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, Psycho-Oncology, Neurology and integrated care with primary medical providers. There is a weekly lecture series and Psychiatry Grand Rounds, a 1-hour supervisory session, and a monthly Journal Club. The Fellow will also do a scholarly project suitable for poster presentation at the national level.