The University of Rochester Medical Center, the home of the biopsychosocial model, has a long tradition of collaborative and self-reflective practice. 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 collaborative care with Medicine. 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.