients for transplant. When a patient needs specific psychiatric treatment, the fellow has the opportunity to follow that patient while in the hospital with the CL psychiatry faculty.
• Critical Care Psychiatry: Work with Dr. deVries, who is embedded in the MICU, to provide specialized psychiatric consultation to the other MICU physicians and their patients.

CL Psychiatry Fellow Outpatient Work at Clements University Hospital

• Geriatric/Neuropsychiatry: Work with Dr. Camp and Dr. Lane in an outpatient Geriatric Psychiatry clinic, helping patients and families navigate the challenges of neurocognitive disorders and other psychiatric illnesses. One can also spend time with one of the neuropsychologists, observing formal neuropsychology testing and feedback sessions.
• Addiction Psychiatry: Work with Dr. Wakhlu in his outpatient addiction psychiatry clinic treating all substance use disorders. This rotation is good to follow the Parkland inpatient addiction rotation.
• Other Outpatient CL Rotations:
  • Obstetrics/Women’s Health
  • Opportunity is also available to develop skills as a psychiatrist working in the emergency medicine department of a large academic medical center

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Dallas VA Medical Center

The Dallas VA Medicine Center Consultation Liaison (CL) Psychiatry team is composed of CL Psychiatry Faculty, Nurse Practitioners (NP), and an Administrative Social Worker. Addiction psychiatry fellows and CL fellows, as well as medical students and NP students, rotate on the service. The average number of consults is variable, as the CL psychiatry service covers consults from the inpatient medical and surgical services as well as the CLC and ER. Most of the ER consults will be seen by Nurse Practitioners, but you are welcome to see any patients in the ER. The CL Psychiatry Fellow will work as an independent psychiatrist and staff with the CL faculty who will be supervisors on the service. The CL fellow acts as supervisor of medical students and NP students who rotate on to the service. The CL fellow assists with orientation for trainees and guides trainees during psychiatric interviews. The fellow will be given the opportunity to present at the VA Grand Rounds or Journal Club during this rotation. In general, the workday is 8 AM to 4 PM.

Dallas VA Medical Center

Consultation Liaison Psychiatry

Ahmad Arain, M.D.

Henry Weisman, M.D.

Pierre Joseph, M.D.

Do Gwak, M.D.

Addiction Psychiatry

Monica Barbosa, M.D.

CL Psychiatry Fellow Inpatient Work at Dallas VA Medical Center

• Junior Attending: Attend morning virtual VA huddle at 8:45 AM with hospitalist teams. The administrative social worker represents the CL psychiatry team during morning huddles, however, questions pertaining to particular patients may arise and team members can address these questions during this time. The CL fellow will learn the triage process by holding the consult phone and triaging as appropriate including distributing consults among the team and dividing consults as appropriate into curbside consults or full consults. In addition, the CL fellow acts as the junior attending for the team. The fellow will gain experience guiding trainees in evaluations and treatment of all psychiatric illnesses found on the CL service with evidence-based care, practice giving feedback to trainees, learning to attest notes, and improving teaching skills for learners at all levels. This rotation is for a fellow interested in an academic career.

CL Psychiatry Fellow Outpatient Work at the VA Hospital

• Half day a week
• Addiction Psychiatry: Work with Dr. Barbosa in the 5N substance use disorder inpatient program at the Dallas VA and the addiction outpatient clinic. In the inpatient 5N program, CL fellows will work with addiction fellows and conduct a comprehensive psychiatric evaluation with emphasis on substance use history. CL fellows will also see patients in the addiction outpatient clinic and act as educators for medicine residents and psychiatry residents who also rotate on the service.
• Trauma Clinic and Geriatric Clinic are other outpatient options

Sample CL Fellow Schedules

Junior Attending Rotation Example

Combination Schedule Example

Transplant and Addiction Schedule Example

CL Psychiatry Fellow Sample Schedule at Dallas VA Medical Center

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