Addiction Psychiatry Fellowship

Program Director: Grace Hennessy, MD

Click here for application information

About the Program

The NYU Department of Psychiatry offers a one-year ACGME-accredited Addiction Psychiatry Fellowship designed to develop expertise in all aspects of addiction psychiatry including: clinical, educational, administrative, leadership and scholarship. Clinical work is based at Bellevue Hospital Center and the New York Campus of the Department of Veterans Affairs Medical Center (NYVA). Bellevue Hospital is a city hospital with one of the most diverse patient populations in the country and a primary training site for NYU trainees. Fellows rotate through the inpatient Dual Diagnosis Training Unit, the inpatient Detoxification Training Unit, the Addiction Consultation-Liaison Service and substance abuse outpatient services, including Bellevue’s Chemical Dependency Outpatient Program (CDOP) and the Opioid Treatment Program (OTP). In addition, fellows gain clinical experience evaluating and treating adolescents and pregnant women with substance use disorders. The NYVA serves the medical and mental health needs of military service veterans throughout their lifespan and is a satellite training site for NYU trainees. Fellows rotate through the Dual Diagnosis Unit, the outpatient Substance Abuse Recovery Program (SARP) and the Opiate Replacement Therapy Program (ORTP). Fellows participate in a year-long didactic curriculum that includes a journal club, group supervision for outpatient management and a combined seminar with the NYU forensic psychiatry fellows which reviews the ASAM Principles of Addiction Medicine textbook. Fellows also work on a scholarly project which is presented at a seminar the end of the academic year.

Fellowship Rotations

BELLEVUE HOSPITAL

Bellevue Dual Diagnosis Training Unit
Clinical Supervisors: Luke Archibald, MD and Lori Bennett-Penn, MD, PhD, and Kathryn Keegan, MD

The Dual Diagnosis Training Unit is a 27-bed unit that was developed specifically for the acute care and rehabilitation of patients with co-occurring disorders with admission criteria based on dangerous behavior to self or others. The fellows lead a multi-disciplinary team that provides comprehensive care (psychiatric, substance abuse, medical) to the patients. The population consists of men and women with a wide range of psychiatric disorders including psychotic, mood, anxiety, and personality disorders. Fellows rotate on this service for two or three months, full time.

Bellevue Inpatient Detoxification Training Unit
Clinical Supervisor: Federico Zuniga, MD, and Hiren Bhakta, MD

The Inpatient Detoxification Training Unit is a 20-bed unit that provides short-term detoxification for 1,400 patients annually, and serves as another training site for addiction fellows. It is staffed jointly by Addiction Psychiatry and Addiction Medicine. The fellows gain extensive clinical expertise in managing withdrawal states, especially alcohol, opioids and sedative hypnotics. This unit also serves as the Division of Alcoholism and Drug Abuse’s inpatient research site. Fellows rotate on this service for one month.

Addiction Consultation-Liaison Service
Clinical Supervisor: Matthew Rottnek, MD

During this rotation, fellows respond to consultation requests from other Bellevue Hospital departments including internal medicine, surgical services, the emergency department, and OB-GYN. Fellows rotate on this service part-time during their outpatient experience.

Bellevue Chemical Dependency Outpatient Program (CDOP)
Clinical Supervisor: Adam Demner, MD

The Chemical Dependency Outpatient Unit supports 10,000 visits annually, beginning treatment with an intensive period of engagement into ambulatory care followed by outpatient group therapy and counseling. The program maintains close ties to facilities in the community and to the Bellevue Hospital Shelter for the homeless. It has developed special treatment programs for homeless alcoholics and for buprenorphine treatment for opioid addiction, each subject to evaluation research. Fellows learn about outpatient psychotherapeutic and psychopharmacologic management of patients with substance use disorders and co-occurring disorders. Fellows rotate on this service for six months, part-time.

Bellevue Opioid Treatment Programs (OTP)
Clinical Supervisors: Michelle Ferrara, MD and Soteri Polydorou, MD

The Bellevue Opioid Maintenance Program provides intensive integrated treatment (substance abuse, psychiatric, medical) using both methadone and buprenorphine for patients with opioid dependence. In addition to learning about outpatient management of patients with opioid dependence, fellows learn about the regulatory and systems based aspects of opioid maintenance programs. Fellows rotate on this service for six months, part-time.

NEW YORK VETERAN AFFAIRS HOSPITAL

Dual Diagnosis Inpatient Unit
Clinical Supervisors: Jim Dhrymes, MD and David Wiley, MD

The Dual Diagnosis Unit is a 19-bed inpatient unit that provides integrated medical and psychiatric treatment for veterans in withdrawal from substances of abuse in need of acute treatment for co-occurring disorders; these include major mood and psychotic disorders, personality disorders and PTSD. Fellows learn how to manage withdrawal from alcohol, opioids and sedative hypnotics while evaluating and treating co-occurring disorders. Fellows also learn about the assessment of ongoing treatment needs and referral to appropriate levels of care following discharge. Each fellow rotates on this service for one month, full time.

