In-hospital training in addiction medicine: A mixed-methods study of health care provider benefits and differences

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Title: In-hospital training in addiction medicine: A mixed-methods study of health care provider benefits and differences
Authors: Gorfinkel, LaurenKlimas, JanReel, BrianneCullen, Walteret al.
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Date: 3-Apr-2019
Online since: 2020-03-11T09:27:35Z
Abstract: Background: Hospital-based clinical addiction medicine training can improve knowledge of clinical care for substance-using populations. However, application of structured, self-assessment tools to evaluate differences in knowledge gained by learners who participate in such training has not yet been addressed. Methods: Participants (n = 142) of an elective with the hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, responded to an online self-evaluation survey before and immediately after the structured elective. Areas covered included substance use screening, history taking, signs and symptoms examination, withdrawal treatment, relapse prevention, nicotine use disorders, opioid use disorders, safe prescribing, and the biology of substance use disorders. A purposefully selected sample of 18 trainees were invited to participate in qualitative interviews that elicited feedback on the rotation. Results: Of 168 invited trainees, 142 (84.5%) completed both pre- and post-rotation self-assessments between May 2015 and May 2017. Follow-up participants included medical students, residents, addiction medicine fellows, and family physicians in practice. Self-assessed knowledge of addiction medicine increased significantly post-rotation (mean difference in scores = 11.87 out of the maximum possible 63 points, standard deviation = 17.00; P < .0001). Medical students were found to have the most significant improvement in addiction knowledge (estimated mean difference = 4.43, 95% confidence interval = 0.76, 8.09; P = .018). Illustrative quotes describe the dynamics involved in the learning process among trainees. Conclusions: Completion of a hospital-based clinical elective was associated with improved knowledge of addiction medicine. Medical students appear to benefit more from the addiction elective with a hospital-based AMCT than other types of learners.
Funding Details: European Commission Horizon 2020
Health Research Board
metadata.dc.description.othersponsorship: US National Institutes of Health
Canada Research Chairs
Type of material: Journal Article
Publisher: Taylor & Francis
Journal: Substance Abuse
Volume: 40
Issue: 2
Start page: 207
End page: 213
Copyright (published version): 2019 Taylor & Francis
Keywords: Clinical researchBrain disordersDrug abuseSubstance abuseMental healthMedical educationProgram evaluationProspective studiesSubstance-related disorders
DOI: 10.1080/08897077.2018.1561596
Language: en
Status of Item: Peer reviewed
Appears in Collections:Medicine Research Collection

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