For Medical Fellows, the program is accredited by the Addiction Medicine Foundation (AMF, formerly the American Board of Addiction Medicine). The program helps prepare Fellows to write examinations with the International Society of Addiction Medicine (ISAM). Fellows successfully completing these examinations are eligible to apply for certification with The Canadian Society of Addiction Medicine (CSAM).




Each year, eight physician trainees are accepted into the program. Fellows typically have backgrounds in psychiatry, internal medicine, or family medicine, but applicants may come from any medical background. The program runs from July 1 to June 30 (one year). There may be some flexibility for residents concurrently enrolled in other programs.

Fellowship Overview

  • Nine core required blocks, four weeks duration each.
  • Three elective blocks, to be decided on with the Program Director.
  • Didactic experiences, including a two-week academic block at the beginning of the year, monthly journal clubs with staff, and conference attendance.
  • Longitudinal component of the Fellowship includes a year-long half day experience in community-based practice, tailored to the learning needs of each Fellow.
  • For physician Fellows, very little in-hospital overnight call is required, but there are several rotations where call from home may be expected. This is never more frequent than one in four nights.
  • St. Paul’s Hospital is a rich research environment and home to many addiction-related research projects funded by the Canadian Institutes of Health Research and the US National Institutes on Drug Abuse (NIDA). Fellows will have abundant opportunities to conduct and publish peer-reviewed research and participate in the development of funding proposals. Senior researchers affiliated with the Fellowship have considerable experience mentoring Fellows making the transition to Clinician Researcher.
  • With prior approval, Fellows and Residents from other programs may undertake dedicated training within the Program that can be put towards future requirements in the BCCSU Addiction Medicine Fellowship. To learn more about this option, email

Applications are accepted from individuals who have graduated from or will graduate from a Canadian or American institution in the disciplines of family medicine, internal medicine, psychiatry, public health, and other medical specialty training programmes. Applicants who can embed their training within a Royal College or CCFP R3 year program, and thus bring their own funding, will be prioritized.

Applicants can be either in practice currently, completed family practice residency, or in their last two years of any specialty residency training program, as long as their current Program Director agrees.

Medical Student and Resident Addiction Medicine Electives
Medical Students and Residents can undertake electives in addiction medicine at St. Paul’s Hospital. If you are a Medical Student or Resident interested in an addiction medicine elective, click here.

Vancouver Island-based Fellowship
In 2018 there will be a new opportunity for addiction medicine fellows interested in completing a Vancouver Island -based (primarily in Victoria) satellite fellowship with Island Health. In addition to a few key rotations in Vancouver, this new satellite fellowship will include in-patient rotations at the Victoria Detox, with the Addiction Medicine Consultation Service (AMCS) based at the Royal Jubilee Hospital, and training in the South Island Rapid Access Addiction Clinic (RAAC), among others. Funding is available for one family resident, and residents of other specialist programs are welcome to apply. Interested applicants should indicate their preference for this satellite fellowship in their letter of intent, along with a brief summary of why they would be a good fit.


The Addiction Medicine Consultation Team (AMCT) at St. Paul’s Hospital provides inpatient addiction medicine consultations for the entire hospital. Consultations involve addiction treatment for patients with medical, surgical, and psychiatric illnesses requiring hospitalization, including management of inpatient withdrawal, continuation or initiation of opioid agonist therapy and other pharmacotherapy, motivational interviewing, and coordination of discharge planning and community follow-up treatment recommendations.
Vancouver Detox provides an excellent clinical learning environment for medical withdrawal management and related care. Fellows will provide full assessments and management in this 25-bed inpatient medically supervised withdrawal management unit, and will be exposed to the full spectrum of inpatient medical withdrawal management patient care. A Daytox program for outpatient medical withdrawal management and early treatment, located in the same facility, is also part of this rotation.
Fellows will be involved with initial assessment and ongoing treatment of primary care outpatients with substance use disorders. A range of treatments are provided at Three Bridges, including treatment of opioid use disorders with maintenance therapies such as methadone and buprenorphine/naloxone (Suboxone®), and individual and group psychotherapy models including the Matrix Model and Seeking Safety. Three Bridges is an interdisciplinary learning environment that is highly experienced with hosting trainees and exposing them to a wide range of activities. Note: this is a core requirement for family practice physicians.
Home base for this rotation is the Heartwood Centre for Women, a tertiary, provincial 28-bed residential addiction treatment facility for cisgender and transgender women. Fellows will be involved with the full spectrum of treatment, from withdrawal management to group therapy. There will also be some exposure to Fir Square Combined Care Unit, an inpatient stabilization and withdrawal management unit at BC Women’s Hospital for care for women using substances and infants exposed to these substances.
The Pain Management Program at OrionHealth (Vancouver Pain Clinic) is an intensive outpatient program. Fellows will be responsible for assessments—including taking histories and physical examinations using screening instruments—to support diagnosis and treatment planning for patients with chronic pain disorders, many of whom also have concurrent substance use disorders. Fellows will learn techniques of opioid rotation, conversion to long-acting opioids, and opioid withdrawal management, and will also become very familiar with the use of antidepressants, anticonvulsants, nonsteroidal anti-inflammatory drugs, and other medication therapies.
This large, provincial resource provides specialized inpatient treatment services for adults with severe and complex concurrent substance use and mental health disorders. Consultations involve full bio-psycho-social assessments; addiction treatment coordination for medical and psychiatric comorbidities; and opioid maintenance therapy initiation, continuation, and monitoring. Inpatient withdrawal and withdrawal management, motivational interviewing, follow-up treatment recommendations, and coordination are also part of the care provided.
St. Paul’s Hospital’s Inner City Youth Mental Health Program hosts this rotation, which combines outpatient assessments, long-term residential care management, and in-hospital care of youth between the ages of 16 and 25.
Each Fellow will spend one-half day per week in the community at a consistent site over the year in order to become familiar with a patient population living with substance use disorders and/or process addictions.


