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

Addiction Medicine Fellows 2020-2021

Dr. Sarah Axelrath Dr. Sarah Axelrath received her medical degree from the University of Colorado in 2017, after which she completed her residency training in Internal Medicine through the Primary Care track at Massachusetts General Hospital in 2020. She is passionate about providing high quality, full-spectrum primary care for patients with substance use disorders, focusing specifically on patients experiencing homelessness and incarceration.

Dr. Julianne “Jules” ElofsonDr. Julianne “Jules” Elofson grew up in Lincoln, RI and went to Brown University for undergrad before moving to Boston for her medical training. She attended medical school at Tufts University School of Medicine and then completed Internal Medicine Residency in the Primary Care Track at Mass General. She has always been interested in caring for vulnerable patient populations and entered residency intending to practice primary care in an underserved community setting. Over her residency, she developed an additional interest in Addiction Medicine while working as a resident PCP at Charlestown HealthCare Center and doing rotations with the Mass General inpatient Addiction Consult Team.

She is thrilled to have been accepted to the Mass General Addiction Medicine fellowship. In 2020-2021, she will also be participating in the Yale REACH program to gain additional training in providing culturally-informed addiction treatment to patients from underrepresented minority populations. In the future, Jules envisions herself working in a mostly clinical role practicing primary care and Addiction Medicine, possibly in a community health center or criminal justice setting.

Dr. Bridget FoleyDr. Bridget Foley grew up on Cape Cod, MA. She was an undergraduate at the University of New Hampshire and attended University of New England College of Osteopathic Medicine. Her interest in addiction medicine began while working with pregnant patients with SUDs during an internship in Obstetrics and Gynecology. During her family medicine residency, her research focused on examining the delivery of preventative care to patients with SUDs and improving rates of screening for SUDs in her continuity clinic. She was an advocate for a formalized addiction medicine curriculum within her residency program. She is passionate about providing primary care, prenatal care and addiction treatment and hopes to continue to expand her knowledge and serve as an advocate for her patients.

Past 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.

Jiunling Janet Ho

Jiunling Janet Ho is completing an addiction medicine fellowship part-time while practicing as a palliative care physician and internist at Mass General. She left sunny California to complete residency training in primary care and a chief resident year at Yale University, after which she completed a fellowship in general internal medicine and a public health degree at Harvard University. Her goals for pursuing (yet more) training with this fellowship are to improve the care of patients at the intersection of addiction, pain and co-morbid serious illness, advocate for better cancer survivorship care relating to substance use and dependence and to strengthen provider knowledge and skills in treating patients with addiction within palliative care and oncology. She will be practicing palliative and addiction medicine at the University of California, San Francisco.

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. We are now accepting applications on a rolling basis for the 2021-2022 academic year. 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 2020. 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.

We are now accepting applications through ERAS.

Health Resources & Services Administration (HRSA) funded fellowship slots: The Mass General Addiction Medicine Fellowship now has two HRSA-funded fellowship slots for 2020-2021. The goal of this program is to train addiction medicine fellows to address racism and to build a diverse workforce to provide effective, community-based addiction treatment. Priority will be given to applicants who are under-represented in medicine (URiM). Through this program, funding for addiction medicine board materials and exam fees will be provided as well as focused career planning and support to pursue career opportunities in under-served communities. Please email fellowship coordinator Samantha Sawyer to indicate your interest in an HRSA-funded slot. Please still apply through ERAS.

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.