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An Asynchronous Curriculum to Address Substance Use Disorder Training Needs for Medical and Surgical Residents.
Andrea Truncali1, Kristen Silva, Isaac Stickney
1Departments of Internal Medicine (Dr Truncali), Family Medicine (Drs Silvia and Holt and Ms Johnson), and Medical Education (Mr Stickney), Maine Medical Center, Portland, Maine.
Medical residents improved substance use (SU) knowledge and confidence through a new curriculum. The training focused on screening, bias, and safer prescribing, enhancing skills for SU prevention and treatment.
Area of Science:
- Medical Education
- Addiction Medicine
- Public Health
Background:
- Substance use (SU) management presents a significant challenge in medical training.
- Residents in teaching hospitals often lack adequate support for addressing SU sequelae.
- There is a need for standardized core knowledge and skills in SU prevention and treatment for all medical trainees.
Purpose of the Study:
- To develop and evaluate a core curriculum for medical interns on substance use (SU) prevention and treatment.
- To enhance residents' knowledge, confidence, and attitudes regarding SU.
- To identify and improve essential SU-related skills for medical and surgical trainees.
Main Methods:
- Development of three asynchronous online modules and one live skills session for interns.
- Topics covered included unhealthy SU screening, detection, intervention, bias and communication, and safer prescribing.
- A cohort of 68 interns completed the curriculum, with pre/posttesting to assess outcomes.
Main Results:
- Significant increases in knowledge scores, from 52% to 83% correct (P < .001).
- Perceived confidence levels improved notably, from 10 to 12.9 on a 16-point scale (P < .001).
- No significant change was observed in trainee attitudes towards substance use (P = .07).
Conclusions:
- The developed curriculum effectively improved core knowledge and skills in substance use (SU) for medical interns.
- The training enhanced residents' confidence in managing SU-related issues.
- This initiative provides a scalable model for enhancing SU education across medical specialties.
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