Providing competency-based family medicine residency training in substance abuse in the new millennium: A model curriculum

BMC Medical Education

Volumn 10, Issue 1, 2010, Pages

  Seale, J Paul ^a   Shellenberger, Sylvia ^a   Clark, Denice Crowe ^a  

^a MERCER UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADDICTION; ARTICLE; ECONOMICS; EDUCATION; GENERAL PRACTICE; HUMAN; MEDICAL EDUCATION; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; PROBLEM BASED LEARNING; QUESTIONNAIRE;

FAMILY PRACTICE; HUMANS; INTERNSHIP AND RESIDENCY; MODELS, ORGANIZATIONAL; PROBLEM-BASED LEARNING; QUESTIONNAIRES; SUBSTANCE-RELATED DISORDERS;

EID: 77951959364     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-10-33     Document Type: Article

References (88)

1. Faculty development in addiction medicine: Project SAEFP, a one-year follow-up study. MF Fleming KL Barry A Davis R Kahn M Rivo, Fam Med 1994 26 221 225 8034139
2. Long-term evaluation of a substance abuse fellowship program in family medicine. AV Graham AK Davis PG Coggan RA Sherwood, Fam Med 1997 29 194 198 9085102
3. Creating a substance abuse network in family medicine: Lessons learned. AK Davis AV Graham PG Coggan JN Finch MF Fleming RL Brown, Fam Med 1992 24 299 302 1601241
4. Training the trainers: Substance abuse screening and intervention. RL Brown MF Fleming, Int J Psychiatry Med 1998 28 137 146 9617653
5. A national model of faculty development in addiction medicine. R Henry M Fleming K Clark A Davis R Brown J Finch, Academic Medicine: J Assoc Am Med Coll 1992 67 691 693
6. NIAAA/NIDA Curriculum models program. F Cotter D Czechowicz, Seventh Special Report to the U.S. Congress on Alcohol and Health from the Secretary of Health and Human Services Rockville MD: US Department of Health and Human Services. Public Health Service. NIH. NIAAA 1990
7. The physician's role in caring for patients with substance use disorders: Implications for medical education and training. DA Fiellin R Butler G D'Onofrio RL Brown PG O'Connor, Strategic plan for interdisciplinary faculty development: Arming the nation's health professional workforce for a new approach to substance use disorders Rhode Island: Association for Medical Education and Research in Substance Abuse (AMERSA), Haack MR, Adger H Jr, Providence H, 2002 207 222
8. Creating change agents: A national substance abuse education project. MT Marcus RL Brown SL Straussner E Schoener R Henry AV Graham, Subst Abuse 2005 26 5 15
9. Interdisciplinary benefits in project MAINSTREAM: A promising health professions educational model to address global substance abuse. TE Madden AV Graham SL Straussner LA Saunders E Schoener R Henry, J Interprof Care 2006 20 655 664 10.1080/13561820600893890 17095443
10. Association for medical education and research in substance abuse. JH Samet M Galanter C Bridden DC Lewis, Addiction 2006 101 10 15 10.1111/j.1360-0443.2005.01228.x 16393188
11. Identification of and guidance for problem drinking by general medical providers: Results from a national survey. EJ D'Amico SM Paddock A Burnam FY Kung, Med Care 2005 43 229 236 10.1097/00005650-200503000-00005 15725979
12. Clinician screening and treatment of alcohol, drug, and mental problems in primary care: Results from healthcare for communities. MJ Edlund J Unutzer KB Wells, Med Care 2004 42 1158 1166 10.1097/00005650-200412000-00002 15550795
13. Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. PD Friedmann D McCullough MH Chin R Saitz, J Gen Intern Med 2000 15 84 91 10.1046/j.1525-1497.2000.03379.x 10672110
14. Referral paths, patient profiles and treatment adherence of older alcoholic men. RM Atkinson S Misra SC Ryan JA Turner, J Subst Abuse Treat 2003 25 29 35 10.1016/S0740-5472(03)00048-5 14512105
15. National treatment center study summary report: Privately-funded addiction treatment centers. National Treatment Center Study, Athens GA 2004
16. National treatment center study summary report: Publicly-funded addiction treatment centers. National Treatment Center Study, Athens GA 2004
17. A national survey of training in substance use disorders in residency programs. JH Isaacson M Fleming M Kraus R Kahn M Mundt, J Stud Alcohol 2000 61 912 915 11188498
18. Who teaches residents about the prevention and treatment of substance use disorders? A national survey. MF Fleming LB Manwell M Kraus JH Isaacson R Kahn EA Stauffacher, J Fam Pract 1999 48 725 729 10498080
