Internal Medicine Residents’ Training in Substance Use Disorders: A Survey of the Quality of Instruction and Residents’ Self-Perceived Preparedness to Diagnose and Treat Addiction
作者： Sarah E. Wakeman , Meridale V. Baggett , Genevieve Pham-Kanter , Eric G. Campbell
DOI: 10.1080/08897077.2013.797540
关键词:
摘要: ABSTRACT Background: Resident physicians are the direct care providers for many patients with addiction. This study assesses residents’ self-perceived preparedness to diagnose and treat addiction, measures perceptions of quality addictions instruction, evaluates basic knowledge addictions. Methods: A survey was e-mailed 184 internal medicine residents at Massachusetts General Hospital in May 2012. Results: Responses were obtained from 55% residents. Residents estimated that 26% inpatients they cared met criteria a substance use disorder (SUD). Twenty-five percent felt unprepared 62% Only 13% very prepared No Preparedness or addiction did not differ significantly across postgraduate year (PGY) level. Fifty-five rated overall instruction as poor fair. Seventy-two reside...
sci-hub.se 参考文章(17)
Elizabeth L. C. Merrall, Sheila M. Bird, Sharon J. Hutchinson, A record‐linkage study of drug‐related death and suicide after hospital discharge among drug‐treatment clients in Scotland, 1996–2006 Addiction. ,vol. 108, pp. 377- 384 ,(2013) , 10.1111/J.1360-0443.2012.04066.X
Declan T. Barry, Kevin S. Irwin, Emlyn S. Jones, William C. Becker, Jeanette M. Tetrault, Lynn E. Sullivan, Helena Hansen, Patrick G. O’Connor, Richard S. Schottenfeld, David A. Fiellin, Integrating Buprenorphine Treatment into Office-based Practice: a Qualitative Study Journal of General Internal Medicine. ,vol. 24, pp. 218- 225 ,(2009) , 10.1007/S11606-008-0881-9
Kenneth P. Pages, Joan E. Russo, Dane K. Wingerson, Richard K. Ries, Peter P. Roy-Byrne, Deborah S. Cowley, Predictors and Outcome of Discharge Against Medical Advice From the Psychiatric Units of a General Hospital Psychiatric Services. ,vol. 49, pp. 1187- 1192 ,(1998) , 10.1176/PS.49.9.1187
Patrick G. O'Connor, Julie G. Nyquist, A. Thomas McLellan, Integrating Addiction Medicine Into Graduate Medical Education in Primary Care: The Time Has Come Annals of Internal Medicine. ,vol. 154, pp. 56- 59 ,(2011) , 10.7326/0003-4819-154-1-201101040-00008
Alex C. H. Chan, Anita Palepu, Daphne P. Guh, Huiying Sun, Martin T. Schechter, Michael V. O'Shaughnessy, Aslam H. Anis, HIV-positive injection drug users who leave the hospital against medical advice: the mitigating role of methadone and social support. Journal of Acquired Immune Deficiency Syndromes. ,vol. 35, pp. 56- 59 ,(2004) , 10.1097/00126334-200401010-00008
Booker Bush, Sheila Shaw, Paul Cleary, Thomas L. Delbanco, Mark D. Aronson, Screening for alcohol abuse using the cage questionnaire The American Journal of Medicine. ,vol. 82, pp. 231- 235 ,(1987) , 10.1016/0002-9343(87)90061-1
Richard L. Brown, Tom Leonard, Laura A. Saunders, Orestis Papasouliotis, The Prevalence and Detection of Substance Use Disorders among Inpatients Ages 18 to 49: An Opportunity for Prevention Preventive Medicine. ,vol. 27, pp. 101- 110 ,(1998) , 10.1006/PMED.1997.0250
Mark Choi, Haerin Kim, Hong Qian, Anita Palepu, Readmission Rates of Patients Discharged against Medical Advice: A Matched Cohort Study PLoS ONE. ,vol. 6, pp. e24459- ,(2011) , 10.1371/JOURNAL.PONE.0024459
Joel S. Weissman, Joseph Betancourt, Eric G. Campbell, Elyse R. Park, Minah Kim, Brian Clarridge, David Blumenthal, Karen C. Lee, Angela W. Maina, Resident Physicians’ Preparedness to Provide Cross-Cultural Care JAMA. ,vol. 294, pp. 1058- 1067 ,(2005) , 10.1001/JAMA.294.9.1058
Norman S. Miller, Lorinda M. Sheppard, Christopher C. Colenda, Jed Magen, Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Academic Medicine. ,vol. 76, pp. 410- 418 ,(2001) , 10.1097/00001888-200105000-00007