Interventional Psychiatry Fellowship

What Is Interventional Psychiatry?

Interventional psychiatry is a procedurally oriented subspecialty within psychiatry that applies device-based and pharmacologically targeted neuromodulation techniques to treat psychiatric illness—primarily, but not exclusively, treatment-resistant depression (TRD). The core toolkit includes electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), ketamine and esketamine infusion, magnetic seizure therapy (MST), transcranial direct current stimulation (tDCS), and deep brain stimulation (DBS). Some programs extend into vagus nerve stimulation (VNS) and focused ultrasound as evidence matures.

What distinguishes interventional psychiatry from general psychiatric practice is not simply the use of these tools—most trained psychiatrists can administer or supervise TMS—but the depth of mechanistic understanding, protocol design capability, and research orientation required to deploy them thoughtfully in refractory populations. An interventional psychiatrist is expected to understand the neuroscience behind stimulation parameters, navigate device software, collaborate with neurologists and neurosurgeons on complex cases, and contribute to a literature that is still actively being written. This is not a field with settled protocols for most of its patient population; fellows are trained to work at the edge of evidence, not to apply finished algorithms.

The subspecialty sits at the intersection of psychiatry, clinical neuroscience, biomedical engineering, and anesthesiology-adjacent medicine. That intersection is genuinely unusual within psychiatry and is either energizing or disorienting depending on who you are.

The Landscape of Interventional Psychiatry Fellowships

Interventional psychiatry fellowship is a relatively young and still-maturing subspecialty training pathway. As of the most recent program directories, the number of formally structured, standalone interventional psychiatry fellowships in the US remains small—most estimates from the International Society for ECT and Neurostimulation (ISEN) program listings place the figure in the low-to-mid double digits, with significant variation in program structure, duration, and emphasis. Formal ACGME accreditation of interventional psychiatry as a subspecialty does not yet exist in the same form as, for example, geriatric psychiatry or C-L psychiatry; programs operate largely under institutional and departmental frameworks.

Nearly all current programs are embedded in major academic medical centers. Institutions with established and publicly recognized programs include Johns Hopkins, UT Southwestern, Mayo Clinic, Columbia University Irving Medical Center, and the University of California system, among others. Community hospital programs are rare; private-practice-based fellowships are essentially nonexistent. The academic concentration matters for your decision: if you train in interventional psychiatry, you will almost certainly train in a high-volume research environment, and you will be expected to contribute to that environment.

Most fellowships run one year post-residency, though some programs offer two-year tracks for applicants seeking deeper research immersion or dual-certification in clinical neuroscience. A small number of programs integrate the interventional psychiatry curriculum into a broader neuropsychiatry or clinical neuroscience fellowship, which can be advantageous for those with dual neurology/psychiatry interests but may dilute procedural volume if not structured carefully.

Geographic concentration of programs skews toward the Northeast, Mid-Atlantic, and major urban academic hubs. If you have geographic constraints, this is a real planning variable—check ISEN's current program directory for the most up-to-date list, as programs open and restructure more frequently than in established subspecialties.

What Does the Day-to-Day Look Like?

A realistic week in an interventional psychiatry fellowship is structured around service commitments that most general psychiatry residents have encountered only briefly, if at all. Understanding the texture of that week is essential to evaluating fit.

Early mornings, inpatient ECT service. ECT is almost always scheduled in the early AM in the procedure suite, coordinated with anesthesia. Fellows participate in pre-procedure evaluation, stimulus parameter selection, electrode placement, seizure monitoring via EEG, and post-procedure recovery assessment. At high-volume programs, a fellow may observe or directly supervise multiple ECT sessions in a single morning block. This is physically early, procedurally repetitive in structure but cognitively demanding in patient complexity, and requires comfort with an anesthesia-adjacent environment. If you are uncomfortable with IV access, brief general anesthesia workflows, or the recovery room milieu, this will be a daily friction point.

Midday, outpatient TMS clinic. TMS clinics typically run structured daily sessions for patients on acute courses (often five days per week for several weeks) and maintenance schedules thereafter. Fellows manage protocol selection (standard figure-eight coil vs. deep TMS vs. accelerated protocols), motor threshold determination, coil positioning, and adverse effect monitoring. The workflow is high-throughput relative to standard psychiatric outpatient practice; patient-to-provider ratios are managed by support staff, but the fellow is responsible for clinical decision-making when protocols need adjustment.

