UCSF Addiction Psychiatry Fellowship Program

Welcome to the UCSF Addiction Psychiatry Fellowship Program! We are proud to offer a one-year, ACGME-accredited fellowship that provides state-of-the art addiction training, all in the San Francisco Bay area.

Why UCSF?  |  How to apply  |  Faculty and fellows  |  Sites and rotations  |  Didactics

Why UCSF?

The Addiction Psychiatry Fellowship emphasizes evidence-based treatments – including psychosocial therapies, behavioral therapies, and psychopharmacology – for a range of substance use disorders. Prominent features include:

• Sub-specialty clinics with UCSF faculty supervision (see “Sites and Rotations”)
• Adolescent and family treatment experience
• Training in motivational interviewing with nationally recognized experts
• Psychotherapy training, including group psychotherapy supervision
• Elective rotation in a private residential addiction treatment center
• Consultation work at two major San Francisco hospitals
• Clinical research, including cutting-edge buprenorphine and cannabis research
• Mentorship within national organizations, including the American Academy of Addiction Psychiatry (AAAP), American Society of Addiction Medicine (ASAM) and California Society of Addiction Medicine (CSAM)
• Opportunities to teach UCSF medical students, residents, and fellows
• All sites located in the San Francisco area, near many local sites and amenities
• The UCSF Addiction Psychiatry fellowship program remains committed to training physicians with a diverse range of backgrounds and life experiences to match the needs of our patients
   

Applying to the Addiction Psychiatry Fellowship

We have filled our class for the 2026-2027 academic year and are now accepting applications for the 2027-2028 academic year.

Applicants must have completed an ACGME-accredited general adult residency in psychiatry and have a valid, completely unrestricted California medical license, DEA license to prescribe buprenorphine, and California ePDMP login (CURES) prior to the starting date (July 1).

How to apply

Our program uses the Electronic Residency Application Service (ERAS) to process applications. Visit the ERAS website to learn more.

We encourage applicants to submit materials as early in the application period given the fact that interviews are offered on a rolling basis. Recruitment will be conducted virtually. Requests for onsite tours of the campus will be reviewed on a case-by-case basis.

The recruitment timeline for fellows starting July 1, 2027, is as follows:

• July 1, 2026: ERAS applications open for submission
• July 15, 2026: ERAS application released to the fellowship programs
• August–November 2026 (~four months): Interview season
• Nov. 12, 2026 (9 p.m. EST/6p.m. PST): Applicant and program NRMP Rank Order lists due
• Dec. 2, 2026: Match Day
• After Dec. TBA, 2026: Applicants can apply to programs directly
   

Submission process and deadline

Fellowship selection will occur via the NRMP Match and we will be recruiting up to four fellows. Please submit all application materials to the ERAS website once the application cycle opens and contact program coordinator Alejandra Infante, at [email protected] with any questions.

Leadership team

	​Takeo Toyoshima, MD Director, Addiction Psychiatry Fellowship Program Health Sciences Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences VA Site Director, UCSF Program in Psychiatry and the Law Staff Psychiatrist, Addiction Recovery Treatment Services Co-Director, Veterans Justice Outreach Psychopharmacology Clinic San Francisco VA Medical Center
	Eric Alcid, MD, PhD Associate Director, Addiction Psychiatry Fellowship Program Health Sciences Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Medical Director, Opioid Treatment Program San Francisco VA Medical Center
	Karin Lavie, MD VA Site Director, Addiction Psychiatry Fellowship Program Health Sciences Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Staff Psychiatrist, San Francisco VA Medical Center
	Katherine Pier, MD Site Director, Addiction Medicine and Recovery Services Volunteer Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Kaiser Permanente, San Francisco
	Alejandra Infante Program Coordinator

Core faculty

	Steven L. Batki, MD Professor Emeritus, UCSF Department of Psychiatry and Behavioral Sciences Director, Addiction Research Program San Francisco VA Medical Center
	Stephen Leung, MD Health Sciences Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Deputy Director, Addiction Consult and Opioid Safety Deputy Psychiatry Lead San Francisco VA Medical Center
	Murtuza Ghadiali, MD Volunteer Associate Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Chief, Addiction Medicine and Recovery Services Kaiser Permanente, San Francisco
	Monika Koch, MD, FASAM Volunteer Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Addiction Psychiatrist, Addiction Medicine and Recovery Services Kaiser Permanente, San Francisco

Community supervisors

	Jeffrey Devido, MD Volunteer Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Chief, Addiction Services, Marin Country Department of Public Health and Human Services Behavioral Health Clinical Director, Partnership HealthPlan of CA
	David Kan, MD, DFASAM Volunteer Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Medical Director, Bright Heart Health Private practice
	Melissa London, PhD Licensed Clinical Psychologist Private practice
	Veronica Losso, MD Health Sciences Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Psychiatrist, Citywide Case Management, Cross Currents Team

Volunteer clinical faculty

	Brian Borsari, PhD Professor in Residence, UCSF Department of Psychiatry and Behavioral Sciences Psychologist Clinician Investigator Deputy Chief, Addiction, Recovery, and Treatment Services (ARTS) San Francisco VA Health Care System
	Marcus Ellis, PharmD, BCPP Volunteer Assistant Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Substance Use/Mental Health Clinical Pharmacist Specialist San Francisco VA Health Care System
	Christopher Galloway, PhD Health Sciences Associate Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Director, Intensive Outpatient and Transitions Programs San Francisco VA Health Care System
	Ellen Herbst, MD Health Sciences Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences Medical Director, Intensive Outpatient Program (IOP) Chief, Addiction, Recovery, and Treatment Services (ARTS) San Francisco VA Health Care System
	Michael Hoefer, MD Health Sciences Associate Clinical Professor, UCSF Department of Psychiatry and Behavioral Sciences San Francisco VA Health Care System

Current and former Addiction Psychiatry fellows

Sites and rotations 

The San Francisco VA Medical Center (SFVAMC) and Kaiser Permanente Addiction Medicine & Recovery Services (AMRS) are teaching sites for UCSF, and training is considered a core mission.