19. Alcohol and other substance abuse teaching in family medicine. PG Coggan AK Davis AV Graham, Subst Abuse 1987 8 6 13
20. Project MAINSTREAM. Improving substance abuse education for health professionals. http://www.projectmainstream.net Accessed March 11, 2008
21. Third National Leadership Conference on Medical Education in Substance Abuse. Office of National Drug Control Policy, Washington, DC 2008
22. Request for Applications (RFA). Screening, Brief Intervention, Referral and Treatment (SBIRT) Medical Residency Program. United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA). http://www.samhsa.gov/Grants/2008/ti-08-003.aspx Accessed December 17, 2009
23. Future of Family Medicine Project. American Academy of Family Physicians, http://www.futurefamilymed.org/index.html Accessed December 17, 2009
24. RC Doll, Curriculum Improvement: Decision Making and Process Boston: Allyn and Bacon Sixth 1986
25. RW Tyler, Basic Principles of Curriculum and Instruction Chicago: University of Chicago Press 1949
26. Survey of attitudes among three specialties in a teaching hospital toward alcoholics. KW Bander DS Goldman MA Schwartz E Rabinowitz JT English, J Med Educ 1997 62 17 24
27. How general practitioners view alcohol use. Clearing up the confusion. B Rush K Ellis T Crowe L Powell, Can Fam Physician 1994 40 1570 1579 7920050
28. Obstacles to carrying out brief intervention for heavy drinkers in primary health care: A focus group study. M Aalto P Pekuri K Seppa, Drug Alcohol Rev 2003 22 169 173 10.1080/09595230100100606 12850903
29. Factors influencing inquiry about patients' alcohol consumption by primary health care physicians: Qualitative semi-structured interview study. M Aira J Kauhanen P Larivaara P Rautio, Fam Pract 2003 20 270 275 10.1093/fampra/cmg307 12738695
30. Attitudes and managing alcohol problems in general practice: An interaction analysis based on findings from a WHO collaborative study. P Anderson E Kaner S Wutzke M Funk N Heather M Wensing, Alcohol Alcohol 2004 39 351 356 15208170
31. Why is it so difficult for general practitioners to discuss alcohol with patients? E Arborelius K Damstrom-Thakker, Fam Pract 1995 12 419 422 10.1093/fampra/12.4.419 8826058
32. Screening and brief intervention for excessive alcohol use: Qualitative interview study of the experiences of general practitioners. A Beich D Gannik K Malterud, BMJ 2002 325 870 10.1136/bmj.325.7369.870 12386040
33. A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care. CA Lock E Kaner S Lamont S Bond, J Adv Nurs 2002 39 333 342 10.1046/j.1365-2648.2002.02294.x 12139645
34. Physicians' attitudes towards prevention: Importance of intervention-specific barriers and physicians' health habits. J Cornuz WA Ghali D Di Carlantonio A Pecoud F Paccaud, Fam Pract 2000 7 535 540 10.1093/fampra/17.6.535
35. Workplace solutions: Treating alcohol problems through employment-based health insurance. E Goplerud M Cimons, http://www.ensuringsolutions.org/usr-doc/ ResearchReport1.pdf Accessed January 21, 2003
36. Health care access among U.S. adults who drink alcohol excessively: Missed opportunities for prevention. M Town TS Naimi AH Mokdad RD Brewer, Prev Chronic Dis 2006 3 53 16539794
37. Incentives for general practitioners to provide brief interventions for alcohol problems. PJ Adams A Powell R McCormick G Paton-Simpson, N Z Med J 1997 110 291 4 9293283
38. General practitioners' experiences of patients with drug and alcohol problems. AM Roche C Guray JB Saunders, Br J Addict 1991 86 263 75 10.1111/j.1360-0443.1991.tb01779.x 2025689
39. Addressing alcohol use among primary care patients: Differences between family medicine and internal medicine residents. JB Schorling PT Klas JP Willems AS Everett, J Gen Intern Med 1994 9 248 54 10.1007/BF02599649 8046526
40. Identifying office resource needs of Canadian physicians to help prevent assess and treat patients with substance use and pathological gambling disorders. MS Rowan CS Galasso, J Addic Dis 2000 19 43 58 10.1300/J069v19n02-04
41. Differences in brief interventions on excessive drinking and smoking by primary care physicians: Qualitative study. M Aira J Kauhanen P Larivaara P Rautio, Prev Med 2004 38 473 478 10.1016/j.ypmed.2003.11.023 15020181
42. Family medicine residents' beliefs, attitudes and performance with problem drinkers: A survey and simulated patient study. M Kahan L Wilson E Liu D Borsoi JM Brewster LC Sobell MB Sobell, Subst Abuse 2004 25 43 51 10.1300/J465v25n01-07 (Pubitemid 38480258)
