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Addiction Psychiatry Fellowship

One-year Addiction Psychiatry Fellowships affiliated with Harvard Medical School at Massachusetts General Hospital offer exposure to a wide range of clinical opportunities.

Overview

Substance use disorder is a major public health problem. Recent research estimates the lifetime prevalence of DSM-5 drug use disorder at 10%(1) and the lifetime prevalence of DSM-5 alcohol use disorder diagnoses at 29%(2). The cost of substance use to the public is approximately $246 billion per year. Additionally, at least 20% of patients treated in general medical facilities and 30% in general psychiatric units have a co-occurring substance use disorders.

Important advances have been made in the addiction field. Neuroscience has advanced our understanding of addiction as a brain disease. New pharmacological and psychosocial treatments have been developed in the last decade, and the evidence base for their effectiveness is growing.

We look forward to providing an outstanding learning environment for the professional growth and development of our fellows in the Partners HealthCare Addiction Psychiatry Fellowship. The fellowship provides clinical rotations at multiple Harvard Medical School teaching hospitals including:

Fellows engage in a small tutorial style didactic program with Harvard Medical School (HMS) faculty, as well as faculty members elsewhere in the city of Boston. Fellows are expected to gain competence and excellence in the practice of addiction psychiatry in public, private and academic settings. Fellows learn evidence based treatments and enjoy increasing opportunities to participate in the development of the field’s knowledge base through research and writing. We place a special emphasis on a fellow’s active participation in their own education and welcome their input not only in formal committees, but also informally.

The primary goal of the one year, full-time Partner’s HealthCare Addiction Psychiatry Fellowship is to train outstanding psychiatrists who will become experts in the field of psychiatry. Graduates of the fellowship may pursue careers in the clinical care of individuals with substance use disorders and their families, addiction research, education or a combination of these activities.

The fellowship is a one-year full-time clinical fellowship, but for fellows who have established a research mentorship within Harvard Medical School, we have been able to offer the fellowship half-time for two years to be complemented by a half-time research position.

Fellows receive benefits through Partners Health Care. More information on policies for vacation time, sick leave, holidays, educational leave, family and medical leave act, bereavement time, moonlighting, health and other benefits can be found on the benefits website.

 

(1) Grant BF, Saha TD, Ruan WJ, Goldstein RB, Chou SP, Jung J, Zhang H, Smith SM Pickering RP, Huang B, Hasin DS. Epidemiology of DSM-5 drug use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions -III. JAMA Psychiatry. 2016;73:39-47.
(2) Grant BF, Goldstein RB, Saha TD, Chou SP, Jung J, Zhang H, Pickering RP, Ruan WJ, Smith SM, Huang B, Hasin DS. Epidemiology of DSM-5 Alcohol Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions- III. JAMA Psychiatry. 2015 AUG; 72(8): 757-66

Curriculum

Program

This one-year full time fellowship in addiction psychiatry is for graduates of accredited psychiatry residencies during the PGY–5 year. The fellowship is designed to meet the objectives of the Accreditation Council for Graduate Medical Education (ACGME). In 1999, the program received full accreditation from the ACGME Residency Review Committee and was re-accredited in 2004 and 2010. Psychiatrists completing the fellowship are eligible to take the ABPN exam for Added Qualifications in Addiction Psychiatry.

We also offer a two-year, half-time option for fellows who are interested. Some fellows have used the other half-time to pursue research interests.

Training Sites

Clinical training is based at four sites:

Training Experience

Core training includes an overview of the field of addiction psychiatry with an emphasis on identification, assessment, diagnosis and successful treatment. Training is provided in individual, group and family therapy using a variety of techniques, including:

  • Motivational interviewing
  • Education
  • Cognitive behavioral therapy
  • Relapse prevention
  • Psychopharmacology
  • Dynamic psychotherapy
  • Twelve-step facilitation

Training is provided across the spectrum of levels of clinical care including:

  • Inpatient
  • Residential
  • Partial hospital
  • Intensive outpatient
  • Outpatient
  • Hospital consultation
  • Methadone maintenance outpatient clinics

Fellows are exposed to a range of twelve-step and other mutual-help programs and learn about integrating these treatment modalities into the overall program for individual patients. Fellows receive exposure to a diverse urban and suburban population from diverse socioeconomic and cultural backgrounds and see patients with a range of substance use disorders, as well as co-occurring psychiatric and medical disorders. Specialized populations (e.g., law enforcement officers and other first responders, physicians and other health care personnel) are also seen. Fellows learn to work in a team model with other professionals including counselors, social workers, nurses, psychologists and physicians from a variety of specialties.

Didactic seminars occur on Wednesday afternoons on core topics in addiction psychiatry with Harvard faculty and other experts from around the Boston area. The fellows meet as a group weekly with the program director and associate program director to review complicated cases, discuss topics not covered in the Wednesday seminars, read and discuss pivotal studies in the field and give academic presentations on topics of interest. 

