Addiction Psychiatry Fellowship Program

How To Apply

  1. Please contact us so we are aware of your interest. Notify the training coordinator and leave your contact information.
     

    Stacey Leventis
   
    Training Coordinator  
    Phone: (801) 585-7251
      
    Email: stacey.leventis@hsc.utah.edu


  2. Fill out an application. Fax or mail it to us at:
     

    Addiction Psychiatry Training Program
     
    University of Utah
      
    501 Chipeta Way, Rm. 1887      
      
    Salt Lake City, UT  84108
     
    Fax: (801) 581-5604
    
    You can expect a confirmation within a few days.
  3. Review the resident selection policy, and begin the process of submitting the requested materials.

Once we have received your application materials, we will make the decision about scheduling an interview and will contact you.

ACGME also asks that US programs notify applicants of the length of the program. Addiction psychiatry programs require 12 months of training. The University of Utah School of Medicine does not discriminate on the basis of sex, race, age, religion, color, national origin, sexual orientation, disability or veteran's status.

University Neuropsychiatric Institute (UNI) Training Site
  • Inpatient addiction psychiatry rotation
  • Outpatient addiction psychiatry rotation
  • Adolescent consultation service rotation
University of Utah Medical Center (UUMC) Training Site
  • Consultation-liaison rotation
  • Infectious disease outpatient clinic rotation
  • Assessment & referral services outpatient rotation
UNI & Division of Professional Licensing, Utah Department of Commerce Training Sites
  • Administrative-medical leave licensing board rotation
George E. Wahlen Salt Lake City Veterans Affairs Medical Center (VAMC) Training Site
  • Inpatient addiction psychiatry rotation
  • Outpatient addiction psychiatry rotation
  • Consultation-liaison rotation
Valley Mental Health Adolescent Residential Treatment & Education Center (ARTEC) Training Site
  • Consultation-liaison rotation
Odyssey House, Inc. Training Site
  • Residential adolescent addiction psychiatry rotation

Overview at a Glance

Month 1

Month 2

Month 3

 Month 4

Vacation 1 week)

Month 5

Month 6

Mon a.m.

UNI inpatient addiction psychiatry

UNI inpatient addiction psychiatry

Mon p.m.

UNI inpatient and day treatment adolescent consults (noon to 5 p.m.) and Recovery Works intensive outpatient program (6 to 8:30 p.m.)

UNI inpatient and day treatment adolescent consults (noon to 5 p.m.) and Recovery Works intensive outpatient program (6 to 8:30 p.m.)

Tues a.m.

UNI inpatient addiction psychiatry

UNI inpatient addiction psychiatry

Tues p.m.

UUMC infectious disease clinic (2 months)

UUMC consult-liaison service (2 months)

Elective (2 months)

Wed a.m.

UNI inpatient addiction psychiatry (Medical Board once per month)

UNI inpatient addiction psychiatry (Medical Board once per month)

Wed p.m.

Didactics weekly and Journal Club 1-2 times per month

Didactics weekly and Journal Club 1-2 times per month

Thur a.m.

UNI inpatient addiction psychiatry

UNI inpatient addiction psychiatry

Thur p.m.

UNI outpatient longitudinal recovery clinic

UNI outpatient longitudinal recovery clinic

Fri a.m.

UNI inpatient addiction psychiatry and supervision

UNI inpatient addiction psychiatry and supervision

Fri p.m.

Scholarly activities

Scholarly activities

Sat a.m.

Inpatient rounds 1 to 2 weekends per month under the supervision of an attending

Inpatient rounds 1 to 2 weekends per month under the supervision of an attending

Rotations & Objectives

Scheduled Seminars and Conferences

Medically Supervised Withdrawal (Detoxification) & Management Of Overdose
*Required
Instructors: E. Howell, MD, DPham, MD; R. Bartel, MD
Time: Two hours per week for three weeks (6 hours total)
Description: Etiology of withdrawal plus basic and advanced techniques for management of withdrawal and overdose, with an emphasis on practical strategies and case-based learning; some lectures may be combined with the general psychiatry residency didactics.

