POSTGRADUATE
MEDICAL TRAINING
(PGY-5,6 RESIDENCIES)
IN ALCOHOLISM
AND DRUG ABUSE
FROM THE CENTER FOR MEDICAL FELLOWSHIPS
IN ALCOHOLISM AND DRUG ABUSE,
at New York University.
The Center is sponsored by the American Academy of Addiction Psychiatry (AAAP), the Association for Medical Education and Research in Substance Abuse (AMERSA), and the American Society of Addiction Medicine (ASAM). Support for this project was provided by the Scaife Family Foundation.
á PGY-5,6 Residencies in Alcoholism and Drug Abuse
á Program Requirements for Residency Education
á Center for Medical Fellowships in Alcoholism and Drug Abuse
á Survey of Residency Programs
á List of Programs
á Residency Program Descriptions
This brochure was prepared by the Center for Medical Fellowships in Alcoholism and Drug Abuse at NYU, in conjunction with the American Academy of Addiction Psychiatry. It was edited by Marc Galanter, M.D., Director of the Center, Department of Psychiatry, NYU School of Medicine, 550 First Avenue, New York, NY 10016
An electronic copy of the contents of this brochure is available at the Center's website at www.med.nyu.edu/substanceabuse.
PGY-5,6 RESIDENCIES IN ADDICTION:
THEIR NEED AND THEIR EVOLUTION
The Issue
The magnitude of the alcohol and drug abuse problem today is well documented, with the cost to the public calculated at over $246 billion per year in health care and lost work. In general medical facilities alone, on average 25% of the patients present with such problems, many of which go undiagnosed. When the sequelae of addiction, such as cirrhosis, trauma, and infection present, they may receive proper medical attention. On the other hand, patients' primary addictive problems go untreated. Furthermore, the rate of substance abuse among general psychiatric patients without primary addictive disorders has been found to be 25% to 60%, depending on the region and the clinical setting. Despite this, medical education has been seriously lacking in the addictions until recently. For example, training in this area was not formally required in psychiatric residencies until 1985, and is only recently required in internal medicine.
Federal Efforts
Clearly we need to assure greater medical sophistication in substance abuse. Where, however, do we stand in developing the needed teaching faculty and specialists in the field? In 1972, the federal government initiated a program of 3-year grants for Career Teachers in Alcoholism and Drug Abuse, but in 1981, after only one grantee had been funded in each of 55 of the 124 eligible schools, the program was terminated. Subsequently, modest grants have addressed curriculum development, but have failed to provide meaningful support for training positions. Recent federal faculty development awards and Project Mainstream have provided partial support for training faculty, but none for residents or fellows.
A comparison of these developments with those that took place in other medical subspecialties is compelling. For decades, federal funding for fellows in subspecialties, from cardiology to child psychiatry, served as the basis for developing expert practitioners and teaching faculty. No such support exists for training physicians in the alcoholism and drug abuse field, thereby necessitating new conceptions for how to underwrite such programs. Such programs will now generally come from clinical staff lines and research training dollars. Constraints imposed by managed care, however, have compromised clinical training overall.
Specialty Recognition
The legitimacy of medical subspecialties and their ability to establish standards of training and attract trainees has traditionally rested on various forms of the board certification process, through the American Board of Medical Specialties (ABMS). For example, over 90% of all graduates from American medical schools achieve certification through an ABMS member board by means of postgraduate training and exam.
In order to attract qualified young physicians, the substance abuse field moved toward implementing an educational format that parallels those accepted in medicine broadly. Since 1986, the American Society of Addiction Medicine has given a certifying exam in addiction to physicians of all specialties. However, this certification is not recognized by the ABMS.
The established option for such training is now subspecialty certification. This current procedure of the ABMS entails modification of specialty certification to reflect that a candidate has completed at least one year of full-time formal training in a subspecialty program and has passed an additional examination prepared by a member of the Board. Geriatric medicine was the first such program to be established format of added qualifications, in 1987. The certification process can be initiated by component boards of the ABMS in order to institutionalize post-residency training in addiction and promote development of a cadre of physicians who will serve as medical academics and practitioners for the field.
The American Board of Psychiatry and Neurology established subspecialty certification in addiction psychiatry, primarily in response to supportive information provided by the American Academy of Addiction Psychiatry. The first examination was given in March 1993. Through 1998 board certified psychiatrists with clinical experience in addiction could sit for the subspecialty exam. Completion of training in an ACGME accredited PGY-V addiction psychiatry residency is now required. As of 1999, 1817 psychiatrists have been certified.
The Accreditation Council for Graduate Medical Education
The ACGME is sponsored by the American Board of Medical Specialties, the American Hospital Association, the American Medical Association, the Association of American Medical Colleges, and the Council of Medical Specialty Societies. Its purpose is to establish standards and accredit graduate medical education training programs throughout the United States. It therefore represents the principal accrediting body for residencies and fellowships nationwide. The ACGME also approves additional training beyond the basic residency, often called fellowship training. In 1995, the ACGME approved the first Addiction Psychiatry residencies. At present, the ACGME has established standards and is accrediting training programs in Addiction Psychiatry for one or two years following completion of a basic psychiatry residency. Training in an accredited addiction psychiatry residence is now required in order to qualify for taking the examination for Subspecialty Certification in Addiction Psychiatry. At present there are 40 programs accepting residents which have already been approved through the ACGME accreditation process and they are designated in the ensuing text (two approved programs were no longer accepting residents). Further information on additional programs approved subsequently is available through the ACGME at (312) 464-4920. With the establishment of this process, formal approval under the U.S. mainstream organization for medical training has been achieved in addiction psychiatry. ACGME Program requirements for accredited addiction psychiatry residencies are available at http://www.acgme.org/req/401pr795.asp
Although there are positions for non-psychiatrists in conjunction with some of the approved programs, and although fellowships in addiction have been organized for non-psychiatrists in other specialties, an ACGME accredited process for postgraduate addiction training of non-psychiatric physicians remains to be established. Such a system would be helpful in formalizing the role of addiction training for non-psychiatrist physicians. Efforts are being made in this direction. Furthermore, Addiction Medicine has been given a place on the roster of specialty areas within the American Medical Association.
Residency Requirements
Both psychiatry and internal medicine now require training in addiction in their respective residency training programs. Psychiatry has now instituted a formal one-month full-time equivalent requirement in its postgraduate medical sequence.
PROGRAM REQUIREMENTS FOR RESIDENCY EDUCATION IN ADDICTION PSYCHIATRY
Areas A-D below are ones which are addressed in detail in the Graduate Medical Education Directory of the ACGME. Area E is detailed to illustrate the clinical experiences and curriculum content prescribed by the ACGME. For the complete listing of all requirements, please refer to the ACGME Graduate Medical Education Directory.
A. Introduction
1. Definition of the subspecialty
2. Duration and scope of education
3. Educational goals and objectives
B. Institutional Organization
C. Faculty and Staff
1. Program Director
2. Number and qualifications of the physician faculty
3. Multidisciplinary team exposure
4. Other program personnel
D. Facilities and Resources
1. Inpatient care facility
2. Partial hospitalization and day treatment center
3. Ambulatory care service
4. Library
5. Ancillary support services
6. Patient population
7. Additional educational environment
8. Faculty supervision
E. Educational Program
Clinical Experiences
The training program must include the following clinical components:
1. Evaluation, consultation, and treatment of:
a. Patients with primary alcohol and/or drug abuse and their families.
b. Medical and surgical patients in the emergency department, intensive care units, and general wards of the hospital with acute and chronic drug and/or alcohol abuse and dependency, including acute intoxication and overdose.
c. Psychiatric inpatients and outpatients with chemical dependencies and co-morbid psychopathology, to include a broad range of psychiatric diagnoses, such as affective disorders, psychotic disorders, organic disorders, personality disorders, and anxiety disorders, as well as patients suffering from medical conditions commonly associated with substance abuse such as hepatitis and acquired immune deficiency syndrome.
d. Medication-dependent patients with chronic medical disorders.
2. Exposure to the following substance-abuse problems:
a. Alcohol
b. Opioids
c. Cocaine and other stimulants
d. Marijuana and hallucinogens
e. Benzodiazepines
f. Other drugs of abuse, including sedative/hypnotics and nicotine
g. Miscellaneous/unusual, eg, khat, nutmeg, designer drugs, organic solvents.
3. Resident treatment of a minimum of five addicted outpatients with a variety of diagnoses requiring individual treatment for at least six months.
4. Rotations should provide residents with experience in evaluating acute and chronic substance-abusing patients in inpatient and outpatient settings. There should be an identifiable structured educational experience in neuropsychiatry relevant to the practice of addiction psychiatry that includes both didactic and clinical training methods. The curriculum should emphasize functional assessment, signs and symptoms of neuropsychiatric impairment associated with substance abuse, and the identification of physical illnesses and iatrogenic factors that can alter mental status, behavior, and management.
5. The program must provide specific experience in consultation to acute and chronic, medically ill substance-abusing patients being treated on medical, emergency, intensive care, and/or surgical services of a general hospital. Supervision of addiction psychiatry residents in their clinical evaluation of such patients, as well as in their consultative role, is essential. The program should provide residents with the opportunity to function at the level of a specialist consultant to physicians in the primary care specialties and to intensive care specialists.
6. Experience in working with multidisciplinary teams as a consultant and as a team leader.
7. Experience in working with patients who are concurrently participating in self-help programs.
Curriculum Content
The field of addiction psychiatry requires knowledge of neurology, pharmacology, psychiatry, general medicine, and psychology, as well as an understanding of the interaction of these disciplines. Programs must include both direct experience in clinical care and formal conferences. Instruction and experience must include the performance of the mental status examination, a neuropsychiatric evaluation instrument such as Mini-Mental Status examination, community and environmental assessment, family and caregiver assessment, medical assessment, and physical and psychological functional assessments. These skills compose the basis for formal assessment of the addicted patient using a synthesis of clinical finds, historical and current information, and data from laboratory and other special studies. Residents must acquire knowledge and skills in the following areas:
1. Knowledge of the signs and symptoms of the use and abuse of all of the major categories of drugs enumerated in VA.2.a-g, as well as knowledge of the types of treatment required for each.
2. Knowledge of the signs of withdrawal from these major categories of drugs and knowledge and experience with the range of options for treatment of the withdrawal syndromes and the complications commonly associated with such withdrawal.
3. Knowledge of the signs and symptoms of overdose, the medical and psychiatric sequelae of overdose, and experience in providing proper treatment of overdose.
4. Management of detoxification and acute hospital treatment of the chronic use of the major categories of drugs. Experience in working collaboratively with specialists in the emergency department and intensive care units in the diagnosis and management of acute overdose symptoms.
5. Knowledge of the signs and symptoms of the social and psychological problems as well as the medical and psychiatric disorders that often accompany the chronic use and abuse of the major categories of drugs.
6. Experience in the use of psychoactive medications in the treatment of psychiatric disorders often accompanying the major categories of substance abuse.
7. Experience in the use of techniques required for confrontation of and intervention with a chronic drug abuse and in dealing with the defense mechanisms that cause the patient to resist entry into treatment.
8. Experience in the use of the various psychotherapeutic modalities involved in the ongoing management of the chronic drug abusing patient, including individual psychotherapies, couples therapy, family therapy, cognitive-behavioral therapy, and group therapy.
9. Experience in working collaboratively with other mental health providers and allied health professionals, including nurses, social workers, psychologists, nurse practitioners, counselors, pharmacists, and others who participate in the care of substance-abusing patients.
10. Knowledge and understanding of the special problems of the pregnant drug abuser and of the babies born to substance-abusing mothers.
11. Knowledge of family systems and dynamics relevant to the etiology, diagnosis, and treatment of substance abuse disorders.
