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About the Residency or Fellowship
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Overview

Welcome to the Carilion Clinic Addiction Medicine Fellowship. Our program is a one-year, university-based fellowship accredited by the ACGME. The majority of fellows' training will take place at Carilion Roanoke Memorial Hospital, a large, tertiary/quaternary hospital system affiliated with Virginia Tech Carilion School of Medicine. Fellows applying to the program can expect to receive comprehensive training in assessment, diagnosis and treatment of patients with substance-related health problems and substance abuse disorders along a continuum of care that includes inpatient, residential, outpatient treatments, early intervention, harm reduction and prevention education. Additionally, training will focus on screening, brief intervention and motivation interviewing. Fellows will participate in the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) as well as the Office-Based Opioid Treatment (OBOT) program, and will see patients at Carilion's Perinatal Opioid Clinic and Alcohol Treatment Clinic. 

Fellows are an integral part of patient care and a complex interdisciplinary team approach. As such, they will provide care to substance use disorder patients with diversity in age, gender, socioeconomic status, limited language proficiency or literacy and comorbid medical and psychiatric conditions. They will provide care collaboratively with a team that includes but is not limited to counselors, psychologists, patient families, addiction medicine faculty and experts from other specialties: specifically, Obstetrics and Gynecology, Pediatrics and hospital Internal Medicine. 

Our goal is to graduate trainees who uphold Carilion's mission by providing expert clinical care to patients, and who will become leaders in the specialized field of Addiction Medicine.

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How to Apply
Admission Requirements
  • Excellent oral and written communication skills
  • Required successful completion of USMLE/COMLEX Step 1, 2 and 3
  • Must have completed an Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Preventative Medicine or Psychiatry residency and must be board eligible or have board certification
  • Three letters of recommendation (one must be from the applicant's residency program director)
  • An updated copy of the applicant's curriculum vitae
  • Prior research is desirable, but not a requirement
  • J1 visas are sponsored

The Addiction Medicine Fellowship is a one-year multidisciplinary fellowship offered at Carilion Clinic-Virginia Tech Carilion School of Medicine. 

Applicants may apply via ERAS. Interviews will be conducted virtually.

Contact

Terryee Trout, B.A.
Psychiatry Fellowship Manager
2017 S. Jefferson St.
Roanoke, VA 24014
Phone: 540-266-6971
Fax: 540-985-9679
tltrout@carilionclinic.org

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Curriculum
Curriculum

Fellows will spend one hour each week in critical reading and discussion of evidence-based research in addiction medicine. This is meant to serve as a foundation for the fellow's own research efforts. The program director and other faculty will attend these sessions. At the bedside, fellows will teach medical students, nursing students and residents from multiple specialties. Alongside the addiction medicine faculty, fellows will teach fellows and attendings from other specialties. Fellows will be assigned one departmental Grand Round presentation. 

Each fellow will engage in at least one activity of scholarly inquiry using established research methods. This activity will involve patients, addiction-treatment systems or addiction education and as such, will be submitted to the Institutional Review Board (IRB). The formulation and progress of the scientific inquiry will be directly supervised by a faculty member. The fellow and the faculty member will give quarterly reports to the Clinical Competency Committee. Fellows also have access to a six-session Introduction to Research series sponsored by the Office of Continuing Professional Development.

Elective Tables
Subject Instructor Length of Session Frequency
Core of Addiction Medicine: Biology, Genetics, Epidemiology and culture, Neurobiology, Pharmacology, Prevention Dr. William Rea, Dr. David Hartman, Dr. Jennifer Wells, Dr. Kimberly Simcox, Dr. Justin White, Dr. Charlie Swanson, Dr. Sachinder Vasudeva, Dr. Anjali Varma 1 hour Weekly
Psychotherapy of Addiction Medicine: SBIRT, Motivational interview, START-NOW, Behavioral intervention Dr. William Rea, Dr. David Hartman, Dr. Jennifer Wells, Dr. Cherie Hartman 1 hour Weekly
Practice of Addiction Medicine: Assessment and treatment, Prevention, Primary vs consultant, Acute vs chronic, Pain, Psych comorbidity, Medical comorbidity, Levels of care, Models of care and economics, Ethics and legal, Cultural factors Dr. William Rea, Dr. William Wasserman, Dr. Kimberly Simcox, Dr. Charlie Swanson 1 hour Weekly
Addiction Scholarly Activity: Clinical reading, application of research to practice, Addiction research, Addiction education research Dr. William Rea, Dr. Sachinder Vasudeva, Dr. Anjali Varma, Dr. David Hartman, Dr. Justin White 1 hour Weekly
Journal/Case Discussion Club Dr. William Rea, Facilitator and All Addiction Faculty 1 hour Bimonthly
Scholarly Project Dr. William Rea, Mentor 1 hour Bimonthly
Schedule and Tracks
Tracks

The Addiction Medicine Fellowship curriculum is composed of two longitudinal blocks. One is 46 weeks in length and one is six weeks in duration. 

For 46 weeks, the fellow will follow a consistent weekly schedule participating in the activities in Block Table 1. 

For six weeks out of the year, the fellow will follow a weekly schedule participating in the activities in Block Table 2. 

Research, especially quality improvement, is incorporated into all site/clinic rotations, but for illustrative purposes is listed as one half day each week. 

Schedule Blocks
Schedule Tables
Block Table 1: 46-week longitudinal experience
Site: Carilion Clinic Carilion Clinic Carilion Clinic Carilion Clinic Carilion Clinic Carilion Clinic Salem VAMC
Rotation: Inpatient Detox Addiction Consultation Neonatal Abstinence Office-Based Opioid Treatment Program (OBOT) Perinatal Opioid Clinic Research Alcohol Treatment Clinic
% Outpatient: 0 0 5% 100% 100% 0 100%
% Research: 0 0 0 0 0 100% 0
Block Table 1: supplemental weekly schedule
Monday Tuesday Wednesday Thursday Friday
A.M.: Inpatient Detox Research Addiction Consultation Neonatal Abstinence Inpatient Detox
P.M.: Addiction Consultation Didactics Alcohol Treatment Clinic Perinatal Opioid Clinic OBOT
Residency Life
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Residency Life Intro

Roanoke is considered the economic and cultural center of southwest Virginia. Though Carilion Clinic serves approximately a 20-county region and nearly one million patients, the city itself is considered a small city, with a population of approximately 100,000. Located between the Appalachian Mountains to the west and the Blue Ridge Mountains to the east, Roanoke is a uniquely scenic part of Virginia with mountain views all around and ample opportunities for cultural and recreational activities. Downtown Roanoke is within walking distance of Carilion Roanoke Memorial Hospital and has a diverse array of restaurants, unique shops, museums, theaters, concert venues and farmers' markets. Roanoke has a relaxed and friendly atmosphere with affordable housing and easy travel around town. Its many outdoor opportunities include a paved greenway that interconnects the city and is perfect for walking, jogging and biking. For the more adventurous, there is world-class hiking nearby with quick access to the Blue Ridge Parkway and the Appalachian Trail.  

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Graduates
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Research
Research Year Collection