Ketamine and esketamine protocols. Depending on program emphasis, fellows may co-manage a ketamine infusion service or an esketamine (Spravato) clinic. This involves patient selection, dosing decisions, dissociation monitoring during infusion, and longitudinal response tracking. The pharmacology is interesting; the patient population is complex; the workflow is time-bounded and procedural.

Research and didactics. Most programs build in protected research time, weekly neuromodulation didactic conferences, case-based teaching, and journal clubs focused on the rapidly evolving stimulation literature. Fellows at programs with active DBS or MST protocols may participate in device case selection committees alongside neurosurgery and neurology—a genuinely cross-disciplinary experience that is uncommon in psychiatry training.

Clinical evaluations. Fellows conduct initial evaluations for treatment-resistant patients referred for neuromodulation consideration, which involves detailed psychiatric history, prior treatment documentation, medical clearance coordination, and shared decision-making about modality selection. This is longitudinal clinical psychiatry work layered onto the procedural infrastructure; the fellow is expected to be a skilled clinician first and a proceduralist second.

Personality & Cognitive Style Fit

The fellows who appear to thrive in interventional psychiatry share a recognizable profile. None of the traits below are absolute—people adapt—but if the list reads as foreign rather than familiar, that's diagnostic information.

• Procedural orientation without loss of clinical depth. You find it satisfying to do something to help a patient, not only to understand them. You are energized by the learning curve of a new device, by the iterative adjustment of stimulus parameters, by the problem of why this patient didn't respond when the protocol said they should. This is distinct from surgical proceduralism—there is no dexterity premium here—but the cognitive satisfaction structure is closer to procedure-oriented medicine than to psychotherapy.
• Tolerance of diagnostic and therapeutic uncertainty. The patients who end up in interventional psychiatry clinics are, by definition, the ones who haven't responded to first-, second-, or third-line treatments. Prognostic clarity is limited. You are not going to have clean outcomes for a significant portion of your panel, and the evidence base for your tools, while growing, is genuinely incomplete for many indications. If you need resolution and closure to feel competent, this population will be chronically uncomfortable.
• Iterative protocol thinking. You think in terms of hypotheses about mechanism, adjustable variables, and response monitoring. When a patient doesn't respond to standard-frequency TMS, your instinct is to interrogate the parameters rather than conclude the modality failed. This is an engineering mindset applied to clinical medicine, and it is not universally present in psychiatry trainees.
• Collaborative comfort across specialties. You will work regularly with anesthesiologists, neurologists, and neurosurgeons. You need to be able to hold your ground clinically without being territorial, and to integrate technical expertise from colleagues without deferring on psychiatric decision-making. This requires both confidence and intellectual humility simultaneously.
• Research appetite. The literature in interventional psychiatry is live and contested. If you are not genuinely interested in reading, contributing to, and sometimes disagreeing with the primary evidence, you will find the academic expectation of these programs burdensome rather than motivating.

Values Alignment Check

Before fitting your application to the field, ask whether the field fits what you actually believe matters in medicine. The following values appear consistently in the work of clinicians who sustain long careers in interventional psychiatry; they are worth examining honestly against your own.

• Reducing suffering in refractory illness as a sufficient goal. The patients you will treat have often cycled through years of treatments, hospitalizations, and failed attempts at stability. Partial response—returning someone to a functional baseline that isn't full remission—is a real clinical win in this population. If you measure success primarily by complete resolution of illness, you will struggle with the population's complexity. If you find it meaningful to improve quality of life for someone who would otherwise have none, this work will sustain you.
• Comfort with innovation before consensus. Ketamine for depression was treated as fringe practice not long ago. Accelerated TMS protocols are still being standardized. DBS for psychiatric indications remains investigational for most uses. If you need established consensus before you can practice with confidence, interventional psychiatry's frontier positioning will be uncomfortable. If you find it meaningful to be at the edge where evidence is being made, this is the right place.
• Patient advocacy for stigmatized treatments. ECT carries cultural stigma disproportionate to its evidence base—it is among the most effective acute treatments for severe depression and has a well-characterized safety profile, yet many patients arrive with fear and misinformation shaped by decades of public misrepresentation. Part of the job is education, advocacy, and destigmatization work at the individual patient level and, increasingly, at a broader policy and public communication level. If you find that role energizing, it's a meaningful dimension of the career.
• Evidence-building as a professional obligation. The interventional psychiatry community is small enough that individual clinicians can meaningfully advance the field. If you intend to spend your career consuming rather than contributing to the evidence base, you are likely better served by a general psychiatry career that uses these tools than by fellowship-level training.