12. Knowledge of the genetic vulnerabilities, risk and protective factors, epidemiology, and prevention of substance-abuse disorders.
13. Familiarity with the major medical journals and professional-scientific organizations dealing with research on the understanding and treatment of substance abuse.
14. Critical analysis of research reports, as presented in journal clubs and seminars.
15. Experience in teaching and supervising student clinicians in the care of substance-abusing patients.
16. Understanding of the current economic aspects of providing psychiatric and other health-care services to the addicted patients.
17. Knowledge of quality assurance measures and cost effectiveness of various treatment modalities for substance-abusing patients.
CENTER FOR MEDICAL FELLOWSHIPS IN ALCOHOLISM AND DRUG ABUSE
The Center for Medical Fellowships in Alcoholism and Drug Abuse was established in 1987 under sponsorship of the American Academy of Addiction Psychiatry and the Association for Medical Education and Research in Substance Abuse to promote postgraduate medical training in the addictions. This goal is carried out by: (1) establishing training standards for medical training in the addictions, (2) disseminating information on existing postgraduate programs, and (3) promoting the establishment of new programs in qualified medical training centers. The Center draws on the expertise of its advisory group, leaders in education of medical specialists in alcohol and drug abuse. For further information write to the Center at the Division of Alcoholism and Drug Abuse, NB20N28, Department of Psychiatry, NYU School of Medicine, 550 First Avenue, New York, NY, 10016, or at our website www.med.nyu.edu/substanceabuse. The Division is a collaborating center of the Programme in Substance Abuse of the World Health Organization.
The following National Advisory Committee of the Center for Medical Fellowships in Alcoholism and Drug Abuse was originally established in 1989 to determine the guidelines for training of fellows and to enhance collaboration among training programs. Their efforts were central to initial formulation of addiction training. They and their schools were: John Chappel, M.D. (Nevada), Paul Cushman, M.D. (SUNY), Richard J. Frances, M.D. (UMD/NJ), Marc Galanter, M.D. (NYU Chair), Enoch Gordis, M.D. (NIAAA), James A. Halikas, M.D. (Minnesota), Edward Kaufman, M.D. (California, Irvine), Herbert D. Kleber, M.D. (Yale), Mary Jeanne Kreek, M.D (Rockefeller), David C. Lewis, M.D. (Brown), Roger E. Meyer, M.D. (Connecticut), Sheldon Miller, M.D (Northwestern), Robert B. Millman, M.D. (Cornell), Robert M. Morse, M.D. (Mayo), Charles O'Brien, M.D. (Pennsylvania); Carolyn Robinowitz, M.D. (American Psychiatric Assn), Sidney Schnoll, M.D., Ph.D. (Medical College of Virginia), Mark Schuckit, M.D. (University of California, San Diego), Barry Stimmel, M.D (Mt. Sinai) Zebulon Taintor, M.D. (NYU), David Van Thiel, M.D. (Pittsburgh), Joseph Westermeyer, M.D. (Minnesota), Joel Yager, M.D. (UCLA)
The Consortium for Medical Fellowships in Alcoholism and Drug Abuse was established by the Center to promote postgraduate fellowship training of high caliber by its primary sponsors, the American Academy of Addiction Psychiatry, the Association for Medical Education and Research in Substance Abuse, and the American Society of Addiction Medicine. The goal of the Consortium is to assure the availability of clinical research and teaching specialists in the addiction field through well organized and effective training programs. Representatives of the following additional medical specialty organizations were sponsors as well: American Academy of Neurology; American Academy of Pediatrics; Society of General Internal Medicine; Society of Teachers of Family Medicine. For further information, please write to the Center for Medical Fellowships at the address above.
The CenterŐs Sponsoring Organizations
The American Academy of Addiction Psychiatry was established in 1985 in order to accumulate and share pertinent information concerning the delivery of health care services by providers in the field of addiction treatment; to stimulate and encourage scientific and medical research of alternative methods of addiction treatment and its etiology; to develop standards of professional practice in the field of addiction; to disseminate and publish information in the field of addiction treatment for members of the profession and the public-at-large; to develop and maintain a liaison with organizations and government authorities in areas of common concerns and interest; and to educate and inform the public about the role of psychiatry and psychiatrists in the care of patients with a diagnosis of alcoholism and addictions. For further information: AAAP at www.aaap.org, 7301 Mission Road, Suite 252, Prairie Village, KS 66208.
The American Society of Addiction Medicine is a national/international organization of physicians interested in the diseases of alcoholism and other drug dependencies and in other problems associated with psychoactive drug use as they affect the public health, who wish to extend and disseminate knowledge in these fields, and to enlighten and inform medical and public opinion with regard to these problems. For further information: ASAM at www.asam.org, 4601 N. Park Avenue, Chevy Chase, MD 20815.
The Association for Medical Education and Research in Substance Abuse is a national organization of medical educators, clinical researchers and other health professionals in the field of alcohol and drug abuse that provides: (1) a scholarly interdisciplinary forum for the exchange of information on techniques and teaching, (2) a network of educators and researchers in the field of substance abuse, and (3) a national voice in support of academic programs in universities and professional schools for substance abuse education and research. For further information: AMERSA at www.amersa.org, Brown University Center for Alcohol and Addiction Studies, Box G, Providence, RI 02912.
The Research Society on Alcoholism is dedicated to promoting investigation into the cause and treatment of alcoholism, as well as to related educational activities. The Board of RSA resolved to support the establishment of standards for postgraduate medical training in alcoholism and drug abuse that would include research training. The RSA has endorsed the fellowship program described here in particular to support the development of residency training for subspecialty fellows in addictions. For further information: RSA at www.rsoa.org
SURVEY OF U.S. (PGY-5 AND 5-6) RESIDENCY PROGRAMS
In order to provide a basis for planning and coordination, The National Center for Medical Fellowships in Alcohol and Drug Abuse, in conjunction with The American Academy of Addiction Psychiatry surveyed programs in 2003. All programs and facilities approved by the ACGME were contacted and asked to complete a questionnaire on items related to the history of their programs, their current status, and activities of current and past fellows. Thirty-five responded to surveys on numerical data on their programs. The results from these 35 programs (plus six programsŐ data from 2001) are given below:
Current status of residency programs (for which responses were received):
Total number of positions available in 2004.......................................................................... 90
Total number enrolled at present........................................................................................... 96
Number of programs approved by ACGME as of 7/03............................................................ 47
Inactive programs.................................................................................................................... 2
Closed programs....................................................................................................................... 1
The earliest reported residency programs were established in 1978, but the most frequently occurring year of establishment (reported by 4 of the programs) was 2003.
Duration of residencies:
Programs may be certified for one year or for two years (N=41)
N %
12 Months 21 51
12-24 Months 17 42
24 Months 3 7
Fellows' activities:
Mean percent of fellows' time devoted to each of the following activities (N=41):
%
Patient care 62
Research 12
Classroom/instructional time 13
Teaching others 8
Administration 5
Programs in which fellows provide at least some patient care (N=41):
N %
Alcoholism Inpatient Program 38 93
Addiction (Non-Methadone) Outpatient Program 39 95
Drug Abuse Inpatient Program 38 93
Non-Methadone Drug Abuse Outpatient Program 35 85
Dual Diagnosis Program 34 83
Consultation Service 41 100
Methadone Clinic Program 35 85
Residential Therapeutic Community 19 46
General Medical Service 16 39
Community Prevention Services 9 22
OB-GYN 10 24
Primary Care: Medicine 9 22
Primary Care: Family Practice 3 7
Primary Care: Pediatrics 3 7
Child Psychiatry 15 37
Psychiatry physicians and non-physicians accepted into program (N=37):
Non-psychiatrist physicians 13 35
Non-physician doctoral level clinicians 2 1
Funding of Salaries:
Average annual salary 2003: $49,700
Categorical sources of fellows' salaries:
Responded
Salary Source Primary Secondary Minor Not at all Positively
Clinical 16 (55%) 5 (17%) 2 (07%) 6 (21%) 29
Educational 18 (69%) 8 (31%) 0 0 26
Research 2 (10%) 6 (32%) 4 (21%) 7 (37%) 19
Discretionary 5 (23%) 3 (13%) 7 (32%) 7 (32%) 22
Funding sources of fellows' salaries:
Responded
Salary Source Primary Secondary Minor Not at all Positively
Federal Govt. 21 (64%) 3 (09%) 1 (03%) 8 (24%) 33
Nonprofit 11 (37%) 8 (27%) 1 (03%) 10 (33%) 30
For Profit 0 3 (15%) 4 (20%) 13 (65%) 20
Local Govt. 7 (29%) 2 (08%) 2 (08%) 13 (55%) 24
In 1987, 211 training directors in the U.S. were surveyed for information on fellowships in substance abuse at their respective institutions. Of the 131 (62%) who responded, 27 reported having fellowships, 33 indicated an interest in establishing fellowships, and 69 reported no interest at that time. Subsequent surveys were undertaken in a similar manner in 1990, 1992, 1994, 1996, and for the 1998-9 academic year.
Board Certification
Literature References
The status of fellowships in addiction psychiatry, (Galanter M, Burns J. The American Journal on Addictions 2:4-8, 1993)
Residencies in addiction psychiatry: 1990 to 2000, a decade of progress, (Galanter M, Dermatis, H, Calabrese, D. The American Journal on Addictions 11:192-199, 2002)
FELLOWSHIP (PGY-5 AND 5-6) PROGRAM DESCRIPTIONS
All of the programs listed below were certified by the Accreditation Council for Graduate Medical Education (ACGME) as of July 2003.
Albert Einstein College of Medicine
Albert Einstein College of Medicine at Beth Israel Medical Center
Albert Einstein College of Medicine at Bronx Lebanon Hospital Center
Boston University Medical Center
Cedars Sinai Medical Center
Dartmouth-Hitchcock Medical Center
Emory University School of Medicine
Indiana University School of Medicine
Jackson Memorial Hospital/Jackson Health System
Massachusetts General Hospital/McLean Hospital
Mayo Graduate School of Medicine (Rochester)
McGaw Medical Center of Northwestern University
Medical University of South Carolina
Mount Sinai School of Medicine
New York Presbyterian Hospital (Cornell Campus)
New York Presbyterian Hospital (Columbia Campus)
New York University School of Medicine
North Shore University Hospital/New York University School of Medicine
Oregon Health and Science University
Thomas Jefferson University *
UCLA School of Medicine
UMDNJ-Robert Wood Johnson Medical School
University of California San Francisco
University Hospital/University of Cincinnati College of Medicine
University Hospitals of Cleveland/Case Western Reserve University
University of Colorado
University of Connecticut
University of Florida
University of South Florida College of Medicine
University of Hawaii/John A. Burns School of Medicine
University of Illinois College of Medicine at Chicago
University of Kansas
University of Louisville
University of Maryland/Sheppard Pratt Program
University of Michigan
University of Minnesota
University of Missouri-Kansas City +
University of New Mexico
University of Oklahoma *
University of Pennsylvania
University of Texas Health Science Center at San Antonio
University of Texas Southwestern Medical School
University of Washington
Vanderbilt University Medical Center
Virginia Commonwealth University
Wayne State University/Detroit Medical Center
Yale New Haven Medical Center
Additional programs are currently being approved. Please contact ACGME (312-464-4920) or respective program directors for additional information.
*Inactive Status
+Closed
INSTITUTION: Albert Einstein College of Medicine
Bronx, New York 10461
Program Director: Merrill Herman, M.D., Ph.D. Phone: (718) 430-3080
mherman@montefiore.org Fax: (718) 430-8987
MEDICAL SCHOOL AFFILIATION
Albert Einstein College of Medicine of Yeshiva University, Bronx, NY
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Rotate through Alcohol and Drug Abuse Inpatient Unit, which also serves MICA patients; work in a MICA Day Treatment Program, including a group therapy experience; perform substance abuse consultations on inpatient consultation and referral service, as well as working in Methadone Clinic; do ongoing MICA evaluations, psychopharmacologic management and psychotherapy with patients in that setting.
