Program Curriculum

Fellows spend 1 month (in the mornings) on the inpatient pain consult service, which is run by the UNC Department of Anesthesiology. Fellows work with anesthesiology attendings and residents as well as pain medicine fellows in performing in-person consults for patients hospitalized at UNC Medical Center who need pain management services.

Fellows spend 1 month (in the mornings) working with the UNC Horizons residential treatment program, which is operated by the UNC Department of Obstetrics & Gynecology. This nationally recognized program treats pregnant and parenting women with co-occurring substance use disorders. Fellows participate in medication management of patients’ substance use disorders as well as the group therapy that is offered to the patients enrolled in this residential program.

Fellows spend 1 month (in the mornings) working at the New Waters Recovery inpatient withdrawal management (ie, “detox”) unit located in Raleigh. New Waters Recovery is a privately operated substance use treatment program that offers non-hospital withdrawal management services. Patients who are admitted to New Waters Recovery have access to medication management, massage, yoga, and acupuncture. Fellows are supervised by New Waters Recovery physician staff during this rotation.

Fellows spend 1 afternoon per week for 6 months working with the UNC Tobacco Treatment Program, providing consults for patients who are potentially interested in tobacco and electronic cigarette cessation. These consults are in-person and also virtual. The UNC Department of Family Medicine oversees this service.

Fellows spend 2 months (in the mornings) rotating at SouthLight Healthcare, the largest OTP in Raleigh. Fellows work with the SouthLight provider staff offering outpatient methadone maintenance therapy as well as buprenorphine treatment on-site.

Fellows spend 1 month (in the mornings) on the inpatient hepatology consult service, which is run by the UNC Division of Gastroenterology & Hepatology. Fellows work with gastroenterology attendings and fellows in performing inpatient consults at UNC Medical Center. In addition, fellows spend time in the UNC IHEAL (Integrated Healthcare for Alcohol Use and Liver Disease) Clinic. The IHEAL Clinic serves patients with alcohol-related liver disease, and fellows participate in assessing and treating the patients served in this clinic.

During their 12-month fellowship, fellows spend multiple afternoons per week in STAR Clinic. Fellows offer both virtual and in-person substance use treatment services in this clinic, which serves patients throughout the entire state of North Carolina. In addition to managing patients’ substance use disorders, fellows treat patients’ psychiatric co-morbidities and offer hepatitis C treatment in STAR Clinic.

Fellows spend time with UNC ATLAS, a mobile clinic that travels to Robeson County on a weekly basis and provides substance use treatment (focusing on opioid use disorder) to a medically underserved area with a significant Lumbee Native American population.

Fellows spend 1 month (in the mornings) on an elective rotation of their choosing. The UNC Addiction Medicine faculty can assist fellows in devising their elective. Elective options include (but are not limited to):

• NC Department of Adult Correction Opioid Use Disorder Treatment Rotation
• UNC Infectious Diseases Inpatient Rotation
• UNC Psychiatry Inpatient Rotation
• NC Department of Adult Correction Carceral Psychiatry Rotation
• Adolescent Intensive Outpatient (IOP) Rotation
• Addiction Medicine Education Rotation