The role of internal medicine in addiction medicine

Internal Medicine must play an important role in addiction medicine. Although Psychiatry has been the dominant discipline in the addictions field, this article explores how the internist can bring special insight to the understanding of addictions. The article documents how Internal Medicine, historically, has helped define and diversify the field of addiction medicine. A survey of recent history, however, shows that Internal Medicine has only minimally broadened its role in the addiction field, despite the pronouncements of numerous committees, despite the urging of several medical groups that it do so. The article shows that some internists want to play an increased role in the field of addiction medicine, but often feel limited by their lack of knowledge and by the professional biases they confront. In conclusion, new suggestions for improving internist education and increasing their interest and participation in addiction medicine are offered.