Research Experience
Residents are exposed to opportunities in research with HIV, as well as genetics and other medication issues involving substance abuse treatment. They have opportunity to do a literature review during the course of the fellowship.
Teaching Activities
Work with psychiatry residents rotating through some of the clinical services. Have opportunity to give a lecture and do a case presentation during the fellowship.
Administrative Experience
Work on CQI activities, as well as participating in team coordination activities of the program.
Principal Goal of Training Program
Produce well-rounded addiction psychiatry clinicians who have ability to think in an academic manner about addiction. Be prepared potentially for leadership positions in addiction, with teaching, administrative and research opportunities.
Faculty
Byram T. Karasu, M.D., Rita Aszalos, M.D., Thomas Betzler, M.D., Brenda Chabon, Ph.D., Marc Gourevitch, M.D., Merrill Herman, M.D., Ira Marion, M.D., David Previn, M.D., John Osei Tutu, M.D., Elise Richman, M.D., Susan Whitley, M.D., Peter Tenore, M.D.
INSTITUTION: Albert Einstein College of Medicine at Beth Israel
ADDRESS: Beth Israel Medical Center
First Avenue at 16th Street
8 Bernstein
New York, New York 10003
Program Director: Prameet Singh, M.D. Phone: (212) 420-2198
psingh@bethisraelny.org Fax: (212) 674-3828
Program Contact: Lucy Lo Phone: (212) 420-2376
MEDICAL SCHOOL AFFILIATION
Albert Einstein College of Medicine of Yeshiva University, Bronx, NY
Number of psychiatrist positions available 2004: 3 Number enrolled at present: 3
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Broad range of experience with rotations in dual diagnosis inpatient unit; inpatient medical detox (C-L); 28 day inpatient rehab; outpatient drug treatment program; addiction psychiatry clinic; pain management, and methadone maintenance; individual and group psychotherapy.
Research Experience
Can work on individual project or join ongoing project. Areas of focus are factors enhancing retention in treatment; treatment of post-acute withdrawal syndromes; neuroimaging (Division of Biol. Psy.) and alternative agents for detoxification.
Teaching Activities
Teaching of PGY-2 residents, both didactic and clinical supervision; teaching of medical students.
Administrative Experience
Triaging and managing referrals and requests for consultation from outpatient drug treatment programs.
Principal Goal of Training Program
To train clinically strong addiction psychiatrists who can impart these skills to others, using a broad range of treatment methods.
Faculty
Prameet Singh, M.D.; Michael Fedak, M.D.; Ashok Sharma, M.D.; Randy Seewald, M.D.; Susan Tross, Ph.D.; Philip Bialer, M.D.
Current Salary (or range): $55,000 (Approx.)
ADDRESS: Bronx-Lebanon Hospital Center
Bronx, New York 10456
Program Director: John Osei-Tutu, M.D. Phone: (718) 901-6133
ostu@aol.com Fax: (718) 901-6356
MEDICAL SCHOOL AFFILIATION
Albert Einstein College of Medicine at Yeshiva University, Bronx, NY
Number of psychiatrist positions available 2004: 3 Number enrolled at present: 3
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Supervised clinical rotations through methadone maintenance; outpatient chemical dependence rehabilitation and in-patient detox/rehabilitation. Fellows evaluate and treat patients with addiction problems under faculty supervision, including teaching rounds and weekly supervision; participate in case conference, journal clubs, psychiatric grand rounds, teaching residents and medical students.
Research Experience
Teaching on methodology of research provided. Fellows can participate in on-going projects, i.e. DWI, Hepatitis C among opioid dependent patients and epidemiologic studies with chemical dependence units.
Teaching Activities
Fellows teach and supervise residents, medical students, and physician assistants in training; provide in-service training for counselors and social workers on various topics.
Administrative Experience
Participate in administrative and medical staff meetings. During rotations they assume responsibilities for the programŐs function in collaboration with Program Directors.
Principal Goal of Training Program
Make the PGY 5 competent in identifying and treating substance abuse disorders.
Faculty
John Osei-Tutu, M.D., Director, Chemical Dependence Service/Addiction Psychiatry Residency
Jeffrey Levine, M.D., Chairman Department of Psychiatry
Ofelia Villar, M.D., Chief, OPD Chemical Dependence Rehabilitation
Ali Khadivi, Ph.D., Chief Psychologist, Department of Psychiatry
Andreas Evdokas, Ph.D., Psychologist, Methadone Maintenance Program
Tin Lwin, M.D., Physician In Charge, In-patient Rehabilitation
Eliseo Go, M.D., Medical Director, Methadone Maintenance Program
Current Salary (or range): $60,743
MEDICAL SCHOOL AFFILIATION
Boston University School
of Medicine, Boston, MA
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year, 2 years, or 1 or 2 years
Clinical Experiences and Rotations
Core clinical experience and base for longitudinal training is the Substance Abuse Treatment Program based at VA outpatient clinic. It is consistent with our belief that long-term outpatient care is the critical element in successful treatment of substance abuse. It is fully integrated into the VA mental health program and closely linked to primary care services.
Research Experience
PGY5 residents rotate through the Boston University Addiction Medication Development Unit. This unit has had extensive experience in Phase 1 studies and in Phase 2 and 3 clinical trials of pharmacotherapy of addiction.
Teaching Activities
Addiction psychiatry residents co-lead seminars with senior faculty and are expected to conduct training seminars for junior residents. Addiction psychiatry Journal Club is organized and run by the residents, utilizing faculty and guest as discussants. Participate as faculty for addiction related medical students courses and supervise medical students and junior residents at clinical rotations.
Administrative Experience
Principal Goal of Training Program
Program is designed as a comprehensive training experience that will meet the requirement
for eligibility for the certification examination for added qualifications in addiction psychiatry.
Faculty
John A. Renner, M.D.; Domenic A. Ciraulo, M.D.; Ofra Sarid-Segal, M.D.; Alan Wartenberg, M.D.; Maryam Afshar, M.D.; Nitigna Desai, M.D., David Curtiss, M.D.; James Evans, M.D.; James Chengillis, M.D.; James Uhl, M.D.; Michael Mufson, M.D.
Current Salary (or range): $53,195
INSTITUTION: Cedars-Sinai Medical Center**
ADDRESS: 8730 Alden Drive
Room E-130
Los Angeles, California 90048
Program Director: Jeffrey N. Wilkins, M.D. Phone: (310) 423-3754
wilkinsj@cshs.org Fax: (310) 423-0888
MEDICAL SCHOOL AFFILIATION
David Geffen School of Medicine at UCLA, Los Angeles, CA
Number of psychiatrists positions available 2004: Number enrolled at present:
Duration of fellowship:
Clinical Experiences and Rotations
Research Experience
Teaching Activities
Administrative Experience
Principal Goal of Training Program
Faculty
Current Salary (or range):
**New program Đ no data available
INSTITUTION: Dartmouth-Hitchcock Medical Center
ADDRESS: One Medical Center Drive
Lebanon, New Hampshire 03756
Program Director: Amy E. Wallace, M.D. Phone: (802) 295-9363, x 5672
Program Coordinator: Mary F. Batchelder
maryf.Batchelder@dartmouth.edu
MEDICAL SCHOOL AFFILIATION
Dartmouth Medical School, Hanover, NH
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 0
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
50% time at the WRJ VAMC includes outpatient, consultation/liaison, intensive outpatient program, and research; 50-% at DHMC includes outpatient, buprenorphine clinic, and consultation/liaison; methadone maintenance clinic experience occurs as a 2-week block rotation off-site.
Research Experience
20% time devoted to research project of fellowŐs choice; suggested products include literature review type manuscript worthy of publication, or development of a research protocol to be completed by future fellow.
Teaching Activities
Fellows mentor general psychiatry residents and Dartmouth medical students rotating on substance abuse and consultation/liaison rotations.
Administrative Experience
Medical record-keeping to include fully electronic record at the VAMC.
Principal Goal of Training Program
Graduates will be well-versed in the full spectrum of addictive disorders and their treatment.
Faculty
Amy Wallace, M.D.; Don West, M.D.; Mark Reed, M.D.; Bradley V. Watts, M.D.; Andrew Pomerantz, M.D.; Mary Brunette, M.D.
Current Salary (or range): $58,000 (PGY5)
INSTITUTION: Emory University School of Medicine
ADDRESS: VAMC-Atlanta, Mental Health Service/116A
1670 Clairmont Road
Decatur, Georgia 30033
Program Director: Karen Drexler, M.D. Phone: (404) 321-6111, x 6905
karen.drexler@med.va.gov Fax: (404) 329-4643
Program Coordinator: Jane Langford Phone: (404) 321-6111, x 7429
MEDICAL SCHOOL AFFILIATION
Emory University School of Medicine, Atlanta, GA
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Substance Abuse Treatment Program (SATP), Atlanta VA treats over 1,500 veterans each year with addictions in nicotine, cocaine, alcohol, cannabis, opioid, benzodiazepine and other dependence. 1/3 of patients have co-occurring mental disorders including post-traumatic stress, mood, psychotic and other anxiety disorders. Residents spend 3-months rotating through the partial hospitalization addiction rehabilitation program and 3-months on inpatient detoxification unit. Throughout they receive supervised training in opioid substitution therapy, consultation-liaison, and substance abuse treatment walk-in clinics; participate in a full-time, 3-month rotation at Grady Memorial Hospital (20 hours per week). Remainder divided between Drug Dependency, Dual Diagnosis, and Infectious Disease; also rotate through three community-based addiction treatments programs (MARR).
Research Experience
Residents participate in didactics lectures, seeing long-term patients and pursuing scholarly activities.
Teaching Activities
Each resident is expected to conclude a research paper, review paper, or other activity approved by the Program Director.
Administrative Experience
Principal Goal of Training Program
Graduates will be well-versed in the full spectrum of addictive disorders and their treatment.
Faculty
Claire D. Coles, Ph.D.; John B. Griffin, M.D.; Nadine Kaslow, Ph..D.; Clinton Kilts, Ph.D.; Peter Ash, M.D.; J. Douglas Bremmer, M.D.; Mark D. Ackerman, Ph.D.; Michael Burke, M.D.; Marietta Collins, Ph.D.; Karen Drexler, M.D.; Glenn Egan, Ph.D.; Susan Glover, M.D.; Neil Whicker, M.D.; Theodore Anfinson, M.D.; Alejo Parellada, M.D.; Michael Kuhan; William Burke; Leonard Howell; Stephen Holtzman, Ph.D.; Brent Morgan, M.D.; James Ritchie; Claire Sterk, Ph.D.
Current Salary (or range): $45,578 (PGY5)
INSTITUTION: Indiana University School of Medicine
ADDRESS: Department of Psychiatry
1111 West 10 Street, KI 212
Indianapolis, Indiana 46202-4800
Program Director: Alan D. Schmetzer, M.D. Phone: (317) 274-1224
Fax: (317) 274-1248
Program Contact: Linda D. Altmeyer
MEDICAL SCHOOL AFFILIATION
Indiana University School of Medicine, Indianapolis, IN
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Dual diagnosis (MICA), inpatient and outpatient detoxification, and intensive outpatient at a VA hospital; methadone maintenance, residential treatment, and high-risk pregnancy (drug abuse) issues at an area community mental health center; consultation at a private hospital; adolescent treatment at a community-based residential program for adolescents; and traditional rehabilitation at a chemical dependency hospital.
Research Experience
Work within the Consortium on Genetics of Alcoholism (COGA) grant program at the Indiana University School of Medicine site.
