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 Internal Medicine Recovery Engagement Program, which is part of the Division of General Internal Medicine, or at the Women’s Recovery Center at Magee-Women’s Hospital. At these clinics, 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 IM-REP 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.

• Narcotics Addiction Treatment Program (NATP) – Fellows will spend a half day per week (when not on a consult 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 relevant ongoing teaching conferences, including the monthly Addiction Medicine Journal Club/Case Conference (in which they present biannually), Addiction Medicine Grand Rounds, weekly Chief’s Conference, and the weekly national virtual didactic session hosted by the American College of Academic Addiction Medicine (ACAAM).