MGH McLean Adult Psychiatry Residency Program

McLean-based faculty mentor Diego Pizzagalli received the prestigious Joel Elkes award at ACNP 2017 in Palm Springs, CA, for outstanding clinical research Diego Pizzagali given the ACNP Joel Elkes Research Award The American College of Neuropsychopharmacology (ACNP) has named Diego A. Pizzagali, Ph.D., Director of the Center for Depression, Anxiety and Stress Research, Director of the McLean Imaging Center, and a Professor of Psychiatry at Harvard Medical School as one of the winners of the 2017 Joel Elkes Research Award. The aim of Dr. Pizzagalli’s research is to advance our understanding of psychological, environmental, and neurobiological factors implicated in depression, and use this information to identify novel targets for prevention and treatment. His work has demonstrated that depression and anhedonia (inability to feel pleasure) arise from stressinduced dysfunction of specific brain pathways implicated in reward-related learning and motivation. This award, presented at the 56th Annual Meeting of the ACNP in Palm Springs, California is in recognition of his outstanding clinical contributions to neuropsychopharmacology. Dr. Pizzagalli is an outstanding translational neuroscientist who has significantly advanced our understanding of stress and anxiety-related disorders. In addition to his own accomplishments in research and as a national leader in psychiatry, he is the founding director of the Center fof Depression, Anxiety and Stress Research and director of the McLean Hospital Imaging Center. Dr. Pizzagalli also has trained a generation of clinical and translational researchers, many of whom are now ACNP members and leading clinical researchers. A number of his former mentees now hold academic positions in leading academic research institutions across the country, and have themselves become key leaders in the field of clinical neuroscience. His outstanding mentorship has been recognized by the Anne M. Cataldo Excellence in Mentorship at McLean Hospital and the Stuart T. Hauser Mentorship Award in Psychiatry at Harvard Medical School. Dr. Pizzagalli has served on many national Advisory Bodies including the Institute of Medicine, NIH Foundation, the NIMH Council Workgroup, is on the editorial boards of 11 international journals, and has published over 170 articles and chapters. Media contact: Erin Colladay at ecolladay@acnp.org ### ACNP, founded in 1961, is a professional organization of more than 1000 leading scientists, including four Nobel Laureates. The mission of ACNP is to further research and education in neuropsychopharmacology and related fields in the following ways: promoting the interaction of a broad range of scientific disciplines of brain and behavior in order to advance the understanding of prevention and treatment of disease of the nervous system including psychiatric, neurological, behavioral and addictive disorders; encouraging scientists to enter research careers in fields related to these disorders and their treatment; and ensuring the dissemination of relevant scientific advances.    

Evan Macosko, Class of 2014, Steven McCarroll, director of genetics for the Stanley Center for Psychiatric Research at the Broad Institute of Harvard and MIT, and Anindita Basu describe Drop-seq. Video: Boston Science Communications (more…)

Join us in welcoming the sixteen new residents in the Class of 2019! The new class will begin their training on June 8th. (more…)

While the MGH/McLean Psychiatry Residency program provides a rigorous training environment, we make sure our residents have time to relax and explore our historic city. Click here to find out what our residents and faculty enjoy most about living in Boston.

Click here for the complete set of MGH/McLean Psychiatry Residency videos.

Ensuring people with mental health issues receive proper support and treatment is not just an American problem, it is an international problem. The Global Psychiatry Program at MGH uses a bidirectional, culturally sensitive approach to build capacity, conduct research, and provide technical assistance to reduce the tremendous burden that psychiatric-related and neurological diseases present worldwide. Our residents have the opportunity to work within the Global Psychiatry program to achieve these goals. Click here to watch a video overview the Global Psychiatry Program at MGH/McLean. Or visit their website here.

Remember to check back in next week for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

The MGH/McLean Psychiatry Residency's first priority is to ensure our graduates are excellent clinicians trained in a variety treatment of modalities. As such, we offer residents the opportunity to receive additional instruction in psychodynamic psychotherapy through the Program in Psychodynamics or PiP. Click here to find out more about the PiP Program.

