UCSF Addiction Psychiatry Fellowship Program

The UCSF Department of Psychiatry offers an ACGME-accredited one-yearfellowship in Addiction Psychiatry. The fellowship includes six months at the San Francisco VA Medical Center and another six at Kaiser Permanente San Francisco Hospital and the Chemical Dependency Recovery Program Clinic.

The Addiction Psychiatry Residency has five domains of special expertise:

  • Clinical Program Design and Evaluation: We have developed a sophisticated phase-model that guides treatment delivery in our serveral sub-specialty clinics. We emphasize evidence-based treatments including psychosocial therapies, behavioral therapies, and psychopharmacology.
  • Treatment of Complex Populations: The fellowship offers specialized treatment considerations for patients with co-occurring disorders, post-traumatic stress disorders, and HIV or other infections. We have rotations in adolescent and family treatment, pain management, methadone/buprenorphine maintenance and specialized interventions such as anger management and Seeking-Safety.
  • Clinical Integration of Research Findings: All fellows complete a research or scholarly literature-review project, leading to professional talks and an article suitable for publication.
  • Leadership Development: We actively mentor leadership skills. All fellows will give didactic presentations, lead team meetings, and, when appropriate, participate in mentored leadership activities at the American Academy of Addiction Psychiatry or the California Society of Addiction Medicine conferences.
  • Clinical Research: The fellowship is associated with an active clinical research program with ongoing studies in alcohol, stimulant, and co-occuring disorders clinical trials.

Requirements

The applicant must have completed an ACGME-accredited general adult residency in Psychiatry. Fellows must have a valid, completely unrestricted, California medical license by the starting date.


How to Apply  

We welcome exploratory visits from prospective applicants prior to submission of application materials.

The full application consists of (a) a personal letter of interest, (b) a current CV, and (c) three recent professional references, including one from the general psychiatry training director.

Also required is an active, unrestricted California medical license. The California Medical Board requires a minimum of 12 months of training in an ACGME accredited program and a passing score on the USMLE Step III to qualify for medical licensure. A license must be obtained by the first day of the first month of training. Applicants for non-ACGME accredited clinical fellowship positions are required to obtain a full and unrestricted California medical license prior to beginning a UCSF postgraduate medical education program.

Trainees who have not obtained a California medical license within the above mentioned time frames will not be allowed patient contact or access to patient information including medical records, laboratory values, radiographic studies, etc. A trainee not licensed by July 1st (or other start date) of the required year may not do any clinical work until a medical license is secured. During the period of non-licensure, the appointment of the clinical fellow, including salary, may be suspended. Resumption of training, once a California Medical License has been obtained, will be at the discretion of the program director and/or Department Chair. Thereafter and for the duration of training, the California medical license must be continually maintained as a prerequisite to appointment.

All finalists are invited for a day-long process of interviews and clinic visits. Fellows begin August 1.


Deadline

All of our 2015-16 fellowship slots have been filled. Applications for the 2016-17 academic year will be accepted beginning in July 2015.


Curriculum

Clinical Rotations & Experiences:

  • San Francisco VA Medical Center:
    Substance Abuse Day Hospital (SADH), Drug & Alcohol Treatment (DAT) Clinic, Substance Use PTSD Team (SUPT), Opioid Replacement Team (ORT), Advanced Psychopharmacology Clinic Complex Addiction Consultants Continuity of Care.


San Francisco VA Medical Center
  • Kaiser Permanente:
    Adolescent & Family Outpatient Program, Co-Occurring Disorders (COD) Service; Chronic Pain Clinic, Continuity of Care.
 
Kaiser Permanente


Salary, Policies and Benefits

Salary is set annually by UCSF.

Potential applicants should review the UCSF-GME website for policies, regulations, and services. In particular, you should download and carefully review the details in the Housestaff Information Booklet.


Core Psychiatry Faculty

Steven L. Batki, MD
Addiction Psychiatry Fellowship Program Director
Professor, UCSF Department of Psychiatry
Chief, Substance Abuse Programs, San Francisco VA Medical Center
Director, Addiction Research Program

Ellen Herbst, MD
Chief, Substance Abuse Day Hospital (SADH)
San Francisco VA Medical Center

David Kan, MD
Chief, Opioid Replacement Treatment (ORT) Team
San Francisco VA Medical Center

John Straznickas, MD
Chief Substance Use/PTSD (SUPT) Clinic
San Francisco VA Medical Center

Sally Vrana, MD
Chief, Drug & Alcohol Treatment (DAT) Clinic
San Francisco VA Medical Center

David Pating, MD
Chief, Addiction Medicine, Chemical Dependency Recovery Program
Kaiser Permanente, San Francisco

Murtuza Ghadiali, MD
Assistant Chief, Chemical Dependency Recovery Program
Kaiser Permanente, San Francisco


Rotations

SFVAMC and Kaiser are teaching hospitals and training is considered a core mission. All physicians and non-physicians have protected time to devote to clinical supervision and teaching. The basic structure of the training program is designed to embed teaching into the daily, monthly, and annual schedule. That is, schedules of faculty are designed and clinical assignments constructed to ensure that specific times are reserved for teaching rounds, conferences, and seminars.

