CORE CURRICULUM
Trainees at the UW Addiction Medicine Fellowship receive outstanding training in a diverse array of clinical environments. The core locations include Harborview Medical Center, the VA Puget Sound Health Care System, and Public Health – Seattle & King County. Fellows rotate through the Harborview Addiction Consult Service, the VA Addiction Treatment Center and at the Public Health – Seattle & King County Downtown Public Health Buprenorphine Pathways program, a low-barrier clinic serving individuals with opioid use disorder. Fellows also provide care in a variety of community-based settings, including an opioid treatment program (Evergreen Treatment Services.) All fellows participate in a year-long weekly didactic experience, which also includes fellows from neighboring fellowship programs (UW Addiction Psychiatry, Swedish Medical Center Addiction Medicine, and VA CESATE Interprofessional Fellowship in Substance Addiction Treatment.)
OTHER ROTATIONS
Fellows will work with program leadership to tailor their schedule to meet their individualized learning goals. Examples include, but are not limited to:
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Outpatient pain clinic
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Harborview Mental Health and Addiction Services (Addiction Psychiatry)
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Addiction Recovery Service at Swedish Medical Center
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Embedded addiction medicine care in specialty clinics (cardiology, liver, HIV etc.)
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Addiction medicine research elective
Didactic Learning
The didactic program includes formal lectures and case discussions with the VA Addiction Psychiatry Fellowship, the Swedish Addiction Medicine Fellowship, and the VA Center for Substance Abuse Treatment & Education (CESATE) Interprofessional Fellowship in Substance Addiction Treatment. Interactions with individuals from other specialties and professions greatly enhance the educational value of these seminars.
The didactic program includes an interactive three-day Motivational interviewing intensive, and weekly practice sessions led by a MINT-certified clinician.
Scholarly Activity
Fellows are required to develop and execute a scholarly project in collaboration with an Addiction Medicine faculty mentor.
Projects may include research in substance use disorder education, quality improvement projects, or original research. Projects will include a comprehensive review of the relevant literature, development of methods in collaboration with faculty mentors, discussion of the project during Works In Progress sessions with fellows and faculty, and presentation of results in the form of abstracts submitted to regional or national meetings, oral presentations of results, and manuscripts for publication.
Addiction Medicine faculty participate in multiple ongoing addiction treatment services and research projects that may be the basis for fellow projects. Faculty also collaborate widely with UW and Public Health researchers, allowing fellows a broad range of topics and settings for their potential projects.
journal club
The program sponsors a recurring Journal Club experience for trainees and faculty. Fellows will present a paper from the primary literature that addresses a clinical question arising directly from the care of a patient seen in clinic or the hospital.
Fellows frame the journal club presentation with a PICO (population, intervention, control, outcome) question pertinent to their patient's clinical presentation.
Faculty mentors have extensive experience in critical appraisal of the literature and provide guidance for fellows during preparation for journal club as well as during the presentation.