The vision of the UNC Addiction Medicine Fellowship is to expand capacity for addiction treatment in North Carolina, with emphasis on training physicians in team-based care with an understanding of how to provide high quality addiction treatment to underserved populations. The fellowship is designed to prepare graduates for careers in community-based or academic Addiction Medicine. Graduates will have obtained competence in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and system-based practice at the level expected of a new practitioner and will be well-prepared for the addiction medicine board exam as well as an addiction medicine specialist.
The following offers a wide array of training opportunities in addiction medicine with goal of teaching fellows about systems of care and collaborating across disciplines and professions. The fellows will work with physicians in Family Medicine, Anesthesia, Psychiatry, Pediatrics, OB/GYN and Preventive Medicine, while also working alongside Peer Support Specialists, Nurse Practitioners, Nurses, Psychologists and Case Managers. Some of the training opportunities include working on a Medically Supervised Detox Unit, Inpatient Pain Service and an Outpatient Pain clinic. The fellows will spend several weeks training in the world-renowned Horizons program (a substance abuse residential and outpatient program for pregnant and parenting women, led by Hendree Jones, PhD). The fellows will also have opportunity to participate in implementation projects, one of which is integrating Peer Support Services coupled with medical management of substance use disorders in an inpatient setting.
Addiction Treatment in North Carolina
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.
Expanding a Hub and Spoke model in NC
The Foundation for Opioid Response Effort (FORE) is sponsoring a collaborative effort between UNC Chapel Hill and MAHEC to expand the addiction treatment network in NC. Both UNC and MAHEC will expand their services as a Hub for addiction treatment and will add an additional 10 Community Health Centers who will serve as spokes for providing maintenance addiction treatment. The Addiction Medicine fellows are an integral part of this project, providing addiction treatment both at the UNC Chapel Hill Hub in addition to providing addiction telemedicine services at one of the Community Health Center sites (the spokes). Fellows will be exposed to systems of care through this process, working with patients throughout their transition from the hospital/ED, to the treatment hub and then to a community spoke.
Inpatient Addiction Treatment for patients hospitalized with infections from IV Drug use
The NC Department of Public Health is sponsoring a project to provide Peer Support counseling, harm reduction services, and addiction treatment to patients hospitalized with infections from their IV Drug Use. This project serves as a foundation for establishing an Addiction Consult Service in our Inpatient hospital and the fellows will have the opportunity to participate, both on the inpatient service in addition to the outpatient clinic. Patients in the hospital will be offered addiction treatment and either connected to a program near their home or connected to the UNC Chapel Hill Hub program.
Members of the UNC Addiction Medicine Fellowship are credentialed to provide DATA 2000 waiver training. Fellows will have opportunity to participate in these trainings and if interested, learn how to become a trainer themselves.
ADDICTION MEDICINE FELLOWSHIP CURRICULUM
NOTE: The curriculum for the Addiction Medicine Fellowship is being modified. Below is a table of the curriculum from July 2018 – June 2020. An updated curriculum for the 2020 academic cycle will be uploaded when available.
The UNC Addiction Medicine Fellowship is housed within the UNC Department of Psychiatry, which is located in a large, academic, 804-bed tertiary healthcare system. Much of the training experience is located with various departments within the UNC hospital as well as the off-site addiction medicine clinic located in Chapel Hill. Other rotation sites include: UNC WakeBrook hospital in Raleigh, Hillsborough Recovery Solutions and Southlight (two local Opioid Treatment Programs), as well a Federally Qualified Health Center (FQHC). The FQHCs are located strategically throughout the state in areas that have the highest need for addiction treatment. Fellows will have 3 on-site visits with the FQHC and the remaining time with the FQHC will be with telehealth.