Astri Parawita Ayu1,2, Nady El-Guebaly3, Arnt Schellekens2,4, Cor De Jong2, Gabrielle Welle-Strand5, William Small6, Evan Wood7,8, Walter Cullen9, Jan Klimas8,9. 1. a Atma Jaya Catholic University of Indonesia , School of Medicine , Jakarta , Indonesia. 2. b Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA) , Radboud University , Nijmegen , The Netherlands. 3. c Division of Addiction, Department of Psychiatry , University of Calgary , Calgary , Alberta , Canada. 4. d Department of Psychiatry , Radboud University Medical Centre , Nijmegen , The Netherlands. 5. e Norwegian Centre for Addiction Research , University of Oslo , Oslo , Norway. 6. f Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada. 7. g British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. 8. h Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. 9. i School of Medicine , University College Dublin , Belfield , Dublin , Ireland.
Abstract
BACKGROUND: Despite the high prevalence of substance use disorders, associated comorbidities, and the evidence base upon which to base clinical practice, most health systems have not invested in standardized training of health care providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, this study was undertaken to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. METHODS: A total of 13 members of the International Society of 20 Addiction Medicine (ISAM), from 12 different countries (37% response rate), were interviewed over Skype, e-mail survey, or in person at the annual conference. Content analysis was used to analyze interview transcripts, using constant comparison methodology. RESULTS: We identified recommendations related to the core set of the addiction medicine competencies at 3 educational levels: (i) undergraduate, (ii) postgraduate, and (iii) continued medical education (CME). The participants described broad ideas, such as knowledge/skills/attitudes towards addiction to be obtained at undergraduate level, or knowledge of addiction treatment to be acquired at graduate level, as well as specific recommendations, including the need to tailor curriculum to national settings and different specialties. CONCLUSIONS: Although it is unclear whether a global curriculum is needed, a consensus on a core set of principles for progression of knowledge, attitudes, and skills in addiction medicine to be developed at each educational level amongst medical graduates would likely have substantial value.
BACKGROUND: Despite the high prevalence of substance use disorders, associated comorbidities, and the evidence base upon which to base clinical practice, most health systems have not invested in standardized training of health care providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, this study was undertaken to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. METHODS: A total of 13 members of the International Society of 20 Addiction Medicine (ISAM), from 12 different countries (37% response rate), were interviewed over Skype, e-mail survey, or in person at the annual conference. Content analysis was used to analyze interview transcripts, using constant comparison methodology. RESULTS: We identified recommendations related to the core set of the addiction medicine competencies at 3 educational levels: (i) undergraduate, (ii) postgraduate, and (iii) continued medical education (CME). The participants described broad ideas, such as knowledge/skills/attitudes towards addiction to be obtained at undergraduate level, or knowledge of addiction treatment to be acquired at graduate level, as well as specific recommendations, including the need to tailor curriculum to national settings and different specialties. CONCLUSIONS: Although it is unclear whether a global curriculum is needed, a consensus on a core set of principles for progression of knowledge, attitudes, and skills in addiction medicine to be developed at each educational level amongst medical graduates would likely have substantial value.
Entities:
Keywords:
Expert consultation; medical education; substance-related disorders
Authors: Devyani Kothari; Marc N Gourevitch; Joshua D Lee; Ellie Grossman; Andrea Truncali; Tavinder K Ark; Adina L Kalet Journal: Acad Med Date: 2011-01 Impact factor: 6.893
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