Lifestyle, Schedule & Compensation Realities

This section covers structural realities of the fellowship year and post-fellowship career. For specific figures, see PGY Zero's current compensation data pages, as dollar amounts shift year to year and vary meaningfully by region and institution.

Fellowship stipend. Interventional psychiatry fellowship stipends follow the general range for post-residency psychiatry subspecialty training—typically comparable to or slightly above PGY-5 equivalent stipends at the hosting institution. They are not competitive with attending salaries and should not be evaluated on that basis; this is a training investment, not an earning year. See the PGY Zero fellowship compensation data page for current ranges by program type.

Call burden. ECT services create an early-morning availability requirement that distinguishes interventional psychiatry from many outpatient-heavy subspecialties. Fellows at programs with active inpatient ECT services should expect scheduled early starts and, depending on program structure, some on-call coverage for urgent ECT needs. This is less burdensome than surgical call or C-L overnight coverage, but it is not a purely nine-to-five schedule. Post-fellowship attending practice patterns vary: academic faculty with ECT service leadership roles continue to have early-morning commitments; TMS-heavy private practice roles are typically more schedule-controlled.

Post-fellowship career paths. The two dominant career trajectories are academic faculty positions at major medical centers and leadership roles in TMS/ketamine clinic networks, which have grown substantially as these treatments have entered broader clinical use. A smaller number of graduates join private practice psychiatry groups that have integrated neuromodulation services. Academic positions typically offer protected research time, teaching, and access to DBS and investigational protocols, at the cost of salary compared to high-volume private-sector clinic models. The salary premium for interventional psychiatry training relative to general psychiatry attending practice is real but not uniform—it depends heavily on the specific role, institution, and geographic market. See the PGY Zero salary data page for current benchmarking.

Geographic concentration of positions. Post-fellowship attending roles are more geographically distributed than the fellowships themselves, given the expansion of TMS clinic infrastructure nationally. However, academic positions and DBS programs remain concentrated in major research centers. If your post-training life plan requires a specific region, research the attending-level job market in that region before committing to fellowship training, not after.

What Programs Actually Look For

Interventional psychiatry fellowship programs are selecting from a small applicant pool relative to general psychiatry residency, but the pool is self-selected by research and procedural interest, which raises the competitive floor. The following criteria appear consistently in program director communications, published program descriptions, and the pattern of who matches at competitive programs.

• Research productivity. Publications, first-authored or otherwise, in psychiatric neuroscience, neuromodulation, or treatment-resistant depression literature are the clearest differentiator at competitive programs. Abstracts and presentations at relevant meetings (ISEN, ACNP, APA) demonstrate engagement with the field even when publications aren't yet available. A demonstrable research trajectory—even if early—carries more weight than a single publication in an unrelated area.
• Neuromodulation exposure during residency. Programs want evidence that you have spent time in ECT suites and TMS clinics, not merely that you know these modalities exist. Rotation logs, described procedural experience in your personal statement, and mentor letters that speak to your clinical performance on neuromodulation services all matter. If your residency program has limited ECT volume, you should seek external rotations proactively rather than waiting for the experience to come to you.
• Letters of recommendation from subspecialty-relevant faculty. A letter from an ECT or TMS faculty member who supervised you directly is substantially more informative to a fellowship program director than a generic letter from a department chair who knows you as a solid resident. Identify your letter writers early and cultivate those relationships intentionally. If your home program has no neuromodulation faculty, this is an argument for arranging an away rotation where you can build that relationship.
• Personal statement framing. The most effective personal statements for interventional psychiatry fellowship articulate a specific intellectual and clinical interest in treatment-resistant illness, demonstrate some mechanistic engagement with neuromodulation (not just that you think it's interesting), and situate your prior research or clinical experiences within a coherent future direction. Generic statements about helping patients who haven't responded to prior treatment are necessary but not sufficient—programs are looking for evidence that you understand what the field actually is and have engaged with it beyond the surface.
• Board scores in context. ABPN scores matter in the sense that they are reviewed, but interventional psychiatry fellowship is not a score-ranked match process comparable to subspecialty fellowship in internal medicine. Research productivity and mentorship relationships appear to carry more weight in competitive applications than score differentials within the normal range. Scores significantly below program norms may be flagged, but they are rarely the sole determinant.
• Fit with the specific program's research agenda. Because programs are small and research-intensive, fit between your stated interests and the program's active research portfolio matters more than in larger fellowship programs. Read the program's recent publications. Know what the faculty are working on. Have a considered view about where your interests intersect with theirs. Generic interest in neuromodulation without specific engagement with the program's work reads as low-effort to fellowship directors.

