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. Graduates from the program will have evidenced accomplishment of these goals as measured by evaluation of skills, knowledge, and attitude by various means during the fellowship.
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 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 are expanding their services as a Hub for addiction treatment and are adding Community Health Centers who 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 an Addiction Consult Service in our Inpatient hospital and the fellows have the opportunity to participate, both on the inpatient service and in the outpatient clinic. Patients in the hospital are 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 have opportunity to participate in these trainings and become a trainer themselves.