43. Managing alcohol and drug problems in general practice: a survey of trainees' knowledge, attitudes and educational requirements. AM Roche MD Parle JB Saunders, Aust N Z J Public Health 1996 20 401 8 10.1111/j.1467-842X.1996. tb01053.x 8908764
44. TF Babor M Grant (Eds), Project on identification and management of alcohol-related problems: Report on phase II: A randomized clinical trial of brief interventions in primary care Geneva, Switzerland: World Health Organization 1992
45. Institute of Medicine, Broadening the base of treatment for alcohol problems Washington DC: National Academic Press 1990
46. Metropolitan-area estimates of binge drinking in the United States. DE Nelson TS Naimi RD Brewer J Bolen HE Wells, Am J Public Health 2004 94 663 671 10.2105/AJPH.94.4.663 15054022
47. Alcohol screening and brief intervention: Dissemination strategies for medical practice and public health. TF Babor JC Higgins-Biddle, Addiction 2000 95 677 86 10.1046/j.1360-0443.2000.9556773.x 10885042
48. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. NS Miller LM Sheppard CC Colenda J Magen, Acad Med 2001 76 410 418 11346513
49. A longitudinal study of substance use and abuse in a single class of medical students. LG Croen M Woesner M Herman M Reichgott, Acad Med 1997 72 376 381 10.1097/00001888-199705000-00017 9159584
50. A difficult business: Detecting and managing alcohol problems in general practice. B Thom C Tellez, Br J Addict 1986 81 405 418 10.1111/j.1360-0443.1986. tb00347.x 3461849
51. How primary care providers talk to patients about alcohol: A qualitative study. KA McCormick NE Cochran AL Back JO Merrill EC Williams KA Bradley, J Gen Int Med 2006 21 966 972 10.1007/BF02743146
52. Training physicians to help patients who drink too much. KA Bradley EB Larson, J Gen Intern Med 1994 9 296 298 10.1007/BF02599662 8046535
53. Risk reduction: Attitudes and behavior of family practice residents. EW Kligman T Levin J Senf M Magill, Fam Med 1988 20 108 11 3360228
54. Medical education in substance-related disorders: Components and outcome. N el-Guebaly J Toews J Lockyer S Armstrong D Hodgins, Addiction 2000 95 949 957 10.1046/j.1360-0443.2000.95694911.x 10946443
55. The role of the generalist in the care of the substance-abusing patient. DC Lewis, Med Clin North Am 1997 81 831 843 10.1016/S0025-7125(05)70551-4 9222256
56. A review of the recent literature relating to the training of medical students in alcoholism. MJ Hanlon, J Med Educ 1985 60 618 626 3894664
57. Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. G Geller DM Levine JA Mamon RD Moore LR Bone EJ Stokes, JAMA 1989 261 3115 3120 10.1001/jama.261.21.3115 2716143
58. Evaluation of a model curriculum on substance abuse at the Johns Hopkins University School of Medicine. R Gopalan P Santora EJ Stokes RD Moore DM Levine, Acad Med 1992 67 260 266 10.1097/00001888-199204000-00014 1558600
59. Physicians and alcoholics: The effect of medical training on attitudes toward alcoholics. JC Fisher RL Mason KA Keeley JV Fisher, J Stud Alcohol 1975 36 949 955 240074
60. A longitudinal study of family practice residents' attitudes toward alcoholism. RM Heiligman CT Nagoshi, Br J Addict 1991 86 263 275 10.1111/j.1360-0443.1991.tb01779.x 2025689
61. Determining priorities for family physician education in substance abuse by the use of a survey. N el-Guebaly JM Lockyer J Drought J Parboosingh BB Juschka WA Weston, J Addict Dis 1995 14 23 31 10.1300/J069v14n02-03 8541357
62. Faculty rating of learning objectives for an undergraduate medical curriculum in substance abuse. M Kahan D Midmer L Wilson E Liu, Subst Abuse 2001 22 257 263
63. Impact of duty hour limitations on resident and student education in obstetrics and gynecology. E Espey T Ogburn E Puscheck, J Reprod Med 2007 52 345 348 17583230
64. T Pasko DR Smart, Physician Characteristics and Distributions in the U.S Chicago: AMA 2005
65. The future of family medicine: A collaborative project of the family medicine community. JC Martin RF Avant MA Bowman JR Bucholtz JR Dickinson KL Evans, Ann Fam Med 2004 2 3 32 10.1370/afm.130 15080220
66. Screening for alcoholism by life-style risk assessment in a community hospital. AW Graham, Arch Intern Med 1991 151 958 964 10.1001/archinte.151.5.958 2025144
67. Evidence for the effectiveness of CME. A review of 50 randomized controlled trials. DA Davis MA Thomson AD Oxman RB Haynes, JAMA 1992 268 1111 1117 10.1001/jama.268.9.1111 1501333
