Sample Block Calendar:
Core Continuity Clinic Experiences:
Forest Home Health Center
During the entire 12 months of training, addiction medicine fellows will spend one half day a week providing integrated primary and addiction medicine care to a panel of patients of the Forest Home Health Center. Fellows will actively participate in the case management and behavioral health rounds where their patients are discussed. Fellows will also actively supervise residents and medical students in the care of patients with substance use disorders.
Meta House
For 6 months of the year, fellows will attend a half day continuity clinic at Meta House, a residential treatment facility that treats women with substance use disorders. In this clinic experience, fellows will work closely with Meta house patients in both their inpatient and outpatient programs, providing primary care services alongside medical and psychiatric care. Fellows will also regularly interact with the substance use disorder counselors that provide individual and evidence-based group therapy sessions as well as process and discussion groups. Examples of these groups include Recovery Talk, Stages of Change, Stress and Anger Management, Recovery Management, and Seeking Safety.
Community Medical Services – Opioid Treatment Program
For 6 months of the year, fellows will attend a half day continuity Methadone clinic at Community Medical Services. CMS takes a holistic approach to treatment, offering the latest medications for opioid use disorder (MOUD), counseling and support services. Upon graduation from our program, fellows will be competent in methadone management, able to work in any OTP if they desire.
4-week block rotations:
Inpatient Addiction Medicine at Froedtert Hospital
This is the core inpatient rotation of the CARE fellowship. Fellows will serve as Addiction Medicine consultants for patients within Froedtert Hospital, a 766 bed large academic medical center. Fellows will work closely with medicine teams and psychiatric consultation services, assisting them in the care of people who use drugs. Fellows will also spend a significant amount of time in Froedtert’s innovative “Complexity Intervention Unit” a Med-Psych intensive care unit that manages patients with active psychiatric illness, addiction, and complex medical issues.
Inpatient Pain Medicine at Froedtert Hospital
Fellows will rotate on the CHIPS team (Comprehensive Hospital Inpatient Pain Service), advising medical and surgical teams in the inpatient pain management of complex patients with acute pain and comorbid substance use disorders.
VA Mental Health at the Clement Zablocki VA Medical Center
Fellows will rotate through various behavioral health services within Milwaukee’s VA medical center, caring for patient in inpatient addiction focuses psychiatric units, outpatient immediate access mental health units, and a hybrid inpatient/outpatient psychiatric consult liaison service
Emergency Behavioral Health consultation at Froedtert Hospital ER
In this rotation, fellows will assess patients in the Froedtert ER dealing with acute intoxication, acute withdrawal, and various behavioral health emergencies. Fellows will work with psychiatrists to provide effective behavioral health interventions and link patients with substance use disorders into treatment.
Toxicology at Froedtert Hospital
Fellows will rotate in the Froedtert and Children’s Hospital Toxicology service, gaining the opportunity to become versed in all aspects of adult and pediatric injuries and illnesses caused by intentional and/or accidental poisonings. Fellows will treat drug overdoses, suicide attempts, environmental and occupational hazards, plant and animal toxins, and potentially bioterrorism, working with board certified toxicology faculty. ln addition, Fellows have exposure to the Wisconsin Poison Center. The Wisconsin Poison Center, provides 24-hour, toll-free poison information for all individuals in Wisconsin.
Outreach Counseling and Harm Reduction – IOP, Lifepoint, Streetlife
In this rotation, fellows will learn the principles of harm reduction, community outreach, and group therapies. Fellows will participate in the intensive outpatient program, learning how to facilitate group discussions around relapse prevention. Fellows will work within Milwaukee’s needle exchange program, actively distributing harm reduction materials and counseling patients in safer drug use techniques. Fellows will also participate in street-based community outreach activities, helping Milwaukee’s most vulnerable homeless population gain better access to treatment.
Adolescent Addiction Medicine at Rogers Behavioral Health
In this rotation fellows will work with adolescent psychiatry experts, participating in inpatient substance use disorder and mental health treatments. Fellows will be actively involved in treatments like dialectical behavioral therapy and medication management in Roger’s Behavioral Health’s intensive outpatient and partial hospitalization programs for adolescents with comorbid substance use disorders and mental health issues.
Outpatient Pain Medicine at the Froedtert Tosa Health Center and VA Medical Center
CARE Fellows will have the opportunity to work with the Froedtert and Medical College of Wisconsin’s Pain Medicine Fellowship in Wauwatosa, Wi at the Tosa Health Center. This multidisciplinary team of psychologists, physiatrists, chiropractors, physical therapist, neurosurgeons and pain medicine physicians provides manual medicine, pain psychology, medical management and interventional pain procedures for patients dealing with severe chronic pain. Fellows will also work within the VA health system participating in high risk prescribing chart reviews and also pain management interventions.
Electives:
- Advanced Integrated HIV and Hepatitis C care at Vivent Health
- Advanced group and individual psychotherapy at Forest Home Health Center and Meta House
- Childrens Wisconsin Hospital Behavioral Health and Addiction Consultation Service
- Research time – opportunities to work with our MCW Office of Community Engagement with Dr. David Nelson
