In-hospital training in addiction medicine: A mixed-methods study of health care provider benefits and differences
| Autor: | Breanne Reel, Nadia Fairbairn, Annabel Mead, Keith Ahamad, Jan Klimas, Huiru Dong, Walter Cullen, Seonaid Nolan, Will Small, Mark McLean, Lauren Gorfinkel, Christopher Fairgrieve, Evan Wood |
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| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
Substance abuse Medical education Adult medicine.medical_specialty Social Work Students Medical Health care provider education 030508 substance abuse Medicine (miscellaneous) Drug abuse Article Clinical research 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Clinical care Fellowships and Scholarships Education Nursing Brain disorders Referral and Consultation Qualitative Research British Columbia Education Medical business.industry food and beverages Internship and Residency Physicians Family 16. Peace & justice medicine.disease Mental health Hospitals 3. Good health Psychiatry and Mental health Addiction medicine Family medicine Curriculum 0305 other medical science business Prospective studies Substance-related disorders Addiction Medicine |
| Zdroj: | Substance Abuse |
| ISSN: | 0889-7077 |
| DOI: | 10.1080/08897077.2018.1561596 |
| Popis: | 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. European Commission Horizon 2020 Health Research Board US National Institutes of Health Canada Research Chairs |
| Databáze: | OpenAIRE |
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