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The addiction fellow's time is spent equally at sites associated with UC Health and the Cincinnati Veterans Affairs Medical Center, ensuring adequate exposure to a wide array of demographic populations (adolescents, women, pregnancy, etc.). Very
importantly, we ensure that several of these clinics (co-existing disorders and outpatient rehabilitation, buprenorphine maintenance, methadone maintenance) last the majority of the year of training, to ensure a longitudinal exposure to the patient
and her or his addiction-related illness course.
Overall, rotations include training in:
The American College of Graduate Medical Education (ACGME) requires Addiction Psychiatry Fellowships to provide experience in “using the various psychotherapeutic modalities involved in the ongoing management of the chronic substance using patient,
including individual psychotherapies, couples therapy, family therapy, group therapy, motivational enhancement therapy, and relapse prevention therapy.” Moreover, the ACGME outlines supportive and psychodynamically-oriented approaches as being
valued in training as well.
The University of Cincinnati (UC) Addiction Psychiatry Fellowship trains only graduates of 4-year ACGME-accredited psychiatry residencies, wherein formalized psychotherapy training and experience is provided. The UC Addiction Psychiatry Fellowship extends
this to include addiction-specific training.
Such therapy is generally characterized as brief, focal (choosing a specific focus to work on in the therapy), and time-limited (typically no more than 8-12 sessions in duration). Fellows screen patients for such therapy, conduct therapy, and seek supervision
on the course of therapy from a designated psychotherapy supervisor. Supervision may involve recording therapy sessions for later use in supervision. Fellows complete readings as assigned by the psychotherapy supervisors. Fellows are required to perform
a certain number of therapies, as outlined in her/his Procedure Log via MedHub software.
Moreover, Cincinnati is home to one of the very top psychoanalytic training programs in the country, the Cincinnati Psychoanalytic Society and Institute. Please visit their website to learn more about optional training opportunities including one, two, and five year psychotherapy training experiences.
The Adolescent Substance Abuse Programs (ASAP) is dedicated to providing professional, ethical, and caring outpatient treatment for substance abuse in a family centered environment. Their
abstinence based programs are diverse, providing for both outpatient and also two options for Intensive Outpatient Services. Care is backed by interdisciplinary, team-based meetings to optimize outcomes. Family-specific sessions are available, as
are on-site 12-step, community-based recovery programs.
One of the primary training sites is the Cincinnati VA Medical Center, a Joint Commission certified 115 acute bed hospital providing five levels of care: primary, secondary,
tertiary, restorative, and extended care. It is a Dean's Committee affiliate for the College of Medicine and is a training site for 26 specialties, including Psychiatry, Internal Medicine, Neurology, Surgery, Ob/Gyn, PM&R, and many Medical/Surgical
Subspecialties. The CVAMC addiction care line features roughly 50 addiction-dedicated staff including 6 physicians (with board certification in Addiction Medicine, Addiction Psychiatry, Family Medicine, Internal Medicine, and Psychiatry).
Led by physicians of University of Cincinnati College of Medicine/UC Health Psychiatry and Behavioral Neuroscience, the addiction services program began in 2006.
Methadone assisted treatment is provided for patients with opioid use disorders, backed by a comprehensive multi-disciplinary approach to include physicians, nursing assistance, case management and psychosocial counseling. There are approximately
500 active patients receiving methadone as part of their treatment. Office-based buprenorphine services are also provided. There is special emphasis given to the pregnant patient on methadone. Intensive Outpatient Services are also available, as are
services for co-existing disorders. As well, patients may be eligible for ongoing local research studies.
Specializing in the management of high-risk pregnancy and complications of pregnancy, UC Health Maternal Fetal Medicine is an interdisciplinary team that provides complete care for women and their
babies during pregnancy and beyond. Maternal Fetal Medicine physicians see patients in various locations and hospitals throughout the Cincinnati region, including University of Cincinnati Medical Center, The Christ Hospital, Mercy Anderson and Mercy
Fairfield. They also work in conjunction with the Fetal Care Team at Cincinnati Children’s Hospital Medical Center in one of the largest fetal surgery programs in the nation. Physicians have board certification in OB/Gyn, Addiction
Medicine, and Addiction Psychiatry.
In summary, this fellowship provides a robust scope and depth of addiction specific services including:
Evidence-based addiction specific psychotherapies including:
Didactic Curriculum includes a large number of lectures within the areas of General Addiction Psychiatry/Medicine, Neurobiology and Psychopharmacology, Therapeutic Modalities, Special Populations-Special Needs, Administrative Issues and Research.
Additional supervisory processes
It is a requirement that Fellows participate in scholarly activities. The Fellow's weekly schedule is set well below the 80 hour maximum to ensure adequate time for activities such as Journal Club, Grand Rounds, and authoring medical articles on addiction
psychiatry topics or traditional research.
Fellows are expected to either create their own scholarly project or participate in formal research activities. Either approach affords strengthening the Fellow's knowledge in a specific subject, raising her/his confidence in publishing in the peer-reviewed
medical literature, and affords opportunities to deepen her/his teaching and public speaking experiences. Scholarly activity may include authoring and preparing for publication a medical article, or presenting at Grand Rounds. Co-authorship is further
encouraged, as this makes for an easier learning curve, enhances fellow-faculty collaboration and team-based learning, and better ensures the paper will be successful towards publication. Regarding formal research activities, this may include involvement
in faculty members' existing research grants/contracts, or pursuing their own research question/project under faculty supervision/ mentorship.
In our experience, due to the clinical demands of this one-year fellowship, the latter is only feasible if the Fellow intends to remain with the University of Cincinnati or Cincinnati VAMC after their Fellowship training.
Addiction Sciences Journal ClubThe Addiction Sciences Division provides an addiction-specific journal club every other month. An original research paper is presented by a fellow or other trainee, with discussion facilitated by a
selected faculty member. Here, Fellows are paired with a faculty discussant to enhance their learning on how to review scientific papers, interpret statistics and conclusions, and present and discuss relevant opinions with the audience in attendance.
This is open to all medical students, residents, fellows, and UC, VA, and CCHMC staff who wish to become more familiar with the advanced literature in substance use and addiction related disorders. CME's and CEU's as well as lunch are provided free
Cincinnati Psychoanalytic Institute (optional)This is a non-profit educational institution that offers post-graduate training to mental health professionals - one of few in the U.S. The curriculum is geared to mental health professionals
who want to become analysts and to professionals in the fields such as social work, counseling, psychology and pastoral care who want to expand their skills to help the people they serve. This is an optional add-on experience that only a well-qualified
fellow may pursue.
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