Teaching Activities
Regular seminars on addictions for junior medical students and supervision of general psychiatry residents (usually PGY IVŐs) on their required Addiction Psychiatry rotations.
Administrative Experience
Follow the Chief of the Addiction Psychiatry program at the VA hospital and gradually take over administrative responsibility during their 6-month rotation there.
Principal Goal of Training Program
Turn-out well-rounded addiction psychiatrist who is capable of initiating and medically managing addiction programming in typical addiction settings.
Faculty
Alan D. Schmetzer, M.D.; Sean OŐConnor, M.D.; Madeleine Kolar, M.D.; Christopher Suelzer, M.D.; Timothy Kelly, M.D.; Dena Davidson, Ph.D.
Current Salary (or range): $41,363
INSTITUTION: Jackson Memorial Hospital/Jackson Health System
ADDRESS: Mental Health Hospital Center
1695 NW Ninth Avenue
Miami, Florida 33136
Program Director: Lauren D. Williams, M.D. Phone: (305) 243-4644
MEDICAL SCHOOL AFFILIATION
University of Miami School of Medicine, Miami, FL
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 0
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Broad experience Đ Ňcradle to graveÓ exposure; maternal addiction Đ adolescent to adults; detoxification; rehabilitation, consultant service to medical, surgical, OB/GYN and trauma units; rotations inpatient adult/adolescent addiction treatment, psychiatric ER, organ transplant service, methadone clinic, outpatient rehabilitation.
Research Experience
Available, not mandatory - opportunity to work with basic sciences project in addiction to clinical protocols, not mandatory.
Teaching Activities
Participation in didactics for PGY 1-4 lectures, medical students, and hospital staff teaching.
Administrative Experience
Little, primarily with program development.
Principal Goal of Training Program
Provide addiction fellow with skills and knowledge to provide expert treatment to the addicted population.
Faculty
Lauren Williams, M.D.; Vincent Abad, M.D.; Louis Antoinne, M.D.; Mario Sanchez, M.D.; Raymond Ownby, M.D.
Current Salary (or range): $47,492 (PGY5)
INSTITUTION: Massachusetts General Hospital/McLean Hospital
ADDRESS: Massachusetts General Hospital
Addiction Research Program
388 Commonwealth Avenue, Lower Level
Boston, Massachusetts 02215
Program Director: David R. Gastfriend, M.D. Phone: (617) 585-7483
dgastfriend@partners.org Fax: (617) 585-7456
Program Contact: Emerson Moses Phone: (617) 585-7470
MEDICAL SCHOOL AFFILIATION
Harvard Medical School, Boston, MA
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Extensive exposure and autonomy in a wide range of levels of care. Sites: fellows receive training at the Brigham and Womens, Mass General and McLean Hospitals. Opioid maintenance therapy training occurs at the North Charles Foundation in Cambridge.
Research Experience
Fellows participate in NIH and industry funded and unfunded research projects, learning manualized therapies and achieving certification in these nationwide clinical trials.
Teaching Activities
Fellows mentor and teach medical students clerkship and present article reviews in seminars which are held weekly.
Administrative Experience
Administrative and practice management issues are addressed in individual supervision with program faculty. At inpatient programs fellows have administrative responsibilities in treating planning.
Principal Goal of Training Program
Train outstanding psychiatrists who will become expert clinicians caring for individuals and families effected by substance abuse.
Faculty
Jan Kauffman, R.N., M.P.H.; David Gastfriend, M.D.; Martha Kane, Ph.D.; Roger Weiss, M.D.; Shelly Greenfield, M.D.; David Curtiss, M.D.
Current Salary (or range): $54,165
Rochester, Minnesota 55905
Program Director: Virginia E. Hofmann, M.D. Phone: (507) 284-0325
Fax: (507) 284-4158
Program Contact: Georgina E. Rink
mgsm.roch.mn.psychiatry@mayo.edu
MEDICAL SCHOOL AFFILIATION
Mayo Medical School, Rochester, MN
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Didactic and clinical training in: Inpatient Addictions Unit; Outpatient Addictions Program; Dual Disorders Clinic; Impaired Professionals; Transplant Psychiatry as related to Addictions; Consultation/Liaison as related to Addictions.
Research Experience
Multiple opportunities for clinical research; basic science research opportunities are under development.
Teaching Activities
Administrative Experience
Principal Goal of Training Program
Faculty
S.L. Altchuler, M.D., Ph.D.; M.R. Hansen, M.D.; D.K. Hall Flavin, M.D.; V.E. Hofmann, M.D.; M.A. Palmen, M.D.; T.D. Schneekloth, M.D.
Current Salary (or range): $43,780
++Information from 2001-2003
INSTITUTION: McGaw Medical Center of Northwestern University
ADDRESS: Northwestern Memorial Hospital
241 E. Huron
446 E. Ontario
Chicago, Illinois 60612
Program Director: Seth Eisenberg, M.D. Phone: (312) 926-1172
Program Contact: Helen R. Turner Phone: (312) 926-1888
MEDICAL SCHOOL AFFILIATION
Feinberg School of Medicine, Northwestern University, Chicago, IL
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
In-patient dual diagnosis unit that provides uncomplicated medical detoxification; consul-tation liaison service on general medical units and ED at NW; drug free intensive outpatient program at NW; residential TC at VA setting; community based methadone, dual diagnosis and residential treatment in specialized public sector non-profit womenŐs program.
Research Experience
None at present. To be developed.
Teaching Activities
Clinical instruction/supervision to medical students and general psychiatry residents.
Starting this year will also provide didactic information to general medicine residents.
Administrative Experience
None at present. Will develop rotation through State Office of Alcoholism and Substance
Abuse single state agency with OASA medical director Dr. Eisenberg.
Principal Goal of Training Program
Broad-based clinical experience with focus on best practices, co-occurring disorders and special populations.
Faculty
Rodney Eiger, M.D.; Seth Eisenberg, M.D.; others to be added this year
Current Salary (or range): $48,693 (PGY5)
Program Director: Kathleen T. Brady, M.D., Ph.D. Phone: (843) 792-5205
bradyk@musc.edu Fax: (843) 792-3982
Program Contact: Kenreka T. Yeadon
MEDICAL SCHOOL AFFILIATION
Medical University of South Carolina College of Medicine, Charleston, SC
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1.5
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Adult inpatient; VA general (continuum of care; methadone maintenance clinic; adolescent inpatient; pain clinic; drug and alcohol clinic; psychopharm outpatient clinic; didactic/supervision; VA clinic; intensive outpatient (CDAP)
Research Experience
Research experience available but not required; MUSC faculty members are involved in both basic and clinical research relating to addiction
Teaching Activities
Teaching medical students and psychiatry residents
Administrative Experience
Minimal
Principal Goal of Training Program
Train fellows in a clinical practice of Addiction Psychiatry
Faculty
Dr. Howard Becker; Dr. Robert Malcolm; Dr. Deborah Deas; Dr. Kathleen Brady; Dr. Walter Hiott; Dr. Aimee McRae; Dr. Himanshua Upadhyaya; Dr. Raymond Anton; Dr. Theresa Killen; Dr. Hugh Myrick; Dr. John Roberts; Dr. Jack Emmel; Dr Matthew Koval; Dr. Arthur Smith; Dr. Sarah Book; Don Geddes, M.E.D.
Current Salary (or range): $48,693 (PGY5)
INSTITUTION: Mount Sinai School of Medicine++
New York, New York 10029
Program Director: Martin Drooker, M.D. Phone: (212) 659-8739
Fax: (212) 369-6817
Program Contact:
MEDICAL SCHOOL AFFILIATION
Mount Sinai School of Medicine, New York, NY
Number of psychiatrist positions available 2004: Number enrolled at present:
Duration of fellowship: 1 year, with an optional second year for those with interest
in pursuing further research opportunities
Clinical Experiences and Rotations
Fellows spend six months based at The Mount Sinai Medical Center and the Bronx VA. Time is spent on the dual diagnosis inpatient unit, a MICA day treatment program, an alcohol and other drug intensive outpatient program, a methadone maintenance program, a consultation-liaison service, and an outpatient service. Exposure to a full range of patients from adolescent to geriatrics is provided.
Research Experience
A broad range of research opportunities is available, including basic science research, imaging, clinical services, and treatment outcome research. An optional second year devoted solely to research activities is also available.
Teaching Activities
Fellows have the chance to teach both residents and medical students and to supervise them on clinical rotations.
Administrative Experience
Principal Goal of Training Program
Faculty
There is a wide range of faculty associated with the program with interests in both clinical and research work in the substance use disorders.
Current Salary (or range): Competitive, according to postgraduate level.
++Information from 2001-2003
INSTITUTION: New York Presbyterian Hospital (Cornell Campus)
411 East 69th Street
New York, New York 10021
Program Director: Robert B. Millman, M.D. Phone: (212) 746-1258
rbm2002@med.cornell.edu Fax: (212) 746-8310
Ann B. Beeder, M.D. Phone: (212) 746-1258
ABBeeder@aol.com Director of Training
Program Contact: Blake Hannon Phone: (212) 746-1248
MEDICAL SCHOOL AFFILIATION
Cornell University Joan and Sanford / Weill Medical College, New York, NY
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Outpatient structured rehabilitation: Midtown Clinic for Treatment & ResearchĐevaluation, diagnosis, psychopharmacology, groups, 12 step groups; Adolescent Methadone Program-evaluation, diagnosis, MMTP, groups; Adult Methadone Program; Consultation liaison service; inpatient dual diagnosis.
Research Experience
Research experience varies for each resident. They participate in ongoing research including clinical outpatient studies, clinically/and or basic research at Rockefeller University; can do project they devise; Dept. of Public Health has numerous experts and resources in epidemiology, outcomes, ethics, etc.
Teaching Activities
Residents run a weekly 90 minute Grand Rounds at the Payne Whitney Clinic. It includes topics on related issues and a weekly patient interview/discussion.
Administrative Experience
Residents participate in Quality Assurance Program, staff meetings, departmental activities related to administrative issues.
Principal Goal of Training Program
Residents become clinically expert in Addiction Psychiatry and learn research skills
Faculty
Robert B. Millman, M.D.; Ann B. Beeder, M.D.; Elizabeth T. Khuri, M.D.; Mary Jeanne Kreek, M.D., Ross Brower, M.D.; Will Sobel, M.D.; Alvin Muschler, M.D.; Carol Weiss, M.D.; Ken Rosenberg, M.D.; James Schluyer, M.D.; Lisa Borg, M.D.; Aaron Wells, M.D.; Bruce Phariss, M.D.; Martin Sherry, CSW; Sonia Austrian, DSW
Current Salary (or range): $51,937 (PGY5)
INSTITUTION: New York Presbyterian Hospital (Columbia Campus)/
New York State Psychiatric Institute
ADDRESS: Columbia University New York Presbyterian Hospital
1051 Riverside Drive
New York, New York 10032
Program Director: Frances R. Levin, M.D. Phone: (212) 543-5896
Herbert D. Kleber, M.D. Fax: (212) 543-6018
Program Contact: Maria Clark Phone: (212) 543-6105
MEDICAL SCHOOL AFFILIATION
Columbia University College of Physicians and Surgeons, New York, NY
Number of psychiatrist positions available 2004: 5 Number enrolled at present: 16
Duration of fellowship: 2 years
Clinical Experiences and Rotations
Research Experience
Teaching Activities
Administrative Experience
Principal Goal of Training Program
Faculty
Herbert D. KleberĐPharmacologic trials/drug policy/epidemiology/didactic and research mentor; Francis R. Levin-Treatment of dually diagnosed patients; clinical and research training; Edward Nunes-Treatment, Clinical trials Networks, research and clinical training; Richard FoltinĐCocaine effects humans-research mentor
Current Salary (or range): Up to $65,000
INSTITUTION: New York University School of Medicine
ADDRESS: 550 First Avenue
New York, New York 10016
Program Director: Marc Galanter, M.D. Phone: (212) 263-6960
marcgalanter@nyu.edu Fax: (212) 263-8285
MEDICAL SCHOOL AFFILIATION
New York University School of Medicine, New York, NY
Number of psychiatrist positions available 2004: 3 Number enrolled at present: 6
Duration of fellowship: 2 years
Clinical Experiences and Rotations
Inpatient and outpatient settings; alcohol, opiates, cocaine, and other drugs of abuse; clinical laboratory testing; medical sequelae; pharmacology, individual, group, and family therapy, self-help consultant, team leadership; detoxification and rehabilitation of dual psychiatric and addictive illness
Research Experience
Carrying out an original project related to addictive illness.
