Training
Fellows’ training experiences are tailored to their individual career interests—enriched by interprofessional team-based care, a rigorous didactic curriculum, and dedicated opportunities for wellness and self-reflection.
The clinical learning environment grows out of valuable educational partnerships with the public health system and numerous community organizations. Teaching sites and partners include:
- Public hospital-based outpatient addiction medicine, academic primary care, and addiction consultation services at San Francisco General Hospital
- Clinical services and programs operated or sponsored by the City & County of San Francisco that deliver primary care, behavioral health, sobering, respite, overdose prevention, homeless outreach, chronic pain management, addiction treatment, and other evidence-based services for people who use substances.
- Non-profit community organizations that provide integrated primary medical care and mental health services, intoxication and withdrawal management, street outreach services, and office-based, residential, and intensive outpatient addiction treatment for communities in both the San Francisco inner city and in rural northern California
- Wraparound clinical programs that specialize in the prevention and treatment of unhealthy substance use in pregnant and postpartum families
Core Clinical Experiences
bridge CliniC At Family Health Center
Office-based buprenorphine induction clinic (OBIC)
Opiate Treatment outpatient Program (OTOP)
Some of our Participating Continuity Clinics
Addiction Medicine Fellows engage in two types of yearlong clinical experiences: (1) As physicians with demonstrated competence in their primary specialty, fellows practice independently one half-day per week in their primary specialty. (2) As addiction medicine fellows, they spend one half-day per week in the Bridge Clinic at the Family Health Center, delivering supervised low-barrier, office-based addiction medicine to patients that drop-in or are discharged from the hospital, emergency department, or referred from other clinics.
Site placements for continuity practice 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 emergency departments, birthing centers, the St. Anthony’s Medical Clinic, and the San Francisco Veteran’s Administration’s Downtown Clinic.
Richard H. Fine People’s Clinic
Positive Health Program Ward 86 HIV Clinic