Addiction Medicine Fellowship | Loyola Medicine

Addiction Medicine Fellowship

We continue to grow the addiction training fellowship in the Department of Psychiatry at Loyola University Medical Center and Hines VA. Our fellows have helped to shape the development of the program and they will continue to do so!  Our academically-based program provides strong clinical, research and teaching opportunities.  Our teaching faculty includes several board-certified and board-eligible addiction psychiatrists and addiction medicine specialists with extensive experience in public, private, academic, administrative and government settings.  Our ACGME-accredited fellowship was one of the first such fellowships to receive this accreditation (July 2018) and the rotations are based primarily at Hines VA, with one rotation at a community-based hospital.  We have strong inpatient, intensive outpatient and outpatient continuity clinic experiences at the VA medical center.   Our elective training sites include specialty clinics.  All sites and faculty are affiliated with Loyola University Medical School. 

Our patients present with all types of addictions and fellows in this program will see a wide range of addiction problems.  The patient population includes persons with addiction only as well as those with complicated co-occurring psychiatric and / or medical diagnosis(es).  Fellows work within multidisciplinary teams on a daily basis.  

The fellowship offers strong research opportunities for those who are interested in this aspect of addiction psychiatry and addiction medicine.

We look forward to hearing from interested applicants and we hope that you will take the opportunity to visit us.  Please take a look at our program and consider applying if you are interested in becoming part of a rapidly growing field of much-needed specialists!   As an additional bonus, the Chicago area is a great place to live and work with many different leisure and social opportunities!  

Alma Ramic,

Program Director Addiction Medicine

Overview of the Addiction Medicine Fellowship

Loyola University Medical Center provides an exciting elective track opportunity in collaboration with Edward Hines Jr. VA Hospital for a start date of July 1 each year.  This fellowship is open to an Internal Medicine or Family Medicine resident interested in advanced training and clinical experience in addiction medicine. The elective track was founded in 2011 and graduated its first resident in June 2012. Beginning each September, we will be accepting applications for the following July 1 start date.   Application deadline is the mid of February each year.

The individual selected for this position will be part of a multi-disciplinary team working under the supervision of several addiction psychiatrists. We treat patients across all ages and genders with all types of addictions in both inpatient and outpatient settings, including patients with complex co-morbid diagnoses. Individuals will receive training in evidence based medical management and psychotherapy. Clinical work will be based primarily at Edward Hines Jr. VA Hospital with a adolescent rotation at AMITA Health Adventist Medical Center, Hinsdale. Edward Hines Jr. VA Hospital is a highly innovative and comprehensive hospital with inpatient and outpatient psychiatric services. The fellow will participate in settings including the Outpatient Addiction Treatment Program, Opiate Substitution Clinic, Substance Abuse Residential Rehabilitation Program, Inpatient Psychiatry, Consultation-Liaison Psychiatry Service, Pain Clinic, Primary Care Behavioral Health Clinic and scholarly/research collaborations.  Hinsdale hospital offers encompassing specialized holistic substance abuse treatment for adolescents ages 12-18 years.  The treatment program includes counseling, patient and family education and an introduction to the 12-Step program for addiction.  The partial hospitalization program (PHP) includes weekly family therapy, and then step-down intensive outpatient programs (IOP).  Successful completion of these 2 levels then progresses to an after-care group.  The fellow participates in all level of care, including both individual and family counseling modalities, as well.

The elective track provides state-of-the-art training in the treatment of patients with addiction, including detoxification, pharmacotherapy for addiction, abstinence-based recovery models, harm-reduction recovery models, motivational interviewing, 12-Step facilitation, consultation for medical and psychiatric hospital services, and psychosocial approaches to the treatment of patients with addiction and pain.

Please visit the following website to learn more details about our Program and Affiliated Organizations.

Fellowship rotation schedule

Rotation Schedule

  1. Every Thursday: 11am Resident Meeting – LUMC, 12pm Grand Rounds – LUMC (2 hours of didactic time)
  2. Addiction Continuity Clinic: 3 hours patient care, 1 hr charting/phone calls
  3. Rotations (inC/Luding ATP, 2-north, Pain Clinic): 21 hours of direct patient care, 7 hours of charting/phone calls
  4. 2-south and OSC rotations: 24 hours of direct patient care, 8 hours of charting/phone calls
  5. SBIRT: presentations throughout (12) months of rotations.

