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Beth Israel Medical Center: Psychiatry Residency and Fellowship Programs

Fellowships: Addiction Fellowship

Fellowship in Addiction Psychiatry

The Department of Psychiatry at Mount Sinai Beth Israel has a well-established Fellowship in Addiction Psychiatry. The fellowship has been in existence since 1994 and was first accredited by the ACGME in 1995. This was the first year that training programs in Addiction Psychiatry were accredited and since then the program has thrived.

The medical center has a long tradition in the field of addictive and co-occurring disorders. A 28-bed inpatient dual diagnosis unit focuses on treating acute patients with co-occurring psychiatric and addictive disorders. Stuyvesant Square Chemical Dependency Services offer inpatient and ambulatory detoxification, an inpatient 28-day rehabilitation program and a wide variety of outpatient treatment options. Beth Israel also runs one of the largest Methadone Programs in the country. This allows fellowship trainees access to a rich diversity of clinical experience.

The one year fellowship has three positions with fellows having three rotations of four months. 

The dual diagnosis rotation involves working on the dual diagnosis inpatient psychiatric unit with a multidisciplinary staff, all of whom are experienced in the addiction field. The fellow becomes an integral part of the team. Fellows gain experience in managing complicated patients including withdrawal states comorbid with significant psychopathology. They supervise PGY-2 residents that rotate through the unit.

Fellows rotate on the inpatient rehabilitation unit were patients can stay up to 28 days. The fellow is involved with the treatment team, sits in rounds, participates in evaluations, observes and co-leads groups and learns about the use of family therapy in addiction treatment. The fellow consults with patients on this unit with psychiatric issues, assisting the team to manage these patients (under attending supervision).

Fellow rotate on the acute inpatient detoxification service which is a 30-bed unit. The fellow learns about acute detoxification and consults with patients on this unit with psychiatric issues.

In addition each 4 month block is associated with one of the following:  a weekly rotation on the outpatient Pain Clinic under the Pain Division to learn about pain management and consult with patients with comorbid chronic pain and addictive issues; a weekly rotation on a Methadone Maintenance Treatment Program where fellows attend clinical meetings; perform evaluations and become familiar with the day to day running of a Methadone program; and a weekly rotation where fellows see acute patients in the emergency department with substance related issues.

Fellows carry an outpatient caseload through the year consisting of a variety of cases and diagnoses with opportunities to utilize different treatment modalities including medication management and motivational interviewing. Fellows co-lead a group once weekly with an experienced addiction social worker for mentally ill substance abusers.

Fellows participate in a weekly journal club, twice monthly Motivational Interviewing seminar and an addiction psychiatry seminar series.

Fellows are required to initiate or join a research project which will be presented during departmental grand rounds in the following year. Research opportunities and mentorship exist both within Beth Israel and more broadly within the Mount Sinai system.  

Ample supervision is provided by Board Certified Addiction Psychiatrists, Attending Physicians and Psychologists who dedicate their time to the addiction field.

If you are interested in the Addiction Psychiatry Fellowship at Mount Sinai Beth Israel please contact the program director, Charles Perkel, MD at cperkel@chpnet.org or call 212-4202008.


©2018 Mount Sinai Beth Israel Medical Center

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