The fellow will provide inpatient and outpatient chemical dependency assessments and treatment as well as consultations in a center that is known regionally as well as nationally for excellence in the delivery of care for chemical dependency. There will be opportunities to provide chemical dependency counseling as well as opportunities to provide appropriate psychotherapy under the direct supervision of experienced, credentialed, qualified, physicians. The fellow will be responsible for a research project and will have the opportunity to participate in educational presentations within Marworth, the Geisinger system, as well as national conferences.

The primary training method is supervised service delivery and direct contact with chemical-dependency patients in a very dynamic and active treatment facility. Supervision and oversight will at all times be consistent with training activities so as to provide an intensive and advanced experience while maintaining standards that have brought Marworth to national prominence as a service provider in the chemical dependency field. Since the fellowship began, the fellow has averaged approximately ten hours a week of individual supervision in the responsibilities noted above. The fellow clearly has extraordinary access for supervisor consultation and intervention. This is viewed as necessary, given the somewhat unique challenges provided by the Marworth patient population and the expectations for clinical excellence by referring agencies.

Scheduled duty hours will typically be 7:30 a.m. - 5 p.m. Monday through Friday with call approximately every fourth night and every fourth weekend. A general goal of the program is to develop advanced practice competencies and expertise in addiction medicine based upon sound scientific and professional practice foundations. A general goal is to ensure and extraordinary competence in addiction medicine. The fellowship contains a formal psychiatry rotation in Danville, the main Geisinger Medical Center campus. There is emphasis on process addictions (i.e., gambling, sexual addiction, eating disorders), medical/legal issues, forensic issues, opioid agonist therapy, detoxification strategies and administrative medicine.

This is intended to provide a broad educational experience in addiction medicine and is a fellowship that contains elements that may be rare or nonexistent in other addiction medicine fellowship opportunities.