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Department of Psychiatry

Houston, Texas

The Alkek Building at Baylor College of Medicine
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Addiction Psychiatry Fellowship at the Michael E. DeBakey VA Medical Center and Menninger Clinic

The Michael E. DeBakey VA Medical Center in Houston, Texas is offering fellowship positions in Addiction Psychiatry accredited by the American Board of Psychiatry and Neurology. These positions are paid by the Veterans Administration thereby making psychiatrists with J1 or other visas also eligible for participation in this one year (PGY5-6) training program. Trainees must be graduates of an ACGME-accredited psychiatry residency program.

Fellows will develop expertise and knowledge in the evaluation, intervention, and treatment of addictive disorders using systems-based practice throughout the continuum of care, in collaboration with patients, families, and other allied healthcare professionals. This will qualify fellows to sit for the American Board of Psychiatry and Neurology’s certification examination in the subspecialty of Addiction Psychiatry.

Part of the dynamic Texas Medical Center, the MEDVAMC offers an ideal academic environment for learning within one of the nation’s largest VA hospitals in a region with the highest percentage of veterans deployed to Iraq/Afghanistan. These veterans present an especially challenging array of disorders including co-morbid post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and chronic pain in addition to substance dependence. The fellowship will offer rich experiences in multidisciplinary clinical care as well as clinical research within a broad network of faculty investigators affiliated with Baylor College of Medicine.

Thomas Kosten, Ph.D. co-director of the fellowship, and the BCM research group conduct cutting-edge studies in medication development such as vaccination treatments for addiction and human pharmacogenetics, human laboratory drug administration studies, neuroimaging, and behavioral treatment investigations in substance dependence, PTSD, and TBI.

The MEDVAMC substance abuse program offers a full continuum of care to include inpatient and outpatient detoxification, partial hospitalization, low intensity treatment, a methadone/buprenorphine program, case management, social support services, vocational counseling, and medical and psychiatric care. The psychiatry faculty consists of two full-time providers certified in general and addiction psychiatry, two part-time physicians certified in general psychiatry (each psychiatrist with over 20 years experience in the field of addiction), one part-time psychiatrist certified in Forensic Psychiatry, one supervisory social worker, five social workers, eight addiction therapists, three psychologists, two RNs, one LVN, one rehabilitation technician, one health technician, and one nursing assistant.

The Menninger Clinic is an international psychiatric center of excellence with 126 licensed beds, affiliated with Baylor College of Medicine and located 20 miles from the primary site of training. This rotation will provide clinical training and experience in the treatment of adolescents and women suffering from addictive and complex, co-occurring disorders. Treatment modalities include milieu therapy, pharmacotherapy, psychodynamic psychotherapy (individual & group), mentalization-based therapy, cognitive-behavioral therapy, dialectical behavioral therapy, motivational enhancement therapy, psychosocial rehabilitation, family therapy, 12- step self-help models, relapse prevention, addiction counseling, nutritional counseling, spiritual counseling, recreational therapy, and psychoeducation. Core faculty for the rotation will consist of two full-time psychiatrists (both of whom are board certified in general psychiatry with added qualifications in addiction psychiatry) and one clinical social worker with added certification in addictions counseling. Additional program-specific faculty (psychiatry, psychology, social work, and other disciplines) will participate throughout the course of the rotation.

Beginning July 2009, we will be accepting up to two fellows each year into this one-year program.

Download the Fellowship Application form.

Candidates are invited to discuss their training interests with:

Dayrl Shorter, M.D.
Assistant Professor
Program Director, Addiction Psychiatry Fellowship
Menninger Department of Psychiatry and Behavioral Sciences
College of Medicine
Staff Psychiatrist


Thomas R. Kosten, M.D.
Co-Director, Addiction Psychiatry Fellowship
Jay H. Waggoner Chair and Professor
Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine