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ERAS#: 4043140001

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Welcome letter

Program Director, Addiction Medicine FellowshipWelcome to our new ACGME-accredited Addiction Medicine Fellowship - the first in Nevada! Based at Southern Hills Hospital and Medical Center as part of the HCA Healthcare Sunrise Health GME consortium, we are delighted to launch our 1-year multi-disciplinary fellowship model with various community partners, allowing us to provide a broad-spectrum, evidence-based and community-focused training foundation for new Addiction Medicine specialists. Research and scholarly activity are integrated throughout the fellowship.

We are currently accepting applications through ERAS
for our inaugural fellowship class for 2021-2022.

We welcome applicants who are Part of the Solution and are passionate about our HCA mission - simply stated, “Above all else, we are committed to the care and improvement of human life,” and how that applies to caring for individuals and families with substance use disorders. “Addiction doesn’t just affect one person, it ripples through families and our entire community. It is time we as healthcare professionals do what we can to stop this crisis,” Alexis Mussi, Chief Executive Officer of Southern Hills Hospital said. “This addiction medicine fellowship is a step in the right direction to helping those who need it.”

Reflecting our HCA mission and together with our partners, our Addiction Medicine Fellowship prepares compassionate and competent graduate physicians for clinical and academic careers in Addiction Medicine, utilizing evidence-based addiction prevention and treatment services for all patients, families and communities – as clinicians, educators and patient- and community-advocates to address diseases of addiction in a collaborative, innovative environment.

Nevada ranks 48th in the US for access to primary care physicians and 50th in the US for access to psychiatrists. Similarly, access to care for those with substance use disorders is quite limited. According to the Centers for Disease Control, drug overdose deaths continue to rise in our country, and in 2017 alone, 70,237 people died from a drug overdose, primarily from opioids. According to the Nevada Opioid Crisis Needs Assessment, Nevada ranked 13th in opioid prescribing rates (2016).

Clearly, it is time for change!

Our Addiction Medicine Fellowship provides training across multiple settings, from the Sunrise Health acute care hospitals and psychiatric inpatient services, to community-based addiction treatment centers, the Veterans Administration services and our federally qualified health center (FQHC) partner – Nevada Health Centers for continuity primary care and addiction-related care.

Program Director, Addiction Medicine Fellowship

About our program

Applications will be accepted only through ERAS. The Addiction Medicine Fellowships are not participating in Match 2021. The required ERAS documents are as follows:

  • ERAS Application
  • Personal statement
  • Professional Curriculum Vitae, including scholarly work during a residency
  • Three letters of recommendation, including one from primary residency/specialty. Current residents should include a letter from their program director.
  • USMLE or COMLEX score transcript(s) for Steps/Levels 1, 2CK/CE, and 2CS/PE
  • Medical school transcript
  • ECFMG Certificate, if indicated

Mission statement

The MountainView Addiction Medicine Program’s mission is to develop the next generation of physicians and physician leaders. As a part of HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.

This program is designed to offer residents a rewarding, educational environment where residents are provided individualized learning opportunities by faculty and staff who support and sustain one another throughout quality care delivery. Our faculty are committed to ensuring the residents clinical experience and educational needs are fulfilled while expanding residents’ perspectives to be inclusive of cultures, values and ideals.

List of leadership and faculty

  • Maureen Strohm, MD, MACM, FAAFP
  • Tarik Alshaikh, DO
  • Lesley Dickson, MD, FAPM, LFAPA
  • Jonathan Wirjo, DO
  • Mel Pohl, MD, DFASAM, FAAFP
  • Ria G. Fabunan, MD
  • Kristen M. Langlois, DO
  • Ali Shahin, MD, MBA, FAAFP
  • Christopher J. Voscopoulos, MD, MBA, MS, MLS, FCCP
  • Elliot Wade, MD

Program 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.

Elective opportunities (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 – Southern Hills Hospital ICU – focus on management of complicated withdrawal and induction of Medication-Assisted Treatment, such as buprenorphine

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.
  2. 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.

Didactics include a longitudinal series geared to support ongoing learning and preparation for the certification examination

Curriculum and rotation schedule

OVERVIEW OF CLINICAL EXPERIENCE:

Clinical rotations and community partners include:

  1. Southern Hills Hospital Psychiatric and Emergency Consultation Service – based at Southern Hills Hospital, a 262-bed acute care general hospital with an 80-bed behavioral health pavilion. Fellows serve as consultants on the Psychiatric Consult Service covering the medical-surgical services and the emergency department as well as on the inpatient psychiatry service.
  2. Las Vegas Recovery Center (LVRC) - a freestanding addiction treatment center that provides the spectrum of services from patient and family assessment, inpatient detox and residential treatment with a transition to the continuum of outpatient treatment programs, including recovery homes. ASAM Criteria and Levels of Care are utilized across the continuum of services, structuring care and interventions accordingly.
  3. Center for Behavioral Health (CBH) - a non-profit company with 3 addiction treatment centers in Las Vegas and facilities in 8 states across the United States. Services range from confidential assessment, with full range of treatments through its outpatient treatment program (OTP) and outpatient services, which are based on the ASAM Criteria and Levels of Care at all levels. Key to its services, CBH provides outpatient-based opioid treatment (OBOT), including all three federally approved medications for opiate use disorder (OUD): buprenorphine (in all its formulations), naltrexone (eg., Vivitrol), and methadone. Supporting efforts in harm reduction, CBH created the first syringe vending machine based in one of its Las Vegas treatment centers.
  4. The VA Southern Nevada Healthcare System (VASNHS) in North Las Vegas – a full spectrum medical center with fellow rotations combining service and training on the Acute Inpatient Psychiatry service and in the Addiction Disorders Treatment Program (ADTP), the Las Vegas VA Residential Recovery & Renewal Center (LVR3)
  5. Electives are available in Non-Interventional Pain Management, HIV/HepC Care, Care of Homeless, Perinatal Addiction and Management of Neonatal Abstinence Syndrome, and Critical care/ICU with focus on management of complicated withdrawal

Throughout the year, the fellows will have a continuity care clinic within their primary specialty and a continuity addiction treatment-focused clinic.