Teaching Activities
Teaching medical students and psychiatry residents.
Administrative Experience
Assist in unit management.
Principal Goal of Training Program
To graduate specialists in addiction psychiatry for clinical and research leadership roles.
Faculty
Dr. Helen Dermatis; Dr. Marc Galanter; Dr. Francis Hayden; Dr. Robert Maslansky; Dr. Militza Mizray, Dr. Annatina Miescher; Dr. Stephen Ross; Dr. Brealyn Sellers
Current Salary (or range): $88,000
INSTITUTION: North Shore University Hospital/NYU School of Medicine
ADDRESS: North Shore University Hospital
300 Community Drive
Manhasset, New York 11030
Program Director: Robert Hirsch, M.D. Phone: (516) 562-3010
Fax: (516) 562-3996
Program Contact: Rickard Terenzi, Ph.D.
MEDICAL SCHOOL AFFILIATION
New York University School of Medicine, New York, NY
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Residents are provided with range of clinical experiences for evaluation, consultation, assessment of medical sequelae of addiction and related illness, pharmacology and treatment interventions. Rotations include inpatient chemical dependence unit and consultation service, outpatient drug free dual diagnosis, methadone clinic, HIV/substance abuse service and intensive outpatient treatment service.
Research Experience
Clinical trials and treatment outcome research opportunities are available and encouraged.
Teaching Activities
Fellows contribute to development of substance abuse field by teaching junior residents, medical students, house staff and program personnel.
Administrative Experience
Fellows assume a leadership role as they progress through the program, become familiar with policy development, administration and management of inpatient detoxification unit and a multidisciplinary outpatient addiction treatment facility.
Principal Goal of Training Program
Upon completion fellows will have mastered the evaluation, diagnostic and dispositional skills to provide quality clinical care and have integrated the science and therapeutic techniques of addiction illness into their general medical knowledge.
Faculty
Robert Hirsch, M.D.; Rickard Terenzi, Ph.D.; Kauser Shamin, M.D.; Roman Altman, M.D.; Ronald Brenner, M.D.; Maxine Fried, M.D.; Jordan Klesmer, M.D.; John Klotsche, C.S.W.
Current Salary (or range): $55,291
INSTITUTION: Oregon Health and Science University
ADDRESS: 3181 SW Sam Jackson Park Road, GH 156
Portland, Oregon 97239
Program Director: R. Dale Walker, M.D. Phone: (503) 494-3137
Fax: (503) 494-2907
Program Contact: Laura K. Loudon Phone: (503) 494-8112
MEDICAL SCHOOL AFFILIATION
Oregon Health Sciences University School of Medicine, Portland, OR
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 0
Duration of fellowship: 1 year, with a negotiated second year possible
Clinical Experiences and Rotations
In patient, outpatient, emergency room, community, cultural, especially American Indian Focus.
Research Experience
Individually arranged. Second year special focus.
Teaching Activities
Year log, lecture focus, resident fellow assists in lecture development and seminars.
Administrative Experience
Available at each training site. Coordinated with the training director.
Principal Goal of Training Program
Training towards state of the art clinical care in an atmosphere of academic excellence.
Faculty
Several Faculty at the various training sites. Interdisciplinary approach.
Current Salary (or range): Approximately $42,000 plus benefits
INSTITUTION: UCLA Medical Center
ADDRESS: UCLA School of Medicine
1234 300 Medical Plaza
760 Westwood Boulevard
Los Angeles. California 90095
Program Director: David Feinberg, M.D. Phone: (310) 825-0358
dfeinberg@mednet.ucla.edu Fax: (310) 267-0372
MEDICAL SCHOOL AFFILIATION
David Geffen School of Medicine at UCLA, Los Angeles, CA
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Inpatient addiction unit; day hospital: dual; outpatient, consultation/liaison; methadone clinic.
Research Experience
Clinical trials, both inpatient and outpatient are available.
Teaching Activities
They provide several lectures to PGY 2.
Administrative Experience
None
Principal Goal of Training Program
Develop training addiction psychiatrists with exposure and hopefully interest in research.
Faculty
Drs. D. Feinberg; T. Newton; W. Ling; K. Miono
Current Salary (or range): $48,000
INSTITUTION: UMDNJ-Robert Wood Johnson Medical School
ADDRESS: 675 Hoes Lane, UBHD D349
Piscataway, New Jersey 08854
Program Director: Douglas M. Ziedonis, M.D., M.P.H. Phone: (732) 235-4497
ziedondm@umdnj.edu Fax: (732) 235-4430
Program Contact: Carmela Santisi
MEDICAL SCHOOL AFFILIATION
UMDNJ-Robert Wood Johnson Medical School, Piscataway, NJ
Number of psychiatrist positions available 2004: Number enrolled at present:
Duration of fellowship: 2 years
Clinical Experiences and Rotations
Research Experience
Trainees are encouraged to join research activities. The faculty have numerous NIDA, NIAAA, NIMGH, CSAT, and RWJ Foundation grants supporting diverse research interests include co-occurring disorders, nicotine dependence, behavioral therapy development (dual diagnosis, couples, family, nicotine), medication clinical trials, ethnicity/cultural issues, spirituality, adolescent substance abuse, and health services research.
Teaching Activities
A weekly Core Didactic Seminar and ample supervision and other training activities at multiple sites. Our program has a strong commitment to training on a variety of psychosocial treatment approaches. Elective training activities occur at the NJ Tobacco Dependence Treatment Program and the Rutgers University Student Health Center. In addition, trainees can elect to work in the Chronic Pain and Addiction Clinic and Couples and Family Therapy Programs.
Administrative Experience
Principal Goal of Training Program
Faculty
Robert Wood Johnson Medical School and Rutgers University Center for Alcohol studies faculty include a core Fellowship faculty of ten board-certified psychiatrists (six with Added-Qualifications in Addiction Psychiatry), four ASAM certified internists, and eight psychologists who specialize in addictions. Additional faculty participate from Adolescent Psychiatry and the Princeton Theological Seminary.
Current Salary (or range): $49,766 as of 2002; Excellent Benefits (CIR Contract)
INSTITUTION: University of California (San Francisco)
ADDRESS: Veterans Affairs Medical Center (116-E)
4150 Clement Street
San Francisco, California 94121
Program Director: Peter Banys, M.D., Ph.D. Phone: (415) 221-4810, ext. 2356
peter.banys@med.va.gov Fax: (415) 750-6615
Program Contact: Donald Tusel, M.D. Phone: (415) 221-4810, ext. 2351
MEDICAL SCHOOL AFFILIATION
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Substance Abuse Day Hospital: thorough assessment, stabilization (ambulatory detoxification); Opioid Replacement Treatment Clinic: use of Methadone, LAAM, buprenorphine for maintenance and withdrawal of opioid dependent patients; Drug and Alcohol OP Clinic: psychosocial treatment of patients with alcohol, cocaine, polysubstance dependence in an abstinence-oriented clinic; Dual Diagnosis Clinics (Follow patients for the entire fellowship with Substance Use and Co-morbid psychiatric disorders; also, treatment using Antabuse and Naltrexone.) Elective Rotations: Smoking Cessation Clinic; Consultation/Liaison to inpatients at San Francisco General Hospital; Experience as an addiction medicine specialist in a private SA Outpatient Clinic; Walden House Adolescent SA treatment program
Research Experience
1st year: Develop project with mentor (Peter Banys, MD); review of literature; begin project or scholarly endeavor. 2nd year: Complete project or scholarly endeavor under faculty supervision.
Teaching Activities
Presentations to 2nd year psychiatric residents on various SUD topics; formal presentations at FellowsŐ Seminar (attended by pre- and post-doctoral psychology interns, advanced psychology fellows, academic faculty, SA Fellows; Supervision of 2nd year psychiatric residents and medical students in Dual Diagnosis Clinics
Administrative Experience
Member of Management Team for Substance Abuse Programs; Team Leader Clinical Treatment Team
Principal Goal of Training Program
Prepare fellows for leadership role in the field of Substance Abuse Treatment and Clinical Research.
Faculty
Peter Banys, M.D.; Donald Tusel, M.D.; Mark Zaslav, Ph.D.; Nancy Odell, LCSW; Jean Marsters, M.D.; Judith Martin, M.D.; Scott Smolar, M.D.; John Straznickas, M.D.; David Thomson, LCSW; David Wasserman, Ph.D.; Diane Sylvestri, M.D.; Valerie Gruber, Ph.D.; Joan Zweben, Ph.D.
Current Salary (or range): $48,307 (PGY 5); $48,852 (PGY 6)
INSTITUTION: University Hospital/University of Cincinnati College of Medicine
ADDRESS: VA Medical Center (116A)
3200 Vine Street
Cincinnati, Ohio 45220
Program Director: R. Jeffrey Goldsmith, M.D. Phone: (513) 861-3100, ext. 4736
jeffrey.goldsmith@med.va.gov Fax: (513) 572-6222
MEDICAL SCHOOL AFFILIATION
University of Cincinnati College of Medicine, Cincinnati, OH
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 4
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Inpatient and outpatient detoxification and rehabilitation; methadone maintenance, perinatal, consultations; dual diagnosis; prevention; adolescent partial hospital for psychiatrist; for addiction psychiatry: HIV and HIV clinic, primary care, smoking cessation; pain clinic and PTSD.
Research Experience
For ACGME accredited program, fellows must do academic/scholarly paper, could be original research. If it isnŐt research, but a review, then fellow must participate in a clinical trial. For 2-year Research Fellow, the requirement is for 75% time in research activities, including didactics, team meetings, ongoing clinical trails, and planning future studies. The fellow must complete an original project.
Teaching Activities
Medical students, PGY 1 psychiatry residents, in-service to staff, education groups for patients, OB/Gyn residents in Perinatal Clinic.
Administrative Experience
Junior attending on detox; staff meetings; task forces, etc.
Principal Goal of Training Program
To train leaders in Addiction Psychiatry and train research leaders in Addiction Medicine.
Faculty
R. Jeffrey Goldsmith, M.D.; Robert Autherielle, M.D.; S. Gershin, M.D.; C. Shackela, M.D.; Mary Ann Curtis, M.D.; Tara Carr, M.D.; Gene Siomoza, M.D., Ph.D.; Shelly Sakerka, Ph.D.; Maureen Cash, Ph.D.; Elaine Camerota, Ed.D.; Charles Mendenhall, M.D., Ph.D. Lynn Goodwin, M.S.W., Marcy Ozinger, M.S.N., A.N.P.; Phillip Pooneasancy, R.N., Ph.D.
