Addiction Medicine Fellowship Curriculum
ADDICTION MEDICINE FELLOWSHIP ROTATIONS: 2023 – 2024 ACADEMIC YEAR
Inpatient Addiction Consults Rotation:
Fellows spend 4 mornings per week for 6 months on the inpatient addiction consult service, a service which focuses primarily on providing addiction treatment to patients hospitalized at UNC Medical Center and UNC Hillsborough with infections associated with IV drug use. Fellows participate in offering treatment for opioid use disorder and other substance use disorders in an inpatient hospital setting, working in a multidisciplinary team comprised of addiction medicine attendings, peer support specialists, pharmacists, case managers, and rotating interns/residents.
Inpatient Withdrawal Management Rotation:
Fellows spend 4 mornings per week for 1 month at UNC WakeBrook (located in Raleigh) learning about addiction treatment at an inpatient non-hospital withdrawal management (“detox”) facility. Fellows are exposed to management of intoxication and withdrawal from a variety of substances while working in a multidisciplinary team-based setting.
Opioid Treatment Program Rotation:
Fellows spend 4 mornings per week for 3 months at a local federally licensed opioid treatment program (Southlight OTP, located in Raleigh) learning about treatment of opioid use disorder utilizing methadone and buprenorphine.
STAR (Substance Treatment and Recovery) Clinic Rotation:
Fellows spend 2 afternoons per week for 12 months at STAR Clinic, an addiction psychiatry clinic that focuses on providing virtual and in-person care to patients with severe substance use disorders.
Community Telehealth Rotation:
Fellows spend 2 half-days per week for 12 months providing virtual outpatient substance use treatment services to underserved populations in North Carolina. Fellows are exposed to the addiction program’s mobile addiction treatment unit during this rotation.
Inpatient Pain Consults Rotation:
Fellows spend 4 mornings and 2 afternoons per week for 2 weeks on the inpatient chronic pain consult service. Addiction fellows work with chronic pain attendings learning about treating pain utilizing various modalities in patients with co-occurring substance use disorders.
Fellows spend 4 mornings per week for 2 weeks working with addiction medicine faculty developing skills for evaluating and interpreting the published addiction medicine literature, and polishing the fellows’ abilities to effectively provide presentations on addiction topics to various audiences. This rotation also involves the fellows working on a scholarly activity during the course of the fellowship year.