Medical students' knowledge about alcohol and drug problems: Results of the Medical Council of Canada examination

Substance Abuse

Volumn 27, Issue 4, 2007, Pages 1-7

  Kahan, Meldon ^a   Midmer, Deana ^b   Wilson, Lynn ^a   Borsoi, Diane ^c  

^a ST JOSEPH S HEALTH CENTRE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

Author keywords

Addictions; Knowledge; Medical students; Substance abuse

Indexed keywords

ALCOHOLICS ANONYMOUS; ALCOHOLISM; ARTICLE; CANADA; CLINICAL FEATURE; DRUG DEPENDENCE; HUMAN; KNOWLEDGE; LICENSING; MEDICAL SCHOOL; MEDICAL STUDENT; MENTAL DISEASE; SCREENING; WITHDRAWAL SYNDROME;

ALCOHOLISM; CANADA; CURRICULUM; EDUCATION, MEDICAL; FACULTY, MEDICAL; HUMANS; LICENSURE, MEDICAL; PRACTICE GUIDELINES; SUBSTANCE WITHDRAWAL SYNDROME; SUBSTANCE-RELATED DISORDERS;

EID: 33947147743     PISSN: 08897077     EISSN: 15470164     Source Type: Journal    
DOI: 10.1300/J465v27n04_01     Document Type: Article

References (57)

