FN Clarivate Analytics Web of Science VR 1.0 PT J AU Horien, C Athar, W Nardini, HKG Grunschel, B AF Horien, Corey Athar, Wardah Nardini, Holly K. Grossetta Grunschel, Beth TI Substance Use in Medical Trainees: Current Problems and Future Directions SO ACADEMIC PSYCHIATRY LA English DT Letter C1 [Horien, Corey; Athar, Wardah; Nardini, Holly K. Grossetta; Grunschel, Beth] Yale Univ, Sch Med, New Haven, CT 06520 USA. RP Horien, C (reprint author), Yale Univ, Sch Med, New Haven, CT 06520 USA. EM corey.horien@yale.edu FU NIH Medical Scientist Training Program Training Grant [T32GM007205] FX CH and WA are both supported by an NIH Medical Scientist Training Program Training Grant T32GM007205. NR 5 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2018 VL 42 IS 3 BP 438 EP 439 DI 10.1007/s40596-018-0898-2 PG 2 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GF2XP UT WOS:000431805300031 PM 29511970 DA 2018-05-26 ER PT J AU Ratycz, MC Papadimos, TJ Vanderbilt, AA AF Ratycz, Madison C. Papadimos, Thomas J. Vanderbilt, Allison A. TI Addressing the growing opioid and heroin abuse epidemic: a call for medical school curricula SO MEDICAL EDUCATION ONLINE LA English DT Article DE Medical education; LCME; opioid; heroin; curriculum ID PUBLIC-HEALTH; UNITED-STATES; DEPENDENT PATIENTS; OVERDOSE DEATHS; PREDICTORS; SIMULATION; EDUCATION; MANAGEMENT; INCREASES; METHADONE AB Substance abuse is a growing public health concern in the USA (US), especially now that the US faces a national drug overdose epidemic. Over the past decade, the number of drug overdose deaths has rapidly grown, largely driven by increases in prescription opioid-related overdoses. In recent years, increased heroin and illicitly manufactured fentanyl overdoses have substantially contributed to the rise of overdose deaths. Given the role of physicians in interacting with patients who are at risk for or currently abusing opioids and heroin, it is essential that physicians are aware of this issue and know how to respond. Unfortunately, medical school curricula do not devote substantial time to addiction education and many physicians lack knowledge regarding assessment and management of opioid addiction. While some schools have modified curricula to include content related to opioid prescription techniques and pain management, an added emphasis about the growing role of heroin and fentanyl is needed to adequately address the epidemic. By adapting curricula to address the rising opioid and heroin epidemic, medical schools have the potential to ensure that our future physicians can effectively recognize the signs, symptoms, and risks of opioid/heroin abuse and improve patient outcomes. This article proposes ways to include heroin and fentanyl education into medical school curricula and highlights the potential of simulation-based medical education to enable students to develop the skillset and emotional intelligence necessary to work with patients struggling with opioid and heroin addiction. This will result in future doctors who are better prepared to both prevent and recognize opioid and heroin addiction in patients, an important step in helping reduce the number of addicted patients and address the drug overdose epidemic. C1 [Ratycz, Madison C.] Univ Toledo, Coll Med & Life Sci, 2801 W Bancroft St, Toledo, OH 43606 USA. [Papadimos, Thomas J.] Univ Toledo, Coll Med & Life Sci, Dept Anesthesiol, Simulat Ctr, 2801 W Bancroft St, Toledo, OH 43606 USA. [Vanderbilt, Allison A.] Univ Toledo, Coll Med & Life Sci, Curriculum Evaluat & Innovat, Family Med, 2801 W Bancroft St, Toledo, OH 43606 USA. RP Ratycz, MC (reprint author), Univ Toledo, Coll Med & Life Sci, 2801 W Bancroft St, Toledo, OH 43606 USA. EM madison.ratycz@rockets.utoledo.edu NR 58 TC 0 Z9 0 U1 2 U2 2 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 1087-2981 J9 MED EDUC ONLINE JI Med. Educ. Online PD APR 30 PY 2018 VL 23 AR 1466574 DI 10.1080/10872981.2018.1466574 PG 6 WC Education & Educational Research SC Education & Educational Research GA GF1PL UT WOS:000431706800001 PM 29708863 OA gold DA 2018-05-26 ER PT J AU Lembke, A Humphreys, K AF Lembke, Anna Humphreys, Keith TI The Opioid Epidemic as a Watershed Moment for Physician Training in Addiction Medicine SO ACADEMIC PSYCHIATRY LA English DT Editorial Material ID SUBSTANCE USE DISORDERS; CARE C1 [Lembke, Anna; Humphreys, Keith] Stanford Univ, Stanford, CA 94305 USA. RP Lembke, A (reprint author), Stanford Univ, Stanford, CA 94305 USA. EM alembke@stanford.edu NR 9 TC 0 Z9 0 U1 1 U2 1 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD APR PY 2018 VL 42 IS 2 BP 269 EP 272 DI 10.1007/s40596-018-0892-8 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GC3WW UT WOS:000429715400019 PM 29536394 DA 2018-05-26 ER PT J AU Frances, R AF Frances, Richard TI Help Wanted: Medical Educators in Addiction Psychiatry SO ACADEMIC PSYCHIATRY LA English DT Article C1 [Frances, Richard] NYU, Sch Med, New York, NY 10003 USA. [Frances, Richard] Rutgers Med Sch, Newark, NJ 07103 USA. RP Frances, R (reprint author), NYU, Sch Med, New York, NY 10003 USA.; Frances, R (reprint author), Rutgers Med Sch, Newark, NJ 07103 USA. EM rfrancesmd@gmail.com NR 11 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD APR PY 2018 VL 42 IS 2 BP 273 EP 276 DI 10.1007/s40596-018-0888-4 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GC3WW UT WOS:000429715400020 PM 29423826 DA 2018-05-26 ER PT J AU Koyi, MB Nelliot, A MacKinnon, D Rastegar, DA Fingerhood, M Alvanzo, A Feldman, L Neufeld, KJ AF Koyi, Makeida B. Nelliot, Archana MacKinnon, Dean Rastegar, Darius A. Fingerhood, Michael Alvanzo, Anika Feldman, Leonard Neufeld, Karin J. TI Change in Medical Student Attitudes Toward Patients with Substance Use Disorders After Course Exposure SO ACADEMIC PSYCHIATRY LA English DT Article DE Substance-related disorders; Attitude of health personnel; Medical education ID ALCOHOL; STIGMA AB Objective Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. Methods Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (alpha = 0.05) was used to compare the pre- and post-survey responses. Results In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0% and 75.4% in 2014 and 95.8% and 97.5% in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. Conclusions These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students' attitudes toward patients with SUD. C1 [Koyi, Makeida B.; Nelliot, Archana; MacKinnon, Dean; Rastegar, Darius A.; Fingerhood, Michael; Alvanzo, Anika; Feldman, Leonard; Neufeld, Karin J.] Johns Hopkins Univ, Sch Med, Baltimore, MD 21218 USA. RP Koyi, MB (reprint author), Johns Hopkins Univ, Sch Med, Baltimore, MD 21218 USA. EM mkoyi1@jhmi.edu NR 17 TC 2 Z9 2 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD APR PY 2018 VL 42 IS 2 BP 283 EP 287 DI 10.1007/s40596-017-0702-8 PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GC3WW UT WOS:000429715400023 PM 28386856 DA 2018-05-26 ER PT J AU Talih, F Daher, M Daou, D Ajaltouni, J AF Talih, Farid Daher, Michel Daou, Dayane Ajaltouni, Jean TI Examining Burnout, Depression, and Attitudes Regarding Drug Use Among Lebanese Medical Students During the 4 Years of Medical School SO ACADEMIC PSYCHIATRY LA English DT Article DE Medical students; Mental health; Suicide; Burnout; Depression ID PSYCHOACTIVE PRESCRIPTION DRUGS; SUICIDAL IDEATION; SUBSTANCE USE; IDENTIFICATION TEST; SLEEP-DEPRIVATION; COLLEGE-STUDENTS; NONMEDICAL USE; RISK-FACTORS; STRESS; PREVALENCE AB Objectives This study aims to evaluate the prevalence of burnout, depressive symptoms, and anxiety symptoms and attitudes toward substance use in medical students as well as their evolution during the 4 years of medical school. Methods A cross-sectional study was carried out at the American University of Beirut Medical Center (AUBMC) between September and December 2016. In total, 176 out of 412 eligible medical students responded. The survey was anonymous and administered via e-mail link to an electronic form. The study included general socio-demographic questions and standardized validated tools to measure depressive symptomatology (PHQ-9), burnout (Burnout Measure), anxiety (GAD-7), alcohol use (AUDIT), and substance abuse (DAST-10) as well as questions pertaining to attitudes toward recreational substance use. Results Overall, 23.8% of medical students reported depressive symptomatology, with 14.5% having suicidal ideations. Forty-three percent were found to have burnout. Those who screened positive for burnout were more likely to be males, to be living away from their parents, and to have experienced a stressful life event during the last year. With the exception of burnout, there was no significant difference in the prevalence of depression or anxiety among the 4 years of medical school. There was a significant difference in alcohol use, illicit substance use, and marijuana use during the four medical school years. Conclusions The results of this study show high rates of depression, burnout, and suicidal ideation among medical students from the Middle East region. Increased rates of substance use were detected as well as a more tolerant attitude toward substance use in general, specifically cannabis. It is crucial that medical educators and policymakers keep tackling the complex multifactorial mental health issues affecting medical students and design effective solutions and support systems. C1 [Talih, Farid; Daher, Michel; Ajaltouni, Jean] Amer Univ Beirut, Med Ctr, Beirut, Lebanon. [Daou, Dayane] Amer Univ Beirut, Beirut, Lebanon. RP Talih, F (reprint author), Amer Univ Beirut, Med Ctr, Beirut, Lebanon. EM ft10@aub.edu.lb NR 73 TC 1 Z9 1 U1 2 U2 2 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD APR PY 2018 VL 42 IS 2 BP 288 EP 296 DI 10.1007/s40596-017-0879-x PG 9 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GC3WW UT WOS:000429715400024 PM 29396837 DA 2018-05-26 ER PT J AU Arnaout, B Muvvala, S Rohrbaugh, R Petrakis, I AF Arnaout, Bachaar Muvvala, Srinivas Rohrbaugh, Robert Petrakis, Ismene TI Description of a Comprehensive Addiction Rotation at a Psychiatry Residency Program SO ACADEMIC PSYCHIATRY LA English DT Article ID EDUCATION; MEDICINE; TIME C1 [Arnaout, Bachaar; Muvvala, Srinivas; Rohrbaugh, Robert; Petrakis, Ismene] Yale Sch Med, New Haven, CT 06510 USA. RP Arnaout, B (reprint author), Yale Sch Med, New Haven, CT 06510 USA. EM bachaar.arnaout@yale.edu NR 10 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD APR PY 2018 VL 42 IS 2 BP 313 EP 316 DI 10.1007/s40596-017-0858-2 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA GC3WW UT WOS:000429715400028 PM 29302930 DA 2018-05-26 ER PT J AU Kaul, P Fisher, JH Hanson, JL AF Kaul, Paritosh Fisher, Jennifer H. Hanson, Janice L. TI Medical Students' Acquisition of Adolescent Interview Skills after Coached Role Play SO JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY LA English DT Article DE Adolescent medicine education; Medical education; Coached role play; HEADS interview ID PEDIATRIC RESIDENCY PROGRAMS; SHORT CURRICULUM; PERFORMANCE; GYNECOLOGY; EDUCATION; HEALTH AB Study Objective: To develop and evaluate an educational activity designed to teach the adolescent Home, Education and employment, Eating, Activities, Drugs, Sexuality, Suicide/depression, and Safety (HEADS) examination. Design, Setting, Participants, Interventions, and Main Outcome Measures: Participants were third-year medical students in their pediatric clerkships. Students received an article on the HEADS interview and attended an adolescent medicine educational session. The session included individualized goal-setting and coached role play. Students' skills in doing a HEADS interview were evaluated through a standardized patient encounter (SPE) with a checklist and a retrospective pre- and post-test survey. The SPE checklist was used to assess whether the students included questions in 6 key areas of a HEADS interview. Results: One hundred fifty-two students participated. During the SPE, 90% of students queried the adolescent's home life, 91% education, 82% activities, 84% drug/substance abuse, 95% sexual history, and 61% symptoms of depression. Pre- and postintervention data were compared using the Kruskal-Wallis Test and showed a statistically significant difference in the students' ability to list key topic areas of the HEADS exam (P <.001) and to use the skills needed for an adolescent interview using the HEADS exam (P <.001). Conclusion: After an introduction to the HEADS examination, most students covered almost all of the topic areas of this screening interview during a SPE. Only three-fifths of the students, however, included questions about symptoms of depression. Coached role play with goal-setting facilitated effective learning of this approach to adolescent interviewing. C1 [Kaul, Paritosh] Univ Colorado, Sch Med, Childrens Hosp Colorado, Sect Adolescent Med, 13123 E 16th Ave,Box B025, Aurora, CO 80045 USA. [Fisher, Jennifer H.] Univ Colorado, Coll Nursing, Anschutz Med Campus, Aurora, CO 80045 USA. [Hanson, Janice L.] Univ Colorado, Dept Pediat, Sch Med, Childrens Hosp Colorado, Aurora, CO 80045 USA. RP Kaul, P (reprint author), Univ Colorado, Sch Med, Childrens Hosp Colorado, Sect Adolescent Med, 13123 E 16th Ave,Box B025, Aurora, CO 80045 USA. EM paritosh.kaul@childrenscolorado.org NR 33 TC 1 Z9 1 U1 5 U2 5 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1083-3188 EI 1873-4332 J9 J PEDIATR ADOL GYNEC JI J. Pediatr Adolesc. Gynecol. PD APR PY 2018 VL 31 IS 2 BP 102 EP 106 DI 10.1016/j.jpag.2017.11.003 PG 5 WC Obstetrics & Gynecology; Pediatrics SC Obstetrics & Gynecology; Pediatrics GA GA2RC UT WOS:000428170300007 PM 29175430 DA 2018-05-26 ER PT J AU Bogowicz, P Ferguson, J Gilvarry, E Kamali, F Kaner, E Newbury-Birch, D AF Bogowicz, Paul Ferguson, Jennifer Gilvarry, Eilish Kamali, Farhad Kaner, Eileen Newbury-Birch, Dorothy TI Alcohol and other substance use among medical and law students at a UK university: a cross-sectional questionnaire survey SO POSTGRADUATE MEDICAL JOURNAL LA English DT Article DE medical students; alcohol drinking; substance misuse; psychiatry; mental health ID DISORDERS IDENTIFICATION TEST; DRUG-USE; HAZARDOUS DRINKING; HOSPITAL ANXIETY; DEPRESSION SCALE; BINGE DRINKING; CONSUMPTION; VALIDITY AB Purpose of the study To examine the use of alcohol and other substances among medical and law students at a UK university. Study design Anonymous cross-sectional questionnaire survey of first, second and final year medical and law students at a single UK university. Results 1242 of 1577 (78.8%) eligible students completed the questionnaire. Over half of first and second year medical students (first year 53.1%, second year 59.7%, final year 35.9%) had an Alcohol Use Disorders Identification Test (AUDIT) score suggestive of an alcohol use disorder (AUDIT8), compared with over two-thirds of first and second year law students (first year 67.2%, second year 69.5%, final year 47.3%). Approximately one-quarter of medical students (first year 26.4%, second year 28.4%, final year 23.7%) and over one-third of first and second year law students (first year 39.1%, second year 42.4%, final year 18.9%) reported other substance use within the past year. Over one-third of medical students (first year 34.4%, second year 35.6%, final year 46.3%) and approximately half or more of law students (first year 47.2%, second year 52.7%, final year 59.5%) had a Hospital Anxiety and Depression Scale anxiety score suggestive of a possible anxiety disorder. Conclusions Study participants had high levels of substance misuse and anxiety. Some students' fitness to practice may be impaired as a result of their substance misuse or symptoms of psychological distress. Further efforts are needed to reduce substance misuse and to improve the mental well-being of students. C1 [Bogowicz, Paul; Gilvarry, Eilish; Kaner, Eileen] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne, Tyne & Wear, England. [Ferguson, Jennifer; Newbury-Birch, Dorothy] Teesside Univ, Sch Hlth & Social Care, Constantine Bldg, Middlesbrough TS1 3BA, Cleveland, England. [Kamali, Farhad] Newcastle Univ, Inst Cellular Med, Newcastle Upon Tyne, Tyne & Wear, England. RP Newbury-Birch, D (reprint author), Teesside Univ, Sch Hlth & Social Care, Constantine Bldg, Middlesbrough TS1 3BA, Cleveland, England. EM d.newbury-birch@tees.ac.uk FU Medical Research Council [MR/K02325X/1] NR 29 TC 0 Z9 0 U1 1 U2 1 PU BMJ PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0032-5473 EI 1469-0756 J9 POSTGRAD MED J JI Postgrad. Med. J. PD MAR PY 2018 VL 94 IS 1109 BP 131 EP 136 DI 10.1136/postgradmedj-2017-135136 PG 6 WC Medicine, General & Internal SC General & Internal Medicine GA GB3AA UT WOS:000428926100001 PM 29103016 DA 2018-05-26 ER PT J AU Back, DK Tammaro, E Lim, JK Wakeman, SE AF Back, Danielle K. Tammaro, Elizabeth Lim, Jamie K. Wakeman, Sarah E. TI Massachusetts Medical Students Feel Unprepared to Treat Patients with Substance Use Disorder SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Article ID ATTITUDES C1 [Back, Danielle K.; Wakeman, Sarah E.] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA. [Back, Danielle K.; Wakeman, Sarah E.] Harvard Med Sch, Boston, MA USA. [Back, Danielle K.] Chelsea HealthCare Ctr, Chelsea, MA 02150 USA. [Tammaro, Elizabeth] Univ Massachusetts, Sch Med, Worcester, MA USA. [Lim, Jamie K.] Boston Univ, Sch Med, Boston, MA 02118 USA. RP Back, DK (reprint author), Chelsea HealthCare Ctr, Chelsea, MA 02150 USA. EM dback@partners.org NR 6 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAR PY 2018 VL 33 IS 3 BP 249 EP 250 DI 10.1007/s11606-017-4192-x PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA FX9WH UT WOS:000426460300008 PM 28948479 DA 2018-05-26 ER PT J AU Li, YJ Palma, MA AF Li, Yajuan Palma, Marco A. TI Investigating the effects of medical marijuana laws on educational attainment SO ECONOMICS LETTERS LA English DT Article DE High school graduation; MML adoption; Spillover effects ID CANNABIS USE; ADOLESCENT; ALCOHOL AB From 1996 to 2013, a total of 19 states and Washington, D.C. adopted medical marijuana laws (MML). Early adolescent marijuana use correlates with several problems later in life, including job-related skill acquisition, illegal substance abuse, and educational attainment. This paper examines the negative externalities of MML on educational attainment by applying a difference-in-differences research design. The results show that MML decrease high school graduation rates by 0.36 percentage points, indicating that nearly 13,000 students will not graduate as a result of the MML implementation. (C) 2018 Elsevier B.V. All rights reserved. C1 [Li, Yajuan; Palma, Marco A.] Texas A&M Univ, Dept Agr Econ, 2124 TAMU, College Stn, TX 77843 USA. RP Li, YJ (reprint author), Texas A&M Univ, Dept Agr Econ, 2124 TAMU, College Stn, TX 77843 USA. EM liyajuan@tamu.edu; mapalma@tamu.edu NR 17 TC 0 Z9 0 U1 6 U2 6 PU ELSEVIER SCIENCE SA PI LAUSANNE PA PO BOX 564, 1001 LAUSANNE, SWITZERLAND SN 0165-1765 EI 1873-7374 J9 ECON LETT JI Econ. Lett. PD MAR PY 2018 VL 164 BP 43 EP 45 DI 10.1016/j.econlet.2017.12.035 PG 3 WC Economics SC Business & Economics GA FX4ED UT WOS:000426024600011 DA 2018-05-26 ER PT J AU Waqas, A Farooq, F Raza, M Javed, ST Khan, S Ghumman, ME Naveed, S Haddad, M AF Waqas, Ahmed Farooq, Faisal Raza, Mohsin Javed, Saamia Tahir Khan, Spogmai Ghumman, Mahrukh Elahi Naveed, Sadiq Haddad, Mark TI Validation of the Internet Addiction Test in Students at a Pakistani Medical and Dental School SO PSYCHIATRIC QUARTERLY LA English DT Article DE Internet; Validation; Pakistani; Students; Addiction ID PSYCHOMETRIC PROPERTIES; DIAGNOSTIC-CRITERIA; COLLEGE-STUDENTS; VERSION; PSYCHOPATHOLOGY; RECOMMENDATIONS; RELIABILITY; ADOLESCENTS; QUALITY; SAMPLE AB Despite growing concerns over pathological internet usage, studies based on validated psychometric instruments are still lacking in Pakistan. This study aimed to examine the psychometric properties of the Internet Addiction Test (IAT) in a sample of Pakistani students. A total of 522 students of medicine and dentistry completed the questionnaire, which consisted of four sections: (a) demographics, (b) number of hours spent on the Internet per day, (c) English version of the IAT, and (d) the Defense Style Questionnaire-40. Maximum likelihood analysis and principal axis factoring were used to validate the factor structure of the IAT. Convergent and criterion validity were assessed by correlating IAT scores with number of hours spent online and defense styles. Exploratory and confirmatory factor analysis reflected the goodness of fit of a unidimensional structure of the IAT, with a high alpha coefficient. The IAT had good face and convergent validity and no floor and ceiling effects, and was judged easy to read by participants. C1 [Waqas, Ahmed; Farooq, Faisal; Raza, Mohsin; Javed, Saamia Tahir; Khan, Spogmai; Ghumman, Mahrukh Elahi] CMH Lahore Med Coll & Inst Dent, Lahore Cantt, Pakistan. [Naveed, Sadiq] KVC Hlth Syst, Kansas City, KS USA. [Haddad, Mark] City Univ London, Sch Hlth Sci, Mental Hlth Res Ctr, Northampton Sq, London EC1V 0HB, England. RP Waqas, A (reprint author), CMH Lahore Med Coll & Inst Dent, Lahore Cantt, Pakistan. EM ahmedwaqas1990@hotmail.com; faisalfarooq123@hotmail.com; azar.nishom@gmail.com; saamia32@hotmail.com; spogmaikhan@rocketmail.com; ghuman9191@gmail.com; snaveed@kvc.org; Mark.Haddad.1@city.ac.uk NR 37 TC 0 Z9 0 U1 2 U2 2 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0033-2720 EI 1573-6709 J9 PSYCHIAT QUART JI Psychiatr. Q. PD MAR PY 2018 VL 89 IS 1 BP 235 EP 247 DI 10.1007/s11126-017-9528-5 PG 13 WC Psychiatry SC Psychiatry GA FV6HQ UT WOS:000424682500022 PM 28815479 DA 2018-05-26 ER PT J AU Singh, SK Phookun, HR AF Singh, Sanjay Kumar Phookun, H. R. TI Study to evaluate the prevalence of internet addiction and its correlation with depression, anxiety and stress among medical students of Guwahati medical college SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet addiction; depression; stress C1 [Singh, Sanjay Kumar; Phookun, H. R.] Gmch, Gauhati, Assam, India. EM dr.sanjaysingh46@gmail.com NR 0 TC 0 Z9 0 U1 2 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 63 EP 64 PG 2 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100181 OA gold DA 2018-05-26 ER PT J AU Pandey, AK Mallick, AK Ray, P Ghosal, S AF Pandey, Ambuj Kumar Mallick, Asim Kumar Ray, Prasenjit Ghosal, Satrajit TI Prevalance Of Internet Addiction And Its Relationship To Anxiety And Depression In Post Graduate Medical Students. SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet addiction; Anxiety and Depression; PG Medical Students C1 [Pandey, Ambuj Kumar; Mallick, Asim Kumar; Ray, Prasenjit; Ghosal, Satrajit] Burdwan Med Coll, Kancharapara, W Bengal, India. EM drambujmmch@gmail.com NR 0 TC 0 Z9 0 U1 3 U2 3 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 66 EP 66 PG 1 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100190 OA gold DA 2018-05-26 ER PT J AU Patel, FB Chhatrola, N Lakdawala, BM AF Patel, Falguni B. Chhatrola, Nikita Lakdawala, Bhaveshkumar M. TI Substance Use Related Mental Health Literacy among Medical and Nursing College Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Substance Use; Mental Health Literacy; Medical Students; Nursing Students C1 AMC MET Med Coll, Ahmadabad, Gujarat, India. Sheth LG Gen Hosp, Ahmadabad, Gujarat, India. EM drfalu.patel91@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 68 EP 68 PG 1 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100197 OA gold DA 2018-05-26 ER PT J AU Nagabhirava, G Gupte, SG Shah, R AF Nagabhirava, Gautami Gupte, S. G. Shah, Rohan TI A Study Of Prevalence Of Internet Addiction And Patterns Of Usage Among Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract C1 [Nagabhirava, Gautami; Gupte, S. G.; Shah, Rohan] Dr Vasantrao Pawar Med Coll Hosptial & Res Ctr, Nasik, Maharashtra, India. EM gnagabhirava@gmail.com NR 0 TC 0 Z9 0 U1 1 U2 1 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 79 EP 79 PG 1 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100241 OA gold DA 2018-05-26 ER PT J AU Mukherjee, S Uzzaman, SA AF Mukherjee, Sumit Uzzaman, Sk Ashik TI Pattern of substance use among a medical college students in a metropolitan city: A cross-sectional study SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Adolescence; Substance C1 [Mukherjee, Sumit; Uzzaman, Sk Ashik] RG Kar Med Coll, Kolkata, W Bengal, India. EM mukherjeesumit26@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 91 EP 91 PG 1 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100283 OA gold DA 2018-05-26 ER PT J AU Kumari, MM Babu, S AF Kumari, Medikonda Meena Babu, Somasundara TI A Study on Prevalence of Internet Addiction in Medical Students and its Relationship with Personality Traits SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Personality traits; internet addiction; medical students C1 [Kumari, Medikonda Meena; Babu, Somasundara] Asram Med Coll, Eluru, Andhra Pradesh, India. EM meenamedikonda@gmail.com NR 0 TC 0 Z9 0 U1 2 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD FEB PY 2018 VL 60 IS 5 SU 1 BP 147 EP 147 PG 1 WC Psychiatry SC Psychiatry GA FV3XF UT WOS:000424505100486 OA gold DA 2018-05-26 ER PT J AU Zhang, MWB Lim, RBC Lee, C Ho, RCM AF Zhang, Melvyn W. B. Lim, Russell B. C. Lee, Cheng Ho, Roger C. M. TI Prevalence of Internet Addiction in Medical Students: a Meta-analysis SO ACADEMIC PSYCHIATRY LA English DT Review DE Internet addiction; Medical students; Meta-analysis; Prevalence, problematic Internet use ID SYSTEMIC-LUPUS-ERYTHEMATOSUS; META-REGRESSION; DEPRESSIVE SYMPTOMS; ADOLESCENTS; QUALITY; ANXIETY; LIFE AB Objective With the development of online learning, communication, and entertainment, the Internet has become an indispensable tool for university students. Internet addiction (IA) has emerged as a health problem and the prevalence of IA varies from country to country. To date, the global prevalence of IA in medical students remains unknown. The objective of this meta-analysis was to establish precise estimates of the prevalence of IA among medical students in different countries. Methods The pooled prevalence of IA among medical students was determined by the random-effects model. Metaregression and subgroup analysis were performed to identify potential factors that could contribute to heterogeneity. Results The pooled prevalence of IA among 3651 medical students is 30.1% (95% confidence interval (CI) 28.531.8%, Z = -20.66, df = 9, tau(2) = 0.90) with significant heterogeneity (I-2 = 98.12). Subgroup analysis shows the pooled prevalence of IA diagnosed by the Chen's Internet Addiction Scale (CIAS) (5.2, 95% CI 3.4-8.0%) is significantly lower than Young's Internet Addiction Test (YIAT) (32.2, 95% CI 20.9-45.9%) (p < 0.0001). Meta-regression analyses show that the mean age of medical students, gender proportion and the severity of IA are not significant moderators. Conclusions In conclusion, this meta-analysis identified the pooled prevalence of IA among medical students is approximately five times than that of the general population. Age, gender, and severity of IA did not account for high heterogeneity in prevalence, but IA assessment questionnaire was a potential source of heterogeneity. Given the high prevalence of IA, medical teachers and medical school administrators should identify medical students who suffer from IA and refer them for intervention. C1 [Zhang, Melvyn W. B.; Lee, Cheng] Inst Mental Hlth, Natl Addict Management Serv, Singapore, Singapore. [Zhang, Melvyn W. B.] Natl Univ Singapore, Singapore, Singapore. [Lim, Russell B. C.; Ho, Roger C. M.] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore. RP Zhang, MWB (reprint author), Inst Mental Hlth, Natl Addict Management Serv, Singapore, Singapore.; Zhang, MWB (reprint author), Natl Univ Singapore, Singapore, Singapore. EM Melvyn_wb_zhang@imh.com.sg NR 46 TC 2 Z9 2 U1 5 U2 5 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD FEB PY 2018 VL 42 IS 1 BP 88 EP 93 DI 10.1007/s40596-017-0794-1 PG 6 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA FU7QJ UT WOS:000424047400014 PM 28849574 DA 2018-05-26 ER PT J AU Fallah, G Moudi, S Hamidia, A Bijani, A AF Fallah, Golnaz Moudi, Sussan Hamidia, Angela Bijani, Ali TI Stimulant use in medical students and residents requires more careful attention SO CASPIAN JOURNAL OF INTERNAL MEDICINE LA English DT Article DE Stimulants; Medical students; Residents ID METHYLPHENIDATE USE; NONMEDICAL USE; DRUGS; ADHD AB Background: Stimulant pharmaceuticals are abused among academic students to elevate mood, improve studying, intellectual capacity, memory and concentration, and increase wakefulness. This study was designed to evaluate the current situation of stimulant use among medical students and residents of Babol University of Medical Sciences. Methods: This cross-sectional study was conducted among 560 medical students and clinical residents of Babol University of Medical Sciences during the academic year 2014-2015. A self-administered questionnaire was used for data collection. Results: Four hundred and forty-four (79.3%) students filled out the questionnaires. 49 (11%) individuals reported amphetamine and methylphenidate (ritalin) use. The mean age of the stimulant drug users was 24.6 +/- 4.8 years. The main initiator factor was to improve concentration (29 persons; 59.2%). There were significant statistical correlations between stimulant drugs abuse and male gender, living in dormitor in residence and internship and past medical history of psychiatric disorders (depression, attention deficit hyperactivity disorder and substance abuse) (p<0.05). 16 (32%) students started the drug use on their friends' advice; 15 (30%) due to self-medication and 12 (24%) persons with physician's prescription. Conclusions: Because of significant prevalence of stimulant use, regulatory governmental policies and also planning to improve essential life skills, awareness about the side effects and complications of these drugs, screening of at-risk college students and early identification of the abusers are suggested. C1 [Fallah, Golnaz] Babol Univ Med Sci, Student Res Comm, Babol Sar, Iran. [Moudi, Sussan] Babol Univ Med Sci, Hlth Res Inst, Canc Res Ctr, Babol Sar, Iran. [Moudi, Sussan; Hamidia, Angela] Babol Univ Med Sci, Dept Psychiary, Babol Sar, Iran. [Hamidia, Angela] Babol Univ Med Sci, Hlth Res Inst, Social Determinants Hlth Res Ctr, Babol Sar, Iran. [Bijani, Ali] Babol Univ Med Sci, Hlth Res Inst, Noncommunicable Pediat Dis Res Ctr, Babol Sar, Iran. RP Moudi, S (reprint author), Babol Univ Med Sci, Dept Psychiury, Babol Sar, Iran. EM sussan.moudi@gmail.com RI Bijani, Ali/B-1718-2017 OI Bijani, Ali/0000-0003-2233-8726 FU Vice-Chancellory for Research and Technology of Babol University of Medical Sciences FX The financial support of the Vice-Chancellory for Research and Technology of Babol University of Medical Sciences, and the kind cooperation of medical students and clinical residents in their participation in the study are greatly appreciated. NR 21 TC 0 Z9 0 U1 1 U2 1 PU BABOL UNIV MEDICAL SCIENCES PI BABOL PA ENGLISH JOURNAL OFFICE, GANJ AFROOZ AVE, BABOL, 00000, IRAN SN 2008-6164 EI 2008-6172 J9 CASP J INTERN MED JI Casp. J. Intern. Med. PY 2018 VL 9 IS 1 BP 87 EP 91 DI 10.22088/cjim.9.1.87 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA GE1YX UT WOS:000431013800014 PM 29387325 DA 2018-05-26 ER PT J AU Cantone, RE AF Cantone, Rebecca E. TI Why medical students need addictions training SO MEDICAL TEACHER LA English DT Editorial Material AB Current medical students will be tasked at attempting to resolve the opioid epidemic in the United States that has been created by generations before them. This article will address one educator's view on the current state of training addiction treatment skills to medical students. C1 [Cantone, Rebecca E.] Oregon Hlth & Sci Univ, Dept Family Med, Portland, OR 97201 USA. RP Cantone, RE (reprint author), OHSU Family Med, Mailcode FM, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239 USA. EM cantone@ohsu.edu OI Cantone, Rebecca/0000-0002-5098-5691 NR 0 TC 0 Z9 0 U1 0 U2 0 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 0142-159X EI 1466-187X J9 MED TEACH JI Med. Teach. PY 2018 VL 40 IS 4 BP 421 EP 422 DI 10.1080/0142159X.2017.1393050 PG 2 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA GD2QJ UT WOS:000430345400014 PM 29094624 DA 2018-05-26 ER PT J AU Simcharoen, S Pinyopornpanish, M Haoprom, P Kuntawong, P Wongpakaran, N Wongpakaran, T AF Simcharoen, Sutapat Pinyopornpanish, Manee Haoprom, Pattaraporn Kuntawong, Pimolpun Wongpakaran, Nahathai Wongpakaran, Tinakon TI Prevalence, associated factors and impact of loneliness and interpersonal problems on internet addiction: A study in Chiang Mai medical students SO ASIAN JOURNAL OF PSYCHIATRY LA English DT Article DE Loneliness; Interpersonal problems; Internet addiction; Medical students ID ACADEMIC-PERFORMANCE; DEPRESSIVE SYMPTOMS; ADOLESCENTS; METAANALYSIS; PREDICTORS; DEPENDENCE; SHYNESS; STYLES AB Introduction: Internet addiction is common among medical students, and the prevalence is higher than the general population. Identifying and creating solutions for this problem is important. The aim of this study was to examine the prevalence and associated factors, particularly loneliness and interpersonal problems among Chiang Mai medical students. Materials and methods: Of 324 first to sixth year medical students, 56.8% comprised females with a mean age of 20.88 (SD 1.8). All completed questionnaires related to the objectives and activities of internet use, the Young Internet Addiction Test, the UCLA loneliness scale, and the Interpersonal Problems Inventory were employed to identify internet addiction. Results: In all, 36.7% of the subjects exhibited internet addiction, mostly at mild level. Amount of time used daily, loneliness and interpersonal problems were strong predictors (beta= 0.441, p < 0.05, beta = 0.219, p < 0.001 and beta = 0.203 p < 0.001, respectively), whereas age and sex were not. All objectives of using internet contributed to the variance of internet addiction score. For internet activities, only non-academic or studying contributed. The final model accounted for 42.8% of total variance of the internet addiction score. Conclusion: Even though most addiction was at a mild level, careful strategies should be applied to better understand the situation. Along with a screening for potential internet addiction among medical students, attention should be paid to identifying those who experience loneliness and interpersonal problems, because both are strong predictors that can be improved by a variety of appropriate intervention. C1 [Simcharoen, Sutapat; Pinyopornpanish, Manee; Kuntawong, Pimolpun; Wongpakaran, Nahathai; Wongpakaran, Tinakon] Chiang Mai Univ, Fac Med, Dept Psychiat, 110 Intawaroros Rd, Chiang Mai 50200, Thailand. [Haoprom, Pattaraporn] Chiang Mai Univ, Fac Med, Chiang Mai, Thailand. RP Wongpakaran, T (reprint author), Chiang Mai Univ, Fac Med, Dept Psychiat, 110 Intawaroros Rd, Chiang Mai 50200, Thailand. EM tinakon.w@cmu.ac.th NR 50 TC 0 Z9 0 U1 1 U2 1 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1876-2018 EI 1876-2026 J9 ASIAN J PSYCHIATR JI Asian J. Psychiatr. PD JAN PY 2018 VL 31 BP 2 EP 7 DI 10.1016/j.ajp.2017.12.017 PG 6 WC Psychiatry SC Psychiatry GA GC2CP UT WOS:000429590000003 PM 29306727 DA 2018-05-26 ER PT J AU Ruzhenkov, VA Lukyantseva, IS Ruzhenkova, VV Gomelyak, JN AF Ruzhenkov, Victor A. Lukyantseva, Inna S. Ruzhenkova, Victoria V. Gomelyak, Julia N. TI Clinical Structure and Comorbidity of Additive Behavior and Dependencies in Medical Students SO HELIX LA English DT Article DE Addictive Behavior; Dependence; Medical Students; Risk Factors; Stress; Anxiety; Depression ID SAUDI-ARABIA; STRESS AB A high level of academic load and stress create the risk of addictive behavior and addictions in medical students as a way of stress overcoming. The purpose of our study was to verify the prevalence of addictive behavior and dependencies in medical students and their comorbidity with mental disorders for the development of approaches to their prevention. In this regard, we examined 455 senior students of the Medical Institute using the medical-sociological, psychometric methods and the "Method of clinical screening-diagnostics of addictive and dependent behavior". It was found that the addictive behavior and formed dependence were revealed in 37.1% of students. At the same time, various kinds of addictive behavior and dependencies were combined among themselves in 37.5% of cases. Persons with addictive behavior and dependence were characterized by personal immaturity, low level of responsibility, tolerance and negative thinking. The study revealed a high level of comorbidity of addictive behavior and addictions to mental disorders, among which neurotic, stress-related and somatoform disorders (58.5%), as well as personality disorders (14.2%), prevailed. Persons with addictive behavior and addictions had a higher incidence of asthenia, anxiety and depression, as well as obsessive-compulsive symptoms, social phobia and dysmorphophobia, which created additional difficulties in social adaptation. Thus, prevention of addictive behavior and addictions should, first of all, be aimed at the timely detection and therapy of mental disorders, as well as includes measures to reduce the level of educational stress. C1 [Ruzhenkov, Victor A.; Lukyantseva, Inna S.; Ruzhenkova, Victoria V.; Gomelyak, Julia N.] Belgorod State Univ, Pobeda St 85, Belgorod 308000, Russia. RP Ruzhenkov, VA (reprint author), Belgorod State Univ, Pobeda St 85, Belgorod 308000, Russia. EM ruzhenkov@bsu.edu.ru NR 17 TC 0 Z9 0 U1 0 U2 0 PU BIOAXIS DNA RESEARCH CENTRE PRIVATE LIMITED PI HYDERBAD PA 13-51, SRI LAKSHMI NAGAR COLONY, BESIDES BLG BAZAR, NEAR KAMINENI HOSPITALS, GSI POST BANDAGUDA, HYDERBAD, 500068, INDIA SN 2277-3495 EI 2319-5592 J9 HELIX JI Helix PY 2018 VL 8 IS 1 BP 2597 EP 2601 DI 10.29042/2018-2597-2601 PG 5 WC Biotechnology & Applied Microbiology SC Biotechnology & Applied Microbiology GA FZ3AA UT WOS:000427456200086 DA 2018-05-26 ER PT J AU Beverly, EA Diaz, S Kerr, AM Balbo, JT Prokopakis, KE Fredricks, TR AF Beverly, Elizabeth A. Diaz, Sebastian Kerr, Anna M. Balbo, Jane T. Prokopakis, Kayla E. Fredricks, Todd R. TI Students' Perceptions of Trigger Warnings in Medical Education SO TEACHING AND LEARNING IN MEDICINE LA English DT Article DE medical education; preclinical education; trigger warnings ID EMOTION WORK; TEACHER CONFIRMATION; SUICIDAL IDEATION; ENVIRONMENT; DEPRESSION; BURNOUT; SCHOOL; US; VALIDATION; AGREEMENT AB Phenomenon: Trigger warnings are verbal statements or written warnings that alert students in advance to potentially distressing material. Medical education includes numerous subjects frequently identified as triggers, such as abuse, rape, self-injurious behaviors, eating disorders, drug and alcohol addiction, and suicide. Thus, exploring medical students' perceptions of trigger warnings may provide a valuable perspective on the use of these warnings in higher education. Approach: As part of a larger descriptive, cross-sectional survey study on medical education, we assessed 1st- and 2nd-year medical students' perceptions of trigger warnings in the preclinical curriculum. Five questions specific to trigger warnings explored students' knowledge, prior experience, and perceptions of trigger warnings in medical education. Frequencies of individual question responses were calculated, and qualitative data were analyzed via content and thematic analyses. Findings: Of the 424 medical students invited to participate, 259 completed the survey (M = 24.8years, SD + 3.4, 51.4% female, 76.1% White, 53.7% 1st-year students). Few students (11.2%) were aware of the term trigger warning and its definition. However, after being presented with a formal definition on the online survey, 38.6% reported having had a professor use one. When asked whether they supported the use of trigger warnings in medical education, respondents were distributed fairly equally by response (yes = 31.0%, maybe = 39.2%, no = 29.7%). Qualitative analysis revealed three themes: (a) Trigger Warnings Allow Students to Know What is Coming and Prepare Themselves: Respondents believed that trigger warnings would benefit students with a history of trauma by providing them additional time to prepare for the material and, if appropriate, seek professional help; (b) Students Need to Learn How to Handle Distressing Information: Respondents agreed that they needed to learn and cope with highly sensitive material because they would be confronted with difficult and unexpected situations in clinical practice; and (c) Trigger Warnings Help Students Understand the Severity of the Material: Respondents felt that trigger warnings may help students understand the severity of the material being covered and increase awareness about trauma and its effects on health and well-being. Insights: Findings did not reach consensus for or against the use of trigger warnings in medical school; however, students emphasized the importance of learning how to cope with distressing material. Trigger warnings may represent a teaching tool to facilitate classroom discussions about the severity of trauma-related material and problem-focused coping strategies. C1 [Beverly, Elizabeth A.; Diaz, Sebastian; Kerr, Anna M.; Balbo, Jane T.] Ohio Univ, Heritage Coll Osteopath Med, Dept Family Med, Athens, OH 45701 USA. [Prokopakis, Kayla E.] Ohio Univ, Heritage Coll Osteopath Med, Dept Med, Athens, OH 45701 USA. [Fredricks, Todd R.] Ohio Univ, Heritage Coll Osteopath Med, Dept Family Med, Athens, OH 45701 USA. RP Beverly, EA (reprint author), Ohio Univ, Heritage Coll Osteopath Med, Dept Family Med, Athens, OH 45701 USA. EM beverle1@ohio.edu NR 57 TC 0 Z9 0 U1 5 U2 5 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1040-1334 EI 1532-8015 J9 TEACH LEARN MED JI Teach. Learn. Med. PY 2018 VL 30 IS 1 BP 5 EP 14 DI 10.1080/10401334.2017.1330690 PG 10 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA FU2FE UT WOS:000423663900002 PM 28753041 DA 2018-05-26 ER PT J AU O'Sullivan, PS Yuan, P Satre, DD Wamsley, M Satterfield, J AF O'Sullivan, Patricia S. Yuan, Patrick Satre, Derek D. Wamsley, Maria Satterfield, Jason TI A Sequential Implementation Model for Workforce Development: A Case Study of Medical Residency Training for Substance Use Concerns SO TEACHING AND LEARNING IN MEDICINE LA English DT Article DE Capacity building; residency; SBIRT; scaling-up; workforce development ID BRIEF INTERVENTION; TREATMENT SBIRT; CONSOLIDATED FRAMEWORK; EDUCATION; PROGRAM; CURRICULUM; HEALTH; STRATEGIES; PHYSICIAN; CAPACITY AB Problem: In graduate medical education, residency programs are often educationally isolated from each other, with varying needs and patient populations, so strategies are needed when attempting to implement training in evidence-based practices across multiple residencies. Intervention: Using implementation science as a guide, we adapted a community development model to sequentially implement an evidence-based intervention, Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and drug use problems, across internal medicine, pediatrics, emergency medicine, psychiatry, and obstetrics and gynecology residency programs. Context: A grant-funded executive team coordinated the implementation, enrolled a new residency program annually, and served as the consultative team to span the programs. The team was attentive to aligning implementation with the needs of each program. To assist in planning, the team included a program champion 1year prior to SBIRT implementation to provide the opportunity to develop resources and work with peers. We evaluated this model through an implementation science lens using a case study approach that included interviews and quantitative tabulation of products and resident perceptions. Outcome: We successfully instituted SBIRT training in all 5 residency programs through the use of a supported local champion model. Teams developed 90 curricular products and had 57 presentations and publications. Residents reported satisfaction with the SBIRT activities. Champions reported that SBIRT was a useful approach and that they gained valuable knowledge and relationships from working with the executive team when designing learning materials appropriate for their residency. Champions successfully incorporated SBIRT into routine clinical practice. Lessons Learned: Having a strong team to support subsequent SBIRT champions was essential for implementation. The champions needed financial support to have the necessary time to implement training. The strategy of building a peer network across programs was critical for sustaining the implementation. Collecting and sharing resources aided the champions in developing their materials. C1 [O'Sullivan, Patricia S.; Wamsley, Maria; Satterfield, Jason] Univ Calif San Francisco, Dept Med, 533 Parnassus,Suite U80,Box 0710, San Francisco, CA 94143 USA. [O'Sullivan, Patricia S.; Yuan, Patrick] Univ Calif San Francisco, Ctr Fac Educ, San Francisco, CA 94143 USA. [Satre, Derek D.] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA. [Satre, Derek D.] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA. RP O'Sullivan, PS (reprint author), Univ Calif San Francisco, Dept Med, 533 Parnassus,Suite U80,Box 0710, San Francisco, CA 94143 USA. EM patricia.osullivan@ucsf.edu NR 41 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1040-1334 EI 1532-8015 J9 TEACH LEARN MED JI Teach. Learn. Med. PY 2018 VL 30 IS 1 BP 84 EP 94 DI 10.1080/10401334.2017.1314216 PG 11 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA FU2FE UT WOS:000423663900010 PM 28498004 DA 2018-05-26 ER PT J AU Kumar, A Ward, KD Mellon, L Gunning, M Stynes, S Hickey, A Conroy, R MacSweeney, S Horan, D Cormican, L Sreenan, S Doyle, F AF Kumar, Anusha Ward, Kenneth D. Mellon, Lisa Gunning, Miriam Stynes, Sinead Hickey, Anne Conroy, Ronan MacSweeney, Shane Horan, David Cormican, Liam Sreenan, Seamus Doyle, Frank CA Grad Entry Programme 2014-18 Class TI Medical student INtervention to promote effective nicotine dependence and tobacco HEalthcare (MIND-THE-GAP): single-centre feasibility randomised trial results SO BMC MEDICAL EDUCATION LA English DT Article DE Smoking; Randomised trial; Medical students; Feasibility study; Mixed methods ID SMOKING-CESSATION ADVICE; MISSING DATA ASSUMPTIONS; PREVALENCE; IRELAND; PHYSICIANS; HOSPITALS; PROVISION; KNOWLEDGE; BEHAVIOR; EXAMPLE AB Background: Although brief cessation advice from healthcare professionals increases quit rates, smokers typically do not get this advice during hospitalisation, possibly due to resource issues, lack of training and professionals' own attitudes to providing such counselling. Medical students are a potentially untapped resource who could deliver cessation counselling, while upskilling themselves and changing their own attitudes to delivering such advice in the future; however, no studies have investigated this. We aimed to determine if brief student-led counselling could enhance motivation to quit and smoking cessation behaviours among hospitalised patients. Method Methods: A mixed-methods, 2-arm pilot feasibility randomised controlled trial with qualitative process evaluation enrolled 67 hospitalised adult smokers, who were recruited and randomized to receive a brief medical student-delivered cessation intervention (n = 33) or usual care (n = 34); 61 medical students received standardised cessation training and 33 were randomly assigned to provide a brief in-hospital consultation and follow-up support by phone or in-person one week post-discharge. Telephone follow-up at 3- and 6-months assessed scores on the Motivation to Stop Smoking Scale (MTSS; primary outcome) and several other outcomes, including 7-day point prevalent abstinence, quit attempts, use of cessation medication, and ratings of student's knowledge and efficacy. Data were analysed as intention to treat (ITT) using penalised imputation, per protocol, and random effects repeated measures. Focus group interviews were conducted with students post-intervention to elicit their views on the training and intervention process. Results: Analyses for primary and most secondary outcomes favoured the intervention group, although results were not statistically significant. Point prevalence abstinence rates were significantly higher for the intervention group during follow-up for all analyses except 6-month ITT analysis. Fidelity was variable. Patients rated students as being "very" knowledgeable about quitting and "somewhat" helpful. Qualitative results showed students were glad to deliver the intervention; were critical of current cessation care; felt constrained by their inability to prescribe cessation medications and wanted to include cessation and other behavioural counselling in their normal history taking. Conclusions: It appears feasible for medical students to be smoking cessation interventionists during their training, although their fidelity to the intervention requires further investigation. A definitive trial is needed to determine if medical students are effective cessation counsellors and if student-led intervention could be tailored for other health behaviours. C1 [Kumar, Anusha; Horan, David] Royal Coll Surgeons Ireland, Dept Med, Dublin 2, Ireland. [Ward, Kenneth D.] Univ Memphis, Sch Publ Hlth, Div Social & Behav Sci, Memphis, TN 38152 USA. [Mellon, Lisa; Hickey, Anne; MacSweeney, Shane; Doyle, Frank] Royal Coll Surgeons Ireland, Div Populat Hlth Sci Psychol, Dublin 2, Ireland. [Gunning, Miriam; Stynes, Sinead] Hlth Serv Execut, Dept Hlth Promot & Improvement, Hlth & Wellbeing Div, Dublin 15, Ireland. [Conroy, Ronan] Royal Coll Surgeons Ireland, Div Populat Hlth Sci Epidemiol & Publ Hlth Med, Dublin 2, Ireland. [Cormican, Liam] Connolly Hosp, Dept Resp Med, Dublin 15, Ireland. [Sreenan, Seamus] Royal Coll Surgeons Ireland, Grad Entry Med, Dublin 2, Ireland. RP Doyle, F (reprint author), Royal Coll Surgeons Ireland, Div Populat Hlth Sci Psychol, Dublin 2, Ireland. EM fdoyle4@rcsi.ie FU RCSI Senior Management Team FX Funded by the RCSI Senior Management Team, who had no role in the study design, data collection, analysis, interpretation of data or in writing the manuscript. NR 43 TC 0 Z9 0 U1 1 U2 1 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD DEC 11 PY 2017 VL 17 AR 249 DI 10.1186/s12909-017-1069-y PG 13 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA FQ2GS UT WOS:000418175500001 PM 29233157 OA gold DA 2018-05-26 ER PT J AU Henderson, NL Dressler, WW AF Henderson, Nicole L. Dressler, William W. TI Medical Disease or Moral Defect? Stigma Attribution and Cultural Models of Addiction Causality in a University Population SO CULTURE MEDICINE AND PSYCHIATRY LA English DT Article DE Addiction; Stigma; Cultural models; Cultural consensus analysis; Residual agreement analysis ID FORMER MENTAL-PATIENTS; SOCIAL REJECTION; ILLNESS; LABELS; DRUG; DANGEROUSNESS; DISORDERS; CONSENSUS; DRINKING; ALCOHOL AB This study examines the knowledge individuals use to make judgments about persons with substance use disorder. First, we show that there is a cultural model of addiction causality that is both shared and contested. Second, we examine how individuals' understanding of that model is associated with stigma attribution. Research was conducted among undergraduate students at the University of Alabama. College students in the 18-25 age range are especially at risk for developing substance use disorder, and they are, perhaps more than any other population group, intensely targeted by drug education. The elicited cultural model includes different types of causes distributed across five distinct themes: Biological, Self-Medication, Familial, Social, and Hedonistic. Though there was cultural consensus among respondents overall, residual agreement analysis showed that the cultural model of addiction causality is a multicentric domain. Two centers of the model, the moral and the medical, were discovered. Differing adherence to these centers is associated with the level of stigma attributed towards individuals with substance use disorder. The results suggest that current approaches to substance use education could contribute to stigma attribution, which may or may not be inadvertent. The significance of these results for both theory and the treatment of addiction are discussed. C1 [Henderson, Nicole L.; Dressler, William W.] Univ Alabama, Dept Anthropol, Tuscaloosa, AL 35487 USA. RP Henderson, NL (reprint author), Univ Alabama, Dept Anthropol, Tuscaloosa, AL 35487 USA. EM nlhenderson1@crimson.ua.edu; wdressle@ua.edu FU Graduate School at the University of Alabama FX This study was funded by The Graduate School at the University of Alabama. NR 37 TC 0 Z9 0 U1 13 U2 13 PU SPRINGER PI DORDRECHT PA VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS SN 0165-005X EI 1573-076X J9 CULT MED PSYCHIAT JI Cult. Med. Psychiatr. PD DEC PY 2017 VL 41 IS 4 BP 480 EP 498 DI 10.1007/s11013-017-9531-1 PG 19 WC Anthropology; Psychiatry; Social Sciences, Biomedical SC Anthropology; Psychiatry; Biomedical Social Sciences GA FM1TU UT WOS:000414765100003 PM 28378037 DA 2018-05-26 ER PT J AU Schuster, R Gavas, F Schneider, U Glahn, A Hillemacher, T Frischknecht, U Reinhard, I Kleimann, A Bleich, S Heberlein, A AF Schuster, Rilana Gavas, Funda Schneider, Udo Glahn, Alexander Hillemacher, Thomas Frischknecht, Ulrich Reinhard, Iris Kleimann, Alexandra Bleich, Stefan Heberlein, Annemarie TI Stigmatisation of Alcohol Dependence: Attitudes of Alcohol-Dependent Patients During Detoxifi cation, Medical Staff and Students SO SUCHT-ZEITSCHRIFT FUR WISSENSCHAFT UND PRAXIS LA German DT Article DE Alcohol dependence; attitudes; detoxification; stigmatization; stigma ID ABSTINENCE SELF-EFFICACY; MENTAL-ILLNESS; CAUSAL EXPLANATIONS; SOCIAL DISTANCE; STIGMA; SCHIZOPHRENIA; DISORDERS; IMPACT; DANGEROUSNESS; CONSEQUENCES AB The study investigated attitudes towards people with alcohol dependency and the acceptance of neurobiological as well as social causes of the disease. Methods: The 75-item questionnaire surveyed the views of 254 participants towards alcohol-dependent people and compared attitudes of affected and healthy individuals. The persons affected by alcohol dependency (n = 122) were surveyed during an inpatient treatment program following physical withdrawal. In the comparison groups, medical staff (n = 70) as well as students without medical background knowledge (n = 62) were interviewed. Results: We did not fi nd any differences in the attribution of neurobiological factors as causes of alcohol dependence between the affected persons and the medical staff. Students considered neurobiological factors to have less of a role in causing alcohol dependence compared to those affected and medical staff. Concerning social factors as causes of alcohol dependency, there were no signifi cant differences between the three groups. Affected persons assessed the character characteristics of alcohol-dependent patients overall more positively than medical staff and students. Conclusion: Those affected by alcohol dependency report more positive attitudes towards people suffereing from the disease than medical staff and students with no medical or psychological background. C1 [Schuster, Rilana; Frischknecht, Ulrich] Heidelberg Univ, Med Fak Mannheim, Zent Inst Seel Gesundheit, Klin Abhangiges Verhalten & Suchtmed, Mannheim, Germany. [Schuster, Rilana; Glahn, Alexander; Hillemacher, Thomas; Kleimann, Alexandra; Bleich, Stefan; Heberlein, Annemarie] Hannover Med Sch, Klin Psychiat Sozialpsychiat & Psychotherapie, Ctr Addict Res CARe, Hannover, Germany. [Gavas, Funda; Schneider, Udo] Ruhr Univ Bochum, Univ Klin Psychiat & Psychotherapie, Lubeck, Germany. [Frischknecht, Ulrich] Heidelberg Univ, Feuerlein Ctr Translat Suchtmed, Heidelberg, Germany. [Reinhard, Iris] Heidelberg Univ, Med Fak Mannheim, Biostat, Zent Inst Seel Gesundheit, Mannheim, Germany. RP Schuster, R (reprint author), Heidelberg Univ, Med Fak Mannheim, Zent Inst Seel Gesundheit, Klin Abhangiges Verhalten & Suchtmed, Mannheim, Germany. EM rilana.schuster@zi-mannheim.de NR 30 TC 0 Z9 0 U1 0 U2 0 PU VERLAG HANS HUBER HOGREFE AG PI BERN 9 PA LAENGGASS-STRASSE 76, CH-3000 BERN 9, SWITZERLAND SN 0939-5911 EI 1664-2856 J9 SUCHT JI Sucht PD NOV PY 2017 VL 63 IS 5 BP 261 EP 268 DI 10.1024/0939-5911/a000502 PG 8 WC Substance Abuse SC Substance Abuse GA FW1TX UT WOS:000425083600003 DA 2018-05-26 ER PT J AU Akdemir, M Erengin, H Bozbay, DS Aktekin, M AF Akdemir, M. Erengin, H. Bozbay, D. Sebhan Aktekin, M. TI Internet addiction prevalence in last-year medical students and related factors SO EUROPEAN JOURNAL OF PUBLIC HEALTH LA English DT Meeting Abstract C1 [Akdemir, M.; Erengin, H.; Bozbay, D. Sebhan; Aktekin, M.] Akdeniz Univ, Antalya, Turkey. EM mehmetaktekin1@gmail.com NR 0 TC 0 Z9 0 U1 2 U2 2 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 1101-1262 EI 1464-360X J9 EUR J PUBLIC HEALTH JI Eur. J. Public Health PD NOV PY 2017 VL 27 SU 3 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA FL6XP UT WOS:000414389804197 DA 2018-05-26 ER PT J AU Bleckwenn, M Just, J Rudisser, V Engel, B Weckbecker, K AF Bleckwenn, Markus Just, Johannes Ruedisser, Valeria Engel, Bettina Weckbecker, Klaus TI Integration of Addiction Medicine into Medical School - Interactive Remodelling of a Seminar in the Field of Prevention and Health Promotion SO SUCHTTHERAPIE LA German DT Article DE addiction medicine; medical school; activating teaching methods; active teaching ID EDUCATION AB The Aim of the Project In model projects the knowledge in addiction medicine could be improved in medical students in a short time through an interactive and didactic quality teaching. Therefore, the aim of the project was to design a seminar with an addiction medicine theme interactively and to verify the acceptance of such a transformation. Methods For this purpose, activating teaching methods were integrated gradually in a seminar. One activating teaching method was introduced per semester. On the basis of the evaluation, a teaching method was left or replaced in the course of the seminar. After the complete interactive remodelling the satisfaction of students and their teachers was tested. Results The 4 participating lecturers had a high level of satisfaction with the teaching in the seminar [9.4 (0-10)]. Also the students (n = 69) rated the seminar positively (8.4) and confirmed the high degree of interactivity (8.1) and didactic quality (8.1). Conclusion An interactive remodelling of seminars is possible. Based on the positive results active teaching is recommended in seminars. C1 [Bleckwenn, Markus; Just, Johannes; Ruedisser, Valeria; Engel, Bettina; Weckbecker, Klaus] Univ Bonn, Med Fak, Inst Hausarztmed, Sigmund Freud Str 25, D-53127 Bonn, Germany. RP Bleckwenn, M (reprint author), Univ Bonn, Med Fak, Inst Hausarztmed, Sigmund Freud Str 25, D-53127 Bonn, Germany. EM markus.bleckwenn@ukb.uni-bonn.de NR 16 TC 0 Z9 0 U1 2 U2 2 PU GEORG THIEME VERLAG KG PI STUTTGART PA RUDIGERSTR 14, D-70469 STUTTGART, GERMANY SN 1439-9903 EI 1439-989X J9 SUCHTTHERAPIE JI Suchttherapie PD NOV PY 2017 VL 18 IS 4 BP 206 EP 211 DI 10.1055/s-0042-119585 PG 6 WC Psychiatry SC Psychiatry GA FN8FZ UT WOS:000416258700010 DA 2018-05-26 ER PT J AU Ayala, EE Roseman, D Winseman, JS Mason, HRC AF Ayala, Erin E. Roseman, Destiny Winseman, Jeffrey S. Mason, Hyacinth R. C. TI Prevalence, perceptions, and consequences of substance use in medical students SO MEDICAL EDUCATION ONLINE LA English DT Article DE Medical students; medical education; substance use; alcohol; health ID UNITED-STATES; USE DISORDERS; ALCOHOL-USE; DRUG-USE; DRINKING; SAMPLE; HEALTH; SCHOOL AB Background: Research regarding the health and wellness of medical students has led to ongoing concerns regarding patterns of alcohol and drug use that take place during medical education. Such research, however, is typically limited to single-institution studies or has been conducted over 25 years ago. Objective: The objective of the investigation was to assess the prevalence and consequences of medical student alcohol and drug use and students' perceptions of their medical school's substance-use policies. Design: A total of 855 medical students representing 49 medical colleges throughout the United States participated in an online survey between December 2015 and March 2016. Results: Data showed that 91.3% and 26.2% of medical students consumed alcohol and used marijuana respectively in the past year, and 33.8% of medical students consumed five or more drinks in one sitting in the past two weeks. Differences in use emerged regarding demographic characteristics of students. Consequences of alcohol and drug use in this sample of medical students included but were not limited to interpersonal altercations, serious suicidal ideation, cognitive deficits, compromised academic performance, and driving under the influence of substances. Forty percent of medical students reported being unaware of their medical institution's substance-use policies. Conclusions: Findings suggest that substance use among medical students in the US is ongoing and associated with consequences in various domains. There is a lack of familiarity regarding school substance-use policies. Although there has been some progress in characterizing medical student alcohol use, less is known about the factors surrounding medical students' use of other substances. Updated, comprehensive studies on the patterns of medical student substance use are needed if we are to make the necessary changes needed to effectively prevent substance-use disorders among medical students and support those who are in need of help. C1 [Ayala, Erin E.] St Marys Univ Minnesota, Dept Counseling Psychol, 2500 Pk Ave, Minneapolis, MN 55404 USA. [Roseman, Destiny; Mason, Hyacinth R. C.] Albany Med Coll, Dept Med Educ, Albany, NY 12208 USA. [Winseman, Jeffrey S.] Albany Med Ctr, Dept Psychiat, Albany, NY USA. RP Ayala, EE (reprint author), St Marys Univ Minnesota, Dept Counseling Psychol, 2500 Pk Ave, Minneapolis, MN 55404 USA. EM eayala@smumn.edu OI Ayala, Erin/0000-0001-6640-2131 NR 34 TC 0 Z9 0 U1 1 U2 1 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 1087-2981 J9 MED EDUC ONLINE JI Med. Educ. Online PD OCT 26 PY 2017 VL 22 AR 1392824 DI 10.1080/10872981.2017.1392824 PG 7 WC Education & Educational Research SC Education & Educational Research GA FP0JC UT WOS:000417284300001 PM 29072119 OA gold DA 2018-05-26 ER PT J AU Chen, BF Liu, F Ding, SS Ying, X Wang, LL Wen, YF AF Chen, Baifeng Liu, Fei Ding, Shushu Ying, Xia Wang, Lele Wen, Yufeng TI Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students SO BMC PSYCHIATRY LA English DT Article DE Smartphone addiction; Problematic smartphone use; Sleep quality; Depression; Anxiety ID MOBILE PHONE USE; CELL-PHONE; DEPRESSIVE SYMPTOMS; SLEEP QUALITY; UNDERGRADUATE STUDENTS; INTERNET ADDICTION; ANXIETY; ADOLESCENTS; COMMUNICATION; PREVALENCE AB Background: Smartphones are becoming increasingly indispensable in everyday life for most undergraduates in China, and this has been associated with problematic use or addiction. The aim of the current study was to investigate the prevalence of smartphone addiction and the associated factors in male and female undergraduates. Methods: This cross-sectional study was conducted in 2016 and included 1441 undergraduate students at Wannan Medical College, China. The Smartphone Addiction Scale short version (SAS-SV) was used to assess smartphone addiction among the students, using accepted cut-offs. Participants' demographic, smartphone usage, and psycho-behavioral data were collected. Multivariate logistic regression models were used to seek associations between smartphone addiction and independent variables among the males and females, separately. Results: The prevalence of smartphone addiction among participants was 29.8% (30.3% in males and 29.3% in females). Factors associated with smartphone addiction in male students were use of game apps, anxiety, and poor sleep quality. Significant factors for female undergraduates were use of multimedia applications, use of social networking services, depression, anxiety, and poor sleep quality. Conclusions: Smartphone addiction was common among the medical college students investigated. This study identified associations between smartphone usage, psycho-behavioral factors, and smartphone addiction, and the associations differed between males and females. These results suggest the need for interventions to reduce smartphone addiction among undergraduate students. C1 [Chen, Baifeng; Liu, Fei; Ding, Shushu; Ying, Xia; Wang, Lele; Wen, Yufeng] Wannan Med Coll, Sch Publ Hlth, 22 West Wenchang Rd, Wuhu 241002, Anhui, Peoples R China. RP Wen, YF (reprint author), Wannan Med Coll, Sch Publ Hlth, 22 West Wenchang Rd, Wuhu 241002, Anhui, Peoples R China. EM wyf@wnmc.edu.cn FU Key Project of Education Department of Anhui Province [SK2016A0946] FX This study was supported by the Key Project of Education Department of Anhui Province (SK2016A0946). The funders had no role in the design of the study nor the collection, analysis, and interpretation of data, decision to publish, or preparation of the manuscript. NR 48 TC 1 Z9 1 U1 19 U2 37 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1471-244X J9 BMC PSYCHIATRY JI BMC Psychiatry PD OCT 10 PY 2017 VL 17 AR 341 DI 10.1186/s12888-017-1503-z PG 9 WC Psychiatry SC Psychiatry GA FJ4BG UT WOS:000412678000002 PM 29017482 OA gold DA 2018-05-26 ER PT J AU Ganesh, A Pragyakumari, D Ramsudarsan, N Rajkumar, M Shyam, S Balaji, SK AF Ganesh, Akila Pragyakumari, D. Ramsudarsan, N. Rajkumar, M. Shyam, S. Balaji, S. K. TI Self-Reported Behaviour about Internet Addiction among Medical and Paramedical Students SO JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH LA English DT Article DE Addicts; Mild; Prevalence; Professionals ID UNIVERSITY AB Introduction: Internet has become an essential tool in day to day life. It has become an important and convenient mode for networking and information exchange. Excessive use of internet adversely affects an individual's physical, mental and social health along with academic performance. Aim: The present study aimed at determining the prevalence of internet addiction among undergraduate and postgraduate medical and paramedical students and also the effect of internet on gender. Materials and Methods: This was a questionnaire based, cross-sectional study carried out among 1011 medical and paramedical undergraduate and postgraduate students of Sri Ramachandra University, Chennai. A questionnaire consisting of two components; basic demographic information of the participants and Modified Young's Internet Addiction Test (IAT) was used to gather data. The normal users were categorized as non-addicts and mild, moderate and severe users were categorized as addicts. Descriptive statistics was calculated in terms of frequency and percentage. Inferential statistics was calculated using Chi-Square test. Results: According to the findings, most of the students were mild internet addicts 590 (58.40%) followed by moderate addicts 239 (23.60%), normal users 171 (16.90%) and severe addicts 11 (1.10%). Prevalence of internet addiction was outnumbered by medical 112 (91.10%) students among all the other medical and paramedical specialties. Conclusion: Internet addiction has become an emerging problem among the professional students, which has educational, physical and mental impact on student's life. So, it is necessary to understand the importance of prevention of internet addiction, which is essential for promoting safe and healthy use of the internet. C1 [Ganesh, Akila; Pragyakumari, D.; Ramsudarsan, N.; Rajkumar, M.] Sri Ramachandra Univ, Fac Dent Sci, Dept Publ Hlth Dent, Chennai, Tamil Nadu, India. [Shyam, S.] Meenakshi Univ, Meenakshi Ammal Dent Coll, Dept Publ Hlth Dent, Madras, Tamil Nadu, India. [Balaji, S. K.] Sri Ramachandra Univ, Fac Dent Sci, Dept Periodont, Chennai, Tamil Nadu, India. RP Ganesh, A (reprint author), 7-16,First Main Rd, Chennai 600099, Tamil Nadu, India. EM drakilgans@yahoo.co.uk NR 15 TC 0 Z9 0 U1 0 U2 0 