Alcohol & Drugs of Addiction
*Required
Instructors: E. Howell, MD, DPham, MD; M. Crookston, MD; and other invited faculty
Time: Two hours per week for six weeks (12 hours total)
Description: The main classes of drugs of abuse, including alcohol, along with basic neurobiology of drug addiction. With faculty guidance, fellows select and present classic articles or articles from the current addiction literature to the faculty-fellow group for discussion. Some presentations may be combined with general psychiatry residency didactics

Genetics, Neurobiology & Neuroimaging of Addiction
*Required
For: doctoral level graduate students
Instructors: G. Hanson, DDS, P. Renshaw, M.D., Ph.D., D. Yurgelun-Todd, Ph.D., and other invited faculty
Time: One hour sessions for a total of six sessions (6 hours total)
Description: Advanced concepts in genetics, neurobiology and neuroimaging of addictions, using a combination of didactic presentation, assigned current evidence-based journal articles and in-depth discussion and critique of the journal articles and their relevance to the state of the art in addiction

Screening, Assessment, Brief Intervention & Treatment Placement
*Required
For: general psychiatry residents may attend some sessions
Instructors: E. Howell, MD; K. Lundberg, PhD; and other invited faculty
Time: Two hours for three sessions during the fellowship, including observation of at least one standardized evaluation at the Assessment and Referral Services of the University of Utah (6 hours total)
Description: Standardized screening tests, standardized evaluations and standardized patient placement criteria and use of these tests, evaluations and criteria

Psychotherapies & Mutual Help Groups in Addiction
*Required
For: General psychiatry residents may attend some sessions
Instructors: S. Ross, PhD; K. Lundberg, PhD; A. Rich, MD; S. Sheppard, PhD; E. Howell, MD; and other invited faculty
Time:  Two hour sessions, twice per month for six months of the fellowship (24 hours total)
Description: Didactic lectures on and discussion about the principles of cognitive-behavioral therapy (CBT), motivational enhancement therapy (MET), twelve-step facilitation (TSF), 12sStep recovery, dialectical-behavioral therapy (DBT), couples therapy, psychodynamic therapy, group therapy, family dynamics and family therapy, interventions and motivation for change, community reinforcement with vouchers and other addiction-related therapies and supports; fellows will be required to attend at least two open 12-step meetings and present their impressions in a subsequent seminar. The essential therapeutic issues related to addiction will be discussed. Fellows will have the opportunity to practice a variety of skills within the didactic time and/or observe and co-lead groups.

Medical Aspects of Addiction, Including Consultation-Liaison & Pain
*Required
For: General psychiatry residents may attend some sessions
Instructors: P. Gibbs, MD; G. West, MD; R. Andres, MD; M. Crookston, MD; E. Caten, MD; A. Rich, MD; J. Hunziker, MD; P. Thielking, MD; S. Ross, PhD; and other invited faculty
Time: One hour sessions, twice per month for 12 months (24 hours total)
Description: The interface of addiction with infectious diseases, medical illness, obstetric-gynecological care and complications, pain, neuropsychological evaluation and a variety of topics in consult-liaison addiction psychiatry

Clinical Addiction Psychiatry Seminar
*Required
For: some lectures, general psychiatry residents, medical students
Instructors: S. Wiet, MD; E. Howell, MD; P. Ziegler, MD; C. Walton, MD; D. Pham, MD; J. Watabe, MD; T. Gray, MD; and other invited faculty
Time: One hour sessions for a total of 12 sessions (12 hours total)
Description: Principles of effective treatment, ethics, epidemiology, forensic/legal aspects, prescription drug abuse and addiction, special populations and cultural aspects of addiction, developmental issues, fetal effects of alcohol/drugs, children and adolescents, women, professionals, gay-lesbian-bisexual-transgendered-questioning (GLBTQ) issues, ethnic/racial issues
 
Pharmacotherapies for Addiction
*Required
For: General psychiatry residents, nurse practitioner students; two of the sessions may be in conjunction with the PG-3/4 psychopharmacology lecture series
Instructors: E. Howell, MD; D. Pham, MD; C. Stock, PharmD; C. Walton, MD; P. Renshaw, MD; PhD; and other invited faculty
Time: Two hour sessions for a total of four sessions during the fellowship (8 hours total)
Description: FDA approved pharmacotherapies for addiction, emerging and experimental pharmacotherapies, nutraceuticals in addiction, and pharmacotherapy research.  Didactics, case presentation, and discussion formats.

