Clinical experience in the program is achieved by rotations at the SAVAHCS Inpatient Detoxification Unit, Addiction consultation service in the medical hospital and emergency department of SAVAHCS, and in the Banner University Medical Center consultation service. Fellows also will provide collaborative care in the Primary Care teams and maintain a continuity clinic throughout their fellowship year. On these rotations, fellows will get career-specific training in the diagnosis, treatment, and management of substance use disorders as well as experience in the comorbid medical issues common in patients with addiction. Fellows will also rotate through a local community addiction clinic at the Pascua Yaqui Tribe, a local community clinic at CODAC, and an inpatient residential treatment center at Sierra Tucson. Fellows will be active participants in the teaching programs of the Department of Psychiatry, Family Medicine, and Emergency Medicine for residents, medical students, and allied professionals. They will partake in the didactic curriculum and will also be guided in an independent quality improvement project.