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Postresidency Training Initiatives on Substance Use Disorders

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Physicians who have completed a residency program in general psychiatry can pursue further training in addiction psychiatry through a fellowship program (also sometimes called a residency program in addiction psychiatry). As of May 2005, 41 such postresidency training programs that were accredited by the Accreditation Council for Graduate Medical Education (ACGME; 2007) existed in the United States. On average, the fellows spend about half of their time in direct clinical care and the other half in academic activities (Galanter et al. 2002). Some of these programs accept physicians who have completed residency in other fields (e.g., internal medicine, neurology). However, unlike psychiatrists, these fellows would not be eligible for the addiction psychiatry boards.

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