Primary Care Addiction Medicine Fellowship

Mission Statement

Our objective is to train full spectrum Addiction Specialists who provide addiction services across all age groups and in all settings.

Objectives

The fellow will learn how to act as a consultant in Addiction Medicine in their primary care home as well as managing a primary care practice with a focus on health leadership and advocacy. The graduate will be able to lead the transformation and integration of addiction medicine in the primary care setting – also serving as a consultant for more nuanced substance use disorders.

We are recruiting for 2 fellows. The fellows will work with Addiction specialists in multiple settings, including the inpatient and ambulatory sites of Ventura County Medical Center and with the Behavioral Health Department of Ventura County. Alcohol Drug Treatment Specialists (ADTS) will be utilized as part of a team-based treatment approach.

Our accreditation application is currently being reviewed by the ACGME and we expect a positive answer by the end of October 2018. In the meantime, we are proceeding with taking applications for the fellowship for 2019-2020 and anticipate accreditation by that point. The graduate will be able to procure the hours necessary and able to sit for the ABPM Addiction Medicine board examination.

How To Apply

Submit the following:

  • CV
  • 1-2 page personal statement stating your goals as well as career plans
  • At least 2 Letters of Recommendation that address your suitability for a career as an Addiction Medicine specialist

The letters of recommendation should be sent directly via e-mail or by mail to our program coordinator.

Submit all documents to:
 
Yvette Cortez, Primary Care Addiction Medicine Fellowship Program Coordinator
Medical Education Office – Ventura County Medical Center
300 Hillmont Ave
Bldg 340, ste 120
Ventura, CA 93003
Tel: 805-652-6228
Fax: 805-652-6606
This email address is being protected from spambots. You need JavaScript enabled to view it.

We look forward to your application!

Tipu V. Khan, MD, FAAFP
Fellowship Director

Background

There are over 20 Million people struggling with addiction in the United States – yet there are only 4,400 addiction specialists available to care for these patients1. Abuse of illicit drugs, alcohol, and tobacco cost our country more than $740 billion annually2. The County of Ventura experiences 14 deaths per 100,000 people due to addiction disorders and overdoses. 5.7 per 100 people in our county struggle with Opiate Use Disorder (OUD) – that’s 5.7% of our population! To combat this public health epidemic, we need more addiction trained primary care physicians in Ventura County. CHCF estimates that adding at least 108 buprenorphine providers will double our current number and fill the treatment gap.
1 https://www.asam.org/resources/public-resources/what-is-an-addiction-specialist#6e71a99c-f793-414e-8b25-5ef736e7fdc9
2 https://www.drugabuse.gov/related-topics/trends-statistics

Experience

Trainees will gain expertise in:

  • Assessment and management of patients with various substance use disorders.
  • Assessment and management of co-occurring psychiatric co-morbidities.
  • Understanding the different levels of care, as defined by ASAM: including Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), Hospital Care, Residential Treatment Centers (RTC), Social Model Detoxification Centers, Sober Livings, etc.
  • Gain comfort in managing acute withdrawal and intoxication states.
  • Management of chronic pain, especially in the setting of addiction.
  • Management, including the treatment of, HIV/AIDS and Hepatitis C.
  • The various counselling strategies from cognitive behavioral therapy to peer and groups to 12 steps.
  • Management of addiction during pregnancy including medication assisted treatment.
  • Management of Neonatal Abstinence Syndrome in the NICU and outpatient methadone tapers.
  • Harm reduction strategies such as naloxone distribution, clean needle exchange, etc.
  • Teaching the fundamentals of addiction to primary care residents at the Ventura County Family Medicine Residency Program and other clinics and health care facilities in our county.
  • Managing sobriety through medication assisted treatment.
  • Research: There will be allocated time for a research project during the fellowship. Fellow will present their research project to the VCMC community via Grand Rounds prior to completion of fellowship.
  • Leadership: Participate in hospital, clinical, insurance, and other local committees such as the MERIT (Medication Error Reduction Team), CORE Committee (Chronic Opiate Review and Evaluation), Gold Coast HCP Opioid Committee.
  • Experience locations include:
    • Emergency Department and Inpatient Training including the inpatient consultation service: Ventura County Medical Center
    • Outpatient training: Addiction Clinic for the Homeless, Academic Family Medicine Center Primary Care Clinic, and our satellite primary care clinics.
    • Behavioral Health Training: Rotating with Ventura County Behavior Health Alcohol and Drug Program, Psychiatry, Psychology, and AA/NA.
    • Residential Treatment Centers/Detox Centers: Multiple community stakeholders and organizations including Prototypes Women’s Center, Changing Tides, and others.
    • Methadone: Rotations with Aegis Treatment Centers.
    • Pain Management: Rotations with Pain Specialist at VCMC – inpatient consultations and outpatient.
    • Obstetrics: VCMC and Prototypes.
    • Neonatal: VCMC NICU and outpatient clinics.
  • Academics: Precepting and Teaching at the Academic Family Medicine Center Family Medicine Residency Clinic.

Benefits

  • $75,000 per year, to be paid monthly as employee of Ventura Faculty Associates
  • Malpractice insurance (covered under VCHCA)
  • 15 business days (3 weeks) of paid vacation
  • 5 business days (1 week) of paid CME
  • 9 paid county holidays
  • CME budget: $1000
  • Health insurance: VCHCP Bronze Plan
  • Worker’s compensation insurance

Eligibility Requirements

  • Successful completion of an ACGME accredited residency training program with board certification or anticipated board certification prior to the start of fellowship.
  • Family or Internal Medicine preferred. Other specialties will be considered.
  • Have an unrestricted California Medical License and DEA.
  • It is preferred that the applicant obtain their DEA X-waiver prior to the fellowship program but training will be provided during fellowship if needed.
  • Must be eligible to be a Medi-Cal (Medicaid) and Medicare provider.

Sample Schedule - Inpatient Block

  Monday Tuesday Wednesday Thursday Friday
AM

Inpatient/ED Consults

 

Longitudinal Learning

Inpatient/ED Consults

 

Longitudinal Learning

Inpatient/ED Consults

 

Longitudinal Learning

Inpatient/ED Consults

 

Longitudinal Learning

Inpatient/ED Consults

 

Longitudinal Learning

PM

Continuity Clinic

VCBH/ADP

Longitudinal Learning

Addiction Medicine Clinic

 

Prototypes

Changing Tides

Precept AFMC

Sample Schedule - Outpatient Block

  Monday Tuesday Wednesday Thursday Friday
AM

Precpt AFMC

VCBH/ADP

Rotating Satellite
Addiction Medicine Clinic

Aegis Treatment Center

Pain Management

PM

Addiction Medicine Clinic

HCH Addiction Medicine Clinic

Longitudinal Learning

Continuity Clinic

Precept AFMC