Accredited by the Accreditation Council for Graduate Medical Education (ACGME), the Yale Addiction Medicine Fellowship Program offers robust training in addiction medicine.
What is addiction medicine?
Addiction medicine is the study of causes, symptoms and treatment of patients with substance use disorders.
Why train in addiction medicine at Yale?
Yale’s training program builds on the school’s expertise of substance use disorders, clinical research, and medical education and its international reputation for integrating addiction treatment into general medical settings.
The fellowship program is housed within Yale’s Program in Addiction Medicine, which is a multi-disciplinary clinical, educational, and research program whose mission is to enhance Yale’s portfolio of state-of-the-art addiction research; provide comprehensive patient care services to patients across Yale New Haven Hospital (YNHH) and within the greater New Haven community; and increase the pipeline of physicians trained in evidence-based strategies to care for patients with substance use.
What will I do as an addiction medicine fellow?
- Rotate at several Yale-affiliated training sites and a diverse array of community addiction treatment facilities;
- Participate in robust addiction medicine didactic curriculum, focusing on the bio-psycho-social assessment and treatment of patients with addiction; and
- Work with faculty from both the Yale School of Medicine (YSM) and Yale School of Public Health (YPH,) 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.
What training will I receive as part of the program?
First-Year Training (Required)
- 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 can add 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.
- All fellows completing the one-year training program will be eligible to take the Addiction Medicine board certification examination offered through the American Board of Preventive Medicine.
Second-Year Training (Optional)
- The second year of the program, structured as a year-long practicum, is optional and dependent on funding availability.
- 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 each fellow’s individual interest with additional mentorship opportunities.
What is the mission of the Yale Addiction Medicine Fellowship Program?
- The effective clinical care of patients with addictive disorders and their associated co-morbidities
- To critically appraise the Addiction Medicine literature
- To use novel educational strategies to teach students and residents and other learners topics in Addiction Medicine
What didactics are part of the curriculum?
- Summer courses
- Introductions to Addictions
- Addiction Systems-Based Practice
- Educating the Educators: Improving the Quality of Medical Education
- Division of Addictions Lecture Series
- Presentations by leading researchers regarding ongoing and recently completed research, and
- Fellow-led monthly Clinical Case Conferences
- Special populations Seminar
- Leadership seminar
- Grant writing course
- Core Addiction Psychiatry/Medicine lecture series
- Journal Club
Other Lectures or Seminars Available
- Addiction Medicine Rounds (monthly)
- Addiction Medicine Faculty Fellows Research Forum (monthly)
- Department of Internal Medicine Grand Rounds (weekly)
- General Medicine Faculty Meetings/ Research In Progress (monthly)
- Yale Drug Abuse, Addiction and HIV Research Scholars (DAHRS) Research In Progress
- Pain Research, Informatics, Medical Comorbidities, & Education (PRIME) Center Education Seminars
What will rotations consist of?
Fellows will complete these activities at the sites designated below:
- Yale Addiction Medicine Consult Service at YNHH
- Play a central role in the day-to-day function of the inpatient addiction medicine consult service at both campuses of YNHH.
- Work on a multidisciplinary team with an attending physician board certified in Addiction Medicine, an advanced practice provider, a counselor, medical students, and residents.
- Serve in a consultative and teaching role and will assist in discharge planning for these patients.
- Inpatient Detoxification Service at South Central Rehabilitation Center
- Complete new patient assessments and intakes.
- Admit patients and initiate the appropriate protocol.
- Work with nursing staff on patient management.
- Follow patients during their acute inpatient stay.
- Assist in coordination of ongoing outpatient management.
- APT Foundation Residential Treatment Services
- Participate in assessments and admission of patients to this 175-bed residential treatment program.
- Provide onsite primary care and evidence-based addiction treatment services including medications for opioid and other substance use disorders (including methadone, buprenorphine, naloxone, naltrexone, other alcohol pharmacotherapy, smoking cessation pharmacotherapy).
- Deliver evidence-based counseling strategies.
- Assist in discharge planning and aftercare.
Fellows will complete these activities at the sites designated below:
- APT Foundation Central Medical Unit
- Gain longitudinal outpatient experience in a primary care clinic embedded within an addiction treatment program.
- Assess and manage patients with substance use disorders and associated co-morbidities.
- Learn admission evaluations and ongoing management for patients with opioid use disorder and initiation and maintenance of medications for opioid use disorder including methadone, buprenorphine, buprenorphine and naltrexone.
- Evaluate and treat patients with other substance use disorders using evidence-based screening, assessment and treatment approaches.
- Follow a panel of primary care patients with substance use disorders and provide treatment for chronic medical conditions often associated with substance use including Hepatitis C and HIV under supervision.
- APT Foundation Access Center
- Take part in new patient assessments.
- Participate in treatment groups through the Intensive Outpatient Program.
- Work with nursing and clinical staff in patient assessment and treatment.
- APT Foundation Legion Clinic
- Take part in co-visits with Addiction Psychiatry, urgent medical visits, multidisciplinary team meeting
- Care of pregnant patients with OUD
- Addiction Recovery Clinic (specialty addiction clinic embedded within an academic primary care medical practice)
- Provide both direct clinical care to patients as well as oversight of medical students and residents.
- Consult new patients.
- Serve as a liaison between the inpatient General Internal Medicine service and the outpatient clinic for those patients admitted with addiction diagnoses to YNHH’s Saint Raphael Campus (SRC).
- Initiating opioid pharmacotherapy for patients presenting with manifestations of opioid use disorder.
- Providing alcohol pharmacotherapy for those patients admitted with alcohol use disorder and providing ongoing care.
- Coordinating referrals from inpatient services to outpatient addiction treatment facilities.
- Providing consultative guidance.
What teaching opportunities are available as part of the fellowship?
- The Screening, Brief Intervention, and Referral to Treatment (SBIRT) teaching initiative.
- The Addiction Thread curriculum at YSM and within the health professions schools.
- Small group facilitation through the Interprofessional Longitudinal Clinical Experience Taking a Substance Use History workshop.
- Pain and addiction workshop for graduating medical students.
- The Yale Affiliated Hospitals Teaching Program.
- Statewide buprenorphine trainings.
What other learning opportunities are available?
- Scholarly activities are encouraged throughout the fellowship, but are the focus of the second optional year of the fellowship and can be tailored to the fellow’s interest.
- Several elective opportunities are available through offerings within YNHHS and through affiliated community programs.
- Training in clinical epidemiology and health services research is available for qualified applicants through the Yale Investigative Medicine Program and the National Clinical Scholars Program. Training in medical education will be provided in conjunction with the Yale School of Medicine Teaching and Learning Center.
What other electives are available?
- Yale New Haven Hospital Psychiatric Service – Fellows will work the inpatient psychiatry liaison consult service at Yale New Haven Hospital when consults come in regarding Addiction Medicine.
- Intensive outpatient program – Fellows will work with patients who are newly entering treatment and receiving a minimum of nine hours of treatment (group and individual counseling, psychiatric care) services per week.
- 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.