Rotation Schedules for 1 Year Addiction Medicine Fellowship:
6 Months 3 days/week Be Well Texas Outpatient
12 Months ½ day/week Be Well Texas Continuity
6 Months 3 days/week Villa Serena Residential
3 Months 1 day/week UH/VA Consultation Liaison
3 Months ½ day/week UH/VA Pain Clinic
6 Weeks ½ day/week UH Obstetrics
6 Weeks ½ day/week VA Intensive Outpatient Program
6 Weeks ½ day week Bexar County JDC Child and Adolescent
6 Weeks ½ day/week CHCS Methadone Clinic
12 Months ½ day/week Elective/Scholarly Activity Elective
Didactics:
- didactics is held every Tuesday afternoon from 1:00pm – 5:00pm
- fellows are invited to participate in faculty development day which is held twice a year and in education day which is hosted by the general program
Be Well Clinic – Adult and Adolescent Addiction
· This rotation is located in the Pinnacle building, which is close to campus.
· The clinic offers standard outpatient substance use treatment, which includes medical management, psychotherapy, and case management. It serves patients from various socio-economic backgrounds across Texas, both in person and via telemedicine.
· BWT treats both adults and a rapidly growing number of adolescent patients in the Youth Clinic (ages 11 to young adult). The Youth Clinic is led by Dr. Chaudhary, a trained physician specializing in adolescent addiction medicine who supervises this clinic.
South Texas VA – Villa Serena Residential Rehabilitation Program
· This is a 66-bed facility which is primarily a Substance Use Disorder program – residential treatment is variable length, usually 4 to 6 weeks. This program also offers a homeless/unemployment track, and we are scheduled to offer a PTSD track along with primary focus on SUD. Fellows will spend 20+ hours per week, for a six-month rotation, at this facility. Experiences will include new-patient evaluations; admission, follow-up, and discharge from the residential program; and outpatient visits with patients taking buprenorphine.
· Fellows will usually see one new evaluation, one admission, and approximately 3 follow-up patients during an 8-hour shift. Fellows are responsible for thoroughly assessing patients and formulating diagnostic and management plans with the on-site supervisor.
· Fellows have regular, on-site supervision. Nearly all patients are seen with the on-site faculty. D. General psychiatry residents (PGY-2) also rotate through this facility.
· Fellows have opportunity to provide supervision to general psychiatry residents. Fellows also have the opportunity to participate in telemedicine appointments.
· Fellows improve their skills in communicating and working collaboratively with an interdisciplinary team, and especially in teaching nursing and support staff on this relatively long term, intermediate care service.
University Hospital
-10 weeks minimal experience primarily during the CAP 1 year
-Pediatric specific Consult and Liaison work at the only pediatric level 1 trauma center in San Antonio, TX
-Interaction with a plethora of services to include pediatrics, trauma surgery, general surgery, hematology/oncology, OBGYN, and transplant medicine
-Large diversity of both patient demographics and pathology
CHCS Methadone Clinic
· CHCS Methadone Clinic is a county-funded Substance Use treatment clinic focused on patients with severe Opioid Use Disorder. Fellows have the option to spend four hours per week for 1-2 months evaluating and prescribing Medication Assisted Treatment for these patients, under the supervision of the clinic medical director.
· All cases are discussed with and/or seen with the supervising faculty.
· Fellows improve their skills in communicating and working collaboratively with the counseling staff and nurses at the clinic.
Trauma Clinic:
– This clinic is embedded in the University Hospital Trauma Surgery clinic for children and adolescents needing evaluation for PTSD in the aftermath of various emergency trauma situations.
– The clinic also provides treatment with pharmacotherapy and trauma focused CBT. Our fellows rotate at this clinic during the Community rotation of CAP 1 year.