Our one-year geriatric psychiatry fellowship provides diverse training at tertiary care sites including Dartmouth Hitchcock, the WRJ VA, NH State Hospital, and nursing and assisted-living facilities-serving a varied elderly population. Emphasis on neuromodulation (ECT, TMS, ESK), emerging diagnostics and therapeutics, behavioral neurology, palliative care, leadership, teaching, and comprehensive seminars enriches the clinical experience, all within the scenic Upper Valley community.