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Boston, Massachusetts

VA Boston Healthcare System

The purpose of the Interprofessional Addiction Fellowship at the VA Boston Healthcare System is to train future generations of VA leaders to:  1) conduct innovative addiction-related research, 2) provide evidence-based clinical care for Veterans with substance use disorders and co-morbid conditions, and 3) provide leadership of programs or services that will benefit Veterans with addictions. 

Program Description

The Interprofessional Addiction Fellowship at VA Boston provides training experiences in research, management, and evidence-based clinical service delivery. Trainees spend 75% of time in research, management, and educational activities and up to 25% in direct service. Fellows can develop competencies in the conduct of scholarly research, provision of clinical services, and leadership of programs that impact services for Veterans with addictions. Fellows acquire knowledge and skills through implementation of an Individualized Learning Plan jointly developed by the fellows and mentors.

Research and Clinical Opportunities in Addiction

The Fellowship at VA Boston offers advanced training in multiple areas including:  1) research in treatment outcomes, basic biological sciences, psychopharmacology, and service delivery; 2) clinical mentorship across a range of sites including Substance Use and Trauma Recovery programs as well as specialized programs for women Veterans; and 3) supervised management experiences at different levels of the organization. The fellow joins an academically rich and vibrant training environment for health professionals in programs affiliated with Boston University School of Medicine and Harvard Medical School. The VA Boston is also home to the National Center for PTSD, which is devoted to research in all aspects of traumatic stress including the interconnection with addictions.

Focal Areas

  • Development and evaluation of novel treatments for Substance Use Disorders and PTSD, including web and mobile applications
  • Changes in federal policy, best practices, and treatment outcomes for Opioid Use Disorder
  • Strategies for improving access to medications for addictions
  • Longitudinal analysis of co-occurring Substance Use Disorder and PTSD
  • Racial disparities in access to and retention in treatment for Substance Use Disorders
  • Impact of minority stress and trauma exposure on PTSD, substance use, and other mental health outcomes among LGBTQ Veterans

Application Process

  • Applicants should submit a letter of interest and CV, and three letters of reference. The letter of interest should describe the applicant’s interest in the program, experience relevant to application, and career goals.
  • Materials should be submitted electronically to bostonaddictionfellowship@va.gov
  • For further information about the Boston site, application process and deadlines, please contact Deborah Brief, Ph.D. (deborah.brief@va.gov, 857-364-4689)

Physician Fellows:

  • U.S. citizen or possess a current visa suitable for participation in this paid educational activity
  • Completion of and ACGME accredited residency program
  • Full and unrestricted license to practice in the US or any of its territories
  • Board certified or eligible
  • If a graduate of a foreign medical school, ECFMG certification that is valid indefinitely

Psychology Fellows:

  • U.S. citizen
  • Completion of and APA-accredited doctorate in clinical or counseling psychology (or meeting APA criteria for re-specialization training)
  • Completion of an APA-accredited psychology internship
Director

Deborah Brief, PhD

Dr. Deborah Brief is a licensed clinical psychologist and Director of Residential and Rehabilitation Services at the VA Boston Healthcare System where she oversees residential, outpatient addiction, trauma, and vocational services. Dr. Brief is also Co-Director of the Interprofessional Addiction Fellowship at VA Boston, an Assistant Professor of Psychiatry at Boston University Chobanian & Avedisian School of Medicine, and on the faculty of the Boston Psychology Internship and Postdoctoral Fellowship Training Programs. She completed her doctoral degree at the University of Illinois-Chicago and an NIAAA fellowship at the University of Washington before joining the staff at the VA in Boston. Her research interests are in the development of innovative psychosocial interventions for substance use disorders and posttraumatic stress. Her current research is focused on the development and evaluation of web and mobile based interventions for Veterans with problem drinking and PTSD symptoms.

Director

MICHAEL DAWES, MD

Michael Dawes, M.D. is a Clinical Professor in Psychiatry at Boston University School of Medicine (BUSM), Program Director for the BMC Addiction Psychiatry Fellowship, and is staff addiction psychiatrist at the VA Boston Healthcare System (VA BHS).  Prior to transitioning to VA BHS full time, he served for 3 years as Vice-Chair for Addiction Psychiatry at Boston Medical Center/BUSM (Department of Psychiatry).   Dr. Dawes earned his medical degree from the University of North Carolina at Chapel Hill. He is board certified in Adult Psychiatry, Addiction Psychiatry, and Addiction Medicine, and has training and experience in Child and Adolescent Psychiatry. Dr. Dawes was PI on a Mentored Clinical Scientist Development Award from the National Institute on Drug Abuse and has been a PI and Site-PI on numerous clinical, center, and prospective studies funded by the National Institutes of Health. He has experience designing and implementing quality improvement and systems redesign projects in the Veterans Healthcare Administration and served as a site-PI for a multi-site study. He is currently Co-PD on a Health Resources and Services Administration (HRSA) Addiction Medicine Fellowship grant and has trained BMC Addiction Psychiatry Fellows on how to provide coordinated care for persons with Substance Use Disorders and other Co-occurring Mental Health Disorders (SUD/COD) in a Federally-Qualified Health Center. Dr. Dawes has mentored and supervised faculty as well as many residents, fellows, and other trainees, most of whom have clinical and clinical research interests in improving access to care and decreasing stigma for populations with SUD/COD.  He is passionate about training fellows to do clinical research, including implementation science.

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