(Music Playing)
Hello, my name is Dr. Elisa Gumm
and I am the Addiction
Medicine Fellowship
Program Director
and we collaborate amongst three different facilities
Which are University of Arizona
Banner Health
and the Southern Arizona VA Healthcare System.
When you attend our fellowship
you do a lot of your work here at the VA.
We do about four months here on property
on our in-patient unit
and that in-patient unit takes care of detox patients
and we also collaborate with our in-patient teams
on the consult liason service
as well in the emergency department
also located on the grounds is a residential rehab program
up to six weeks and currently is taking thirteen patients
and has the capacity to go to twenty-six
once we are out of the pandemic.
As part of your rotations here at SAVAHCS
you will be a part of an integrated team
and this right here is our updated resident room
so as the fellow you take lead on educating
both trainees from our psychiatric department
our family medicine department
and also our emergency room department
and you have different levels of trainees from
interns to PGY3's and 4's all rotating through the service
not only do we have post-graduates
but we also have medical students that come through
and rotate with us as part of their psychiatric rotation
they do two weeks of addiction medicine training
and so they'll be a part of the team too
and sometimes we have anywhere between 2-3 4 trainees with us
learning the importance of addiction medicine
and we all are collaborative working together
alongside each other in this room there's another room
and we are right next to our in-patient facilities
there is not a whole lot of walking
we’re right connected with everything
and right outside of this is also my office
so if you ever need me just come and grab me
and so we're just a very big team here
and we love working with each other
Hi, my name is Jaime Weinand
I'm one of the addiction medicine fellows
here at the University of Arizona Tucson Program
I chose the Tucson University of Arizona Addiction Medicine
Fellowship Program because I'm a Tucson, Arizona native
I know that Tucson is a wonderful place to live
it's 365 days of warm sunny weather
and there is certainly a lot to do here it's a really
diverse community
and we're lucky that we have the Southern Arizona VA Healthcare
System here
so part of our fellowship is working here at the Tucson VA
It's a really excellent resource the VA
we have a lot of opportunities for patients and people with
addiction whether that's residential treatment
IOP even domicillary programs in the Arizona area
for people
we have a robust out-patient buprenorphine clinic
as well as we treat all substance use disorders
in our out-patient clinic
the other great part about Arizona of course is
the University of Arizona Fellowship is affiliated with
both the VA and the University of Arizona
we have a robust consult service at the University of Arizona
main and south campus locations
so we are able to see a lot of variety
whether that's treating someone's opioid use disorder
and being consulted when they are admitted for
intravenous drug use with associated endocarditis
or bacteremia we're able to really be that extra piece
of the patients medical care they kind of get a holistic
care of all the reasons why they're in the hospital
in terms of the fellowship it's a one year program
and we have excellent faculty and multiple site we rotate at
I chose to treat addiction because I think it's an issue
that as a family doctor I would see constantly in the clinic
and it's a very treatable condition
in many ways depending on the substance use disorder
and yet many people are sort of afraid
or feel that they need more training
to really attack these issues
so for example with opioid use disorder
medication buprenorphine naloxone
is somewhat under prescribed
we know that opioid use disorder has a relapse rate
of about 90% and buprenorphine medication
can bring that down to about 50%
so if we have a medication that was that effective
for any other condition like diabetes, heart failure
or hypertension
a family doctor would not hesitate to use that at all
and yet we still see a lot of hesitation to
prescribe buprenorphine so really gaining that
comfort level over the last year has been
extremely helpful
and I know that moving on to practicing medicine
in Tucson Arizona being a part of the fellowship
is really gonna make me a much better doctor
Of course you don't do all of your training here at the VA
we do a lot of community clinics as well
so we work in our CODAC clinic which is a community
or medicare based and medicaid based clinic
which provides opiate treatment programming
we also work with the Pascua Yaqui Tribe
and provide an addiction medicine clinic
to their poplation as well
We also work with Banner Health
and providing a consult liason service
and we do some private rehabilitation programs
such as, In Balance, which is an adolescent rehab program
as well Sierra Tucson which is an adult
private rehab program
so we have access to a full complement
of different training sites and a wide range of ages
from adolescence to geriatric
Tucson is home to the University of Arizona
If you’re into college sports, the university has 21 athletic
programs with Wildcats playing many different sports to watch
This mid-size city offers big city amenities with a smaller
town feel
Tucson offers mountains in every direction
You’re quite literally “surrounded” by five minor
ranges of mountains
With 350 days of sunshine a year
Tucson offers fantastic weather, national parks
forests and deserts providing the perfect environment for
tons of outdoor activities such as golfing, rock climbing
bird watching, astronomy, and cave exploration.
Tucson is a biking paradise, the city has won numerous awards
when it comes to biking. You can also find great hiking trails
within the city limits.
After all the outdoor activities you’ll be happy to know
Tucson has a huge variety of restaurants.
The various downtown Tucson restaurants each offer unique
atmospheres and span the gamut with food choices.
No matter what you're in to we've probably got it
here in Tucson.
(Music playing)