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There are up to 12 patients on the unit at any time. Caseloads are reviewed to ensure the appropriate breadth of experience. The fellows supervise medical students and residents while collaborating with social workers and nursing staff in providing patient care. The fellows are responsible for supervising and coordinating care of these patients, psychiatric evaluation, medical stabilization, and treatment planning. An average inpatient caseload will be eight to ten patients. On this rotation, fellows spend their time learning to manage detoxification, evaluation of individuals with dual diagnoses, and developing proficiency in the following therapeutic modalities: individual psychotherapy, cognitive behavioral and brief motivational strategies, family therapy, group therapy, milieu therapy, behavior modification, and psychopharmacology. The inpatient addictions unit at MUSC IOP is a required, part-time, three-month rotation. Fellows are supervised by an attending psychiatrist with specialization in addiction psychiatry. An average caseload for a resident is 20 psychopharmacology management cases, one to two outpatient detoxifications, five buprenorphine cases, and one psychotherapy case. Patients are seen for opiate replacement therapy (buprenorphine) and fellows will manage initiation and maintenance of buprenorphine, and may also experience outpatient buprenorphine detoxification. The specialization is dual diagnosis, but many patients have substance use disorders only. Patients have substance use disorders with or without psychiatric disorders. This rotation allows the fellow to follow patients for psychopharmacology, and individual therapy, for the entire year of fellowship. During this rotation, fellows participate in a longitudinal psychopharmacology clinic, managing outpatient detoxification, providing psychiatric evaluation and follow-up, and providing individual therapy. The Psychopharmacology Outpatient rotation at the MUSC Institute of Psychiatry Center for Drug and Alcohol Programs (CDAP) is a required, part-time, twelve-month rotation. MUSC Institute of Psychiatry Psychopharmacology Outpatient Rotation Johnson VA Medical Center, and Charleston County’s Department of Alcohol and Other Drug Abuse Services (DAODAS), more commonly known as the Charleston Center. Training sites for the fellowship include the MUSC Institute of Psychiatry, the Ralph H.