Addiction Psychiatry Fellowship Rotations
UT Southwestern Medical Center
The Psychiatry Clinic staff at the Paul M. Bass Administrative and Clinical Center at UT Southwestern includes addiction psychiatrists, an addiction psychologist, advanced practice nurses, and a licensed clinical social worker. We provide daily outpatient addiction services such as addiction pharmacotherapy, individual therapy, and group therapy including an Intensive Outpatient Program (IOP). Fellows see patients in the Addiction Clinic at the Bass Center under the supervision of an Attending Physician. Fellows have an opportunity to attend IOP groups. They play an active role in the teaching and training of third- and fourth-year medical students rotating through the clinic.
Texas Health Presbyterian Hospital Dallas (THD)
Texas Health Presbyterian Hospital Dallas (THD) is the 898-bed flagship hospital of the Texas Health Resource System. The Psychiatry Department provides medically supervised inpatient withdrawal treatment for substance-dependent patients and an intensive outpatient program. Fellows participate as a member of the treatment team, providing individualized clinical care and addressing the needs of the substance-dependent patient and eating-disordered patient, as well as those with co-morbid conditions.
You will have the flexibility necessary to meet your educational goals and interests, such as the opportunity to conduct group therapy, individual therapy, or manage the pharmacological needs of patients.
You will also be encouraged to participate in the training of third-year medical students rotating through the Department for their psychiatry clerkship. The THD Psychiatry Department staff strives to provide you with the clinical experience, supervision, and mentoring that fulfills your training objectives.
Parkland Health & Hospital System Psychiatry Consultation-Liaison Service
This is a required 4-month rotation at Parkland Hospital, the 892-bed, tertiary-care, county hospital adjacent to UT Southwestern Medical Center. You will be responsible for performing and documenting inpatient psychiatric consultations on patients presenting with, or found secondarily to have, substance abuse problems. You will also be responsible for providing ongoing psychotherapy and/or medication management to any of these patients for whom it is indicated.
As a full-time fellow, you will generally have a caseload of five to 10 patients at any one time. This includes three to five new inpatient consults and between 10 and 15 follow-up visits per week. Other members of the consult-liaison psychiatry team are: PG-2 and PG-4 psychiatry residents, a psychosomatic medicine resident, attending psychiatrists, attending psychologists, psychology trainees, medical students, and occasionally neurology residents and geriatric psychiatry residents.
Dallas Veterans Affairs Medical Center
Addiction fellowship residents rotating through the VA Medical Center participate in the diagnosis, treatment, treatment planning, and continuing care of veterans between the ages of 18 and 65 years. Inpatient, outpatient, and residential rehabilitation programs are all directly part of your experience. The VA Medical Center also provides you with experience in pain management under the direct supervision of qualified pain specialists. Treatment with opioid maintenance therapies, including methadone and buprenorphine, are part of the rotation experience.
You will respond to calls from consultation-liaison and emergency services during regular working hours in collaboration with an attending addiction psychiatrist. There is no after-hours on-call requirement. On the inpatient service, the range of experience includes detoxification (alcohol, illicit drugs, opioids, etc.) as well as assessment for continuing care and appropriate placement following discharge from acute care.
Supervision on the rotation is provided by UT Southwestern Medical School faculty trained and certified in addiction psychiatry and addiction medicine, with frequent contact on a daily basis between trainees and clinical teachers. In addition to the clinical work with patients, the VA Medical Center has a vigorous educational program, which includes weekly Grand Rounds, a monthly journal club, and supervised reading with selected faculty.