The University of Rochester Medical Center (URMC), the home of the biopsychosocial model, has a long tradition of collaborative and self-reflective practice. Psychiatric services are well-integrated within URMC. Fellows will learn to provide excellent, evidenced-based clinical care to patients with complex medical conditions through immersion in an array of clinical environments. Program strengths include Transplant Psychiatry, Neurology and integrated care with primary medical providers. There is a weekly lecture series and Psychiatry grand rounds, two 1-hour supervisory sessions, and a monthly Journal Club. Scholarly activities will include a project suitable for poster presentation at the national level and a written medical ethics case summary suitable for national publication.