Addiction Psychiatry Fellowship

Director: Stephen Ross, MD
Associate Director: Grace Hennessy, MD

Click here for application information

ABOUT THE PROGRAM

The NYU Department of Psychiatry offers a one-year ACGME-accredited Addiction Psychiatry Fellowship designed to develop expertise in all aspects of addiction psychiatry including: clinical, educational, administrative, leadership and research. Clinical work is based at Bellevue Hospital Center and the New York Campus of the Department of Veterans Affairs Medical Center (NYVA). Bellevue Hospital is a city hospital with one of the most diverse patient populations in the country and a primary training site for NYU trainees. Fellows rotate through the inpatient Dual Diagnosis Training Unit, the inpatient Detoxification Training Unit, the Addiction Consultation-Liaison Service and substance abuse outpatient services, including Bellevue’s Chemical Dependency Outpatient Program and the Opioid Treatment Program. In addition, fellows gain clinical experience evaluating and treating adolescents and pregnant women with substance use disorders. The NYVA serves the medical and mental health needs of military service veterans throughout their lifespan and is a satellite training site for NYU trainees. Fellows rotate through the Dual Diagnosis Unit, the outpatient Substance Abuse Recovery Program (SARP), the Opiate Replacement Therapy Program (ORTP), the Consult Liaison Service and the Pain Clinic. Fellows participate in a year-long didactic curriculum that includes a journal club, group supervision for outpatient management, a class focusing on psychodynamic issues, and a combined seminar with the NYU forensic psychiatry fellows which reviews the ASAM Principles of Addiction Medicine textbook. Under the mentorship of Marc Galanter, MD, fellows work on a scholarly project which is presented at the end of the year at the Departmental Grand Rounds. Fellows have extensive opportunities to be involved in NIH-funded addiction research at Bellevue Hospital and more broadly throughout the NYU system.

FELLOWSHIP ROTATIONS

BELLEVUE HOSPITAL

Bellevue Dual Diagnosis Training Unit
Clinical Supervisor: Andre Newfield, MD

The Dual Diagnosis Training Unit is a 27-bed unit that was developed specifically for the acute care and rehabilitation of patients with co-occurring disorders with admission criteria based on dangerous behavior to self or others. The fellows lead a multi-disciplinary team that provides comprehensive care (psychiatric, substance abuse, medical) to the patients. The population consists of men and women with a wide range of psychiatric disorders including psychotic, mood, anxiety, and personality disorders. Fellows rotate on this service for three or four months.

Bellevue Inpatient Detoxification Training Unit
Clinical Supervisor: Anil Thomas, MD

The Inpatient Detoxification Training Unit is a 20-bed unit that provides short-term detoxification for 1,400 patients annually, and serves as another training site for addiction fellows. It is staffed jointly by Addiction Psychiatry and Addiction Medicine. The fellows gain extensive clinical expertise in managing withdrawal states, especially alcohol, opioids and sedative hypnotics. This unit also serves as the Division of Alcoholism and Drug Abuse’s inpatient research site. Fellows rotate on this service for one month.

Addiction Consultation-Liaison Service
Clinical Supervisor: Matthew Rottnek, MD

During this rotation, fellows respond to consultation requests from other Bellevue Hospital departments including internal medicine, surgical services, the emergency department, and OB-GYN. Fellows rotate on this service part-time during their outpatient experience.

Bellevue Chemical Dependency Outpatient Program
Clinical Supervisor: Matthew Warren, MD

The Chemical Dependency Outpatient Unit supports 10,000 visits annually, beginning treatment with an intensive period of engagement into ambulatory care followed by outpatient group therapy and counseling. The program maintains close ties to facilities in the community and to the Bellevue Hospital Shelter for the homeless. It has developed special treatment programs for homeless alcoholics and for buprenorphine treatment for opioid addiction, each subject to evaluation research. Fellows learn about outpatient psychotherapeutic and psychopharmacologic management of patients with substance use disorders and co-occurring disorders. Fellows rotate on this service for three or four months, part-time.

Bellevue Opioid Treatment Programs: Methadone & Buprenorphine
Clinical Supervisors: Soteri Polydorou, MD and Joe Nissenfeld, MD

The Bellevue Opioid Maintenance Program provides intensive integrated treatment (substance abuse, psychiatric, medical) using both methadone and buprenorphine for patients with opioid dependence. In addition to learning about outpatient management of patients with opioid dependence, fellows learn about the regulatory and systems based aspects of opioid maintenance programs. Fellows rotate on this service for three or four months, part-time.

NEW YORK VETERAN AFFAIRS HOSPITAL
Site Director: Grace Hennessy, MD

Dual Diagnosis Inpatient Unit
Clinical Supervisors: Jim Dhrymes, MD and David Wiley, MD

The Dual Diagnosis Unit is a 19-bed inpatient unit that provides integrated medical and psychiatric treatment for veterans in withdrawal from substances of abuse in need of acute treatment for co-occurring disorders; these include major mood and psychotic disorders, personality disorders and PTSD. Fellows learn how to manage withdrawal from alcohol, opioids and sedative hypnotics while evaluating and treating co-occurring disorders. Fellows also learn about the assessment of ongoing treatment needs and referral to appropriate levels of care following discharge. Each fellow rotates on this service for one month, full time.

Outpatient Substance Abuse Recovery Program (SARP)
Clinical Supervisor: Grace Hennessy, MD

The outpatient Substance Abuse Recovery Program (SARP) admits veterans with various military backgrounds and substance related disorders. Veterans start in a five day per week program for at least 30 days and then move to a less intensive program for a minimum of 60 days. Fellows learn about outpatient psychotherapeutic and psychopharmacologic management of patients with substance related and co-occurring psychiatric disorders, including PTSD. Fellow also facilitate or co-facilitate groups that focus on relapse prevention and cognitive behavioral interventions. Fellows rotate on this service anywhere from three to six months, part time.

Opioid Replacement Therapy Program (ORTP)
Clinical Supervisor: Brian Sands, MD

The Opioid Replacement Therapy Program (ORTP) provides psychiatric and medical treatment to individuals with opioid related disorders over the course of months or years. Fellows will develop expertise in prescribing methadone and buprenorphine as part of the outpatient management of opioid dependent veterans and will also manage any co-occurring psychiatric disorders. Lastly, fellows will learn about the regulation and oversight of opioid maintenance programs and their role in the overall continuum of care. Fellows rotate on this service for four months, part-time.

Consultation-Liaison Service
Clinical Supervisor: Mark Bradley, MD

Fellows respond to addiction consult requests from VA Hospital clinical wards including general medical and surgical units, medical and surgical intensive care units as well as medical and surgical subspecialty units (such as neurology and orthopedic surgery). Fellows rotate on this service for one or two months, part-time.

Pain Clinic
Clinical Supervisors: Robert Staudinger, MD and Brian Sands, MD

During this rotation, the fellow will provide addiction consultation to a multidisciplinary team that includes neurologists, anesthesiologists and pain fellows. This rotation provides an opportunity to learn about the intersection of pain management, maladaptive use of opioids and opioid dependence. The fellows rotate on this service one-half day per week for two months.

DIDACTIC CURRICULUM

The didactic work is organized around a series of weekly seminars which continues throughout the year. The specific courses include: Fundamentals of Addiction Psychiatry & Medicine, Addiction Psychiatry Research, Office-Based Management of Patients with Addictive Disorders, Psychodynamics and Special Topics in Addiction. There is basic science training relevant to addictive illness in biochemistry, pharmacology, epidemiology, social theories, genetic models, and behavioral conditioning models. There is also extensive education around clinical assessment and management of patients with addictive spectrum and co-occurring disorders. Each fellow conducts an independent research project. These projects are supported by close faculty supervision, including instruction in research methodology and data analysis.