How to Build Your Candidacy Before Fellowship Applications

The timeline for a competitive interventional psychiatry fellowship application begins in PGY-1, not PGY-4. The steps below are sequenced by training year; earlier action expands later options.

PGY-1: Identify whether your residency program has an ECT service and, if so, rotate on it as early as scheduling allows. Even brief exposure gives you grounded language for later conversations. Ask your program director about research opportunities in biological psychiatry or neuroscience—you don't need to be committed to interventional psychiatry to begin building a relevant research record. Attend your institution's grand rounds on neuromodulation topics.

PGY-2: Pursue sustained involvement in a neuromodulation or TMS research project. First-authorship on a case report or research letter is achievable within a single academic year and represents the floor of competitive research productivity for fellowship. If your program lacks TMS infrastructure, identify a collaborator at a nearby academic center. Shadow or rotate in a TMS clinic, even informally. Begin identifying faculty who could credibly write subspecialty-specific letters for you—and do substantive enough work with them that the letters will be specific and strong.

PGY-3: Submit to ISEN or ACNP. Presenting at a national meeting as a resident is a meaningful signal of field engagement and gets you into rooms where fellowship directors and potential mentors are present in person. Begin drafting your research agenda—what question in interventional psychiatry do you want to pursue, and why? This thinking will sharpen your personal statement and your interview performance. Investigate fellowship programs systematically: review their faculty publications, current fellows' backgrounds if visible, and any stated research priorities.

PGY-4: Most programs recruit in the PGY-3 or PGY-4 year; confirm target program timelines directly, as they vary. Request letters of recommendation from subspecialty faculty who know your work specifically, not as a last-minute ask—give writers adequate time and provide them with your CV, your personal statement draft, and specific talking points about your work together. Apply with a personal statement that is genuinely specific: name the field's open questions, name the programs you're applying to and why, and demonstrate that you understand what you're choosing.

Genuine Misfit Signals

This section exists because the most useful thing a specialty fit guide can do is help you recognize when a path isn't right, not just when it might be. The following are not deficiencies—they are honest misalignments that predict friction rather than fit in interventional psychiatry fellowship and career.

• Aversion to procedural repetition. ECT is administered repeatedly—often three times weekly for acute courses, then on maintenance schedules indefinitely for some patients. TMS courses involve daily patient contact over weeks. If you find repetitive procedural structure draining rather than grounding, this workflow will accumulate as burnout risk rather than clinical satisfaction.
• Discomfort with devices, technology, or anesthesia-adjacent settings. The ECT suite is a medical environment with monitoring equipment, an anesthesiologist, IV access, and a patient under brief general anesthesia. If this environment produces anxiety rather than clinical focus, it will not become more comfortable through fellowship—it will simply be a daily stressor. TMS involves device calibration, positioning precision, and software-mediated protocol adjustments. If technology workflows feel like obstacles rather than tools, this specialty's infrastructure will be alienating.
• Strong preference for longitudinal, relationship-centered outpatient care. Interventional psychiatry does involve longitudinal relationships—many ECT and TMS patients return for years of maintenance treatment—but the nature of the relationship is procedurally structured, not primarily psychotherapeutic. If the core satisfaction you derive from psychiatry is the depth of the therapeutic relationship, the exploratory conversation, the long-form narrative work of psychotherapy, you are better served by fellowship training that centers those elements. This is not a lesser preference; it's a different career.
• Thin research background with no concrete plan to address it. If you are currently in PGY-3 with no research engagement and no access to a research mentor in the relevant area, a competitive interventional psychiatry fellowship application in the near term is a difficult proposition. Programs are not selecting for potential alone in a field this research-intensive. This is not a permanent disqualifier—a deliberate PGY-4 year that includes a research project, a presentation, and a substantive mentorship relationship can move the needle—but it requires honest assessment of where you stand and a realistic timeline.
• Primary motivation as career differentiation rather than substantive interest. Interventional psychiatry training is long, research-intensive, and geographically constraining during the fellowship year. Applicants who pursue it primarily because it sounds distinctive, or because they want the salary premium without genuine interest in the scientific and clinical work, tend to find fellowship demanding in ways that aren't offset by the credential. Programs are reasonably good at detecting surface-level motivation; so is the career itself, in time.

