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
Tom Waddell Urban Health Center
Fellow Scholarly Projects
- Outpatient initiation of 7-Day injectable Buprenorphine: A Direct-to-Inject Case Series (Sarah Rosenwohl-Mack, MD)
- From Pilot to Practice: Contingency Management for Veterans with Stimulant Use Disorder in Primary Care (Sarah Burbank, MD)
- Using Visual Art to Explore the Narratives of Minoritized Women Who Use Substances (Ekene Ojukwu, MD MSc)
- Clinical outcomes of patients who inject drugs with serious staphylococcal infections (Ayesha Appa, MD; Meredith Adamo, MD)
- Road Home, What Now? The Effects of Transitional Housing on mental health, substance use and chronic medical condition on justice-seeking individuals in the Tenderloin (Gigi Simmons, MD)
- Perspectives of Psychedelic Medications as Treatment for Substance Use Disorder Among People Experiencing Homelessness (Theora Cimino, MD)
- Contingency management for patients with methamphetamine-associated cardiomyopathy in a novel addiction and cardiology co-management clinic (Sarah Leyde, MD; Elizabeth Abbs, MD; Meredith Adamo, MD)
- Immigrants and Substance Use Disorders: A Legal and Medical Perspective (Michelle Lough, MD, MPH; Triveni Defries, MD, MPH)
- Implementation of a managed alcohol program during the COVID19 pandemic in San Francisco (Jesse Ristau, MD; Nicky Mehtani, MD MPH)
- Clinician’s guide to buprenorphine treatment (Triveni Defries, MD MPH)
- Support for Hospital Opioid Use Treatment (Project SHOUT) (Hannah Snyder, MD)
- Low barrier buprenorphine treatment for persons experiencing homelessness and injecting heroin in San Francisco (Jamie Carter, MD)