Welcome to the UCSF Addiction Psychiatry Fellowship Program! We are proud to offer a one-year, ACGME-accredited fellowship that provides state-of-the art addiction training, all in the San Francisco Bay area.
The Addiction Psychiatry Fellowship emphasizes evidence-based treatments – including psychosocial therapies, behavioral therapies, and psychopharmacology – for a range of substance use disorders. Prominent features include:
- Sub-specialty clinics with UCSF faculty supervision (see “Sites and Rotations”)
- One of two national Substance Use and PTSD (SUPT) VA clinics
- Adolescent and family treatment experience
- Training in motivational interviewing with nationally recognized experts
- Psychotherapy training, including supervision with a trained psychoanalyst
- Rotation in a private residential addiction treatment center
- Consultation work at two major San Francisco hospitals
- Clinical research, including cutting-edge alcohol pharmacotherapy research
- Mentorship within national organizations, including the American Academy of Addiction Psychiatry (AAAP), American Society of Addiction Medicine (ASAM) and California Society of Addiction Medicine (CSAM)
- Opportunities to teach UCSF medical students, residents, and fellows
- All sites located in the San Francisco area, near many local sites and amenities
- March 14, 2017: UCSF drug and substance abuse graduate programs once again ranked among nation's best
- March 16, 2016: UCSF ranked second nationally for drug and substance abuse research programs
The applicant must have completed an ACGME-accredited general adult residency in psychiatry and have a valid, completely unrestricted California medical license, DEA-X license to prescribe buprenorphine, and California ePDMP login (CURES) prior to the starting date (July 1).
How to apply
Our program uses the Electronic Residency Application Service (ERAS) to process applications. Visit the ERAS website to learn more.
Applicants may begin applying on July 1, 2021, via ERAS for our 2022-2023 fellowship class. Interviews and offers will occur via a rolling admissions process from ~July—November.
All applicants must have completed an ACGME-accredited general adult residency in psychiatry and have a valid, completely unrestricted California medical license, DEA-X license to prescribe buprenorphine, and California ePDMP login (CURES) prior to the starting date (July 1).
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.
Trainees must secure a DATA 2000 waiver/DEA-X license to allow for prescription of buprenorphine, and a Controlled Substance Utilization Review and Evaluation System (CURES, i.e., California's electronic prescription monitoring program) login prior to the start date. Fellowship staff can assist accepted candidates with attaining these requirements. All finalists are invited for a day-long process of interviews and clinic visits.
Submission process and deadline
Positions for the 2021-2022 academic year have been filled. Applications for the 2022-2023 academic year will be accepted beginning July 1, 2021 via ERAS, and we will be recruiting up to four fellows. Please submit all application materials to ERAS and contact Education/Training Coordinator Anderson Lam at [email protected] with any questions.
Volunteer clinical faculty
Current and former Addiction Psychiatry fellows
|2019‑2020||Martha Ignaszewski, MD
Jennifer Papac, MD
Christopher Rienas, MD
|University of Massachusetts (Child & Adolescent Fellowship: Harvard University/Boston Children's Hospital)
|2018‑2019||Madison Johnson, MD
Shakevia Johnson, MD
Takeo Toyoshima, MD
|2017‑2018||Christopher Blazes, MD
Katherine Pier, MD
Bradley Zicherman, MD
|Albert Einstein Medical Center
Mount Sinai School of Medicine
Texas Tech Health Sciences Center (Child & Adolescent Fellowship: University of South Florida)
|2016‑2017||Elie Aoun, MD||Brown University|
|2015‑2016||Smita Das, MD, PhD, MPH
Pernilla Schweitzer, MD
|2014‑2015||Nicholas Reeves, MD
Tauheed Zaman, MD
Harvard Medical School/Cambridge Health Alliance
|2013‑2014||Zachary Plaut, MD
Joan Striebel, MD
|San Mateo County
|2012‑2013||John Nguyen, MD||Cornell University|
The San Francisco VA Medical Center (SFVAMC) and Kaiser Permanente Addiction Medicine & Recovery Services (AMRS) are teaching sites for UCSF, and training is considered a core mission.
