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Innovations in Medical Education: Addiction Medicine Educational Consults
Eric Kutscher1,2, Michael Herscher3,4, Linda Wang3
1Department of Medicine, Mount Sinai Hospital, New York, NY, USA. Eric.Kutscher@mountsinai.org.
Internal medicine residents can gain addiction medicine skills through educational consults, even without a formal addiction medicine consult service. This program improved patient care and resident approaches to substance use disorders.
Area of Science:
- Medical Education
- Addiction Medicine
- Internal Medicine Residency
Background:
- Addiction medicine care is essential for internal medicine residents.
- Many hospital systems lack dedicated addiction medicine consult services for training.
- This limits residents' practical learning opportunities in managing substance use disorders.
Purpose of the Study:
- To offer internal medicine residents clinical training in evidence-based substance use disorder treatment.
- To establish a feasible model for addiction medicine education in residency programs.
- To enhance residents' skills in managing patients with substance use disorders.
Main Methods:
- Implemented an "educational consult" program within an academic tertiary care internal medicine residency.
- Internal medicine residents discussed patient cases involving substance use disorders with an addiction medicine provider.
- Conducted program evaluation over one academic year, involving 50 unique trainees.
Main Results:
- Completed 44 educational consults, primarily focusing on opioid and alcohol use disorders.
- High resident satisfaction reported (average 4.9/5).
- 70% of participants reported consults changed patient care; 50% reported changes in their future patient management approach.
Conclusions:
- Educational consults are a viable method for providing graduate medical education trainees with advanced addiction medicine exposure.
- This model effectively supplements training in settings without established addiction medicine consult services.
- The program demonstrates feasibility and positive impact on resident learning and patient care.
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