Early Course Psychosis Fellowship
Training in Early Course Psychosis
The Early Course Psychosis Fellowship at Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS) is a coordinated specialty care program located within the Advancing Services for Psychosis Integration and Recovery (ASPIRE) clinic. This fellowship will provide training in comprehensive evaluations and outpatient treatment for individuals experiencing early symptoms of psychosis and those at clinical high-risk for developing psychosis. The fellow will work as part of a multi-disciplinary team of psychiatrists, psychologists, nurse practitioners, social workers, other trainees, educators, and researchers. BIDMC and HMS also offer opportunities to participate in clinical and translational research geared toward understanding and developing innovative treatments for early course psychosis and clinical high-risk populations. The goal of this fellowship is to train psychiatrists in coordinated specialty care (CSC) based on the NAVIGATE model, so that trainees can be well equipped to join a community mental center or establish a program of their own.
Harvard Medical School Department of Psychiatry at Beth Israel Deaconess Medical Center
Paulo Lizano, MD, PhD
Assistant Professor of Psychiatry, HMS
Division Chief of Translational Neuroscience, BIDMC
Co-Director, ASPIRE Clinic at BIDMC
Matcheri S. Keshavan, MD
Stanely Cobb Professor of Psychiatry, HMS
Academic Head of Psychiatry, Beth Israel Deaconess Medical Center
Harvard Medical School Department of Psychiatry at VA Boston Healthcare System
Dr. Lizano is an Assistant Professor of Psychiatry at Harvard Medical School, Division Head of Translational Neuroscience at Beth Israel Deaconess Medical Center. He is a graduate of the Harvard Longwood Psychiatry Residency Training Program and Neuropsychiatry/Clinical Neuroscience Fellowship at BIDMC. Dr. Lizano is the Deputy Editor for The Harvard Review of Psychiatry. He specializes in psychotic disorders, in particular as they relate to the early stages of psychotic and bipolar illnesses. He is actively involved in psychiatry residency education, clinical and translational neuroscience research, and diversity equity and inclusion initiatives at BIDMC. Dr. Lizano is from Ecuador and is fluent in Spanish.
Dr. Keshavan is Stanley Cobb Professor at Harvard Medical School and Academic Head of Psychiatry at the Beth Israel Deaconess Medical Center. He received his medical training in Mysore, India, and his psychiatric training in Bangalore (India), Vienna, London, and Detroit. Dr. Keshavan is closely involved in research in neurobiology of psychosis, especially as it pertains to first episode psychotic disorders. Dr. Keshavan is the Editor-in-Chief of Schizophrenia Research (Elsevier); His main areas of research include the neurodevelopmental basis of schizophrenia, neuroimaging, and early intervention. He is a distinguished Fellow of the American Psychiatric Association; a Fellow of the Royal College of Physicians, Canada; and a Fellow of the Royal College of Psychiatrists, UK.
Dr. Herold is a staff psychiatrist at Beth Israel Deaconess Medical Center and an instructor at Harvard Medical School. She is a graduate of the Harvard Longwood Psychiatry Residency Training Program at BIDMC and the Public and Community Psychiatry Fellowship at Massachusetts General Hospital. She works as an attending on the consult-liaison and ambulatory psychiatry services at BIDMC. She also supervises residents in their psychopharmacology clinic and maintains a small psychotherapy practice. Her interests include serious mental illness and residency education. She is delighted to be a part of the ASPIRE clinic.
Dr. Brady is Vice-Chair for Research in the Department of Psychiatry at Beth Israel Deaconess Medical Center and is an Associate Professor of Psychiatry at Harvard Medical School. He is a graduate of the Massachusetts General Hospital/McLean Psychiatry Residency Training Program. His research interests include medication-resistant symptoms of schizophrenia and bipolar disorder. In addition to his clinical and research interests, Dr. Brady teaches at the student, resident, and faculty level. He is director of the Research Track of the BIDMC Harvard Psychiatry Residency Training Program.
Dr. Mesholam-Gately is an Assistant Professor of Psychology at Harvard Medical School and Neuropsychologist at Beth Israel Deaconess Medical Center. Dr. Mesholam-Gately received her Ph.D. in Clinical Psychology, with an emphasis in Neuropsychology, from Drexel University. She has over 20 years of experience as an academic clinical psychologist and neuropsychologist. In addition to her clinical and teaching/training roles, Dr. Mesholam-Gately’s research is broadly focused on characterizing and intervening in neurocognitive, olfactory, and reward-related difficulties in psychotic disorders, including through partnerships with individuals who have lived experience with serious mental illness.
