Program Overview

Department of Psychiatry Education and Training

The Department of Psychiatry Education and Training offers various programs, including the Addiction Psychiatry Fellowship. This fellowship provides comprehensive training in addiction psychiatry, with a focus on clinical rotations, didactics, and research.

Training Programs

The department offers the following training programs:

• General Psychiatry Residency
• Addiction Psychiatry Fellowship
• Child and Adolescent Psychiatry Fellowship
• Consultation Liaison Psychiatry Fellowship
• Forensic Psychiatry Fellowship
• Geriatric Psychiatry Fellowship
• Clinical Psychology Program

Clinical Rotations - Addiction Psychiatry Fellowship

The Addiction Psychiatry Fellowship includes clinical rotations in various settings, such as:

OHSU Rotations

• Toxicology Consult Service: Provides bedside care for patients with poisoning or toxicity at OHSU and Doernbecher Children's Hospital.
• IMPACT Consult Service: A nationally recognized interdisciplinary inpatient addiction consult service.
• Harm Reduction and Bridges to Care (HRBR): A low-barrier, on-demand addiction treatment clinic.

VA Rotations

• Substance Abuse Treatment Program (SATP) & Opioid Treatment Program (OTP): Provides comprehensive psychiatric assessments and longitudinal care for patients.
• Residential Recovery Treatment Program (RRTP): A 35-bed residential treatment facility for homeless veterans and/or veterans with substance use disorders.
• Primary Care Clinics: Fellows rotate in primary care and subspecialty clinics under the supervision of an addiction psychiatrist.
• Center for Integrative Pain Care (CIPC): A multidisciplinary clinic consisting of medical specialists, pain psychologists, and other healthcare professionals.

Kaiser

• Recovery Pathways: A team-based level 1 outpatient care model for patients with co-occurring mental health and substance use disorders.
• Brookside Center for Residential Addiction Treatment: Provides withdrawal management and residential treatment services for patients with substance use disorders.

Fora Health Treatment & Recovery

• Fellows join Fora Health staff in medically managed detoxification and continuing care in Oregon's largest residential dual diagnosis SUDS treatment facility.

Unity Center for Behavioral Health

• Fellows rotate at the Child and Adolescent Inpatient Psychiatric Unit, participating in interdisciplinary teams and evaluating and co-managing treatment of adolescent patients with dual diagnosis.

Rotation Descriptions

The clinical rotations provide fellows with a comprehensive understanding of addiction psychiatry, including:

• Longitudinal care for patients with substance use disorders
• Bedside consultations for patients with poisoning or toxicity
• Interdisciplinary team collaboration
• Comprehensive psychiatric assessments and treatment recommendations
• Participation in evidence-based educational and psychotherapeutic interventions

Sample Schedules

The fellowship includes sample schedules for each rotation, providing a structured approach to the clinical training. The schedules include:

• Portland VA/OHSU Block
• FORA Block
• Clinical rotations and didactics

The Addiction Psychiatry Fellowship at OHSU provides a comprehensive and structured approach to training in addiction psychiatry, with a focus on clinical rotations, didactics, and research. The program is designed to provide fellows with the knowledge, skills, and experience necessary to become competent addiction psychiatrists.