The Vanderbilt Department of Psychiatry and Behavioral Sciences offers a one-year ACGME-accredited fellowship program in Addiction Psychiatry to provide a well-rounded educational and clinical training program in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction, of those with substance-related health conditions, and of people who show unhealthy use of substances including nicotine, alcohol, prescription medications and other licit and illicit drugs.

The Fellowship goal is to train the next generation of leaders to advance evidence-based clinical care and academic understanding of addiction, by striving for continuous enrichment of the training experience. The program will prepare trainees for clinical and academic leadership in the field of Addiction Psychiatry and for the initial certification examination in Addiction Psychiatry by the American Board of Psychiatry and Neurology (ABPN).  

The Fellowship is designed to provide a 12-month intensive academic and training experience for applicants who are ABPN  certified in general psychiatry or who have recently become Board eligible. Following completion of training each Fellow will be able to:

•    Provide patient care that is compassionate, appropriate, and effective for the promotion of health and the identification of common psychiatric problems related to addiction;
•    Apply knowledge in the biomedical, clinical, epidemiological sciences and social-behavioral sciences to their care of patients;
•    Pursue a career focused on clinical care, research or teaching, health care leadership, and as a scholarly practitioner.

During the 12 months of training, the fellow's clinical work is grounded in their experience at Vanderbilt's outstanding academic medical center which also has a broad base of research activities relevant to addiction. Vanderbilt Behavioral Health has training sites that include Vanderbilt University Adult Hospital, Vanderbilt Psychiatric Hospital, Vanderbilt Health at One Hundred Oaks, and regional addiction treatment facilities associated with Vanderbilt Department of Psychiatry & Behavioral Sciences Addictions Division.

Academic training will include introductory ‘Boot Camp’, clinical supervision, weekly evidence-based literature seminars, and a monthly journal club. The Fellow will participate in psychiatry and other grand rounds where addiction issues are presented and they can observe electroconvulsive therapy and transcranial magnet stimulation  treatments. Fellows will also receive buprenorphine waiver training and will have seminars with faculty from Vanderbilt Center for Addiction Research to encourage mentorship for direction and support for an academic project during the fellowship year. Fellows will be given teaching opportunities involving a variety of trainees and leadership experience on clinical teams.

Clinical inpatient training will focus on medically-managed withdrawal  and supervised management of common psychiatric disorders that are co-morbid with addictions. In addition to ongoing supervision in outpatient care, the fellow will develop familiarity with group psychotherapy.

Our diverse faculty also provides elective training experiences in special populations such as emergency assessment, pain control/anesthesia, obstetrical substance use disorders, tobacco cessation, physician health, HIV, and transplant clinics.

Rotations include:

- Emergency psychiatry/addiction
- Addictions continuity clinic
- Tobacco cessation consult service
- Opioids in pregnancy clinic
- Addictions inpatient consult service
- Inpatient concurrent disorders/medically-managed withdrawal
- Viral hepatitis/HIV/infectious disease rotation
- Pain management rotation
- Clinical and research electives

Seminars include:
- Core addiction medicine didactics with expert faculty
-  Boot camp
- Monthly journal club
- Weekly grand rounds
- Division of Addictions Case Conference
- Clinical Case Conference

There is no call required and weekends are off, so fellows are fee to enjoy Nashville!

Applicant Qualifications:

Completion of an ACGME-accredited residency in general psychiatry by the start of the fellowship:

Application Process:

We will be utilizing ERAS for our upcoming recruitment cycle, you will be able to submit your application starting July 1st, 2021.  To learn about the application process

If you have other questions, please reach out to Elizabeth H. Wilson, Program Manager or Shana Scanlin, Program Manager

You may also access the application by clicking on the link below:

Application Form and Checklist


Kristopher A. "Kris" Kast, M.D.
Assistant Professor of Psychiatry and Behavioral Sciences 
Program Director, Addiction Psychiatry Fellowship


A.J. Reid Finlayson, M.D., M.Mgt.
Associate Professor of Clinical Psychiatry and Behavioral Sciences  

Associate Program Director, Addiction Psychiatry Fellowship
Medical Director, Vanderbilt Comprehensive Assessment Program
Medical Director, Center for Professional Excellence, JourneyPure


Elizabeth Wilson Elizabeth H. Wilson, B.S.
 Program Manager