68. A systematic review of the effect of continuing medical education strategies. DA Davis MA Thomson AD Oxman RB Haynes Changing physician performance, JAMA 1995 274 700 705 10.1001/jama.274.9.700 7650822
69. Effects of screening and brief intervention training on resident and faculty alcohol intervention behaviours: A pre- post-intervention assessment. JP Seale S Shellenberger JM Boltri IS Okosun B Barton, BMC Fam Pract 2005 6 46 10.1186/1471-2296-6-46 16271146
70. Training medical providers to conduct alcohol screening and brief interventions. TF Babor JC Higgins-Biddle PS Higgins RA Gassman BE Gould, Subst Abuse 2004 25 17 26 10.1300/J465v25n01-04 (Pubitemid 38480255)
71. Virtual reality skills training for health care professionals in alcohol screening and brief intervention. M Fleming D Olsen H Stathes L Boteler P Grossberg J Pfeifer S Schiro J Banning S Skochelak, J Am Board Fam Med 2009 22 387 98 10.3122/jabfm.2009.04.080208 19587253
72. Alcohol screening and brief intervention in primary care settings: Implementation models and predictors. TF Babor J Higgins-Biddle D Dauser P Higgins JA Burleson, J Stud Alcohol 2005 66 361 368 16047525
73. Implementing alcohol screening & intervention in a family medicine residency clinic. JP Seale S Shellenberger WK Tillery JM Boltri R Vogel B Barton M McCauley, Subst Abuse 2005 26 23 31
74. SBI training in family medicine residency programs: The Georgia-Texas "Improving brief intervention" project. JP Seale M Velasquez S Shellenberger C Dodrill A Johnson, Alcoholism: Clinical and Experimental Research 2007 31 2 314A 10.1111/j.1530-0277.2006.00279.x (Pubitemid 46114908)
75. An interdisciplinary faculty development model for the prevention and treatment of alcohol use disorders. LB Manwell J Pfeifer EA Stauffacher, Alcohol Clin Exp Res 2006 30 1393 1399 10.1111/j.1530-0277.2006.00166.x 16899042
76. Teaching about substance abuse with objective structured clinical exams. SJ Parish M Ramaswamy MR Stein EK Kachur JH Arnsten, J Gen Intern Med 2006 21 453 459 10.1111/j.1525-1497.2006.00426.x 16704387
77. Long-term impact of a student alcohol training seminar. JP Seale A Johnson S Shellenberger M Velasquez C Alick, Presented at the 33rd Annual National Conference, Association for Medical Education and Research in Substance Abuse, Bethesda, MD 2009
78. Evaluation of residency training in substance abuse: A summary of 3 years' experience. JP Seale N Amodei M Bedolla E Ortiz P Lane JJ Gaspard R Urby LG Paul S Doty S Burge, Subst Abus 1993 13 234 243
79. Applying team-based learning in primary care residency programs to increase patient alcohol screenings and brief interventions. S Shellenberger JP Seale DL Harris AJ Johnson C Dodrill MM Velasquez, Acad Med 2009 84 340 6 10.1097/ACM.0b013e3181972855 19240441
80. The effect of an inpatient chemical dependency rotation on residents' clinical behavior. JT Mulry ML Brewer DL Spencer, Fam Med 1987 19 276 280 3622974
81. An assessment of house staff's knowledge of alcohol and substance abuse utilizing standardized patients. B Stimmel D Cohen J Colliver M Swartz, Subst Abuse 2000 21 1 7
82. Physician behavior towards male and female problem drinkers: A controlled study using simulated patients. L Wilson M Kahan E Liu JM Brewstser MB Sobell LC Sobell, J Addict Dis 2002 21 87 99 10.1300/J069v21n03-07 12095002
83. An instrument to evaluate alcohol-abuse interviewing and intervention skills. JP Seale N Amodei J Littlefield E Ortiz M Bedolla CH Yuan, Acad Med 1992 667 482 483
84. Promoting substance use education among generalist physicians: An evaluation of the Chief Resident Immersion Training (CRIT) program. DP Alford C Bridden AH Jackson R Saitz M Amodeo HN Barnes, J Gen Intern Med 2009 24 40 7 10.1007/s11606-008-0819-2 18937015
85. S Rollnick WR Miller CC Butler, Motivational Interviewing in Health Care: Helping Patients Change Behavior (Applications of Motivational Interviewing) New York: Guilford Press 2008
86. Facilitator's manual: Practical implementation of the competencies-ACGME April 2006. B Joyce, http://www.acgme.org/outcome/e-learn/redir-module2manual. asp Accessed Dec 18, 2009
87. ACGME program requirements for graduate medical education in family medicine 2007. American Council on Graduate Medical Education, http://www.acgme.org/acWebsite/downloads/RRC-progReq/120pr07012007.pdf Accessed October 21, 2008
88. Residency review committee for family medicine: An analysis of program citations. PA Pugno TD Epperly, Fam Med 2005 37 174 177 15739132