Overview

The Addiction Medicine Fellowship at the University of Iowa (UI) Carver College of Medicine is an ACGME-accredited, one-year fellowship. The fellowship provides postgraduate subspecialty training in addiction medicine to physicians who have completed training in one of eight specialties (psychiatry, family medicine, internal medicine, emergency medicine, pediatrics, obstetrics/gynecology, anesthesia, or preventive medicine). 

Fellows develop expertise in the management of acute and chronic addictive disorders across the lifespan, including detoxification, medication for addiction treatment, motivational enhancement therapy, management of co-occurring medical and psychiatric conditions, harm reduction, and principles of counseling to optimize sustained recovery. 

Goals and Objectives

The UI Addiction Medicine Fellowship is a one-year training program.  Fellows receive comprehensive training in addiction medicine.  Our fellowship training includes:

  • Rotating in inpatient and outpatient settings.
  • Treating patients during acute and chronic stages of addiction.
  • Managing addiction in patients with co-occurring medical and/or psychiatric conditions.
  • Providing continuity care to a population of patients with addictive disorders.
  • Delivering addiction care via telemedicine.
  • Caring for a population that includes youth, pregnant women, adults, and senior citizens.
  • Experience in community-based settings and working with underserved and rural populations.
  • Developing skills to provide preventive services.
  • Practicing in a continuity addiction clinic for 1 year.
  • Conducting a scholarly project.

Curriculum 

The curriculum consists of 13 consecutive 4-week blocks. These include:

  • 4 blocks on inpatient rotations:
    • Psychiatry/Addiction Consults at the Veterans Affairs (VA) Hospital
    • Addiction Consults at the University of Iowa Hospitals and Clinics (UIHC)
    • Emergency Room/Toxicology/Crisis Stabilization at UIHC
       
  • 6 blocks on a longitudinal outpatient clinic rotation, including:
    • Addictive Disorders Clinic at the VA Coralville Clinic (ICVAHCS)
    • MAT Mobile Clinic

    • MAT Walk-In Clinic - Scott Blvd., Iowa City

    • Community - based experiences
      • Area Substance Abuse Council in Cedar Rapids
      • Abbe Center for Community Mental Health
       

  • 3 blocks on elective rotations, such as:
    • Iowa Department of Corrections facilities
    • UIHC specialty areas
          • Pain Clinic
          • Infectious Diseases
          • Med Psych Unit
          • Palliative Medicine
          • Other area(s) of interest

Weekly didactics (4 hours/week) cover the breadth of addiction medicine topics. Topics are presented by faculty with a wide range of expertise in addiction clinical care, research, and policy. Fellows, faculty residents, substance use disorder (SUD) counselors/social workers, and students participate in didactics, in-person and/or via videoconferencing.

Training Sites

  • The primary training sites for the fellowship are University of Iowa Hospitals and Clinics and the Iowa City Veterans Affairs Health Care System, both located in Iowa City, Iowa.
  • Additional community-based training occurs at a variety of local programs that provide treatment and other services.
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