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Addiction Medicine Fellowship Curricula: How Programs are Meeting ACGME Requirements and Providing Educational
Randi Sokol1, Bari-Sue Brodsky2, Gregory Jaffe3
1Tufts Addiction Medicine Fellowship at CHA, Tufts Family Medicine Residency Program, Cambridge Health Alliance, Harvard Medical School, Malden, MA, USA.
Substance Use & Addiction Journal
|May 26, 2026
Summary
Addiction medicine fellowship programs show diverse curricula to meet Accreditation Council for Graduate Medical Education requirements. Further research can help standardize and enhance training for the growing demand in addiction medicine.
Area of Science:
- Medical Education
- Addiction Medicine
- Graduate Medical Training
Background:
- Physicians require Accreditation Council for Graduate Medical Education (ACGME)-accredited addiction medicine fellowship for board certification starting 2026.
- While ACGME provides general guidelines, significant flexibility exists in fellowship curricula.
- Current understanding of how individual programs fulfill these requirements is limited.
Purpose of the Study:
- To delineate how addiction medicine fellowship programs satisfy ACGME requirements.
- To identify commonalities and innovative curricular and educational strategies employed in these programs.
Main Methods:
- A survey tool was developed by experts in addiction education in 2025.
- The survey was distributed to 104 addiction fellowship program directors, with anonymous responses collected.
- Data analysis involved quantitative descriptive statistics and thematic analysis.
Main Results:
- A 45% response rate (47 of 104 program directors) was achieved.
- Program directors reported both shared curriculum components and unique features.
- Curricular variations were linked to program settings, community resources, specialty focus, faculty expertise, and patient populations.
Conclusions:
- A broad spectrum of curricula effectively meets ACGME addiction medicine fellowship requirements.
- In-depth descriptions of individual curricula are needed to support program development and fellow recruitment.
- Addressing the growing demand for diverse addiction medicine practices requires tailored fellowship training.
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