Overview

Twenty-three million Americans have a substance use disorder (SUD), yet only 10% receive treatment annually. Among hospitalized patients, 22% have an active drug or alcohol use disorder. Despite the growing prevalence of SUDs, few physicians have the opportunity to gain specialty training in addiction medicine.

The Massachusetts General Hospital Addiction Medicine Fellowship will prepare physicians for clinical and academic careers in Addiction Medicine with a particular focus on developing and enhancing evidence-based addiction prevention and treatment services for all patients, including those vulnerable to health disparities because of poverty, race, culture, age, gender, disability or stigma.  

Through a combination of inpatient and outpatient care spanning diverse settings, fellows will receive training in the knowledge and skills to become expert clinicians and leaders in the field of Addiction Medicine. Clinical rotations include:

  • Inpatient consultation on the Addiction Consult Team at Mass General
  • Outpatient addiction treatment in a community-based opioid treatment program
  • Urgent and transitional addiction treatment in the Mass General outpatient Bridge Clinic
  • Outpatient addiction treatment integrated into Primary Care at three Mass General community health centers: Chelsea HealthCare CenterCharlestown HealthCare Center and Revere Cares
  • Addiction treatment at Boston Health Care for the Homeless Program
  • Dual-diagnosis treatment in Mass General’s specialty outpatient clinics for adults and adolescents

Electives and longitudinal experiences will be further tailored to each fellow’s interests and guided by the interdisciplinary Mass General Addiction Medicine Fellowship faculty. The diverse program faculty includes the following:

The primary goal of the one year, full-time Mass General Addiction Medicine Fellowship is to prepare physicians for clinical and academic careers in Addiction Medicine. Fellows will benefit from working within an initiative at the forefront of Addiction Medicine.

Fellows receive benefits through Partners Healthcare. More information on policies for vacation time, sick leave, holidays, educational leave, Family and Medical Leave Act, bereavement time, moonlighting, health care and other benefits can be found on the Partners Healthcare benefits website.

Clinical Experience

Core Clinical Sites

  • Massachusetts General Hospital
  • Mass General Community Health Centers
  • Boston Healthcare for the Homeless Program
  • Health Care Resource Center
Clinical Experience AreaDescription
Outpatient Addiction Treatment within a Community Health Center 12-month longitudinal rotation within a Mass General community health center in CharlestownChelsea or Revere
Inpatient Consultation Service at Mass General Six-month rotation on an inpatient addiction consultation service
Health Care Resource Center Six-month, part time rotation in an outpatient methadone maintenance treatment program
Boston Health Care for the Homeless Program 12-month, part-time rotation within a medical respite facility at the Barbara McInnis House and a shelter or hospital-based clinic for Boston’s homeless population at the Boston Health Care for the Homeless Walk-in Clinic
Outpatient Co-Occurring Disorders Rotation Six-month, part-time rotation providing treatment for co-occuring disorders at the Mass General Addiction Recovery Management Services (ARMS) and West End Clinic
Mass General Bridge Clinic 12-month, part-time rotation providing outpatient, transitional treatment

Curriculum

Mass General Addiction Medicine Fellowship Program

The one-year Massachusetts General Hospital Addiction Medicine Fellowship Program combines the resources of Mass General and its community addiction treatment partners to offer a comprehensive clinical training program. Fellows, all of whom have completed a clinical residency, can complete a single clinical training year in addiction medicine, culminating in sitting for their boards in addiction medicine.

The curriculum is tailored to each individual fellow’s interests, and fellows are guided by the interdisciplinary Mass General Addiction Medicine Fellowship faculty.

Training Experience

Core training includes an overview of the field of Addiction Medicine with an emphasis on training Addiction Medicine physicians who will educate other clinicians and trainees in the community; rigorously assess and incorporate scientific evidence into their practice, and deliver compassionate care to a diverse population of patients, particularly those who are most marginalized. Training will comprise didactic and clinical experiences across the spectrum of addiction care, including the following:

  • Neurobiology of addiction
  • Opioid and alcohol pharmacology
  • Motivational interviewing
  • Management of comorbid medical and psychiatric conditions
  • Prevention and public health
  • SUD screening tools
  • Education

Elective Rotation

Fellows will have 12 weeks of elective rotations. Electives will offer fellows an opportunity to deepen their experience in one of the areas of required training, including the following:

Fellows may also create custom electives with the help of the program director focused on their unique interests. Some examples of possible electives include the following:

  • Clinical rotations in other types of community treatment programs
  • Obstetrics and gynecology caring for pregnant patients with addiction
  • Pediatric or adolescent treatment programs
  • Scholarly projects
  • Developing and delivering addiction medicine education to other clinicians or trainees
  • A rotation with the Tobacco Treatment Services for an elective rotation

Fellows learn to work in a team model with other professionals, including counselors, social workers, nurses, psychologists and physicians from a variety of specialties.

