Fellows will have a required 3-month part-time addiction medicine rotation. A portion of this rotation will consist of daily rounding on the Integrated Recovery unit in the Behavioral Health Pavilion at Community Hospital North. The Integrated Recovery inpatient unit is a dual diagnosis treatment environment which focuses on complex drug and alcohol detoxification while also treating co-occurring physical and mental illness diagnoses. Patients include adults seeking voluntary treatment, as well as those leveraged into treatment through legal status (i.e., probation, drug treatment court, impaired professional programs, etc.).
Treatment modalities used include medical detoxification and stabilization of patients with substance use disorders, daily treatment team staffing, case management services to assist with sober housing placement, and 12-step education and facilitation. Other aspects included in the addiction medicine rotation involve seeing inpatient consults on medicine floors, inpatient substance use disorders, inpatient psychiatry, crisis evaluation and intervention, inpatient and outpatient MAT (Medication Assisted Treatment) services, intensive outpatient treatment, and outpatient counseling. Fellows will be able to prescribe buprenorphine and naltrexone/vivitrol as well as other FDA and off-label substance use disorder treatments and may supervise residents.
Educational methods will involve supervised evaluation and clinical management of patients with substance abuse/dependence problems and will include dual diagnosis. Cases will be staffed with supervising faculty. Fellows will learn and utilize various addiction treatment modalities including detoxification, management of overdose, maintenance pharmacotherapy, group/individual therapies, self-help groups, and therapeutic techniques that address the psychological and social consequences of addiction.