In Association WithFellowship in Addictions Psychiatry
The Department of Psychiatry at Dartmouth Medical School and Dartmouth-Hitchcock Medical Center Addiction Psychiatry Fellowship is a full-time, one-year PGY-5 position. We offer a comprehensive training in addictive psychiatry that includes clinical experiences and didactic education in all aspects of addiction.
Department of Psychiatry Faculty includes five psychiatrists who are all board certified in addiction psychiatry, as well as nationally known experts in the treatment in the dually and chronically diagnosed disorders.
Clinical experience is split between Dartmouth-Hitchcock Medical Center in Lebanon, NH, and the U.S. Department of Veterans Affairs Hospital in White River Junction, VT (only five miles away).
Educational experiences in the program are acquired through direct involvement with:
- Intensive Outpatient Program
- Buprenorphine treatment
- Methadone Maintenance
- Evaluation and treatment of outpatients
- Detoxification for substance abuse patients
- Group Therapy; and
- Medical Management of substance abuse problems
The program includes assessment and treatment of dual diagnosis patients, multiple case conferences, psychopharmacology medical clinics, and didactic seminars on all major aspects of addiction.
The program includes a research requirement, as well as numerous opportunities to be involved in the field of addiction. Patients seen in the program cover a range of socio-economic diversity. There is also adequate opportunity for the teaching psychiatric residents and Dartmouth Medical Students.
The Addiction Program at Dartmouth also treats patients with addiction disorders through the Intensive Outpatient Program, the Buprenorphine Clinic, and substance abuse patients form the inpatient unit.
Further details of program experiences include:
- Half of the fellow's time is spent at Dartmouth-Hitchcock Medical Center where the trainee gains clinical experience in the treatment of primary substance abuse patients and their families. This occurs in the outpatient psychiatric clinic at DHMC.
- Substance abuse consultation experience is gained, on medical, surgical, and Ob/Gyn services, in the emergency department and intensive care units of the hospital with patients who have acute and chronic drug and/or alcohol abuse and dependency, including acute intoxication and overdose.
- Fellows take call at DHMC as do other fellows in the department as back-up on-call physicians for junior residents. This experience includes assessing patients who are intoxicated and require admission, detoxification, or referral in the emergency department.
- One half day a week of the DHMC experience is spent off site at the VA-operated Quitting Time program, an intensive out-patient evening program for the treatment of the chemically dependent where the resident participates as a group co-leader and assists in medical management of the patients.
- In addition, one half day per week is spent at Dick Hall's House, (the student health center of Dartmouth College), working on the mental health team evaluating and treating substance abusing students and participating in substance abuse education activities on the Dartmouth campus.