Primary Care Addiction Medicine Fellowship

The UCSF Primary Care Addiction Medicine Fellowship prepares primary care physicians to become leaders in the care of persons with substance use disorders in the safety net communities of San Francisco.

Through a combination of direct patient care, clinical teaching, experiential learning, and scientific inquiry embedded in public sector health care delivery systems, this one-year clinically-focused ambulatory training program combines the resources of the UCSF School of Medicine and the San Francisco Department of Public Health (SFDPH) to offer fellows outstanding opportunities to obtain and demonstrate competence in patient care and the diagnosis, management, and treatment of the spectrum of unhealthy substance use and addiction.

Fellows, all of whom have completed another primary care residency, will receive training in the knowledge and skills essential for the scope of practice of Addiction Medicine and to develop an identity as an addiction medicine physician. Clinical rotations include community-based outpatient and residential treatment and hospital-based inpatient consultation. Core rotations and continuity clinics emphasize patient-centered communication and the integration of primary care, addiction medicine services, and harm reduction practice and policies for patients with health disparities from urban, low-income, and stigmatized populations. Fellows also select or design electives with their program mentors to either complement their skills and experiences or further develop specific areas of expertise. All trainees will complete an addiction-related mentored scholarly project, either through direct participation in research or by undertaking medical education or clinical practice quality improvement projects that make use of scientific methods. Fellows will also participate in the UCSF Drug Use Research Group (DURG), a city-wide seminar dedicated to research with substance-using populations. 

The training experiences of fellows are tailored to their individual interests and guided by interprofessional and interdisciplinary program faculty, ten of whom are board-certified in addiction medicine. Program faculty have established relationships with teaching sites that currently include:

  1. Public hospital-based ambulatory addiction, primary care, and inpatient services at San Francisco General Hospital
  2. A wide range of community-based primary care, case management, sobering, respite, chronic pain, and addiction pharmacotherapy programs sponsored by the San Francisco Department of Public Health
  3. Local, non-profit community organizations that provide integrated primary medical care and mental health services, withdrawal management, residential and outpatient addiction treatment to low-income, uninsured and under-insured, and marginalized people in San Francisco.

Sponsoring Institution

Length of Training

Program Director

Total ACGME Approved Positions

University of California, San Francisco
1 year

Paula J. Lum, MD, MPH, FASAM
Division of HIV, ID, and Global Medicine
Zuckerberg San Francisco General Hospital
995 Potrero Avenue, Building 80, Ward 84,
San Francisco, CA 94110



Applicants currently must be board certified or board eligible in Internal Medicine or Family Medicine.  Additionally, applicants must be graduates of, or in the final year of an ACGME accredited clinical residency program.  A full California medical license is required before starting the fellowship.  Possession of a DATA 2000 physician waiver is highly encouraged. 

How to Apply

The application process is simple.  We request:

  • A completed Application Form
  • Your current CV
  • A one to two page personal statement describing your interest in primary care addiction medicine and your career goals upon fellowship completion.
  • Three letters of recommendation (LoR): Please use this Reference Request Form to request your letters of recommendation. 

Please e-mail the CV and Personal Statement to the Program Coordinator, Alyssa Michaels at [email protected]. The letters of recommendation should be sent directly via e-mail or by mail to:

Alyssa Michaels, Primary Care Addiction Medicine Fellowship Program Coordinator
Division of HIV, Infectious Diseases and Global Medicine
San Francisco General Hospital
Box 0874
University of California, San Francisco
San Francisco, CA. 94143-0874
Tel: 415-476-4082 Ext. 105
Fax: 415-502-8662
[email protected]


We are now accepting applications for the 2020-21 Fellowship.  Applications are reviewed on a rolling basis beginning July 15th, 2019.  Please submit your application materials no later than November 1, 2019.


After a complete application has been received, the Program Director and Selection Committee will review your application and make a decision to offer an interview. Prospective candidates will meet with the Program Director and with faculty member(s) with similar clinical or scholarly interests. Interviews provide an opportunity to ask questions and learn more about the curriculum and training program. 

If you are a physician with a demonstrated commitment to a career integrating evidence-based addiction medicine with the primary care of the urban underserved, we hope you will consider applying to join us.

Warm regards,

Paula J. Lum, MD, MPH
Paula J. Lum, MD, MPH
Program Director

fellowship administrator
Alyssa M. Michaels, MS
Program Coordinator