PU PREMCHAND SHANTIDEVI RESEARCH FOUNDATION PI DELHI PA 71 JAIN COLONY, VEER NAGAR, DELHI, 110 007, INDIA SN 2249-782X EI 0973-709X J9 J CLIN DIAGN RES JI J. Clin. Diagn. Res. PD OCT PY 2017 VL 11 IS 10 BP LC10 EP LC13 DI 10.7860/JCDR/2017/26278.10775 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA FR6DJ UT WOS:000419155300018 OA gold DA 2018-05-26 ER PT J AU Klimas, J McNeil, R Small, W Cullen, W AF Klimas, Jan McNeil, Ryan Small, Will Cullen, Walter TI Clinician-Scientist Training in Addiction Medicine: A Novel Program in a Canadian Setting SO ACADEMIC MEDICINE LA English DT Letter C1 [Klimas, Jan; Small, Will] Univ British Columbia, St Pauls Hosp, Dept Med, British Columbia Ctr Subst Use, Vancouver, BC, Canada. [Klimas, Jan] Univ Coll Dublin, Sch Med, Dublin, Ireland. [McNeil, Ryan] Univ British Columbia, St Pauls Hosp, British Columbia Ctr Subst Use, Vancouver, BC, Canada. [McNeil, Ryan] Univ British Columbia, St Pauls Hosp, Dept Med, Vancouver, BC, Canada. [Small, Will] Simon Fraser Univ, Ctr Appl Res Mental Hlth & Addict CARMHA, Vancouver, BC, Canada. [Small, Will] Simon Fraser Univ, Fac Hlth Sci, Vancouver, BC, Canada. [Cullen, Walter] Univ Coll Dublin, Urban Gen Practice, Sch Med, Hlth Sci Ctr, Dublin, Ireland. RP Klimas, J (reprint author), Univ British Columbia, St Pauls Hosp, Dept Med, British Columbia Ctr Subst Use, Vancouver, BC, Canada.; Klimas, J (reprint author), Univ Coll Dublin, Sch Med, Dublin, Ireland. EM jklimas@cfenet.ubc.ca FU NIDA NIH HHS [R01 DA044181, R25 DA037756, R01 DA043408] NR 2 TC 0 Z9 0 U1 1 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD OCT PY 2017 VL 92 IS 10 BP 1367 EP 1367 DI 10.1097/ACM.0000000000001880 PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA FI3XF UT WOS:000411902800011 PM 28952995 DA 2018-05-26 ER PT J AU Klimas, J Small, W Ahamad, K Cullen, W Mead, A Rieb, L Wood, E McNeil, R AF Klimas, J. Small, W. Ahamad, K. Cullen, W. Mead, A. Rieb, L. Wood, E. McNeil, R. TI Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors SO ADDICTION SCIENCE & CLINICAL PRACTICE LA English DT Article DE Addiction; Substance-related disorders; Medical education; Qualitative research ID RANDOMIZED CONTROLLED-TRIAL; INJECTION-DRUG USERS; PRIMARY-CARE; CLINICIAN-SCIENTIST; ANTIRETROVIRAL THERAPY; SUBSTANCE USE; EDUCATION; PHYSICIANS; DISORDERS; KNOWLEDGE AB Background: Although progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based practices in addiction medicine into physician training which has impeded addiction treatment and care. Recently, a number of training initiatives have emerged internationally, including the addiction medicine fellowships in Vancouver, Canada. This study was undertaken to examine barriers and facilitators of implementing addiction medicine fellowships. Methods: We interviewed trainees and faculty from clinical and research training programmes in addiction medicine at St Paul's Hospital in Vancouver, Canada (N = 26) about barriers and facilitators to implementation of physician training in addiction medicine. We included medical students, residents, fellows and supervising physicians from a variety of specialities. We analysed interview transcripts thematically by using NVivo software. Results: We identified six domains relating to training implementation: (1) organisational, (2) structural, (3) teacher, (4) learner, (5) patient and (6) community related variables either hindered or fostered addiction medicine education, depending on context. Human resources, variety of rotations, peer support and mentoring fostered implementation of addiction training. Money, time and space limitations hindered implementation. Participant accounts underscored how faculty and staff facilitated the implementation of both the clinical and the research training. Conclusions: Implementation of addiction medicine fellowships appears feasible, although a number of barriers exist. Research into factors within the local/practice environment that shape delivery of education to ensure consistent and quality education scale-up is a priority. C1 [Klimas, J.; Small, W.; Ahamad, K.; Mead, A.; Rieb, L.; Wood, E.; McNeil, R.] Univ British Columbia, St Pauls Hosp, Dept Med, BC Ctr Subst Use, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Ahamad, K.; Mead, A.; Rieb, L.] Univ British Columbia, Dept Family Practice, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Ahamad, K.; Mead, A.; Rieb, L.] St Pauls Hosp, Dept Family & Community Med, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Klimas, J.; Cullen, W.; Wood, E.] Univ Coll Dublin, Sch Med, Coombe Healthcare Ctr, Dublin 8, Ireland. [Small, W.] Simon Fraser Univ, Fac Hlth Sci, Blusson Hall,8888 Univ Dr, Burnaby, BC V5A 1S6, Canada. RP McNeil, R (reprint author), Univ British Columbia, St Pauls Hosp, Dept Med, BC Ctr Subst Use, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM rmcneil@cfenet.ubc.ca OI Klimas, Jan/0000-0002-5179-0052 FU Canadian Institutes of Health Research [MOP-81171]; US National Institutes of Health [R01DA033147, R25DA037756]; Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine; Irish Research Council International Career Development Fellowship - Marie Cure Actions [ELEVATEPD/2014/6]; European Commission [701698]; Michael Smith Foundation for Health Research; Canadian Institutes of Health Research FX The Canadian Institutes of Health Research (MOP-81171) and the US National Institutes of Health (R01DA033147) supported the study. This research was also undertaken, in part, by funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine, and by the US National Institutes of Health (R25DA037756) that supports Dr. Evan Wood. The ELEVATE grant: Irish Research Council International Career Development Fellowship-co-funded by Marie Cure Actions (ELEVATEPD/2014/6); and a European Commission (701698) grants-supported Dr. Jan Klimas. The European Commission (HepCare) grant supports Dr. Walter Cullen. Drs Ryan McNeil and Will Small are supported by the Michael Smith Foundation for Health Research. Ryan McNeil is also supported by the Canadian Institutes of Health Research. The funders had no role in the design and conduct of the study; the collection, analysis, and interpretation of the data; the preparation of the manuscript; or the decision to submit the manuscript for publication. NR 61 TC 0 Z9 0 U1 1 U2 1 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1940-0640 J9 ADDICT SCI CLIN PRAC JI Addict. Sci. Clin. Pract. PD SEP 20 PY 2017 VL 12 AR 21 DI 10.1186/s13722-017-0086-9 PG 10 WC Substance Abuse SC Substance Abuse GA FH8JI UT WOS:000411440100001 PM 28927448 OA gold DA 2018-05-26 ER PT J AU Campbell, ANC Back, SE Ostroff, JS Hien, DA Gourevitch, MN Sheffer, CE Brady, KT Hanley, K Bereket, S Book, S AF Campbell, Aimee N. C. Back, Sudie E. Ostroff, Jamie S. Hien, Denise A. Gourevitch, Marc N. Sheffer, Christine E. Brady, Kathleen T. Hanley, Kathleen Bereket, Sewit Book, Sarah TI Addiction Research Training Programs: Four Case Studies and Recommendations for Evaluation SO JOURNAL OF ADDICTION MEDICINE LA English DT Editorial Material DE addiction education; addiction research training; graduate education; medical education; undergraduate education ID PHYSICIAN-SCIENTISTS; CAREER; MODEL; PSYCHIATRY; RESIDENCY; PIPELINE; MENTORS; SKILLS AB The presence of structured addiction research training programs helps to ensure that the scientific workforce includes well-trained, diverse scientists necessary to reduce the negative impact of alcohol, drug, and tobacco use disorders. Although the field hasmade significant progress in the development of standards for clinical training in addiction medicine, there remains significant room for improvement in the training of addiction researchers, and also opportunities to synergize across addiction research training programs. The purpose of this commentary is to describe 4 National Institutes of Health (NIH)-sponsored addiction research training programs, highlight critical components, and provide recommendations for more comprehensive and effective program evaluation. Moving forward, evaluation of addiction research training programs would be enhanced by the use of conceptual models to inform process and outcome evaluations, the application of innovative methods to ensure long-term data collection, the improvement of mentorship evaluation measures, and the integration of training methods from other fields of study. We encourage NIH and others in the field to be proactive in establishing core metrics for evaluation across programs. Furthermore, centralized tracking of NIH-funded addiction research trainees, analysis of aggregate data across programs, and innovative methods to effectively disseminate program materials and processes are recommended. C1 [Campbell, Aimee N. C.] Columbia Univ, Med Ctr, Dept Psychiat, Div Subst Use Disorders, New York, NY USA. [Campbell, Aimee N. C.; Hien, Denise A.] New York State Psychiat Inst & Hosp, New York, NY 10032 USA. [Back, Sudie E.; Brady, Kathleen T.] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC USA. [Back, Sudie E.; Brady, Kathleen T.] Ralph H Johnson VA Med Ctr, Charleston, SC USA. [Ostroff, Jamie S.] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, 1275 York Ave, New York, NY 10021 USA. [Hien, Denise A.] Adelphi Univ, Gordon F Derner Inst Adv Psychol Studies, New York, NY USA. [Hien, Denise A.] Columbia Univ, Med Ctr, Dept Psychiat, Div Subst Use Disorders, New York, NY USA. [Gourevitch, Marc N.; Bereket, Sewit] NYU, Sch Med, Dept Populat Hlth, New York, NY 10003 USA. [Sheffer, Christine E.] Roswell Pk Canc Inst, Dept Hlth Behav, Buffalo, NY 14263 USA. [Hanley, Kathleen] NYU, Sch Med, New York, NY USA. [Book, Sarah] Med Univ South Carolina, Addict Sci Div, Dept Psychiat & Behav Sci, Charleston, SC USA. RP Campbell, ANC (reprint author), 1051 Riverside Dr,Room 3731, New York, NY 10032 USA. EM anc2002@cumc.columbia.edu OI Bereket, Sewit/0000-0003-0336-4355; Gourevitch, Marc/0000-0001-6865-2126; Hien, Denise/0000-0002-6954-2882 FU National Institutes of Health [NIDA R25 DA022461, NIDA R25 DA035161, NIDA R25 DA020537, NCI P20 CA192991, NCI P20 CA192993] FX Support for this article was provided by the National Institutes of Health: NIDA R25 DA022461 (PI: Gourevitch); NIDA R25 DA035161 (Dual PIs: Hien, Ruglass); NIDA R25 DA020537 (Dual PIs: Back, Brady); NCI P20 CA192991 (PI: Ostroff); and NCI P20 CA192993 (PI: Sheffer). NR 30 TC 0 Z9 0 U1 1 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1932-0620 EI 1935-3227 J9 J ADDICT MED JI J. Addict. Med. PD SEP-OCT PY 2017 VL 11 IS 5 BP 333 EP 338 DI 10.1097/ADM.0000000000000328 PG 6 WC Substance Abuse SC Substance Abuse GA FI2SF UT WOS:000411792800001 PM 28590393 DA 2018-05-26 ER PT J AU Sachdeva, S Sachdev, TR Sachdeva, R Dwivedi, N Taneja, N AF Sachdeva, Sandeep Sachdev, T. R. Sachdeva, Ruchi Dwivedi, Nidhi Taneja, Neha TI Published research studies conducted amongst Indian medical undergraduate students: Bibliometric Analysis SO INDIAN JOURNAL OF COMMUNITY HEALTH LA English DT Article DE Original Research; Publication; Medical Students; Pedogogy; Medical Education ID IMPACT; OUTPUT AB Objective: Evaluation of published original research conducted amongst Indian medical undergraduate students. Methodology: A systematic review was undertaken using keywords "MBBS students" or "medical students" or "health students" or "university students" and "India" through search engines, PUBMED and Google scholar. Considering feasibility, time frame of published original research article was restricted to one-year only i.e. 2016. Research domain, research design, author and other bibliometric details of research manuscript were captured using check-list and analysis carried out using descriptive statistics. Results: A total of 99 suitable original research articles were identified under certain criteria and considered in present analysis. With regard to thematic research domain, highest, 29 (29.2%) articles were related to teaching and learning process followed by 13 (13.1%) to mental health (depression, anxiety, sleep, spirituality) of students; 07 (7.0%) were based on physical fitness/exercise/yoga; and substance abuse (6.0%) amongst medical students etc. Nearly, 86 (86.8%) of articles were cross-sectional descriptive based studies while 13 (13.1%) had intervention based research design. A total of 34 (34.3%) research articles could be labeled as "KAP" (knowledge, attitude and practice) survey. Department wise detail of corresponding author was largely dominated by faculty from pre and para-clinical departments. Highest was community medicine in (35.3%) articles, pharmacology (23.2%), physiology (17.1%), microbiology (6.0%), and biochemistry (4.0%) etc. The studies covered an average sample size of 188.8 MBBS students (20-360, range); 57.5% of research article covered students from only one professional year. However, in 42 (42.4%) articles there was no further mention of gender based sample information. Out of all the references used in research articles, only 57.3% were of recent (2005-2015) origin while the rest were from older time-frame. Conclusion: A systematic evaluation of published original research articles conducted upon MBBS undergraduate students studying in Indian medical colleges was undertaken, probably first of its kind in India. In conclusion, diverse topics of research have been conducted by the teaching faculties and this study provides the over-view of the same C1 [Sachdeva, Sandeep] North DMC Med Coll, MD Dept Community Med, Delhi 110007, India. [Sachdeva, Sandeep] Hindu Rao Hosp, New Delhi 110007, India. [Sachdev, T. R.] VMMC & Safdarjung Hosp, MD Dept Community Med, New Delhi, India. [Sachdeva, Ruchi] ESIC Med Coll & Hosp, DNB Dept Resp Med, Faridabad, Haryana, India. [Dwivedi, Nidhi; Taneja, Neha] North DMC Med Coll, Dept Community Med, New Delhi, India. [Dwivedi, Nidhi; Taneja, Neha] Hindu Rao Hosp, New Delhi 110007, India. RP Sachdeva, S (reprint author), North DMC Med Coll, Dept Community Med, New Delhi, India.; Sachdeva, S (reprint author), Hindu Rao Hosp, New Delhi 110007, India. EM sachdevadr@yahoo.in NR 16 TC 0 Z9 0 U1 1 U2 1 PU INDIAN ASSOC PREVENTIVE & SOCIAL MEDICINE PI UTTARAKHAND PA DEPT COMMUNITY MEDICINE, HIMALAYAN INST MEDICAL SCIENCES, DEHRADUN, UTTARAKHAND, 248140, INDIA SN 0971-7587 EI 2248-9509 J9 INDAN J COMMUNITY HE JI Indian J. Community Health PD JUL-SEP PY 2017 VL 29 IS 3 BP 287 EP 291 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA GA1YM UT WOS:000428113700013 OA gold DA 2018-05-26 ER PT J AU Tong, S Sabo, R Aycock, R Prasad, R Etz, R Kuzel, A Krist, A AF Tong, Sebastian Sabo, Roy Aycock, Rebecca Prasad, Ramakrishna Etz, Rebecca Kuzel, Anton Krist, Alex TI Assessment of Addiction Medicine Training in Family Medicine Residency Programs: A CERA Study SO FAMILY MEDICINE LA English DT Article ID SUBSTANCE USE DISORDERS; PRIMARY-CARE; NATIONAL-SURVEY; PREPAREDNESS; PHYSICIANS; INTERVENTION; DIAGNOSE; SERVICES; ABUSE AB BACKGROUND AND OBJECTIVES: Substance use disorder (SUD) is a widespread problem but physicians may feel inadequately prepared to provide addiction care. We sought to assess current addiction medicine curricula in US family medicine residencies (FMRs) and evaluate barriers to improving or implementing addiction medicine curricula. METHODS: Questions regarding addiction medicine training were added to the December 2015 Council of Academic Family Medicine Educational Research Alliance (CERA) survey to US FMR program directors to evaluate each FMR's curriculum, potential workforce production, perceived barriers to improving or implementing curricula and faculty training in addiction medicine. RESULTS: Of 461 FMR directors, 227 (49.2%) responded; 28.6% reported a required addiction medicine curricula. Regional variations of having a required curriculum ranged from 41.3% in the Northeast to 20.0% in the South (P=0.07). Of residencies, 31.2% had at least one graduate obtain a buprenorphine prescription waiver in the past year and 8.6% had at least one graduate pursue an addiction medicine fellowship in the past 5 years. Lack of faculty expertise was the most commonly cited barrier to having a curriculum, with only 36.2% of programs having at least one buprenorphine waivered faculty member, 9.4% an addiction medicine board certified faculty, and 5.5% a fellowship trained faculty. CONCLUSIONS: Few FMRs have addiction medicine curricula and most graduates do not seek additional training. Multifaceted efforts, including developing model national curricula, training existing faculty, and recruiting addiction trained faculty, may improve addiction medicine training in family medicine residencies to better address the growing SUD epidemic. C1 [Tong, Sebastian; Sabo, Roy; Aycock, Rebecca; Etz, Rebecca; Kuzel, Anton; Krist, Alex] Virginia Commonwealth Univ, Richmond, VA 23298 USA. [Prasad, Ramakrishna] Univ Pittsburgh, Pittsburgh, PA 15260 USA. RP Tong, S (reprint author), Virginia Commonwealth Univ, Dept Family Med & Populat Hlth, POB 980101, Richmond, VA 23298 USA. EM sebastian.tong@vcuhealth.org FU CERA steering committee FX The authors would like to thank the CERA steering committee and the staff of the Society of Teachers of Family Medicine for their support and guidance in the development and conduct of this survey. NR 25 TC 0 Z9 0 U1 1 U2 1 PU SOC TEACHERS FAMILY MEDICINE PI LEAWOOD PA 11400 TOMAHAWK CREEK PARKWAY, STE 540, LEAWOOD, KS 66207 USA SN 0742-3225 EI 1938-3800 J9 FAM MED JI Fam. Med. PD JUL-AUG PY 2017 VL 49 IS 7 BP 537 EP 543 PG 7 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA FD1BY UT WOS:000407273600006 PM 28724151 DA 2018-05-26 ER PT J AU Griffioen, C Willems, EG Kouwenhoven, SM Caljouw, MAA Achterberg, WP AF Griffioen, Charlotte Willems, Eva G. Kouwenhoven, Sanne M. Caljouw, Monique A. A. Achterberg, Wilco P. TI Physicians' Knowledge of and Attitudes Toward Use of Opioids in Long-Term Care Facilities SO PAIN PRACTICE LA English DT Article DE opioids; pain; long-term care facilities; barriers ID CANCER PAIN MANAGEMENT; NONCANCER PAIN; BEHAVIORAL DISTURBANCES; NURSING-HOMES; OLDER-PEOPLE; RESIDENTS; BARRIERS; ANALGESICS; DEMENTIA; BELIEFS AB BackgroundInsufficient pain management in vulnerable older persons living in long-term care facilities is common, and opiophobia might contribute to this. As opiophobia and its related factors have not been investigated in long-term care, this study evaluates the degree of knowledge of opioids among elderly-care physicians (ECPs) and ECP trainees, as well as their attitudes and other factors possibly influencing the clinical use of opioids in these facilities. MethodsA questionnaire was designed and distributed among ECPs and ECP trainees by email, regional symposia, and all three university training faculties for elderly-care medicine in the Netherlands. ResultsRespondents were 324 ECPs and 111 ECP trainees. Fear of addiction did not influence the prescription of opioids. Main barriers to the clinical use of opioids were patients' reluctance to take opioids (83.3%); unknown degree of pain (79.2%); and pain of unknown origin (51.4%). ECPs' average knowledge scores were sufficient: those who felt that their knowledge of opioids was poor scored lower than those who felt that their knowledge was good. ConclusionsFactors identified in this study may help provide better pain management for vulnerable older persons living in a long-term care facility. Also, more patient information on the pros and cons of opioid use is needed, as well as appropriate tools for better clinical assessment of pain in a long-term care population. C1 [Griffioen, Charlotte; Willems, Eva G.; Kouwenhoven, Sanne M.; Caljouw, Monique A. A.; Achterberg, Wilco P.] Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, POB 9600, NL-2300 RC Leiden, Netherlands. RP Griffioen, C (reprint author), Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, POB 9600, NL-2300 RC Leiden, Netherlands. EM C.Griffioen@lumc.nl NR 32 TC 0 Z9 0 U1 2 U2 2 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1530-7085 EI 1533-2500 J9 PAIN PRACT JI Pain Pract. PD JUN PY 2017 VL 17 IS 5 BP 625 EP 632 DI 10.1111/papr.12492 PG 8 WC Anesthesiology; Clinical Neurology SC Anesthesiology; Neurosciences & Neurology GA EW6NO UT WOS:000402627500006 PM 27739258 DA 2018-05-26 ER PT J AU McCance-Katz, EF George, P Scott, NA Dollase, R Tunkel, AR McDonald, J AF McCance-Katz, Elinore F. George, Paul Scott, Nicole Alexander Dollase, Richard Tunkel, Allan R. McDonald, James TI Access to treatment for opioid use disorders: Medical student preparation SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Article AB The current opioid epidemic requires new approaches to increasing access to treatment for patients with opioid use disorders and to improve availability of medication assisted treatment. We propose a model where medical students complete the necessary training to be eligible for the waiver to prescribe opioid medications to treat these disorders by the time of medical school graduation. This plan would increase the number of Drug Abuse Treatment Act of 2000 (DATA 2000) waivered physicians who could gain additional experience in treating substance use disorders during residency and provide the access to clinical care needed for individuals suffering with opioid use disorder. (Am J Addict 2017;26:316-318) C1 [McCance-Katz, Elinore F.; George, Paul; Scott, Nicole Alexander; Dollase, Richard; Tunkel, Allan R.] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA. [McCance-Katz, Elinore F.] Rhode Isl Dept Behav Healthcare Dev Disabil & Hos, Cranston, RI USA. [Scott, Nicole Alexander; McDonald, James] Rhode Isl Dept Hlth, Providence, RI 02908 USA. RP McCance-Katz, EF (reprint author), Eleanor Slater Hosp, 111 Howard Ave, Cranston, RI 02920 USA. EM emccancekatz@gmail.com NR 4 TC 2 Z9 2 U1 1 U2 2 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JUN PY 2017 VL 26 IS 4 BP 316 EP 318 DI 10.1111/ajad.12550 PG 3 WC Substance Abuse SC Substance Abuse GA EU6SA UT WOS:000401162900002 PM 28394437 DA 2018-05-26 ER PT J AU Crowley, R Kirschner, N Dunn, AS Bornstein, SS AF Crowley, Ryan Kirschner, Neil Dunn, Andrew S. Bornstein, Sue S. CA Hlth Public Policy Comm Amer Coll Phys TI Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper SO ANNALS OF INTERNAL MEDICINE LA English DT Review ID MEDICATION-ASSISTED TREATMENT; UNITED-STATES; MENTAL-HEALTH; INJECT DRUGS; MARIJUANA LEGALIZATION; MONITORING PROGRAMS; OPIOID ADDICTION; OVERDOSE DEATHS; FEDERAL PARITY; BRAIN DISEASE AB Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions. C1 [Crowley, Ryan; Kirschner, Neil] Amer Coll Physicians, 25 Massachusetts Ave NW,Suite 700, Washington, DC 20001 USA. [Dunn, Andrew S.] Mt Sinai Med Ctr, Box 1086,1470 Madison Ave, New York, NY 10029 USA. [Bornstein, Sue S.] 3111 Beverly Dr, Dallas, TX 75205 USA. RP Crowley, R (reprint author), Amer Coll Physicians, 25 Massachusetts Ave NW,Suite 700, Washington, DC 20001 USA. EM RCrowley@mail.acponline.org OI Lenchus, Joshua/0000-0003-1220-0803 FU ACP operating budget FX Financial support for the development of this guideline comes exclusively from the ACP operating budget. NR 135 TC 5 Z9 5 U1 3 U2 20 PU AMER COLL PHYSICIANS PI PHILADELPHIA PA INDEPENDENCE MALL WEST 6TH AND RACE ST, PHILADELPHIA, PA 19106-1572 USA SN 0003-4819 EI 1539-3704 J9 ANN INTERN MED JI Ann. Intern. Med. PD MAY 16 PY 2017 VL 166 IS 10 BP 733 EP + DI 10.7326/M16-2953 PG 21 WC Medicine, General & Internal SC General & Internal Medicine GA EU7UM UT WOS:000401240200017 PM 28346947 OA gold DA 2018-05-26 ER PT J AU Holt, SR Segar, N Cavallo, DA Tetrault, JM AF Holt, Stephen R. Segar, Nora Cavallo, Dana A. Tetrault, Jeanette M. TI The Addiction Recovery Clinic: A Novel, Primary-Care-Based Approach to Teaching Addiction Medicine SO ACADEMIC MEDICINE LA English DT Editorial Material ID EDUCATION; EPIDEMIC AB Problem Substance use is highly prevalent in the United States, but little time in the curriculum is devoted to training internal medicine residents in addiction medicine. Approach In 2014, the authors developed and launched the Addiction Recovery Clinic (ARC) to address this educational gap while also providing outpatient clinical services to patients with substance use disorders. The ARC is embedded within the residency primary care practice and is staffed by three to four internal medicine residents, two board-certified addiction medicine specialists, one chief resident, and one psychologist. Residents spend one half-day per week for four consecutive weeks at the ARC seeing new and returning patients. Services provided include pharmacological and behavioral treatments for opioid, alcohol, and other substance use disorders, with direct referral to local addiction treatment facilities as needed. Visit numbers, a patient satisfaction survey, and an end-of-rotation resident evaluation were used to assess the ARC. Outcomes From 2014 to 2015, 611 patient encounters occurred, representing 97 new patients. Sixty-one (63%) patients were seen for opioid use disorder. According to patient satisfaction surveys, 29 (of 31; 94%) patients reported that the ARC probably or definitely helped them to cope with their substance use. Twenty-eight residents completed the end-of-rotation evaluation; all rated the rotation highly. Next Steps The ARC offers a unique primary-care-based approach to exposing internal medicine residents to the knowledge and skills necessary to diagnose, treat, and prevent unhealthy substance use. Future research will examine other clinical and educational outcomes. C1 [Holt, Stephen R.; Tetrault, Jeanette M.] Yale Sch Med, Dept Internal Med, New Haven, CT USA. [Segar, Nora] Northwestern Univ, Feinberg Sch Med, Dept Hosp Med, Chicago, IL 60611 USA. [Cavallo, Dana A.] Yale Sch Med, Dept Psychiat, New Haven, CT USA. RP Holt, SR (reprint author), Yale Sch Med, 1450 Chapel St,Room P312, New Haven, CT 06521 USA. EM stephen.holt@yale.edu NR 9 TC 2 Z9 2 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD MAY PY 2017 VL 92 IS 5 BP 680 EP 683 DI 10.1097/ACM.0000000000001480 PG 4 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA EU6LI UT WOS:000401145100043 PM 28441678 OA gold DA 2018-05-26 ER PT J AU Tringale, R Reilly, JM AF Tringale, Rolando Reilly, Jo Marie TI Putting a face to opiate addiction for students at a needle exchange programme SO MEDICAL EDUCATION LA English DT News Item C1 [Tringale, Rolando] Homeless Healthcare Los Angeles, Ctr Harm Reduct, 512 East Fourth St, Los Angeles, CA 90013 USA. RP Tringale, R (reprint author), Homeless Healthcare Los Angeles, Ctr Harm Reduct, 512 East Fourth St, Los Angeles, CA 90013 USA. EM rolandotringalemd@gmail.com NR 0 TC 0 Z9 0 U1 1 U2 2 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0308-0110 EI 1365-2923 J9 MED EDUC JI Med. Educ. PD MAY PY 2017 VL 51 IS 5 BP 538 EP 539 DI 10.1111/medu.13318 PG 2 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA ER5KL UT WOS:000398840500018 PM 28394056 DA 2018-05-26 ER PT J AU Kuladee, S Boonvisudhi, T AF Kuladee, S. Boonvisudhi, T. TI Association between Internet addiction and depression in medical students, faculty of medicine in Thailand SO EUROPEAN PSYCHIATRY LA English DT Meeting Abstract C1 [Kuladee, S.; Boonvisudhi, T.] Ramathibodi Hosp, Psychiat, Fac Med, Bangkok, Thailand. NR 0 TC 0 Z9 0 U1 2 U2 2 PU ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER PI PARIS PA 23 RUE LINOIS, 75724 PARIS, FRANCE SN 0924-9338 EI 1778-3585 J9 EUR PSYCHIAT JI Eur. Psychiat. PD APR PY 2017 VL 41 SU S MA EW0597 BP S310 EP S310 DI 10.1016/j.eurpsy.2017.02.211 PG 1 WC Psychiatry SC Psychiatry GA EZ8CQ UT WOS:000404952400026 DA 2018-05-26 ER PT J AU Wakefield, JC AF Wakefield, Jerome C. TI Addiction and the Concept of Disorder, Part 1: Why Addiction is a Medical Disorder SO NEUROETHICS LA English DT Article DE Addiction; Substance use disorder; Diagnosis; Biological function; Harmful dysfunction; Philosophy of psychiatry ID THEORY-NEUTRAL NOSOLOGY; BRAIN DISEASE-MODEL; MENTAL-DISORDER; HARMFUL DYSFUNCTION; FALSE POSITIVES; DRUG-ADDICTION; CRITERIA; SCIENCE; EVOLUTIONARY; DIAGNOSIS AB In this two-part analysis, I analyze Marc Lewis's arguments against the brain-disease view of substance addiction and for a developmental-learning approach that demedicalizes addiction. I focus especially on the question of whether addiction is a medical disorder. Addiction is currently classified as a medical disorder in DSM-5 and ICD-10. It is further labeled a brain disease by NIDA, based on observed brain changes in addicts that are interpreted as brain damage. Lewis argues that the changes result instead from normal neuroplasticity and learning in response to the intense rewards provided by addictive substances, thus that addiction is not a brain disease and by implication not a medical disorder at all. I argue that even if one accepts Lewis's reinterpretation of the brain evidence, his conclusions do not follow. Relying on my harmful-dysfunction analysis of medical disorder, I defend the view that substance addiction is in fact a medical disorder and a brain disorder. In Part 1, I identify five arguments Lewis puts forward against the brain-disease view and evaluate them as arguments that addiction is not a disorder: (1) Addiction is not a chronic, relapsing condition; (2) There is no clear boundary between addiction and other strong desires; (3) Negative consequences are not unique to disorders; (4) The brain disease model does not account for behavioral addictions; and, (5) Addiction is like love. I argue that Lewis's arguments are invalid because they fail to take account of the context of addiction and its relation to biological design. C1 [Wakefield, Jerome C.] NYU, Silver Sch Social Work, Washington Sq N, New York, NY 10003 USA. [Wakefield, Jerome C.] NYU, Sch Med, Dept Psychiat, Washington Sq N, New York, NY 10003 USA. RP Wakefield, JC (reprint author), NYU, Silver Sch Social Work, Washington Sq N, New York, NY 10003 USA.; Wakefield, JC (reprint author), NYU, Sch Med, Dept Psychiat, Washington Sq N, New York, NY 10003 USA. EM jw111@nyu.edu NR 80 TC 2 Z9 2 U1 8 U2 9 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1874-5490 EI 1874-5504 J9 NEUROETHICS-NETH JI Neuroethics PD APR PY 2017 VL 10 IS 1 BP 39 EP 53 DI 10.1007/s12152-016-9300-9 PG 15 WC Ethics; Medical Ethics; Social Sciences, Biomedical SC Social Sciences - Other Topics; Medical Ethics; Biomedical Social Sciences GA EX1KT UT WOS:000402982200007 DA 2018-05-26 ER PT J AU Kidd, J Smith, J Tuck, A Zuehlke, C Williams, A Lewis-Fernandez, R Bisaga, A Nunes, E Levin, F AF Kidd, Jeremy Smith, Jennifer Tuck, Andrew Zuehlke, Caitline Williams, Arthur Lewis-Fernandez, Roberto Bisaga, Adam Nunes, Edward Levin, Frances TI Attitudes of First-Year Medical Students toward Patients with Substance Use Disorders SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Kidd, Jeremy; Smith, Jennifer; Williams, Arthur; Lewis-Fernandez, Roberto; Bisaga, Adam; Nunes, Edward; Levin, Frances] Columbia Univ, NYSPI, New York, NY 10027 USA. [Tuck, Andrew] Columbia Univ Coll Phys & Surg, 630 W 168th St, New York, NY 10032 USA. [Zuehlke, Caitline] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10027 USA. FU Substance Abuse and Mental Health Services Administration (SAMHSA) [1H79TI025937-01] FX This project is funded through a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) (1H79TI025937-01, PI Levin) NR 0 TC 0 Z9 0 U1 0 U2 3 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD APR PY 2017 VL 26 IS 3 MA B.6 BP 272 EP 273 PG 2 WC Substance Abuse SC Substance Abuse GA ET8TM UT WOS:000400574200074 DA 2018-05-26 ER PT J AU Feeley, R Moore, D Wilkins, K Fuehrlein, B AF Feeley, Robert Moore, David Wilkins, Kirsten Fuehrlein, Brian TI A Novel Addiction Curriculum and its Impact on Medical Student Knowledge, Attitudes, and Confidence for the Treatment of Substance Use SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Feeley, Robert; Moore, David; Wilkins, Kirsten] Yale, New Haven, CT USA. [Fuehrlein, Brian] Vet Affairs, New Haven, CT USA. [Fuehrlein, Brian] Yale Univ, New Haven, CT 06520 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD APR PY 2017 VL 26 IS 3 MA B.15 BP 279 EP 280 PG 2 WC Substance Abuse SC Substance Abuse GA ET8TM UT WOS:000400574200083 DA 2018-05-26 ER PT J AU LaPaglia, D Muvvala, S AF LaPaglia, Donna Muvvala, Srinivas TI Development, Implementation and Evaluation of a Leadership Training Course in an Addiction Psychiatry Fellowship Program SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [LaPaglia, Donna; Muvvala, Srinivas] Yale Univ, New Haven, CT 06520 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD APR PY 2017 VL 26 IS 3 MA B.17 BP 280 EP 281 PG 2 WC Substance Abuse SC Substance Abuse GA ET8TM UT WOS:000400574200085 DA 2018-05-26 ER PT J AU Maragh-Bass, AC Fields, JC McWilliams, J Knowlton, AR AF Maragh-Bass, Allysha C. Fields, Julie C. McWilliams, Junette Knowlton, Amy R. TI Challenges and Opportunities to Engaging Emergency Medical Service Providers in Substance Use Research: A Qualitative Study SO PREHOSPITAL AND DISASTER MEDICINE LA English DT Article DE Emergency Medical Services; health care utilization; minority health; socio-economic status; substance use; urban health ID UNITED-STATES; BRIEF INTERVENTIONS; DEPARTMENT VISITS; AMBULANCE USE; ED USERS; CARE; IMPLEMENTATION; URBAN; BARRIERS; PERCEPTIONS AB Introduction Research suggests Emergency Medical Services (EMS) over-use in urban cities is partly due to substance users with limited access to medical/social services. Recent efforts to deliver brief, motivational messages to encourage these individuals to enter treatment have not considered EMS providers. Problem Little research has been done with EMS providers who serve substance-using patients. The EMS providers were interviewed about participating in a pilot program where they would be trained to screen their patients for substance abuse and encourage them to enter drug treatment. Methods Qualitative interviews were conducted with Baltimore City Fire Department (BCFD; Baltimore, Maryland USA) EMS providers (N=22). Topics included EMS misuse, work demands, and views on participating in the pilot program. Interviews were transcribed and analyzed using grounded theory and constant-comparison. Results Participants were mostly white (68.1%); male (68.2%); with Advanced Life Skills training (90.9%). Mean age was 37.5 years. Providers described the frequent flyer problem (eg, EMS over-use by a few repeat non-emergent cases). Providers expressed disappointment with local health delivery due to resource limitations and being excluded from decision making within their administration, leading to reduced team morale and burnout. Nonetheless, providers acknowledged they are well-positioned to intervene with substance-using patients because they are in direct contact and have built rapport with them. They noted patients might be most receptive to motivational messages immediately after overdose revival, which several called hitting their bottom. Several stated that involvement with the proposed study would be facilitated by direct incorporation into EMS providers' current workflow. Many recommended that research team members accompany EMS providers while on-call to observe their day-to-day work. Barriers identified by the providers included time constraints to intervene, limited knowledge of substance abuse treatment modalities, and fearing negative repercussions from supervisors and/or patients. Despite reservations, several EMS providers expressed inclination to deliver brief motivational messages to encourage substance-using patients to consider treatment, given adequate training and skill-building. Conclusions Emergency Medical Service providers may have many demands, including difficult case time/resource limitations. Even so, participants recognized their unique position as first responders to deliver motivational, harm-reduction messages to substance-using patients during transport. With incentivized training, implementing this program could be life- and cost-saving, improving emergency and behavioral health services. Findings will inform future efforts to connect substance users with drug treatment, potentially reducing EMS over-use in Baltimore. C1 [Maragh-Bass, Allysha C.] Brigham & Womens Hosp, Ctr Surg & Publ Hlth, Harvard Sch Med & Publ Hlth, Boston, MA USA. [Fields, Julie C.; McWilliams, Junette; Knowlton, Amy R.