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Addiction Medicine and Addiction Medicine Fellowship

Fred Rottnek - white coat

After working as medical director for St. Louis County Department of Public Health at the Buzz Westfall Justice Center and St. Louis County Family Courts for 15 years, Dr. Fred Rottnek, M.D., MAHCM, is now leading the effort to create an Addiction Medicine Fellowship at SLU, launching July 2019.  Read more about how Dr. Rottnek and other leaders in the program are revolutionizing addiction medicine education and patient care here

What is Addiction Medicine?

Addiction Medicine (ADM) involves the prevention, screening, diagnosis, treatment, and recovery of unhealthy substance use and substance use disorders. Care is provided to patients across the lifespan who have different degrees of disease severity. Care is provided by physicians and interprofessional teams who work in diverse settings—including clinical medicine, public health, education, and research.

The Practice of Addiction Medicine at Saint Louis University

At Saint Louis University, the practice of Addiction Medicine is characterized by:

  • Interprofessional Collaborative Practice that centers on the patient
  • Inpatient and emergency department consult and liaison service for patients with substance use disorders
  • Outpatient services and provider/team education in substance use disorder prevention and treatment
  • Continuity of care across SLUCare practices and community partners
  • Training of health professional students and learners across disciplines to be providers and change agents in the practice of ADM
  • Research and program evaluation to promote excellence and disseminate best practices in the burgeoning field of ADM

Saint Louis University Addiction Medicine Fellowship (SLUAMF)

  • The Saint Louis University Addiction Medicine Fellowship (SLUAAMF) is the first of its kind in the state of Missouri and provides training, educational services and advocacy in state-of-the-art, evidence-based treatment, prevention, and research in the treatment of addictive disorders. It is part of the SLU Family Medicine Residency Program.
  • Core faculty for the program include Mirela Marcu, M.D. (Psychiatry), Fred Rottnek, M.D., MAHCM (Family Medicine and program director), Jaye Shyken, M.D. (Maternal Fetal Medicine and OB/GYN), and Philip Wenger, PharmD (Assisted Recovery Canters of America).
  • Training sites for the fellowship
    • SSM Health facilities and practices, including
      • SSM Health Saint Louis University Hospital
      • SSM Health Saint Mary’s Hospital
    • Saint Louis County Department of Public Health (health centers and correctional healthcare)

    • Family Care Health Centers

    • Assisted Recovery Centers of America (ARCA),

    • And other community partners such as INSynergy, Missouri State Opioid Response, Missouri Network for Opiate Reform and Recovery

SLUAMF Eligibility Requirements:

  1. Completion of an ACGME-accredited residency training program
  2. Board certified or planning to become board certified (before fellowship start date)
  3. Must be eligible to receive a Missouri License and Federal DEA registration
  4. Must be eligible to be a Medicaid Provider


  1. Primary care specialty in primary board certification
  2. Interest in practicing in Missouri upon fellowship completion

We welcome applications through ERAS for two fellows for July 2023.

Our program will participate in the NRMP Medicine and Pediatric Specialties Match.  Our NRMP code is 1365404F0.

For information about the fellowship, please contact Dr. Rottnek at

Assisted Recovery Centers of America (ARCA)

ARCA has been providing addiction, behavioral health, and co-occurring disorder services since 2001. In 2018, Fred Rottnek, M.D., MAHCM, contracted with ARCA as their Medical Director. ARCA provides in-person and telehealth services to 19 agencies and 37 sites in Missouri and is on-track to provide services to 36,000 patients in 2018. ARCA partners with the Missouri State Department of Mental Health and the Missouri State Opioid Response to provide patient care, provider education, and practice management expertise to partnering agencies. 

The ARCA philosophy is grounded in scientific evidence-based research which indicates that the most effective way to treat the disorder of addiction is through a combination of anti-craving medications paired with psychiatric and behavioral counseling care on an outpatient. This approach allows the recovery process to take place in the patient’s home and natural environment.

The ARCA programs are focused on four key aspects:

  1. Medical withdrawal management
  2. Anti-craving medications
  3. Concurrent treatment of any co-occurring psychiatric disorder
  4. Sustained and individualized therapy on an individual, group, and family basis to prevent relapses and achieve long-term recovery

Visit Assisted Recovery Centers of America