In-hospital training in addiction medicine: A mixed-methods study of health care provider benefits and differences.
MEDICAL EDUCATION AND TRAINING
MetadataShow full item record
AbstractHospital-based clinical addiction medicine training can improve knowledge of clinical care for substance-using populations. However, application of structured, self-assessment tools to evaluate differences in knowledge gained by learners who participate in such training has not yet been addressed. Participants (n = 142) of an elective with the hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, responded to an online self-evaluation survey before and immediately after the structured elective. Areas covered included substance use screening, history taking, signs and symptoms examination, withdrawal treatment, relapse prevention, nicotine use disorders, opioid use disorders, safe prescribing, and the biology of substance use disorders. A purposefully selected sample of 18 trainees were invited to participate in qualitative interviews that elicited feedback on the rotation. Of 168 invited trainees, 142 (84.5%) completed both pre- and post-rotation self-assessments between May 2015 and May 2017. Follow-up participants included medical students, residents, addiction medicine fellows, and family physicians in practice. Self-assessed knowledge of addiction medicine increased significantly post-rotation (mean difference in scores = 11.87 out of the maximum possible 63 points, standard deviation = 17.00; P < .0001). Medical students were found to have the most significant improvement in addiction knowledge (estimated mean difference = 4.43, 95% confidence interval = 0.76, 8.09; P = .018). Illustrative quotes describe the dynamics involved in the learning process among trainees. Completion of a hospital-based clinical elective was associated with improved knowledge of addiction medicine. Medical students appear to benefit more from the addiction elective with a hospital-based AMCT than other types of learners.
- Impact of a brief addiction medicine training experience on knowledge self-assessment among medical learners.
- Authors: Klimas J, Ahamad K, Fairgrieve C, McLean M, Mead A, Nolan S, Wood E
- Issue date: 2017 Apr-Jun
- Two birds with one stone: experiences of combining clinical and research training in addiction medicine.
- Authors: Klimas J, McNeil R, Ahamad K, Mead A, Rieb L, Cullen W, Wood E, Small W
- Issue date: 2017 Jan 23
- Training the next generation of providers in addiction medicine.
- Authors: Rasyidi E, Wilkins JN, Danovitch I
- Issue date: 2012 Jun
- Knowledge of addiction medicine among internal medicine residents and medical students.
- Authors: Brown AT, Kolade VO, Staton LJ, Patel NK
- Issue date: 2013 Mar
- Patient perspectives on a harm reduction-oriented addiction medicine consultation team implemented in a large acute care hospital.
- Authors: Hyshka E, Morris H, Anderson-Baron J, Nixon L, Dong K, Salvalaggio G
- Issue date: 2019 Nov 1