BELLEVUE SUPERVISION AND MENTORING

Research

  • Stephen Ross, MD
  • Marc Galanter, MD
  • John Rotrosen, MD

Dual Diagnosis Training Unit

  • Andre Newfield, MD

Detoxification Training Unit

  • Anil Thomas, MD, Director

Consultation-Liaison Service

  • Matthew Rottnek, MD,

Chemical Dependency Outpatient Program

  • Matthew Warren, MD,
  • Markos Emmanouel, MD

Opioid Treatment Program

  • Soteri Polydorou, MD,
  • Joseph Nissenfeld, MD

General Addiction Psychiatry Private Practice

  • Jeffrey Guss, MD
  • Alex Horowitz, MD
  • Edward Paul, MD
  • Laurence Westreich, MD
  • Marianne Guschwan, MD
  • David Goldbloom, MD

Reproductive Psychiatry

  • Judy Greene, MD

NYVA HOSPITAL SUPERVISION AND MENTORING

Dual Diagnosis Unit

  • Jim Dhrymes, MD
  • David Wiley, MD

Outpatient Substance Abuse Recovery Program (SARP)

  • Grace Hennessy, MD
  • Anthony Selvitella, MSW
  • Gladys Todd, PhD
  • Jessica Nicolosi, PsyD

Opioid Replacement Therapy Program (ORTP)

  • Brian Sands, MD

Consult-Liaison Service

Pain Clinic

  • Robert Staudinger, MD
  • Brian Sands, MD

APPLICATION INFORMATION

Application materials for the 2015-16 training year may be submitted beginning May 1, 2014. Interview dates are selected for July, August and early September. Early application and electronic submission are strongly encouraged

Eligibility

We look for mature, motivated applicants who must have satisfactorily completed an ACGME-accredited general psychiatry residency prior to entering the program. We consider such factors as one’s writing ability, research experience, leadership potential, flexible temperament, interest in public psychiatry and career goals. We strive for a well-rounded, diverse class of four fellows with individual strengths in different areas.

Application Procedure

Please submit the following materials:

  • A completed application form (Download PDF) (Download DOC)
  • Your curriculum vitae/Resume
  • A personal statement about why you wish to train in this Fellowship (one to two pages)
  • A letter from your Medical School Dean
  • Letters of reference*

* Please arrange for a minimum of two (but not more than three) letters of reference from persons who are familiar with the nature and quality of your work; one of those persons must be the Director of your General Psychiatry Residency Program.Letters of reference should be submitted directly by their authors.

International applicants must also submit the following documentation:

  • Valid ECFMG certificate
  • Proof of Visa status or US citizenship

ELECTRONIC SUBMISSION (Preferred)

MAILING ADDRESS
NYU School of Medicine
Department of Psychiatry
1 Park Avenue, New York, NY 10016
 

APPLICANT SELECTION

The program begins reviewing applications in May and interviews are usually scheduled to take place in August and early September. No application is considered until all required materials have been received, including the training or clinical Director’s letter of recommendation. Interviews generally take a full day and include meetings with faculty representatives of several different rotations as well as a chance to meet current Fellows. A phone offer may be made to fitting candidates in the early fall, and an official letter of offer is issued upon acceptable of the position.

An offer of employment is not final until the fellow has been successfully credentialed by the NYU office of Graduate Medical Education. Terms of employment, including current year salary levels, benefits, duty hours, moonlighting policy, etc., may be found at http://gme.med.nyu.edu/about-gme/gme-policies-and-forms/graduate-medical-education-policies-and-procedures.

For more information contact:

Stephen Ross, MD
Program Director
(212) 562-4097
Stephen.Ross@nyumc.org

Grace Hennessy, MD
Associate Program Director
(212) 686-7500 x7587
Grace.Hennessy@va.gov