Explore This Fellowship

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 Center, Charlestown HealthCare Center and Internal Medicine Associates.
  • 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.

Core Clinical Sites

  • Massachusetts General Hospital
  • Mass General Community Health Centers
  • Boston Healthcare for the Homeless Program

Clinical Experience Area

Outpatient Addiction Treatment Within a Community Health Center
Inpatient Consultation Service at Mass General
  • Rotation on the Mass General inpatient addiction consultation service. The multidisciplinary Addiction Consult Team (ACT) offers expert consultation and support for patients with moderate to severe substance use disorders (SUDs) across Mass General’s inpatient units
Opioid Treatment Program (methadone)
  • Part time rotation in an outpatient methadone maintenance treatment program
Boston Health Care for the Homeless Program
  • Longitudinal 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
Mass General Bridge Clinic
  • Rotation on the Mass General Bridge Clinic, a transitional outpatient addiction clinic for discharged inpatients and patients leaving the emergency department who are not yet connected to outpatient care. The Bridge Clinic provides patients with continued necessary treatment for their SUDs until appropriate community connections can be made

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. This Addiction Medicine Fellowship is an Accreditation Council for Graduate Medical Education (ACGME) approved fellowship. 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
  • Alcohol and drug pharmacology
  • Comprehensive treatment of the full spectrum of substance use disorders
  • Pharmacotherapy for substance use disorders
  • Psychosocial interventions
  • Harm reduction
  • Motivational interviewing
  • Care for vulnerable populations
  • Novel and integrated care models for substance use disorder treatment
  • Medical 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.

Our Team

FACULTY

Sarah E. Wakeman, MD

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

Jessica R. Gray, MD

CORE TEACHING FACULTY

Michael F. Bierer, MD

Jessie Gaeta, MD

  • Chief Medical Officer, Boston Healthcare for the Homeless Program

Joseph Joyner, MD

Martha T. Kane, PhD

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

Laura G. Kehoe, MD

  • Medical Director, Mass General Bridge Clinic

Jacquelyn E Moss, MD

David Munson, MD

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

Nancy Rigotti, MD

Chris Shaw, NP

  • Nurse Director

Current Fellows

Dinah Applewhite

Dinah Applewhite is a graduating primary care resident. Her interest in substance use disorders began while attending The Johns Hopkins University School of Medicine in Baltimore, MD. She was an active member of Baltimore Harm Reduction Coalition, worked on Baltimore’s mobile syringe exchange program and conducted research on topics including alcohol withdrawal and naloxone distribution. During residency, she has been involved in advocacy efforts to bring supervised consumption spaces to Massachusetts, and has researched the use of psychoactive medications among individuals attending a syringe exchange program. She hopes to provide primary care and addiction treatment to high risk individuals and continue her work in harm reduction advocacy and research.

Rachel Simon

Rachel Simon was born in New York, NY. She was an undergraduate at Brown University and attended Harvard Medical School. Throughout her academic training, she has focused on the effect of incarceration on patient health, particularly substance use disorders. As a resident at Mass General, she was a recipient of the Jackson White Coat grant, which funded her qualitative research examining the reasons hospitalized patients with SUDs are at risk of leaving against medical advice. She is passionate about providing evidence-based, compassionate care for patients with SUDs in both the community and correctional setting.

John Weems

John Weems was born in Katy, TX and, after graduating from Loyola Marymount University, worked as a case manager for people struggling with homelessness and addiction. He attended Harvard Medical School, where he worked to improve medical student education in substance use and substance use disorders. He completed residency in internal medicine-primary care at Mass General and Charlestown Community Health Center. He is interested in improving the care of patients with addiction by training health care workers and incorporating wisdom from the harm reduction movement into routine medical care.

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, Med-Peds or Family Medicine.

Timeline

Thank you so much for your interest. Applications for the 2020 academic year are now closed. The Fellowship Training Committee will review all applications and the training director may conduct a telephone interview before extending an invitation for an interview. Interviews will occur throughout the fall of 2019. Applicants must provide their own transportation and accommodations for interviews. Information regarding convenient hotels and rates may be available from the fellowship coordinator, Samantha Sawyer

Required Documents

The following documents will be necessary to process your application:

Sent electronically to the fellowship coordinator (smsawyer@mgh.harvard.edu):

  • Application (PDF)
  • 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
  • ECFMG Certificate (if applicable)
  • 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.