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Addictions Training in General Psychiatry Training Programs: Current Gaps and Barriers
Ann C Schwartz1, Amber Frank2, Justine W Welsh3
1Emory University School of Medicine, Atlanta, GA, USA. aschwa2@Emory.edu.
Summary
Addictions training in general psychiatry programs faces gaps due to a lack of trained faculty. Improving this requires faculty development and disseminating model curricula for better addiction assessment and treatment competencies.
Area of Science:
- Medical Education
- Psychiatry
- Addiction Medicine
Background:
- Current addictions training in general adult psychiatry programs is inconsistent.
- Gaps and barriers in training need to be identified to improve resident competency.
Purpose of the Study:
- To review findings from a 2017 survey of psychiatry training program directors.
- To identify current gaps and barriers in addictions training within general adult psychiatry programs.
Main Methods:
- A 23-item confidential, anonymous online survey was developed and disseminated.
- The survey targeted general psychiatry program directors (n=200) via the American Association of Directors of Psychiatric Residency Training (AADPRT) Listserv.
Main Results:
- 85 programs (42% response rate) reported addictions training often occurs in general settings.
- Curriculum content and clinical experiences varied significantly across programs.
- A lack of addictions-trained faculty was identified as a major impediment.
Conclusions:
- Faculty development and national dissemination of model curricula can enhance addictions training.
- Future goals include developing a strategic plan for improving addictions training competencies.
- A milestones-based approach to addictions assessment and treatment is proposed.
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