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA. RP Maragh-Bass, AC (reprint author), Johns Hopkins Bloomberg Sch Publ Hlth, Lighthouse Studies Peer Point, Dept Hlth Behav Soc, 2213 McElderry St,2nd Floor, Baltimore, MD 21205 USA. EM arobin52@jhu.edu FU National Institutes of Health (Bethesda, Maryland USA) [R01 DA019413, R34 DA034314]; Johns Hopkins Center for AIDS Research (Baltimore, Maryland USA) [1P30AI094189] FX This study was supported by grants from the National Institutes of Health (Bethesda, Maryland USA; R01 DA019413 and R34 DA034314). This research also was supported by the Johns Hopkins Center for AIDS Research (Baltimore, Maryland USA; 1P30AI094189). The authors declare no conflicts of interest. NR 61 TC 1 Z9 1 U1 1 U2 4 PU CAMBRIDGE UNIV PRESS PI NEW YORK PA 32 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-2473 USA SN 1049-023X EI 1945-1938 J9 PREHOSP DISASTER MED JI Prehospital Disaster Med. PD APR PY 2017 VL 32 IS 2 BP 148 EP 155 DI 10.1017/S1049023X16001424 PG 8 WC Emergency Medicine SC Emergency Medicine GA EQ6YB UT WOS:000398228600005 PM 28122657 DA 2018-05-26 ER PT J AU Boonvisudhi, T Kuladee, S AF Boonvisudhi, Thummaporn Kuladee, Sanchai TI Association between Internet addiction and depression in Thai medical students at Faculty of Medicine, Ramathibodi Hospital SO PLOS ONE LA English DT Article ID PSYCHIATRIC COMORBIDITY; ADOLESCENTS; SYMPTOMS; VALIDITY; DISORDER; SCHOOL; PHQ-9 AB Objective To study the extent of Internet addiction (IA) and its association with depression in Thai medical students. Methods A cross-sectional study was conducted at Faculty of Medicine, Ramathibodi Hospital. Participants were first- to fifth-year medical students who agreed to participate in this study. Demographic characteristics and stress-related factors were derived from self-rated questionnaires. Depression was assessed using the Thai version of Patient Health Questionnaire (PHQ-9). A total score of five or greater derived from the Thai version of Young Diagnostic Questionnaire for Internet Addiction was classified as "possible IA". Then chi-square test and logistic regression were used to evaluate the associations between possible IA, depression and associated factors. Results From 705 participants, 24.4% had possible IA and 28.8% had depression. There was statistically significant association between possible IA and depression (odds ratio (OR) 1.92, 95% confidence interval (CI): 1.34-2.77, P-value <0.001). Logistic regression analysis illustrated that the odds of depression in possible IA group was 1.58 times of the group of normal Internet use (95% CI: 1.04-2.38, P-value = 0.031). Academic problems were found to be a significant predictor of both possible IA and depression. Conclusion IA was likely to be a common psychiatric problem among Thai medical students. The research has also shown that possible IA was associated with depression and academic problems. We suggest that surveillance of IA should be considered in medical schools. C1 [Boonvisudhi, Thummaporn; Kuladee, Sanchai] Mahidol Univ, Ramathibodi Hosp, Dept Psychiat, Fac Med, Bangkok, Thailand. RP Kuladee, S (reprint author), Mahidol Univ, Ramathibodi Hosp, Dept Psychiat, Fac Med, Bangkok, Thailand. EM sanchai.kul@mahidol.edu NR 26 TC 3 Z9 3 U1 5 U2 8 PU PUBLIC LIBRARY SCIENCE PI SAN FRANCISCO PA 1160 BATTERY STREET, STE 100, SAN FRANCISCO, CA 94111 USA SN 1932-6203 J9 PLOS ONE JI PLoS One PD MAR 20 PY 2017 VL 12 IS 3 AR e0174209 DI 10.1371/journal.pone.0174209 PG 10 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA ER6VC UT WOS:000398945800058 PM 28319167 OA gold DA 2018-05-26 ER PT J AU Rosenstock, J AF Rosenstock, Jason TI Comment on "A Qualitative Analysis of Medical students? Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula" SO ACADEMIC PSYCHIATRY LA English DT Letter C1 [Rosenstock, Jason] Univ Pittsburgh, Pittsburgh, PA 15260 USA. RP Rosenstock, J (reprint author), Univ Pittsburgh, Pittsburgh, PA 15260 USA. EM rosenstockjb@upmc.edu NR 4 TC 0 Z9 0 U1 0 U2 3 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD FEB PY 2017 VL 41 IS 1 BP 145 EP 145 DI 10.1007/s40596-016-0597-9 PG 1 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA EI2KW UT WOS:000392317100030 PM 27757928 OA gold DA 2018-05-26 ER PT J AU Klimas, J McNeil, R Ahamad, K Mead, A Rieb, L Cullen, W Wood, E Small, W AF Klimas, J. McNeil, R. Ahamad, K. Mead, A. Rieb, L. Cullen, W. Wood, E. Small, W. TI Two birds with one stone: experiences of combining clinical and research training in addiction medicine SO BMC MEDICAL EDUCATION LA English DT Article DE Clinician-scientist; Substance-related disorders; Medical education; Qualitative research ID INJECTION-DRUG USERS; ANTIRETROVIRAL THERAPY; QUALITATIVE RESEARCH; SUBSTANCE-ABUSE; PRIMARY-CARE; EDUCATION; SCIENTIST; PROGRAM; BARRIERS; PHYSICIANS AB Background: Despite a large evidence-base upon which to base clinical practice, most health systems have not combined the training of healthcare providers in addiction medicine and research. As such, addiction care is often lacking, or not based on evidence or best practices. We undertook a qualitative study to assess the experiences of physicians who completed a clinician-scientist training programme in addiction medicine within a hospital setting. Methods: We interviewed physicians from the St. Paul's Hospital Goldcorp Addiction Medicine Fellowship and learners from the hospital's academic Addiction Medicine Consult Team in Vancouver, Canada (N = 26). They included psychiatrists, internal medicine and family medicine physicians, faculty, mentors, medical students and residents. All received both addiction medicine and research training. Drawing on Kirkpatrick's model of evaluating training programmes, we analysed the interviews thematically using qualitative data analysis software (Nvivo 10). Results: We identified five themes relating to learning experience that were influential: (i) attitude, (ii) knowledge, (iii) skill, (iv) behaviour and (v) patient outcome. The presence of a supportive learning environment, flexibility in time lines, highly structured rotations, and clear guidance regarding development of research products facilitated clinician-scientist training. Competing priorities, including clinical and family responsibilities, hindered training. \ Conclusions: Combined training in addiction medicine and research is feasible and acceptable for current doctors and physicians in training. However, there are important barriers to overcome and improved understanding of the experience of addiction physicians in the clinician-scientist track is required to improve curricula and research productivity. C1 [Klimas, J.; McNeil, R.; Ahamad, K.; Mead, A.; Rieb, L.; Wood, E.; Small, W.] St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Klimas, J.; McNeil, R.; Wood, E.] Univ British Columbia, St Pauls Hosp, Dept Med, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Klimas, J.; Cullen, W.] Univ Coll Dublin, Sch Med, Dublin 4, Ireland. [Ahamad, K.; Mead, A.; Rieb, L.] Univ British Columbia, St Pauls Hosp, Dept Family Practice, Vancouver, BC, Canada. [Ahamad, K.; Mead, A.; Rieb, L.] Dept Family & Community Med, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. [Small, W.] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada. [Small, W.] Univ British Columbia, St Pauls Hosp, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. RP Small, W (reprint author), St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada.; Small, W (reprint author), Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada.; Small, W (reprint author), Univ British Columbia, St Pauls Hosp, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM wsmall@sfu.ca FU Canadian Institutes of Health Research [MOP-81171]; US National Institutes of Health [R01DA033147, R25DA037756]; Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine; Irish Research Council International Career Development Fellowship; Marie Cure Actions [ELEVATEPD/2014/6]; European commission [701698]; Michael Smith Foundation for Health Research (MSFHR) FX Funding The Canadian Institutes of Health Research (MOP-81171) and the US National Institutes of Health (R01DA033147) supported the study. This research was also undertaken, in part, by funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine, and by the US National Institutes of Health (R25DA037756) that supports Dr. Evan Wood. The ELEVATE grant: Irish Research Council International Career Development Fellowship - co-funded by Marie Cure Actions (ELEVATEPD/2014/6); and European commission grant (701698) supports Dr. Jan Klimas. Will Small and Ryan McNeil is supported by the Michael Smith Foundation for Health Research (MSFHR). NR 53 TC 1 Z9 1 U1 1 U2 9 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD JAN 23 PY 2017 VL 17 AR 22 DI 10.1186/s12909-017-0862-y PG 8 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA EI4GO UT WOS:000392451300002 PM 28114925 OA gold DA 2018-05-26 ER PT J AU Crowley, D Collins, C Delargy, I Laird, E Van Hout, MC AF Crowley, Des Collins, Claire Delargy, Ide Laird, Eamon Van Hout, Marie Claire TI Irish general practitioner attitudes toward decriminalisation and medical use of cannabis: results from a national survey SO HARM REDUCTION JOURNAL LA English DT Article DE Cannabis; Decriminalisation; Legalisation; Medical use; Cannabis for therapeutic purposes (CTP); General practitioner ID PUBLIC-HEALTH; NEUROPATHIC PAIN; CONTROLLED-TRIAL; MARIJUANA; LEGALIZATION; PHYSICIANS; ONCOLOGISTS AB Background: Governmental debate in Ireland on the de facto decriminalisation of cannabis and legalisation for medical use is ongoing. A cannabis-based medicinal product (Sativex (R)) has recently been granted market authorisation in Ireland. This unique study aimed to investigate Irish general practitioner (GP) attitudes toward decriminalisation of cannabis and assess levels of support for use of cannabis for therapeutic purposes (CTP). Methods: General practitioners in the Irish College of General Practitioner (ICGP) database were invited to complete an online survey. Anonymous data yielded descriptive statistics (frequencies, percentages) to summarise participant demographic information and agreement with attitudinal statements. Chi-square tests and multi-nominal logistic regression were included. Results: The response rate was 15% (n = 565) which is similar to other Irish national GP attitudinal surveys. Over half of Irish GPs did not support the decriminalisation of cannabis (56.8%). In terms of gender, a significantly higher proportion of males compared with females (40.6 vs. 15%; p < 0.0001) agreed or strongly agreed with this drug policy approach. A higher percentage of GPs with advanced addiction specialist training (level 2) agreed/strongly agreed that cannabis should be decriminalised (54.1 vs. 31.5%; p = 0.021). Over 80% of both genders supported the view that cannabis use has a significant effect on patients' mental health and increases the risk of schizophrenia (77.3%). Over half of Irish GPs supported the legalisation of cannabis for medical use (58.6%). A higher percentage of those who were level 1-trained (trained in addiction treatment but not to an advanced level) agreed/strongly agreed cannabis should be legalised for medical use (p = 0.003). Over 60% agreed that cannabis can have a role in palliative care, pain management and treatment of multiple sclerosis (MS). In the regression response predicator analysis, females were 66.2% less likely to agree that cannabis should be decriminalised, 42.5% less likely to agree that cannabis should be legalised for medical use and 59.8 and 37.6% less likely to agree that cannabis has a role in palliative care and in the treatment of multiple sclerosis (respectively) than males. Conclusions: The majority of Irish GPs do not support the present Irish governmental drug policy of decriminalisation of cannabis but do support the legalisation of cannabis for therapeutic purposes. Male GPs and those with higher levels of addiction training are more likely to support a more liberal drug policy approach to cannabis for personal use. A clear majority of GPs expressed significant concerns regarding both the mental and physical health risks of cannabis use. Ongoing research into the health and other effects of drug policy changes on cannabis use is required. C1 [Van Hout, Marie Claire] Waterford Inst Technol, Sch Hlth Sci, Waterford, Ireland. [Crowley, Des; Collins, Claire; Delargy, Ide; Van Hout, Marie Claire] Irish Coll Gen Practitioners, Dublin, Ireland. [Laird, Eamon] Trinity Coll Dublin, Sch Biochem & Immunol, Dublin, Ireland. RP Van Hout, MC (reprint author), Waterford Inst Technol, Sch Hlth Sci, Waterford, Ireland.; Van Hout, MC (reprint author), Irish Coll Gen Practitioners, Dublin, Ireland. EM mcvanhout@wit.ie OI Laird, Eamon/0000-0003-4225-5223 NR 46 TC 1 Z9 1 U1 7 U2 10 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1477-7517 J9 HARM REDUCT J JI Harm Reduct. J. PD JAN 13 PY 2017 VL 14 AR 4 DI 10.1186/s12954-016-0129-7 PG 8 WC Substance Abuse SC Substance Abuse GA EK6TL UT WOS:000394056900002 PM 28086792 OA gold DA 2018-05-26 ER PT J AU Sheikhie, H Jahrimi, MZ Kouhi, B Mastalizade, H AF Sheikhie, Hamidreza Jahrimi, Mojtaba Zeini Kouhi, Batool Mastalizade, Hadis TI A STUDY OF DRUG ABUSE IN MEDICAL STUDENTS: A CROSS-SECTIONAL STUDY SO QUID-INVESTIGACION CIENCIA Y TECNOLOGIA LA English DT Article DE Drug Abuse; Addiction; Medical Sciences; Kerman AB Objective: This study examines drug tendencies of medical science students. Study Design: Cross-sectional study. Place and Duration of study: 3 months in Kerman University of medical science Materials and methods: This descriptive study was conducted on 413 (from 645) students, ages of 18-19 years old, of the colleges affiliated with Kerman University of Medical Sciences for 60 days from November 3, 2014, to January. 2, 2015. Data analysis was done by SPSS software version 21. Results: Medical students had gained highest average score (12.26 +/- 2.68) and management students had gained the lowest average score (10.40 +/- 2.31) in the environmental dimension tendency toward drug addiction. The highest average of the total drug tendency was for laboratory non-continuous students (and the lowest average of the total tendency was for midwifery students (34.23 +/- 5.80). May it could be because of their female gender. There is also a significant difference between the total score and the different dimensions of drug tendency in terms of field of study. Conclusion: The main cause of drug orientation among students is social dimension especially friends. The emphasis of families and Higher education officials is on choosing a good friend. Student justification provided by the Department of Cultural and Student Affairs Can be helpful. C1 [Sheikhie, Hamidreza; Mastalizade, Hadis] Zabol Univ Med Sci, Fac Nursing, Nursing, Zabol, Iran. [Sheikhie, Hamidreza; Mastalizade, Hadis] Zabol Univ Med Sci, Midwifery Sch, Zabol, Iran. [Jahrimi, Mojtaba Zeini] Jahrom Univ Med Sci, Fac Nursing & Midwifery Jahrom, Nursing, Jahrom, Iran. [Kouhi, Batool] Zabol Univ Med Sci, Fac Nursing, Clin Psychol, Zabol, Iran. [Kouhi, Batool] Zabol Univ Med Sci, Midwifery Sch, Zabol, Iran. RP Mastalizade, H (reprint author), Zabol Univ Med Sci, Fac Nursing, Nursing, Zabol, Iran.; Mastalizade, H (reprint author), Zabol Univ Med Sci, Midwifery Sch, Zabol, Iran. EM hadismast@gmail.com NR 12 TC 0 Z9 0 U1 0 U2 0 PU INST UNIV SALAZAR & HERRERA PI MEDELLIN PA CRA 70 NO 52-49, MEDELLIN, ANTIOQUIA 00000, COLOMBIA SN 1692-343X EI 2462-9006 J9 QUID-INVESTIG CIENC JI QUID-Investig. Cienc. Tecnol. PY 2017 IS 1 SI SI BP 2835 EP 2839 PG 5 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA GC6UL UT WOS:000429928000010 DA 2018-05-26 ER PT J AU Assaf, G Noureddine, S Kouyoumdjian, SP El Khoury, J AF Assaf, Georges Noureddine, Samar Kouyoumdjian, Silva P. El Khoury, Jamil TI Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional survey SO EASTERN MEDITERRANEAN HEALTH JOURNAL LA English DT Article ID ALCOHOL-CONSUMPTION; HAZARDOUS DRINKING; USE DISORDERS; UNIVERSITY; DRUG; ABUSE; PHYSICIANS; SCHOOLS; COPE AB The study aims were to explore the knowledge, attitudes and behaviours of Lebanese medical students related to substance use and to determine prevalence and psychosocial predictors. A cross-sectional survey of 231 medical students (48.6% male; 53.1% preclinical, 46.9% clinical) was conducted during June 2012-July 2013. The questionnaire addressed knowledge and attitudes about substance use, religiosity, depression, anxiety and demographic characteristics. The knowledge score was 52.7% (standard deviation 14.4%), and was significantly lower in 2nd year students (48.53%) than in 3rd and 4th year students (57.5% and 57.4%) (P < 0.05). Students reported more training in drug abuse than alcohol abuse (38.2% vs. 34.4%). One-fourth reported smoking, 57.7% using alcohol and 46.8% using drugs. Significant predictors of lower substance use included intrinsic religiosity and interest in working in the field. The findings reveal inadequate knowledge and considerable substance use in Lebanese medical students. Therefore, training in substance use and counseling of students are necessary. C1 [Assaf, Georges] Amer Univ Beirut, Fac Med, Dept Family Med, Beirut, Lebanon. [Noureddine, Samar] Amer Univ Beirut, Hariri Sch Nursing, Beirut, Lebanon. [Kouyoumdjian, Silva P.] Weill Cornell Med Coll, Infect Dis Epidemiol Grp, Ar Rayyan, Qatar. [El Khoury, Jamil] Int Rescue Comm, Beirut, Lebanon. RP Noureddine, S (reprint author), Amer Univ Beirut, Hariri Sch Nursing, Beirut, Lebanon. EM sn00@aub.edu.lb NR 30 TC 0 Z9 0 U1 0 U2 0 PU WHO EASTERN MEDITERRANEAN REGIONAL OFFICE PI NASR CITY, CAIRO PA P. O. BOX 7608, NASR CITY, CAIRO, EGYPT SN 1020-3397 EI 1687-1634 J9 E MEDITERR HEALTH J JI East Mediterr. Health J. PY 2017 VL 23 IS 11 BP 734 EP 743 DI 10.26719/2017.23.11.734 PG 10 WC Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA FT7FP UT WOS:000423318600004 OA gold DA 2018-05-26 ER PT J AU Duica, L AF Duica, Lavinia TI The use of the internet - professional development or internet addiction in medical students SO JOURNAL OF EDUCATIONAL SCIENCES & PSYCHOLOGY LA English DT Article DE internet addiction; medical students; professional development ID EDUCATION; FUTURE AB The aim of the study is to analyse the use of the internet on a sample of 1276 medical students from all the university centers around the country. By applying a questionnaire that follows the professional development and a questionnaire that measures the internet addiction the following results were achieved: 8,5% from the students developed internet addiction, most of them from Iasi; also, the ones that developed internet addiction did not use the internet as a form of professional development, in contrast with the ones that use the internet as an information source, having better academic performances. C1 [Duica, Lavinia] Lucian Blaga Univ, B Dul Victoriei 40, Sibiu 550024, Romania. RP Duica, L (reprint author), Lucian Blaga Univ, B Dul Victoriei 40, Sibiu 550024, Romania. EM laviniaduica@yahoo.com NR 10 TC 0 Z9 0 U1 0 U2 0 PU PETROLEUM-GAS UNIV PLOIESTI PI PLOIESTI PA BD BUCURESTI 39, PLOIESTI, 100680, ROMANIA SN 2247-6377 EI 2247-8558 J9 J EDUC SCI PSYCHOL JI J. Educ. Sci. Psychol. PY 2017 VL 7 IS 2 BP 59 EP 64 PG 6 WC Education & Educational Research SC Education & Educational Research GA FS3DB UT WOS:000419658400007 OA gold DA 2018-05-26 ER PT J AU Merlo, LJ Curran, JS Watson, R AF Merlo, Lisa J. Curran, John S. Watson, Robert TI Gender differences in substance use and psychiatric distress among medical students: A comprehensive statewide evaluation SO SUBSTANCE ABUSE LA English DT Article DE Gender differences; medical education; medical student wellness; physician impairment; substance use disorders ID PSYCHOLOGICAL DISTRESS; USE DISORDERS; AMERICAN-SURGEONS; SUICIDAL-IDEATION; MENTAL-HEALTH; PHYSICIANS; DEPRESSION; ALCOHOL; BURNOUT; POPULATION AB Background: Medical student wellness has emerged as an important issue in medical education. The purpose of the present study was to obtain a comprehensive assessment of substance use, psychological distress, and help-seeking among male and female medical students in order to identify targets for continued intervention efforts. Methods: Medical students from all 9 medical schools in the state of Florida were invited via e-mail and/or announcements to complete an anonymous online questionnaire assessing their well-being. Of 5053 matriculating medical students, 1137 (57.1% female) responded to the questionnaire. Descriptive statistics, t tests, and chi-square analyses were computed using SPSS 20. Results: Over 70% of students acknowledged binge drinking, with men reporting higher frequency than women ((2) = 13.90, P = .003), and 22.7% (n = 201) reported marijuana use during medical school, with higher rates ((2) = 9.50, P = .02) among men (27.0%, n = 99) than women (18.9%, n = 93). A significant minority of students reported nonmedical use of prescription stimulants and prescription opioids. In addition, 3.3% of male students (n = 12) compared with 0.6% of female students (n = 3) reported problematic drug use. Further, almost 2/3 of respondents reported decreased psychological health since beginning medical school, with women noting greater reductions ((2) = 12.39, P = .05) and higher levels of stress ((2) = 16.30, P = .003). Over 10% of students (n = 102) endorsed thoughts of committing suicide during medical school, and 70.1% felt they would benefit from mental healthcare (79.3% of women vs. 59.6% of men; (2) = 41.94, P < .001), although only 39.8% accessed help. Conclusions: Despite efforts to address medical student wellness, students continue to report concerning levels of psychological distress, suicidal ideation, and substance use. More work is needed to effectively address medical student mental health and well-being. C1 [Merlo, Lisa J.] Univ Florida, Dept Psychiat, Coll Med, POB 100183, Gainesville, FL 32610 USA. [Curran, John S.] Univ S Florida, Morsani Coll Med, Tampa, FL USA. [Watson, Robert] Florida State Univ, Coll Med, Dept Clin Sci, Tallahassee, FL 32306 USA. [Watson, Robert] Univ Florida, Coll Med, Gainesville, FL USA. RP Merlo, LJ (reprint author), Univ Florida, Dept Psychiat, Coll Med, POB 100183, Gainesville, FL 32610 USA. EM lmerlo@ufl.edu FU Professionals Resource Network, Inc. (PRN), an integral arm of the Florida Medical Association; University of Florida FX Funding was provided by the Professionals Resource Network, Inc. (PRN), an integral arm of the Florida Medical Association. Leadership of PRN provided input on the development of the survey and encouraged medical schools to participate in the study, but the final study design and all data collection and analysis were conducted by the research team. Publication of this article was funded in part by the University of Florida Open Access Publishing Fund. NR 37 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2017 VL 38 IS 4 BP 401 EP 406 DI 10.1080/08897077.2017.1355871 PG 6 WC Substance Abuse SC Substance Abuse GA FN1HM UT WOS:000415738200007 PM 28832279 OA gold DA 2018-05-26 ER PT J AU Lindsay, DL Hagle, H Lincoln, P Williams, J Luongo, PF AF Lindsay, Dawn L. Hagle, Holly Lincoln, Piper Williams, Jessica Luongo, Peter F. TI Exploring medical students' conceptions of substance use: A follow-up evaluation SO SUBSTANCE ABUSE LA English DT Article DE Alcohol-related disorders; longitudinal studies; medical education; substance-related disorders ID ADDICTION MEDICINE; EDUCATION; ATTITUDES AB Background: Despite the devastating impact of alcohol and other drug involvement and misuse within society, medical students still receive very limited exposure to these issues. The Scaife Advanced Medical Student Fellowship in Alcohol and Other Drug Dependency, offered by the Institute for Research, Education and Training in Addictions for over 10years, offers a unique, 3-week intensive educational experience, including didactic, observation, and experiential learning in these topics to first-year medical students. The goal of this project was to evaluate the impact of the Scaife Fellowship on medical students' attitudes toward patients with alcohol and other drug involvement 1 to 5years after completion of the experience. Methods: Past Scaife students and individuals who applied but did not attend were located and recruited to participate in an online attitude survey. Results: Results indicated that Scaife Fellowship students largely retain their sense of role security around working with patients with alcohol and other drug involvement at the follow-up time point. Although therapeutic commitment or the motivation to work with these patients decreased for drug use, the decrease was smaller than that typically noted in the literature. The group of comparison students showed lower scores on both subscales at the evaluation time point compared with Scaife students. Conclusions: A three-week experiential program significantly improved medical students' Role Security and Therapeutic Commitment toward working with patients with substance use disorders. Moreover, the positive effects gained from the program were sustained over time. C1 [Lindsay, Dawn L.; Hagle, Holly; Lincoln, Piper; Williams, Jessica; Luongo, Peter F.] Inst Res Educ & Training Addict, 611 William Penn Pl,Suite 403, Pittsburgh, PA 15219 USA. RP Lindsay, DL (reprint author), Inst Res Educ & Training Addict, 611 William Penn Pl,Suite 403, Pittsburgh, PA 15219 USA. EM dawn@ireta.org FU Scaife Family Foundation FX This research was funded by the Scaife Family Foundation. The Scaife Family Foundation sponsored this project and approved of the decision to submit the manuscript for publication. The Scaife Family Foundation did not participate in collection, analysis, or interpretation of the data or in the preparation of the manuscript. NR 10 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2017 VL 38 IS 4 BP 464 EP 467 DI 10.1080/08897077.2017.1342735 PG 4 WC Substance Abuse SC Substance Abuse GA FN1HM UT WOS:000415738200015 PM 28622136 DA 2018-05-26 ER PT J AU Ayu, AP el-Guebaly, N Schellekens, A De Jong, C Welle-Strand, G Small, W Wood, E Cullen, W Klimas, J AF Ayu, Astri Parawita el-Guebaly, Nady Schellekens, Arnt De Jong, Cor Welle-Strand, Gabrielle Small, William Wood, Evan Cullen, Walter Klimas, Jan TI Core addiction medicine competencies for doctors: An international consultation on training SO SUBSTANCE ABUSE LA English DT Article DE Expert consultation; medical education; substance-related disorders ID EDUCATION; DISORDERS AB Background: Despite the high prevalence of substance use disorders, associated comorbidities, and the evidence base upon which to base clinical practice, most health systems have not invested in standardized training of health care providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, this study was undertaken to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. Methods: A total of 13 members of the International Society of 20 Addiction Medicine (ISAM), from 12 different countries (37% response rate), were interviewed over Skype, e-mail survey, or in person at the annual conference. Content analysis was used to analyze interview transcripts, using constant comparison methodology. Results: We identified recommendations related to the core set of the addiction medicine competencies at 3 educational levels: (i) undergraduate, (ii) postgraduate, and (iii) continued medical education (CME). The participants described broad ideas, such as knowledge/skills/attitudes towards addiction to be obtained at undergraduate level, or knowledge of addiction treatment to be acquired at graduate level, as well as specific recommendations, including the need to tailor curriculum to national settings and different specialties. Conclusions: Although it is unclear whether a global curriculum is needed, a consensus on a core set of principles for progression of knowledge, attitudes, and skills in addiction medicine to be developed at each educational level amongst medical graduates would likely have substantial value. C1 [Ayu, Astri Parawita] Atma Jaya Catholic Univ Indonesia, Sch Med, Jakarta, Indonesia. [Ayu, Astri Parawita; Schellekens, Arnt; De Jong, Cor] Radboud Univ Nijmegen, NISPA, Nijmegen, Netherlands. [el-Guebaly, Nady] Univ Calgary, Div Addict, Dept Psychiat, Calgary, AB, Canada. [Schellekens, Arnt] Radboud Univ Nijmegen, Dept Psychiat, Med Ctr, Nijmegen, Netherlands. [Welle-Strand, Gabrielle] Univ Oslo, Norwegian Ctr Addict Res, Oslo, Norway. [Small, William] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada. [Wood, Evan] St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada. [Wood, Evan; Klimas, Jan] Univ British Columbia, St Pauls Hosp, Dept Med, Vancouver, BC, Canada. [Cullen, Walter; Klimas, Jan] Univ Coll Dublin, Sch Med, Dublin, Ireland. RP Klimas, J (reprint author), Univ British Columbia, St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM jan.klimas@ucd.ie RI Schellekens, Arnt/G-5611-2013 OI Schellekens, Arnt/0000-0002-7715-5209; Klimas, Jan/0000-0002-5179-0052; DeJong, Cornelis/0000-0003-1824-7303 FU Canadian Institutes of Health Research [MOP-81171]; US National Institutes of Health [R01DA033147, R25DA037756]; Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine; ELEVATE grant: Irish Research Council International Career Development Fellowship - Marie Curie Actions [ELEVATEPD/2014/6]; European Commission [701698]; Health Research Board of Ireland [HRA-HSR-2012-14]; European Commission; Michael Smith Foundation for Health Research; Directorate General of Resources for Science, Technology and Higher Education of the Republic of Indonesia [94.19/E4.4/2014] FX The Canadian Institutes of Health Research (MOP-81171) and the US National Institutes of Health (R01DA033147) supported the study. This research was also undertaken, in part, by funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine and by the US National Institutes of Health (R25DA037756) grant that supports Dr. Evan Wood. The ELEVATE grant: Irish Research Council International Career Development Fellowship-co-funded by Marie Curie Actions (ELEVATEPD/2014/6) and the European Commission grant (701698)-supported Dr. Jan Klimas. The Health Research Board of Ireland grant (HRA-HSR-2012-14) and European Commission Third Health Programme (Hepcare Europe) support Dr. Walter Cullen. Dr. Will Small is supported by the Michael Smith Foundation for Health Research. Astri Parawita Ayu is supported by the Directorate General of Resources for Science, Technology and Higher Education of the Republic of Indonesia (94.19/E4.4/2014). The funders had no role in the design and conduct of the study; the collection, analysis, and interpretation of the data; the preparation of the manuscript; or the decision to submit the manuscript for publication. NR 17 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2017 VL 38 IS 4 BP 483 EP 487 DI 10.1080/08897077.2017.1355868 PG 5 WC Substance Abuse SC Substance Abuse GA FN1HM UT WOS:000415738200019 PM 28718723 DA 2018-05-26 ER PT J AU Upadhayay, N Guragain, S AF Upadhayay, Namrata Guragain, Sanjeev TI Internet use and its addiction level in medical students SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE LA English DT Article DE addiction; Internet; medical students; entertainment AB Objective: To compare the Internet addiction levels between male and female medical students. Methods: One hundred medical students (male: 50, female: 50) aged 17-30 years were included in a cross-sectional study. A standardized questionnaire was used to assess their Internet addiction level. Additionally, a self-designed questionnaire was used to identify the various purposes of Internet use among the students. The Internet addiction score (based on the Internet Addiction Test) was compared