GME Programs

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CURRICULUM OVERVIEW:

Addiction Medicine fellows spend block time at four primary sites:

  1. Southern Hills Hospital rotations include 2 blocks on the Consultation-Liaison Psychiatry Service and the Behavioral Health Pavilion, where approximately 50-60% of patients have a co-occurring substance use disorder impacting their care and recovery.
  2. Las Vegas Recovery Center (LVRC) is a dedicated addiction treatment center providing full spectrum addiction treatment services from acute detox and residential treatment (RTC), a partial hospitalization program (PHP), and intensive outpatient treatment (IOP) programs. Three blocks are scheduled at LVRC for acute detox and residential treatment, as well as partial hospitalization, intensive outpatient (IOP) and outpatient services (OP).
  3. At Center for Behavioral Health, fellows develop their skills in 3 blocks with the OBOT/MAT services (outpatient-based opioid treatment / medication-assisted treatment), including naltrexone and buprenorphine, as well as methadone.
  4. VA Southern Nevada Healthcare System (VASNHS) provides 2 blocks rotating on Acute Inpatient Psychiatry and in the Addictive Disorders Treatment Program (ADTP) - the Las Vegas VA Residential Recovery & Renewal Center (“LVR3”) that provides treatment of veterans with substance use and/or gambling disorders.
  5. Electives (3 blocks) include:
    1. Perinatal substance use disorders and Neonatal Abstinence Syndrome
    2. Care of the Homeless
    3. Non-Interventional Pain Management
    4. Infectious Disease/Hepatitis C and HIV
    5. Southern Hills Hospital ICU – focusing on management of complicated withdrawal and induction of Medication-Assisted Treatment, such as buprenorphine

Elective opportunities (3 blocks) are available for further training in:

  1. Perinatal substance use disorders and Neonatal Abstinence Syndrome
  2. Care of the Homeless
  3. Non-Interventional Pain Management
  4. Infectious Disease/Hepatitis C and HIV
  5. Southern Hills Hospital ICU – focus on management of complicated withdrawal

Longitudinal experiences include:

  1. Primary Care and ADM Continuity clinics based at Nevada Health Centers (FQHC), the largest FQHC in Nevada. Primary care continuity clinics (1/2 day/week) and addiction-focused continuity clinics (1/2 day/week) are based at Martin Luther King Health Center (FM residency continuity clinic site) and other NVHC clinics in Las Vegas.
  1. Research and Scholarly Activity is a centerpiece for all HCA residencies and fellowships, supported by our Division Director of Research, Dr. Napatkamon Ayutyanont, and integrated across the 12-month curriculum.