Addiction Medicine Fellowship Program

Clinical Rotations

DoSA's physicians are board certified in Internal Medicine or Family Medicine, have faculty appointments at Albert Einstein College of Medicine, and are on staff at Montefiore Medical Center.
DoSA's physicians are board certified in Internal Medicine or Family Medicine, have faculty appointments at Albert Einstein College of Medicine, and are on staff at Montefiore Medical Center.  
Our three Bronx wellness centers provide a one-stop shopping model which includes medication-assisted treatment, medical services, psychiatric treatment, intensive outpatient treatment, and peer support services. 
Our three Bronx wellness centers provide a one-stop shopping model which includes medication-assisted treatment, medical services, psychiatric treatment, intensive outpatient treatment, and peer support services.

 

 

ADDICTION MEDICINE FELLOWSHIP CURRICULUM

 Fellows will complete clinical rotations in a range of clinical settings across Montefiore Health System, a large urban health system with a 50-year history of academic leadership and quality patient care in SUD treatment. Fellows will identify and treat tobacco use; conduct screening and brief intervention for hazardous alcohol use, and provide pharmacotherapy for alcohol use disorder; initiate, adjust and maintain buprenorphine and methadone treatment of OUD; conduct screening, risk reduction counseling, and treatment of HIV and hepatitis C; and provide overdose prevention training and naloxone. Experiential training will be supervised by nationally-recognized faculty with expertise in SUD treatment. 

 

The clinical sites include:  

 Montefiore Buprenorphine Treatment Network ambulatory primary care internal medicine teaching practices. The Buprenorphine Treatment Network was launched in a Bronx, NY federally-qualified health center in 2005, and since, has provided buprenorphine treatment to over 1,200 people with OUD.  

 Montefiore Division of Substance Abuse (DoSA) opioid treatment programs. DoSA has provided OUD treatment since the 1960s, and is the largest SUD treatment system in the Bronx and the second largest in New York State. DoSA integrates comprehensive medical, SUD, and mental health services under one roof.  

 

 New York Harm Reduction Educators (NYHRE). NYHRE is the largest harm reduction agency in NYC, serving over 5,000 clients annually. In addition to syringe exchange, overdose prevention, and other supportive services, NYHRE and Montefiore have collaborated to develop an onsite clinic at the NYHRE drop-in center, where patients can access OUD treatment, HIV prevention counseling and medication, and other medical care.  

 

 New Directions Recovery Center (NDRC). NDRC is an intensive outpatient behavioral SUD treatment program which provides individual and group SUD counseling, and mental health services. The fellow will be trained in motivational interviewing and assessment skills, will observe and help facilitate both group and individual counseling.  

 

Treatment of Addiction in Adolescents and Young Adults, Project Rising (DoSA). An outpatient treatment program for adolescents and young adults ages 14-24 year old.  

 

Inpatient consultation and referral service. Montefiore established the first addiction consult service in a US hospital in 1994. The service provides consultations to the general medical, surgical and neurology inpatient services. 

 

Comprehensive Addiction Treatment Center (CATC), Jacobi Medical Center. Jacobi Medical Center (JMC) is a municipal hospital operated by NYC Health and Hospitals. Jacobi offers an ED Addiction team, which sees patients in the JMC Emergency Department (ED) and conducts clinical assessments, triages for inpatient treatment needs, and follows patients into the inpatient treatment setting; and a detox unit which treats patients for withdrawal from opioids, sedatives, and alcohol. 

 

The Bronx Transitions Clinic. The Bronx Transitions Clinic is a collaboration between Montefiore and The Osborne Association, which provides services and programs for recently incarcerated people and their families.  The goal of Transitions Clinic is to provide people who have been recently released from correctional facilities access to timely and respectful health care, including medical, psychosocial and substance use disorder treatment.  

 

 Interdisciplinary treatment of pain. The fellow will participate in clinical experiences in different outpatient clinical settings focused on comprehensive, interdisciplinary treatment of pain. In the Power over Pain (POP) clinic, patients’ chronic pain is treated with a variety of guideline-concordant approaches. The fellow will also work in the Medical Cannabis clinic to learn about assessment of chronic pain, the role of cannabis in the treatment of chronic pain, the process of certification of patients to participate in the NY State Department of Health Medical Marijuana Program. 

 

Elective Rotations

Electives are guided by fellows' interests, and may include: 

Addiction and Public Health, New York City Department of Public Health and Mental Hygiene (NYC DOHMH). Fellows will complete a month-long rotation at the NYC DOHMH, where they will receive mentorship in substance use-related public health practice, leadership and systems-improvement work. 

NYC Health + Hospitals Correctional Health Services. Fellows will participate in standardized intake assessment of substance use disorder, initiation or continuation of medication for addiction treatment, and coordination of community-based treatment of substance use disorder post-release. 

Practice improvement in the prevention and treatment of substance use disorder, Einstein/Montefiore Division of General Internal Medicine. Mentored practice improvement experience with established investigators, presentation of research work in progress for feedback in weekly Substance Use Research Affinity Group and General Internal Medicine Fellow meetings. 

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