Addiction Medicine Fellowship Program

The two-year Addiction Medicine Fellowship Program at Yale University School of Medicine offers robust clinical and research training in Addiction Medicine. This novel program builds on Yale’s preeminence in the fields of Substance Abuse, Clinical Research and Medical Education and its international reputation for expanding addiction treatment into general medical settings (e.g. primary care, HIV care, emergency department). Working in close collaboration with our well-established Addiction Psychiatry training program and the Yale Division of Addictions, Addiction Medicine fellows, all of whom will have completed residency training, will 1) have the opportunity to rotate at several Yale-affiliated training sites as well as a number of community addiction treatment facilities; 2) take part in a robust Addiction Medicine didactic curriculum focusing on the bio-psycho-social treatment of patients with addiction; and 3) work with faculty from both the School of Medicine and the School of Public Health who are internationally recognized for epidemiologic and clinical trial research focusing on substance use and related medical (e.g. HIV, Hepatitis C, pain) and psychiatric co-morbidities.

First-year fellows will obtain clinical training in Addiction Medicine through a variety of inpatient and outpatient training experiences. Training sites include Yale-New Haven Hospital and its affiliated outpatient clinics; VA Connecticut Healthcare System; The APT Foundation, a multi-specialty addiction treatment facility; and the South Central Rehabilitation Center. Additionally, fellows will have the opportunity to gain added training in the complex relationship between addiction and chronic pain. Opportunities to engage in clinical research or medical education projects will begin in the first year.

The second year of the program will consist of a year-long practicum. The practicum component will consist of a Research Track or an Education Track, designed to train fellows for careers as clinician-investigators and clinician-educators, respectively. Both tracks share a common curriculum with a research component and a non-research component. The practicum will be tailored to the individual interest of the fellow and mentorship opportunities will be established.

The Yale University Addiction Medicine Fellowship Program is accredited by the American Board of Addiction Medicine (ABAM) Foundation.

Mission

The mission of the Yale University Addiction Medicine Fellowship Program is to graduate trainees who will go on to become leaders in the field of Addiction Medicine. This will be accomplished by providing robust training in: 1.) the effective clinical care of patients with addictive disorders and their associated co-morbidities, 2.) the conduct of clinical research in the field of addiction medicine, 3.) development of effective leadership, teaching and administrative skills applicable to the field of addiction medicine.

Held in conjunction with didactics offered through the Addiction Psychiatry Fellowship Program

  1. Summer Course (Introductions to Addictions; Addiction Systems-based practice; Educating the Educators: Improving the quality of medical education)
  2. Division of Addictions Lecture series (presentations by leading researchers regarding ongoing and recently completed research, fellow led monthly Clinical Case Conferences)
  3. Core Addiction Psychiatry/Medicine lecture series
  4. Journal Club

Other lectures/seminars

  1. Internal Medicine Grand Rounds
  2. General Medicine Faculty Meetings/ Research In Progress
  3. Yale Drug Abuse, Addiction and HIV Research Scholars (DAHRS) Research In Progress
  4. Pain, Research, Informatics, Medical Comorbidities, & Education (PRIME) Center Education Seminars

Required Rotations

Inpatient

  1. South Central Rehabilitation Center inpatient detoxification service -Fellows will complete new patient assessments and intakes, admit patients to the acute detoxifications facility and initiate the appropriate protocol, work with nursing staff on patient management, follow patients during their acute inpatient stay and assist in coordination of ongoing outpatient management.
  2. Generalist consult -Fellows will assist faculty and housestaff rotating on the Generalist service with patients admitted with addiction diagnoses. Fellows will serve a consultative and teaching role with regard to these patients and will assist in discharge planning for these patients.

