Addiction Psychiatry

Program Overview

Our program offers a one-year fellowship program in Addiction Psychiatry fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). One ACGME accredited Addiction Psychiatry fellowship position is available, commencing on July 1st.

Board Certification in Addiction Psychiatry from the American Board of Psychiatry and Neurology (ABPN) has the advantage of official recognition by organized medicine. Only Board-certified psychiatrists who have completed one year of ACGME-approved fellowship in addiction psychiatry can sit for the Subspecialty Certification Exam in Addiction Psychiatry.

Program Description

The Addiction Psychiatry fellowship sponsored by the Detroit Medical Center/Wayne State University utilizes the Detroit VA Healthcare System as its primary training site and provides fellows with advanced training in the recognition, diagnosis and treatment of addictive disorders. A well-rounded and comprehensive series of didactic presentations as well as clinical rotations ensure that graduates are clinically competent and knowledgeable in all aspects of addiction treatment.

Our program offers a comprehensive clinical experience in screening, diagnosis, psychopharmacology, consultation-liaison, and crisis intervention with both inpatient and outpatient populations. It is grounded in closely supervised clinical rotations, encompassing the full spectrum from screening and diagnosis to chronic treatment for a broad range of patients, including those with major psychiatric and medical co-morbidities.

Program Leadership

Fellowship Program Director Agnes Wrobel, M.D., has many years of experience in academic and clinical addiction psychiatry. She is a member of the American Academy of Addiction Psychiatry as well as the Academy of Psychosomatic Medicine. Dr. Wrobel has been involved in numerous activities and committees related to medical student, resident, and fellow training in addiction psychiatry.

Faculty

Each clinical rotation is supervised by a faculty mentor, who provides on-site supervision.

Fellows are encouraged to pursue research interests, for which a wide variety of mentors are accessible under the leadership of Mark Greenwald, Ph.D., Director of the Wayne State University, Department of Psychiatry and Behavioral Neurosciences, Substance Abuse Research Division. The fellowship enjoys a large multidisciplinary faculty including faculty members from the Departments of Pharmacology, Psychology, Internal Medicine, Community Medicine, Social Work and Psychiatry.

Facilities

All the major clinical rotations are based at the Detroit Medical Center (DMC) and its affiliated institutions including John D. Dingell VA Medical Center - a state of the art teaching hospital located in the heart of the DMC. The John D. Dingell Veterans Administration Medical Center offers inpatient treatment, intensive outpatient program (IOP), methadone and buprenorphine program, a dual diagnosis program, walk-in CD orientation with ambulatory detoxification.

Clinical Rotations include:

Methadone and buprenorphine programs
Intensive Outpatient Programs
Consultation Liaison Service with a focus on management of overdose, detoxification/withdrawal, brief interventions and referral selections.
Specialized Pain Clinic
Treatment of adolescents with substance use disorders
Treatment of women with substance use disorders including pregnant patients
Treatment of addictive disorders in the geriatric population
Community psychiatry (including a homeless program)

Fellows are provided with substantial scholarly time and are encouraged to pursue research interests. They also are expected to be involved in teaching medical students and residents. Involvement in quality improvement projects is also expected.

Didactic Curriculum

We provide a comprehensive didactic program that includes:

Core lecture series, a monthly journal club where fellows learn to critically read and appraise the current literature in addiction psychiatry, and weekly departmental Grand Rounds.
Individual supervision is scheduled weekly
Participation in a research seminar, as well as regional and national professional meetings complete the educational experience.

Entrance Requirements

Applicants must have completed an ACGME-accredited Psychiatry residency and passed USMLE (or COMLEX) 1, 2, and 3.

Applicants must be eligible for permanent licensure in Michigan.

Requests for an application and further information should be directed to the fellowship program director or the program coordinator.

Fellowship Program Director

Agnes Wrobel, M.D.
Assistant Professor-Clinical, Department of Psychiatry & Behavioral Neurosciences
Phone: 313-576-1800 Ext. 63790
Toll free: 800-511-8056
Email: Agnes.Wrobel@va.gov

Program Coordinator

Michelle Trevithick
Department of Psychiatry & Behavioral Neurosciences
Phone: 313-577-5283 | Fax: 313-577-2233
Tolan Park Medical Building
3901 Chrysler Service Drive, Suite 5-A
Detroit, MI 48201
Email: mtrevith@med.wayne.edu

Scholarly Research Advisor

Mark Greenwald, Ph.D.
Professor, Department of Psychiatry & Behavioral Neurosciences
Director, Substance Abuse Research Division
Phone: 313-993-3965
Tolan Park Medical Building
3901 Chrysler Service Drive, Suite 2-A
Detroit, MI 48201
Email: mgreen@med.wayne.edu