The program accommodates a total of four fellows each academic year.Each training year is divided into two six-month blocks.
The first six-month block is comprised of clinical rotations shared between Harris Health (a county hospital system) and The Menninger Clinic.Fellow rotations at Harris Health include addiction-specific cases in the Emergency Department at Ben Taub General Hospital and outpatient work within the SAT (Substance/Addiction Treatment Program).In addition, there will be very unique experiences within an Obstetrics-Addictions rotation and Child and Adolescent Addiction Psychiatry clinic.Rotations at The Menninger Clinic, a voluntary long-term inpatient treatment program, will include invaluable experiences working with the addictions faculty in inpatient and outpatient settings as well as formal assessment and consultation.
The second six-month block is composed of clinical rotations shared between MEDVAMC (Michael E. DeBakey VA Medical Center) and other community affiliates such as The Montrose Center and Santa Maria Hostel. While training at the MEDVAMC, fellows will have rich experiences with chemical dependency groups, the VA’s OpioidTreatment Program (OTP) with methadone management for treatment of Opioid Use Disorder, addictions-based Consultation- Liaison rotation, and acute detoxification and inpatient treatment for co-occurring disorders. During these six months, additional time will be dedicated to outpatient work at The Montrose Center, with a special emphasis on serving the LGBTQ population. Outpatient work with Santa Maria Hostel allows trainees to make a powerful impact on the recovery of female patients, particularly those struggling with addiction during the perinatal and postpartum periods.
Overall, these rotations will provide a well-rounded experience for trainees that spans the full spectrum in levels of care for substance use disorder. Fellows will master both FDA-approved and off-label pharmacotherapeutic treatment of use disorders, including buprenorphine and methadone.Fellows will bolster skills in addictions-based therapy, including motivational interviewing, cognitive behavioral therapy (CBT), relapse prevention, contingency management, and twelve step facilitation.Teaching opportunities exist for fellows who are encouraged to present lectures to general psychiatry residents on addictions-based topics, or to provide medical student/resident education during the consultation/liaison (C/L) or inpatient rotations.
Case conferences and journal clubs allow fellows to engage in interdisciplinary problem-solving with challenging cases, stay connected to other fellows, as well as stay up-to-date on the most relevant addictions literature.