between male and female students by using the Mann-Whitney U test (p <= 0.05). After knowing their addiction level, we interviewed students to know if Internet use had any bad/good impact on their life. Results: The Internet Addiction Test scores obtained by the students were in the range of 11-70. Out of 100 students, 21 (male: 13, female: 8) were found to be slightly addicted to the Internet. The remaining 79 students were average online users. There was no significant difference between male and female students in the addiction level (score). However, males were more addicted than females. The major use of Internet was to download and watch movies and songs and to communicate with friends and family (76/100). Some students (24/100) used the Internet to assess information that helped them in their educational and learning activities. Some students mentioned that overuse of the Internet lead to insufficient amounts of sleep and affected their concentration levels in the classroom during lectures. Conclusion: Medical students are experiencing problems due to Internet overuse. They experience poor academic progress and lack of concentration while studying. The main use of the Internet was for entertainment and to communicate with friends and family. C1 [Upadhayay, Namrata] Gandaki Med Coll, Dept Physiol, Pokhara Lekhnath, Nepal. [Guragain, Sanjeev] Gandaki Med Coll, Dept Pharmacol, Pokhara Lekhnath, Nepal. RP Upadhayay, N (reprint author), Gandaki Med Coll Teaching Hosp & Res Ctr, Dept Physiol, Pokhara Lekhnath 33700, Kaski, Nepal. EM namrataupadhayay@gmail.com NR 13 TC 2 Z9 2 U1 1 U2 1 PU DOVE MEDICAL PRESS LTD PI ALBANY PA PO BOX 300-008, ALBANY, AUCKLAND 0752, NEW ZEALAND SN 1179-7258 J9 ADV MED EDUC PRACT JI Adv. Med. Educ. Pract. PY 2017 VL 8 BP 641 EP 647 DI 10.2147/AMEP.S142199 PG 7 WC Medicine, General & Internal SC General & Internal Medicine GA FI0NZ UT WOS:000411625800001 PM 28989293 OA gold DA 2018-05-26 ER PT J AU Kahn, LS Mendel, WE Fallin, KL Borngraber, EA Nochajski, TH Rea, WE Blondell, RD AF Kahn, Linda S. Mendel, Whitney E. Fallin, Kyla L. Borngraber, Elizabeth A. Nochajski, Thomas H. Rea, William E. Blondell, Richard D. TI A parenting education program for women in treatment for opioid-use disorder at an outpatient medical practice SO SOCIAL WORK IN HEALTH CARE LA English DT Article DE Education; maternal; opioid-use disorder; pregnancy and parenting ID NEONATAL ABSTINENCE SYNDROME; SUBSTANCE-ABUSING WOMEN; PREGNANT-WOMEN; UNITED-STATES; BUPRENORPHINE; METHADONE; MOTHERS; ATTACHMENT; DEPENDENCE; ADDICTION AB Opioid use during pregnancy poses serious risks for the mother and the unborn child. Opioid-use disorder may be managed with medication-assisted treatment (MAT) in an outpatient setting, but few MAT practices specifically address the challenges faced by pregnant women. This article describes a medical office-based educational support group for women in MAT for opioid-use disorder who were pregnant and/or parenting young children. Focus groups were conducted to elicit patient feedback. Women indicated that they found the educational support groups beneficial and offered suggestions. In-office educational support groups for pregnant women in treatment for opioid-use disorder are feasible and well received. C1 [Kahn, Linda S.; Blondell, Richard D.] SUNY Buffalo, Primary Care Res Inst, Dept Family Med, 77 Goodell St,Suite 220, Buffalo, NY 14203 USA. [Mendel, Whitney E.] Daemen Coll, Publ Hlth Program, Amherst, NY USA. [Fallin, Kyla L.; Borngraber, Elizabeth A.; Nochajski, Thomas H.] SUNY Buffalo, Sch Social Work, Amherst, NY USA. [Rea, William E.] Inst Community Hlth Promot, Ctr Dev Human Serv, Rochester, NY USA. RP Kahn, LS (reprint author), SUNY Buffalo, Primary Care Res Inst, Dept Family Med, 77 Goodell St,Suite 220, Buffalo, NY 14203 USA. EM lskahn@buffalo.edu FU SUNY Buffalo State Institute for Community Health Promotion Collaborative Research Initiative FX This study was supported in part by the SUNY Buffalo State Institute for Community Health Promotion Collaborative Research Initiative. NR 46 TC 0 Z9 0 U1 7 U2 9 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0098-1389 EI 1541-034X J9 SOC WORK HEALTH CARE JI Soc. Work Health Care PY 2017 VL 56 IS 7 BP 649 EP 665 DI 10.1080/00981389.2017.1327470 PG 17 WC Social Work SC Social Work GA FC1EK UT WOS:000406580000006 PM 28594601 DA 2018-05-26 ER PT J AU Winograd, RP Davis, CS Niculete, M Oliva, E Martielli, RP AF Winograd, Rachel P. Davis, Corey S. Niculete, Maria Oliva, Elizabeth Martielli, Richard P. TI Medical providers' knowledge and concerns about opioid overdose education and take-home naloxone rescue kits within Veterans Affairs health care medical treatment settings SO SUBSTANCE ABUSE LA English DT Article DE Naloxone; overdose education; opioid; risk compensation; primary care; OEND ID PREVENT OVERDOSE; PRESCRIBE; USERS AB Background: Overdose from opioids is a serious public health and clinical concern. Veterans are at increased risk for opioid overdose compared with the civilian population, suggesting the need for enhanced efforts to address overdose prevention in Department of Veterans Affairs (VA) health care settings, such as primary care clinics. Methods: Prescribing providers (N = 45) completed surveys on baseline knowledge and concerns about the VA Overdose Education and Naloxone Distribution (OEND) initiative prior to attending an OEND educational training. Results: Survey items were grouped into 4 OEND-related categories, reflecting (1) lack of knowledge/familiarity/comfort; (2) concerns about iatrogenic effects; (3) concerns about impressions of unsafe opioid prescribing; and (4) concerns about risks of naloxone prescribing. Although certain OEND-related categories were associated with each other, concerns related to iatrogenic effects of OEND (e.g., patients will use more opioids and/or be less likely to see treatment) and lack of knowledge/familiarity/comfort with OEND were endorsed more than concerns related to giving impressions of unsafe opioid prescribing. The majority of providers endorsed the belief that those prescribing opioids to patients should be responsible for providing overdose education to those patients. System-wide naloxone prescription rates and sources increased over 320% following initiation of OEND expansion efforts, although these increases cannot be viewed as a direct result of the in-service trainings. Conclusions: Findings demonstrate that some providers believe they lack knowledge of opioid overdose prevention techniques and hold concerns about OEND implementation. More training of medical providers outside substance use treatment settings is needed, with particular attention to concerns about harmful consequences resulting from the receipt of naloxone. C1 [Winograd, Rachel P.; Martielli, Richard P.] VA St Louis Hlth Care Syst, 915 N Grand Blvd,116B-JC, St Louis, MO 63106 USA. [Winograd, Rachel P.] Univ Missouri, Missouri Inst Mental Hlth, St Louis, MO USA. [Davis, Corey S.] Network Publ Hlth Law, Los Angeles, CA USA. [Oliva, Elizabeth] VA Palo Alto Hlth Care Syst, Menlo Pk, CA USA. [Niculete, Maria] VA Connecticut Healthcare Syst, West Haven, CT USA. [Niculete, Maria] Yale Sch Med, Dept Psychiat, New Haven, CT USA. RP Winograd, RP (reprint author), VA St Louis Hlth Care Syst, 915 N Grand Blvd,116B-JC, St Louis, MO 63106 USA. EM rpwpp9@mail.missouri.edu OI Martielli, Richard/0000-0002-3972-9777 FU VA St. Louis Health Care System FX This material is the result of work supported with resources and the use of facilities at the VA St. Louis Health Care System. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. The authors declare they have no conflicts of interest. NR 28 TC 0 Z9 0 U1 3 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2017 VL 38 IS 2 BP 135 EP 140 DI 10.1080/08897077.2017.1303424 PG 6 WC Substance Abuse SC Substance Abuse GA EU4KZ UT WOS:000400999800005 PM 28486076 DA 2018-05-26 ER PT J AU Klimas, J Ahamad, K Fairgrieve, C McLean, M Mead, A Nolan, S Wood, E AF Klimas, Jan Ahamad, Keith Fairgrieve, Christoper McLean, Mark Mead, Annabel Nolan, Seonaid Wood, Evan TI Impact of a brief addiction medicine training experience on knowledge self-assessment among medical learners SO SUBSTANCE ABUSE LA English DT Article DE Medical education; program evaluation; prospective studies; substance-related disorders ID SUBSTANCE USE DISORDERS; DRUG-USE; CURRICULUM; PREPAREDNESS; EDUCATION; DIAGNOSE; STUDENTS; ALCOHOL AB Background: Implementation of evidence-based approaches to the treatment of various substance use disorders is needed to tackle the existing epidemic of substance use and related harms. Most clinicians, however, lack knowledge and practical experience with these approaches. Given this deficit, the authors examined the impact of an inpatient elective in addiction medicine amongst medical trainees on addiction-related knowledge and medical management. Methods: Trainees who completed an elective with a hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, from May 2015 to May 2016, completed a 9-item self-evaluation scale before and immediately after the elective. Results: A total of 48 participants completed both pre and post AMCT elective surveys. On average, participants were 28years old (interquartile range [IQR] = 27-29) and contributed 20days (IQR = 13-27) of clinical service. Knowledge of addiction medicine increased significantly post elective (mean difference [MD] = 8.63, standard deviation [SD] = 18.44; P = .002). The most and the least improved areas of knowledge were relapse prevention and substance use screening, respectively. Conclusions: Completion of a clinical elective with a hospital-based AMCT appears to improve medical trainees' addiction-related knowledge. Further evaluation and expansion of addiction medicine education is warranted to develop the next generation of skilled addiction care providers. C1 [Klimas, Jan; Ahamad, Keith; Fairgrieve, Christoper; McLean, Mark; Mead, Annabel; Nolan, Seonaid; Wood, Evan] St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada. [Ahamad, Keith; Fairgrieve, Christoper; McLean, Mark; Mead, Annabel; Nolan, Seonaid] Univ British Columbia, Dept Family Med, Vancouver, BC, Canada. [Klimas, Jan; Wood, Evan] Univ British Columbia, St Pauls Hosp, Dept Med, Vancouver, BC, Canada. [Klimas, Jan] Univ Coll Dublin, Sch Med, Coombe Healthcare Ctr, Dublin, Ireland. RP Klimas, J (reprint author), Univ British Columbia, St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM jan.klimas@ucd.ie FU US National Institutes of Health [R25DA037756]; Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine; Marie Cure Actions [ELEVATEPD/2014/6]; European Commission grant [701698] FX The US National Institutes of Health (R25DA037756) supported the study. This research was undertaken, in part, thanks to funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine that supports Dr. Evan Wood. The ELEVATE: Irish Research Council International Career Development Fellowship-co-funded by Marie Cure Actions (ELEVATEPD/2014/6); and the European Commission grant (701698)-supported Dr. Jan Klimas. The funding organization had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. NR 16 TC 1 Z9 1 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2017 VL 38 IS 2 BP 141 EP 144 DI 10.1080/08897077.2017.1296055 PG 4 WC Substance Abuse SC Substance Abuse GA EU4KZ UT WOS:000400999800006 PM 28394732 OA green_accepted DA 2018-05-26 ER PT J AU Khan, MA Shabbir, F Rajput, TA AF Khan, Muhammad Alamgir Shabbir, Faizania Rajput, Tausif Ahmed TI Effect of Gender and Physical Activity on Internet Addiction in Medical Students SO PAKISTAN JOURNAL OF MEDICAL SCIENCES LA English DT Article DE Internet addiction; Young's internet addiction test ID UNIVERSITY-STUDENTS; RISK-FACTORS; SELF-ESTEEM; PREVALENCE; SYMPTOMS; DISORDER AB Objective: To determine the effect of gender and physical activity on internet addiction in medical students. Methods: In this cross sectional, analytical study Young's internet addiction test questionnaire was distributed to 350 MBBS students of Army Medical College, Rawalpindi. The study was conducted from January to May 2015. A dichotomous response from students regarding physical activity was obtained which was verified from the sports department of the institution. Based upon total score, internet addiction was categorized as no addiction if the score was less than or equal to 49, moderate addiction when the score was 50 to 79 and severe when the score was 80 to 100. Results: Out of 322 respondents 175 (54.3%) were males and 147 (42.7%) females with a mean age of 19.27 +/- 1.01 years. Total internet addiction score and frequency of internet addiction were similar between males and females (37.71 +/- 11.9 vs 38.63 +/- 14.00, p=0.18 and 25 vs 29, p=0.20). However, total score and frequency of internet addiction were higher in students lacking physical activity as compared to those with regular physical activity (40.37 +/- 15.05 vs 36.38 +/- 11.76, p=0.01 and 30 vs 24, p=0.01). Conclusion: Internet addiction is unrelated to gender however it is inversely related to physical activity. C1 [Khan, Muhammad Alamgir] Army Med Coll, Physiol, Rawalpindi, Pakistan. [Shabbir, Faizania] Rawalpindi Med Coll, Physiol, Rawalpindi, Pakistan. [Rajput, Tausif Ahmed] Shifa Tameer E Millat Univ, Islamabad, Pakistan. RP Khan, MA (reprint author), Army Med Coll, Dept Physiol, Rawalpindi, Pakistan. EM docalamgir@gmail.com NR 16 TC 0 Z9 0 U1 0 U2 1 PU PROFESSIONAL MEDICAL PUBLICATIONS PI SADDAR PA PANORAMA CENTRE, RM 522, 5TH FLOOR, BLDG 2, RAJA GHAZANFAR ALI RD, PO BOX 8766, SADDAR, KARACHI 00000, PAKISTAN SN 1682-024X J9 PAK J MED SCI JI Pak. J. Med. Sci. PD JAN-FEB PY 2017 VL 33 IS 1 BP 191 EP 194 DI 10.12669/pjms.331.11222 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA EO1CB UT WOS:000396434100038 PM 28367198 OA gold DA 2018-05-26 ER PT J AU Amin-Esmaeili, M Yunesian, M Sahimi-Izadian, E Moinolghorabaei, M Rahimi-Movaghar, A AF Amin-Esmaeili, Masoumeh Yunesian, Masud Sahimi-Izadian, Elaheh Moinolghorabaei, Mahdieh Rahimi-Movaghar, Afarin TI The Prevalence of Illicit Substance Use Among Students of Medical Sciences in Tehran: Results from Four Repeated Surveys from 2006 to 2009 SO JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE LA English DT Article DE epidemiology; illicit drug use; Iran; medical students ID COLLEGE-STUDENTS; DRUG-USE; HIGH-SCHOOL; PRESCRIPTION STIMULANTS; UNIVERSITY-STUDENTS; PROTECTIVE FACTORS; ALCOHOL; MISUSE; TRANSITION; ADULTHOOD AB This study was conducted to evaluate the prevalence of illicit substance use among students of Tehran University of Medical Sciences (TUMS) in four repeated surveys from 2006 to 2009. All first- to fourth-year students of the university were included. The questionnaire was anonymous and self-administered and inquired directly about own personal use. We also inquired about use of substances in close friends present in the class to provide another estimated prevalence. Using self-report, the prevalence of past-year use of any illicit substance was 2.3% in 2006, 3.3% in 2007, 2.8% in 2008, and 1.1% in 2009. It did not show a significant linear trend, but showed a significant decline for the year 2009. Hashish, opioids, and amphetamine-type stimulants were the most common types of substances being used. The calculated estimated prevalence rates were higher than those based on self-reports. The results suggest the need for continuous monitoring and appropriate preventive planning. C1 [Amin-Esmaeili, Masoumeh; Sahimi-Izadian, Elaheh; Moinolghorabaei, Mahdieh; Rahimi-Movaghar, Afarin] Univ Tehran Med Sci, Iranian Natl Ctr Addict Studies, Tehran, Iran. [Yunesian, Masud] Univ Tehran Med Sci, Inst Environm Res, Tehran, Iran. RP Rahimi-Movaghar, A (reprint author), Univ Tehran Med Sci, INCAS, Iranian Inst Reduct High Risk Behav, Tehran, Iran. EM rahimia@tums.ac.ir OI Yunesian, Masud/0000-0002-2870-7433 FU Tehran University of Medical Sciences [132-3839] FX This study was financially supported by Tehran University of Medical Sciences through the contract number 132-3839. The funding source had no imposing role in the study design, or the collection, analysis, and interpretation of data. NR 42 TC 0 Z9 0 U1 1 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1067-828X EI 1547-0652 J9 J CHILD ADOLES SUBST JI J. Child Adolesc. Subst. Abus. PY 2017 VL 26 IS 2 BP 152 EP 161 DI 10.1080/1067828X.2016.1242099 PG 10 WC Substance Abuse SC Substance Abuse GA EM2BQ UT WOS:000395121800007 DA 2018-05-26 ER PT J AU Avery, J Han, BH Zerbo, E Wu, GJ Mauer, E Avery, J Ross, S Penzner, JB AF Avery, Jonathan Han, Bernadine H. Zerbo, Erin Wu, Guojiao Mauer, Elizabeth Avery, Joseph Ross, Stephen Penzner, Julie B. TI Changes in psychiatry residents' attitudes towards individuals with substance use disorders over the course of residency training SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Article ID MENTAL-HEALTH; STIGMA; PROFESSIONALS; ADDICTION; DIAGNOSES; WORKING; PEOPLE AB Background and ObjectivesPsychiatry residents provide care for individuals diagnosed with co-occurring mental illness and substance use disorders (SUDs). Small studies have shown that clinicians in general possess negative attitudes towards these dually diagnosed individuals. This is a serious concern, as clinicians' stigmatizing attitudes towards individuals with mental illnesses may have a particularly potent adverse impact on treatment. The goal of this study was to examine the attitudes of psychiatry residents towards individuals with diagnoses of schizophrenia, multiple SUDs, co-occurring schizophrenia and SUDs, and major depressive disorder. MethodsA questionnaire was sent to psychiatry residents (N=159) around the country. It was comprised of two sections: (i) demographic information, which included information about level of training; and (ii) the 11-item Medical Condition Regard Scale (MCRS) for individuals with the four different diagnoses. ResultsPsychiatry residents had more stigmatizing attitudes towards individuals with diagnoses of SUDs with and without schizophrenia than towards those individuals with diagnoses of schizophrenia or major depressive disorder alone. Senior residents possessed more negative attitudes towards individuals with SUDs than junior residents. Discussion and ConclusionsThe attitudes of psychiatry residents' towards individuals with SUDs with and without schizophrenia were negative and were worse among senior residents. There were many potential reasons for these findings, including repeat negative experiences in providing care for these individuals. Scientific SignificanceThe negative attitudes of psychiatry residents towards individuals with SUDs are worrisome. Future work is needed to better understand these attitudes and to develop interventions to improve them. (Am J Addict 2017;26:75-79) C1 [Avery, Jonathan; Han, Bernadine H.; Wu, Guojiao; Mauer, Elizabeth; Penzner, Julie B.] Weill Cornell Med Coll, New York, NY USA. [Zerbo, Erin] Rutgers New Jersey Med Sch, Newark, NJ USA. [Avery, Joseph] Princeton Univ, Princeton, NJ 08544 USA. [Ross, Stephen] NYU, Sch Med, New York, NY USA. RP Avery, J (reprint author), Weill Cornell Med Coll, Psychiat, 525 East 68th St,Box 140, New York, NY 10065 USA. EM joa9070@med.cornell.edu FU American Board of Psychiatry, Neurology Faculty Innovation in Education Award; Clinical and Translational Science Center at Weill Cornell Medical College [UL1-TR000457-06]; National Institute on Drug Abuse; Heffter Research Institute FX Jonathan Avery, MD, is supported by the American Board of Psychiatry, Neurology Faculty Innovation in Education Award. Guojiao Wu, MS, and Elizabeth Mauer, MS, were partially supported by the following grant: Clinical and Translational Science Center at Weill Cornell Medical College (UL1-TR000457-06). Dr. Stephen Ross receives research funding from the National Institute on Drug Abuse and the Heffter Research Institute. NR 19 TC 0 Z9 0 U1 0 U2 3 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2017 VL 26 IS 1 BP 75 EP 79 DI 10.1111/ajad.12406 PG 5 WC Substance Abuse SC Substance Abuse GA EK4FJ UT WOS:000393882200009 PM 27749984 OA gold DA 2018-05-26 ER PT J AU Patil, D Andry, T AF Patil, Dustin Andry, Tiffany TI Molding young minds: The importance of residency training in shaping residents' attitudes toward substance use disorders SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Letter ID ADDICTION PSYCHIATRY; GENERAL PSYCHIATRY; OPIOID TREATMENT; BUPRENORPHINE; INDIVIDUALS C1 [Patil, Dustin] Boston Univ, Med Ctr, Dept Psychiat, Boston, MA USA. [Andry, Tiffany] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA. RP Patil, D (reprint author), Boston Univ, Sch Med, Doctors Off Bldg,Room 914,720 Harrison Ave, Boston, MA 02118 USA. EM dustin.patil@bmc.org NR 15 TC 0 Z9 0 U1 0 U2 2 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2017 VL 26 IS 1 BP 80 EP 82 DI 10.1111/ajad.12484 PG 3 WC Substance Abuse SC Substance Abuse GA EK4FJ UT WOS:000393882200010 PM 28000984 OA gold DA 2018-05-26 ER PT J AU Capurso, NA Shorter, DI AF Capurso, Noah A. Shorter, Daryl I. TI Changing attitudes in graduate medical education: A commentary on Attitudes towards Substance Use and Schizophrenia by Avery et al. SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Letter ID USE DISORDERS; ADDICTION; DISEASE; RESIDENTS; KNOWLEDGE; ALCOHOL; STIGMA C1 [Capurso, Noah A.] Yale Sch Med, Dept Psychiat, New Haven, CT USA. [Shorter, Daryl I.] Michael E DeBakey VA Med Ctr, Res Serv Line, Houston, TX USA. [Shorter, Daryl I.] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, 2002 Holcombe Blvd,Bldg 121,Ofc 121-137, Houston, TX 77030 USA. RP Shorter, DI (reprint author), Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, 2002 Holcombe Blvd,Bldg 121,Ofc 121-137, Houston, TX 77030 USA. EM shorter@bcm.edu FU Career Development Award from the United States (US) Department of Veterans Affairs Clinical Sciences Research and Development Service [1IK2CX000946] FX D.S. was supported in part by the Career Development Award 1IK2CX000946 from the United States (US) Department of Veterans Affairs Clinical Sciences Research and Development Service. NR 20 TC 0 Z9 0 U1 0 U2 4 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2017 VL 26 IS 1 BP 83 EP 86 DI 10.1111/ajad.12485 PG 4 WC Substance Abuse SC Substance Abuse GA EK4FJ UT WOS:000393882200011 PM 28005316 OA gold DA 2018-05-26 ER PT J AU Agarwal, DH Agarwal, A Gupta, SB Kohli, A AF Agarwal, Deeptanshu Hanu Agarwal, Anju Gupta, S. B. Kohli, Ajay TI A Cross Sectional Study On Prevalence And Pattern Of Internet Addiction Among Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE internet addiction; medical students; rapid expansion C1 [Agarwal, Deeptanshu Hanu; Agarwal, Anju; Gupta, S. B.; Kohli, Ajay] Eras Lucknow Med Coll, Lucknow, Uttar Pradesh, India. EM Deeptanshuagarwal2007@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2017 VL 59 IS 6 SU 2 BP S185 EP S185 PG 1 WC Psychiatry SC Psychiatry GA EH9PY UT WOS:000392104500153 OA gold DA 2018-05-26 ER PT J AU Angane, AY Kadam, K Ghorpade, GS Parkar, S AF Angane, Amey Yeshwant Kadam, Kranti Ghorpade, Geetanjali Shivhari Parkar, Shubhangi TI Study On Internet Addiction And Its Relation With Perceived Stress And Self-esteem In Medical College Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet Addiction; Perceived Stress; Self-esteem; Medical Students C1 Seth GS Med Coll, Bombay, Maharashtra, India. King Edward Mem Hosp, Bombay, Maharashtra, India. EM Ameythedoc@gmail.com NR 0 TC 0 Z9 0 U1 1 U2 3 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2017 VL 59 IS 6 SU 2 BP S190 EP S190 PG 1 WC Psychiatry SC Psychiatry GA EH9PY UT WOS:000392104500172 OA gold DA 2018-05-26 ER PT J AU Bandi, PS Raju, TSN Rani, SR AF Bandi, Pushyami Satya Raju, T. S. N. Rani, S. Radha TI Smart Phone Addiction And Associated Sleep Disturbances In Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Smart Phone; addiction; Sleep; Medical Students C1 [Bandi, Pushyami Satya; Raju, T. S. N.; Rani, S. Radha] Andhra Med Coll, Dept Psychiat, Visakhapatnam, Andhra Pradesh, India. EM Pushyami.mona@gmail.com NR 0 TC 0 Z9 0 U1 2 U2 6 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2017 VL 59 IS 6 SU 2 BP S215 EP S215 PG 1 WC Psychiatry SC Psychiatry GA EH9PY UT WOS:000392104500266 OA gold DA 2018-05-26 ER PT J AU Rathore, S Sushil, CS Sharma, DK AF Rathore, Siddharth Sushil, C. S. Sharma, D. K. TI Study Of Internet Addiction Disorder In Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet Addiction Disorder(IAD); youngs Internet Addiction Test; Medical Students; Mobile Phones; Prevalence C1 [Rathore, Siddharth; Sushil, C. S.; Sharma, D. K.] Coll Med, Dept Psychiat, Kota, India. EM Sidsrk7@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2017 VL 59 IS 6 SU 2 BP S178 EP S178 PG 1 WC Psychiatry SC Psychiatry GA EH9PY UT WOS:000392104500127 OA gold DA 2018-05-26 ER PT J AU Singh, J Pal, T Chandra, P AF Singh, Jitender Pal, Tarun Chandra, Prakash TI The Prevalence Of Internet Addiction Among The Students In A Western UP Medical College SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Prevalence; Internet Addiction; Saraswathi; Students C1 [Singh, Jitender; Pal, Tarun; Chandra, Prakash] Saraswathi Inst Med Sci, Hapur, UP, India. EM Dr.rktomar111@gmail.com NR 0 TC 0 Z9 0 U1 1 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2017 VL 59 IS 6 SU 2 BP S226 EP S226 PG 1 WC Psychiatry SC Psychiatry GA EH9PY UT WOS:000392104500305 OA gold DA 2018-05-26 ER PT J AU Soleimani, MA Sharif, SP Yaghoobzadeh, A Ong, FS AF Soleimani, Mohammad Ali Sharif, Saeed Pahlevan Yaghoobzadeh, Ameneh Ong, Fon Sim TI Relationship Between Hardiness and Addiction Potential in Medical Students SO IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES LA English DT Article DE Addiction; Hardiness; Medical Students; Socio-Economic Factors AB Background: Hardiness as one of the personality traits is an important factor in predisposing risky behaviors including addiction. Objectives: This research examines the relationship between hardiness and addiction potential and identifies socio-economic determinants of hardiness and tendency to addiction among medical students in Iran. Materials and Methods: In this study, 577 medical students selected based on the convenience sampling method were examined. They were selected from five faculties of Qazvin University of Medical Sciences. Data were collected on hardiness scale, addiction potential scale and demographic variables. Data analysis included descriptive and inferential statistics powered by SPSS (v. 22). Results: Research results showed that there was a negative relationship between hardiness and addiction potential (r = -227, P < 0.001). Males had a higher level of hardiness (P < 0.05) and lower addiction potential than females (P < 0.01). Respondents who had an addicted person in their family showed a lower addiction potential than those who did not have an addicted family member (P < 0.01). Being in a family with cold relationships was associated with higher levels of hardiness; they showed less addiction potential compared to persons who enjoyed a warm family with friendly relationships (P < 0.01), but lower levels of hardiness. Conclusions: Hardiness had a significant negative relationship with tendency to addiction. Regarding demographic factors that were found to be the predictors of hardiness and addiction potential, a consistent pattern was observed in which those who had high tendency for addition were low in hardiness. This is not surprising since hardiness is a shield that provides a defense mechanism for coping behavior when a person is faced with negative life events or adverse life conditions. Based on the results, individuals high in hardiness are perhaps less likely to resort to drugs. However, further researches are recommended on this subject. C1 [Soleimani, Mohammad Ali] Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Qazvin, Iran. [Sharif, Saeed Pahlevan] Taylors Univ, Taylors Business Sch, 1 Jalan Taylors, Subang Jaya 47500, Selangor, Malaysia. [Yaghoobzadeh, Ameneh] Univ Tehran Med Sci, Tehran, Iran. [Ong, Fon Sim] Univ Nottingham, Mkt, Malaysia Campus,Jalan Broga, Selangor 43500, Malaysia. RP Yaghoobzadeh, A (reprint author), Univ Tehran Med Sci, Tehran, Iran. EM a.yaghoobzadeh@yahoo.com OI Pahlevan Sharif, Saeed/0000-0001-8082-4541; Soleimani, Mohammad Ali/0000-0002-6931-6412 FU social determinants of health research center, Qazvin University of Medical Sciences, Qazvin, Iran FX The project was supported by the social determinants of health research center, Qazvin University of Medical Sciences, Qazvin, Iran. NR 39 TC 0 Z9 0 U1 2 U2 3 PU KOWSAR PUBL PI HOENSBROEK PA PATERSWEG 22,, HOENSBROEK, LIMBURG 6431 GC, NETHERLANDS SN 1735-8639 EI 1735-9287 J9 IRAN J PSYCHIATRY BE JI Iran. J. Psychiatry Behav. Sci. PD DEC PY 2016 VL 10 IS 4 AR UNSP e6225 DI 10.17795/ijpbs-6225 PG 10 WC Psychiatry SC Psychiatry GA ES9WY UT WOS:000399913900018 OA gold DA 2018-05-26 ER PT J AU Eckert, PP Finkelman, M Rosenberg, MB AF Eckert, Pasquale P. Finkelman, Matthew Rosenberg, Morton B. TI Prevalence of Substance Abuse Among Oral and Maxillofacial Surgery Residents From 2006 to 2015 SO JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY LA English DT Article ID ANESTHESIA RESIDENTS; TRAINING-PROGRAMS; NITROUS-OXIDE; DEPENDENCE; ADDICTION; EXPOSURE; FENTANYL AB Purpose: Substance abuse in oral and maxillofacial surgery (OMS) training programs is an important and under-represented topic in the literature. This study's purpose was to assess the prevalence of substance abuse in OMS training programs in the United States during a 10-year period and to determine the substances most abused by OMS residents. Materials and Methods: A cross-sectional survey study was conducted by sending an online questionnaire to program directors and chairpersons of all OMS graduate training programs accredited by the Commission on Dental Accreditation. The content-and validity-tested survey asked respondents to report on substance abuse cases at their program from 2006 to 2015. Auxiliary questions asked opinions on substance abuse. To analyze the data, percentages were calculated, including the estimated prevalence of abuse; results were presented as bar charts. Results: Forty-six of the 101 OMS training programs (45.5%) responded. Sixteen of the responding 46 programs (34.8%) reported at least 1 suspected or encountered incident of substance abuse. The 2 most abused substances were alcohol and narcotics. During the decade studied, the prevalence of resident substance abuse was estimated to be 1.2%. Conclusion: The estimated prevalence of resident substance abuse has gone unchanged since Rosenberg's initial study in 1986 (J Oral Maxillofac Surg 44: 458, 1986). With the introduction of new drugs and despite more stringent protocols, substance abuse continues to be a germane issue for OMS requiring ongoing attention clinically and in the literature. (C) 2016 American Association of Oral and Maxillofacial Surgeons C1 [Eckert, Pasquale P.] Tufts Univ, Sch Med, Boston, MA 02111 USA. [Eckert, Pasquale P.] Tufts Univ, Sch Dent Med, Boston, MA 02111 USA. [Finkelman, Matthew] Tufts Univ, Sch Med, Div Biostat & Expt Design, Boston, MA 02111 USA. [Finkelman, Matthew] Tufts Univ, Sch Dent Med, Div Biostat & Expt Design, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Med, Dept Oral & Maxillofacial Surg, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Dent Med, Dept Oral & Maxillofacial Surg, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Med, Div Anesthesia & Pain Control, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Dent Med, Div Anesthesia & Pain Control, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Med, Dept Anesthesiol, Boston, MA 02111 USA. [Rosenberg, Morton B.] Tufts Univ, Sch Dent Med, Dept Anesthesiol, Boston, MA 02111 USA. RP Eckert, PP (reprint author), 90 Bolton Rd, Harvard, MA 01451 USA. EM pasqualepeckert@gmail.com NR 24 TC 0 Z9 0 U1 0 U2 0 PU W B SAUNDERS CO-ELSEVIER INC PI PHILADELPHIA PA 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899 USA SN 0278-2391 EI 1531-5053 J9 J ORAL MAXIL SURG JI J. Oral Maxillofac. Surg. PD DEC PY 2016 VL 74 IS 12 BP 2351 EP 2358 DI 10.1016/j.joms.2016.06.176 PG 8 WC Dentistry, Oral Surgery & Medicine SC Dentistry, Oral Surgery & Medicine GA EG2DA UT WOS:000390851900009 PM 27450751 DA 2018-05-26 ER PT J AU El Rasheed, AH El Sheikh, MM El Missiry, MA Hatata, HA Ahmed, N AF El Rasheed, Amany Haroun El Sheikh, Mona M. El Missiry, Marwa A. Hatata, Hisham A. Ahmed, Nihal TI Addiction Stigma Among Mental Health Professionals and Medical Students in Egypt SO ADDICTIVE DISORDERS & THEIR TREATMENT LA English DT Article DE stigma; substance use disorders; medical profession; familiarity; dangerousness; addiction ID SUBSTANCE USE DISORDERS; DRUG-USE; PEOPLE; CONSEQUENCES; ILLNESS; STIGMATIZATION; CARE AB Objectives: The stigma toward substance use disorders is different from other health conditions, it complicates efforts for social acceptance of patients. Health care providers may hold negative beliefs about addiction patients, that is, that they overuse system resources, fail to adhere to recommended care, abuse the system through drug-seeking and diversion. Therefore, this study was set to compare addiction stigma among psychiatrists, psychiatric nurses, and medical students, and to test whether stigma varies according to the abused substance (alcohol, cannabinoids, heroin, and tramadol). Materials and Methods: A cross-sectional study was conducted on 467 subjects (351 graduating medical students, 65 psychiatric nurses, and 51 psychiatrists). Mental health professionals worked in the Department of Neuropsychiatry in the University Hospital, or Ministry of Health Hospital, or Mental Health and Addiction Treatment Centre. All consenting participants were subjected to questionnaires to assess stigma: Level of Familiarity, Perceived Dangerousness, Fear, and Social Distance with substance use disorder patients. Results: It was found that stigma was significantly lower (P<0.05) toward