Remember to check back in next week for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

Working collaboratively with MGH community health centers and community health improvement activities, the Massachusetts Department of Mental Health, and several independent community mental health and health centers, the MGH Division of Public and Community Psychiatry harnesses the depth and breadth of resources at MGH and in the community to provide excellence in clinical care, teaching, and research for underserved and vulnerable populations with serious mental illness. The MGH/McLean Psychiatry Residency's Public and Community Psychiatry Program teaches residents to apply patient-centered, recovery-oriented, and strength-based treatment approaches to healthcare service delivery within the various inter-disciplinary settings. Click here to watch the overview video of the Public and Community Psychiatry Program.

Remember to check back in next Tuesday for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

There are just 8,300 practicing child and adolescent psychiatrists in the US to serve over 15 million children and adolescents in need of the special expertise of a child and adolescent psychiatrist (AACAP, 2012). Recognizing this critical need, MGH/McLean a Child and Adolescent Psychiatry track. Click here to watch the overview video of the Child and Adolescent Psychiatry Program. Remember to check back in next Tuesday for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

While all residents that attend MGH/McLean receive stellar clinical training, we also strive to foster our residents' research interests. Whether they are interested in clinical, translational, or basic research, there is a diverse set of labs to meet their interests. This installment of our weekly video series outlines the wealth of resources available to aspiring researchers at MGH and McLean. Click here to watch the Research During Residency video.

Remember to check back in next Tuesday for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

MGH/McLean strives to create clinicians who are capable of treating any patient presentation. The third video in our nine part series explores the varied clinical rotations that residents experience while training here. Click on the picture above to watch the video.

Remember to check back in next Tuesday for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

Image source:TheHealthyMind.com

McLean Hospital researchers are reporting that xenon gas, used in humans for anesthesia and diagnostic imaging, has the potential to be a treatment for post-traumatic stress disorder (PTSD) and other memory-related disorders.

“In our study, we found that xenon gas has the capability of reducing memories of traumatic events,” said Edward G. Meloni, PhD, assistant psychologist at McLean Hospital and an assistant professor of Psychiatry at Harvard Medical School. “It’s an exciting breakthrough, as this has the potential to be a new treatment for individuals suffering from PTSD.”

In the study, published in the a recent issue of PLOS ONE, Meloni, and Marc J. Kaufman, PhD, director of the McLean Hospital Translational Imaging Laboratory, examined whether a low concentration of xenon gas could interfere with a process called reconsolidation – a state in which reactivated memories become susceptible to modification. "We know from previous research that each time an emotional memory is recalled, the brain actually restores it as if it were a new memory. With this knowledge, we decided to see whether we could alter the process by introducing xenon gas immediately after a fear memory was reactivated,” explained Meloni.

(more…)

While informative, it is difficult for any program's website does not give you a good feel for the culture of the program. That's why we created the second video in our nine part series "It's the People." This video illustrates the culture of both the residents and faculty here at MGH/McLean. Click on the picture above to watch view the video.

Remember to check back in next Tuesday for the latest video installment. If you prefer not to wait, click here for the complete set of MGH/McLean Psychiatry Residency videos.

Here at MGH/McLean, we understand that perusing the wealth of information listed on our website can be somewhat overwhelming and even tiresome at times. Well fear no more, we have created 9 new videos to provide an overview of the program's many components. Each video will be released here over the coming weeks, beginning with a warm welcome from our program directors and faculty (featured above).

Remember to check back every Tuesday to view the latest video release! If you just can't wait, click here to view all of the new MGH/McLean Psychiatry Residency Program videos.

Michael Rohan, a physicist at McLean Hospital’s Brain Imaging Center, demonstrated the low-field magnetic stimulation (LFMS) device he developed.

Individuals with major depressive disorder or bipolar disorder who receive low-field magnetic stimulation (LFMS) show immediate and substantial mood improvement, McLean Hospital researchers report in the Aug. 1 issue of Biological Psychiatry.

