From people I know (read: mentors) in the upper echelons of addiction medicine, ASAM is a much larger and more powerful organization than AAAP. AAAP is just riding on its historical identity, the "exclusiveness" (limited to only psychiatry), and its distinguished list of fellows. In any case, yes, you can take the ABAM exam without a fellowship as long as you have certification in a primary speciality. However, as the Addiction MEDICINE fellowships become more widespread (places like Yale and Stanford have them and the ASAM fellowship is ACGME accredited), I think that they will become required to be certified in addiction medicine, which is a good thing. Most AAAP fellowships are limited to VA settings, and treatment of addiction in the general public is much different than treating the VA population. Also, evaluation using the ASAM criteria and more advanced/difficult methods of detoxification/pharm treatment methods are not a standard part of most psych residencies.
FYI, from people I know who have taken both, the ABAM exam is significantly more difficult than the AAAP exam.
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Worth it to seek subspecialty board certification?
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