Required Rotations

Outpatient

  1. APT Foundation Central Medical Unit or South Central Rehabilitation Center (SCRC) outpatient clinic - Longitudinal outpatient experience where fellows will primarily assess and manage patients with substance use disorders as well as their associated co-morbidities. Experiences will include admission evaluations and ongoing management for patients entering opioid agonist and antagonist maintenance (methadone, buprenorphine, naltrexone) and additional experiences tailored to the fellow’s clinical background and interests.
  2. APT Foundation Access Center - Fellows will take part in new patient assessments, run treatment groups through the Intensive Outpatient Program, and act as the “doctor of the day” providing clinical leadership to the clinical staff at the Access Center and the Methadone Programs.
  3. Primary Care Center Addiction Medicine Consult Service - fellows will provide a consultative addiction medicine service to patients receiving care at the Primary Care Center, the main primary care clinic serving over 5000 families in the greater New Haven area. In addition to new patient consultation, fellows will act as a liaison between the inpatient Generalist (General Internal Medicine) service and the Primary Care Center for those patients admitted with addiction diagnoses to Yale-New Haven Hospital. Examples include initiating alcohol pharmacotherapy for those patients admitted with alcohol use disorder and providing ongoing care, coordinating referrals from inpatient services to outpatient addiction treatment facilities, and providing consultative guidance.

Teaching Opportunities

Fellows will have several opportunities to participate in teaching initiatives including the Screening, Brief Intervention, and Referral to Treatment (SBIRT) teaching initiative at Yale University, the Alcohol Case Conference Series, Yale Affiliated Hospitals Teaching Program, teaching through the Addiction Medicine, Chronic Pain and Criminal Justice Elective offered to Yale Internal Medicine Housestaff, and the Yale Inpatient Smoking Cessation program training.

Scholarship

Scholarly activities are encouraged throughout the fellowship but are the focus of the second year of the fellowship. The second year of the program will consist of a year-long practicum. The practicum component will consist of a Research Track or an Education Track, designed to train addiction physicians for careers as clinician-investigators and clinician-educators, respectively. Both tracks share a common curriculum with a research component and a non-research component. The practicum will be tailored to the individual interest of the fellow and mentorship opportunities will be established. Training in clinical epidemiology and health services research is available for qualified applicants through the Yale Investigative Medicine Program and the Robert Wood Johnson Clinical Scholars Program. Training in medical education will be provided in conjunction with the Yale School of Medicine Teaching and Learning Center.

Electives

  1. Yale New Haven Hospital Psychiatric Service/VA Psychiatric Liaison Service – Fellows will work the inpatient psychiatry liaison consult service at Yale New Haven Hospital and VA Connecticut when consults come in regarding Addiction Medicine.
  2. Intensive outpatient program – Fellows will work with patients who are newly entering treatment and receiving a minimum of 9 hours of treatment (group and individual counseling, psychiatric care) services per week.
  3. Residential Services Division APT Foundation- Fellows will work with APT Foundation staff at this intensive residential addiction services program for adults with primary problems related to substance abuse or dependence.

Faculty

Tetrault, Jeanette Marie

Co-Program Director

Assistant Professor of Medicine (General Medicine)

Research Interests:Substance abuse; HIV; Hepatitis C

Clinical Interests:Substance abuse, HIV, Hepatitis C

  • Office:(203) 785-2470
  • Appt:(203) 781-4640

O'Connor, Patrick Gerard

Co-Program Director

Professor of Medicine (General Medicine) and Residential College Associate Fellow in Faculty of Arts and Sciences
Section Chief, General Medicine

Research Interests:Interface between primary care and substance abuse

Clinical Interests:Primary care; general internal medicine; substance abuse

  • Office:(203) 688-6532
  • Appt:(203) 688-5555

Becker, William Clark

Assistant Professor of Medicine (General Medicine)

Clinical Interests:Chronic non-cancer pain; safety and efficacy of opioid analgesics; addiction medicine; general internal medicine

  • Office:(203) 932-5711 x2427

Bruce, Robert Douglas

Assistant Professor of Medicine (AIDS) and of Epidemiology (Microbial Diseases)

