Literature DB >> 21099395

Undergraduate medical education in substance abuse: a review of the quality of the literature.

Devyani Kothari1, Marc N Gourevitch, Joshua D Lee, Ellie Grossman, Andrea Truncali, Tavinder K Ark, Adina L Kalet.   

Abstract

PURPOSE: To prepare to develop a medical school curriculum on substance abuse disorders (SADs), the authors conducted a review of the quality of the sparse published literature.
METHOD: The authors searched MEDLINE (1950 through December 2008) using OVID, PsycINFO, and PubMed to identify all studies of SAD interventions targeted toward undergraduate medical students. Of the 1,084 studies identified initially, 31 reported sufficient data to allow the authors to evaluate quality using Medical Education Research Study Quality Instrument (MERSQI) scores. The authors also determined the impact of the studies by considering three-year citation rate and journal impact factor. A detailed review of the literature provided data on contact hours and intervention content.
RESULTS: The three-rater intraclass correlation coefficient for total MERSQI score was 0.82 (95% confidence interval: 0.70-0.90). The mean MERSQI score was 10.42 of a possible 18 (SD 2.59; range: 6.33-14.83). MERSQI scores were higher for more recently published studies and correlated with three-year citation rate but not impact factor. The mean contact time for 26 studies was 29.25 hours (range: 0.83-200 hours).
CONCLUSIONS: The literature provides a variety of educational methods to train medical students in SAD detection and intervention skills. This literature is of variable quality and provides limited guidance for development of curricula and medical education policy. Better methods of curriculum evaluation and publication guidelines would help ensure that this literature has a positive impact on educational practice and public health.

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Mesh:

Year:  2011        PMID: 21099395      PMCID: PMC3148085          DOI: 10.1097/ACM.0b013e3181ff92cf

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  45 in total

1.  Understanding alcoholism: a test for use in medical education.

Authors:  J R Weinberg; R M Morse
Journal:  J Med Educ       Date:  1975-10

2.  Requiring a one-week addiction treatment experience in a six-week psychiatry clerkship: effects on attitudes toward substance-abusing patients.

Authors:  George W Christison; Mark G Haviland
Journal:  Teach Learn Med       Date:  2003       Impact factor: 2.414

3.  OD's and DT's: using movies to teach intoxication and withdrawal syndromes to medical students.

Authors:  Christopher J Welsh
Journal:  Acad Psychiatry       Date:  2003

Review 4.  A systematic review of titles and abstracts of experimental studies in medical education: many informative elements missing.

Authors:  David A Cook; Thomas J Beckman; Georges Bordage
Journal:  Med Educ       Date:  2007-11       Impact factor: 6.251

5.  Improving medical education research.

Authors:  Larry D Gruppen
Journal:  Teach Learn Med       Date:  2007       Impact factor: 2.414

6.  Effect of a course on students' attitudes toward substance abuse and its treatment.

Authors:  J N Chappel; T L Veach
Journal:  J Med Educ       Date:  1987-05

7.  Medical education about substance abuse: changes in curriculum and faculty between 1976 and 1992.

Authors:  M Fleming; K Barry; A Davis; S Kropp; R Kahn; M Rivo
Journal:  Acad Med       Date:  1994-05       Impact factor: 6.893

8.  Substance abuse attitude changes in medical students.

Authors:  J N Chappel; R D Jordan; B J Treadway; P R Miller
Journal:  Am J Psychiatry       Date:  1977-04       Impact factor: 18.112

9.  Tobacco intervention training: current efforts and gaps in US medical schools.

Authors:  John G Spangler; Geeta George; Kristie Long Foley; Sonia J Crandall
Journal:  JAMA       Date:  2002-09-04       Impact factor: 56.272

10.  Chemical dependency education within medical schools: supervised clinical experience.

Authors:  I B Harris; J Westermeyer
Journal:  Am J Drug Alcohol Abuse       Date:  1978       Impact factor: 3.829

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  11 in total

1.  Core addiction medicine competencies for doctors: An international consultation on training.

Authors:  Astri Parawita Ayu; Nady El-Guebaly; Arnt Schellekens; Cor De Jong; Gabrielle Welle-Strand; William Small; Evan Wood; Walter Cullen; Jan Klimas
Journal:  Subst Abus       Date:  2017-07-18       Impact factor: 3.716

Review 2.  Undergraduate medical education in substance use in Ireland: a review of the literature and discussion paper.

Authors:  S O'Brien; W Cullen
Journal:  Ir J Med Sci       Date:  2011-07-30       Impact factor: 1.568

Review 3.  A Systematic Review of Pain Management Education in Graduate Medical Education.

Authors:  Zayir Malik; James Ahn; Kathryn Thompson; Alejandro Palma
Journal:  J Grad Med Educ       Date:  2022-04-14

4.  Engaging health professional students in substance abuse research: development and early evaluation of the SARET program.

Authors:  Andrea Truncali; Adina L Kalet; Colleen Gillespie; Frederick More; Madeline Naegle; Joshua D Lee; Laura Huben; David Kerr; Marc N Gourevitch
Journal:  J Addict Med       Date:  2012-09       Impact factor: 3.702

5.  Two birds with one stone: experiences of combining clinical and research training in addiction medicine.

Authors:  J Klimas; R McNeil; K Ahamad; A Mead; L Rieb; W Cullen; E Wood; W Small
Journal:  BMC Med Educ       Date:  2017-01-23       Impact factor: 2.463

6.  Experiences and opinions of health professional students participating in an opioid use disorder educational event.

Authors:  Erin L Winstanley; Gina M Baugh; Mark Garofoli; Andrew J Muzyk
Journal:  Ment Health Clin       Date:  2020-03-30

7.  Substance misuse teaching in undergraduate medical education.

Authors:  Janine Carroll; Christine Goodair; Andrew Chaytor; Caitlin Notley; Hamid Ghodse; Peter Kopelman
Journal:  BMC Med Educ       Date:  2014-02-17       Impact factor: 2.463

Review 8.  Substance Misuse Education for Physicians: Why Older People are Important.

Authors:  Cornelis A J De Jong; Christine Goodair; Ilana Crome; Darius Jokubonis; Nady El-Guebaly; Geert Dom; Arnt Schellekens; Barbara Broers; Emilis Subata; Gabrielle Katrine Welle-Strand; Lonneke Luycks; Michel Wolters; Tamara Schoof
Journal:  Yale J Biol Med       Date:  2016-03-24

9.  Optimising treatment in opioid dependency in primary care: results from a national key stakeholder and expert focus group in Ireland.

Authors:  Marie Claire Van Hout; Des Crowley; Aoife McBride; Ide Delargy
Journal:  BMC Fam Pract       Date:  2018-06-30       Impact factor: 2.497

10.  Community Based Interventions for Problematic Substance Use in Later Life: A Systematic Review of Evaluated Studies and Their Outcomes.

Authors:  Trish Hafford-Letchfield; Tricia McQuarrie; Carmel Clancy; Betsy Thom; Briony Jain
Journal:  Int J Environ Res Public Health       Date:  2020-10-30       Impact factor: 3.390

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