“LFMS is unlike any current treatment. It uses magnetic fields that are a fraction of the strength but at a higher frequency than the electromagnetic fields used in TMS [transcranial magnetic stimulation] and ECT [electroconvulsive therapy],” explained first author Harvard Medical School.

According to Rohan, although other brain stimulation treatments like ECT and TMS are often effective for the treatment of depression, they typically take longer to impact mood, and ECT is associated with side effects such as memory loss. Similarly, while antidepressant medications can be highly effective for treating depression, it can take between four to six weeks before mood changes are detected.

“Importantly, LFMS appears to have an immediate effect on mood and thus has the potential to provide relief in emergency situations,” explained Rohan, who first reported the potential use of LFMS to treat depression in a groundbreaking study in 2004. “In addition to providing quick relief from symptoms, the other exciting piece about LFMS is that no side effects have been observed.”

(more…)

National Depression Screening Day has been taking place since 1991 and is designed to screen those who may be suffering from depression but not know it. Participants fill out an anonymous questionnaire and, depending on their answers, are referred to mental health professionals for follow-up.

The screenings are given at colleges, workplaces, community-based organizations and military installations and will be available on line at the organization’s special web site, www.HelpYourselfHelpOthers.org. The website also lists local sites where screenings will be given.

A study done in 2009 showed that depression screenings are effective in connecting at-risk individuals with treatment. It showed that 55 percent of those who completed the screening online and who agreed to take part in a follow-up survey sought depression treatment within three months.

While McLean has held screening events in the past, this is the first time the hospital will be co-sponsoring the national event and will publicizing it via social media, including Facebook and Twitter.

The questionnaire allows individuals to screen themselves, in an anonymous way, for mood and anxiety disorders, eating disorders and alcohol use disorders. The online screenings provide an assessment of the user’s mental health, information on whether the user’s results are consistent with a mental health disorder, an overview of signs and symptoms of treatable disorders and help getting access to local treatment options.

More than 700 colleges and over 300 community-based organizations participate, resulting in more than 120,000 screenings each year.

If you or a loved one is experiencing suicidal thoughts, please reach out to the National Suicide Prevention Lifeline at 1.800.273.TALK (8255) or a mental health professional.

Article content sourced from a McLean Hospital press release. Image source: Recovery Friendly Taos.

Scott Rauch, M.D., President and Psychiatrist in chief of McLean Hospital

The University of Cincinnati College of Medicine recently awarded the John Shaw Billings, MD, Alumni Leadership Award to Scott L. Rauch, MD, president and psychiatrist in chief of McLean Hospital. The Billings Award is given annually to recognize an alumnus for a career of extraordinary leadership and contributions to medical progress. Recipients also deliver the commencement address at the medical school’s annual Honors Day.

"Dr. Rauch is a highly respected investigator and very quickly became a leader in his field,” said University of Cincinnati College of Medicine Dean Thomas Boat. "His success opened the door to leadership opportunities for him at the top psychiatric hospital. He is influential in his field and obviously one of the leading clinicians and investigators in the country.

Rauch also recently received the 2014 Research Mentorship Award, an award jointly sponsored by the American Psychiatric Association (APA) and the American Association of Chairs of Departments of Psychiatry (AACDP). The award is given in recognition of substantial and formative contributions to the mentoring of students and residents throughout a distinguished career in psychiatric research, and honors an academic psychiatrist who has fostered the pursuit of student research in a significant manner within his/her university department. The award was presented to Rauch in May at the APA Annual Meeting in New York.

"I take pride in the positive impact I feel that I have had,” said Rauch. "While there is nothing more gratifying than helping an individual patient or family, as my career has progressed, my roles have evolved to try and be helpful through the multiplying effects of advancing science through research, mentoring others, and by developing programs, or most recently implementing a vision for McLean Hospital. Ultimately, I have been most fulfilled by seeing people and programs grow, especially when I have felt some responsibility for those positive changes.”

Dr. Rauch received his undergraduate degree with honors in Neuroscience from Amherst College and attended medical school at the University of Cincinnati. He completed his residency training in Psychiatry as well as a Radiology Research Fellowship at Massachusetts General Hospital (MGH). Dr. Rauch served for many years as Associate Chief of Psychiatry for Neuroscience Research at MGH, where he was the founding Director of the Psychiatric Neuroimaging Research Program and the MGH Division of Psychiatric Neuroscience Research and Neurotherapeutics.