Caroline Harris is a Licensed Independent Clinical Social Worker and Program Director for the ASPIRE Clinic at BIDMC and also works as the ASPIRE Clinic’s Program Director. She obtained her Bachelor of Social Work from Appalachian State University and her Master of Social Work from University of North Carolina at Chapel Hill. She has worked as a medical social worker in both outpatient and inpatient settings, as well as a psychotherapist for private practice. Caroline provides supportive care, family therapy, CBT for psychosis, multifamily group therapy, and cognitive enhancement therapy.
Angie Mines, M.A. has over 16 years experience at BIDMC and is a Division Administrator and the Program Coordinator for Early Psychosis Fellowship. Angie also provides administrative support to Dr. Keshavan assisting with the planning and coordination of programs and their activities, along with being a liaison between Massachusetts Mental Health Center and Beth Israel Deaconess Medical Center.
For additional staff and trainees, please view our ASPIRE clinic website.
Early Course Psychosis Clinics
Longitudinal clinical experiences providing early course psychosis intervention services in underserved urban and rural communities. Training is provided in comprehensive assessment and evidence-based practices for the treatment of individuals with early course psychosis in outpatient, inpatient, and community settings. Clinical services include medication management, psychoeducation, individual therapy, multi-family group therapy, cognitive enhancement therapy, peer support, and academic/employment coaching. The participating clinics include ASPIRE (Beth Israel Deaconess Medical Center, Boston, MA) and The Edinburgh Center (Bedford, MA).
Clinical High Risk for Psychosis Clinic: Longitudinal clinical experience providing preventative services in an urban community. Training is provided in comprehensive assessment and management of youth at clinically high risk for developing psychosis in an outpatient community setting. The participating clinic includes the Resilience Evaluation-Social Emotional Training (RE-SET) Program at Mass General Hospital.
Population Health and Scholarly Time: The fellow will have dedicated time to work with a research mentor on a scholarly project of interest. Data from an ongoing database on early course psychosis at the MAPNET consortium (Director, Matcheri Keshavan MD) will be available to the fellow for developing and implementing research projects or they may collect data independently. Projects may include initiating and collaborating on manuscript preparation and submission of journal articles, and panel/poster submissions at a local, regional or national conference. The Fellow may also work with faculty on funded research studies focusing on early psychosis.
Didactics/Lectures/Conferences: Weekly protected time for didactics and supervision. Topics range in scope from neurobiology of early psychosis to how to set up a CSC to all aspects of evidence-based care related to evaluating and treating individuals with early psychosis or those at risk. Twice a month lectures as part of the MAPNET webinar series, which includes a broad range of topics from psychopharmacology to psychotherapy to cultural aspects of treatment. Fellows will attend conferences held by the Department of Mental Health and BIDMC. They will also have the opportunity to attend one or more conferences that focus on early psychosis.
- Four weeks of vacation (20 days) will be available over the year with flexibility for individual schedules.
- No overnight call required.
- Moonlighting opportunities available, not required.
Fellows will be appointed as Clinical Fellows in the Harvard Medical School Department of Psychiatry.
Fellows will have the opportunity to help educate and supervise Harvard Medical School students and Psychiatry residents.
Fellows will participate in regular clinical seminars, case conferences, and close supervision with expert faculty in the Harvard Medical School Departments of Psychiatry at Beth Israel Deaconess Medical Center and the Veterans Affairs (VA) Boston Healthcare System.
Fellows will also have a stipend for professional development/education to support attendance at conferences, texts, and technology.
Learn more about Trainee Benefits and Resources via the BIDMC Office of Graduate Medical Education.
Requirements
- Completion of Psychiatry Residency
- Passed USMLE exams (steps 1-3)
- For international applicants: a current valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate. Eligible to have a full and unrestricted license to practice medicine in a US licensing. You must apply for this and receive approval before applying to the fellowship program.
Timeline
- Submit statement of interest, CV, and 3 letters of reference (one from program director) compiled into one PDF to Angie Mines by September 11, 2023
- Interviews conducted on Mondays from September 25, 2023 to December 11, 2023, between 11:00 am — 1:00 pm Boston time
- Selection and notification of fellows completed by December 20, 2023
- Fellowship starts on July 1, 2024
- Fellow positions available yearly and recruitment starts in September
For further information, please contact:
Angie Mines
Program Coordinator
75 Fenwood Road, Room 540
Boston, MA 02115
Phone: 617-754-1236
Fax: 617-754-1250
Email Angie
Paulo Lizano, MD, PhD
Program Director
Email Dr. Lizano