Fellows will have weekly didactics delivered by program faculty and faculty in the addiction psychiatry fellowship on a range of topics related to the fundamentals of addiction medicine.

Faculty

  • Sarah E. Wakeman, MD

    Medical Director, Mass General Substance Use Disorder Initiative
    Partners HealthCare Substance Use Disorder Initiative
    Associate Professor of Medicine, Harvard Medical School

  • Martha T. Kane, PhD

    Clinical Director, Center for Addiction Medicine
    Clinical Director, Mass General Substance Use Disorder Initiative
    Clinical Director, Mass General Ambulatory Psychiatry

  • Joseph Joyner, MD

  • Timothy E. Wilens, MD

    Chief, Department of Pediatric and Adolescent Psychiatry

  • Nancy Rigotti, MD

  • Laura G. Kehoe, MD

    Medical Director, Mass General Bridge Clinic

  • E. Nalan Ward, MD

    Medical Director Addiction Services, West End Clinic at Mass General     
Instructor in Psychiatry, Harvard Medical School

  • Jessie Gaeta, MD

    Chief Medical Officer, Boston Healthcare for the Homeless Program

  • David Munson, MD

    Medical Director, Barbara McInnis House, Boston Healthcare for the Homeless Program

  • Heidi Ginter, MD

    Chief Medical Officer, Health Care Resource Centers

  • Jessica L. Moreno, PharmD

    Clinical Pharmacist, Mass General

How to Apply

Eligibility

Eligible candidates will have completed an ACGME–accredited residency program prior to start date of the fellowship in Internal Medicine, Emergency Medicine, OB-GYN, Med-Peds, Family Medicine, Surgery or Anesthesiology.

Timeline

Since this is a new fellowship, applications for 2017 will be accepted on a rolling basis. The Fellowship Training Committee will review all applications and the training director may conduct a telephone interview before extending an invitation for an interview. Applicants must provide their own transportation and accommodations for interviews. Information regarding convenient hotels and rates may be available from the fellowship coordinator, Jasmine Webb.

Required Documents

The following documents will be necessary to process your application:

Sent electronically to the fellowship coordinator (jrwebb@partners.org):

  • Application (Click to download)
  • Current curriculum vitae
  • Personal statement describing your interests, achievements and career goals
  • Current headshot (a digital photo is preferred, but a passport-size photo by mail is acceptable if digital photo is not available)
  • Three letters of recommendations. Letters must come under separate cover (they cannot come from the candidate). Please ask your supervisors to send the letters directly by email

 Sent via fax and mail:

  • ECFMG Certificate (if applicable)
  • USMLE I, II, III scores
  • Full Massachusetts Medical License (USMLE III) (must be obtained prior to the start date of the fellowship)
  • DEA X license to prescribe suboxone (must be obtained prior to the start date of the fellowship)
  • Copy of Visa (if applicable)

NOTE: We strongly advise that applicants begin the application process for the full licensure in the state of Massachusetts by January 1 of their potential training year if they anticipate moving to the state. If there are documents from previous positions or schools where you have trained that you think may be difficult to obtain, we suggest that you begin the process of obtaining them as soon as possible.

Contact

Questions regarding procedures and other aspects of the Mass General Addiction Medicine fellowship may be directed to:

Jasmine R. Webb

Addiction Medicine Fellowship Coordinator

Massachusetts General Hospital

55 Fruit St, Founders 880

Boston, MA 02114

Phone: 617-724-5303
, Fax: 617-643-8280

jrwebb@partners.org

Sarah E. Wakeman, MD


Program Director, Addiction Medicine Fellowship

Medical Director, Substance Use Disorders Initiative

Massachusetts General Hospital

55 Fruit St, Founders 880

Boston, MA 02114

swakeman@partners.org

Download Application Email Us

Contact by Phone 617-724-5303

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