In-hospital training in addiction medicine: A mixed-methods study of health care provider benefits and differences.
Authors
Gorfinkel, LaurenKlimas, Jan
Reel, Breanne
Dong, Huiru
Ahamad, Keith
Fairgrieve, Christopher
McLean, Mark
Mead, Annabel
Nolan, Seonaid
Small, Will
Cullen, Walter
Wood, Evan
Fairbairn, Nadia
Issue Date
2019-01-28Keywords
Medical educationprogram evaluation
prospective studies
substance-related disorders
ADDICTION
HOSPITALS
MEDICAL EDUCATION AND TRAINING
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Show full item recordDOI
10.1080/08897077.2018.1561596PubMed ID
30689528Abstract
Hospital-based clinical addiction medicine training can improve knowledge of clinical care for substance-using populations. However, application of structured, self-assessment tools to evaluate differences in knowledge gained by learners who participate in such training has not yet been addressed. Participants (n = 142) of an elective with the hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, responded to an online self-evaluation survey before and immediately after the structured elective. Areas covered included substance use screening, history taking, signs and symptoms examination, withdrawal treatment, relapse prevention, nicotine use disorders, opioid use disorders, safe prescribing, and the biology of substance use disorders. A purposefully selected sample of 18 trainees were invited to participate in qualitative interviews that elicited feedback on the rotation. Of 168 invited trainees, 142 (84.5%) completed both pre- and post-rotation self-assessments between May 2015 and May 2017. Follow-up participants included medical students, residents, addiction medicine fellows, and family physicians in practice. Self-assessed knowledge of addiction medicine increased significantly post-rotation (mean difference in scores = 11.87 out of the maximum possible 63 points, standard deviation = 17.00; P < .0001). Medical students were found to have the most significant improvement in addiction knowledge (estimated mean difference = 4.43, 95% confidence interval = 0.76, 8.09; P = .018). Illustrative quotes describe the dynamics involved in the learning process among trainees. Completion of a hospital-based clinical elective was associated with improved knowledge of addiction medicine. Medical students appear to benefit more from the addiction elective with a hospital-based AMCT than other types of learners.Language
enISSN
1547-0164ae974a485f413a2113503eed53cd6c53
10.1080/08897077.2018.1561596
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