Department of Psychiatry

Education Programs

Psychosomatic Medicine Fellowship

Brenda J. Talley, M.D.
Brenda J. Talley, M.D.,
Psychosomatic Medicine Fellowship Director

The UTHSCSA Department of Psychiatry offers two one-year accredited fellowships in Psychosomatic Medicine.  Applications are invited from recent Psychiatry resident graduates as well as PGY-IV residents.  The clinical focus of the fellowship will enable fellows to gain expertise and board eligibility in Psychosomatic medicine.   The fellowship aims to provide opportunities to treat a diverse, multicultural population of adult and pediatric patients in in-patient and out-patient settings.  Areas of opportunity include organ transplantation, oncology, neurology, and infectious disease.  Clinical service is supplemented with weekly Grand Rounds, journal club, as well as didactic seminars. In addition, mentor-guided research opportunities and other scholarly opportunities are available.


For more information please view the Psychosomatic Medicine Goals & Objectives.


Primary Teaching Faculty:

  1. Brenda Talley, M.D. – Psychosomatic Medicine Fellowship Director
  2. Vivek Singh, M.D.
  3. Ricardo Salazar, M.D.
  4. Angela Velez, M.D.
  5. Cervando Martinez, Jr., M.D.
  6. Jeffrey A. Cordes, M.D.


Primary Teaching Sites:

  1. University Health System (UHS) Adult and Pediatric Psychiatric Consultation-Liaison Service
  2. University of Texas Health Science Center at San Antonio (UTHSCSA)/University Health System Medical Illness Clinic
  3. University of Texas Health Science Center at San Antonio Psycho-Oncology Clinic
  4. University Health System Transplant Center
  5. University Health System Neurology Clinic
  6. University Health System Family Focused AIDS Clinical Treatment Sources Clinic
  7. South Texas Veterans Health System Geriatric Evaluation & Management Memory Disorders Clinic


Admission Criteria

Candidates must have completed an ACGME accredited psychiatry residency prior to entering the program and be eligible for a Texas Medical License.


Application Requirements:

The following documents need to be included in your application packet:

  • University Health System (UHS) application
  • Personal statement including career goals
  • Curriculum Vitae
  • Three letters of recommendation, including one from the Program Director
  • Official Dean’s Letter
  • Copies of USMLE Step I, II, and III
  • ECFMG and proof of J-1 visa eligibility  (foreign medical graduates only)

Psychosomatic Medicine Fellowship Goals and Objectives 

The goals and objectives of training for the Fellowship in Psychosomatic are:

  • To demonstrate an advanced comprehensive knowledge base in the specialty through supervised clinical activities and didactic education in the following areas: <br><br/>

    1. Knowledge of abnormal behavior and psychiatric illnesses that occur among medical, neurological, and surgical patients
    2. Understanding of pharmacology, including the psychopharmacology of the medically ill, and psychiatric side effects of non-psychotropic medications
    3. Knowledge of the types of responses patients have to illnesses
    4. Knowledge of typical and atypical presentations of psychiatric disorders due to medical, neurological, and surgical illness
    5. Knowledge of the evaluations and management of delirium, dementia, and secondary (“organic”) psychiatric disorders

  • To acquire and demonstrate clinical skills reflecting diagnostic and treatment abilities in the following areas:

    1. Ability to diagnose and treat psychiatric disturbances that occur among the physically ill
    2. Ability to provide consultation in medical and surgical settings
    3. Provide non-pharmacologic interventions, including cognitive therapy, and short-term supportive therapy in patients suffering the effects of complex medical disorders or their treatments
    4. Evaluate and manage somatoform disorders and chronic pain
    5. Develop the ability to collaborate with other physicians and other healthcare team members in providing a comprehensive assessment and treatment of the medically ill patient
  • To provide opportunities for teaching and supervision in the following areas:

    1. Ability to teach other physicians and healthcare team members about how to recognize and respond to various psychiatric disorders
    2. Ability to effectively supervise medical students and residents performing psychiatric consultations
    3. Teach medical and surgical colleagues about psychiatric complications of physical illnes
  • To obtain and demonstrate the following professional attitudes:

    1. Willingness to communicate in a way that results in effective and empathic information exchange
    2. Desire to create and sustain a therapeutic relationship with patients from a spectrum of ethnic, cultural, gender, socioeconomic, and educational backgrounds
    3. Willingness to continually expand their knowledge and skills to ensure competent evaluations and treatment


For additional information contact:

Amy Permann, B.S. (Fellowship Coordinator)


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