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Small, Will
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Small, Will
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- PublicationNursing Fellowship in Addiction Medicine: A Novel Program in a Canadian Setting(Wolters Klumer, 2017-07)
; ; ; ; Substance use disorders disproportionally contribute to the global burden of disease; however, their treatment has been hindered in large part due to a long-standing "bench to practice" gap in which competencies for assessing, treating and preventing substance use disorders are often lacking from healthcare education curricula. Immediate and effective translation of recent advances in addiction research into routine clinical practice requires specialized training programmes for health professionals involved in the care of patients and families affected by substance use disorders.438Scopus© Citations 6 - PublicationClinician-Scientist Training in Addiction Medicine: A Novel Programme in Canadian SettingMedical education has long been the missing element in the response to the global addiction problem. Instead of treating addiction as a disease, governments have focused on drug prohibition and law enforcement. This approach has failed by many measures, and, as a result, millions of people have suffered. Addiction science has increasingly identified a range of evidence-based approaches to treat substance-use disorders, particularly through early identification and treatment. However, most interventions are underused. Better physician education can improve accurate use of evidence-based treatments.
177Scopus© Citations 2 - PublicationBarriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptorsBackgroundAlthough progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based practices in addiction medicine into physician training which has impeded addiction treatment and care. Recently, a number of training initiatives have emerged internationally, including the addiction medicine fellowships in Vancouver, Canada. This study was undertaken to examine barriers and facilitators of implementing addiction medicine fellowships.MethodsWe interviewed trainees and faculty from clinical and research training programmes in addiction medicine at St Paul¿s Hospital in Vancouver, Canada (N = 26) about barriers and facilitators to implementation of physician training in addiction medicine. We included medical students, residents, fellows and supervising physicians from a variety of specialities. We analysed interview transcripts thematically by using NVivo software.ResultsWe identified six domains relating to training implementation: (1) organisational, (2) structural, (3) teacher, (4) learner, (5) patient and (6) community related variables either hindered or fostered addiction medicine education, depending on context. Human resources, variety of rotations, peer support and mentoring fostered implementation of addiction training. Money, time and space limitations hindered implementation. Participant accounts underscored how faculty and staff facilitated the implementation of both the clinical and the research training.ConclusionsImplementation of addiction medicine fellowships appears feasible, although a number of barriers exist. Research into factors within the local/practice environment that shape delivery of education to ensure consistent and quality education scale-up is a priority.
489Scopus© Citations 6