Current Salary (or range): $45,032
Cleveland, Ohio 44106-5080
Program Director: Christine M. Delos Reyes, M.D. Phone: (216) 844-3450
Fax: (216) 844-1703
Program Contact: Cindy J. Neczypor Phone: (216) 844-3450
MEDICAL SCHOOL AFFILIATION
Case Western Reserve University School of Medicine, Cleveland, OH
Number of psychiatrist positions available 2004: 3 Number enrolled at present: 3
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Inpatient, sub-acute, and ambulatory detoxification; addiction medicine consult service; dual diagnosis outpatient clinic; outpatient adult and adolescent rehab; consultation in residential treatment settings; opiate substitution therapy; weekly didactics; site-specific individual and group supervision. Facilities: University Hospitals of Cleveland, Cleveland VA, St. VincentŐs Charity Hospital/Rosary Hall, Harbor Light, Stella Maris, Matt Talbot for Women, Matt Talbot Inn, Recovery Resources, Inc. and other community-based programs.
Research Experience
Opportunities available in basic science, clinical trials, and services research. Affiliations with Ohio SAMI Coordinating Center of Excellence and Center of Excellence for Care and Study of Children and Adults with Bipolar Disorder and Alcohol/Drug Abuse
Teaching Activities
Teaching of psychiatry residents in didactic and clinical settings; opportunities to teach medical students are also available
Administrative Experience
Participation in multidisciplinary team meetings and in fellowship education committee
Principal Goal of Training Program
To train specialists in the independent practice of addiction psychiatry and addiction medicine
Faculty
Kathleen A. Clegg M.D., Robert J. Ronis, M.D., M.P.H.; Pythias Jones, M.D.; Christina Delos Reyes, M.D. (psychiatry); Theodore V. Parran, M.D. (internal medicine); Sybil Marsh M.D., Antoinnette Graham Ph.D. (family medicine); Christopher Adelman, M.D. (addiction medicine, emergency medicine), and others.
Current Salary (or range) $42,000 to $44,000
INSTITUTION: University of Colorado
ADDRESS: Denver Health Medical Center
777 Bannock Street
Denver, Colorado 80204-0320
Program Director: Jonathan I. Ritvo, M.D. Phone: (303) 436-6660
jritvo@dhha.org Fax: (303) 436-5184
MEDICAL SCHOOL AFFILIATIONS
University of Colorado School of Medicine, Denver, CO
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Specialized detoxification/dual diagnosis inpatient service; outpatient services including opiate replacement clinic, intensive outpatient program, dual diagnosis day program, domestic violence, DUI, court-ordered treatment and disulfiram clinic; consultation service including liver transplant evaluation; evaluation service for court-ordered commitments and guardianships; adolescent therapeutic communities.
Research Experience
Available as elective during one year clinical program. Clinical program can be spread over two years with 50% research commitment or full-time research fellowship can be arranged following one year clinical program.
Teaching Activities
Clinical supervision of a PGY I or II resident and a medical student on the addiction inpatient service. Clinical supervision of PGY-I residents in outpatient clinic. Didactic presentations to general psychiatry residents and other trainees (e.g. toxicology fellows.)
Administrative Experience
Team leader on inpatient service; participation in hospital committees on addiction issues
Principal Goal of Training Program
Clinical training in addiction psychiatry that will qualify trainees for subspecialty certification
Faculty
Thomas Beresford M.D.; Lisa Darton M.D.; Chad Emrick Ph.D.; Robert Harmon M.D.; Christian Hopfer Ph.D.; Jane Kennedy D.O.; Gregory Kirk M.D.; John Menninger M.D.; Paula Riggs M.D.; Jonathan Ritvo M.D.; Paul Spicer Ph.D.
Current Salary (or range) $48,432
INSTITUTION: University of Connecticut School of Medicine
ADDRESS: University of Connecticut Health Center
263 Farmington Avenue
Farmington, Connecticut 06030-1935
Program Director: Joyce A. Tinsley, M.D. Phone: (860) 679-8348
Fax: (860) 679-1246
Program Contact: Lucille F. Meinsier Phone: (860) 679-8112
MEDICAL SCHOOL AFFILIATIONS
University of Connecticut School of Medicine, Farmington, CT
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Two months inpatient dual diagnosis unit; 4 months outpatient VA with smoking cessation; 2 months Department of Corrections; 3 months adolescent addictions; 1 month partial hospital program.
Research Experience
Negotiable
Teaching Activities
Teaching/supervising junior residents and medical students; lectures to residents and community.
Administrative Experience
Senior supervising resident Đ 2 months inpatient
Principal Goal of Training Program
Clinical assessment and treatment of dually diagnosed adults and adolescents.
Faculty
Board certified addiction psychiatry: Dr. Joyce A. Tinsley; Dr. Hank Kranzler; Dr. Carlos Henandez; Research faculty: Dr. Kevin Sevariro, Dr. Nancy Petry, Dr. Ronald Kadden, Dr. Yifrah Kaminer.
Current Salary (or range) $46,000
INSTITUTION: University of Florida
ADDRESS: 7114 SW 97th Lane
Gainesville, Florida 32608
Program Director: Camilo A. Martin, M.D. Phone: (352) 337-9007
Martinc@ufl.edu Fax: (352) 376-9482
MEDICAL SCHOOL AFFILIATION
University of Florida College of Medicine, Gainesville, FL
Number of psychiatrist positions available 2004: 3 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
In-patient detoxification; Outpatient detoxification; Methadone clinic; Adolescent Substance Abuse
Residential Substance Abuse; Out-patient Clinic: Intensive and Standard; Consultation;
Research Experience
The completion of a ŇpublishableÓ paper at the end of the year. Residents participate in ongoing research projects and are provided with research instruction.
Teaching Activities
Formal lectures to medical students and other residents.
Administrative Experience
Management of the Residential Treatment Program.
Principal Goal of Training Program
To expose residents to a wide variety of clinical and research settings and experiences.
Faculty
Mark Gold, M.D.; Richard Holbert, M.D.; Camilo A. Martin, M.D.; Scott Teitlebaum, M.D.; Kenneth Thompson, M.D.
Current Salary (or range): $50,000
INSTITUTION: University of South Florida College of Medicine
ADDRESS: James A Haley VA Medical Center (116A)
13000 Bruce B. Downs Boulevard
Tampa, Florida 33612
Program Director: Elie M. Francis, M.D. Phone: (813) 972-7665
elie.francis@med.va.gov Fax: (813) 978-5808
Program Contact: Kay Isaac Phone: (813) 974-2805
MEDICAL SCHOOL AFFILIATION
University of South Florida College of Medicine, Tampa, FL
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Comprehensive clinical experience with exposure to broad range of substance use and psychiatric disorders, formal curriculum, supervision in outpatient and residential settings, consultation-liaison experience, and opportunities for clinical research. Advanced training in knowledge, skills, clinical judgment, and attitudes essential to practice of addiction psychiatry at consultant level. Rotations: Addiction Psychiatry Residential and Partial Hospitalization Treatment Programs; Addiction Psychiatry Consultation-Liaison Same Day and to Inpatient Services; Inpatient Detoxification; Methadone/Operation PAR Clinic; Substance Abuse Outpatient Clinic.
Research Experience
Research opportunities available and encouraged. Areas of interest include genetics of alcoholism and drugs of abuse, treatment of dual diagnosed patients, and pharmacotherapeutic studies.
Teaching Activities
Resident will be involved teaching medical students and junior general psychiatry residents as they rotate in Alcohol and Drug Abuse Treatment Program. Will also work with and informally teach medical colleagues, nurses, addiction counselors and other appropriate hospital staff.
Administrative Experience
Resident works with physician(s) who handle administrative needs of program; attend weekly staff meeting that discusses administrative and quality improvement issues in program. These opportunities are used to educate the resident on the above.
Principal Goal of Training Program
Prepares residents to understand patients and families from biological, psychological, behavioral and socio-cultural perspectives; become familiar with range of psychopathology, including neurological and other organic disorders, and spectrum of DSM-IV Axis I and II disorders; work as part of multidisciplinary treatment team and achieve competence in wide range of treatment modalities including crisis intervention, consultation-liaison and detoxification; become knowledgeable as to risks and benefits of psychotropic medications, and use in particular patient populations; psychotherapy techniques including individual, group and family therapy. We consider residency a major part of lifelong process of education. We encourage residents to participate in journal clubs, grand rounds, and conferences to prepare them to take advantage of opportunities for continuing education for career in addiction psychiatry in 21st century.
Faculty
Patricia Ordorica, M.D.; Elie Francis, M.D.; Cheryl Gonzales, M.D.; Woodburne Levy, M.D.; Teresita Sanjurjo, M.D.; Maria Catalano, D.O.; Michael Sheehan, M.D.; John Schinka, Ph.D.; Sue Shealy, Ph.D.
Current Salary (or range) 43,212.00
INSTITUTION: University of Hawaii
ADDRESS: John A. Burns School of Medicine
The QueenŐs University Tower Đ 4th Floor
1356 Lusitana Street
Honolulu, Hawaii 96813
Program Director: William Frees Haning, III, M.D, FASAM. Phone: (808) 586-2900
haning@hawaii.edu Fax: (808) 586-2940
Program Contact: Nancy Withers, M.D. (Associate Program Director)
Dana Iida (Program Secretary) Phone: (808) 586-7445
iidad@dop.hawaii.edu
MEDICAL SCHOOL AFFILIATION
University of Hawaii John A. Burns School of Medicine, Honolulu, HI
Number of psychiatrist positions available 2004: Number enrolled at present: 4
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Child/adolescent addictions, complex co-morbidity, impaired professionals, pain management, faculty career design, forensic assessments and testimony, didactic and training skills, conference preparation and organization, research skills development.
Research Experience
Clinical trials with medication/interpersonal therapies (UCLA/NIDAA collaborations, methamphetamine dependence); transcultural alcoholism epidemiological study (NIAAA); longitudinal phenomenological studies (NIDA/Brown collaboration in development, methamphetamine dependence) environmental survey (community attitudes toward office-based opioid agonist therapies).
Teaching Activities
Funded opportunities for Asian/Pacific Island conference and teaching opportunities.
Administrative Experience
Residents are provided with a stipend to attend one or more national addiction meetings (AAAP or ASAM), plus paid membership in either AAAP or ASAM and a standard text.
Principal Goal of Training Program
Eligibility for certification by ABPN in Addiction Psychiatry; curriculum also meets recommendations of the American Society of Addiction Medicine for a fellowship in addiction medicine.
Faculty
Iqbal Ahmed, M.D. (Vice-Chair, Department of Psychiatry); Naleen N. Andrade, M.D. (Chair, Department of Psychiatry); Wayne Batzer, M.D.*^; Gabrielle Bermis-Batzer, M.D., FASAM*^, Barry S. Carlton, M.D.*; David Friar, M.D.^; Deborah Goebert, Dr.P.H.; William F. Haning, III, M.D., FASAM*^; Joy Hiramoto, M.D.*; Stephen Kemble, M.D.^; Vivian Ishimaru-Tseng, M.D.*; Thomas Leland, M.D.; Fred Llewellyn, M.D.^; Michael McGrath, M.D.^; Gerald McKenna, M.D., FASAM^; James Staudenmeier, M.D.* (Assistant Program Director); Jon Stretzler, M.D.*, Nancy Withers, M.D. (Associate Program Director)
(* = ABPC Certification, Addiction Psychiatry; ^ = Certified, ASAM)
Current Salary (or range): $46,000 2003-2004; outside employment permitted at discretion of Program Director and with valid Hawaii State licensure, but generally allowable and practical.
INSTITUTION: University of Illinois College of Medicine at Chicago
ADDRESS: Department of Psychiatry
912 South Wood Street, M/C 913
Chicago, Illinois 60612
Program Director: Paul W. Harris, M.D. Phone: (312) 996-7387
pwharris@psych.uic.edu Fax: (312) 996-9517
MEDICAL SCHOOL AFFILIATION
University of Illinois College of Medicine, Chicago, IL
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Consultation/liaison; residential inpatient treatment; methadone maintenance clinic; adolescent substance abuse treatment; dually diagnoses patients; outpatient IOP/MIOP group experience; outpatient detox from alcohol/opioids; womanŐs program elective.