Clinical Experience

Core Clinical Sites:

The Massachusetts General Hospital Addiction Services

McLean Hospital

Brigham and Women’s Hospital

North Charles Mental Health and Training Foundation, Inc

 


Clinical Rotations

 

6 months
6 months
Inpatient/Day Treatment Rotation
Alcohol and Drug Abuse Treatment Program
McLean Hospital
50%
Addiction Consultation & Evaluation Service Rotation
Brigham & Women’s Hospital
40%
Outpatient Rotation
Alcohol and Drug Abuse Outpatient Treatment Program, McLean Hospital
OR
West End Clinic, Mass General
40%
Outpatient Opioid Treatment Program Rotation
(Methadone and Suboxone Treatment)
The North Charles Foundation Inc.
10%
Outpatient Cognitive Behavioral Therapy Rotation
West End Clinic, Mass General
10%
Outpatient Rotation
Alcohol and Drug Abuse Outpatient Treatment Program (McLean Hospital)
OR
West End Clinic, Mass General
40%
  Outpatient Cognitive Behavioral Therapy Rotation
West End Clinic, Mass General
10%

Faculty

Roger D. Weiss, MD
Director, Partners HealthCare Addiction Psychiatry Fellowship
Chief, Division of Alcohol and Drug Abuse, McLean Hospital
Professor of Psychiatry, Harvard Medical School

Olivera Bogunovic, MD
Associate Program Director, Partners Healthcare Addiction Psychiatry Fellowship
Medical Director of Ambulatory Services, Alcohol and Drug Abuse Treatment Program, McLean Hospital

Craig Boyajian, MD
Psychiatrist-in-Charge, Inpatient Program
Alcohol and Drug Abuse Treatment Program, McLean Hospital
Instructor, Harvard Medical School

Hilary Smith Connery, MD, PhD
Clinical Director, Alcohol and Drug Abuse Treatment Program, McLean Hospital
Division of Alcohol and Drug Abuse
Assistant Professor of Psychiatry, Harvard Medical School

A. Eden Evins, MD, MPH
Director, Center for Addiction Medicine, Massachusetts General Hospital
William Cox Family Associate Professor of Psychiatry in the Field of Addiction Medicine, Harvard Medical School

Martha T. Kane, PhD
Clinical Director, Center for Addiction Medicine
Clinical Director, Substance Use Disorders Strategic Initiative
Clinical Director, Ambulatory Psychiatry
Massachusetts General Hospital

Janice F. Kauffman, RN, MPH, CAS, LADC 1
Vice President, Addiction Treatment Services, North Charles Foundation, Inc.
Director, Addiction Consultation, Cambridge Health Alliance
Assistant Professor of Psychiatry, Harvard Medical School

Joji Suzuki, MD
Medical Director, Addiction Psychiatry Service, Department of Psychiatry, Brigham and Women's Hospital
Assistant Professor of Psychiatry, Harvard Medical School

E. Nalan Ward, MD
Medical Director Addiction Services, West End Clinic at Massachusetts General Hospital
Instructor in Psychiatry, Harvard Medical School

Shelly Greenfield, MD, MPH
Professor of Psychiatry, Harvard Medical School
Kristine M Trustey Endowed Professor of Psychiatry, McLean Hospital
Chief Academic Officer, Chief of the Division of Women’s Mental Health, McLean Hospital
Director of Clinical and Health Services Research and Education in the Division of Alcohol and Drug Abuse, McLean Hospital

Mark Albanese, MD
Medical Director Addiction Treatment Services, North Charles Foundation, Inc.

How to Apply

Eligibility

Eligible candidates will have completed an ACGME–accredited psychiatry residency program prior to start date of the fellowship.

Timeline

  • July 1st: Applications for the Addiction Psychiatry Fellowship are accepted starting July 1st. It is advantageous to apply as soon as possible after July 1st.
  • October: We try to make final decisions in October.

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 provide their own transportation and accommodations. Information regarding convenient hotels and rates may be available from the fellowship coordinator.

Required Documents

The following documents will be necessary to process your application:

Sent electronically:

  • Universal Application for Residency National Recruitment Matching Program. Although we don’t go through the match, we use the Universal Application for Residency
  • 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)
  • Signed statement that the applicant has received the GME policies. Please review the Partners GME Policies (these policies are reviewed annually and these are subject to change for any successive academic year) before signing the statement.

Sent via fax & 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 process of applications 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 this process to obtain those documents as soon as possible.

Letters of recommendation:

Four letters of recommendation are required. One letter must be from the residency program director documenting successful completion and graduation from the program.

Letters must come under a separate cover (they cannot come from the candidate). Please ask your supervisors to send the letters by email to Roger D. Weiss, MD with a copy to Scott Provost with the hard copy to follow.

Submitting Your Application

Applications for the fellowship should be submitted electronically to Dr. Roger Weiss with a copy to Scott Provost. While email is preferred, if necessary, hard copies of letters of recommendation can be sent via mail to:

Roger D. Weiss, MD
Director, Partners HealthCare Addiction Psychiatry Fellowship
Chief, Division of Alcohol and Drug Abuse
McLean Hospital, Proctor House III
115 Mill Street
Belmont, MA 02478

 

Contact

Questions regarding procedures and other aspects of the fellowship may be directed to the following:

Scott E. Provost, MM, MSW
Fellowship Coordinator Division of Alcohol and Drug Abuse
McLean Hospital, Mail Stop #103
115 Mill Street
Belmont, MA 02478
Phone: 617-855-3552
Fax: 617-855-3755
Email: sprovost@mclean.harvard.edu

Olivera Bogunovic, MD
Associate Program Director, Partners HealthCare Addiction Psychiatry Fellowship
Division of Alcohol and Drug Abuse
McLean Hospital
115 Mill Street
Belmont, MA 02478
Phone: 617-855-2403
Email: obogunovic@partners.org

Roger D. Weiss, MD
Director, Partners HealthCare Addiction Psychiatry Fellowship
Chief, Division of Alcohol and Drug Abuse
McLean Hospital
115 Mill Street
Belmont, MA 02478
Phone: 617-855-2242
FAX: 617-855-2699
Email: rweiss@mclean.harvard.edu

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