Research Interests:Substance abuse/dependence; Infectious diseases; HIV; Hepatitis C

Clinical Interests:Substance Abuse/Dependence and Infectious Diseases; HIV; Hepatitis C; Evidence Based Treatments for Addiction and HIV

  • Office:(203) 688-2685

D'Onofrio, Gail

Professor of Emergency Medicine
Chair, Department of Emergency Medicine

Research Interests:Alcohol and other drug problems in ED setting; Brief intervention and referral to treatment; Women and heart disease, perceptions of risk, knowledge and behaviors

Clinical Interests:Emergency medicine; Women and heart disease; Brief interventions for alcohol and other drug problems; teenage drinking; cardiac risk factors

  • Office:(203) 785-4404
  • Appt:(203) 688-2222

Doolittle, Benjamin Rolin

Associate Professor of Medicine (General Medicine) and of Pediatrics
Director, Int Med-Pediatrics Residency Program

Clinical Interests:Urban Medicine; Addiction; HIV; Hepatitis C; Spirituality; Burnout

  • Office:(203) 785-7941
  • Appt:(203) 688-5555

Edelman, Eva Jennifer

Assistant Professor of Medicine (General Medicine)

Research Interests:Primary and secondary HIV prevention

Clinical Interests:general medicine, HIV medicine, substance abuse

  • Appt:(203) 688-5303

Edens, Ellen Lockard

Assistant Professor of Psychiatry
Associate Fellowship Director, Addiction Psychiatry

Clinical Interests:Addiction Psychiatry; Addiction and Pain; Addiction and PTSD.

  • Office:(203) 932-5711 x4123

Fiellin, David A.

Professor of Medicine (General Medicine) and of Public Health (Health Policy)
Professor, Investigative Medicine

Research Interests:Substance abuse treatment in primary care; Emergency department and HIV specialty settings opioid agonist treatment with buprenorphine; Pharmacologic treatment of alcohol

Clinical Interests:Primary care; general internal medicine; addiction medicine

  • Office:(203) 737-3347
  • Appt:(203) 688-5555

Fiellin, Lynn E.

Associate Professor of Medicine (General Medicine)

Clinical Interests:HIV prevention and care; Substance abuse; Primary care; General internal medicine;

  • Office:(203) 737-3347
  • Appt:(203) 688-2984

Grieco, Katherine Nau

Clinical Instructor in Medicine (General Medicine)

Clinical Interests:AIDS.

  • Appt:(203) 688-5303

Holt, Stephen Richard

Assistant Professor of Medicine (General Medicine)
Associate Program Director, Ambulatory Education, Yale Primary Care Residency Program

  • Office:(203) 573-6580
  • Appt:(203) 573-7284

Madden, Lynn M

Lecturer in Psychiatry

    Marienfeld, Carla

    Assistant Professor of Psychiatry

    Research Interests:Global mental health; Health services in addiction

    Clinical Interests:Addiction Psychiatry; Opioid Addiction

    • Appt:(203) 781-4600

    Petrakis, Ismene Leonida

    Professor of Psychiatry
    Chief of Psychiatry, VA Connecticut Healthcare System

    Research Interests:Alcohol; Alcoholism; Dual diagnosis; Psychiatric comorbidity; Addiction; Neurobiology; Psychopharmacology; Familial vulnerability

    Clinical Interests:Alcohol; Alcoholism

      Savage, Mary Ellen N

      Lecturer in Psychiatry

        Shi, Julia Meiyee

        Assistant Clinical Professor of Medicine

          Application

          Eligibility

          Applicants must be graduates of, or in the final year of, an ACGME accredited clinical residency program.

          Application Process

          Application, CV, 3 letters of recommendation (one from current Program Director).

          Mailing Address

          Mail the completed application and all supporting materials to:
          Dr. Jeanette Tetrault, MD FACP
          Attn: LaQuanda Evans
          367 Cedar Street,3rd floor, Suite 305
          New Haven, CT 06510