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Enhancing Trainee Knowledge and Competence in Addiction Medicine: Outcomes of an Interprofessional Addiction Consult

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Physician training in substance use disorders (SUDs) improved significantly after a novel addiction medicine consult service (ACS) rotation. Residents showed enhanced knowledge and confidence in managing patients with SUDs.

Keywords:
addiction medicineinterprofessional educationmedical educationresident trainingsubstance use disorders

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Area of Science:

  • Medical Education
  • Addiction Medicine
  • Public Health

Background:

  • Graduating physicians often lack adequate preparation for managing substance use disorders (SUDs).
  • Insufficient SUD training during residency, particularly in inpatient settings, contributes to this knowledge gap.
  • Effective management of SUDs requires specialized knowledge and skills often not covered in standard medical curricula.

Purpose of the Study:

  • To evaluate the impact of a new addiction medicine consult service (ACS) rotation on residents' knowledge and confidence.
  • To assess the effectiveness of an interprofessional clinical rotation combined with self-directed didactics in improving SUD management skills.
  • To determine if this model can be integrated into residency programs to enhance SUD care.

Main Methods:

  • A 2-week hospital-based, interprofessional ACS rotation was implemented in two Oregon teaching hospitals.
  • Twenty-three residents from internal medicine, family medicine, and emergency medicine participated.
  • Training included clinical experiences and self-directed learning on addiction neurobiology, diagnosis, pharmacotherapy, and withdrawal management.

Main Results:

  • Mean knowledge scores improved significantly from 70.4% pre-rotation to 80.0% post-rotation (p=0.024).
  • Self-reported confidence increased in nine out of ten domains assessed (p<0.001).
  • Participant engagement was high, with 74% completing both pre- and post-rotation surveys.

Conclusions:

  • The addiction medicine consult service (ACS) rotation significantly improved residents' objective knowledge and self-reported confidence in managing SUDs.
  • This interprofessional, didactic-enhanced clinical rotation serves as a viable model for integrating essential addiction medicine training into residency programs.
  • Implementing such programs can help close critical gaps in SUD care provided by graduating physicians.