Addiction Medicine Fellowship Program

Overview

Substance abuse disorders are highly prevalent in the Bronx.

  • The New York State Office of Alcoholism and Substance Abuse Services (OASAS) estimates that over 82,000 adults in the Bronx have alcohol abuse or dependence, 21,000 are non-narcotic drug users, and 40,000 use heroin. 
  • There are more drug-related hospitalizations in the Bronx than any other borough in New York City, and the rate of hospital inpatient discharges of Bronx residents with primary diagnoses of alcoholism or substance abuse is almost twice the city-wide rate and highest of the five NYC boroughs. 

On a national level, substance abuse accounts for a high proportion of inpatient hospital stays and outpatient visits. National estimates suggest that 25-40% of hospital admissions are related to substance abuse and its sequelae, and that 10-20% of outpatients seen in general medical practice are suffering from problems related to addiction.

The Addiction Medicine Fellowship Program is a 1-year training program that began in 2019. It provides clinical research training strategically designed to prepare physicians for independent careers in academic leadership and quality patient care in substance use disorder treatment. 

The increasing prevalence of opioid dependence has led to a broader and deeper focus on alternative methods of treating opioid dependence, including the opioid agonist therapies methadone and buprenorphine. With increasing knowledge about buprenorphine gained through local clinical research, General Internal Medicine researchers have expanded buprenorphine treatment capacity in several primary settings, and regularly train resident physicians to prescribe this medication.

 
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