Co-occurring Psychiatric Disorders & Addiction
*Required
For: General psychiatry residents may attend some sessions.
Instructors: R. Bartel, MD; E. Howell, MD; D. Pham, MD
Time: One hour sessions for a total of six sessions during the fellowship (6 hours total)
Description: Using didactic presentation, literature review and discussion, faculty will teach the fellows about the treatment of psychotic disorders, mood disorders, anxiety disorders, personality disorders and other psychiatric disorders as they relate to addiction.
 
Administrative Aspects of Addiction Psychiatry
*Required
Instructors: E. Howell, MD; R. Charlat, MD; C. Walton, MD; and other invited faculty
Time: One hour sessions for a total of five sessions (5 hours total)
Description: Administrative aspects of addiction psychiatry, including publicly funded programs, substance abuse prevention and treatment (SAPT) block grant funding, public sector treatment issues, hospital or other treatment program administrative issues, contracting and negotiating, opening a private practice, leading a multidisciplinary team

Research Topics in Addiction Psychiatry
*Required
For: General psychiatry residents (PGY-3 and PGY-4) for the initial five sessions only
Instructors: R. Bartel, MD; H. Coon, PhD; D. Yurgelun-Todd, PhD; and other invited faculty
Time: One and  half hours per session for five sessions, then one hour weekly for six weeks (13.5 hours total)
Description: Four sessions on evidence based medicine and critical reading of the literature; one session on critical papers in addiction; then in-depth exploration of the addiction psychiatry literature in subsequent sessions

Grand Rounds in Psychiatry, University of Utah School of Medicine
*Required
For: Faculty, staff, general psychiatry residents.
Instructors: A variety of invited faculty and guest speakers
Time: One hour per month for nine months
Description: A broad range of topics in general psychiatry, addiction psychiatry, child psychiatry and psychology

University of Utah School on Alcoholism & Other Drug Dependencies, Physicians Section
*Required
For: The physicians’ section attendees are primarily medical students and physicians; some social workers, addiction therapists and psychologists may also attend
Instructors: E. Howell, MD; J. Speed, MBBS; P. Ziegler, MD; T. Parran, MD; D. Mee-Lee, MD; and others
Time: Week-long session, once per year, for a total of 29 hours of Category CME
Description: The Utah School is a weeklong CME course held each June. Fellows will attend, participate in the school and teach or co-teach some sessions with the faculty for the physicians’ section.

Case Conference
*Required
Instructors: M. Crookston, MD and others
Time: One hour twice a month
Description: Fellows present a case to the faculty member, who discusses differential diagnosis and treatment approaches. In addition, fellows will present at least one case to a larger group of clinicians during the fellowship.

Journal Club
*Required
Instructors: E.F. Howell, MD; Duy Pham, MD; M. Crookston, MD; and other faculty
Time: One hour every two weeks
Description: Articles are supplied ahead of time by faculty to fellows, who review them and discuss them with faculty. Articles are critically appraised for appropriate design, methodology and results.  Papers focus on basic and clinical research in addiction psychiatry, research design, statistics, systems-based practice, practice-based learning and improvement.

Visiting Professorship in Addiction Psychiatry
*Required
For: physicians, psychologists, PhD researchers, graduate students, psychiatry residents, medical students, others
Instructors: Invited addiction expert faculty from outside the University of Utah coordinated by P. Renshaw, MD, PhD, and D. Yurgelun-Todd, PhD, in cooperation with the Utah Brain Institute
Time: One to two days, once a year
Description: Once a year, an expert in addiction research and/or treatment is invited to give a special presentation or Grand Rounds on his or her area of research or treatment focus.  In addition, the invited expert meets for a seminar and case or research discussion with the fellows and key fellowship faculty.

Professional Conferences
Elective
For: conference attendees
Instructors: A variety of visiting or conference faculty
Time: Varies
Description: Several addiction-specific or related conferences are available locally, including the yearly Research in Psychiatry meeting held in February, University of Utah conferences and Brain Institute special conferences.  Fellows will be encouraged to attend at least one regional or national meeting during their fellowship.

