Promoting Substance Use Education Among Generalist Physicians: An Evaluation of the Chief Resident Immersion Training (CRIT) Program

Alford, Daniel P.; Bridden, Carly; Jackson, Angela; Saitz, Richard; Amodeo, Maryann; Barnes, Henrietta N.; Samet, Jeffrey H.

doi:10.1007/s11606-008-0819-2

Cited by 41 publications

(47 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that even short courses could increase knowledge on addiction medicine [36,37,38,39,40]. Moreover, courses have also been shown to induce more professional perceptions of and attitude toward patients with SUDs [36,37,38,39,41,42,43,44]. These studies cover the full range of undergraduate level [32,36,38,40], general physician level [37,39,40,42,43,44,45] and addiction specialist level [41].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, courses have also been shown to induce more professional perceptions of and attitude toward patients with SUDs [36,37,38,39,41,42,43,44]. These studies cover the full range of undergraduate level [32,36,38,40], general physician level [37,39,40,42,43,44,45] and addiction specialist level [41]. However, several questions remain unanswered: What teaching methods are most effective in improving knowledge, skills and attitude related to addiction medicine and what should an addiction medicine curriculum comprise?…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness and Organization of Addiction Medicine Training Across the Globe

et al. 2015

View full text Add to dashboard Cite

Background: Over the past decade, addiction medicine training curricula have been developed to prepare physicians to work with substance use disorder patients. This review paper aimed at (1) summarizing scientific publications that outline the content of addiction medicine curricula and (2) evaluating the evidence for efficacy for training in addiction medicine. Methods: We carried out a literature search on articles about addiction medicine training initiatives across the world, using PubMed, PsychINFO and EMBASE with the following search terms ‘substance abuse, addiction medicine, education and training.' Results: We found 29 articles on addiction medicine curricula at various academic levels. Nine studies reported on the need for addiction medicine training, 9 described addiction medicine curricula at various academic levels, and 11 described efficacy on addiction medicine curricula. Conclusions: Several key competences in addiction medicine were identified. Efficacy studies show that even short addiction medicine training programs can be effective in improving knowledge, skills and attitudes related to addiction medicine. A more uniform approach to addiction medicine training in terms of content and accreditation is discussed.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness and Organization of Addiction Medicine Training Across the Globe

et al. 2015

View full text Add to dashboard Cite

show abstract

“…There is no consensus on the ideal duration of such specialised training. Studies report variable duration from two and a half days to four days for training to be effective (Alford et al, 2009;Gunderson, Levin, & Owen, 2008). This study showed that a period of five days was sufficient to improve the knowledge and attitude of participants immediately after training.…”

Section: Discussionmentioning

confidence: 72%

Evaluation of a five-day training programme on opioid substitution therapy in India

Rao

Ambekar

Agrawal

et al. 2016

Drugs: Education, Prevention and Policy

View full text Add to dashboard Cite

Aims: In India, opioid substitution therapy (OST) has been scaled-up in the recent years for HIV prevention among injecting drug users. This study aimed to assess the change in knowledge and attitude of the OST staff who underwent a five-day training programme on OST. Methods: Using a ''pre-test post-test'' design, routine data collected from 267 staff who underwent the OST training was analysed. The staff composition was: doctors (n ¼ 42, 15.7%), nurses (n ¼ 49, 18.4%), counsellors (n ¼ 45, 16.9%) and other programme staff (n ¼ 131, 49.1%). A 20-item, pen and paper questionnaire was administered right before the beginning of and immediately after the completion of the training. The questions were categorised into one of the five domains to assess whether changes in scores are confined to certain domains. Overall scores and scores in different domains were compared using paired-sample t-tests. The score difference in different cadres was compared using univariate general linear model with post-hoc comparisons. Findings: The difference between the total mean pre-test scores (9.24) (out of maximum possible score of 20) and post-test score (13.8) was significant. Comparison between various domains showed significant differences across all cadres. Doctors recorded significantly higher scores compared to other cadres. Conclusion: It is feasible to train different cadres of service providers together on OST in five days. The training was able to improve the participants' knowledge and their attitude towards injecting drug users.

show abstract

“…Also needed are efforts to disseminate educational programs that have already shown the capacity to create clinician-educators who can teach geriatrics and chronic care, such as the Curriculum for the Hospitalized Aging Medical Patients (CHAMP) program for hospitalists, 39 the Chief Resident Immersion Training (CRIT) program for chief residents and program directors, 40,41 and the federal Health Resources and Services Administration's (HRSA's) Geriatric Academic Career Awards (GACA) for young geriatricians.…”

Section: Changes In Geriatricsmentioning

confidence: 99%

The Urgency Of Preparing Primary Care Physicians To Care For Older People With Chronic Illnesses

et al. 2010

View full text Add to dashboard Cite

Population trends are driving an undeniable imperative: The United States must begin training its primary care physicians to provide higher-quality, more cost-effective care to older people with chronic conditions. Doing so will require aggressive initiatives to educate primary care physicians to apply principles of geriatrics-for example, optimizing functional autonomy and quality of life-within emerging models of chronic care. Policy options to drive such reforms include the following: providing financial support for medical schools and residency programs that adopt appropriate educational innovations; tailoring Medicare's educational subsidy to reform graduate medical education; and invoking state requirements that physicians obtain geriatric continuing education credits to maintain their licensure or to practice as Medicaid providers or medical directors of nursing homes. This paper also argues that the expertise of geriatricians could be broadened to include educational and leadership skills. These geriatrician-leaders could then become teachers in the educational programs of many disciplines. This would require changes inside and outside academic medicine. I n 2011 the first cohort of the American "baby boom" generation-those born between 1945 and 1966-will reach age sixty-five. By 2030, the older adult population will swell to more than seventy million and account for one in every five Americans.1 Many older people, especially the "oldest old," have multiple chronic diseases (for example, hypertension, heart failure, and diabetes) and geriatric syndromes (for example, falls, incontinence, disability, and cognitive decline) that require expert health care.2 Good geriatric chronic care is often provided by interdisciplinary clinical teams that address not only specific diseases and syndromes but also the interactions of medical, social, and mental health factors that affect many older people and their families.Unfortunately, the fragmented U.S. health care system often fails to provide well-coordinated, high-quality chronic care. [3][4][5] Contributing to this failure, much of today's physician workforce is inadequately trained to provide complex chronic care. Despite vigorous efforts, there is also a growing shortage of specialists in geriatrics, the discipline most focused on providing and teaching complex chronic care. 4 Medicare beneficiaries who have four or more chronic conditions generate 80 percent of all Medicare spending, 2 which totaled $468 billion in 2008. 6 Without greater efficiency in the delivery of care to such beneficiaries, the trust fund that finances Medicare Part A (which pays for inpatient hospital stays, skilled nursing facility stays, and home health services) is projected to become insolvent in 2017. 6 Federal and state Medicaid budgets that support long-term care of the elderly and disabled populations will also be threatened. Some Medicare expenditures could be avoided if patients with multiple chronic conditions received regular monitoring and good chronic care. 7,8 A...

show abstract

Promoting Substance Use Education Among Generalist Physicians: An Evaluation of the Chief Resident Immersion Training (CRIT) Program

Cited by 41 publications

References 42 publications

Effectiveness and Organization of Addiction Medicine Training Across the Globe

Effectiveness and Organization of Addiction Medicine Training Across the Globe

Evaluation of a five-day training programme on opioid substitution therapy in India

The Urgency Of Preparing Primary Care Physicians To Care For Older People With Chronic Illnesses

Contact Info

Product

Resources

About