The St. Paul’s Hospital Goldcorp Addiction Medicine Fellowship is a partnership between the St. Paul’s Hospital Foundation, St. Paul’s Hospital, the Urban Health Research Initiative of the BC Centre for Excellence in HIV/AIDS and the University of British Columbia Division of AIDS. It has been made possible by a 3 million dollar donation to the St. Paul’s Hospital Foundation / the UBC Division of AIDS by Goldcorp Inc. on September 21, 2012.
The program is a new multidisciplinary Addiction Medicine Fellowship that strives for excellence in clinical training, scholarship, research and advocacy. The program accepts 6 medical trainees per year who can come from any medical background, typically Psychiatry, Internal Medicine, and Family Medicine. In addition, the program accepts one position for Nursing and one position for Social Work. The program is accredited by the American Board of Addiction Medicine and includes specialty training in in-patient and out-patient addiction management as well as related concurrent disorders training. The program prepares Fellows to work clinically in the field of Addiction Medicine and take leadership roles in an academic setting and will help prepare Fellows to write examinations with either the American Board of Addiction Medicine (ABAM) and/or the International Society of Addiction Medicine (ISAM), and thus be eligible to apply for certification with The Canadian Society of Addiction Medicine (CSAM).
Program details follow:
- The program runs July 1st to June 30th annually. There may be some flexibility for residents concurrently enrolled in other programs.
- There are nine core required blocks of four weeks duration each.
- There are also 3 elective blocks to be decided on with the Program Director.
- Didactic experiences include academic half days, monthly journal clubs with staff, and conference attendance.
- There is a longitudinal component with a year-long half day back experience in the community tailored to the learning needs of the Fellow.
- There is very little in-hospital overnight call required during the year, but there are several rotations where call from home may be expected – never more frequently than 1 in 4 nights.
- A description of some of the training rotations follows.
With prior approval, fellows and residents from other programs may undertake dedicated training within the Addiction Medicine Fellowship that can be put towards future accreditation in the St. Paul’s Hospital Goldcorp Addiction Medicine Fellowship.
*Medical students and residents
For medical students and residents, it is possible to undertake electives in addiction medicine at St. Paul’s Hospital. If you are a medical student or resident interested in an addiction medicine elective, click here.
The St. Paul’s Hospital Addiction Medicine Consultation Service
The Addiction Medicine Consultation Team at St. Paul’s Hospital provides inpatient Addiction Medicine consultations to the entire hospital including all medical and surgical wards. Consultations involve addiction treatment coordination for medical co-morbidities, opioid maintenance therapy initiation, continuation and monitoring, as well as inpatient withdrawal and detoxification management, motivational interviewing, follow-up treatment recommendations and coordination are all conducted by the team. [CANMEDS OBJECTIVES]
Inpatient and Outpatient Chemical Dependency at Vancouver Detox
Vancouver Detox provides an excellent clinical learning environment for medical detoxification and related care. Fellows will provide full assessments and management in this 25-bed inpatient medically supervised detoxification unit. Fellows will be exposed to the full spectrum of inpatient medical detoxification patient care. The program also runs a Daytox program for outpatient medical detoxification and early treatment. [CANMEDS OBJECTIVES]
Outpatient Chemical Dependency at Three Bridges Community Health Centre
Fellows will be involved with initial assessment and ongoing treatment of primary care outpatients with substance use disorders for whom treatments are provided including methadone and Suboxone detox and maintenance therapies, clonidine detoxes, naltrexone therapy, as well as group and 1:1 counseling (e.g. matrix model, Seeking Safety). This is an excellent interdisciplinary learning environment highly experienced with having trainees exposed to a range of activities including alcohol and drug counselors. [CANMEDS OBJECTIVES]
Women’s Recovery at BC Women’s Hospital and Health Centre
The home base for this rotation is Heartwood, a tertiary, provincial 28-bed residential addiction treatment facility for women. Fellows will be involved with the full spectrum of treatment from detoxification through to group therapy. There will also be some exposure to Fir Square, an inpatient stabilization and detoxification unit at BC Women’s Hospital for pregnant and postpartum substance using women and their newborns. [CANMEDS OBJECTIVES]
Pain Management at OrionHealth
The Pain Management Program at OrionHealth (Vancouver Pain Clinic) is an intensive out-patient program. The Fellows will be responsible for assessments including history, physical examination and use screening instruments allowing for diagnosing and treatment planning for patients with chronic pain disorders, many of whom have concurrent substance use disorders. Fellows will learn techniques of opioid rotation, conversion to long acting opioids, and opioid withdrawal management. The Fellows will also become very familiar with the use of antidepressants, anticonvulsants, NSAIDS, and other medication therapies. [CANMEDS OBJECTIVES]
The Psychiatric Assessment and Stabilization Unit (PASU) / Consultation Liaison Service (CLS) at St. Paul’s Hospital
The PASU is an acute assessment and stabilization unit that deals primarily with concurrently disordered (e.g. addicted and mentally ill) patients requiring psychiatric admission. Consultations involve full bio-psycho-social assessments including full history and exam, addiction treatment coordination for medical and psychiatric comorbidities, opioid maintenance therapy initiation, continuation and monitoring, as well as inpatient withdrawal and detoxification management, motivational interviewing, follow-up treatment recommendations and coordination are all conducted by the team. [CANMEDS OBJECTIVES: PASU or CLS]
St Paul’s Hospital’s ‘Inner City Youth Mental Health Program (ICYMHP)
St. Paul’s Hospital’s Inner City Youth Mental Health Program hosts this rotation that combines out patient assessments, long term residential care management, and in hospital care of youth 16-25. [CANMEDS OBJECTIVES]
Longitudinal Outpatient Continuity of Care Experience
Each Fellow will have a half day per week back in the community at a consistent site over the year to get to know a patient population dealing with substance use disorders and process addictions. [CANMEDS OBJECTIVES]
St. Paul’s Hospital is a rich research environment and home to many addiction-related research projects funded by the Canadian Institutes of Health Research and the US National Institutes on Drug Abuse (NIDA). Fellows will have abundant opportunity to conduct and publish peer-reviewed research and participate in the development of funding proposals. Senior researchers affiliated with the Fellowship have considerable experience mentoring Fellows making the transition to clinician investigator. For further information click here.