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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-threshold clinic serving individuals experiencing opioid use disorder. Fellows also provide care to vulnerable populations in a variety of community-based settings including an opioid treatment program and housing-based clinical sites. All fellows participate in a year-long weekly didactic experience, which also includes fellows from the UW Addiction Psychiatry and Swedish Medical Center Addiction Medicine fellowships.


  • Integrated Primary Care in Opioid Treatment Program
  • Pain and Addiction
  • Addiction Medicine Research
  • Care Transitions
  • Mental Health and Addictions
  • Addiction Recovery Service, Swedish Medical Center

Didactic Learning

The didactic program includes formal lectures and case discussions with 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 other specialties and professions greatly enhances the educational value of these seminars, as different perspectives on addiction are explored in a group dedicated to the care of individuals with addiction disorders.

Among the specific clinical rotations that would include other learners are the inpatient consultation services, which may include internal medicine residents, family medicine residents, emergency medicine residents, and medical students. The addiction medicine fellow will gain teaching and leadership skills while working with these trainees.

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 on a topic in Addiction Medicine. 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 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.