Research in Progress Meeting
Elective
For: physicians, psychologists, PhD researchers, graduate students, psychiatry residents, others
Instructors: Various physician and non-physician faculty who are actively performing research
Time: One hour per month, year-round
Description: In this meeting, faculty with active research projects present updates on their work.  Attendees have the opportunity to learn and give feedback about active research questions and methodologies. Senior researchers provide role modeling and mentorship for junior researchers and those interested in pursuing future research.

Addiction Psychiatry Rotations

General hours are from approximately 7:30–8:00 am to approximately 5:00–6:00 pm, Monday through Friday. The fellows are on duty from Monday through Friday for approximately eight to 10 hours per day. Saturday or Sunday rounds will be required one to two times per month while on some rotations. There will be a once-per-week evening clinical experience (6:00 to 8:30 pm) while at UNI, so that one day per week at UNI will be a 12-hour day.

On-Call Schedule

There is no in-house call during the fellowship. Fellows will have some pager call responsibilities. While working at the VAMC, they will do pager call one week out of every eight to 10 weeks. This pager call is Monday through Friday from 5:00 to 10:00 pm for a total of 25 hours every eight to 10 weeks and 75 possible total hours of duty during the week of call.

While at UNI, fellows will rotate pager call under the supervision of the addiction psychiatry attendings, covering one out of every three to four weekends. During a weekend of pager call and rounds, the fellows will make inpatient rounds one day of the weekend and triage telephone calls for current inpatients from 5:00–11:00 pm on Friday and 8:00 am until 11:00 pm on Saturday and Sunday, for a potential total of 80 hours per week during that week. During weekends of pager call at UNI, the addiction psychiatry attendings will assume pager call on Sunday if and when the fellow’s 80-hour limit has been reached.

Each hospital will have its own "on-call" system to cover the patients seen during the day. If there are any difficulties with getting appropriate supervision, fellows should notify the program director as soon as possible.

The addiction psychiatry fellowship program complies with the University of Utah GME houseofficer work hours policy. The usual addiction psychiatry work week is 40 to 50 hours. The 80-hour per week work limit outlined by University policy should not be reached in any weeks except possibly during weeks or weekends of pager call. Fellows should never reach the 80-hour per week work limit when work hours are averaged over a four-week period.

Fellows will document their work hours (including any moonlighting hours) in the Advanced Informatics, Inc. E*value system on a daily basis, and the program director and program coordinator will track work hours through the E*value system.

Moonlighting

Any fellows who moonlight must:  1) follow the department of psychiatry and GME office moonlighting policy, and 2) not exceed the 80-hour per week limit.

If there are any duty hour violations, the program coordinator will flag the violation for the program director, who will discuss the violation with the fellow and develop a plan for avoiding duty violations in the future.

Stipend and Benefits

PGY Level Stipend 2014–2015
5 $ 60,608
6 $ 62,794

Vacation: Three weeks (15 working days)

Benefits

  • Choice of health insurance plans; premium costs are shared between the UniversityHospital and the houseofficer for health coverage for the houseofficer and family
  • Group dental insurance for houseofficer and family at a nominal charge per month
  • Group term life insurance up to the salary amount but not to exceed $25,000 at no charge; additional life insurance up to a maximum of $350,000 may be purchased by the houseofficer.
  • Disability insurance with own-occupation clause in the amount of approximately $2,741 per month with built-in cost-of-living rider; basic policy paid by hospital. Additional options may be purchased by the houseofficer.
  • Malpractice insurance is provided by the hospital for professional activities that are an approved part of the training program.
  • Meals will be provided to an on-call houseofficer required to spend the night in any affiliated hospital as part of his/her training program.
  • Housestaff are responsible for purchasing their own lab coats, which may be purchased from the University of Utah Linen Services.
  • Other benefits, such as reduced tuition, bookstore discount and others as offered to all university employees.

Stacey Leventis
Program Coordinator
Phone: (801) 585-7251
Email: stacey.leventis@hsc.utah.edu