Inpatient Medicine at Froedtert Hospital

This is the core inpatient rotation of the CARE fellowship. Fellows will serve as consultants for patients admitted to 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 

Working both at the Froedtert Hospital ER and the Mental Health Emergency Center, fellows will assess patients in the Froedtert ER dealing with acute intoxication, acute withdrawal, and various behavioral health emergencies. 

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.

Patient Centered Care

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.

Pain Management

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 therapists, 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 rotate through various behavioral health services within Milwaukee’s VA medical center, caring for patients in inpatient addiction-focused psychiatric units, outpatient immediate access mental health units, and a hybrid inpatient/outpatient psychiatric consult liaison service. 

Electives:

• Substance Use Disorder & Transplant Medicine 
• Group and Individual Psychotherapy 
• Pain Psychology 
• Perinatal Addiction Medicine 
• Rural Addiction Medicine 
• Children’s Wisconsin Hospital Behavioral Health and Addiction Consultation Service