Currently, Dr. Rauch is President and Psychiatrist in Chief of McLean Hospital, Chair of Partners Psychiatry and Mental Health, and holds the Rose-Marie and Eijk van Otterloo Endowed Chair of Psychiatry at McLean. He also holds an appointment as Professor of Psychiatry at Harvard Medical School. Dr. Rauch has contributed over 350 publications to the scientific literature and serves on the editorial boards of several journals. He has received numerous honors, including the 2004 Joel Elkes Award for outstanding contributions in translational research within psychiatry.

Content sourced from a McLean Hospital press release by Jenna Brown.

We are excited to announce a brand new program for residents interested in medical education – The Clinician Educator Program, or CEP.

The mission of this program is to prepare residents for careers as clinician educators by offering additional training and mentorship in this area, thus helping residents develop advanced teaching skills, and also pursue academic scholarship in the field of medical education.

The program consists of several components:

• Monthly core didactics (on topics related to teaching skills, educational research, and career development)
• Additional opportunities to teach junior residents or medical students (with the option to receive observation and feedback on their teaching)
• CEP mentor, with whom the resident will meet regularly, and will provide guidance on teaching, educational projects, and career development
• Educational project, which the resident will develop and carry out over the course of their PGY3-4 years
• Quarterly CEP Dinners, hosted at faculty homes, for residents to present and discuss their educational pursuits with colleagues
• Encouraged attendance at any number of local and national medical education-related events, seminars, conferences etc, with travel awards available to support residents presenting their work at national meetings

Click here for a more detailed description of the program components and instructions for how to apply. Feel free to contact the CEP Co-Directors, Heather Vestal, M.D., M.H.S., and Joseph Stoklosa, M.D., with any questions.

In their Annual “America’s Best Hospitals” list, U.S. News & World Report MGH was ranked as the top hospital for psychiatry in the U.S., a distinction it has earned 17 times in the last 19 years. McLean was ranked as the top freestanding psychiatric hospital in the country , a distinction it has held for 18 years, and fourth overall. For the complete list please see the U.S. News & World Report website here.

Fonda with McLean President and Psychiatrist in Chief Scott Rauch, MD (left), and director David O. Russell (right).

McLean Hospital recently hosted a gala event to honor actress, author and mental health advocate Jane Fonda for her exceptional efforts to educate the public about mental health issues.

Director David O. Russell, who was honored by the hospital last year, actress Catherine Keener and actress/comedian Maya Rudolph, were among the 500 guests to show support for Fonda as she was presented with the coveted McLean Award –the hospital’s highest honor--at the InterContinental Hotel in Boston on Friday, June 20.

“I am grateful for the compassion that McLean brings to its work,” said Fonda, who eloquently and openly spoke about her mother’s suicide when Jane was just 12 years old and about her own struggle with an eating disorder.

In fitting Hollywood fashion, the evening concluded with a surprise ending when McLean President and Psychiatrist in Chief Scott L. Rauch and Board Chairman David S. Barlow presented Fonda with a portrait created by world-renowned Brazilian neo-pop artist Romero Britto.

(more…)

June of every year is a significant time for PGY4 residents, and not just because it brings warmer weather. June is the time when PGY4 residents give their Senior Talk, a brief presentation what each resident has learned during their residency before the start their post residency careers. The subject of each talk varies, from an exploration of how shame affects both the patient and the psychiatrist to how creating a genetically modified mouse can help further our understanding of eating disorders. For a complete list of the speakers and their topics, please refer to the bottom of the article.

Additionally, each June the MGH/McLean recognizes some of our residents for their outstanding work in the clinic as well as in the lab. Please see below for the full list of award recipients.