1. Kahan M, Wilson L, Becker L. Effectiveness of physician-based interventions with problem drinkers: a review. CMAJ. 1995;152(6):851-859.
2. Fleming MF, Barry KL, Manwell LB, Johnson K, London R. Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices [see comments]. JAMA. 1997;277(13):1039-1045.
3. Fleming M, Mundt M, French M, Manwell L, Stauffacher E, Barry K. Benefit-cost analysis of brief physician advice with problem drinkers in primary care settings. Med Care. 2000;38(1):7-18.
4. Garbutt JC, West SL, Carey TS, Lohr KN, Crews FT. Pharmacological treatment of alcohol dependence: a review of the evidence [see comments]. JAMA. 1999;281(14):1318-1325.
5. Brands B, Brands J, eds. Methadone Maintenance: A Physician's Guide to Treatment. Toronto: Addiction Research Foundation; 1998.
6. Barnett PG. The cost-effectiveness of substance abuse treatment. Curr Psychiatry Rep. 1999;1(2):166-171.
7. Rumpf HJ, Bohlmann J, Hill A, Hapke U, John U. Physicians' low detection rates of alcohol dependence or abuse: a matter of methodological shortcomings? Gen Hosp Psychiatry. 2001;23(3):133-137.
8. Frank E, Harvey LK. Prevention advice rates of women and men physicians. Arch Fam Med. 1996;5(4):215-219.
9. Gottlieb NH, Mullen PD, McAlister AL. Patients' substance abuse and the primary care physician: patterns of practice. Addict Behav. 1987;12(1):23-32.
10. Kaner EF, Heather N, Brodie J, Lock CA, McAvoy BR. Patient and practitioner characteristics predict brief alcohol intervention in primary care. Br J Gen Pract. 2001;51(471):822-827.
11. Schorling JB, Klas PT, Willems JP, Everett AS. Addressing alcohol use among primary care patients: differences between family medicine and internal medicine residents [see comments]. J Gen Intern Med. 1994;9(5):248-254.
12. Arndt S, Schultz SK, Turvey C, Petersen A. Screening for alcoholism in the primary care setting: are we talking to the right people? J Fam Pract. Jan 2002;51(1):41-46.
13. Poulin C, Webster I, Single E. Alcohol disorders in Canada as indicated by the CAGE questionnaire. CMAJ. 1997;157(11):1529-1535.
14. Buchsbaum DG, Buchanan RG, Poses RM, Schnoll SH, Lawton MJ. Physician detection of drinking problems in patients attending a general medicine practice. J Gen Intern Med. Sep-Oct 1992; 7(5):517-521.
15. Kaner EF, Heather N, McAvoy BR, Lock CA, Gilvarry E. Intervention for excessive alcohol consumption in primary health care: attitudes and practices of English general practitioners. Alcohol Alcohol. 1999;34(4):559-566.
16. Friedmann PD, McCullough D, Chin MH, Saitz R. Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. J Gen Intern Med. 2000;15(2):84-91.
17. Spandorfer JM, Israel Y, Turner BJ. Primary care physicians' views on screening and management of alcohol abuse: inconsistencies with national guidelines. J Fam Pract. Nov 1999;48(11):899-902.
18. Bradley KA, Curry SJ, Koepsell TD, Larson EB. Primary and secondary prevention of alcohol problems: U.S. internist attitudes and practices. J Gen Intern Med. Feb 1995; 10(2):67-72.
19. Duszynski KR, Nieto FJ, Valente CM. Reported practices, attitudes, and confidence levels of primary care physicians regarding patients who abuse alcohol and other drugs. Md Med J. Jun 1995;44(6):439-446.
20. Adams PJ, Powell A, McCormick R, Paton-Simpson G. Incentives for general practitioners to provide brief interventions for alcohol problems. N Z Med J. Aug 8 1997;110(1049):291-294.
21. Khan N, Davis P, Wilkinson TJ, Sellman JD, Graham P. Drinking patterns among older people in the community: hidden from medical attention? N Z Med J. 2002;115(1148):72-75.
22. McInnes E, Powell J. Drug and alcohol referrals: are elderly substance abuse diagnoses and referrals being missed? BMJ. 1994;308(6926):444-446.
23. Reid MC, Tinetti ME, Brown CJ, Concato J. Physician awareness of alcohol use disorders among older patients. J Gen Intern Med. Nov 1998;13(11):729-734.
24. Cleary PD, Miller M, Bush BT, Warburg MM, Delbanco TL, Aronson MD. Prevalence and recognition of alcohol abuse in a primary care population. Am J Med. 1988;85(4):466-471.
25. Ford DE, Klag MJ, Whelton PK, Goldsmith M, Levine DAD. Physician knowledge of the CAGE alcohol screening questions and its impact on practice. Alcohol Alcohol. 1994;29(3):329-336.
26. Greenwald BD, Narcessian EJ, Pomeranz BA. Assessment of physiatrists' knowledge and perspectives on the use of opioids: review of basic concepts for managing chronic pain. Am J Phys Med Rehabil. 1999;78(5):408-415.
27. Abel EL, Kruger M. What do physicians know and say about fetal alcohol syndrome: a survey of obstetricians, pediatricians, and family medicine physicians. Alcohol Clin Exp Res. Dec 1998;22(9):1951-1954.
28. Nevin AC, Parshuram C, Nulman I, Koren G, Einarson A. A survey of physicians knowledge regarding awareness of maternal alcohol use and the diagnosis of FAS. BMC Fam Pract. 2002;3(1):2.
29. Danielsson PE, Rivara FP, Gentilello LM, Maier RV. Reasons why trauma surgeons fail to screen for alcohol problems. Arch Surg. 1999;134(5):564-568.
