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Department of Psychiatry

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Dawes, Michael A

School of Medicine
Psychiatry
(210) 321-2700 ext. 64008
uthscsa: dawes@uthscsa.edu; va: michael.dawes@va.gov

My primary career emphasis for the past five years has been one of service, with secondary foci of teaching and research. I made a transition in my career path to service, after doing clinical research for over ten years. I discovered during that ten-plus year period that my talents and passion are in treating substance-use-disordered populations. In preparation for this career path, I chose the University of North Carolina, where I obtained undergraduate degrees in Biology and Zoology (graduating Phi Beta Kappa) and a medical degree. I chose a career in Psychiatry as a specialty because it is the most interesting and rewarding for me. I have had interests in human development and addictions since college, and these interests led to pursuit of specialty training in Child and Adolescent Psychiatry and Addiction Psychiatry. I am board certified in Adult and Addiction Psychiatry and have training and experience in Child and Adolescent Psychiatry.

For the past 5 years, I have served as Medical Director of the South Texas Veterans Healthcare System Substance Abuse Treatment Program (STVHCS SATP; 60% effort). In that capacity, I ensure that Substance-Use-Disordered (SUD) Veterans admitted to SATP (residential and outpatient services) are medically and psychiatrically stable at the time of admission. On a daily basis, my clinical work includes doing psychiatric admissions, consults, and psychiatric follow-ups for SUD patients, in residential and outpatient levels of care. Additional clinical and administrative responsibilities are to facilitate my teams'' communication and treatment planning for these SUD patients, increase access to our specialty program, and promote continuity and transitions of care to other Mental Health specialty programs as well as primary care. I have administrative oversight responsibilities for all prescribers at SATP, including two physician assistants and an adult psychiatrist.

Teaching (20% effort): My love for teaching and mentoring has guided me on a career path of training clinician-researchers to treat substance-use-disordered populations. For the past three years, I have served as Co-Director of the VA Office of Academic Affairs sponsored STVHCS Advanced Fellowship in Addiction Treatment (15% effort). This Advanced Fellowship is designed to produce clinician-researchers in Addictions Treatment. I have had major teaching roles in local curriculum development for the Fellowship, as well as administrative responsibilities for recruiting, evaluating and mentoring fellows. In addition, I precept and mentor Psychiatry residents and other trainees (5% effort), many of whom rotate through our SATP. Some of these psychiatry residents have career interests in Addiction Medicine or Addiction Psychiatry.

Clinical Research and Implementation Science (20% effort): Prior to transitioning to STVHCS five years ago, my training prepared me for a career in clinical research studying adolescent and adult populations who have or are developing substance use disorders. I have been the recipient of a Mentored Clinical Scientist Development Award from the National Institute on Drug Abuse (NIDA) examining developmental trajectories of children at high risk for developing substance use disorders. I have been Principal Investigator and Co-Investigator on clinical and prospective cohort studies funded by the National Institutes of Health (NIH), examining the relationships among impulsivity, substance use disorders, and suicidal behavior in adolescents and adults. I have research experience in conducting clinical trials in substance-abusing adolescents and adults. In addition to my responsibilities as Medical Director of SATP, I have systematically pursued and obtained funding to do implementation science. Projects include using quality improvement coaching in primary care settings to increase prescribing rates of medications to treat Veterans with Alcohol Use Disorders. Along this line of research, I am a site PI for the multi-site VA study, entitled: A Multi-Faceted Intervention to Improve Alc

9/2010 - Present Adjunct Assistant Professor in Psychiatry and Medical Director, SATP South Texas Veterans Healthcare System, Psychiatry Service, San Antonio, TX

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