Research Experience
Fellows are expected to research a topic regarding addictions and write a publishable paper.
Teaching Activities
One Grand Rounds, supervision of medical student and residents.
Administrative Experience
Prior departmental chief.
Principal Goal of Training Program
Provide a solid foundation in evaluation, consultation and treatment of patients with primary alcohol and or drug abuse; medical and surgical patients; psychiatric inpatients and outpatients with chemical dependencies and co-morbid psychopathology; medication-depend patients with chronic medical disorders.
Faculty
Paul W. Harris, M.D.; Joe Pizszcor, M.D.; Rodney Eigen, M.D.; Mark Zermic, Ph.D.; A. Eiltono, M.D.
Current Salary (or range): $43,000
INSTITUTION: University of Kansas School of Medicine**
ADDRESS: 3901 Rainbow Boulevard
Kansas City, Kansas 66160
Program Director: Jan L. Campbell, M.D. Phone: (913) 588-6412
Fax: (913) 588-6414
Program Contact: Stacy E. Buckley Phone: (913) 588-6412
MEDICAL SCHOOL AFFILIATION
University of Kansas School of Medicine, Kansas City, KS
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Research Experience
Teaching Activities
Administrative Experience
Principal Goal of Training Program
Faculty
Current Salary (or range):
**New Program Đ no data available
INSTITUTION: University of Louisville
ADDRESS: Central State Hospital
Dual Diagnosis Program
1012 Lagrange Road
Louisville, Kentucky 40223
Program Director: Arthur D. Meyer, M.D. Phone: (502) 253-7154
Arthur.Meyer@mail.state.ky.us Fax: (502) 253-7090
MEDICAL SCHOOL AFFILIATION
University of Louisville School of Medicine, Louisville, KY
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 0
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Central State Hospital, inpatient CD and psychiatry; Jefferson Drug and Alcohol Center, outpatient CD and psychiatry; University of Louisville, consultation/liaison service; The Lighthouse, adolescent inpatient; The M.O.P.E. Center, methadone clinic; The Healing Place, homeless shelter recovery program; Seven Counties Services, outpatient CD and psychiatry
Research Experience
Resident while working with faculty experienced in research development, develops and implements a research project suitable for publication.
Teaching Activities
Resident is involved in teaching general psychiatry residents and medical students during clinical rotations and presents a short course to fourth year medical students.
Administrative Experience
None.
Principal Goal of Training Program
Resident will gain knowledge, skills and attitudes necessary to practice in the sub-specialty and be prepared for the board examination.
Faculty
Arthur Meyer, M.D.; Charles Francke, M.D.; Tom Morton, M.D.; Robert Frierson, M.D.; Rif El-Malikh, M.D.; Burns Brady, M.D.; Karen Krigger, M.D.; Robert Middleton, M.D.; Kathy Vincent, M.D.; Steven Lippman, M.D.; Chris Stewart, M.D.; Sara Acland, M.D.; Joe Harrison, M.D.
Current Salary (or range): PGY-5 Level
INSTITUTION: University of Maryland/Sheppard Pratt Program
ADDRESS: Univ. of Maryland School of Medicine, Dept of Psychiatry
701 West Pratt Street
Baltimore, Maryland 21201
Program Director: Joseph G. Liberto, M.D. Phone: (410) 328-3672
joseph.liberto@med.va.gov Fax: (410) 328-1749
Program Contact: Stuart Tiegel, MSW, BS. Phone: (410) 328-3672
MEDICAL SCHOOL AFFILIATION
University of Maryland School of Medicine, Baltimore, MD
Number of psychiatrist positions available 2004: 4 Number enrolled at present: 2
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Year long clinical blocks in opiate agonists and dual diagnosis programs; 4 month block rotations in adolescent addictions, pain management, addiction consultation liaison geriatrics, day treatment and inpatient rehabilitation.
Research Experience
Academic project for submission.
Teaching Activities
Medical student supervision in consultation-liaison service; block rotation in the M.S. II Neuroscience unit; formal lecture to psychiatric residents.
Administrative Experience
Administrative supervision related to how programs that rotate through function towards helping them to direct a program of interdisciplinary addiction professionals.
Principal Goal of Training Program
Provide addiction psychiatrist skilled in management of all problems related to addiction and drug dependencies in those with co-existing mental illness. This includes: patient care, advocating and training health care professionals and experience with research and methodology.
Faculty
Joe Liberto, M.D.; Stuart Tiegel, M.S.W.; Jerry Jaffe, M.D.; Chris Walsh, M.D.; Devang Gandhi, M.D.
Current Salary (or range): $50,000
INSTITUTION: University of Michigan
ADDRESS: University of Michigan Addiction Research Center
400 East Eisenhower Parkway, Suite A
Ann Arbor, Michigan 48108
Program Director: Kirk J. Brower, M.D. Phone: (734) 930-0201, ext. 227
kbrower@umich.edu Fax: (734) 930-0727
Program Contact: Shannon Bellefleur, BA. Phone: (734) 930-0201, ext. 227
MEDICAL SCHOOL AFFILIATION
University of Michigan, Ann Arbor, MI
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
The 2 major clinical sites for training are Chelsea Arbor Treatment Center and Ann Arbor VA. Experience is provided with a broad range of treatment care levels: inpatient, day treatment, intensive outpatient, outpatient, and emergency.
Research Experience
Fellows may elect to spend an additional 1-2 year doing research in preparation for an academic career.
Teaching Activities
Reading seminar in addiction psychiatry ŇJournal ClubÓ; supervise medical students and psychiatry residents.
Administrative Experience
They serve on the Addiction Psychiatry Selection and Training Committee.
Principal Goal of Training Program
Prepare fellows to practice high-quality addiction psychiatry independently.
Faculty
Kirk Brower, M.D.; Mary Closser, D.O.; Maher Afif Karam-Hage, M.D.
Current Salary (or range): $47,471
INSTITUTION: University of Minnesota
ADDRESS: University of Minnesota Hospital and Clinics
F282/2A West
2450 Riverside Avenue
Minneapolis, Minnesota 55454
Program Director: Scott L. McNairy, M.D. Phone: (612) 725-2000, ext. 4025
scottmd@usfamily.net Fax: (612) 273-9779
Program Contact: Betty J. Brenner Phone: (612) 273-9822
MEDICAL SCHOOL AFFILIATION
University of Minnesota Medical School, Minneapolis, MN
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 3
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Psychiatry ½ year on University campus and VA. Addiction medicine 18 months VA and 6 months University. Populations are mixed adolescent and adults with primary and dual disorders in variety of ambulatory and acute care settings with all major substance abuse diagnoses. Specialty clinics focus upon complicated Axis 3 co-morbid diagnoses including chronic pain, alcohol related diseases, opiate agonist therapies. Treatment models are multi-modal and provided to match patient needs on a continuum of care.
Research Experience
Assist faculty who are engaged in part-time clinical research. Didactic sessions include on site visits to basic research labs where addiction related questions are studied. A second elective year may be available for selected fellow who wish to pursue a research project under faculty supervision.
Teaching Activities
Expected to provide lectures in basic addiction diagnosis and treatment to medical students and PGY 1-2 residents in psychiatry.
Administrative Experience
The chance to observe MD administrators in action and assist in program development, refinement and implementation for clinical service delivery.
Principal Goal of Training Program
Train physicians and psychiatrists in particular to identify and manage addictive disorders which appear across the entire health care spectrum; develop competencies in consultation/liaison to other health care professionals, work in multidisciplinary teams and become recognized leaders with expertise in clinical practice, education and research.
Faculty
Joseph Westermeyer, M.D.; Mark Willenbring, M.D.; Sheila Specker, M.D.; Ellen Bucanan, M.D.; Scott McNairy, M.D.; Zaheer Aslam, M.D.; Gihan Yoon, M.D.
Current Salary (or range): $45,738
INSTITUTION: University of New Mexico
ADDRESS: University of New Mexico School of Medicine
Department of Psychiatry, Family Practice Bldg, 4th Floor
2400 Tucker NE
Albuquerque, New Mexico 87131
Program Director: Marcello Maviglia, M.D. Phone: (505) 272-6130
Fax: (505) 272-4921
MEDICAL SCHOOL AFFILIATION
University of New Mexico School of Medicine, Albuquerque, NM
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 0
Duration of fellowship: 1 year or 1 or 2 years (optional research year)
Clinical Experiences and Rotations
Rotations will include inpatient (MHC); outpatient (Dual Diagnosis); methadone maintenance; outpatient detox; intensive outpatient treatment; rural psychiatry; consultation service. First 6 months will be inpatient care and dual clinic; remaining will be divided among the other services; fellows will receive approximately 4 hours of supervision per week; case presentation will constitute the basis for applying the theoretical principles learned during lectures.
Research Experience
During the optional research year, fellows will have opportunity of working with a highly qualified treatment team on an ongoing project, or ideally, develop their own. This will also be available for the first year fellows.
Teaching Activities
Fellows will supervise residents and medical students; review cases with staff and residents; and case presentations.
Administrative Experience
Program not yet active.
Principal Goal of Training Program
Focus on improving knowledge, promoting awareness, and raising the standards of clinical care in the addiction psychiatry field.
Faculty
Marcello Maviglia, M.D.; Michael Bogenschutz, M.D.; Robert Coberly, M.D.; Patrick Abbott, M.D.; Cindy Geppert, M.D., Ph.D.; Vincent Tuason, M.D.; Virginia Waldorf, Ph.D.; Philip A. May, Ph.D.; Robert Meyers, Ph.D.; Scott Tonigan, Ph.D.; Alan Vince, Ph.D.; Tassy Parker, Ph.D.; Jennifer George, BA
Current Salary (or range): To be determined
INSTITUTION: University of Pennsylvania
ADDRESS: University of Pennsylvania Medical Center
3900 Chestnut Street
Philadelphia, Pennsylvania 19104
Program Director: Charles P. OŐBrien, M.D., Ph.D. Phone: (215) 222-3200
Fax: (215) 823-4690
Program Contact: Howard B. Moss, M.D. Phone: (746) 746-7273
MEDICAL SCHOOL AFFILIATION
University of Pennsylvania School of Medicine, Philadelphia, PA
Number of psychiatrist positions available 2004: 4 Number enrolled at present: 12
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Addiction psychiatry residents rotate through inpatient, outpatient, intensive outpatient and methadone maintenance treatment programs. An adolescent substance abuse treatment experience is also available. Residents are also involved in clinical trials of therapeutics for addictive disorders.
Research Experience
Research projects in which residents are invited to participate include studies of craving and conditioning, pharmacological management of addictive disorders, neuroimaging research, studies of substance abuse etiology and psychotherapy research and policy related studies. In addition, basic animal research opportunities are available.
Teaching Activities
Fellows have the opportunity to teach psychiatric residents, as well at medical students.
Administrative Experience
Fellows may administer, under supervision, clinical trials of therapeutics for addictive disorders.
Principal Goal of Training Program
Provide clinical and research training for MDs who wish to become qualified in clinical treatment of substance abuse patients and hope to pursue a research career in the field of substance abuse.
Faculty:
Our current faculty numbers between 25-30, including visiting and emeritus faculty. Faculty includes Drs. OŐBrien, Mclellan, Woody, Pettinati, Childress, Moss, Dackis, McNicholas, McKay, Alterman, Kampman, Weinreib, Ruckstalie, Kirby, and many others.
