BACKGROUND: As of 2026, physicians must complete an Accreditation Council for Graduate Medical Education (ACGME)-accredited addiction medicine fellowship to seek addiction medicine board certification. While the ACGME has developed general goals and objectives, they also allow for curricular flexibility. Little is known, however, about how individual programs meet these requirements. OBJECTIVE: To describe how addiction medicine fellowship training programs meet ACGME requirements, including commonalities and innovative curricular and education strategies. METHODS: In 2025, 5 experts in addiction education developed a survey tool to capture comparisons of addiction medicine fellowship curricula. The principal investigator (R.S.) sent this survey via e-mail to 104 addiction fellowship program directors; responses were kept anonymous and not linked to individual programs. Data were analyzed using quantitative descriptive statistics and inductive and deductive thematic analysis. RESULTS: Forty-seven of 104 program directors (45%) completed the survey. Program directors described both shared elements and unique features of their curricula, reflecting differences in program settings, available community resources, specialty focus, faculty diversity and expertise, and patient population. CONCLUSION: There is a wide array of curricula that meet addiction medicine fellowship ACGME requirements. Future research and efforts should describe individual programs' curricula in more depth to support new and existing programs in growing and improving their programs to suit the growing demand for diverse practices in addiction medicine and to recruit fellows with aligned interests.
Sokol et al. (Mon,) studied this question.