Conferences/teaching sessions are scheduled at specific consistent times, and attendance is the norm in this training program. Teaching and supervision are inherent to the standards of the department and this program. Additionally, the SFVAMC Department of Psychiatry holds monthly meetings of the Education Committee, whose membership consists of faculty directly involved in the training program. During these meetings, requirements of both faculty and trainees for successful supervision and teaching are discussed on an ongoing basis.

SFVAMC provides fellows with a full range of addiction recovery clinics and services, including the Substance Abuse Day Hospital (SADH), Opioid Replacement Therapy Clinic (ORT), Substance Use/PTSD Clinic (SUPT), and the Drug and Alcohol Treatment Clinic (DAT). All clinical rotations involve close collaboration with diverse professionals, including counselors, social workers, clinical psychologists, rehabilitation specialists, nurses, and physicians from other specialties. We believe that the strengths of each discipline influence and inform the other.

The SFVAMC also has the largest funded research programs in the Veterans Health Administration with a $78 million annual research budget. Areas of particular interest include substance use, mental health, aging, PTSD, substance abuse, neuroscience disease, health services research, and advanced medical imaging.

In addition to the diverse and complex clinical experiences available at the San Francisco Kaiser Permanente Hospital, Addiction Psychiatry fellows work with patients in the Kaiser Chemical Dependency Recovery Program (CDRP) center. Established in 1985, the CDRP is a comprehensive outpatient treatment center offering integrated medical, psychiatric and psychosocial therapy for alcohol & substance dependence for 2000 patients annually.

CDRP provides a spectrum of services, which include medical stabilization and detoxification, day treatment, intensive outpatient treatment, specialty multi-cultural and bilingual groups, and psychiatric treatment of co-morbid conditions. The CDRP also provides comprehensive treatment for adolescents and families. As part of a larger medical system, CDRP provides integrated consultative services for patients with obstetrical (pregnancy), chronic pain, HIV or Hepatitis C conditions or those requiring emergency or hospital consultation.

 




Didactics

The core Substance Abuse Seminar (Addiction 101) is is a weekly seminar that is structured as a comprehensive overview of addiction psychiatry topics, including diagnosis and treatment of all major drugs of abuse. In addition this seminar covers dual-diagnosis topics, including co-occurring post-traumatic stress disorder (PTSD) and addiction. Trainees review 1-2 assigned readings from the literature for each session.

Another weekly seminar series is the Faculty-Fellows Seminar designed for discussions at a high level among our faculty and our fellows. The emphasis is on emerging literature and critical reading of the evidence-base for treatment. When distinguished visitors are presenting, we generally precede the seminar with a round-table lunch at a nearby restaurant. Fellows are required to give presentations with slides during the year.

Ongoing Rotation-based Clinical Team Conferences, Retreats and elective Grand Rounds events at SFVAMC and Kaiser also provide opportunities for didactic learning.


Research

Fellows may choose either a scholarly project or a research affiliation. In either case he/she will have (a) protected time for this activity, and (b) at least one hour per week with a research or scholarship mentor. Steven Batki, MD, Director of Substance Abuse Research at the VA, has special interest in psychopharmacology and treatment of comorbid disorders, with ongoing projects focused on alcohol dependence, methamphetamine dependence, PTSD, and mild traumatic brain injury (mTBI).

 


Contact

Steven L. Batki, MD
Steven L. Batki, MD
Professor, UCSF Department of Psychiatry
Chief, Substance Abuse Programs
Director, Addiction Research Program
San Francisco VA Medical Center (116-E)
4150 Clement Street
San Francisco, CA 94121

(415) 221-4810 ext. 3671
steven.batki@ucsf.edu 

  Sharon Salapare
Administrator, Clinical Training Programs
UCSF Department of Psychiatry
401 Parnassus Ave., Box 0984
San Francisco, CA 94143-0984

(415) 476-7527
sharon.salapare@ucsf.edu

 

Leadership in research, education, psychiatric care and public service