Addiction Medicine Fellowship
Schedule Overview
The Virginia Tech-Carilion Addiction Medicine Fellowship will prepare physicians for clinical and academic careers in Addiction Medicine with a particular focus on developing and enhancing evidence-based addiction prevention and treatment services for all patients, including those vulnerable to health disparities because of limited proximity to care, poverty, race, culture, age, gender, disability, or stigma.
Through a combination of inpatient and outpatient care spanning diverse settings, fellows will receive training in the knowledge and skills to become expert clinicians and leaders in the field of Addiction Medicine.
The Addiction Medicine Fellowship curriculum is composed of thirteen four-week blocks.
- Eight of the 52 weeks will be spent at the Salem Veteran's Administration Medical Center (SVAMC) to learn to work with the stages of recovery and the medical problems that occur at different stages.
- Eight of the 52 weeks will be spent at the Roanoke Treatment Center to learn methadone management and the logistics of an Opioid Treatment Program (OTP) setting.
- Four of the 52 weeks will be spent as an elective or research block.
- The Fellow will have weekly continuity clinics and protected didactic time.
| Ambulatory Rotations | Faculty & Staff | Sites | Duration |
|---|---|---|---|
| Addiction treatment in office-based addiction treatment programs (OBATs) and medication-assisted treatment programs (MATs) | Dr. Akbar, Dr. Varma, Dr. Rukstalis, Dr. Wells |
| 16 Weeks |
| Alcohol Use Disorder Focus Clinic | Therapists | ||
| Women's SUD Group Therapy | Care Coordinators | ||
| Emerald Program: Coordinated treatment and care for pregnant and parenting women with substance use disorders and their families | Peer Support, Dr. Simcox, Dr. Ollendorff | ||
| Pain Management Outpatient Clinic | Dr. Lu, Dr. Vance | ||
| Adolescent Addiction Focus Clinic | Dr. Liebesny | ||
| Anderson Treatment | Dr. Joshi | ||
| Virginia Harm Reduction Coalition | Dr. Sweet, Danny Clawson |
| Inpatient Rotations | Faculty & Staff | Sites | Duration |
|---|---|---|---|
| Consult Liaison Service | Dr. Rivelli, Dr. Ickes. Dr. Preud'Homme |
| 16 weeks |
| 5 W Pathways | Care Coordinators | ||
| CPEP | Peer Support | ||
| Pain Management | Pain Management Team | ||
| The Grove on Patterson Residential Treatment (Recovery home for pregnant and parenting women with substance use disorders) | Dr. Simcox, Dr. Bamford | ||
| The Twelve Residential Treatment | Dr. Joshi |
| Additional Rotations | Faculty & Staff | Sites | Duration |
|---|---|---|---|
| Opioid Treatment Program (OTP) Methadone Management Brightview | Dr. Vallesteros Dr. Bingham | Virginia Treatment Center | 8 weeks |
| Substance Use Disorders Domiciliary Treatment Program, Buprenorphine Continuity Clinic, Mental Health Clinic, and Infectious Disease Consult Service | Dr. Paul Mcguire, Dr. Anjali Varma, Dr. Sachin Vasudeva, Dr. Shika Vasudeva | Salem Veterans Affairs Medical Center | 8 weeks + weekly continuity clinic |
| Scholarly Project and Research* | Dr. Anita Kablinger | Carilion Tanglewood | Weekly + 6 session introduction to research series, Grand Rounds |
| Elective** | TBD | TBD | 4 weeks |
*Research, including quality improvement, is incorporated into all site/clinic rotations
**Fellows will have four (4) weeks of elective rotations. Electives will offer fellows an opportunity to deepen their experience in one of the areas of required training. With the help of the Program Director, fellows may create custom electives focused on their unique interests. some examples of possible electives include the following:
- Clinical rotations in other types of community treatment programs
- Harm reduction and community outreach
- Obstetrics and gynecology caring for pregnant patients with addictions
- Residential treatment programs
- Scholarly projects/research
- Developing and delivering addiction medicine education to other clinicians and trainees
General Block Schedule Overview
Block Schedule AY 2025-2026
| Fellow 1 | Fellow 2 | ||
|---|---|---|---|
| Block | Dates | Service | Service |
| 1 | 7/1-7/27 | VAMC | AMB |
| 2 | 7/28-8/24 | IP | VAMC |
| 3 | 8/25-9/21 | IP | AMB |
| 4 | 9/22-10/19 | AMB | IP |
| 5 | 10/20-11/16 | AMB | IP |
| 6 | 11/17-12/14 | OTP | EL |
| 7 | 12/15-1/11 | EL | OTP |
| 8 | 1/12-2/8 | AMB | IP |
| 9 | 2/9-3/8 | AMB | IP |
| 10 | 3/9-4/5 | IP | AMB |
| 11 | 4/6-5/3 | IP | AMB |
| 12 | 5/4-5/31 | VAMC | OTP |
| 13 | 6/1-6/30 | OTP | VAMC |
AMB: Ambulatory
IP: Inpatient
SVAMC: Salem VA Medical Center
OTP: Virginia Treatment Center
EL/R: Elective/Research
Clinical Sites
- Carilion Roanoke Memorial Hospital
- Salem Veterans Affairs Medical Center
- Roanoke Comprehensive Treatment Center
- Carilion Institute of Orthopaedics and Neurosciences (ION)
- Carilion Behavioral Health and Rehab
- Carilion Child Adolescent and Ambulatory Psychiatry
- Carilion Obstetrics Highland Office
- Brightview Opioid Treatment Program
- The Grove on Patterson
- Anderson Treatment
- Virginia Harm Reduction Coalition Mobile Unit and Wound Care Clinic
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