Download: 2018-19 Rotation Schedule (.pdf)
- Drug and Alcohol Treatment (DAT): treating a range of non-opioid addictions
- Opiate Treatment Program (OTP): buprenorphine, methadone, Vivitrol treatment
- Substance Use and PTSD (SUPT): combat-related PTSD and addictions
- Prescription Opioid Safety Team (POST): consulting on pain/opioid misuse patients
- Addiction Consultation (AddCon): consulting on general addiction patients
- Intensive Outpatient Program (IOP): higher-level three days/week treatment program
- Tobacco Cessation Clinic: behavioral and pharmacologic approaches to cessation
- Elective: half-day/week where fellows select experiences to help develop an understanding of the substance treatment community in the Bay Area. Recent fellow experiences have included the John Muir Adolescent Substance Use Treatment Program, San Francisco Syringe Access Program, San Francisco County Jail Buprenorphine Program, San Francisco Street Medicine Outreach Team to Homeless Encampments, and San Francisco VA Ketamine Clinic.
- Several programs also include groups with opportunities for facilitation training, hospital consultations, and/or opportunities for consulting via video visits to remote patients.
Kaiser AMRS provides a spectrum of services, which include medical stabilization and detoxification, day treatment, intensive outpatient treatment, multi-cultural and bilingual groups, and psychiatric treatment of co-morbid conditions. AMRS also provides comprehensive treatment for adolescents and families. As part of a larger medical system, AMRS provides integrated consultative services for patients with obstetrical (pregnancy), chronic pain, HIV or Hepatitis C conditions or those requiring emergency or hospital consultation.
Alta Mira is a private treatment center for substance use and co-occurring disorders. Fellowship experiences here include the opportunity to work alongside the program director in performing patient assessments and treatment in a private residential treatment setting.
Addiction psychiatry fellows have a half day of protected time each Wednesday afternoon for didactics and supervision. These sessions are often led by local and national experts in the field of addiction. Didactics include:
- Addiction seminar: a weekly, 90-minute seminar covering a range of fundamental topics, aimed at a multidisciplinary audience of physicians, psychologists, social workers and trainees
- Education hour: a weekly, 60-minute interactive teaching session including case presentations, journal club, talks on advanced addiction topics
- Faculty teaching: several faculty members provide rotation-specific didactics relevant to their area of expertise throughout the year
- Faculty supervision hour: weekly supervision in career development, advanced addiction psychopharmacology, addiction psychotherapy, addiction private practice, and addiction and forensic psychiatry overlap
- UCSF Grand Rounds & Drug Use Research Group: research presentations on innovative harm reduction strategies, public health interventions, and drug policy
- Addiction medicine collaboration: scheduled didactics, clinical exposure, and community site visits with UCSF Primary Care Addiction Medicine fellows and faculty
- UCSF Addiction Bootcamp lectures available on Youtube
Previous addiction seminar topics include:
- Psychedelics and Substance Use
- Cannabis: Biology to Policy
- The Relationship Between Disability Payments and Substance Use
- PTSD, Alcohol Use Disorder and TBI- Treatment Challenges and Strategies
- Clinical Drug Testing and the Medical Review Officer
- Addiction Group Therapy
- Three Views on Chronic Pain and Opioid Use Disorder
Previous education hour topics include:
- The Intersection of Addiction and Forensic Psychiatry (with forensic and addiction psychiatrist Dr. David Kan)
- Management of Complex Benzodiazepine Tapers
- Motivational Interviewing for the Rushed Physician
- A Research Career in Addiction Psychiatry (with research psychologist Dr. Pennington)
- Journal clubs and complex addiction case presentations