Impact of a brief training on medical resident screening for alcohol misuse and illicit drug use

American Journal on Addictions

Volumn 17, Issue 2, 2008, Pages 149-154

  Gunderson, Erik W ^a,b   Levin, Frances R ^a,b   Owen, Patricia ^c  

^a Columbia University College of Physicians and Surgeons ^*  (United States)

^b NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

^c Hazelden   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ILLICIT DRUG;

ADULT; AGED; ALCOHOL CONSUMPTION; ALCOHOLISM; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; DRUG DEPENDENCE; FEMALE; HUMAN; MALE; MEDICAL RECORD REVIEW; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; RESIDENCY EDUCATION;

ADULT; AGED; ALCOHOLISM; COMORBIDITY; CROSS-SECTIONAL STUDIES; CURRICULUM; FEASIBILITY STUDIES; FEMALE; GUIDELINE ADHERENCE; HUMANS; INSERVICE TRAINING; INTERNSHIP AND RESIDENCY; MALE; MANUALS AS TOPIC; MASS SCREENING; MIDDLE AGED; NEW YORK; STREET DRUGS; SUBSTANCE-RELATED DISORDERS;

EID: 41949117299     PISSN: 10550496     EISSN: 15210391     Source Type: Journal    
DOI: 10.1080/10550490701861144     Document Type: Article

References (51)

