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Enhancing Trainee Knowledge and Competence in Addiction Medicine: Outcomes of an Interprofessional Addiction Consult
Sophie A Goldman1, Riana Wurzburger2, Eleasa Sokolski3
1Department of Medicine, Oregon Health & Science University, Portland, OR, USA. goldmaso@ohsu.edu.
Background:
Many graduating physicians remain inadequately prepared to manage substance use disorders (SUDs) due, in part, to insufficient SUD training during residency, especially in inpatient settings.
Aim:
The aim of the study is to evaluate the impact of a novel addiction medicine consult service (ACS) rotation on residents' knowledge and confidence when serving patients with SUD.
Setting:
The setting is two Oregon teaching hospitals.
Participants:
Twenty-three internal medicine, family medicine, and emergency medicine resident physicians participated.
Program Description:
A 2-week rotation on a hospital-based interprofessional ACS was done. Clinical experiences were augmented with self-directed didactics with learning objectives including addiction neurobiology, SUD diagnosis, medications for SUD, and withdrawal management.
Program Evaluation:
Twenty-three (74%) participants completed pre- and post-rotation surveys that included 10 multiple-choice knowledge questions and 10 Likert-scale confidence items related to the course's learning objectives. Mean knowledge scores improved from 70.4% pre-rotation to 80.0% post-rotation (p = 0.024, r = -0.332). Self-reported confidence increased in nine of 10 domains (p < 0.001, r -0.505 to -0.603).
Discussion:
Participants demonstrated significant improvements in both confidence and objective knowledge. This hospital-based, interprofessional clinical rotation with self-directed didactics may serve as a model for integrating effective addiction medicine training into residency programs and closing gaps in SUD care.
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