Training

The training experiences of fellows are tailored to their individual interests, enriched by interprofessional team-based care, and supervised by more than 20 interdisciplinary program faculty board-certified in addiction medicine.

The clinical learning environment continues to grow through academic and community partnerships with teaching sites that include:

1. Public hospital-based ambulatory addiction, primary care, and inpatient services at San Francisco General Hospital.
2. A wide range of community-based programs sponsored by the SFDPH providing primary care, case management, sobering, respite, chronic pain, addiction pharmacotherapy, and safer use supply services.
3. Non-profit community organizations that provide integrated primary medical care and mental health services, withdrawal management, harm reduction, and residential and outpatient addiction treatment for substance use disorder for communities in San Francisco and northern California.
4. Clinical programs that specialize in the prevention and treatment of unhealthy substance use in pregnant and postpartum families.

Core Clinical Experiences 

Opiate Treatment outpatient Program (OTOP) 
Site Directors: Scott Steiger, MD and Brad Shapiro, MD

Whole Person Integrated Care 
Site Director: Joanna Eveland, MD and Alejandro Castellanos, MD

Addiction Care Team (ACT) 
Site Directors: Marlene Martin, MD and Alex Logan, MD

Substance use disorder bridge Clinic 
Site Director: Hannah Snyder, MD

Office-based buprenorphine induction clinic (OBIC)
Site Director: Tricia Wright, MD, MS

Healthright360 (Hr360)
Site Director: Ako Jacintho, MD

Some of our Participating Continuity Clinics 

Primary Care Addiction Medicine Fellows engage in two types of yearlong clinical experiences.  As primary care physicians, they maintain the equivalent of one half-day per week in a primary care continuity clinic that matches their prior clinical training. Fellows deliver integrated, comprehensive care for their primary care patients, including diagnosis and treatment of substance use disorders and related problems.  As addiction medicine physicians, fellows spend one half-day per week in our Family Health Center’s SUD Bridge Clinic, delivering low-barrier, office-based addiction medicine to patients discharged from the hospital, emergency department, or referred from other clinics.

Site placements are within the San Francisco Health Network (SFHN), the city’s public safety net health system that cares for some 110,000 patients annually in 13 primary care health centers throughout the city.  Additional practice sites include St. Anthony’s Medical Clinic and the Downtown Clinic of the San Francisco Veteran’s Administration for homeless veterans.

Richard H. Fine People’s Clinic (RFPC)

Family Health Center (FHC)

Castro-Mission Health Center (CMHC)

Positive Health Program (PHP) Ward 86 HIV Clinic

Tom Waddell Urban Health Center (TWUHC)

Downtown Clinic (DTC)