Outpatient Substance Abuse Recovery Program (SARP)
Clinical Supervisor: Grace Hennessy, MD

The outpatient Substance Abuse Recovery Program (SARP) admits veterans with various military backgrounds and substance related disorders. Veterans start in a five day per week program for at least 30 days and then move to a less intensive program for a minimum of 60 days. Fellows learn about outpatient psychotherapeutic and psychopharmacologic management of patients with substance related and co-occurring psychiatric disorders, including PTSD. Fellow also facilitate or co-facilitate groups that focus on relapse prevention and cognitive behavioral interventions. Fellows rotate on this service for six months, part time.

Opioid Replacement Therapy Program (ORTP)
Clinical Supervisor: Brian Sands, MD

The Opioid Replacement Therapy Program (ORTP) provides psychiatric and medical treatment to individuals with opioid related disorders over the course of months or years. Fellows will develop expertise in prescribing methadone and buprenorphine as part of the outpatient management of opioid dependent veterans and will also manage any co-occurring psychiatric disorders. Lastly, fellows will learn about the regulation and oversight of opioid maintenance programs and their role in the overall continuum of care. Fellows rotate on this service for six months, part-time.

Didactic Curriculum

The didactic work is organized around a series of weekly seminars which continues throughout the year. The specific courses include: Fundamentals of Addiction Psychiatry, Journal Club, Career Opportunities in Addiction Psychiatry, Historical Aspects of Addiction Psychiatry and the Outpatient Management of the Addicted Patient.. There is basic science training relevant to addictive illness in biochemistry, pharmacology, epidemiology, social theories, genetic models, and behavioral conditioning models. There is also extensive education around clinical assessment and management of patients with addictive spectrum and co-occurring disorders. Each fellow researches a topic of their interested as their scholarly project and presents at a seminar at the end of the academic year.

Bellevue Supervision and Mentoring

Dual Diagnosis Training Unit

•    Luke Archibald, MD
•    Lori Bennett-Penn, MD, PhD
•    Kathryn Keegan, MD

Detoxification Training Unit

•    Federico Zuniga, MD
•    Hiren Bhakta, MD

Consultation-Liaison Service

•    Matthew Rottnek, MD

Chemical Dependency Outpatient Program (CDOP)

•    Adam Demner, MD

Opioid Treatment Program (OTP)

•    Soteri Polydorou, MD
•    Michelle Ferrara, MD

NYVA Hospital Supervision and Mentoring

Dual Diagnosis Unit

•    Jim Dhrymes, MD
•    David Wiley, MD

Outpatient Substance Abuse Recovery Program (SARP)

•    Grace Hennessy, MD
•    Anthony Selvitella, MSW

Opioid Replacement Therapy Program (ORTP)

•    Brian Sands, MD

Application Information

There are five positions for each academic year. We look for mature, motivated applicants who must have satisfactorily completed an ACGME-accredited general psychiatry residency prior to entering the program. We consider such factors as one’s writing ability, research experience, leadership potential, flexible temperament, interest in public psychiatry and career goals. We strive for a well-rounded, diverse class of five fellows with individual strengths in different areas.

Application materials for the upcoming training year may be submitted beginning April 1st. Interview dates are selected May – July. The complete core application should be emailed in PDF form to Ms. Young-Nuzzi.

•    Please email all core application materials at once
•    Submit to: Tanisha.Young-Nuzzi@nyumc.org
•    The subject line of this email should be: Addiction Psychiatry Fellowship Application [APPLICANT LAST NAME, APPLICANT FIRST NAME]

Application Procedure

. Application materials for the 2020-2021 training year may be submitted beginning April 1, 2018 (early submission is highly encouraged). This includes the core application and three letters of recommendation (see below for more details). The complete core application should be emailed in PDF form to Ms. Young-Nuzzi.

Please submit the following materials:

  • A completed application form (Download PDF) (Download DOC)
  • Your curriculum vitae/Resume
  • A personal statement about why you wish to train in this Fellowship (one to two pages)
  • A copy of your Medical School Deans letter
  • Photograph
  • *Letters of reference

International applicants must also submit a

•    Valid ECFMG certificate
•    Proof of Visa status or US citizenship

* Please arrange for a minimum of two (but not more than three) letters of reference from persons who are familiar with the nature and quality of your work; one of those persons must be the Director of your General Psychiatry Residency Program. Letters of reference should be submitted directly by their authors to Ms. Young-Nuzzi.
Electronic submission in PDF form is preferred

Applicant Selection

The program begins reviewing applications in April and interviews are usually scheduled to take place in late May, June and July.  No application is considered until all required materials have been received, including the training or clinical Director’s letter of recommendation. Interviews generally take a full day and include meetings with faculty representatives of several different rotations as well as a chance to meet current Fellows. An offer may be made within a few weeks after the interview to fitting candidates and an official letter of offer is issued upon acceptable of the position.

An offer of employment is not final until the fellow has been successfully credentialed by the NYU office of Graduate Medical Education. Terms of employment, including current year salary levels, benefits, duty hours, moonlighting policy, etc., may be found at http://med.nyu.edu/gme/policies-procedures.

For more information contact:

Grace Hennessy, MD
Program Director
(212) 686-7500 x7587
Grace.Hennessy@va.gov

Tanisha Young-Nuzzi, MA
Program Manager
NYU School of Medicine
Department of Psychiatry, 8th Flr.
1 Park Avenue, New York, NY 10016
(646) 754-5438
Tanisha.Young-Nuzzi@nyumc.org