Timeline for Applications for the 2018-2019 Fellowship:

  • August 28, 2017: Application process opens
  • October 2, 2017: Application deadline
  • November 6 to December 4, 2017: Interview period
  • December 11, 2017: Acceptance notification
  • December 18, 2017: Deadline for acceptance
  • July 3, 2018: Fellowship begins

Please note: While the Fellowship is envisioned to begin July 3, there may be some flexibility with the start date, particularly for applicants who bring their own funding.

Application Details
Interested candidates must submit an electronic copy of the following documentation:

  1. A 700-word letter of intent describing:
    • The applicant’s background,
    • The applicant’s preparation for the Fellowship, and
    • Why the applicant is interested in a career in addiction medicine.
    • Please note: If you will be a Resident at the time of the Fellowship start date, include a letter of agreement from your current Residency Director with your application.
  2. Two letters of reference (referees to email letters directly to the Addictions Fellowship Coordinator)
  3. A curriculum vitae
  4. Transcripts:
    • Transcripts from medical school and, if applicable, academic and/or graduate school transcripts.

Please send an electronic copy of all application materials to the Addictions Fellowship Coordinator:
Liz Yue, Addiction Fellowships Coordinator
Phone: (604) 682-2344 ext. 66373

The electronic application is required. If you wish to submit an additional hard copy, you may do so to the following address (doing so is not required):
BCCSU Addiction Medicine Fellowship
Attn: Dr. Annabel Mead
c/o Liz Yue
608 - 1081 Burrard St
Vancouver, BC V6Z 1Y6

Interviews may be conducted with top candidates from each discipline shortly after the application deadline. Interviews may be in person, on the phone, or via Skype.

General Inquiries
For further information about this fellowship program, please email
For broad BCCSU education & training questions and/or feedback, please contact Nadia Mallay, Education Lead,


Dr. Annabel Mead, Director, BCCSU Clinical Addiction Medicine Fellowship
Dr. Christopher (Kit) Fairgrieve, Associate Fellowship Director, BCCSU Clinical Addiction Medicine Fellowship


View a list of current Addiction Medicine Fellows here.

Past Addiction Medicine Fellows are below.








providence-healthcare-logoSt. Paul’s Hospital at Providence Health Care is an acute care, academic, and research hospital located in downtown Vancouver. With over 500 acute care beds in use and home to many world-leading medical and surgical programs, the hospital serves both the local community and patients from across BC. Its downtown location brings many of Vancouver’s tourists and visitors to its doors. St. Paul’s also has a longstanding history of providing care to disadvantaged populations. For more information about St. Paul’s Hospital, please click here.

unc-division-aidsFrom its inception in 2007, the Division of AIDS at the University of British Columbia has worked collaboratively with the BC Centre for Excellence in HIV/AIDS (est. 1992) and the AIDS Research Program at St. Paul’s Hospital / UBC (est. 1988). Our divisional members are involved in various areas of research in the area of HIV treatment and prevention. The Division places considerable emphasis on treating and preventing HIV infection among intravenous drug users. For more information about the UBC Division of AIDS, please click here.

logo-webThe BC Centre on Substance Use (BCCSU) is a provincially networked resource with a mandate to develop, implement, and evaluate evidence-based approaches to substance use and addiction. The BCCSU focuses on three strategic areas: research and evaluation, education and training, and clinical care guidance. With the support of the province of British Columbia, the BCCSU hosts the largest interdisciplinary addiction medicine training program in North America, building capacity in the healthcare system in BC to improve access to evidence-based care. Although physically located in Vancouver, the BCCSU is a provincially networked resource for researchers, educators, and care providers, as well as people who use substances, family advocates, support groups, and the recovery community. It is hosted at the BC Centre for Excellence in HIV/AIDS and Providence Health Care. For more information about the BCCSU, please click here.

ubc-logo-fullThe University of British Columbia (UBC), established in 1908, is one of Canada’s leading research universities, consistently ranked among the top 40 in the world. The university attracts 54,000 students from across Canada and 140 countries around the world to two major campuses. For more information about UBC, please click here.

spf-logoSt. Paul’s Foundation raises funds to support compassionate world-class care, research, and teaching at St. Paul’s Hospital. The BCCSU Addiction Medicine Fellowship is a partnership between St. Paul’s Foundation, St. Paul’s Hospital, the BC Centre on Substance Use, and the UBC Division of AIDS. The program was launched with a $3 million landmark donation to St. Paul’s Foundation, gifted by Goldcorp, Inc. The Foundation continues to secure additional funding to support the program. For more information or to donate, please click here.

vch-logoVancouver Coastal Health is a regional health authority providing direct and contracted health services including primary, secondary, tertiary, and quaternary care; home and community care; mental health services; population and preventive health; and addictions services in part of Greater Vancouver and the Coast Garibaldi area. For more information, please click here.

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