Addiction Medicine Fellowship
The Addiction Medicine Fellowship provides fellows a rigorous and clinically intense training experience that will prepare them for a successful addiction medicine career in a variety of settings, with special opportunities available to those who are interested in academic addiction medicine. The one-year fellowship program has been fully accredited through the ACGME, and is accepting its first class of fellows in the 2021-2022 year.
For fellows who want to pursue further training for a career in academic addiction medicine—either as a clinical investigator or educator—we offer an elective second year. The two-year program combines Pitt’s own research and educational resources with the opportunities offered by the Institute for Clinical Research Education (ICRE) degree programs in clinical research and medical education at the University of Pittsburgh. These programs provide fellows with didactic training in a broad spectrum of research and educational methodologies, technologies, and tools; exposure to multidisciplinary research and educational teams; hands-on mentored experience in conducting patient-oriented research; and the conceptual and writing skills necessary to submit competitive grant applications for successful, long-term patient-oriented research or education careers. By the end of the second year, fellows will obtain a master’s degree from the University of Pittsburgh in clinical research or medical education, with a special focus on addiction medicine.
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The clinical focus of the fellowship is on acquiring skills in providing care to individuals with substances use disorders in acute medical settings, ambulatory settings, and in acute addiction treatment settings. Fellows will spend substantial time in each of these settings and will follow patients longitudinally as they move between different settings. The role of the physician as a member of an interdisciplinary care team will be emphasized in all clinical settings and encounters.
The individual aspects of the clinical program are:
- Inpatient Addiction Medicine Consultation Service – Fellows spend 18 weeks on the Addiction Medicine Consult Service at UPMC Presbyterian-Montefiore Hospital, in four to six week blocks. Over the course of their consultation service time they assume increasing responsibility for running the team and teaching learners on the service.
- Outpatient Addiction Medicine – Fellows will maintain their own outpatient addiction medicine clinic practice of one half day per week under the supervision of addiction medicine faculty, at the Primary Care and Recovery Engagement Services (PCARES) clinic, which is part of the Division of General Internal Medicine. At this clinic, fellows with evaluate new patients with opioid use disorder as well as other substance use disorders, and initiate buprenorphine and naltrexone treatment. Fellows who wish to become the primary care providers for their patients will have the opportunity to do so as part of their PCARES practice. Fellows will follow new patients longitudinally in the ambulatory setting as well as across settings if patients are admitted to the hospital or enter other treatment settings. Fellows will also rotate through the new Bridge Clinic, which provides low-barrier care of opioid use disorder and other SUDs, and spend two weeks gaining experience in managing patients with addiction or concern for opioid misuse in outpatient pain clinics. Fellows will also spend two half days on their non-consult months in the Adolescent Addiction Medicine clinic, which is part of Children’s Hospital.
- Inpatient Detoxification – Fellows will spend 20 half days over one month at the inpatient detoxification unit at UPMC Mercy, where they will assess and titrate medications for patients experiencing alcohol, benzodiazepine, and opioid withdrawal.
- Narcotics Addiction Treatment Program (NATP) – Fellows will spend 20 half-days over one month at the Narcotics Addiction Treatment Program, which is part of Western Psychiatric Institute and Clinic, which provides methadone and buprenorphine for treatment of opioid use disorder.
- Veterans Administration – Fellows will spend six weeks at the Center for Treatment of Addictive Disorders (CTAD) at the Veterans Administration. Fellow clinical activities at CTAD will include evaluations for medication treatment with buprenorphine or naltrexone, ambulatory detox assessments, and participation in the VA’s methadone maintenance program. Fellows who have a special interest in caring for veterans may spend additional elective time at the VA.
- Women’s Recovery Center (Magee-Women’s Hospital) – Fellows at the Women’s Recovery Center at Magee will gain experience caring for pregnant and non-pregnant female patients on treatment with buprenorphine as well as methadone both in the inpatient and outpatient setting.
- Elective and Supplemental Clinical Experiences – Fellows will spend 2.5 months in electives, which can include adding more time to any of the required experiences, or additional experiences in the community, Western Psychiatric Institute and Clinic, or inpatient hospital setting.
- Formal Teaching – Fellows attend all the relevant ongoing teaching conferences, including the monthly Addiction Medicine Journal Club (in which they present biannually), Addiction Medicine Grand Rounds, weekly Chief’s Conference, and the weekly didactic series hosted by the Addiction Psychiatry fellowship.
Faculty in the Addiction Medicine Fellowship Program include nationally known researchers and educators in the field, and are from disciplines including General Internal Medicine, Adolescent Medicine, Palliative Care and Pain Medicine, Psychiatry, Toxicology, and Obstetrics-Gynecology.
Julie Childers, MD, MSDivision of General Internal Medicine
Julie A Kmiec, DODepartment of Psychiatry
Kevin L. Kraemer, MD, MScDivision of General Internal Medicine
Liz Krans, MDDepartment of Obstetrics, Gynecology & Reproductive Sciences
Jane M. Liebschutz, MD, MPH, FACPDivision of General Internal Medicine
Michael J. Lynch, MDDepartment of Emergency Medicine
Jessica S. Merlin, MD, PhD, MBADivision of General Internal Medicine
Payel Roy, MD, MScDivision of General Internal Medicine
Director, Addiction Medicine Consult Service
Deanna Wilson, MDDivision of General Internal Medicine
Director, Adolescent Addiction Medicine
The UPMC GME Addiction Medicine Fellowship is accepting fellowship applications for the fellowship year beginning July 2021.
Post-residency physician fellows must meet the following criteria:
- Have completed an ACGME or AOA-accredited residency program in one of a variety of programs, which includes emergency medicine, family medicine, internal medicine, obstetrics and gynecology, pediatrics, and psychiatry;
- Be board-certified or board-eligible with demonstration of active pursuit of certification;
- Obtain a waiver to prescribe buprenorphine by the beginning of their fellowship; and
- Demonstrate interest in pursuing an academic career with addiction medicine as a primary focus.
The Addiction Medicine Fellowship is not currently participating in ERAS, and there is no application fee.
We require the following documents to apply:
- Residency Program Certificate
- ECFMG certificate (if applicable)
- Medical School Diploma (and translation if applicable)
- Up-to-date CV (note: all dates from the date of graduation to present must be documented on the CV)
- USMLE scores
- Three (3) letters of recommendation, one of which should be from your residency program director or associate program director
- Personal statement
- Must be able to meet background checks and drug tests required by participating sites
Send these documents to Joey Pizzuti @ firstname.lastname@example.org.
Division of General Internal Medicine Academic Offices
UPMC Montefiore Hospital
Pittsburgh, PA 15213