A central focus of the UNC Addiction Medicine Fellowship is examining addiction treatment in a larger context.  North Carolina is significantly impacted by the opioid epidemic and as such, many innovative projects are underway to expand the capacity for addiction treatment statewide, incorporating critical linkages between inpatient and outpatient care as well as facilitating connections between the Addiction Medicine Specialist and Primary Care.  The Addiction Medicine fellows are integrally involved in some of these initiatives.


The UNC ECHO for MAT (Extension Community Health Care Outcomes for Medication Assisted Treatment) is a project designed to teach clinicians about MAT and provide the necessary support to help practices engage in addiction treatment.  UNC ECHO for MAT is a hub-spoke model that links community clinicians to addiction experts to provide training for addiction treatment.  UNC Addiction Medicine fellows participate in the case-based discussions and didactic presentations during the online weekly clinics, which are also open to providers interested in MAT. The following supports are offered:

  • Weekly sessions that focus on case discussions and didactic training
  • Free CME for participation
  • Practice Support Coaches who will come to your practice and help with implementation
  • Individual Mentoring available

SBIRT in the Emergency Department

The UNC-Chapel Hill ED is implementing a SBIRT approach (Screening, Brief Intervention, Referral to Treatment) to bring addiction treatment to all patients who come for emergent medical services.  This project brings Peer Support Services to the Emergency Room, in addition to training Emergency Physicians about Medication Assisted Treatment (MAT).  Currently, the Addiction Medicine fellows are actively engaged with recruiting outpatient clinics to participate as referral sites.  This involves direct community engagement in addition to training providers and practices about MAT.

Waiver training

UNC ECHO for MAT is partnering with The American Society of Addiction Medicine (ASAM) to offer a DATA 2000 waiver training course.  The course is a half-half course (4 hours online, 4 hours in-person) with the live portion occurring on Tuesday, November 6th on the UNC campus.  The course is free and will provide 4 CME credits.  The Addiction Medicine fellows will be present to co-host this event.

Sign up directly for the DATA 2000 waiver training course here.