Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders.

作者: Norman S. Miller , Lorinda M. Sheppard , Christopher C. Colenda , Jed Magen

DOI: 10.1097/00001888-200105000-00007

关键词: Psychological interventionAddictionAddiction medicineFamily medicinePrimary careAlcohol and drugFaculty developmentCurriculumReimbursementMedicine

摘要: ABSTRACT Most primary care physicians do not feel competent to treat alcohol- and drug-related disorders. Physicians generally like work with patients these disorders find treating them rewarding. Despite large numbers of such patients, the diagnosis treatment are considered peripheral or outside medical matters ultimately education. There is substantial evidence that fail even identify a percentage Essential role models lacking for future develop attitudes training they need adequately approach addiction as treatable illness. Faculty development programs in addictive needed overcome stigma, poor attitudes, deficient skills among who provide education leadership students residents. The lack parity other gives reimbursement low priority. Medical can also be consumers problems. Their abilities learn about impaired without interventions. Curricula sufficient instruction experiences medicine throughout all years Programs have successfully changed students' addicted continue exceptional limited focus rather than general practice U.S. schools. authors review findings literature on problems, discuss barriers educational reform, propose recommendations developing an effective school curriculum

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