Current Salary (or range): $48,082
INSTITUTION: University of Texas Health Science Center at San Antonio++
ADDRESS: Mail Code 7792
7703 Floyd Curl Drive
San Antonio, Texas 78229-3900
Program Director: Kenneth L. Matthews, M.D. Phone: (210) 567-5430
Fax: (210) 567-6941
Program Contact: Cynthia Spears Phone: (210) 567-5430
MEDICAL SCHOOL AFFILIATION
University of Texas Medical School at San Antonio, San Antonio, TX
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Detoxification; Rehabilitation-Day Program and Outpatient; Pain Clinic, Methadone Clinic, HIV Clinic; Adolescent Clinic; Consults and Dual Diagnosis.
Research Experience
Active NIDA, NIAAA. VA and private research in substance use disorders.
Teaching Activities
Administrative Experience
Principal Goal of Training Program
Faculty
Fourteen faculty; five with board-certification in addiction (four ABPN Addiction Psychiatry, one ASAM.)
Current Salary (or range): $38,800 Đ PGY 5
++Information from 2001-2003
INSTITUTION: University of Texas Southwestern Medical School
ADDRESS: Veterans Affairs Medical Center
Department of Mental Health
4500 Lancaster Road
Dallas, Texas 75216
Program Director John M. Talmadge, M.D. Phone: (214) 857-0835
john.talmadge@utsouthwestern.edu Fax: (214) 857-0902
Program Coordinator NKenge Gibson Phone: (214) 648-7392
nkenge.gibson@utsouthwestern.edu Fax: (214) 648-7370
MEDICAL SCHOOL AFFILIATION
University of Texas Southwestern Medical School at Dallas, Dallas, TX
Number of psychiatrist positions available 2004: 2 Number enrolled at present 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Adult, adolescent, and family approaches to treatment. Didactic seminars and close one-on-one supervision with key faculty. Rotation in a nationally recognized community psychiatry program designed for dual diagnosis patients; rotation with one of the most effective methadone programs in the Southwest; experiences with psychiatrists and staff managing follow-up for prestigious programs like Betty Ford and Hazelden, and side-by-side work with Drs. Adinoff and Talmadge at the VA Medical Center, which offers veterans up to a year of treatment across the entire continuum of care.
Research Experience
Teaching Activities
Administrative Experience
Principal Goal of PGY 5-5/6 Training Program
The problems of substance abuse, chemical dependency, and alcoholism constitute the number one public health program confronting us in the new century. No specialty will be in greater demand than addiction psychiatry. Our program offers enriching educational experiences and the opportunity to become certified as an addiction psychiatrist.
Faculty
Eric Nestler, M.D.; Bryon Adinoff, M.D.; John Talmadge, M.D.; Susan Best, M.D., Ph.D.; Cemal Unverdi, M.D.; Doug Denton; Harold C. Urshel III, M.D.
Current Salary (or range) $41,522
INSTITUTION: University of Washington
ADDRESS: Seattle Veterans Affairs Medical Center
1660 South Columbia Way (116ATC)
Seattle, Washington 98108-1597
Program Director: Andrew J. Saxon, M.D. Phone: (206) 764-2782
andrew.saxon@med.va.gov Fax: (206) 764-2293
MEDICAL SCHOOL AFFILIATION
University of Texas Southwestern Medical School at Dallas, Dallas, TX
Number of psychiatrist positions available 2004: 1 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Addiction inpatient and partial hospitalization units; outpatient and inpatient dual diagnosis; intensive outpatient programs and monitored medications; opioid agonist treatment program; consultation, evaluation and motivational interviewing; womenŐs specific treatment program; outpatient severe mental illness; adolescent consultation and evaluation.
Research Experience
Huge variety are possible including research on pharmacology of alcohol, cocaine, amphetamine, nicotine, and opioid dependence, research on assessment, psychotherapy, etc.
Teaching Activities
Supervising general psychiatry residents
Administrative Experience
Attending clinical team meetings
Principal Goal of Training Program
Overall mission is to provide psychiatric physicians with advanced training in the skills, clinical judgment, and knowledge necessary to practice addiction psychiatry to enable them to assume leadership positions in the field.
Faculty
Andrew Saxon, M.D.; Kevin Sloan, M.D.; Joseph Reoux, M.D.; Richard Ries, M.D.; Chris Dunn, Ph.D.; John Baer, Ph.D.
Current Salary (or range): $47,748
INSTITUTION: Vanderbilt University
ADDRESS: Vanderbilt University Medical Center
AA-2210, Medical Center North
Nashville, Tennessee 37232-2647
Program Director: Paul W. Ragan, M.D. Phone: (615) 322-3527
paul.ragan@vanderbilt.edu Fax: (615) 322-0175
Program Contact: Nelda Fowkes Phone: (615) 322-3527
MEDICAL SCHOOL AFFILIATION
Vanderbilt University School of Medicine, Nashville, TN
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 1
Duration of fellowship: 1 year
Clinical Experiences and Rotations
Academic year divided into quarters with rotations on inpatient unit, University Hospital-Level 1 Trauma Center; transplant center; methadone clinic; intensive outpatient program. Seminars in department pharmacology and molecular neurosciences Institute. Individual seminars and medical center seminars with national speakers.
Research Experience
N/A
Teaching Activities
N/A
Administrative Experience
N/A
Principal Goal of Training Program
Faculty:
Peter R. Martin, M.D.; Paul W. Ragan, M.D.; A.J. Reid Finlayson, M.D.; David Weinstein, M.D.; Andrew Spickard, Jr., M.D.
Current Salary (or range): $43,395
INSTITUTION: Virginia Commonwealth University Medical Center
ADDRESS: Division of Addiction Psychiatry
1200 East Broad Street, Room 1149
Richmond, Virginia 23219-0109
Program Director: Elinore F. McCance-Katz, M.D., Ph.D. Phone: (804) 828-5404
emccancekatz@vcu.edu Fax: (804) 828-5386
Program Contact: Christine Paine
MEDICAL SCHOOL AFFILIATION
Virginia Commonwealth University School of Medicine, Richmond, VA
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 0
Duration of fellowship: 1 year
Clinical Experiences and Rotations
MCV Family Counseling CenterŐs Outpatient substance abuse treatment, Intensive Outpatient Treatment Program; Substance abuse consult service; Addiction psychiatry research program (Fellows gain experience in research through work on choice of project; Virginia Health PractitionersŐ Intervention: assessment and monitoring of impaired health practitioners; Virginia Treatment Center for Children: child and adolescent substance abuse treatment; Specialty Clinics: buprenorphine and methadone; Farley Center and Williamsburg Place Residential Treatment.
Research Experience
Teaching Activities
As supervising residents on rotation, Fellows will provide teaching and supervision of medical students and PGY 2-3 residents. Will prepare and present at least one lecture on a topic in addiction psychiatry.
Administrative Experience
Supervision with Program Director occurs regularly and addresses administrative issues.
Principal Goal of Training Program
Program meets training requirements that can lead to subspecialty certification through American Board of Psychiatry and Neurology Added Qualification in Addiction Psychiatry exam.
Faculty:
Elinore McCance_Katz, M.D., Ph.D., Professor of Psychiatry, Program Director, Chair, Division of Addiction Psychiatry; Patricia Pade, M.D., Assistant Professor of Psychiatry, Associate Medical Director Virginia Health PractitionerŐs Intervention Program; Michael Weaver, M.D., Assistant Professor of Internal Medical, Director Substance Abuse Consultant Service; Penelope Ziegler, M.D., Assistant Clinical Professor of Psychiatry, Medical Director Williamsburg Place and William J. Farley Center; Aradhana Sood, M.D., Associate Professor, Division Chair Child and Adolescent Psychiatry.
Current Salary (or range): $40,364 - $43,000
INSTITUTION: Wayne State University/Detroit Medical Center
ADDRESS: Department of Psychiatry and Behavioral Neurology
2761 East Jefferson Avenue
Detroit, Michigan 48207
Program Director: Susan Stine, M.D., Ph.D. Phone: (313) 993-9879
sstine@med.wayne.edu Fax: (313) 993-1372
Program Contact: Laura Dibrano Phone: (313) 577-0561
MEDICAL SCHOOL AFFILIATION
Wayne State University School of Medicine, Detroit, MI
Number of psychiatrist positions available 2004: 2 Number enrolled at present: 2
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Supervised clinical experience including methadone maintenance, inpatient detoxification, dual diagnosis, outpatient day treatment, residential therapeutic community, and general hospital consultation liaison. Provide assessment service for evaluating presence and degree of comorbid psychopathology, need for psychotropic medication to better manage substance abuse and suitability of patient for treatment of psychosocial services. Provide pharmacotherapy, psychosocial services for individual and group therapy; skills development to consult and evaluate substance abusers.
Research Experience
Opportunities for residents with faculty actively involved in research, C.R. Schuster, C.E. Johanson. NIH funded studies; NIDA Clinical Trial Network Node on site. Expertise in preclinical human laboratory studies and clinical trials in addictions.
Teaching Activities
Supervise PGY II residents; present lectures and Ground Rounds (voluntary).
Administrative Experience
Attend administrative meetings.
Principal Goal of Training Program
Advanced training in evaluation and treatment of substance use and research methods and teaching. At end of training year, residents should be well prepared for specialty board examination and function independently as addiction psychiatrists.
Faculty:
C. Arfken, Ph.D.; J. Grabowski, M.D.; M. Greenwald, Ph.D.; M. Henderson, Ph.D.; J. Hopper, M.D.; S. Ilechukwu, M.D.; D. Johanson, Ph.D.; D. MacMillan, M.D.; S. Ondersma, Ph.D.; J. Roll, Ph.D.; C. Schuster, Ph.D.; E. Schoener, Ph.D.; S. Stine, M.D., Ph.D.; M. Tancer, M.D.
Current Salary (or range): $43,726 (PGY 5)/$45,038 (PGY VI)
INSTITUTION: Yale-New Haven Medical Center
ADDRESS: VA Connecticut Healthcare System
950 Campbell Avenue, Bldg 1, 8 East
West Haven, Connecticut 06516
Program Director: Ismene L. Petrakis, M.D. Phone: (203) 932-5711, Ext. 2244
ismene.petrakis@yale.edu Fax: (203) 937-4791
Program Contact: Regina Sauer Phone: (203) 932-5711, Ext. 5719
MEDICAL SCHOOL AFFILIATION
Yale University School of Medicine, New Haven, CT
Number of psychiatrist positions available 2004: 6 Number enrolled at present: 6
Duration of fellowship: 1 or 2 years
Clinical Experiences and Rotations
Dual diagnosis, consultation liaison, partial hospital; smoking cessationŐ adolescent; independent study; detoxification; SATU; APT Foundation; CT Mental Health Center; Yale New Haven Hospital; methadone clinic; VA CT Healthcare System
Research Experience
Opportunities for residents to participate in a research project whose focus is the assessment/diagnosis, prevention or treatment of substance use disorders. Typically, includes: 1) serve as psychiatric consultant to project; 2) assume responsibility for analysis of data or writing a paper to be presented at a National Meeting or submission to a peer review scientific journal; 3) develop an independent topic of research.
Teaching Activities
Teach medical students and residents.
Administrative Experience
Provide back-up to other clinicians; cover team meetings during attending absence.
Principal Goal of Training Program
Advanced training (PGY V and beyond) in evaluation, treatment, research and teaching of substance abuse.
Faculty:
Drs. Caroline Easton; Sherry McKee; Samuel Ball; Tony George; Bruce Rounsaville; Ismene Petrakis; Marek Chawarski; Ron Duman, Lawrence Cohen; Thomas Kosten; David Pilkey; Lou Trevisar; Kishor Gonsai; Nash Boutros; Catherine Chiles; Paul Desan; Jaakko Lappalainer; Richard Schottenfeld; Julia Shi; Boris Meandzija
Current Salary (or range): $47,600 - $52,200