Comparing Adjacent Fellowships

If you are drawn to interventional psychiatry but uncertain whether it's the right subspecialty fit, the following comparisons may help you triangulate. The goal is not to rank these paths but to surface the genuine differences in daily work, patient population, research culture, and career structure.

Interventional Psychiatry vs. Neuropsychiatry

Neuropsychiatry fellowship focuses on psychiatric illness arising from or complicated by neurological disease—TBI, epilepsy, movement disorders, dementia, autoimmune encephalitis. The cognitive work is heavily diagnostic: phenotyping complex presentations, integrating neuroimaging and EEG data, coordinating with neurology. Some neuropsychiatry programs have interventional components, but the procedural emphasis is much lighter. If your primary interest is understanding the brain-behavior interface in neurological disease rather than deploying stimulation devices in refractory mood disorders, neuropsychiatry is likely the better fit. If you want both, look for programs that formally integrate the two curricula.

Interventional Psychiatry vs. Consultation-Liaison Psychiatry

C-L psychiatry fellowship trains you to evaluate and manage psychiatric illness in the context of medical comorbidity across hospital services. The work is high-volume, team-based, medically complex, and requires comfort with rapid diagnostic formulation and cross-specialty communication. The daily rhythm is consultative rather than procedural; the intellectual challenge is medical psychiatry complexity rather than neuromodulation protocol design. C-L fellowship has ACGME accreditation and a more established career pathway into academic medical center attending roles. If you are drawn to psychiatry-medicine interfaces but prefer clinical complexity over device-based treatment, C-L is likely the stronger fit. The two subspecialties are not mutually exclusive in career terms—some interventional psychiatrists practice within academic medical centers where C-L and neuromodulation services interact—but the fellowship training is quite distinct.

Interventional Psychiatry vs. Geriatric Psychiatry

Geriatric psychiatry fellowship centers on psychiatric illness in older adults—late-life depression, dementia with behavioral and psychological symptoms, late-onset psychosis, delirium management. ECT is actually a significant tool in late-life depression and appears in both training contexts, which creates some overlap. But geriatric psychiatry fellowship is primarily a clinical training in the phenomenology and pharmacological management of psychiatric illness in an aging population, with a strong emphasis on longitudinal care, capacity assessment, and systems navigation. If your interest in ECT is specifically in its application to elderly patients with severe depression, geriatric psychiatry may provide a more holistic training context for that population. If your interest is in the breadth of neuromodulation tools, the research frontier of stimulation medicine, and treatment-resistant illness across the lifespan, interventional psychiatry is the more direct path.

Voices from the Field

The following represent composite insights drawn from published interviews, conference presentations, and program descriptions from interventional psychiatry fellows and faculty. No individual is named or invented; these reflect recurring themes in the field's self-description.

"The thing that surprised me most in fellowship was how much of the work is still genuinely unknown. I expected to learn established protocols. Instead, I learned how to think about why a protocol isn't working and what to try next. That's a different kind of training—harder in some ways, but more honest about what the field actually is."

"Patients referred to our service have often been told there's nothing left to try. Part of the job is that conversation—explaining that there are options, that the evidence supports them, and that the cultural baggage around ECT doesn't reflect what the procedure actually is in 2024. That advocacy work matters to me as much as the clinical work."

"I would tell residents considering this path to get into an ECT suite as early as possible—not because the procedure is complex, but because you need to know whether you find that environment energizing or alienating before you've organized your entire residency around it."

"The research expectation is real and it doesn't go away after fellowship. If you want to be at a program that's doing DBS or accelerated TMS or next-generation protocols, you have to be contributing. The field is small enough that the people doing the work all know each other."

