A 4-Year Curriculum on Substance Use Disorders for Psychiatry Residents

Abstract

Objective-Substance use disorders (SUDs) are common among patients presenting to general psychiatry treatment settings, and thus it is important that all psychiatry residents be well-trained in the screening, diagnosis, and treatment of outpatients with these problems. Nonetheless, there is a relative shortage of trained addiction psychiatry staff to meet residents' educational needs.Methods-The authors describe an addiction psychiatry curriculum within a general psychiatry training program to demonstrate practical approaches to educating general psychiatry residents on the treatment of SUDs.Results-The MGH/McLean adult psychiatry residency training program provides training in addiction psychiatry in multiple treatment settings during the four years of residency. The program uses addiction specialists, non-specialty psychiatrists, and residents and fellows to provide training.Conclusions-Adult psychiatry residencies can provide comprehensive addiction psychiatry training that spans multiple treatment settings and post-graduate years. This can be accomplished by training general staff psychiatrists, senior residents, and fellows to assist core addiction faculty in providing addiction psychiatry education.

Effectiveness and Organization of Addiction Medicine Training Across the Globe

“…Therefore, we summarized these papers shortly in table 1 and in the Results section later in this article. In line with objective 1, nine descriptive studies outline initiatives on addiction medicine curricula at various academic levels [53,54,55,56,57,58,59,60,61]. These studies are summarized in table 2 and discussed later in this article.…”

“…A similar four-year psychiatry residency program is offered by the Massachusetts General Hospital [57]. The number of formal addiction psychiatry training sites in United States has increased to about forty in 2011 [53,60].…”

“…The publications on initiatives on the development of addiction medicine curricula included in this review mostly come from Western countries (predominantly from the United States) where addiction medicine training is commonly embedded within psychiatric training programs at the undergraduate level and at the postgraduate level during psychiatric rotations and psychiatric residency [18,19,36,41,47,48,51,54,55,57,60]. For example, undergraduate medical students in the United States should follow 1 week rotation in addiction treatment facility during their psychiatric clerkship [36].…”

Residentes em psiquiatria têm documentado problemas relacionados ao álcool em pacientes ambulatoriais?

“…McLean oferecem um exemplo de programa de residência em psiquiatria em que os residentes recebem treinamento em psiquiatria da adição em diferentes locais de tratamento como parte do programa de residência de 4 anos 8 .…”

“…Isso indica que o pequeno número de diagnósticos de problemas relacionados ao álcool pode ser explicado pelas defi ciências no treinamento e na formação desses profi ssionais. Devido à alta incidência de transtornos relacionados ao uso de substân-cias entre os pacientes que procuram tratamento psiquiátrico, é importante que todos os residentes de psiquiatria recebam treinamento sobre rastreamento, diagnóstico e tratamento de pacientes ambulatoriais com esses problemas 8 .…”