• The fellow will learn to perform evaluations within a limited time period on a variety of forensic outpatients. During this rotation, the fellow will learn how to evaluate competency to stand trial, criminal responsibility, capacity to conform conduct to the requirements of the law, and competency to enter post-conviction relief actions. These patients will include men and women over the age of 14.
  • The fellow will learn specific usefulness of psychological consultation in performing forensic evaluations. Also, a working knowledge of specific psychological tests used in forensic populations will be developed.
  • The fellow will learn the appropriate use of brain imaging, laboratory blood analysis, electroencephalography, and neurological consultation in completion of forensic evaluations.
  • The fellow will learn to communicate results of their forensic evaluations to the court in a thorough and relevant manner and will learn to support opinions convincingly in court testimony and reports of their findings.

Civil Rotation

  • The fellow will learn how to develop a decision process for deciding when to accept a case. The fellow will become familiar with the intricacies of running a private practice in forensic psychiatry, including common errors and hazards, the negotiation of fees, the use of a retainer, and the importance of informed consent in private forensic evaluations.
  • The fellow will become familiar with the issues of dual agency (treating doctor vs. evaluator) and how to avoid dual agency and other ethical pitfalls in a forensic practice.
  • The fellow will obtain knowledge of the components of an adequate civil forensic examination in the areas of personal injury, disability, worker's compensation, competency to handle funds, global competency, testamentary capacity, termination of parental rights, child custody, and other civil issues.
  • The fellow will understand the process of discovery, the uses of depositions, and the scope of courtroom testimony in private civil forensic cases.
  • The fellow will become familiar with the process of a psychiatric malpractice suit, the basic tenets of a successful tort, and the use of a forensic psychiatrist's testimony in establishing standard of care (dereliction of duty), damages, and direct causation.
  • The fellow will become familiar with the use of a private forensic psychiatry expert for the evaluation of mental health mitigation in death penalty cases.

Correctional Psychiatry Rotation

  • During this rotation, fellows will become aware of the philosophies of juvenile and adult corrections, including the observation of a system in change from a correctional model to a treatment model.
  • The fellow will learn, firsthand, the challenges of working in a correctional setting, including the treatment of adults in high security environments, performing pre-sentencing assessments, and establishing long term therapeutic alliance with patients behind bars.
  • The fellow will learn how to balance the therapeutic needs of individual patients with the organizational needs of the correctional system, including the impact on medication costs on formulary development.
  • The fellow will become familiar with all aspects of a juvenile justice system, from reception and evaluation to parole boards and release. The fellow will become aware of the uses of allied health and mental professionals in the multidisciplinary approach utilized in the psychiatric treatment of mentally ill juvenile offenders.
  • The fellow will become familiar with outcome measures and their use in budgeting resources within a correctional system.

Forensic Consultation Liaison Rotation

  • The fellow will gain a working knowledge of legal issues that arise in the clinical practice of psychiatry including competency to consent to medical procedures, informed consent, treatment refusal, the duty to protect, violence risk assessments, confidentiality, and other issues.
  • The fellow will gain an appreciation of the safety and legal issues related to the safe release of criminal defendants found Not Guilty by Reason of Insanity (NGRI) and the process by which such release occur.
  • The fellow will develop skills necessary to review the appropriateness of hospital policies and procedures as well as the psychiatric treatment provided in select cases with adverse clinical outcomes.

Evaluations of Sexual Abuse

  • The fellow will learn the proper victim interview techniques in the conducting of forensic interviews for the purpose of investigation allegations of child physical or sexual abuse.
  • The fellow will learn the areas of inquiry when completing a comprehensive forensic interview of alleged child abuse victims.
  • The fellow will learn how abuse evaluations are used by the family court system and by investigative authorities.