1. McGinnis JM, Foege WH. Mortality and morbidity attributable to use of addictive substances in the United States. Proc Assoc Am Physicians. 1999;111:109-118 doi:10.1046/j.1525-1381.1999.20956.X.
2. U.S. Preventive Services Task Force. Chapter 53: Screening for Drug Abuse. Guide to Clinical Preventive Services. 2nd ed. Alexandria, VA: International Medical Publishing; 1996.
3. U.S. Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. Ann Intern Med. 2004;140:554-556.
4. Friedmann PD, Saitz R, Samet J. Management of adults recovering from alcohol or other drug problems. Relapse prevention in primary care. JAMA. 1998;279:1227-1231.
5. Moyer A, Finney JW, Swearingen CE, Vergun P. Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction. 2002;97:279-292.
6. Office of National Drug Control Policy. National Drug Control Strategy. Washington, DC: The White House; February 2007.
7. NIAAA. The Physician's Guide to Helping Patients with Alcohol Problems. Bethesda, Md.: National Institute of Health; 2005.
8. Saitz R. Unhealthy alcohol use. N Engl J Med. 2005;352:596-607.
9. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348:2635-2645.
10. 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. 1992;7:517-521.
11. Friedmann PD, McCullough D, Saitz R. Screening and intervention for illicit drug use. A national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001;161:248-251.
12. 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;15:84-91.
13. Coulehan JL, Zettler-Segal M, Block M, McClelland M, Schulberg HC. Recognition of alcoholism and substance abuse in primary care patients. Arch Intern Med. 1987;147:349-352.
14. 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;85:466-471.
15. Kamerow DB, Pincus HA, Macdonald DI. Alcohol abuse, other drug abuse, and mental disorders in medical practice. Prevalence, costs, recognition, and treatment. JAMA. 1986;255:2054-2057.
16. Haley N, Maheux B, Rivard M, Gervais A. Lifestyle health risk assessment. Do recently trained family physicians do it better? Can Fam Physician. 2000;46:1609-1616.
17. National Center on Addiction and Substance Abuse (CASA). Missed Opportunity: CASA National Survey of Primary Care Physicians and Patients on Substance Abuse. New York: Columbia University, CASA; 2000.
18. Rush BR, Urbanoski KA, Allen BA. Physicians' enquiries into their patients' alcohol use: public views and recalled experiences. Addiction. 2003;98:895-900.
19. Kuehn BM. Centers to weave addiction treatment into medical education. JAMA. 2007;297:1763.
20. Accreditation Council for Graduate Medical Education. 2006 Program requirements for residency education in internal medicine. Available at: http://www.acgme.org/acWebsite/downloads/RRC progReq/140pr703 u704.pdf. Accessed August 24, 2006.
21. American Board of Internal Medicine. Internal medicine certification exam blueprint. Available at: http://www.abim.org/cert/im.shtm. Accessed August 24, 2006.
22. Isaacson JH, Fleming M, Kraus M, Kahn R, Mundt M. A national survey of training in substance abuse disorders in residency programs. J Stud Alcohol. 2000;61:912-915.
23. Warburg MM, Cleary PD, Rohman M, Barnes HN, Aronson M, Delbanco TL. Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Journal of Medical Education. 1987;62:497-503.
24. Levin FR, Gunderson EW, Levounis P. Medical education. In: Galanter MD, Kleber HD, eds. Textbook of Substance Abuse Treatment. Washington DC: American Psychiatric Publishing, Inc.; 2004:597-609.
25. Fleming MF, Manwell LB, Kraus M, Isaacson JH, Kahn R, Stauffacher EA. Who teaches residents about the prevention and treatment of substance use disorders? J Fam Prac. 1999;48:725-729.
26. D'Onofrio G, Pantalon MV, Degutis LC, Fiellin DA, O'Connor PG. Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. Acad Emerg Med. 2005;12:249-256.
27. Karam-Hage M, Nerenberg L, Brower KJ. Modifying residents' professional attitudes about substance abuse treatment and training. Am J Addict. 2001;10(1):40-47.
28. Kokotailo PK, Langhough R, Neary EJ, Matson SC, Fleming MF. Improving pediatric residents' alcohol and other drug use clinical skills: use of an experiential curriculum. Pediatrics. 1995;96:99-104.
29. Parish SJ, Ramaswamy M, Stein MR, Kachur EK, Arnsten JH. Teaching about substance abuse with Objective Structured Clinical Exams. J Gen Intern Med. 2006;21:453-459.
30. Ockene JK, Wheeler EV, Adams A, Hurley TG, Herbert J. Provider training for patient-centered alcohol counseling in a primary care setting. Arch Intern Med. 1997;157:2334-2341.
31. Levin FR, Owen P, Stinchfield R, Rabinowitz E, Pace N. Use of standardized patients to evaluate the physicians in residence program: A substance abuse training approach. J Addict Dis. 1999;18:39-50.
32. Wilk AI, Jensen NM. Investigation of a brief teaching encounter using standardized patients: teaching residents alcohol screening and intervention. J Gen Intern Med. 2002;17:356-360.
33. Weinberger SE, Smith LG, Collier VU. Education Committee of the American College of Physicians. Redesigning training for internal medicine. Ann Intern Med. 2006;144:927-932.
34. Fleming M, Cotter F, Talboy E. Training Physicians in Techniques for Alcohol Screening and Brief Intervention. Bethesda, Md.: U.S. Department of Health and Human Services, Public Health Service, National Institute of Health, National Institute on Alcohol Abuse and Alcoholism; 1997.
35. Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984;252:1905-1907.
36. Steinweg DL, Worth H. Alcoholism: the keys to the CAGE. Am J Med. 1993;94:520-523.
37. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed., text revision. Washington, DC: American Psychiatric Association; 2000.
38. Friedmann PD, Saitz R, Gogineni A, Zhang JX, Stein MD. Validation of the screening strategy in the NIAAA "Physicians' Guide to Helping Patients with Alcohol Problems." J Stud Alcohol. 2001;62:234-238.
39. Dawson DA, Grant BF, Stinson FS, Zhou Y. Effectiveness of the derived Alcohol Use Disorders Identification Test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the U.S. general population. Alcohol Clin Exp Res. 2005;29:844-854.
40. Canagasaby A, Vinson DC. Screening for hazardous or harmful drinking using one or two quantity-frequency questions. Alcohol Alcohol. 2005;40:208-213.
41. Seale JP, Boltri JM, Shellenberger S, et al. Primary care validation of a single screening question for drinkers. J Stud Alcohol. 2006;67:778-784.
42. Reinert DF, Allen JP. The Alcohol Use Disorders Identification Test (AUDIT): a review of recent research. Alcohol Clin Exp Res. 2002;26:272-279.
43. Friedmann PD, Rose J, Hayaki J, et al. Training primary care clinicians in maintenance care for moderated alcohol use. J Gen Intern Med. 2006;21:1269-1275.
44. Adams A, Ockene JK, Wheller EV, Hurley TG. Alcohol counseling: physicians will do it. J Gen Intern Med. 1998;13:692-698.
45. Bradley KA, Epler AJ, BushKR, et al. Alcohol-related discussions during general medicine appointments of male VA patients who screen positive for at-risk drinking. J Gen Intern Med. 2002;17:315-326.
46. Seale JP, Shellenberger S, Tillery WK, et al. Implementing alcohol screening and intervention in a family medicine residency clinic. Subst Abus. 2006;21:23-31.
47. 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. 2003;138:372-382.
48. Luck J, Peabody JW, Dresselhaus TR, Lee M, Glassman P. How well does chart abstraction measure quality? A prospective comparison of standardized patients with the medical record. Am J Med. 2000;108:642-649.
49. Seale JP, Shellenberger S, Boltri JM, Okosun IS, Barton B. Effects of screening and brief intervention on resident and faculty alcohol intervention behaviours: a pre-post-intervention assessment. BMC Fam Pract. 2005;6:46.
50. Physician Consortium for Performance Improvement. Clinical performance measures: preventive care and screening measurement sets. Tools developed by physicians for physicians. Chicago, Ill.: American Medical Association; 2005. 13 pp. Available at: http://www.amaassn.org/ama/pub/category/16487.html. Accessed April 24, 2007.
51. Agency for Healthcare Research and Quality (AHRQ). Preventive care and screening: percentage of patients who were queried about and screened for problem drinking during the two-year measurement period. Available at: http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=7788. Accessed May 1, 2007.