Download: Sample Rotation Schedule

San Francisco VA Medical Center

SFVAMC clinics

• Substance Use Disorder Outpatient Clinic: treating a range of non-opioid addictions
• Opiate Treatment Program (OTP): buprenorphine, methadone, injectable MOUD treatment
• Addiction Consultation (AddCon): consulting on addiction patients, including prescription opioid safety issues
• Intensive Outpatient Program (IOP): higher-level three days/week treatment program
• Veterans Justice Outreach (VJO): working alongside UCSF forensic psychiatry fellows in treating justice-involved veterans
• Downtown clinic (DTC): working with urban underserved populations in downtown San Francisco
• Longitudinal Clinic (LCE): Managing addiction and comorbid psychiatric issues in a year-long clinic
• Several programs also include contingency management, injection adherence contingency management, psychotherapy groups with opportunities for facilitation training, motivational interviewing, hospital consultations, etc.
   

Kaiser AMRS

Kaiser AMRS

Kaiser AMRS provides a spectrum of services, which include outpatient longitudinal substance use disorder clinics, medical stabilization and detoxification, day treatment, intensive outpatient treatment, therapy groups, and psychiatric treatment of co-morbid conditions. AMRS also provides comprehensive treatment for adolescents and families.

As part of a larger medical system, AMRS provides integrated consultative services for patients with obstetrical (pregnancy), chronic pain, HIV or Hepatitis C conditions or those requiring emergency or hospital consultation.

Elective rotation sites

Half-day/week opportunities for fellows to engage with additional educational and training opportunities within the VA and Kaiser systems as well as through the greater UCSF network. Past fellow experiences have included participating in research, the John Muir Adolescent Substance Use Treatment Program, San Francisco Syringe Access Program, San Francisco County Jail Buprenorphine Program, San Francisco Street Medicine Outreach Team to Homeless Encampments, San Francisco VA Ketamine Clinic, and various electives available through Zuckerberg San Francisco General Hospital and Trauma Center.

Zuckerberg San Francisco General Hospital and Trauma Center

Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) and San Francisco Department of Public Health Clinics

The San Francisco Health Network is comprised of the city's safety net hospital and associated community clinics serving the most marginalized people in San Francisco. Elective experiences in addiction medicine include the Addiction Care Team, a hospital-based consult service at ZSFG, and the Tom Waddell Urban Health Clinic.

Didactics

Addiction psychiatry fellows have a half day of protected time each Wednesday afternoon for didactics and supervision. These sessions are often led by local and national experts in the field of addiction. Didactics include:

1. Zweben Addiction Seminar: a weekly, 60-minute seminar covering a range of fundamental topics, aimed at a multidisciplinary audience of physicians, psychologists, social workers and trainees
2. Addiction board review: a monthly, 60-minute interactive teaching session focused on high-yield topics on the Addiction Psychiatry board exam
3. Addiction Psychiatry advanced psychotherapy curriculum developed by the American Academy of Addiction Psychiatry (AAAP) in collaboration with Oregon Health and Science University (OHSU) and NYU School of Medicine
4. CBT-SUD & MI: a monthly, 120-minute course on cognitive behavioral therapy for substance use disorders and contingency management led by national expert Dr. Borsari
5. Faculty teaching: several faculty members provide rotation-specific didactics relevant to their area of expertise throughout the year
6. Community faculty supervision hour: a monthly, supervision hour focused on career development, advanced addiction psychopharmacology, addiction psychotherapy, addiction private practice, and addiction and forensic psychiatry overlap
7. UCSF Grand Rounds & Drug Use Research Group: research presentations on innovative harm reduction strategies, public health interventions, and drug policy
8. Fellow teaching opportunities in collaboration with the School of Medicine, Psychiatry Residency, VA Education Office, and other departments throughout the VA and Kaiser Permanente
9. See historical UCSF Addiction Bootcamp lectures available on Youtube
    

Previous addiction seminar topics include:

• Psychedelics and Substance Use
• Cannabis: Biology to Policy
• The Relationship Between Disability Payments and Substance Use
• PTSD, Alcohol Use Disorder and TBI- Treatment Challenges and Strategies
• Clinical Drug Testing and the Medical Review Officer
• Addiction Group Therapy
• Three Views on Chronic Pain and Opioid Use Disorder
   

Previous education hour topics include:

• The Intersection of Addiction and Forensic Psychiatry
• Management of Complex Benzodiazepine Tapers
• Motivational Interviewing for the Rushed Physician
• A Research Career in Addiction Psychiatry
• Journal clubs and complex addiction case presentations