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Medical Education

Medical Students

Psychiatry Rotation

Our physicians provide an Addiction Medicine lecture series for all SUNY Upstate Medical University Binghamton Clinical Campus students during their Psychiatry rotation. Topics include introduction to Addiction Medicine, alcohol, opioids, stimulants, and Cannabis. Students gain knowledge about substance use disorders, which they can then employ in other clinical rotations.

Addiction Medicine Elective

Students in this four-week elective learn the latest, cutting-edge research to diagnose and treat substance use disorders. They see patients on the inpatient alcohol and sedative hypnotic withdrawal consultation service and in UHS opioid treatment program (OTP) and Suboxone® (buprenorphine/naloxone) program. They participate in treatment team meetings for UHS inpatient, outpatient, OTP, and Suboxone® (buprenorphine/naloxone) programs and observe individual and group counseling across our spectrum of services. Students also receive training in treating special populations, including pregnant women with opioid use disorder. Students are expected to attend the monthly Addiction Medicine journal club and complete an assigned reading list. The elective is available to MSIV students at SUNY Upstate Medical University in blocks 7, 8, and 9. After completing this elective, students can care for patients with substance use disorders with confidence.

Residents

Unique among ACGME programs, ours offers interested Family Medicine residents an Addiction and Pain Medicine elective that teaches them how to manage complicated clinical cases in the primary care setting. Residents are given tools to safely prescribe opioids and identify and effectively treat opioid use disorder.

All UHS Family medicine residents receive training in Addiction Medicine during their Psychiatry rotation.

Addiction and Pain Medicine Elective

We offer a four-week elective in Addiction and Pain Medicine for second- and third-year UHS Family Medicine residents.

While rotating in Addiction Medicine, residents see patients on the inpatient alcohol and sedative hypnotic withdrawal consultation service, in the Medication-Assisted Treatment program (methadone clinic or OTP), and in the Suboxone® (buprenorphine/naloxone) program. Residents also see pregnant women with opioid use disorder in the OTP. They learn how to assess and medically manage alcohol withdrawal. In the context of our OTP, residents are taught how to perform methadone and Suboxone® (buprenorphine/naloxone) inductions, adjust their doses, perform medication tapers, and transfer patients from one medication to the other. They participate in treatment team meetings for our inpatient, outpatient, OTP, and Suboxone® (buprenorphine/naloxone) programs and may observe both individual and group therapy across our spectrum of services, if interested.

During their Pain Medicine rotation, residents learn to assess and manage spinal pain, musculoskeletal pain, fibromyalgia, complex regional pain syndrome, central sensitization, and opioid-induced hyperalgesia. They are taught a multimodal approach that includes non-opioid pharmacological, interventional, psychological, and mechanical methods. Safe opioid prescribing is discussed. Interested residents may observe interventional procedures.

Psychiatry Block

All third-year UHS Family Medicine residents rotate with our physicians during their Psychiatry block. Residents are taught how to diagnose and treat substance use disorders; emphasis is placed on alcohol use disorder and withdrawal, opioid use disorder, and nicotine dependence.

Journal Club

UHS Family and Internal Medicine residents are invited to attend or call in to our monthly journal club where we discuss peer-reviewed articles related to substance use disorder treatment. Participants learn how to critically appraise articles and apply acquired knowledge to clinical settings. Please contact Kelly Grady at 607-762-2172 for information on how to participate.

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