Addiction Medicine Fellowship

The Summa Addiction Medicine Fellowship includes experiences in outpatient care of patients with coexistent psychiatric conditions and substance use, noncritical medical management of patients in a residential treatment facility, pain management, intensive outpatient care, and participation in a busy chemical dependency consultation service.

The program is based in St. Thomas Hospital, which established the nation’s first alcoholism treatment ward and the four other clinical training sites offer a diverse experience. Fellows are given significant and increasing supervised responsibility in the detox rotation, where they see a wide variety of cases and work collaboratively with other physicians and nurses. In the residential treatment facility rotation, fellows participate in both individual and group treatments, and they employ a range of treatments including pharmacotherapy and cognitive-behavioral techniques. Fellows care for a multiethnic patient population, from 18 to geriatric, and the rotation in a community-based opiate dependence clinic includes a number of pregnant women. The pain management rotation exposes fellows to all modalities and focuses on interventional techniques, and a second consultation rotation allows fellows to evaluate patients admitted to an inpatient psychiatric facility.

Interaction occurs frequently with family medicine residents, psychiatry residents and medical students, and fellows receive mentorship in teaching patients and other health professionals. Fellows also participate in a research project.

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