cannabinoids, whereas it was significantly higher toward heroin (P<0.01). Stigma was significantly higher (P<0.01) amongmedical students, whereas it was significantly lower (P<0.01) among psychiatrists and nurses working in Mental Health and Addiction Treatment Center and significantly (P<0.01) decreased with more years of experience. Conclusions: Interventions aimed at reducing stigma related to substance use disorders should be started from medical school. Contact-based training and education programs targeting medical students, psychiatrists, and other members of the treatment team including nurses, psychologists, and rehabilitation specialists are imperative. C1 [El Rasheed, Amany Haroun; El Sheikh, Mona M.; El Missiry, Marwa A.; Hatata, Hisham A.] Ain Shams Univ, Inst Psychiat, Cairo, Egypt. [Ahmed, Nihal] Minist Hlth, Monufia, Egypt. RP El Sheikh, MM (reprint author), Ain Shams Univ Hosp, Inst Psychiat, WHO Collaborating Ctr Mental Hlth Res & Training, Dept Psychiat, Abbasseyia POB 11657, Dair El Malak Cairo, Egypt. EM mona.m.elsheikh@gmail.com NR 35 TC 0 Z9 0 U1 5 U2 20 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1531-5754 EI 1535-1122 J9 ADDICT DISORD TREAT JI Addict. Disord. Treat. PD DEC PY 2016 VL 15 IS 4 BP 165 EP 174 DI 10.1097/ADT.0000000000000090 PG 10 WC Substance Abuse SC Substance Abuse GA EE5RV UT WOS:000389666300003 DA 2018-05-26 ER PT J AU Levin, FR Bisaga, A Sullivan, MA Williams, AR Cates-Wessel, K AF Levin, Frances R. Bisaga, Adam Sullivan, Maria A. Williams, Arthur Robin Cates-Wessel, Kathryn TI A review of a national training initiative to increase provider use of MAT to address the opioid epidemic SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Review ID METHADONE-MAINTENANCE; BUPRENORPHINE TREATMENT; ADDICTION; TRAJECTORIES; DEPENDENCE; OUTCOMES; STATES; CARE AB Background and ObjectivesThe Providers' Clinical Support System for Medication Assisted Treatment (PCSS-MAT) initiative focuses on training and mentoring health professionals in the treatment of opioid use disorders (OUD) using pharmacological strategies. Led by the American Academy of Addiction Psychiatry (AAAP), PCSS-MAT is a consortium representing four of the five national professional organizations authorized by DATA 2,000AAAP, American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, and American Society of Addiction Medicine. DATA organizations are authorized to train physicians to prescribe buprenorphine for OUD treatment. The primary aim of PCSS-MAT is to substantially increase evidence-based practices with medications for OUD. MethodsThis review describes the development of PCSS-MAT, an ongoing national initiative funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), to address the training needs posed by this critical public health problem. Core initiatives include: (1) Training and mentoring activities for primary care physicians; (2) Outreach to multidisciplinary professional organizations, (3) Creating a resource portal for families, patients, and communities for OUD treatment. ResultsEducational outreach to providers addresses the needs of patients with OUD and common co-occurring psychiatric and medical disorders. Discussion and ConclusionsThe overall scope of PCSS-MAT is to increase access to evidence-based treatment of substance use disorders as a public health priority. Recently enacted legislation requires office-based opioid treatment programs to offer all Food and Drug Administration-approved (FDA) forms of MAT. Scientific SignificanceWorking with health care providers to effectively deliver MAT is key to integrating behavioral and physical medicine. (Am J Addict 2016;25:603-609) C1 [Levin, Frances R.; Bisaga, Adam; Williams, Arthur Robin] Columbia Univ, New York State Psychiat Inst, New York, NY USA. [Levin, Frances R.; Bisaga, Adam; Sullivan, Maria A.; Williams, Arthur Robin] Columbia Univ, Dept Psychiat, New York, NY USA. [Sullivan, Maria A.] Alkermes Inc, Waltham, MA USA. [Cates-Wessel, Kathryn] Amer Acad Addict Psychiat, East Providence, RI USA. RP Levin, FR (reprint author), New York State Psychiat Inst & Hosp, 1051 Riverside Dr, New York, NY 10032 USA. EM frl2@columbia.edu FU SAMHSA FX The authors would like to thank SAMHSA for grant support for PCSSS-MAT. NR 33 TC 3 Z9 3 U1 2 U2 10 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD DEC PY 2016 VL 25 IS 8 BP 603 EP 609 DI 10.1111/ajad.12454 PG 7 WC Substance Abuse SC Substance Abuse GA EC6TV UT WOS:000388270500002 PM 28051841 OA green_accepted DA 2018-05-26 ER PT J AU Lev-Ran, S Steinmetz, Y Weiser, M AF Lev-Ran, Shaul Steinmetz, Yoed Weiser, Mark TI Attitudes towards substance use and substance use disorders among medical students in Israel SO DRUGS-EDUCATION PREVENTION AND POLICY LA English DT Article DE Attitudes; medical students; addiction; alcohol; drug; Israel ID ALCOHOL DEPENDENCE; GLOBAL BURDEN; DRUG-USE; PHYSICIANS KNOWLEDGE; HEALTH-PROFESSIONALS; NATIONAL-SURVEY; STIGMA; EDUCATION; SMOKING; MISUSE AB Background: Negative attitudes towards substance use and Substance Use Disorders (SUDs) are among the commonly cited barriers to screening and treating these disorders by physicians. These negative attitudes have also been reported in medical students. The aim of this study was to examine attitudes of medical students in Israel towards nicotine, alcohol and drug use and SUDs based on their stage of training and personal experience. Methods: A sample of 329 medical students responded to the Attitudes Towards Substance Use questionnaire, which includes 50 questions regarding substance use and SUDs, as well as specific questions focusing on nicotine, alcohol, cannabis and heroin use. Results: Students at the clinical phase of their training had higher rates of moralism and lower rates of self-reported competency in treating SUDs compared to those in the pre-clinical phase of training. Personal experience with nicotine or alcohol use, as well as having a friend who suffers from addiction, were associated with lower rates of moralism. Across substances, the lowest ratings of treatment efficacy and of self-reported competence, were directed towards alcohol dependence. Conclusions: Medical education programs should include training in addiction medicine throughout all phases of medical school. This may have a significant role in future physicians' attitudes towards individuals with substance use and SUDs, and eventually in the treatment these patients receive. C1 [Lev-Ran, Shaul; Steinmetz, Yoed] Sheba Med Ctr, Addict Med Serv, Dept Psychiat, IL-52621 Tel Hashomer, Israel. [Lev-Ran, Shaul; Weiser, Mark] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel. [Weiser, Mark] Sheba Med Ctr, Dept Psychiat, Tel Hashomer, Israel. RP Lev-Ran, S (reprint author), Sheba Med Ctr, Addict Med Serv, Dept Psychiat, IL-52621 Tel Hashomer, Israel.; Lev-Ran, S (reprint author), Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel. EM shauli.levran@gmail.com NR 63 TC 0 Z9 0 U1 2 U2 11 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 0968-7637 EI 1465-3370 J9 DRUG-EDUC PREV POLIC JI Drug-Educ. Prev. Policy PD DEC PY 2016 VL 23 IS 6 BP 484 EP 491 DI 10.3109/09687637.2016.1167167 PG 8 WC Substance Abuse SC Substance Abuse GA ED3MR UT WOS:000388753700006 DA 2018-05-26 ER PT J AU Wilson, M Cullen, W Goodair, C Klimas, J AF Wilson, Mitch Cullen, Walter Goodair, Christine Klimas, Jan TI Off the record: Substance-related disorders in the undergraduate medical curricula in Ireland SO JOURNAL OF SUBSTANCE USE LA English DT Article DE Addiction medicine; curriculum; education; medical; undergraduate ID GENERAL-PRACTITIONER; ADDICTION MEDICINE; EDUCATION; CARE AB Background: Substance use disorders (SUDs) are a worldwide problem, and have become a major health concern in Ireland particularly. We aimed to determine the extent to which addiction medicine is embedded in the undergraduate medical curriculum in Ireland. Methods: To further investigate the degree to which drug addiction is taught in the Irish medical curriculum an online literature search was performed using Google Scholar, PubMed (from 2009 to present), EMBASE, PsycINFO, CINAHL, and Medline using the keywords "substance-related disorders," "undergraduate," "curriculum" and "Ireland." Additionally, all Irish medical school websites were examined (n = 6), and a Google search and manual searches of conference programs were performed. We used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines to systematically review and discuss findings. Results: A total of zero published studies met the criteria for inclusion in an updated systematic literature search of addiction medicine education in the undergraduate medical curriculum in Ireland. Conclusion: There is currently no documentation of drug addiction teaching sessions in Irish medical schools. Investigations that offer direct contact with medical schools, such as a telephone survey, may provide a more accurate representation of how addiction medicine education is incorporated into the medical school curricula. C1 [Wilson, Mitch; Cullen, Walter; Klimas, Jan] Univ Coll Dublin, UCD Sch Med & Med Sci, Dublin, Ireland. [Goodair, Christine] St Georges Univ London, Populat Hlth Res Inst, London, England. [Klimas, Jan] Univ British Columbia, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, Vancouver, BC, Canada. RP Klimas, J (reprint author), Univ Coll Dublin, Sch Med & Med Sci, Coombe Healthcare Ctr, Dublin 08, Ireland. EM jan.klimas@ucd.ie NR 14 TC 1 Z9 1 U1 0 U2 21 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 530 WALNUT STREET, STE 850, PHILADELPHIA, PA 19106 USA SN 1465-9891 EI 1475-9942 J9 J SUBST USE JI J. Subst. Use PD DEC PY 2016 VL 21 IS 6 BP 598 EP 600 DI 10.3109/14659891.2015.1112853 PG 3 WC Substance Abuse SC Substance Abuse GA DW4VD UT WOS:000383640200007 DA 2018-05-26 ER PT J AU Khidir, H Weiner, SG AF Khidir, Hazar Weiner, Scott G. TI A Call for Better Opioid Prescribing Training and Education SO WESTERN JOURNAL OF EMERGENCY MEDICINE LA English DT Editorial Material ID EMERGENCY-DEPARTMENT; PAIN; MEDICINE; CARE AB Pain is the most common complaint in the emergency department (ED), and emergency physicians face unique challenges in making opioid-related treatment decisions. Medical students and residents experience significant variation in the quality of education they receive both about opioid prescribing as well as substance-use detection and intervention in the ED. To achieve a better standard of education, clinical educators will need to (a) develop a clearer understanding of the risk for aberrant opioid prescribing in the ED, (b) recognize prescribing bias and promote uptake of evidence-based opioid prescribing guidelines in their EDs, and (c) advocate for integrated opioid management and addiction medicine training formally into medical school curricula. C1 [Khidir, Hazar] Harvard Med Sch, Boston, MA USA. [Weiner, Scott G.] Harvard Med Sch, Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St,NH-226, Boston, MA 02115 USA. RP Weiner, SG (reprint author), Harvard Med Sch, Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St,NH-226, Boston, MA 02115 USA. EM sweiner@bwh.harvard.edu NR 21 TC 1 Z9 1 U1 1 U2 1 PU WESTJEM PI ORANGE PA C/O SHAHRAM LOTFIPOUR, MD, MPH, 333 CITY BLVD W STE 640, RT 128-01, ORANGE, CA 92868 USA SN 1936-900X EI 1936-9018 J9 WEST J EMERG MED JI West. J. Emerg. Med. PD NOV PY 2016 VL 17 IS 6 BP 686 EP 689 DI 10.5811/westjem.2016.8.31204 PG 4 WC Emergency Medicine SC Emergency Medicine GA EL1ER UT WOS:000394363800004 PM 27833673 OA gold DA 2018-05-26 ER PT J AU Bhatraju, EP Chang, A Taff, J Hanley, K AF Bhatraju, Elenore Patterson Chang, Andrew Taff, Jessica Hanley, Kathleen TI Revising residents' addiction experience: a 1-week intensive course SO MEDICAL EDUCATION LA English DT News Item C1 [Hanley, Kathleen] Bellevue Hosp, Med, First Ave & 27th St, New York, NY 10016 USA. [Hanley, Kathleen] NYU, Sch Med, New York, NY 10031 USA. RP Hanley, K (reprint author), Bellevue Hosp, Med, First Ave & 27th St, New York, NY 10016 USA.; Hanley, K (reprint author), NYU, Sch Med, New York, NY 10031 USA. EM kathleen.hanley@nyumc.org NR 1 TC 0 Z9 0 U1 1 U2 1 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0308-0110 EI 1365-2923 J9 MED EDUC JI Med. Educ. PD NOV PY 2016 VL 50 IS 11 BP 1161 EP 1161 DI 10.1111/medu.13182 PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA ED1RG UT WOS:000388622000030 PM 27762005 DA 2018-05-26 ER PT J AU Kumar, N Sanmogom, P Chandrasega, M Wah, TK Yi, LW Aithal, PA Ravindra, SS AF Kumar, Naveen Sanmogom, Pavithiran Chandrasega, Monishaa Wah, Tee Kim Yi, Lim Wee Aithal, Ashwini P. Ravindra, Swamy S. TI What Affects Short-Term Memory? Questionnaire and Experiment Based Cross-Sectional Study On Medical Under Graduate Students. SO RESEARCH JOURNAL OF PHARMACEUTICAL BIOLOGICAL AND CHEMICAL SCIENCES LA English DT Article DE short term memory; academic; diet; cognitive AB Short-term memory (STM) is the part of memory process in which the memory traces from the items and sensory information initially enter the memory state temporarily. The short term memory can be affected by our lifestyle like alcohol consumption, diet, sleep, etc. This study designed to investigate the effect of dietary preferences, eating habits, sleep and exercise attitude of a student with their STM. The study involved 190 medical undergraduate students age ranging between 17-19 years. The study comprised of a questionnaire with the close-ended question about lifestyle details of students, followed by an experiment in which images of familiar objects, words, and numerical digits were projected for specified time. Students recall capacity were tested that implies their STM. Result of the study revealed higher STM for the students who take Omega 3 diet supplements, regular exercises, and adequate sleep. Students who involve in substance abuse, consume more caffeinated drinks were shown to have poor STM'. It can be concluded that lifestyle of the individual is often associated with their STM. Refrain from the attitudes that affect he STM can avoid cognitive deficits and poor academic'performance of the students. C1 [Kumar, Naveen; Aithal, Ashwini P.; Ravindra, Swamy S.] Manipal Univ, Dept Anat, Melaka Manipal Med Coll, Manipal Campus, Manipal, Karnataka, India. [Sanmogom, Pavithiran; Chandrasega, Monishaa; Wah, Tee Kim; Yi, Lim Wee] Manipal Univ, Melaka Manipal Med Coll, Manipal, Karnataka, India. RP Aithal, PA (reprint author), Manipal Univ, Dept Anat, Melaka Manipal Med Coll, Manipal Campus, Manipal, Karnataka, India. NR 12 TC 0 Z9 0 U1 0 U2 0 PU RJPBCS RESEARCH JOURNAL PHARMACEUTICAL, BIOLOGICAL & CHEMICAL SCIENCES PI PRODDATUR PA RJPBCS RESEARCH JOURNAL PHARMACEUTICAL, BIOLOGICAL & CHEMICAL SCIENCES, PRODDATUR, 00000, INDIA SN 0975-8585 J9 RES J PHARM BIOL CHE JI Res. J. Pharm. Biol. Chem. Sci. PD NOV-DEC PY 2016 VL 7 IS 6 BP 1196 EP 1200 PG 5 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA FG9YF UT WOS:000410795300155 DA 2018-05-26 ER PT J AU de la Tribonniere, X Jacquet, JM Vidal, J Rigole, HD AF de la Tribonniere, Xavier Jacquet, Jean-Marc Vidal, Johann Rigole, Helene Donnadieu TI Contribution of therapeutic patient education to addiction medicine SO SANTE PUBLIQUE LA French DT Article DE Addiction; Patient education; TPE; Educational programme; Empowerment ID OUTCOMES AB Introduction: Therapeutic patient education (TPE) programmes available in France could be useful for patients with addiction and their healthcare teams. Objective: To define the contribution of TPE to addiction medicine. Method: Literature search and review based on the experiences of clinicians and addiction medicine and/or TPE specialists. Results and discussion: In view of the limited literature on TPE in addiction medicine, we therefore essentially based this review on our personal experience. Despite constraints related to the organization of TPE, the potential benefits are as follows: the patient is empowered; the patient's "lay" knowledge is recognized; systematic identification of the patient's biomedical, educational and psychosocial needs is based on a shared educational assessment; the educational and support objectives are translated into expected skills; a list of the most common and most important needs is formally established; group learning is more clearly structured; adherence to treatment, including substitution therapy, is reinforced; educational and assessment tools can be transposed to addiction medicine; a multidisciplinary team improves support in addiction medicine; TPE training strengthens professional skills; institutional recognition is enhanced; additional funding could be available; TPE and addiction research can be combined. Conclusion: TPE can improve the efficacy of addiction medicine, for the benefit of patients and staff It can help the patient withdraw from addiction, or at least achieve a better quality of life with this chronic condition. C1 [de la Tribonniere, Xavier] Hop Colombiere, UTEP, Pavillon 23 Troenes,Ave Charles Flahault, F-34295 Montpellier 5, France. [Jacquet, Jean-Marc] CHU Caremeau, CHU Nimes, Dept Addictol, F-30029 Nimes 9, France. [Jacquet, Jean-Marc; Vidal, Johann] Assoc Natl Prevent Alcool & Addictol, CSAPA, ANPAA34, 59 Ave Fes, F-34070 Montpellier, France. [Rigole, Helene Donnadieu] Hop St Eloi, Dept Addictol, 80 Ave Augustin Fliche, F-34090 Montpellier, France. RP de la Tribonniere, X (reprint author), Hop Colombiere, UTEP, Pavillon 23 Troenes,Ave Charles Flahault, F-34295 Montpellier 5, France. EM x-delatribonniere@chu-montpellier.fr NR 24 TC 0 Z9 0 U1 0 U2 1 PU SOC FRANCAISE SANTE PUBLIQUE PI VANDOEUVRE-LES-NANCY CEDEX PA 2 RUE DU DOYEN JACQUES PARISOT, BP 7, VANDOEUVRE-LES-NANCY CEDEX, 54501, FRANCE SN 0995-3914 J9 SANTE PUBLIQUE JI Sante Publique PD SEP-OCT PY 2016 VL 28 IS 5 BP 591 EP 597 DI 10.3917/spub.165.0591 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA EF9FI UT WOS:000390635700005 PM 28155734 DA 2018-05-26 ER PT J AU Jackson, ER Shanafelt, TD Hasan, O Satele, DV Dyrbye, LN AF Jackson, Eric R. Shanafelt, Tait D. Hasan, Omar Satele, Daniel V. Dyrbye, Liselotte N. TI Burnout and Alcohol Abuse/Dependence Among US Medical Students SO ACADEMIC MEDICINE LA English DT Article ID QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; IDENTIFICATION TEST AUDIT; USE DISORDERS; UNITED-STATES; GENERAL-POPULATION; AMERICAN SURGEONS; SUICIDAL IDEATION; COLLEGE-STUDENTS; RISK DRINKING AB Purpose To explore the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students. Method In 2012, the authors completed a national survey of medical students from the American Medical Association's Physician Masterfile containing validated items assessing alcohol abuse/dependence, burnout, depression, suicidality, quality of life ( QOL), and fatigue. Descriptive and comparative statistical analyses were computed, including chi-square and multivariate logistic regression, to determine relationships between variables. Results Of the 12,500 students, 4,402 ( 35.2%) responded. Of these, 1,411 ( 32.4%) met diagnostic criteria for alcohol abuse/dependence. Students who were burned out ( P =.01), depressed ( P =.01), or reported low mental ( P =. 03) or emotional ( P =.016) QOL were more likely to have alcohol abuse/dependence. Emotional exhaustion and depersonalization domains of burnout were strongly associated with alcohol abuse/dependence. On multivariate analysis, burnout ( OR 1.20; 95% CI 1.05-1.37; P <.01), having $50,000 to $ 100,000 ( OR 1.21 versus < $ 50,000; CI 1.02-1.44; P <.05) or > $ 100,000 ( OR 1.27 versus < $ 50,000; CI 1.08-1.48; P <.01) of educational debt, being unmarried ( OR 1.89; CI 1.57-2.27; P <.001), and being younger ( for every five years, OR 1.15; CI 1.02-1.28; P =.01) were independently associated with increased risk for alcohol abuse/dependence. Conclusions Burnout was strongly related to alcohol abuse/dependence among sampled medical students and increased educational debt predicted a higher risk. A multifaceted approach addressing burnout, medical education costs, and alcohol use is needed. C1 [Jackson, Eric R.] Mayo Clin & Mayo Grad Sch Med, Rochester, MN USA. [Shanafelt, Tait D.] Mayo Clin, Dept Med, Div Hematol, Med, Rochester, MN USA. [Hasan, Omar] Amer Med Assoc, Improving Hlth Outcomes, 515 N State St, Chicago, IL 60610 USA. [Satele, Daniel V.] Mayo Clin, Biomed Stat & Informat, Rochester, MN USA. [Dyrbye, Liselotte N.] Mayo Clin, Dept Med, Div Primary Care Internal Med, Med, Rochester, MN USA. RP Dyrbye, LN (reprint author), Mayo Clin, Dept Med, 200 First St SW, Rochester, MN 55905 USA. EM dyrbye.liselotte@mayo.edu FU American Medical Association (AMA); Mayo Clinic Department of Medicine Program on Physician Well-being FX Funding for this study was provided by the American Medical Association (AMA) and the Mayo Clinic Department of Medicine Program on Physician Well-being. NR 44 TC 22 Z9 23 U1 8 U2 18 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD SEP PY 2016 VL 91 IS 9 BP 1251 EP 1256 DI 10.1097/ACM.0000000000001138 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA EA5PX UT WOS:000386674800023 PM 26934693 DA 2018-05-26 ER PT J AU Lemon, R AF Lemon, Rebecca TI Scholarly Addiction: Doctor Faustus and the Drama of Devotion SO RENAISSANCE QUARTERLY LA English DT Article ID 'DOCTOR-FAUSTUS' AB When The English Faust Book describes Faustus as addicted to study and Marlowe's Doctor Faustus depicts necromantic books as "ravishing," these texts draw on classical and Renaissance notions of laudable addiction. Following its Latin origin in contract law, addiction appears in sixteenth-century writings as service, dedication, and devotion. Tracing invocations of addiction from Cicero to Perkins, this essay explores the influence of Calvin and Calvinist-minded Cambridge divines through Doctor Faustus's preoccupation with the challenge of addicted commitment. If Calvinists praise committed devotion, Marlowe challenges such views by staging the terror as well as the wonder of addictive release. C1 [Lemon, Rebecca] Univ Southern Calif, Los Angeles, CA 90089 USA. RP Lemon, R (reprint author), Univ Southern Calif, Los Angeles, CA 90089 USA. NR 69 TC 1 Z9 1 U1 3 U2 3 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0034-4338 EI 1935-0236 J9 RENAISSANCE QUART JI Renaiss. Q. PD FAL PY 2016 VL 69 IS 3 BP 865 EP 898 PG 34 WC Medieval & Renaissance Studies SC Arts & Humanities - Other Topics GA DX0MF UT WOS:000384056000002 DA 2018-05-26 ER PT J AU Carlin-Menter, SM Malouin, RA WinklerPrins, V Danzo, A Blondell, RD AF Carlin-Menter, Shannon M. Malouin, Rebecca A. WinklerPrins, Vince Danzo, Andrew Blondell, Richard D. TI Training Family Medicine Clerkship Students in Screening, Brief Intervention, and Referral to Treatment for Substance Use Disorders: A CERA Study SO FAMILY MEDICINE LA English DT Article ID SERVICES TASK-FORCE; PRIMARY-CARE; ALCOHOL INTERVENTIONS; HEALTH-CARE; STATES; METAANALYSIS; CONSUMPTION; MISUSE AB BACKGROUND AND OBJECTIVES: Federal agencies and professional societies have promoted adoption of screening, brief intervention, and referral to treatment (SBIRT) for substance use disorders in primary care. As it is unknown whether instruction in SBIRT occurs in medical schools, this study examines SBIRT training in family medicine clerkships of allopathic medical schools in the United States and Canada. METHODS: Questions assessing familiarity with SBIRT, inclusion of SBIRT in curricula, and teaching on substance use were included in the 2014 CERA Family Medicine Clerkship Director Survey. SBIRT was defined as "a public health approach to the delivery of early intervention and treatment services for people with substance use disorders and those at risk of developing substance use disorders." Responses were summarized with univariate and bivariate descriptive statistics. RESULTS: Surveys were completed by 124 of 137 (91% response rate) family medicine clerkship directors. Forty-six percent reported being familiar with SBIRT, and only 8% teach SBIRT to all their students. Approximately 44% of clerkship directors responded that only the psychiatry department covered the topic of substance use disorders, while 36% of directors indicated family medicine in combination with other departments covered such topics. Lack of curricular time was cited as the primary barrier to addressing substance use by 65% of the respondents, while 43% also cited lack of faculty expertise. CONCLUSIONS: The findings suggest that few family medicine clerkships are modeling or training medical students in the use of SBIRT in order to identify, reduce, and treat problematic use of alcohol and other substances. C1 [Carlin-Menter, Shannon M.; Danzo, Andrew; Blondell, Richard D.] SUNY Buffalo, Dept Family Med, 77 Goodell St,Suite 220, Buffalo, NY 14203 USA. [Carlin-Menter, Shannon M.; Danzo, Andrew; Blondell, Richard D.] SUNY Buffalo, Natl Ctr Phys Training Addict Med, Buffalo, NY USA. [Malouin, Rebecca A.] Michigan State Univ, Dept Family Med, E Lansing, MI 48824 USA. [WinklerPrins, Vince] Georgetown Univ, Dept Family Med, Washington, DC 20057 USA. RP Carlin-Menter, SM (reprint author), SUNY Buffalo, Dept Family Med, 77 Goodell St,Suite 220, Buffalo, NY 14203 USA. EM scarlin@buffalo.edu FU Council of Academic Family Medicine FX The Council of Academic Family Medicine awarded a $1,500 grant to support a research presentation of this study. NR 31 TC 1 Z9 1 U1 0 U2 2 PU SOC TEACHERS FAMILY MEDICINE PI LEAWOOD PA 11400 TOMAHAWK CREEK PARKWAY, STE 540, LEAWOOD, KS 66207 USA SN 0742-3225 EI 1938-3800 J9 FAM MED JI Fam. Med. PD SEP PY 2016 VL 48 IS 8 BP 618 EP 623 PG 6 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA DW6BD UT WOS:000383730500005 PM 27655194 DA 2018-05-26 ER PT J AU Gedam, SR Shivji, IA Goyal, A Modi, L Ghosh, S AF Gedam, Sachin Ratan Shivji, Imran Ali Goyal, Arvind Modi, Lipsy Ghosh, Santanu TI Comparison of internet addiction, pattern and psychopathology between medical and dental students SO ASIAN JOURNAL OF PSYCHIATRY LA English DT Article DE Medical students; Dental students; Health professional students; Internet addiction; Psychopathology; Internet use pattern ID COLLEGE-STUDENTS; KOREAN ADOLESCENTS; SCHOOL ADOLESCENTS; PREVALENCE; QUESTIONNAIRE; SYMPTOMS; USAGE AB Background: There has been an enormous use of internet among health professionals in the last decade. It has made significant changes in the health care system. Besides its several benefits, the excessive undisciplined use has led to the emergence of concept of internet addiction. Objectives: The objectives of our study were to estimate prevalence of internet addiction among medical and dental students; to determine association of internet use pattern and psychopathology between medical and dental internet addicted (IA) students. Materials and methods: A cross-sectional study was conducted among 597 students from medical and dental colleges. They completed semi-structured data, internet addiction test and mental health inventory questionnaires as per instructions provided. Students were divided into medical internet addicts and dental internet addicts for comparison. Results: The prevalence of severe internet addiction was more among dental students (2.3%) than that among medical students (1.2%). There was significant difference between the students of medical and dental faculties, who fall under the category of addiction on the basis of-gender, computer ownership and purpose of internet use (P < 0.05). The psychiatric symptoms such as depression and emotional ties also had statistically significant difference (P < 0.05). Conclusion: Significant differences were seen in some of the parameters of internet use pattern and psychopathology among the two groups of internet addict from health professionals. So, further studies need to be conducted among different groups of internet addicts to evaluate different parameters. Specific measures should be taken to prevent internet addiction and its complications. (C) 2016 Elsevier B.V. All rights reserved. C1 [Gedam, Sachin Ratan; Shivji, Imran Ali; Goyal, Arvind; Modi, Lipsy] Jawaharlal Nehru Med Coll, Dept Psychiat, Wardha, Maharashtra, India. [Ghosh, Santanu] Tripura Med Coll, Dept Psychiat, Agartala, India. RP Gedam, SR (reprint author), Jawaharlal Nehru Med Coll, Dept Psychiat, Wardha, Maharashtra, India. EM sachinrgedam@gmail.com; imranshivji@gmail.com; arvindgoyal08@gmail.com; vickymodi1989@ymail.com; drsantanu_healthyplanet@yahoo.co.in NR 51 TC 1 Z9 1 U1 1 U2 9 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1876-2018 EI 1876-2026 J9 ASIAN J PSYCHIATR JI Asian J. Psychiatr. PD AUG PY 2016 VL 22 BP 105 EP 110 DI 10.1016/j.ajp.2016.06.007 PG 6 WC Psychiatry SC Psychiatry GA DU1WQ UT WOS:000382001400025 PM 27520909 DA 2018-05-26 ER PT J AU Ayu, AP Iskandar, S Siste, K De Jong, C Schellekens, A AF Ayu, Astri Parawita Iskandar, Shelly Siste, Kristiana De Jong, Cor Schellekens, Arnt TI ADDICTION TRAINING FOR HEALTH PROFESSIONALS AS AN ANTIDOTE TO THE ADDICTION HEALTH BURDEN IN INDONESIA SO ADDICTION LA English DT Letter DE Addiction; addiction curriculum; addiction medicine training; education; Indonesia; substance use C1 [Ayu, Astri Parawita] Atma Jaya Catholic Univ Indonesia, Sch Med, Dept Psychiat, Jakarta, Indonesia. [Ayu, Astri Parawita; De Jong, Cor] Radboud Univ Nijmegen, NISPA, Nijmegen, Netherlands. [Iskandar, Shelly] Univ Padjajaran, Hasan Sadikin Hosp, Dept Psychiat, Bandung, Indonesia. [Siste, Kristiana] Univ Indonesia, Cipto Mangunkusumo Hosp, Dept Psychiat, Jakarta, Indonesia. [Schellekens, Arnt] Radboud Univ Nijmegen, Dept Psychiat, Med Ctr, Nijmegen, Netherlands. RP Ayu, AP (reprint author), Atma Jaya Catholic Univ Indonesia, Sch Med, Dept Psychiat, Jakarta, Indonesia.; Ayu, AP (reprint author), Radboud Univ Nijmegen, NISPA, Nijmegen, Netherlands. EM a.ayu@psych.ru.nl RI Schellekens, Arnt/G-5611-2013 OI Schellekens, Arnt/0000-0002-7715-5209 FU Indonesian Directorate General of Resources for Research, Technology; Higher Education Ministry of Research, Technology, and Higher Education [94.19/E4.4/2014] FX A.P.A. received a grant from the Indonesian Directorate General of Resources for Research, Technology and Higher Education Ministry of Research, Technology, and Higher Education, no: 94.19/E4.4/2014. The funder had no role in writing and publication of the manuscript. NR 6 TC 0 Z9 0 U1 1 U2 1 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0965-2140 EI 1360-0443 J9 ADDICTION JI Addiction PD AUG PY 2016 VL 111 IS 8 BP 1498 EP 1499 DI 10.1111/add.13407 PG 2 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA DR5NE UT WOS:000379948900031 PM 27154740 OA gold DA 2018-05-26 ER PT J AU McEachern, J Ahamad, K Nolan, S Mead, A Wood, E Klimas, J AF McEachern, Jasmine Ahamad, Keith Nolan, Seonaid Mead, Annabel Wood, Evan Klimas, Jan TI A Needs Assessment of the Number of Comprehensive Addiction Care Physicians Required in a Canadian Setting SO JOURNAL OF ADDICTION MEDICINE LA English DT Article DE medical education; needs assessment; substance use disorder; workforce ID MEDICINE; ORGANIZATION AB Objective: Medical professionals adequately trained to prevent and treat substance use disorders are in short supply in most areas of the world. Whereas physician training in addiction medicine can improve patient and public health outcomes, the coverage estimates have not been established. We estimated the extent of the need for medical professionals skilled in addiction medicine in a Canadian setting. Methods: We used Monte-Carlo simulations to generate medians and 95% credibility intervals for the burden of alcohol and drug use harms, including morbidity and mortality, in British Columbia, by geographic health region. We obtained prevalence estimates for the models from the Medical Services Plan billing, the Discharge Abstract Database data, and the government surveillance data. We calculated a provider availability index (PAI), a ratio of the size of the labor force per 1000 affected individuals, for each geographic health region, using the number of American Board of Addiction Medicine certified physicians in each area. Results: Depending on the data source used for population estimates, the availability of specialized addiction care providers varied across geographic health regions. For drug-related harms, we found the highest PAI of 23.72 certified physicians per 1000 affected individuals, when using the Medical Services Plan and Discharge Abstract Database data. Drawing on the surveillance data, the drug-related PAI dropped to 0.46. The alcohol-related PAI ranged between 0.10 and 86.96 providers, depending on data source used for population estimates. Conclusions: Our conservative estimates highlight the need to invest in healthcare provider training and to develop innovative approaches for more rural health regions. C1 [McEachern, Jasmine; Ahamad, Keith; Nolan, Seonaid; Mead, Annabel; Wood, Evan; Klimas, Jan] St Pauls Hosp, BC Ctr Excellence HIV AIDS, Vancouver, BC, Canada. [Wood, Evan] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC V6Z 1Y6, Canada. [Klimas, Jan] Univ British Columbia, Dept Med, St Pauls Hosp, Vancouver, BC V6Z 1Y6, Canada. [Klimas, Jan] Univ Coll Dublin, Sch Med & Med Sci, Coombe Healthcare Ctr, Dublin, Ireland. [Ahamad, Keith; Nolan, Seonaid; Mead, Annabel] Univ British Columbia, St Pauls Hosp, Dept Family & Community Med, Dept Family Practice, Vancouver, BC V6Z 1Y6, Canada. [McEachern, Jasmine] Raven Song Community Hlth Ctr, Vancouver, BC, Canada. RP Klimas, J (reprint author), Univ British Columbia, St Pauls Hosp, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM jan.klimas@ucd.ie FU Canada Research Chairs program through Canada Research Chair in Inner City Medicine; US National Institutes of Health [R25DA037756]; Irish Research Council - Marie Cure Actions [ELEVATEPD/2014/6]; Marie Sklodowska Curie Fellowship [701698] FX This research was also undertaken, in part, by funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine, and by the US National Institutes of Health (R25DA037756) that supports Dr. Evan Wood. The ELEVATE grant: Irish Research Council International Career Development Fellowship, co-funded by Marie Cure Actions (ELEVATEPD/2014/6); and the Marie Sklodowska Curie Fellowship (701698) supports Dr. Jan Klimas. NR 34 TC 3 Z9 3 U1 0 U2 4 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1932-0620 EI 1935-3227 J9 J ADDICT MED JI J. Addict. Med. PD JUL-AUG PY 2016 VL 10 IS 4 BP 255 EP 261 DI 10.1097/ADM.0000000000000230 PG 7 WC Substance Abuse SC Substance Abuse GA DS5SL UT WOS:000380842500007 PM 27183295 OA green_accepted DA 2018-05-26 ER PT J AU Goodair, C Crome, I AF Goodair, C. Crome, I. TI How to integrate teaching of addiction medicine in a medical curriculum SO HEROIN ADDICTION AND RELATED CLINICAL PROBLEMS LA English DT Meeting Abstract C1 [Goodair, C.; Crome, I.] St Georges Univ London, London, England. NR 0 TC 0 Z9 0 U1 0 U2 0 PU PACINI EDITORE PI PISA PA VIA DELLA GHERARDESCA-ZONA INDUSTRIALE OSPEDALETTO, 56121 PISA, ITALY SN 1592-1638 J9 HEROIN ADDICT REL CL JI Heroin Addict. Relat. Clin. Probl. PD JUN PY 2016 VL 18 IS 3 SU 1 MA S02-2 BP 24 EP 24 PG 1 WC Substance Abuse SC Substance Abuse GA EJ1BK UT WOS:000392945000032 DA 2018-05-26 ER PT J AU Davis, CS Carr, D AF Davis, Corey S. Carr, Derek TI Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE Opioid; Overdose; Provider training; Prescription drugs ID GRADUATE MEDICAL-EDUCATION; VITAL SIGNS OVERDOSES; UNITED-STATES; CHRONIC PAIN; PRIMARY-CARE; PRESCRIBING PRACTICES; ADDICTION; HEROIN; MANAGEMENT; NALOXONE AB Background: The opioid overdose epidemic in the United States is driven in large part by inappropriate opioid prescribing. Although most American physicians receive little or no training during medical school regarding evidence-based prescribing, substance use disorders, and pain management, some states require continuing medical education (CME) on these topics. We report the results of a systematic legal analysis of such requirements, together with recommendations for improved physician training. Methods: To determine the presence and characteristics of CME requirements in the United States, we systematically collected, reviewed, and coded all laws that require such education as a condition of obtaining or renewing a license to practice medicine. Laws or regulations that mandate one-time or ongoing training in topics designed to reduce overdose risk were further characterized using an iterative protocol Results: Only five states require all or nearly all physicians to obtain CME on topics such as pain management and controlled substance prescribing, and fewer than half require any physicians to obtain such training. Conclusions: While not a replacement for improved education in medical school and post-graduate clinical training, evidence-based CME can help improve provider knowledge and practice. Requiring physicians to obtain CME that accurately presents evidence regarding opioid prescribing and related topics may help reduce opioid-related morbidity and mortality. States and the federal government should also strongly consider requiring such training in medical school and residency. (c) 2016 Elsevier Ireland Ltd. All rights reserved. C1 [Davis, Corey S.; Carr, Derek] Network Publ Hlth Law Southeastern Reg, 101 E Weaver St G-7, Carrboro, NC 27510 USA. RP Davis, CS (reprint author), Network Publ Hlth Law Southeastern Reg, 101 E Weaver St G-7, Carrboro, NC 27510 USA. EM cdavis@networkforphl.org; carrderekh@gmail.com OI Carr, Derek/0000-0003-1503-015X NR 75 TC 10 Z9 10 U1 2 U2 10 PU ELSEVIER IRELAND LTD PI CLARE PA ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND SN 0376-8716 EI 1879-0046 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD JUN 1 PY 2016 VL 163 BP 100 EP 107 DI 10.1016/j.drugalcdep.2016.04.002 PG 8 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA DP4HM UT WOS:000378457000013 PM 27137406 DA 2018-05-26 ER PT J AU O'Sullivan, MM Hoskote, SS Lesko, MB Mallozzi, CM Lee, YI Fayanju, OA Haller, D Rashad, MA Khusainova, E Fortune, D Mathew, R Van Tassel, C Fried, ED AF O'Sullivan, Mary M. Hoskote, Sumedh S. Lesko, Melissa B. Mallozzi, Cristina M. Lee, Young I. Fayanju, Oluseyi A. Haller, Deborah Rashad, Muhammad A. Khusainova, Elvina Fortune, Diandra Mathew, Roshen Van Tassel, Chloe Fried, Ethan D. TI Rotation in a Smoking Cessation Clinic Improves Nicotine Dependence Treatment Provided by First-Year Internal Medicine Trainees SO FAMILY MEDICINE LA English DT Article ID STANDARDIZED PATIENTS; CONTROLLED TRIAL; RESIDENTS; PHYSICIANS; EFFICACY; CARE; INTERVENTIONS; PERSPECTIVES; MANAGEMENT; ATTITUDES AB BACKGROUND AND OBJECTIVES: Over 70% of smokers visit a physician annually, and physicians are well-positioned to assist patients in smoking cessation. Residency offers the ideal setting to train physicians in best practices for treatment of nicotine dependence. We hypothesized that experiential learning during a smoking cessation medical clinic (SCMC) rotation would be associated with an improvement in smoking cessation practice of internal medicine (IM) interns in outpatient primary care and inpatient settings. METHODS: This was a prospective study performed at a large university affiliated hospital. Forty IM interns rotated through SCMC. After a lecture on nicotine addiction and treatment, interns treated SCMC patients under direct supervision of an attending pulmonologist. Interns' smoking cessation practices before and after SCMC rotation were evaluated through chart review over 1 year. Upon study completion, a survey to assess confidence was administered. Paired t tests measured changes in rates of identifying smokers, offering pharmacological treatment and counseling. RESULTS: A total of 5,622 outpatient and 683 inpatient charts of interns' encounters with patients were reviewed. Following SCMC rotation, there was an increase in identifying active smokers (7.1% versus 18.7%), prescribing therapy for smoking cessation (6.5% versus 18.0%), and providing counseling (30.9% versus 42.3%) to outpatients. For inpatients, there was an increase in nicotine replacement during admission (12.9% versus 37.4%) and prescription of therapy upon discharge (5.7% versus 16.1%). Interns reported confidence in providing appropriate counseling and treatment. CONCLUSIONS: SCMC experience positively impacted smoking cessation treatment by IM interns, causing a measurable change in their practice. C1 [O'Sullivan, Mary M.] Mt Sinai St Lukes & Mt Sinai Roosevelt, Div Pulm & Crit Care Med, Dept Med, New York, NY USA. [Hoskote, Sumedh S.; Lesko, Melissa B.; Lee, Young I.; Rashad, Muhammad A.; Khusainova, Elvina; Mathew, Roshen; Fried, Ethan D.] Mt Sinai St Lukes & Mt Sinai Roosevelt, Dept Med, New York, NY USA. [Mallozzi, Cristina M.; Fayanju, Oluseyi A.; Fortune, Diandra] Columbia Univ, Sch Gen Studies, New York, NY USA. [Haller, Deborah] Mt Sinai St Lukes & Mt Sinai Rossevelt, Dept Psychiat, New York, NY USA. [Van Tassel, Chloe] Wheaton Coll, Norton, MA 02766 USA. RP Hoskote, SS (reprint author), Mayo Clin, Div Pulm & Crit Care Med, 200 First St SW, Rochester, MN 55905 USA. EM sumedh@mayo.edu FU Peter and Carmen Lucia Buck Foundation; New York City Department of Health and Mental Hygiene Bureau of Tobacco Control; Centers for Disease Control via the Fund for Public Health in New York City (CDC) [1U58DP002419-01] FX The authors would like to thank Edward Eden, MD, Robert Foronjy, MD, and Janet Shapiro, MD (Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY) for critically reviewing the manuscript. We would also like to thank Bruce Gutelius, MD, from the New York City Department of Health and Mental Hygiene, the Margarita Camche Smoking Cessation Program, The James P. Mara Center for Lung Disease of Mount Sinai St. Luke's-Roosevelt, New York, NY, and The Peter and Carmen Lucia Buck Foundation for their support.; This study was funded by grants from (1) The New York City Department of Health and Mental Hygiene Bureau of Tobacco Control and (2) The Centers for Disease Control via the Fund for Public Health in New York City (CDC Grant No. 1U58DP002419-01). NR 28 TC 0 Z9 0 U1 0 U2 2 PU SOC TEACHERS FAMILY MEDICINE PI LEAWOOD PA 11400 TOMAHAWK CREEK PARKWAY, STE 540, LEAWOOD, KS 66207 USA SN 0742-3225 EI 1938-3800 J9 FAM MED JI Fam. Med. PD JUN PY 2016 VL 48 IS 6 BP 472 EP 476 PG 5 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA DO8GD UT WOS:000378020300009 PM 27272425 DA 2018-05-26 ER PT J AU Ram, A Chisolm, MS AF Ram, Anita Chisolm, Margaret S. TI The Time is Now: Improving Substance Abuse Training in Medical Schools SO ACADEMIC PSYCHIATRY LA English DT Article DE Medical students; Attitudes; Values; Addiction psychiatry ID PRIMARY-CARE PHYSICIANS; ADDICTION MEDICINE; USE DISORDERS; HEALTH-CARE; CHRONICALLY ILL; NATIONAL-SURVEY; MENTAL-ILLNESS; UNITED-STATES; STUDENTS; ALCOHOL AB This commentary highlights the growing demand for substance abuse prevention and treatment, summarizes the literature regarding the current insufficiencies in substance abuse training in medical schools, and suggests strategies to address this gap in physician education. The authors describe how the combination of mandated coverage for substance abuse services and expanding treatment needs means that more physicians, regardless of their patient populations, will be faced with addressing the problem of substance use. The authors review the literature on substance abuse training in medical schools, which indicates insufficient exposure to this topic. The authors describe how current substance abuse training at medical schools is focused on transmitting scientific knowledge with relatively little education or training in attitudes and skills central to effective prevention and treatment. Given the gap between clinical need and physician education, the authors suggest several strategies for medical schools to increase training in substance abuse knowledge, attitudes, and skills, which will enhance the practice of evidence-based care. The authors posit that medical curricular reform, combined with initiatives to change clinical culture around substance abuse, will translate into improved rates of screening, shorter overall length of treatment, effective referrals for continued treatment, and increased access to care for individuals who use substances and so reduce the morbidity and mortality associated with substance use. C1 [Ram, Anita] Johns Hopkins Univ, Sch Med, Baltimore, MD USA. [Chisolm, Margaret S.] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA. RP Chisolm, MS (reprint author), Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA. EM mchisol1@jhmi.edu NR 56 TC 4 Z9 4 U1 0 U2 5 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 454 EP 460 DI 10.1007/s40596-015-0314-0 PG 7 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800015 PM 25749922 DA 2018-05-26 ER PT J AU Kastenholz, KJ Agarwal, G AF Kastenholz, Kurt J. Agarwal, Gaurava TI A Qualitative Analysis of Medical Students' Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula SO ACADEMIC PSYCHIATRY LA English DT Article DE Medical students; Attitudes; Addiction; Spirituality; Alcoholics anonymous ID 12-STEP PROGRAMS; SUBSTANCE-ABUSE; SPIRITUALITY; RECOVERY; ATTITUDES; DIAGNOSES; MECHANISM; MODEL AB Objective This paper describes medical students' views of alcoholism and their response to attending an Alcoholics Anonymous (AA) meeting during their psychiatry clerkship. This may assist other educators in planning their addiction curricula. Methods Medical students were required to attend an AA meeting during their psychiatry clerkship and then to write a reflection piece on this experience. We selected a random sample of 40 pieces and performed a qualitative analysis to identify the prominent ideas and themes in this sample. Results Medical students found their experience attending an AA meeting to be educationally valuable. They reported their familiarity with AA prior to this experience was largely limited to popular media depictions. Students reported understanding alcoholism as a disease with both biological and psychosocial components. They were often concerned with the presence of religiosity and spirituality at the meetings. Following the experience, students felt more comfortable referring patients to AA and identified empathy, honesty, and openness as crucial contributors to the efficacy of AA. Conclusions Students felt that attending an AA meeting during their psychiatry clerkship was an educationally valuable experience. Medical students' familiarity with addiction treatment is limited, and attending an AA meeting may be helpful in increasing their comfort with treating addicted patients in the future. In addition, educators may want to explicitly address the spirituality issue related to some treatment programs to increase the likelihood that future physicians feel comfortable referring their patients to recovery programs. C1 [Kastenholz, Kurt J.; Agarwal, Gaurava] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA. RP Kastenholz, KJ (reprint author), Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA. EM kurt-kastenholz@fsm.northwestern.edu NR 20 TC 1 Z9 1 U1 0 U2 1 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 468 EP 474 DI 10.1007/s40596-015-0380-3 PG 7 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800017 PM 26108396 DA 2018-05-26 ER PT J AU Agrawal, S Capponi, P Lopez, J Kidd, S Ringsted, C Wiljer, D Soklaridis, S AF Agrawal, Sacha Capponi, Pat Lopez, Jenna Kidd, Sean Ringsted, Charlotte Wiljer, David Soklaridis, Sophie TI From Surviving to Advising: A Novel Course Pairing Mental Health and Addictions Service Users as Advisors to Senior Psychiatry Residents SO ACADEMIC PSYCHIATRY LA English DT Article DE Psychiatry/education; Patient participation; Mentors; Physician-patient relations; Patient-centered Care; Education/medical/graduate ID OF-THE-LITERATURE; CARER INVOLVEMENT; EDUCATION; PROFESSIONALS; CONSUMER; PERCEPTIONS; STRATEGIES; RECOVERY; STUDENTS; ILLNESS AB Objective The authors describe a novel course that pairs service users as advisors to senior psychiatry residents with the goals of improving the residents' understanding of recovery, reducing negative stereotypes about people in recovery, and empowering the service users who participated. Methods Service users who had experience working as peer support workers and/or system advocates were selected for a broad and deep understanding of recovery and an ability to engage learners in constructive dialogue. They met monthly with resident advisees over a period of 6 months. They were supported with monthly group supervision meetings and were paid an honorarium. Quantitative evaluations and qualitative feedback from the first two cohorts of the course, comprising 34 pairs, are reported here. Results The first cohort of residents responded with a wide range of global ratings and reactions. In response to their suggestions, changes were made to the structure of the course to create opportunities for small group learning and reflective writing and to protect time for residents to participate. The second cohort of residents and both cohorts of service users gave acceptably high global ratings. Residents in the second cohort described gaining a number of benefits from the course, including an enhanced understanding of the lived experience of recovery and a greater sense of shared humanity with service users. Advisors described an appreciation for being part of something that has the potential for changing the practice of psychiatry and enhancing the lives of their peers. Conclusions Positioning service users as advisors to psychiatry residents holds promise as a powerful way of reducing distance between future psychiatrists and service users and facilitating system reform toward person-centered recovery-oriented care. C1 [Agrawal, Sacha; Lopez, Jenna; Kidd, Sean; Wiljer, David; Soklaridis, Sophie] Ctr Addict & Mental Hlth, Toronto, ON, Canada. [Agrawal, Sacha; Kidd, Sean; Wiljer, David; Soklaridis, Sophie] Univ Toronto, Toronto, ON, Canada. [Agrawal, Sacha] Yale Univ, New Haven, CT USA. [Capponi, Pat] Voices St, Toronto, ON, Canada. [Ringsted, Charlotte] Aarhus Univ, Aarhus, Denmark. RP Agrawal, S (reprint author), Ctr Addict & Mental Hlth, Toronto, ON, Canada.; Agrawal, S (reprint author), Univ Toronto, Toronto, ON, Canada.; Agrawal, S (reprint author), Yale Univ, New Haven, CT USA. EM sacha.agrawal@camh.ca FU Associated Medical Services Inc. FX The authors would like to thank Michael-Jane Levitan for her assistance with data collection. This work was supported by a Phoenix Call to Caring grant from Associated Medical Services Inc. NR 23 TC 2 Z9 2 U1 2 U2 8 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 475 EP 480 DI 10.1007/s40596-016-0533-z PG 6 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800018 PM 27056051 DA 2018-05-26 ER PT J AU Serafini, K Bryant, K Ikomi, J LaPaglia, D AF Serafini, Kelly Bryant, Katurah Ikomi, Jolomi LaPaglia, Donna TI Training Psychiatry Addiction Fellows in Acupuncture SO ACADEMIC PSYCHIATRY LA English DT Article DE Curriculum development; Interdisciplinary training ID RANDOMIZED CONTROLLED-TRIAL; AURICULAR ACUPUNCTURE AB Objective Acupuncture has been studied as an adjunct for addiction treatments. Because many hospitals, outpatient clinics, and facilities are integrating acupuncture treatment, it is important that psychiatrists remain informed about this treatment. This manuscript describes the National Acupuncture Detoxification Association (NADA) protocol and its inclusion as part of the curriculum for psychiatry addictions fellows. Methods Psychiatry and psychology fellows completed the NADA training (n = 20) and reported on their satisfaction with the training. Results Overall, participants stated that they found the training beneficial and many were integrating acupuncture within their current practice. Conclusions Results support the acceptability of acupuncture training among psychiatry fellows in this program. C1 [Serafini, Kelly; LaPaglia, Donna] Yale Univ, Sch Med, New Haven, CT USA. [Bryant, Katurah] Dept Mental Hlth & Addict Serv, Hartford, CT USA. [Ikomi, Jolomi] Univ Cincinnati, Cincinnati, OH USA. RP Serafini, K (reprint author), Yale Univ, Sch Med, New Haven, CT USA. EM kelly.serafini@yale.edu OI Serafini, Kelly/0000-0002-0679-1494 FU National Institute on Drug Abuse (NIDA) T-32 grant [5T32DA007238-23] FX This research was supported in part through a National Institute on Drug Abuse (NIDA) T-32 grant, 5T32DA007238-23 (Petrakis). The funding sources had no role other than financial support. We wish to acknowledge Denise Romano, APRN, NADA Registered Trainer; Matteo Cretella, CAC, NADA Registered Trainer-Apprentice; Kenneth Carter, MD, MPH; NADA Registered Trainer; and Michael Smith, MD, NADA Registered Trainer; for their assistance in the training of the psychiatry and psychology fellows in the NADA protocol. Further, we wish to acknowledge Ismene Petrakis, MD, and Ellen Edens, MD, MPE, for their support of the NADA curriculum at Yale University School of Medicine. Finally, we wish to thank the fellows that provided their feedback for this project. NR 8 TC 0 Z9 0 U1 0 U2 1 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 503 EP 506 DI 10.1007/s40596-015-0342-9 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800023 PM 26048457 OA green_accepted DA 2018-05-26 ER PT J AU Sanchez-Ramirez, JP Gakhal, R Oakman, SA AF Sanchez-Ramirez, Juan P. Gakhal, Ramandeep Oakman, Scott A. TI Addiction Psychiatry in PGY-3: Use of the Intensive Outpatient Treatment Setting to Train Senior Residents SO ACADEMIC PSYCHIATRY LA English DT Editorial Material C1 [Sanchez-Ramirez, Juan P.; Gakhal, Ramandeep; Oakman, Scott A.] Hennepin Reg Psychiat Training Program, Minneapolis, MN USA. [Oakman, Scott A.] Reg Behav Hlth, St Paul, MN 55101 USA. RP Oakman, SA (reprint author), Hennepin Reg Psychiat Training Program, Minneapolis, MN USA.; Oakman, SA (reprint author), Reg Behav Hlth, St Paul, MN 55101 USA. EM scott.a.oakman@healthpartners.com NR 3 TC 1 Z9 1 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 517 EP 519 DI 10.1007/s40596-015-0386-x PG 3 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800026 PM 26108398 DA 2018-05-26 ER PT J AU Jha, MK Abele, MK Brown, JA Ibrahim, H Wakhlu, S AF Jha, Manish Kumar Abele, Misoo K. Brown, Julie A. Ibrahim, Hicham Wakhlu, Sidarth TI Attitudes Towards Substance Use Disorders and Association with Motivational Interviewing Education: A Survey of Psychiatry Chief Residents SO ACADEMIC PSYCHIATRY LA English DT Letter C1 [Jha, Manish Kumar; Ibrahim, Hicham] UT Southwestern Med Ctr, Dallas, TX USA. [Abele, Misoo K.; Brown, Julie A.] Portland VA HCS, Portland, OR USA. [Wakhlu, Sidarth] North Texas VA HCS, Dallas, TX USA. RP Jha, MK (reprint author), UT Southwestern Med Ctr, Dallas, TX USA. EM manish.jha@utsouthwestern.edu OI Jha, Manish/0000-0002-2764-2391 NR 5 TC 0 Z9 0 U1 0 U2 3 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2016 VL 40 IS 3 BP 523 EP 524 DI 10.1007/s40596-016-0525-z PG 2 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA DM3LV UT WOS:000376248800028 PM 26976399 DA 2018-05-26 ER PT J AU Roy, PJ Weinstein, ZM Yuh, D Neville, L Walley, AY AF Roy, Payel J. Weinstein, Zoe M. Yuh, David Neville, Linda Walley, Alexander Y. TI A CURRICULUM TO IMPROVE RESIDENT KNOWLEDGE AND SATISFACTION IN CARING FOR HOSPITALIZED PATIENTS WITH ADDICTION SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT Meeting of the Society-of-General-Internal-Medicine (SGIM) CY MAY 11-14, 2015-2016 CL Hollywood, FL SP Soc Gen Internal Med C1 [Weinstein, Zoe M.] Boston Med Ctr, Boston, MA USA. [Walley, Alexander Y.] Boston Univ, Boston, MA 02215 USA. [Roy, Payel J.] Boston Univ, Med Ctr, Boston, MA USA. [Yuh, David; Neville, Linda] Boston Univ, Sch Med, Boston, MA 02118 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAY PY 2016 VL 31 SU 2 BP S796 EP S797 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA EI0YL UT WOS:000392201603160 DA 2018-05-26 ER PT J AU Tetrault, JM Green, M Martino, S Ryan, S Bernstein, SL Illuzzi, J Martel, S Pantalon, M O'Connor, P Fiellin, DA D'Onofrio, G AF Tetrault, Jeanette M. Green, Michael Martino, Steve Ryan, Sheryl Bernstein, Steven L. Illuzzi, Jessica Martel, Shara Pantalon, Michael O'Connor, Patrick Fiellin, David A. D'Onofrio, Gail TI OUTCOMES OF A MULTI-SPECIALTY, SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) RESIDENCY CURRICULUM FOR UNHEALTHY ALCOHOL AND OTHER SUBSTANCE USE SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT Meeting of the Society-of-General-Internal-Medicine (SGIM) CY MAY 11-14, 2015-2016 CL Hollywood, FL SP Soc Gen Internal Med C1 [Tetrault, Jeanette M.; Green, Michael; O'Connor, Patrick; Fiellin, David A.] Yale Sch Med, New Haven, CT USA. [Martino, Steve] Yale Univ, Sch Med, New Haven, CT USA. [Ryan, Sheryl; Bernstein, Steven L.; Illuzzi, Jessica; Martel, Shara; Pantalon, Michael; D'Onofrio, Gail] Yale Univ, New Haven, CT USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAY PY 2016 VL 31 SU 2 BP S318 EP S319 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA EI0YL UT WOS:000392201601039 DA 2018-05-26 ER PT J AU Ansari, H Ansari-Moghaddam, A Mohammadi, M Peyvand, M Amani, Z Arbabisarjou, A AF Ansari, Hossein Ansari-Moghaddam, Alireza Mohammadi, Mahdi Peyvand, Mostafa Amani, Zahra Arbabisarjou, Azizollah TI Internet Addiction and Happiness Among Medical Sciences Students in Southeastern Iran SO HEALTH SCOPE LA English DT Article DE Internet Addiction; Students; Medical; Happiness ID UNIVERSITY-STUDENTS; SUBJECTIVE HAPPINESS; HIGH-SCHOOLS; ADOLESCENTS; PREVALENCE; PREDICTORS; VITALITY; HEALTH; RISK AB Background: Several factors are responsible for overuse of the internet among young adults. The practice can lead to internet addiction (IA). In addition, users' happiness may be an important factor related to IA, and should be assessed. Objectives: The present study aims to estimate the prevalence of internet addiction (IA) and its relationship to happiness among students enrolled at the Zahedan University of Medical Sciences (ZUMS) in southeastern Iran. Patients and Methods: This cross-sectional study was carried out on 380 medical students at ZUMS in 2015. The subjects were selected using the stratified random sampling method. The data were collected using Yang Standard Internet Addiction and Oxford Happiness questionnaires, and were analyzed in Stata.12 software using bivariate and multiple logistic regression with the Hosmer-Lemshow method. Results: The prevalences of IA among males and females were 33.8% (95% CI: 26.1-41.5) and 20% (95% CI: 14.9-25.1), respectively. The results of logistic regression analyses revealed that gender (OR = 1.98, 95% CI: 1.48-2.48), average grades (OR = 0.87, 95% CI: 0.81-0.99), and happiness scores (OR = 0.82, 95% CI: 0.75-0.98) were statistically significantly associated with IA. However, IA was not associated with subjects' age, semester of study, residential area, or school of education (P > 0.05). Conclusions: The prevalence of IA among medical students in southeast Iran was high and affected by happiness. Increasing happiness with the provision of various programs may prevent IA problems among students and may improve their educational situation. C1 [Ansari, Hossein; Ansari-Moghaddam, Alireza; Mohammadi, Mahdi; Peyvand, Mostafa; Amani, Zahra; Arbabisarjou, Azizollah] Zahedan Univ Med Sci, Hlth Promot Res Ctr, Zahedan, Iran. RP Ansari, H (reprint author), Zahedan Univ Med Sci, Hlth Promot Res Ctr, Zahedan, Iran. EM ansarih88@gmail.com RI Arbabisarjou, Azizollah/G-8878-2017; Ansari-Moghaddam, Alireza/J-2406-2017; Mohammadi, Mahdi/J-2393-2017 OI Arbabisarjou, Azizollah/0000-0003-2516-3175; Ansari-Moghaddam, Alireza/0000-0002-3267-7193; Mohammadi, Mahdi/0000-0001-9616-6125 NR 39 TC 0 Z9 0 U1 2 U2 10 PU KOWSAR PUBL PI HOENSBROEK PA PATERSWEG 22,, HOENSBROEK, LIMBURG 6431 GC, NETHERLANDS SN 2251-8959 EI 2251-9513 J9 HEALTH SCOPE JI Health Scope PD MAY PY 2016 VL 5 IS 2 AR e33600 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA DL6NH UT WOS:000375755400008 DA 2018-05-26 ER PT J AU Sinthubua, A Das, S Ruengdit, S Singsuwan, P Mahakkanukrauh, P AF Sinthubua, Apichat Das, Srijit Ruengdit, Sittiporn Singsuwan, Phruksachat Mahakkanukrauh, Pasuk TI Health Issues in Medical Students: How We Need To Take Care of Our Future Generation Doctors SO JOURNAL OF KRISHNA INSTITUTE OF MEDICAL SCIENCES UNIVERSITY LA English DT Review DE Disease; Illness; Medical; Students ID SUBSTANCE USE AB Medical profession is one of the most coveted professions in the society. During the medical course, individuals are subjected to much stress and hardships. Many fail to cope up and quit the course or even land up in substance abuse. A major cause of concern is the health of any medico. On few occasion the disease may be imaginative in nature whereas at other times it may be actually present. There is a need to differentiate between two. At many occasions, there are illnesses which are a cause of worry for both parents and administration. The health of every single budding doctor is important as entrance to medical course is an intellectual superior individual it incurs heavy expenses on the part of the administration and we cannot afford to compromise on such a potential asset to the society. We performed an extensive search of literature such as Pubmed, Scopus and Google for obtaining necessary articles for this short narrative mini review. Search terms included: "medical", students", "illnesses", disease." The present review is first of its kind which aims to discuss the medical illness and various diseases affecting the medicos during their professional career. The results of the review may help in better planning in terms of taking care of the health of medical students. C1 [Sinthubua, Apichat; Ruengdit, Sittiporn; Singsuwan, Phruksachat; Mahakkanukrauh, Pasuk] Chiang Mai Univ, Fac Med, Forens Osteol Res Ctr, Chiang Mai 50200, Thailand. [Sinthubua, Apichat; Mahakkanukrauh, Pasuk] Chiang Mai Univ, Fac Med, Dept Anat, Chiang Mai 50200, Thailand. [Sinthubua, Apichat; Mahakkanukrauh, Pasuk] Chiang Mai Univ, Excellent Ctr Osteol Res & Training Ctr ORTC, Chiang Mai 50200, Thailand. [Das, Srijit] Univ Kebangsaan Malaysia, Med Ctr, Dept Anat, Kuala Lumpur 56000, Malaysia. RP Mahakkanukrauh, P (reprint author), Chiang Mai Univ, Fac Med, Dept Anat, Chiang Mai 50200, Thailand.; Mahakkanukrauh, P (reprint author), Chiang Mai Univ, Excellent Ctr Osteol Res & Training Ctr ORTC, Chiang Mai 50200, Thailand. EM pasuk034@gmail.com NR 15 TC 0 Z9 0 U1 1 U2 2 PU KRISHNA INST MEDICAL SCIENCES UNIV PI MAHARASHTRA PA MALKAPUR, KARAD, MAHARASHTRA, 415 539, INDIA SN 2231-4261 J9 J KRISHNA INST MED S JI J. Krishna Inst. Med. Sci. Univ. PD APR-JUN PY 2016 VL 5 IS 2 BP 5 EP 7 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA DY1VI UT WOS:000384882100002 OA gold DA 2018-05-26 ER PT J AU Wege, N Muth, T Li, J Angerer, P AF Wege, N. Muth, T. Li, J. Angerer, P. TI Mental health among currently enrolled medical students in Germany SO PUBLIC HEALTH LA English DT Article DE Medical students; Common mental disorders; Somatisation; Psychotropic medication ID SUICIDAL IDEATION; GENERAL-POPULATION; PRIMARY-CARE; DEPRESSIVE-DISORDERS; SOCIOECONOMIC-STATUS; MAJOR DEPRESSION; SOMATIC SYMPTOMS; PHYSICIANS; VALIDATION; QUESTIONNAIRE AB Objectives: The study identifies the prevalence of common mental disorders according to the patient health questionnaire (PHQ) and the use of psychotropic substances in a sample of currently enrolled medical students. Study design: A cross-sectional survey with a self-administrated questionnaire. Methods: All newly enrolled medical students at the University of Dusseldorf, with study beginning either in 2012 or 2013, respectively, were invited to participate. The evaluation was based on 590 completed questionnaires. Mental health outcomes were measured by the PHQ, including major depression, other depressive symptoms (subthreshold depression), anxiety, panic disorders and psychosomatic complaints. Moreover, information about psychotropic substances use (including medication) was obtained. Multiple logistic regression analysis was used to estimate associations between sociodemographic and socio-economic factors and mental health outcomes. Results: The prevalence rates, measured by the PHQ, were 4.7% for major depression, 5.8% for other depressive symptoms, 4.4% for anxiety, 1.9% for panic disorders, and 15.7% for psychosomatic complaints. These prevalence rates were higher than those reported in the general population, but lower than in medical students in the course of medical training. In all, 10.7% of the students reported regular psychotropic substance use: 5.1% of students used medication 'to calm down,' 4.6% to improve their sleep,' 4.4% 'to elevate mood,' and 3.1% 'to improve cognitive performance.' In the fully adjusted model, expected financial difficulties were significantly associated with poor mental health (odds ratio [OR]: 2.14; 95% confidence interval [CI]: 1.31-3.48), psychosomatic symptoms (OR: 1.85; 95% CI: 1.11-3.09) and psychotropic substances use (OR: 2.68; 95% CI: 1.51-4.75). Conclusion: The high rates of mental disorders among currently enrolled medical students call for the promotion of mental health, with a special emphasis on vulnerable groups. