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Family Medicine of Southwest Washington Addiction Medicine Fellowship


Our mission is to train family medicine doctors to provide exceptional, compassionate, patient-centered, trauma-informed addiction treatment. Our program trains fellows in this comprehensive and personalized model of addiction medicine that optimizes and offers the best health care for each patient and the diverse communities we serve. 

The fellowship is integrated into the family medicine residency site and has access to full spectrum multi-disciplinary services including pharmacology, social services, integrative medicine, and behavioral health. Our community partners round out the experience with opportunities to participate in sites offering more intensive treatment including complicated pain management and care for those suffering from co-occurring mental health problems. Our focus is on full-spectrum care across the lifespan for those suffering from SUD that includes maternity and newborn care, as well as providing care for adolescents with SUD. Graduates of the fellowship will be uniquely qualified to serve as consultants, educators, and role models to other primary care providers.

An adolescent stands against a wall smiling and crossing their arms

Program Overview

The Family Medicine of SW Washington Addiction Medicine Fellowship is in Vancouver, WA. Directly across the Columbia River from Portland, OR Vancouver is the fourth largest city in Washington. The Fellowship is based at Family Medicine of Southwest Washington (FMSW), a large free-standing and hospital-supported clinic near downtown Vancouver. PeaceHealth Southwest Medical Center is the sponsoring institution for both the Fellowship and the Family Medicine Residency. The Residency was established in 1995, and the Fellowship was established in 2022. 

A group of four adolescents smiling and waving towards the direction of the camera

Curriculum Highlights

  • BLOOM Program: The BLOOM Program provides prenatal care, inpatient maternity care, and postpartum care for women who struggle with opioid use disorder, as well as care for their infants after delivery.  Fellow split time between BLOOM clinic at FMSW, Lifeline Center for Pregnant and Parenting Women, and Family Birth Center caring for pregnant patients and their infants/children affected by substance use disorder.
  • Adolescent SUD: Fellows spend 4 weeks at a residential treatment facility that provides care of teens with co-occurring SUD and mental health concerns. Fellows will spend additional time longitudinally in the outpatient Teen Clinic housed at FMSW.
  • Inpatient Consults: Fellows 8 weeks spaced at regular intervals throughout the year as part of a multi-disciplinary team providing consultation to admitted patients identified as having a likely substance use disorder.
  • Lifeline Inpatient: Fellows spend 4 weeks in the men’s unit and 4 weeks in the women’s unit that also includes pregnant patients and their newborns.
  • Lifeline Outpatient Treatment: Fellow participate in new intakes for SUD and follow patients including prescribing MAT/MOUD when appropriate. Fellows will work with social workers, counselors, and peer support.
  • Longitudinal Addiction Medicine: Fellows spend 8 weeks spaced over the course of 12 months as part of a longitudinal experience. The experience will include the following components: Continuity SUD clinic, primary care clinic, pain clinic, BLOOM clinic, Street medicine, addiction consult/MAT clinic, and needle exchange program.
  • Methadone Clinic: Fellows participate in new intakes with SUD/OUD and follow patients on methadone maintenance.
  • Pain Management: Fellows split their time between a multi-disciplinary facility that focuses on function with physical therapy and behavioral education, treating patients with opioid dependence and chronic pain
  • Street Medicine: Fellows will spend time with faculty engaged in Street Medicine to engage people experiencing homelessness where they are to reduce barriers to care access.

Program Affiliations

  • University of Washington Family Medicine Residency Network
    The FMSW Residency joins 32 residency programs throughout the Pacific Northwest to comprise the University of Washington Family Medicine Residency Network (WWAMI). This affiliation combines the benefits of sharing resources, problem solving and information, with the independence to design and implement a unique curriculum and program style.
  • PeaceHealth Southwest Medical Center
    FMSW's GME programs are sponsored by PeaceHealth Southwest Medical Center (PHSW). Founded in 1858, PHSW has a proud tradition as the oldest medical institution west of the Rocky Mountains. PHSW is a non-profit organization and is governed by a community board of directors.
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