July

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

Addiction treatment program (ATP)

Didactics

ATP

ATP

ATP

AM Supervisor

Shavers/Rowe

Faculty

Shavers

Shavers/Rowe

Shavers

PM Rotation

ATP

AM Continuity Clinic (12 pm)

ATP

Addiction Research

Primary care behavioral health (PCBH)

PM Supervisor

Shavers/Rowe

Shavers

Shavers

Herrold

Yim

August

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

ATP

Didactics

ATP

ATP

ATP

AM Supervisor

Shavers/Rowe

Faculty

Shavers

Shavers/Rowe

Shavers

PM Rotation

ATP

PM Continuity Clinic

ATP

GR/Addiction Research

PCBH

PM Supervisor

Shavers/Rowe

Shavers

Shavers

Herrold

Yim

September

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

ATP

Didactics

ATP

ATP

ATP

AM Supervisor

Shavers/Rowe

Faculty

Shavers

Shavers/Rowe

Shavers

PM Rotation

ATP

PM Cont Clinic

ATP

GR/Addiction Research

PCBH

PM Supervisor

Shavers/Rowe

Shavers

Shavers

Herrold

Yim

               

 

 

October

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

Opioid treatment program (OTP)

Didactics

OTP

OTP

OTP

AM Supervisor

Ramic

Faculty

Ramic

Asadi

Asadi

PM Rotation

ATP (group)

PM Cont Clinic (12 pm)

Pain Clinic vs PCBH

Addiction Research

Teaching

PM Supervisor

Ramic

Shavers

Uppal/Yim

Herrold

Ramic

 

November

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

OTP

Didactics

OTP

OTP

OTP

AM Supervisor

Ramic

Faculty

Ramic

Ramic

Ramic

PM Rotation

ATP (groups and IT)

AM Cont Clinic (12 pm)

Pain Clinic or PCBH

Addiction Research

Teaching

PM Supervisor

Ramic

Ramic

Ramic

Herrold

Ramic

December

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

2N-Substance abuse residential rehabilitation treatment program (SARRTP)

Didactics

2N-SARRTP

2N-SARRTP

2N-SARRTP

AM Supervisor

Arenas

Faculty

Arenas

Arenas

Arenas

PM Rotation

2N-SARRTP

AM Cont Clinic

2N-SARRTP

Addiction Research

2N-SARRTP

PM Supervisor

Arenas

Shavers

Arenas

Herrold

Arenas

January

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

2N-SARRTP

Didactics

2N-SARRTP

2N-SARRTP

2N-SARRTP

AM Supervisor

Arenas

Faculty

Arenas

Arenas

Arenas

PM Rotation

2N-SARRTP

AM Cont Clinic

2N-SARRTP

Addiction Research

2N-SARRTP

PM Supervisor

Arenas

Arenas

Arenas

Herrold

Arenas

               

 

 

February

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

2N-SARRTP

Didactics

2N-SARRTP

2N-SARRTP

2N-SARRTP

AM Supervisor

Arenas

Faculty

Arenas

Arenas

Arenas

PM Rotation

2N-SARRTP

AM Cont Clinic

2N-SARRTP

Addiction Research

2N-SARRTP

PM Supervisor

Arenas

Arenas

Arenas

Herrold

Arenas

March

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

Consult liaison (C/L)

Didactics

C/L

C/L

C/L

AM Supervisor

Girgis

Faculty

Girgis

Girgis

Girgis

PM Rotation

C/L

AM Cont Clinic

C/L

GR/Addiction Research

ATP

PM Supervisor

Girgis

Shavers

Girgis

Herrold

Ritter/Asadi

April

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

C/L

Didactics

C/L

C/L

C/L

AM Supervisor

Girgis

Faculty

Girgis

Girgis

Girgis

PM Rotation

C/L

AM Cont Clinic

C/L

GR/Addiction Research

C/L

PM Supervisor

Girgis

Shavers

Girgis

Herrold

Girgis

May

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

2S-Inpatient psychiatry

Didactics

2S

2S

2S

AM Supervisor

McMillin

Faculty

McMillin

McMillin

McMillin

PM Rotation

2s

AM Cont Clinic (12 pm)

