Addition Medicine as a Medical Specialty

Tim K. Brennan, MD, MPH

Director, Fellowship in Addiction Medicine Program

Icahn School of Medicine at Mt. Sinai

Vice President, Academic & Medical Affairs

The Addiction Medicine Foundation

Addiction Medicine: How we got here 1805 - 2006

Dr. Benjamin Rush: Addiction is a Disease

Dr. Ruth Fox forms ASAM forerunner

1805 1954 1986 1989-1998 2007

CSAM donates exam to ASAM

ASAM Goals: ABMS recognition and fellowships

ASAM votes for independent ADM board

April, 2007

Incorporated August, 2007

(Previously named The ABAM Foundation)

ADM Timeline 2007-2016 ABAM & TAMF Incorporated

ABPM seeks ADM ABMS recognition

2007 2008 2011 2013

2015 2016

First accredited ADM Fellowships

Projection: 125 by 2025

ADM certification up 330%

First ABAM & TAMF Annual Meeting

MOC Portal Launched

ACGME ADM accreditation

process begins

40th ADM Fellowship accredited

March 14th ABMS

recognizes ADM

ASAM Exam Transfers To ABAM

Operational Success

3,900 ABAM diplomates

Exam applicants increase 330% in 10 years

ABAM MOC; Parts I, II and III: 85% enrollment

55 fellowships designed, established, TAMF accredited

Fellowship goal of 125 by 2025 on track

Strategic Success

ABMS ADM recognition achieved

ACGME accreditation process underway, likely opening in next few days!

Linkages Built House of Medicine, House of Addiction Medicine

Government

Philanthropy

Other sectors

ABAM,TAMF

Incorporated

Impact of ADM ABMS Recognition

Impact on Medicine and Health Care

Addresses stigma and ignorance by the medical profession

Addiction is recognized as preventable and treatable

Inclusion of ADM in GME and thus into medical education

Improved quality and access to care

True parity for patients and physicians

Legitimacy

increased exposure to potential ADM trainees

we are now "listed" with all other specialties

improvement in billing and documentation.

Legitmacy

we can now state clearly who we are and what we are doing.

increased interest of medical schools & institutions

now that we are a "real" specialty, the schools/institutions are responding

Impact of Recognition upon ABAM

Unified ADM Field: One Board, One Exam

ABAM has ceased new diplomate certifications, will dissolve

Active ABAM diplomates can remain certified

ADM Fellowships in transition to ACGME

Medicine Responds to Addiction

Pathways to Board Certification

Practice Pathway: closing in 3 years, all documentation / registration is done through the ABPM

Fellowship Pathway: Open, will become only option in 3 years

See www.theabpm.org for details

http://www.theabpm.org/

Workforce Expansion

Massive and overwhelming response among physicians who applied for the 2017 Addiction Medicine Board Exam

Get in now via ABPM, or get left out later

ADM Fellowships

Fellowships are Essential for ADM

Fellowships : Life Blood of subspecialty

No Fellowship Development = No Field

Responsibility & Cost of Development? Training is not a board function

Specialized non-profit required, municipal partnerships, CMS money, state legislation?

Psychiatry, 31%

Internal Medicine,

31%

Family Medicine,

26%

Pediatrics, 5%

OB-GYN, 3% Emergency

Medicine, 3%

Anesthesiology 3%

1

7 12

23 28

44

2011 2012 2013 2014 2015 2016

Faculty Fellows

Graduates

Family Medicine, 44%

Internal Medicine, 24%

Anesthesiology, 8%

Emergency Medicine, 5%

OB-GYN, 3%

General Surgery, 3%

Psychiatry, 2%

Preventive Medicine, 2%

Other, 8%

ADM Fellowships: Faculty and Fellows

CA

OR

WA

NV

ID

MT

WY

UT CO

AZ NM

ND

SD

NE

KS

OK

TX

MN

IA

MO

AR

LA

WI

IL

KY

MS AL

TN

FL

GA

MI

IN

OH

ME

NC

SC

VA WV

PA

NY

PR

HI

VT

NH

NJ

MD

DE

D.C.

CT RI

MA

2012 First 10 ADM Fellowship Training Programs

NOTE: Star locations are not precise. See Fellowships by State for exact locations.

KEY

ADM Fellowship Training Programs

AK

WA

SD

OR

ID

MT ND

SD WY

CA

NV UT

TX

NM AZ

CO

NE

KS

OK

IA

MO

AR

LA

MS

IN IL

MI

ME

WV

KY

VA

NC

SC

TN

GA AL

https://www.addictionmedicinefoundation.org/wp-content/uploads/2018/01/Fellowships_by_State-1-16-18.pdf