• Hackett Award – Jennifer Gatchel, MD, PhD
• Joyce and Richard Tedlow Award – Rachel Ross, MD, PhD
• Paul Howard Award – Stephanie Cincotta, MD
• Ed Messner Award – Heather Vestal, MD, MHS
• Anne Alonso Award – Kathryn Tompkins, MD
• Mel Kayce Award – Christina Brezing, MD
• Laughlin Award – Alex Keuroghlian, MD, MSc
• Outstanding Contribution to Neuroscience Award – Evan Macosko, MD, PhD

(more…)

The Jonathan F. Borus Outstanding Early Career Educator Award in medical student education has been awarded since 2011 to a junior faculty member at Harvard Medical School who has demonstrated exceptional promise, initiative and commitment in the area of psychiatric education. The award is named in honor of Jonathan F. Borus MD, the Stanley Cobb Distinguished Professor of Psychiatry, Emeritus Chair of Psychiatry at the Brigham and Women’s and Faulkner Hospitals, Director of Medical Education at BWH and Co-Chair of the Partners Education Committee, who has exerted a major and lasting impact on psychiatric undergraduate and graduate education. In addition to being a master educator and educational leader, Borus is known widely for his generous mentorship and outspoken advocacy for generations of trainees who themselves have made important contributions to medical education.

Joseph Stoklosa (pictured above, Class of 2011), psychiatrist in charge of McLean’s Psychotic Disorders Unit, has been selected by the Harvard Medical School (HMS) Psychiatry Executive Committee as the 2014 co-recipient of the Jonathan F. Borus Early Outstanding Early Educator Award.

(more…)

Oligodendrocytes (green) wrap electrical insulation called myelin around axons (purple). Image courtesy of Alan Hoofring, Medical Arts Design Section, NIH.

Schizophrenia is one of the most disabling of all psychiatric illnesses. Sadly, it affects is about 1% of the global population and often strikes early in life.

Many studies have looked into causes and potential interventions, and it has been long known that genetic factors play a role in determining the risk of developing schizophrenia. However, recent work has shown that there no single gene or small number of genes explains much of the risk for illness. Instead, groups of genes interact to create the illness.

In a new paper published in PLOS ONE (DOI: 10.1371/journal.pone.0089441), MGH/McLean Adult Psychiatry Residency Program faculty Bruce M. Cohen, MD, PhD, Dost Ongur, MD, PhD (Class of 2004), and Jordan W. Smoller, MD, ScD, report promising evidence on what one of those important groups of genes may be.

(more…)

Sixteen new residents are gracing the halls of MGH and McLean Hospital. They are excited to begin their journey from medical student to independent clinician with the expert guidance of our faculty and senior residents.

Get to know the Current Residents in the entire MGH/McLean program. A few of our new residents are also engaged in research. Learn about the residents in our Research Concentration Program.

In June, 2013, some of our senior residents were honored for their outstanding work:

• Hackett Award – Avi Gerstenblith, MD
• Joyce Tedlow Award – Justin Chen, MD
• Paul Howard Award – Leah Bauer, MD
• Ed Messner Award – Justin Chen, MD
• Anne Alonso Award – Oriana Vesga Lopez, MD
• Mel Kayce Award – Benjamin Herbstman, MD, MHS
• Laughlin Award – John Taylor, M.D., M.B.A.
• Outstanding Contribution to Neuroscience Award – Mike Halassa, MD, PhD

On Friday, June 21, 2013 McLean Hospital recognized Academy Award-nominated director David O. Russell for his work to raise public awareness of mental illness. Russell toured McLean Hospital, which he called the "gold standard" of mental health care facilities. Russell has personal insight to offer the character development, as his son is diagnosed with bipolar disorder. "There's a whole population of people who need something that is as caring and thoughtful and experienced as McLean is," said Russell.

Read the full article in the Boston Globe here.

The McLean Hospital Admissions Building was built in 1987.

On Wednesday, June 12, 2013 McLean Hospital won approval from the Public Health Council to build a three-story expansion of the Admissions Building on the Belmont campus. This will significantly expand inpatient units, which will enhance care and research in areas such as the psychotic disorders program. In addition, the hospital will expand interpreter services for patients.