2s

GR/Addiction Research

2s

PM Supervisor

McMillin

Ramic

McMillin

Herrold

McMillin

               

 

 

June

Monday

Tuesday

Wednesday

Thursday

Friday

AM Rotation

Hinsdale Adolescent rotation

Didactics

Hinsdale Adolescent rotation

Hinsdale Adolescent rotation

Hinsdale Adolescent rotation

AM Supervisor

TBD

Faculty

TBD

TBD

TBD

PM Rotation

Hinsdale Adolescent rotation

AM Cont Clinic (12 pm)

Hinsdale Adolescent rotation

GR/Addiction Research

Hinsdale Adolescent rotation

PM Supervisor

TBD

Ramic

TBD

Herrold

TBD

Research opportunities

Fellows have a half day a week all year long dedicated to research. They have the opportunity to spend this time working with Dr. Amy Herrold.  Dr. Herrold is an addiction neuroscientist focused on developing neuroscience-informed treatments for co-occurring alcohol use disorder (AUD) and mild traumatic brain injury (mTBI).  Her overall hypothesis is that exacerbated brain dysfunction with the co-occurrence of AUD+mTBI leads to exacerbated behavioral dysfunction, such as elevated alcohol craving. Customizing neuromodulatory treatments to treat this brain dysfunction are warranted given the heterogeneity of these conditions.  Dr. Herrold has ongoing VA-funded studies focusing on alcohol craving differences between veterans with AUD+mTBI relative to veterans with AUD alone.  Her work examines these differences at the behavioral level with self-report and clinical interview measures and at the brain level with advanced, multi-modal neuroimaging data.  These brain and behavior-level data are then integrated in order to develop a novel neuromodulatory treatment paradigm (i.e., repetitive transcranial magnetic stimulation) for veterans with AUD+mTBI.  Fellows are able to observe and assist with research procedures, as well as, utilize data collected to answer novel research questions of their own.  Previous fellows have had the opportunity to be co-author on peer-reviewed journal articles and tp present their work at international scientific meetings (e.g., American Society of Addiction Medicine).

Dr Herrold is also able to guide fellows who may wish to do a different research project, allowing that the project can be completed within the fellowship timeframe.

Addiction medicine faculty (in alphabetical order by last name)

Virgilio Arenas-Bribiesca, MD:

  • Medical Director of Substance abuse residential and rehabilitation program at Hines VA.
  • Addiction psychiatry fellowship:  Northwestern University, graduated 2004.
  • Psychiatry residency:  Mayo Clinic Psychiatry Residency Program, graduated 2003.
  • Medical school:  University de Anahuac, graduated 1995.

 

Lakshmi Athota, MD:

  • Assistant Chief of Mental health service line, Hines VA.
  • Acupuncture supervisor in Primary care behavioral health services.
  • Assistant clinical professor, 2003-present.
  • Psychiatry residency:  Loyola University Medical Center, Psychiatry Department, graduated 2003.
  • Medical school:  JSS Medical College, graduated 1997.

 

Jaroslaw Czarnkowki, MD:

  • Medical Director of Inpatient psychiatric unit, Hines VA.
  • Assistant professor, Department of Psychiatry Loyola University Medical Center, 2013-present.
  • Psychiatry residency:  University of Illinois, graduated 2006.
  • Medical school:  College of Medicine, University of Jagiellonski, graduated 1990.

 

Christina Girgis, MD:

  • Medical Director, Consultation liaison psychiatry service, Hines VA.
  • Assistant professor, Department of Psychiatry Loyola University Medical Center, 2010-present.
  • Psychiatry residency:  Rush University Medical Center, graduated 2008.
  • Medical school:  Northeast Ohio Medical University, graduated 2005.