30. Aalto M, Pekuri P, Seppa K. Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers. Addiction. Feb 2001;96(2):305-311.
31. Rodriguez Fernandez E, Espi Martinez F, Canteras Jordana M, Gomez Moraga A. [The attitude of primary care physicians to patients with an excessive consumption of alcohol]. Aten Primaria. Nov 15 1999;24(8):447-455.
32. Fleming MF, Barry KL, Davis A, Kropp S, Kahn R, Rivo M. Medical education about substance abuse: changes in curriculum and faculty between 1976 and 1992. Acad Med. May 1994;69(5):362-369.
33. Miller NS, Sheppard LM, Colenda CC, Magen J. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Acad Med. 2001;76(5):410-418.
34. Isaacson JH, Fleming M, Kraus M, Kahn R, Mundt M. A national survey of training in substance use disorders in residency programs. J Stud Alcohol. 2000;61(6):912-915.
35. Fleming MF, Manwell LB, Kraus M, Isaacson JH, Kahn R, Stauffacher EA. Who teaches residents about the prevention and treatment of substance use disorders? A national survey. J Fam Pract. Sep 1999;48(9):725-729.
36. Johnson TP, Booth AL, Johnson P. Physician beliefs about substance misuse and its treatment: findings from a U.S. survey of primary care practitioners. Subst Use Misuse. 2005;40(8):1071-1084.
37. Roche AM, Parle MD, Saunders J.B. Managing alcohol and drug problems in general practice: a survey of trainees' knowledge, attitudes and educational requirements. Aust N Z J Public Health. Aug 1996;20(4):401-408.
38. Fleming MF, Barry KL, Davis A, Kahn R, Rivo M. Faculty development in addiction medicine: project SAEFP, a one-year follow-up study. Fam Med. Apr 1994;26(4):221-225.
39. Lewis DC. Medical education for alcohol and other drug abuse in the United States. CMAJ. 1990;143(10):1091-1096.
40. Gopalan R, Santora P, Stokes EJ, Moore RD, Levine DM. Evaluation of a model curriculum on substance abuse at The Johns Hopkins University School of Medicine. Acad Med. 1992;67(4):260-266.
41. Kahan M, Midmer D, Wilson L, Liu E. Faculty rating of learning objectives for an undergraduate medical curriculum in substance abuse. Substance Abuse. 2001;22(4):257-263.
42. Kahan M, Wilson L, Midmer D, Borsoi D, Martin D. Randomized Controlled Trial on the Effects of a Skills-based Workshop on Medical Students' Management of Problem Drinking and Alcohol Dependence. Substance Abuse. 2003;24(1):5-16.
43. el-Guebaly N, Toews J, Lockyer J, Armstrong S, Hodgins D. Medical education in substance-related disorders: components and outcome. Addiction. 2000;95(6):949-957.
44. Gaughwin M, Dodding J, White JM, Ryan P. Changes in alcohol history taking and management of alcohol dependence by interns at The Royal Adelaide Hospital. Med Educ. 2000;34(3):170-174.
45. Roche AM, Stubbs JM, Sanson-Fisher RW, Saunders JB. A controlled trial of educational strategies to teach medical students brief intervention skills for alcohol problems. Prev Med. 1997;26(1):78-85.
46. Saitz R, Horton NJ, Sullivan LM, Moskowitz MA, Samet JH. Addressing alcohol problems in primary care: a cluster randomized, controlled trial of a systems intervention. The screening and intervention in primary care (SIP) study. Ann Intern Med. Mar 4 2003;138(5):372-382.
47. Siegal HA, Cole PA, Li L, Eddy MF. Can a brief clinical practicum influence physicians' communications with patients about alcohol and drug problems? Results of a long-term follow-up. Teach Learn Med. 2000;12(2):72-77.
48. Bigby J, Barnes HN. Evaluation of a faculty development program in substance abuse education. J Gen Intern Med. 1993;8(6):301-305.
49. Graham AV, Davis AK, Coggan PG, Sherwood RA. Long-term evaluation of a substance abuse fellowship program in family medicine. Fam Med. 1997;29(3):194-198.
50. Durfee MF, Warren DG, Sdao-Jarvie K. A model for answering the substance abuse educational needs of health professionals: the North Carolina Governor's Institute on Alcohol and Substance Abuse. Alcohol. Nov-Dec 1994;11(6):483-487.
51. Anonymous. Project CORK: A case study in designing and implementing an alcohol curriculum for medical education. Dartmouth Medical School: Project Cork Institute; 1985 1985.
52. Dube CE, Goldstein MG, Lewis DC, Myers ER, Zwick W, eds. Project ADEPT: Alcohol and Drug Education for Physician Training; 1990.
53. Fang WL, Applegate SN, Stein RM, Lohr JA. The development of substance-abuse curricular content by five North Carolina schools. Acad Med. 1998;73(10):1039-1043.
54. Fleming M, Clark K, Davis A, et al. A national model of faculty development in addiction medicine. Acad Med. 1992;67(10):691-693.
55. Kokotailo PK, Fleming MF, Koscik RL. A model alcohol and other drug use curriculum for pediatric residents. Acad Med. 1995;70(6):495-498.
56. Kristeller JL, Ockene JK. Tobacco curriculum for medical students, residents and practicing physicians. Indiana Med. 1996;89(2):199-204.
57. Walsh RA. Medical education about alcohol: review of its role and effectiveness. Alcohol Alcohol. 1995;30(6):689-702.