Department of Psychiatry

Behavioral Neurology & Neuropsychiatry
Fellowship Training Program Rotation

Program Description

The Neuropsychiatry Service of the Department of Psychiatry, in partnership with the Behavioral Neurology Section of the Department of Neurology, of the University of Colorado School of Medicine offers a 12-month Fellowship in Behavioral Neurology & Neuropsychiatry. Recent efforts by the American Neuropsychiatric Association (ANPA), Society for Behavioral and Cognitive Neurology (SBCN), and the Behavioral Neurology Section of the American Academy of Neurology (AAN) have resulted in the consolidation of Neuropsychiatry and Behavioral Neurology as a single medical subspecialty. The Behavioral Neurology & Neuropsychiatry Fellowship Training Program at the University of Colorado offers training in this subspecialty in accordance with the training elements described by ANPA, SBCN, and AAN, and is described in herein.

Clinical Settings

Training in the University of Colorado Behavioral Neurology & Neuropsychiatry Fellowship Training Program occurs in five settings:

University of Colorado Hospital (UH) inpatient ward, consultation, and outpatient services.
Outpatient Neuropsychiatry Clinic.
Denver Veterans Affairs Medical Center (DVAMC), an affiliate of the University of Colorado School of Medicine, inpatient ward, consultation, and outpatient services.
Spalding Rehabilitation Hospital (SRH), an affiliate of the University of Colorado School of Medicine, inpatient neuropsychiatry consultation service.
Colorado Mental Health Institute at Pueblo (CMHIP), an affiliate of the University of Colorado School of Medicine, inpatient behavioral neurology and neuropsychiatry consultation service.

Rotations

Fellowship Training in Behavioral Neurology & Neuropsychiatry includes concurrent rotations in several clinical settings. Training at all sites emphasizes the basic principles of neuropsychiatric assessment, including elemental neurological examination, mental status examination, neurobehavioral (cognitive) testing, neuropsychological assessment, clinical neuroimaging, clinical electrophysiology, laboratory (including serum and cerebrospinal fluid) assessment, neuropharmacologic management, time-limited psychosocial interventions, behavioral management strategies, patient- and family-centered care, and the basic principles of neurorehabilitation. All sites provide opportunities for experience in the neuropsychiatric assessment of adults (i.e., age 18 years and older).

Neuropsychiatry Consultation Service, SRH - This training site provides opportunities to learn the principles of inpatient neuropsychiatry consultation in an acute neurorehabilitation setting. Consultative care is provided to individuals with focal neurobehavioral syndromes and a variety of neurological conditions in which neuropsychiatric symptoms arise commonly, including traumatic brain injury, stroke, hypoxic-ischemic brain injuries, viral encephalidities, epilepsy, multiple sclerosis, Parkinson's disease, Guillain-Barre syndrome, and developmental disabilities, among others. Fellows spend approximately 4-5 half-days per week in this setting.

Neuropsychiatry Clinic, UH - This training site provides opportunities to learn the principles of neuropsychiatric evaluation and treatment in an outpatient consultation and continuity clinic. Care in this setting is provided to persons with a variety of focal neurobehavioral syndromes, major neuropsychiatric syndromes (neurodegenerative and other dementias, schizophrenia, mood disorders, anxiety disorders, developmental disabilities), and neurologic conditions in which neuropsychiatric symptoms arise commonly. Fellows spend approximately 1 half day per week in this setting.

Neurology Clinic, DVAMC - This training site provide opportunities to learn the principles of neurological and neuropsychiatric evaluation of veterans with a variety of neurological disorders, including dementias, traumatic brain injuries, stroke, epilepsy, movement disorders, multiple sclerosis, cerebral neoplasms, infections of the central nervous system, collagen-vascular and rheumatic disorders, among others. Fellows spend approximately 1 half day per week in this setting.

Neuropsychiatry and Behavioral Neurology Consultation Services, UH and DVAMC - This training site provide opportunities to learn the principles of neuropsychiatric and neurobehavioral consultation to individuals with a variety of psychiatric and neurological disorders in which neuropsychiatric and neurobehavioral symptoms arise commonly, including schizophrenia, mood and anxiety disorders, substance use disorders, dementias, traumatic brain injuries, stroke, epilepsy, movement disorders, multiple sclerosis, cerebral neoplasms, infections of the central nervous system, collagen-vascular and rheumatic disorders, among others. Fellows spend approximately 1 half day per week in this setting.

Neuropsychiatry and Behavioral Neurology Consultation Service, CMHIP - This training site provides opportunities to learn the principles of inpatient neuropsychiatric and neurobehavioral consultation in a public mental health setting. Consultations are provided to individuals with primary psychiatric disorders as well as individuals with comorbid psychiatric and neurological disorders. Additional emphasis is given to the evaluation of geriatric patients with such conditions. Fellows spend approximately 1 day per month in this setting.

Neurobehavior Clinic, UH - This training site provides opportunities to learn the principles of neuropsychiatric and neurobehavioral evaluation in an outpatient consultation clinic. Care in this setting is provided to persons with a variety of focal neurobehavioral syndromes and neurologic conditions in which neuropsychiatric symptoms arise commonly. Fellows spend approximately 1 half day per month in this setting.

Epilepsy Clinic, UH - This training site provide opportunities to learn the principles of neurological and neuropsychiatric evaluation of adults with epilepsy. Fellows spend approximately 1 half day per month in this setting.

Movement Disorder Clinic, UH - This training site provide opportunities to learn the principles of neurological and neuropsychiatric evaluation of adults with a variety of movement disorders, including Parkinson's disease and parkinson-plus syndromes, Huntington's disease, and Gilles de la Tourette's syndrome, among others. Fellows spend approximately 1 half day per month in this setting.

Multiple Sclerosis Clinic, UH - This training site provide opportunities to learn the principles of neurological and neuropsychiatric evaluation of adults with multiple sclerosis. Fellows spend approximately 1 half day per month in this setting.

Neuroradiology Service, UH and DVAMC - This training site provides opportunities to learn the principles of cerebral neuroimaging and the visual inspection of structural imaging studies of the brain. Fellows spend approximately 1 half day per month in this setting.

Electrodiagnostic Service, UH and DVAMC - This training site provides opportunities to learn the principles of cerebral electrophysiology and the visual inspection of electroencephalographic and evoked potential studies. Fellows spend approximately 1 half day per month in this setting.

Faculty

During the course of fellowship training, the following provide both clinical and didactic supervision to the fellow:

David B. Arciniegas, MD - Neuropsychiatrist and Fellowship Training Program Director

C. Alan Anderson, MD – Attending Behavioral Neurologist and Associate Fellowship Training Program Director

Christopher M. Filley, MD – Attending Behavioral Neurologist and Associate Fellowship Training Program Director

Kristin M. Brousseau, DO – Neuropsychiatrist (UH and UNP)

Mark Spitz, MD - Neurologist and Electroencephalographer (UH and DVAMC)

Lauren Frey, MD - Neurologist and Electroencephalographer (UH)

John Corboy, MD - Neurologist (UH and DVAMC)

Maureen Leehey, MD - Neurologist (UH and DVAMC)

Jack Simon, MD - Neuroradiologist (UH)

Elliot Sandberg, MD - Neuroradiologist (DVAMC)