The Application Timeline & Key Milestones

Because interventional psychiatry fellowship does not yet operate within a standardized match system comparable to internal medicine subspecialties, application timelines vary by program. The following milestones reflect the general pattern; confirm specific dates directly with each program during the relevant application year.

• PGY-1, months 1–6: Orient to your residency's neuromodulation resources. Identify ECT and TMS faculty. Attend any neuromodulation didactics available. Begin building genuine clinical and intellectual relationships with faculty who work in the area.
• PGY-1 to PGY-2 transition: Commit to a research project with a biological or neuromodulation focus. Even a case series or a structured literature review with a subspecialty mentor builds the record and the relationship.
• PGY-2, second half: Submit an abstract to ISEN or ACNP for the following year's meeting. If your work isn't ready for national submission, target your institutional research day or a regional meeting. The goal is a presentation on your CV by PGY-3.
• PGY-3, first half: Attend ISEN or ACNP in person if at all possible. Present if accepted; attend regardless. Introduce yourself to program directors and fellows. These are small communities; personal visibility matters. Begin researching fellowship programs systematically—faculty research agendas, current fellow backgrounds, program structure.
• PGY-3, second half: Many programs begin accepting inquiries and applications during this period. Reach out to program directors by email with a brief, specific expression of interest—name their research, your relevant work, and your interest in their specific program. Have a draft personal statement ready. Identify your three letter writers and approach them now, not in PGY-4.
• PGY-4, first quarter: Finalize and submit applications per each program's timeline. Request letters formally with sufficient lead time. Prepare for interviews by knowing the program's faculty publications and having a considered answer to "what do you want to study during fellowship?"
• PGY-4, interview season: Interview at every program you are seriously considering. These are small programs; the fit conversation goes both directions. Ask about protected research time, procedural volume benchmarks, post-fellowship alumni placement, and the program's trajectory. You are evaluating them as much as they are evaluating you.
• PGY-4, late spring/early summer: Most programs make offers and finalize positions in this window, though again, timelines vary. Have a clear rank ordering and communicate it professionally. The field is small enough that how you handle this process will be remembered.

Is Interventional Psychiatry Your Path? A Self-Assessment

Use this checklist as a structured decision scaffold, not a score. Honest answers to each item will surface where your fit is strong and where you are working against your own preferences or preparation.

• ☐ I find procedurally structured clinical work energizing, not repetitive or constraining.
• ☐ I am genuinely comfortable in medical environments with monitoring equipment, IV access, and brief anesthesia adjacency.
• ☐ I am drawn to patients with treatment-resistant illness and find working at the limits of current treatment intellectually motivating rather than demoralizing.
• ☐ I think mechanistically about psychiatric illness—I want to understand what a stimulus parameter is doing to a neural circuit, not only whether the patient improved.
• ☐ I have an active or clearly planned research project in a relevant area and can articulate what question I want to pursue in fellowship.
• ☐ I am reading the primary interventional psychiatry literature voluntarily, not only when assigned.
• ☐ I have spent meaningful time in an ECT suite or TMS clinic and found the experience clarifying rather than alienating.
• ☐ I have at least one faculty mentor in the subspecialty who knows my work specifically and would write a strong, specific letter.
• ☐ I am willing to be geographically constrained to an academic center for fellowship and potentially post-fellowship, if that is where the positions are.
• ☐ I find it meaningful to be an advocate for treatments that carry unwarranted stigma, and I can explain the evidence base for ECT and TMS accurately to a skeptical patient or family member.
• ☐ I am comfortable with the fact that my post-fellowship career will carry an ongoing expectation of research contribution, not just clinical practice.
• ☐ My interest in this field is not primarily about career differentiation—I would find the actual daily work of an interventional psychiatrist worth doing for its own sake.

If you checked ten or more of these with genuine honesty, interventional psychiatry fellowship is worth pursuing with full commitment. If you checked seven to nine, identify the gaps specifically—some are addressable through deliberate action in residency, others reflect real preference mismatches that deserve direct examination. If you checked fewer than seven, the adjacent fellowship options described above are worth a more thorough look before you narrow your path.

For related decision scaffolding, see the PGY Zero pages on Psychiatry residency fit, Neuropsychiatry fellowship fit, and the C-L psychiatry fellowship guide. For current program lists, stipend data, and application timeline specifics, see the relevant PGY Zero data pages updated each application cycle.