Read the article on BostonGlobe.com

The December 12th event featured talks from leaders in psychiatry and neuroscience research, including a keynote presentation from Steve Hyman, former head of the National Institute for Mental Health, and currently Director of the Stanley Center for Psychiatric Research at the Broad Institute of Harvard and MIT).

A poster session featured work from current RCP residents and allow faculty, residents, and visiting applicants to share their thoughts and experience with the wide ranging possibilities for research in the Boston neuroscience and psychiatric communities.

---

Schedule

• 10:30 - 11:00 | Coffee & Pastries
• 11:00 - 11:15 | Introductory remarks – Jerrold Rosenbaum & Scott Rauch
• 11:15 - 11:30 | Overview of the RCP – Justin Baker, Dost Ongur, and John Denninger
• 11:30 - 12:00 | Keynote Presentation – Steve Hyman
• 12:00 - 12:15 | Lunch Buffet
• 12:15 - 01:45 | Selected Scientific Presentations - Faculty
• 01:45 - 02:00 | Closing Remarks - Maurizio Fava & Shelly Greenfield
• 02:00 - 03:00 | Poster Session - Residents of the MGH/McLean RCP

On November 1, Felicia Smith stepped into her new role as Program Director for the Adult Psychiatry Residency Program.

Felicia, a 2004 graduate of the MGH/McLean residency program, currently serves as Associate Director of the Division of Psychiatry and Medicine and the MGH Psychosomatic Fellowship. She previously performed the role of Associate Residency Training Director for the residency from 2004 to 2007, and became the Director of the Acute Psychiatry Service in 2008. Dr. Smith will continue as the Associate Director of the Division of Psychiatry and Medicine, in addition to fulfilling her new duties with the residency.

Felicia’s appointment, which was announced on October 4, comes as no surprise to many in the residency program. Says MGH Chief of Psychiatry Jerry Rosenbaum, “Felicia is an ideal person to take the residency helm going forward. We could not have been happier to learn that she was enthusiastic about accepting the position.” In a statement to the residency community, McLean Hospital President Scott Rauch also expressed his excitement about the recent announcement. “Felicia is an expert clinician, a master teacher, a respected and admired colleague and leader, and will be a terrific training director.”

Over the past month, Felicia has been working closely with the outgoing Director of Residency Training, Kathy Sanders, who has accepted an appointment as Deputy Commissioner of Mental Health for the Commonwealth of Massachusetts. As Felicia takes on this new challenge, please join us in extending a warm welcome and wishing her luck as our new Director of Residency Training!

Mass General was ranked the #1 hospital in the nation, according to the annual U.S. News & World Report “America’s Best Hospitals” list released Tuesday, a first for the hospital in the 22-year history of the survey.  McLean Hospital received its highest ranking since 1994, placing second among all psychiatric services nationwide. McLean also continues to be ranked as the nation’s top free-standing psychiatric hospital—a distinction it has held for more than a decade. Joining McLean at the top of this year’s list are John’s Hopkins at number one and MassGeneral at number three.

“Each year we have been both honored and humbled to be recognized among the nation’s highest achieving hospitals, and this year it is especially gratifying to be ranked number one,” said Peter L. Slavin, MD, MGH president.

In Spring 2011, the residency program was awarded an Institutional Research Education Grant (R25) from the National Institute for Mental Health. Under the leadership of Maurizio Fava MD and Shelly Greenfield MD, MPH and with support from over fifty junior and senior research faculty across our two campuses, this five-year, $250K education grant is designed to foster research training and mentorship for all residents in our program.  In addition, the grant allows the residency to further develop the Research Concentration Program, a program established in 2007 to optimize clinical and research training for residents with substantial research experience who plan to embark on psychiatric research careers.  John Denninger, MD, PhD, and Dost Ongur, MD, PhD will serve as co-director of the RCP, with recent graduate Justin Baker MD, PhD, serving as Associate Director.

Pictured, from left: John Denninger, Co-Director of the RCP; Shelly Greenfield, co-PI; Maurizio Fava, co-PI; Kathy Sanders, Training Director; Justin Baker, Associate Director of the RCP; Joy Littlefield.