 

Alma Ramic, MD:

  • Director of Addiction Medicine Fellowship program, July 2017-present.
  • Medical Director of Addiction Services, Hines VA and Medical Director of Opioid treatment program.
  • Associate professor, Department of Psychiatry Loyola University Medical Center, 2012-present.
  • Addiction psychiatry fellowship:  University of Illinois, graduated 2011.
  • Psychiatry residency:  University of Illinois, graduated 2010.
  • Medical school:  Ross University, School of Medicine, graduated 2006.

 

Kevin Rowe, DO:   

  • Psychiatrist, Hines VA, August 2017-present.  
  • Assistant Professor, Department of Psychiatry Loyola University Medical Center, 2017-present.
  • Psychiatry residency: East Tennessee State University Department of Psychiatry and Behavioral Sciences, Johnson City, Tennessee, graduated 2017.
  • Medical School: Andrew Taylor Still University-Kirksville College of Osteopathic Medicine, Kirksville, Missouri, graduated 2013; Doctor of Osteopathic Medicine.

 

Jonathan Sachs, MD:

  • Primary care physician, Hines VA.
  • Assistant professor, Hines VA, 2011-present.
  • Internal medicine residency:  University of Illinois, graduated 2008.
  • Medical school:  University of Cincinnati College of Medicine, graduated 2008.

 

Wendy Yim, MD:

  • Supervisor Primary care mental health integration, Hines VA.
  • Assistant professor, Department of Psychiatry Loyola University Medical Center, 2008-present.
  • Psychiatry residency:  Advocate Lutheran General Hospital, graduated 2008.
  • Medical school: Washington University School of Medicine, graduated 2004.

Addiction Medicine Fellows

Sahib Gill, MD
Hometown: Bloomingdale, IL

Medical School: Windsor University School of Medicine 
Undergraduate School & Major/Minor: Loyola University Chicago; Biology
Family Medicine Residency: University of Illinois College of Medicine at Rockford

Interest(s) in Psychiatry:  Addiction Medicine, graduated June 2018. Employed at AMITA Health Adventist Medical Center Hinsdale.
Hobbies: Long distance running, basketball, Chicago Bulls & Bears, hosting get-togethers, and reading nonfiction novels

Application Process

Eligibility

Qualified applicants must have completed 3 years of an ACGME-accredited residency program at the time of entry into the program and be eligible for a permanent Illinois medical license by the start of the fellowship. The anticipated start date is July 1 each year, with some flexibility if needed.

To learn more details about fellowship employment benefits at Loyola University Medical Center, please visit the GME website for information including salary and benefits.

Additional application requirements will include:

  • Signed GME Consent and Release Form to contact current Program Director: https://www.loyolamedicine.org/sites/default/files/u406/consent_and_release_2017_final.pdf
  • Current 2" x 3" Photograph
  • Curriculum Vitae 
  • Personal Statement describing the development and current direction of your interest in Addiction Medicine (500 words or less)
  • Training verification: 
    • Documentation of completion of an ACGME-accredited residency program in Internal Medicine or Family Medicine I.e. Final Note to File if residency training has been completed and a copy of residency diploma; or if residency is not yet completed, a signed letter from Program Director indicating rotations completed to date and expected rotations to be completed
    • OR
    • Letter from Program Director stating that applicant has completed all pre-requisites and rotation requirements to be able to sit in general psychiatry boards, including 3 clinical skills examinations. Letter should also summarize other competencies that applicant has successfully completed/remediated within his/her training program (INFO on preCertABPN)
  • Professional Letters of Reference (3), including one from current Program Director (if relevant)
  • USMLE Score Report (Step 1-3) & / or COMLEX Score Report (Levels 1-3)
  • Copy of Medical School Transcript
  • Copy of State medical License
  • Copy of ECFMG certificate (if applicable;  include test scores, if applicable)
  • Copy of current work authorization if not a US citizen

Addiction Medicine Fellowship Contacts

For further information about the Loyola Psychiatry Addiction Medicine Fellowship program, please contact us by phone or email:

Lisa Beck, LCSW
Addiction Medicine Fellowship Coordinator
Loyola University Medical Center
2160 South First Avenue, Maywood, Illinois, 60153
Phone: 708-216-5536 Psychiatry Fax: 708-216-5885
libeck@lumc.edu