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved. C1 [Wege, N.; Muth, T.; Li, J.; Angerer, P.] Univ Dusseldorf, Inst Occupat Med & Social Med, Ctr Hlth & Soc CHS, Fac Med, D-40001 Dusseldorf, Germany. RP Wege, N (reprint author), Univ Dusseldorf, MPH Inst Occupat Hlth Med & Social Med, Ctr Hlth & Soc CHS, Fac Med, POB 10 10 07, D-40001 Dusseldorf, Germany. EM natalia.wege@uni-duesseldorf.de NR 57 TC 7 Z9 7 U1 0 U2 14 PU W B SAUNDERS CO LTD PI LONDON PA 32 JAMESTOWN RD, LONDON NW1 7BY, ENGLAND SN 0033-3506 EI 1476-5616 J9 PUBLIC HEALTH JI Public Health PD MAR PY 2016 VL 132 BP 92 EP 100 DI 10.1016/j.puhe.2015.12.014 PG 9 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA DG8IN UT WOS:000372327300014 PM 26880490 DA 2018-05-26 ER PT J AU Dutta, A Das, S Mallick, AK AF Dutta, Arindam Das, Subrata Mallick, Asim Kumar TI Assessment Of Internet Addiction Among Medical Students and its Association with Personality Dimensions SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet addiction; Medical students; IAT; Personality dimensions; EPQ-R C1 [Dutta, Arindam; Das, Subrata; Mallick, Asim Kumar] Burdwan Med Coll & Hosp, Burdwan, W Bengal, India. EM carolinedias19@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S95 EP S96 PG 2 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800344 OA gold DA 2018-05-26 ER PT J AU Mishra, AK Parmar, A Kaloiya, GS Balhara, YPS AF Mishra, Ashwani Kumar Parmar, Arpit Kaloiya, Gauri Shanker Balhara, Yatan Pal Singh TI A Descriptive Analysis of Instructions to Authors For Statistical Reporting of Article in Addiction Medicine Journals SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE SCImago; Journal; Manuscript C1 AIIMS, Dept Psychiat, Delhi, India. AIIMS, Natl Drug Dependence Treatment Ctr, Delhi, India. EM dr.arpitparmar@yahoo.in NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S69 EP S69 PG 1 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800242 OA gold DA 2018-05-26 ER PT J AU Nagori, N Vala, AU Ratnani, IJ Vasava, K AF Nagori, Nidhi Vala, A. U. Ratnani, Imran J. Vasava, Kinjal TI Association of Internet Addiction With Anxiety and Quality of Life Among Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet Addiction; Anxiety; Quality of Life NR 0 TC 0 Z9 0 U1 1 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S133 EP S133 PG 1 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800482 OA gold DA 2018-05-26 ER PT J AU Nath, K Naskar, S Victor, R AF Nath, Kamal Naskar, Subrata Victor, Robin TI A Cross-Sectional Study on the Prevalence, Risk Factors & Illeffects of Internet Addiction Amongst The Medical Students In Silchar Medical College & Hospital, North Eastern India SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Risk factors; internet addiction; TCP/IP C1 [Nath, Kamal; Naskar, Subrata; Victor, Robin] Silchar Med Coll & Hosp, Dept Psychiat, Silchar, Assam, India. EM robinvictor111@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S80 EP S80 PG 1 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800287 OA gold DA 2018-05-26 ER PT J AU Pal, S Oswal, RM Patel, A AF Pal, Sutanaya Oswal, Rajat M. Patel, Anu TI Smartphone Addiction Among Medical Students of Medical College Baroda and its Association With Academic Performance SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Addiction; smartphone; SPAI C1 [Pal, Sutanaya; Oswal, Rajat M.; Patel, Anu] Coll Med, Dept Psychiat, Baroda, Gujarat, India. EM pal.sutanaya@gmail.com NR 0 TC 0 Z9 0 U1 1 U2 2 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S78 EP S78 PG 1 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800280 OA gold DA 2018-05-26 ER PT J AU Tialam, G Macharapu, R Mallepalli, PKR AF Tialam, Gautham Macharapu, Raghuram Mallepalli, Pramod K. R. TI To Assess the Knowledge of Psychiatric Aspects of Alcohol Use Disorders in Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Knowledge; Alcohol use disorders; Medical students EM gautham.tialam@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2016 VL 58 IS 5 SU S BP S88 EP S88 PG 1 WC Psychiatry SC Psychiatry GA EH9PR UT WOS:000392103800317 OA gold DA 2018-05-26 ER PT J AU Farokhi, MR Zarifsanaiey, N Haghighi, F Mehrabi, M AF Farokhi, Majid Reza Zarifsanaiey, Nahid Haghighi, Fahimeh Mehrabi, Manoosh TI E-LEARNING OR IN-PERSON APPROACHES IN CONTINUOUS MEDICAL EDUCATION: A COMPARATIVE STUDY SO IIOAB JOURNAL LA English DT Article DE E-learning; In-person training; Continuous medical training AB Introduction: Technological advancement and new discoveries in science has made it practically impossible to deny the need for revolutions in the process of conducting training activities. E-learning is a method of facilitating and promoting learning through the use of information and communication technology tools. The aim of this study is to compare the knowledge of general practitioners participating in addiction detoxification continuous training program employing electronic (offline) and in-person training. Method: This quasi-experimental study was conducted in 2013 in Fars Province, Iran by psychiatrists who participated in the addiction detoxification continuous training program. A total of 118 samples were randomly divided into two equal groups of 59 subjects after completion of the pre-test questionnaire. The in-person retraining method was employed in one group while the electronic learning method was employed in the other group. A posttest was administered after the training. Data was collected with the aid of a written test; the validity and reliability of the questions were determined by 5 members of the medical faculty and Cronbach's alpha of 85%, respectively. Statistical analysis of data was carried out using SPSS (ver. 16), t-test and Levene's test. Results: The results revealed that there was a significant difference between the pretest and posttest scores, and the posttest scores obtained in the e-learning group were significantly higher than the pretest scores (p < 0.01). Conclusion: E-learning method can be employed as an alternative or complement to traditional training in the retraining of practitioners. This method makes it possible for instructors to benefit from several training strategies and foster active learning in students. C1 [Farokhi, Majid Reza; Haghighi, Fahimeh] Shiraz Univ Med Sci, Virtual Sch, Ctr Excellence E Learning Med Sci, Shiraz, Iran. [Zarifsanaiey, Nahid; Mehrabi, Manoosh] Shiraz Univ Med Sci, Virtual Sch, Ctr Excellence E Learning Med Sci, Dept E Learning, Shiraz, Iran. RP Mehrabi, M (reprint author), Shiraz Univ Med Sci, Virtual Sch, Ctr Excellence E Learning Med Sci, Dept E Learning, Shiraz, Iran. EM nzarifsanaee@gmail.com RI mehrabi, manoosh/G-5472-2015 OI Farrokhi, Majid Reaza/0000-0003-1252-3215 NR 19 TC 0 Z9 0 U1 0 U2 0 PU INST INTEGRATIVE OMICS & APPLIED BIOTECHNOLOGY PI KOLKATA PA NONAKURI, PURBA MEDINIPUR, WEST BENGAL, KOLKATA, 721 172, INDIA SN 0976-3104 J9 IIOAB J JI IIOAB J. PY 2016 VL 7 SU 2 BP 472 EP 476 PG 5 WC Biochemistry & Molecular Biology SC Biochemistry & Molecular Biology GA EF8LB UT WOS:000390579300055 DA 2018-05-26 ER PT J AU Haque, M Rahman, NAA Azim, MA Haque, SZ Kamal, ZM Islam, Z Haque, ATME Rahman, NIA Alattraqchi, AG AF Haque, Mainul Rahman, Nor Azlina A. Azim, Md Anwarul Majumder Haque, Seraj Zohurul Kamal, Zubair M. Islam, Zakirul Haque, A. T. M. Emdadul Rahman, Nor Iza A. Alattraqchi, Ahmed Ghazi TI Internet use and addiction among medical students of Universiti Sultan Zainal Abidin, Malaysia SO PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT LA English DT Article DE Internet; addiction; medical students; UniSZA; Malaysia ID PSYCHOMETRIC PROPERTIES; COLLEGE-STUDENTS; SCHOOL; PREVALENCE; QUESTIONNAIRE; BANGLADESH; MANAGEMENT; COMPUTER AB Background: The use of Internet has now become indispensable, and the technology has revolutionized the medical education and practice worldwide. Currently, medical students and professionals have an enormous opportunity to keep them always updated with the exponential growth of knowledge because of potential progression of Internet throughout the world that enables them to become a lifelong learner. Internet addiction is a widespread phenomenon among students and academicians at universities in Malaysia. Students use the Internet for recreational purpose and personal and professional development. The Internet has become an integral part of day-to-day life of the university students, including medical students. The aim of the present study was to examine the Internet use and addiction among students of Universiti Sultan Zainal Abidin, Malaysia. Methods: This was a cross-sectional study in which a questionnaire, Internet Addiction Diagnostic Questionnaire, developed by the Center for Internet Addiction, USA, was used. One hundred forty-nine medical students of Universiti Sultan Zainal Abidin participated in this study. Data were analyzed using Statistical Package for the Social Sciences software. Results: The mean scores were 44.9 +/- 14.05 and 41.4 +/- 13.05 for male and female participants, respectively, which indicated that both the genders were suffering from mild Internet addiction. Conclusion: This study shows almost similar level of Internet usage among medical students irrespective of their socioeconomic background, with no statistically significant (p>0.05) differences, except among the years of study (p=0.007). Overall, from the research data and having worked with this cohort very closely, Universiti Sultan Zainal Abidin medical students can be labeled as wonted and recurring users of the Internet. Nevertheless, it is very difficult to define as Internet addicts or pathological users of the Internet because of small sample size and cross-sectional study. C1 [Haque, Mainul] Natl Def Univ Malaysia, Fac Med & Def Hlth, Pharmacol Unit, Kuala Lumpur 57000, Malaysia. [Rahman, Nor Azlina A.] Kulliyyah Allied Hlth Sci, Dept Biomed Sci, Kuantan, Malaysia. [Azim, Md Anwarul Majumder] Univ Bradford, Sch Med Sci, Dept Clin Sci, Fac Life Sci, Bradford, W Yorkshire, England. [Haque, Seraj Zohurul] Univ Dundee, Sch Med, Ninewells Hosp & Med Sch, Dundee, Scotland. [Kamal, Zubair M.] Univ Hlth Network, Toronto Western Hosp, Sleep Res Unit, Toronto, ON, Canada. [Islam, Zakirul] Eastern Med Coll, Dept Pharmacol & Therapeut, Comilla, Bangladesh. [Haque, A. T. M. Emdadul] Univ Kuala Lumpur, Royal Coll Med Perak UniKL RCMP, Ipoh, Malaysia. [Rahman, Nor Iza A.; Alattraqchi, Ahmed Ghazi] Univ Sultan Zainal Abidin, Fac Med, Kuala Terengganu, Malaysia. RP Haque, M (reprint author), Natl Def Univ Malaysia, Fac Med & Def Hlth, Pharmacol Unit, Kuala Lumpur 57000, Malaysia. EM runurono@gmail.com OI A.RAHMAN, NOR IZA/0000-0001-7346-8841; Haque, Mainul/0000-0002-6124-7993 NR 81 TC 5 Z9 5 U1 0 U2 5 PU DOVE MEDICAL PRESS LTD PI ALBANY PA PO BOX 300-008, ALBANY, AUCKLAND 0752, NEW ZEALAND SN 1179-1578 J9 PSYCHOL RES BEHAV MA JI Psychol. Res. Behav. Manag. PY 2016 VL 9 BP 297 EP 307 DI 10.2147/PRBM.S119275 PG 11 WC Psychology, Clinical; Psychiatry; Psychology, Multidisciplinary SC Psychology; Psychiatry GA EC0UT UT WOS:000387817300001 PM 27881928 OA gold DA 2018-05-26 ER PT J AU Zahid, MF Haque, A Aslam, M Aleem, NA Hussain, S Fahad, H Naqvi, HA Ghias, K AF Zahid, Mohammad Faizan Haque, Ambreen Aslam, Moaz Aleem, Numra Abdul Hussain, Sheraz Fahad, Hamna Naqvi, Haider Ali Ghias, Kulsoom TI Health-Related Anxiety and Hypochondriacal Concerns in Medical Students: A Cross-Sectional Study From Pakistan SO TEACHING AND LEARNING IN MEDICINE LA English DT Article DE medical education; medical students; health-related anxiety; hypochondriasis; transient hypochondriasis ID CIGARETTE-SMOKING; DEPRESSION; DISORDERS; INVENTORY; DISEASE; SAMPLE; ASSOCIATION; DIMENSIONS; KARACHI AB Phenomenon: Transient health-related anxiety/hypochondriacal concerns in medical students are well documented. The literature suggests that after studying a particular disease, medical students are likely to consider any symptoms earlier regarded as normal to be signs of the disease they are studying. The aim of this study was to investigate the prevalence of these phenomena and their cognitive and distress aspects among medicals students in Karachi, Pakistan. Approach: This was an analytical, cross-sectional study. Self-administered questionnaires comprising demographic details, the Short Health Anxiety Inventory, Medical Students' Disease (MSD) Perception Scale, and MSD Distress Scale were distributed to 1st- through 5th-year medical students. Findings: In total, 513 medical students (66% female) participated. Their mean age was 21 +/- 1.6years. Three hundred seventy-five students (73%) reported having visited a doctor at least once in the past 6 months. Fifty students (9.9%) admitted to having addictions. The overall prevalence of significant hypochondriacal concerns was 11.9% (61 students). The presence of addiction was associated with a greater likelihood of developing significant health-related anxiety (odds ratio = 3.82, p = .003), 95% confidence interval [1.51, 7.11]. Age, gender, medical school, year of medical school, and visits to the doctor in the previous 6 months were not associated with greater likelihood of developing significant health-related anxiety. Second-year medical students experienced a significantly greater degree of worry (MSD-Distress scale) than 5th-year students (M score = 12.6 +/- 4.6vs. 10.7 +/- 4.4, p = .04). Insights: The prevalence of substantial hypochondriacal concerns in medical students in Pakistan was low in comparison to similar studies published in literature. Student health physicians should be aware of the true prevalence of hypochondriacal concerns and behavior and not dismiss legitimate complaints. Educational sessions to counteract this phenomenon can be incorporated into the curriculum of undergraduate medicine. By defining heightened awareness of symptoms as a normal process, different coping techniques can be discussed to help medical students reduce their level of stress. C1 [Zahid, Mohammad Faizan; Aslam, Moaz; Aleem, Numra Abdul; Hussain, Sheraz; Fahad, Hamna] Aga Khan Univ, Coll Med, Karachi, Pakistan. [Haque, Ambreen] Jinnah Sindh Med Univ, Karachi, Pakistan. [Naqvi, Haider Ali] Liaquat Univ Med & Hlth Sci, Dept Psychiat, Karachi, Pakistan. [Ghias, Kulsoom] Aga Khan Univ, Dept Biol & Biomed Sci, Karachi, Pakistan. RP Zahid, MF (reprint author), Def Housing Author, House 54-1 Sect E,Phase 1, Lahore, Pakistan. EM faizanzahid91@hotmail.com NR 42 TC 0 Z9 0 U1 3 U2 6 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1040-1334 EI 1532-8015 J9 TEACH LEARN MED JI Teach. Learn. Med. PY 2016 VL 28 IS 3 BP 252 EP 259 DI 10.1080/10401334.2016.1155459 PG 8 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA DR4HQ UT WOS:000379862600003 PM 27092575 DA 2018-05-26 ER PT J AU Clemence, AJ Balkoski, VI Schaefer, BM Lee, M Bromley, N Maisonneuve, IM Hamilton, CJ Lukowitsky, MR Poston, J Hall, S Pieterse, P Antonikowski, A Glick, SD AF Clemence, A. Jill Balkoski, Victoria I. Schaefer, Bianca M. Lee, Minsun Bromley, Nicole Maisonneuve, Isabelle M. Hamilton, Christopher J. Lukowitsky, Mark R. Poston, John Hall, Schekeva Pieterse, Portia Antonikowski, Angela Glick, Stanley D. TI Multispecialty screening, brief intervention, and referral to treatment (SBIRT) training in an academic medical center: Resident training experience across specialties SO SUBSTANCE ABUSE LA English DT Article DE Brief intervention; residents; SBIRT training; substance use disorders ID RANDOMIZED CLINICAL-TRIAL; PROGRAM MODEL DESCRIPTION; SUBSTANCE USE DISORDERS; PRIMARY-CARE; DRUG-USE; CURRICULUM; ADDICTION; EDUCATION AB Background: The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently begun to fund programs that train medical residents on how to utilize an evidence-based validated system known as screening, brief intervention, and referral to treatment (SBIRT) for providing early detection and brief treatment of unhealthy substance use. This paper investigates training outcomes of multispecialty SBIRT training at one such program at Albany Medical Center (AMC), one of the initial SAMHSA grantees. Methods: Training outcomes were measured across 3 domains of learning: trainee satisfaction, acquired knowledge, and perceived usefulness. The authors explored differences in learning experience by postgraduate year and by specialty. Results: Overall, residents were highly satisfied with the training, and learning outcomes met objectives. Residents' ratings of usefulness did not vary by program year. However, the results indicate that relative to residents in other programs, residents in psychiatry and pediatrics found the training components significantly more useful, whereas emergency medicine residents found training components to have less utility. Residents who found the training relevant to their daily work were more satisfied and more receptive to SBIRT training overall, which may help explain difference scores by program. Conclusions: Residents were highly satisfied with SBIRT skills training, although ratings of usefulness varied by residency program. Specialization by program and on-site modeling by senior faculty may enhance trainee satisfaction and perceived usefulness. C1 [Clemence, A. Jill; Balkoski, Victoria I.; Schaefer, Bianca M.; Lee, Minsun; Bromley, Nicole; Hamilton, Christopher J.; Lukowitsky, Mark R.; Poston, John; Hall, Schekeva; Pieterse, Portia] Albany Med Coll, Dept Psychiat, 25 Hackett Blvd,MC 164, Albany, NY 12208 USA. [Maisonneuve, Isabelle M.; Glick, Stanley D.] Albany Med Coll, Ctr Neuropharmacol & Neurosci, Albany, NY 12208 USA. [Antonikowski, Angela] Albany Med Coll, Dept Pediat, Albany, NY 12208 USA. RP Clemence, AJ (reprint author), Albany Med Coll, Dept Psychiat, 25 Hackett Blvd,MC 164, Albany, NY 12208 USA. EM ClemenA@mail.amc.edu OI Clemence, Amanda/0000-0002-6530-8335 FU SAMHSA [1U79TI02069] FX Preparation of this report and the program described herein were supported by SAMHSA grant 1U79TI02069. SAMHSA provided funding for the development of training and the evaluation of training effectiveness. SAMHSA was not directly involved in the design of the training program, study design, or in manuscript preparation. NR 23 TC 4 Z9 4 U1 0 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2016 VL 37 IS 2 BP 356 EP 363 DI 10.1080/08897077.2015.1082953 PG 8 WC Substance Abuse SC Substance Abuse GA DR1WH UT WOS:000379695100014 PM 26308425 DA 2018-05-26 ER PT J AU Volgemut, Z Ferk, P AF Volgemut, Ziga Ferk, Polonca TI Substance abuse among medical students in Maribor, Slovenia SO CLINICAL TOXICOLOGY LA English DT Meeting Abstract ID CONSUMPTION; ALCOHOL C1 [Volgemut, Ziga; Ferk, Polonca] Univ Maribor, Fac Med, SLO-2000 Maribor, Slovenia. NR 3 TC 0 Z9 0 U1 0 U2 0 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1556-3650 EI 1556-9519 J9 CLIN TOXICOL JI Clin. Toxicol. PY 2016 VL 54 IS 4 MA 73 BP 403 EP 403 PG 1 WC Toxicology SC Toxicology GA DK5ZM UT WOS:000374999800081 DA 2018-05-26 ER PT J AU Arora, A Kannan, S Gowri, S Choudhary, S Sudarasanan, S Khosla, PP AF Arora, A. Kannan, S. Gowri, S. Choudhary, S. Sudarasanan, S. Khosla, P. P. TI Substance abuse amongst the medical graduate students in a developing country SO INDIAN JOURNAL OF MEDICAL RESEARCH LA English DT Article DE Psychological stress; students; substance abuse ID DRUG-USE; UNIVERSITY; ALCOHOL AB Background & objectives: Substance abuse is found worldwide including among students. We carried out this study to estimate the prevalence of substance abuse among medical student studying in a medical college in north India. Methods: Using a validated questionnaire a cross-sectional survey was conducted among 230 undergraduate and postgraduate medical students in a private medical college. Results: The prevalence of substance abuse was 20.43 per cent (47/230) among medical students. An increase in substance abuse was observed in the latter years of medical education. A total of 43 of 47 (91.7%) students using these substances were aware of the ill effects. The most common reasons for substance use were relief from psychological stress (34/47, 72.4%) and occasional celebration (34/47, 72.4%). Of the 47 substance users, 28 (59.6%) made past attempts to quit the substance abuse. Interpretation & conclusions: Nearly one-fifth of medical students abuse at least one substance despite knowing the ill effects with the main predisposing factor being the psychological stress. C1 [Arora, A.; Kannan, S.; Khosla, P. P.] Subharti Med Coll & Hosp, Dept Pharmacol, Delhi Haridwar Bypass Rd, Meerut 250005, Uttar Pradesh, India. [Choudhary, S.; Sudarasanan, S.] Subharti Med Coll & Hosp, Dept Psychiat, Meerut, Uttar Pradesh, India. [Gowri, S.] Subharti Dent Coll, Dept Prosthodont, Meerut, Uttar Pradesh, India. [Kannan, S.] Fiji Natl Univ, Coll Med Nursing & Hlth Sci, Hlth Sci, Suva, Fiji. [Gowri, S.] Fiji Natl Univ, Coll Med Nursing & Hlth Sci, Oral Hlth, Suva, Fiji. RP Kannan, S (reprint author), Subharti Med Coll & Hosp, Dept Pharmacol, Delhi Haridwar Bypass Rd, Meerut 250005, Uttar Pradesh, India. EM skannandr@gmail.com OI Sivaramakrishnan, Gowri/0000-0002-5877-205X FU Indian Council of Medical Research FX The first author (AA) thanks Indian Council of Medical Research for rendering support for this project under the Short Term Studentship 2014 programme. NR 19 TC 3 Z9 3 U1 0 U2 3 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0971-5916 J9 INDIAN J MED RES JI Indian J. Med. Res. PD JAN PY 2016 VL 143 BP 101 EP 103 DI 10.4103/0971-5916.178617 PG 3 WC Immunology; Medicine, General & Internal; Medicine, Research & Experimental SC Immunology; General & Internal Medicine; Research & Experimental Medicine GA DI1TY UT WOS:000373279900018 PM 26997021 OA gold DA 2018-05-26 ER PT J AU Brunault, P Gohier, B Ducluzeau, PH Bourbao-Tournois, C Frammery, J Reveillere, C Ballon, N AF Brunault, Paul Gohier, Benedicte Ducluzeau, Pierre-Henri Bourbao-Tournois, Celine Frammery, Julie Reveillere, Christian Ballon, Nicolas TI The psychiatric, psychological and addiction evaluation in bariatric surgery candidates: What should we assess, why and how? SO PRESSE MEDICALE LA French DT Article ID QUALITY-OF-LIFE; WEIGHT-LOSS; SURGICAL-TREATMENT; OBESITY SURGERY; MORBID-OBESITY; MENTAL-HEALTH; OVERWEIGHT; FOOD; DEPRESSION; VALIDATION AB Bariatric surgery is indicated in obese patients with a BMI >= 40 kg/m(2) or >= 35 kg/m(2) with serious comorbidities, in second intention in patients who failed to achieve significant weight loss after a well-managed medical, nutritional and psychotherapeutic treatment for 6 to 12 months, and in patients who are aware of the consequences of bariatric surgery and who agree with a long term medical and surgical follow-up. Such a treatment requires a preoperative multidisciplinary assessment and management, which includes a mandatory consultation with a psychiatrist or a psychologist that should be member of the multidisciplinary staff and participate in these staffs. Although one of this consultation's aim is to screen for the few patients who for which surgery is contra-indicated, in most cases, the main aim of this assessment is to screen for and manage psychiatric and psychopathologic disorders that could be temporary contra-indication, because these disorders could lead to poorer postoperative outcome when untreated. By explaining to the patient how these disorders could affect postoperative outcome and which benefits he could retrieve from their management, the patient will increase his motivation for change and he will be more likely to seek professional help for these disorders. In all cases, a systematic examination of the patient's personality and his/ her ability to understand the postoperative instructions is essential before surgery because clinicians should check that the patient is able to be adherent to postoperative instructions. In addition to clinical interview, use of self-administered questionnaires before the consultation might help to determine which psychiatric or psychopathologic factors should be more closely screened during the consultation. Psychiatric disorders and addictions are highly prevalent in this population (e. g., mood and anxiety disorders, binge eating disorder, attention deficit hyperactivity disorder, addictions, personality disorders, pathological personality traits and dimensions), and when untreated, they can lead to poorer postoperative outcome (postoperative occurrence of psychiatric disorders, poorer quality of life, and sometimes to poorer weight loss or excessive weight rebound when the disorder is present during the postoperative period). A complementary training in addiction medicine is helpful given the higher risk for addictions in this population. Given that this evaluation is often the first meeting with a psychiatrist, an empathic and motivational approach is helpful to improve the patient's ability to request for a future psychiatric consultation during the follow-up. Some conditions are required for a high quality assessment: the objectives and expectations of the consultation should be systematically explained to the patient prior to the consultation by the physician who enquires for the assessment; it needs time; the psychiatrist should systematically be member of the multidisciplinary staff and should take part in regular multisciplinary staff meetings; patients should be seen alone to assess his/her readiness to change. After the consultation, a contact with the physician who enquires for the assessment should be systematic (e. g., use of a medical letter that sum up the main conclusions of the consultation; participation in regular multisciplinary staff meetings). C1 [Brunault, Paul; Frammery, Julie; Ballon, Nicolas] CHRU Tours, Equipe Liaison & Soins Addictol, 2 Blvd Tonnelle, F-37044 Tours 9, France. [Brunault, Paul; Frammery, Julie] CHRU Tours, Clin Psychiat Univ, F-37044 Tours 9, France. [Brunault, Paul; Reveillere, Christian] Univ Tours, Dept Psychol, EA Psychol Ages Vie 2114, F-37041 Tours, France. [Brunault, Paul; Ducluzeau, Pierre-Henri; Bourbao-Tournois, Celine; Ballon, Nicolas] CHRU Tours, Ctr Specialise Prise Charge Obesite Severe, F-37000 Tours, France. [Gohier, Benedicte] CHU Angers, Serv Psychiat & Addictol, F-49933 Angers, France. [Gohier, Benedicte] Univ Angers, Lab Psychol Pays de la Loire, EA 4638, F-49045 Angers 1, France. [Ducluzeau, Pierre-Henri] CHRU Tours, Serv Med Interne Nutr, F-37044 Tours 9, France. [Bourbao-Tournois, Celine] CHRU Tours, Serv Chirurg Digest & Endocrinienne, F-37044 Tours 9, France. [Frammery, Julie] Ctr Hosp Louis Sevestre, F-37390 La Membrolle Sur Choisil, France. [Ballon, Nicolas] UMR Inserm U930 ERL, F-37200 Tours, France. [Ducluzeau, Pierre-Henri; Ballon, Nicolas] Univ Tours, F-37041 Tours, France. RP Brunault, P (reprint author), CHRU Tours, Equipe Liaison & Soins Addictol, 2 Blvd Tonnelle, F-37044 Tours 9, France. EM paul.brunault@univ-tours.fr OI Brunault, Paul/0000-0001-9317-228X; Gohier, Benedicte/0000-0002-3613-4903 NR 31 TC 0 Z9 0 U1 1 U2 10 PU MASSON EDITEUR PI MOULINEAUX CEDEX 9 PA 21 STREET CAMILLE DESMOULINS, ISSY, 92789 MOULINEAUX CEDEX 9, FRANCE SN 0755-4982 EI 2213-0276 J9 PRESSE MED JI Presse Med. PD JAN PY 2016 VL 45 IS 1 BP 29 EP 39 DI 10.1016/j.lpm.2015.09.013 PG 11 WC Medicine, General & Internal SC General & Internal Medicine GA DD8QF UT WOS:000370191200005 PM 26482489 DA 2018-05-26 ER PT J AU Jalilian, F Matin, BK Ahmadpanah, M Ataee, M Jouybari, TA Eslami, AA Alavijeh, MM AF Jalilian, Farzad Matin, Behzad Karami Ahmadpanah, Mohammad Ataee, Mari Jouybari, Touraj Ahmadi Eslami, Ahmad Ali Alavijeh, Mehdi Mirzaei TI Socio-Demographic Characteristics Associated with Cigarettes Smoking, Drug Abuse and Alcohol Drinking among Male Medical University Students in Iran SO JOURNAL OF RESEARCH IN HEALTH SCIENCES LA English DT Article DE Alcohol Drinking; Smoking; Drug Abuse; University; Iran AB Background: Substance abuse is one of the most complicated social problems. Understanding socio-demographic characteristics of those who abuse substances could help deal with this problem more efficiently. The main objective of this study was to determine socio-demographic characteristics associated with alcohol drinking, cigarettes smoking and drug abuse among a sample of male medical university students in Iran. Methods: This cross-sectional study was conducted in 2014 among 425 male medical college students randomly selected with the proportional to size among different faculties in Isfahan and Kermanshah medical universities in Iran. A self-report written questionnaire was applied to collect data. Data were analyzed by the SPSS-20. Results: Mean age of the respondents was 19.9 yr (ranging from 18 to 22 yr). About 19.4%, 3.9%, and 10.1% of the respondents had a history of cigarette smoking, drug use, and alcohol drinking during the past three months, respectively. Logistic regression showed that mother's educational level, living place, economic status, and parents' divorce was the most influential predictive factors in substance abuse. Conclusions: Considering the high prevalence of substance abuse (especially smoking and alcohol drinking), it seems essential to design educational interventions to prevent substance abuse, paying attention to predictive factors mentioned above, among college students. C1 [Jalilian, Farzad; Matin, Behzad Karami; Ataee, Mari; Jouybari, Touraj Ahmadi] Kermanshah Univ Med Sci, Subst Abuse Prevent Res Ctr, Kermanshah, Iran. [Ahmadpanah, Mohammad] Hamadan Univ Med Sci, Res Ctr Behav Disorders & Subst Abuse, Hamadan, Iran. [Eslami, Ahmad Ali] Isfahan Univ Med Sci, Sch Hlth, Dept Hlth Educ & Promot, Esfahan, Iran. [Alavijeh, Mehdi Mirzaei] Yasuj Univ Med Sci, Social Determinants Hlth Res Ctr, Yasuj, Iran. RP Eslami, AA (reprint author), Isfahan Univ Med Sci, Sch Hlth, Dept Hlth Educ & Promot, Esfahan, Iran. EM eslamiaa@gmail.com RI Ahmadpanah, Mohammad/U-6860-2017; Eslami, Ahmad ali/A-1037-2018 OI Ahmadpanah, Mohammad/0000-0003-2908-2460; Eslami, Ahmad ali/0000-0002-6845-539X FU Isfahan University of Medical Sciences; Deputy of Research of Isfahan University of Medical Sciences FX This article is a part of the Ph.D. dissertation of health education and health promotion supported by Isfahan University of Medical Sciences. We would like to thank Deputy of Research of Isfahan University of Medical Sciences for financial support. NR 30 TC 5 Z9 5 U1 3 U2 5 PU HAMADAN UNIV MEDICAL SCIENCES PI ISLAMIC PA PO BOX 65175 HAMEDAN, ISLAMIC, 4171, IRAN SN 2228-7795 EI 2228-7809 J9 J RES HEALTH SCI JI J. Res. Health Sci. PD WIN PY 2015 VL 15 IS 1 BP 42 EP 46 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA V9S7F UT WOS:000422489400007 PM 25821025 DA 2018-05-26 ER PT J AU Nordin, ASA Hairi, FM Bullen, C Sobri, MKM AF Nordin, Amer Siddiq Amer Hairi, Farizah Mohd Bullen, Christopher Sobri, Mohd Khairuddin Mohd TI Knowledge and practices of tobacco dependence treatment among junior doctors in a Malaysian teaching hospital SO JOURNAL OF SMOKING CESSATION LA English DT Article AB Introduction: Junior doctors are ideally placed to assist smokers quit yet little is known about their knowledge and practices. Aims: To determine knowledge and practices in providing smoking cessation support, among junior doctors in a Malaysian teaching hospital. Methods: In 2012, all junior doctors at University Malaya Medical Centre were invited to complete a self-administered questionnaire. The data were collated and analysed using standard descriptive methods. Results/Findings: Seventy per cent (n = 122/173) of those eligible completed the questionnaire, 71% reporting cessation training at medical school. Most (90%) asked patients their smoking status but only 52% asked about quitting. Sixty-one per cent lacked confidence in providing assistance to quit, especially female doctors (70.8%, p<0.01). Most (80%) were unaware of local cessation clinics, and over half (59%) were unaware of the existence of guidelines for smoking cessation (p < 0.001). Conclusions: Asking about smoking was undertaken at satisfactory levels, but low knowledge, confidence and skills among this group of junior doctors indicates that cessation education should be included in undergraduate and in postgraduate curriculum training programmes. Awareness of specialist services and guidelines should be raised. Our findings are unlikely to be unique to this hospital, suggesting the need for a nationally consistent approach. C1 [Nordin, Amer Siddiq Amer] Univ Malaya, Ctr Addict Sci UMCAS, Kuala Lumpur, Malaysia. [Hairi, Farizah Mohd] Univ Malaya, Fac Med, Ctr Populat Hlth CePH, Dept Social & Prevent Med, Kuala Lumpur, Malaysia. [Bullen, Christopher] Univ Auckland, Natl Inst Hlth Innovat, Auckland, New Zealand. [Sobri, Mohd Khairuddin Mohd] Univ Malaya, Fac Med, Kuala Lumpur, Malaysia. RP Nordin, ASA (reprint author), Univ Malaya, Ctr Addict Sci UMCAS Aras 21, Wisma R&D UM Jalan Pantai Baharu, Kuala Lumpur 59200, Malaysia. EM amersiddiq@um.edu.my OI Bullen, Christopher/0000-0001-6807-2930 FU University Malaya Centre of Addiction Sciences (UMCAS) FX This work was supported by the University Malaya Centre of Addiction Sciences (UMCAS). NR 16 TC 0 Z9 0 U1 0 U2 0 PU CAMBRIDGE UNIV PRESS PI CAMBRIDGE PA EDINBURGH BLDG, SHAFTESBURY RD, CB2 8RU CAMBRIDGE, ENGLAND SN 1834-2612 J9 J SMOK CESS JI J. Smok. Cess. PD DEC PY 2015 VL 10 IS 2 BP 162 EP 167 DI 10.1017/jsc.2014.8 PG 6 WC Substance Abuse SC Substance Abuse GA V2W7D UT WOS:000217980000010 DA 2018-05-26 ER PT J AU Barral, C Eiroa-Orosa, FJ Navarro-Marfisis, MC Roncero, C Casas, M AF Barral, Carmen Eiroa-Orosa, Francisco Jose Cecilia Navarro-Marfisis, Maria Roncero, Carlos Casas, Miguel TI Assessing knowledge and attitudes towards addictions in medical residents of a general hospital SO DRUGS-EDUCATION PREVENTION AND POLICY LA English DT Article DE Attitudes; medical residents; substance use disorders; training; treatment ID SUBSTANCE USE DISORDERS; DUAL DIAGNOSIS PATIENTS; PRIMARY-CARE PHYSICIANS; DRUG-ABUSE; STUDENTS; ALCOHOL; STAFF; PSYCHIATRISTS; CONSEQUENCES; PERCEPTIONS AB Aims: Addiction treatment training has been recognized to be an essential part of the curriculum in psychiatry and general medicine. Our objective in this study was to measure the knowledge and attitudes towards addictions among medical residents of a general hospital in Catalonia, Spain. Methods: Within a sample of medical residents, we administered a questionnaire based on previous literature including attitudes towards patients with drug use problems, evaluation of knowledge and beliefs about harm reduction policies. Additionally, basic professional data, and personal as well as family consumption history were recorded. Findings: Four dimensions were found within the beliefs of medical residents about drug treatment and training: judgement of medical treatment of addictions and harm reduction, attitudes toward patients, importance given to training and assessment of training received. When correlating these dimensions with personal characteristics, we found those residents with personal or family history of drug use to have higher positive attitudes towards patients with addictions, and also better predisposition towards harm reduction policies. Residents working with these patients tended to give more importance to training and knowledge, and to have a better perception of the training already received, compared with residents without this contact. Conclusions: Although residents working often with addicted patients appear to have positive attitudes towards addiction treatment, according to our results, it seems very important to improve training policies, awareness and attitudes towards addiction among the whole medical community. C1 [Barral, Carmen; Cecilia Navarro-Marfisis, Maria; Roncero, Carlos; Casas, Miguel] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Psychiat, CIBERSAM, E-08193 Barcelona, Spain. [Barral, Carmen; Roncero, Carlos; Casas, Miguel] Agencia Salut Publ Barcelona, Dept Psychiat, Outpatient Drug Clin Vall Hebron, Hosp Univ Vall dHebron, Barcelona, Spain. [Barral, Carmen; Roncero, Carlos] Univ Autonoma Barcelona, Dept Psychiat & Legal Med, E-08193 Barcelona, Spain. [Eiroa-Orosa, Francisco Jose] Univ E London, Sch Psychol, London E15 4LZ, England. RP Barral, C (reprint author), Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Psychiat, CIBERSAM, E-08193 Barcelona, Spain. EM cbarral@vhebron.net RI Barral, Carmen/D-8418-2016; Roncero, Carlos/F-6785-2015; Eiroa Orosa, Francisco Jose/D-2510-2012 OI Barral, Carmen/0000-0001-9963-6153; Roncero, Carlos/0000-0003-1421-7385; Eiroa Orosa, Francisco Jose/0000-0002-4163-6545 FU Teaching Commission of the Hospital Universitari Vall d'Hebron FX We would like to thank the participants of the survey, as well as the Teaching Commission of the Hospital Universitari Vall d'Hebron for their advice and support. NR 36 TC 0 Z9 0 U1 0 U2 8 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0968-7637 EI 1465-3370 J9 DRUG-EDUC PREV POLIC JI Drug-Educ. Prev. Policy PD NOV 2 PY 2015 VL 22 IS 6 BP 457 EP 462 DI 10.3109/09687637.2014.987218 PG 6 WC Substance Abuse SC Substance Abuse GA CX2HN UT WOS:000365517800001 DA 2018-05-26 ER PT J AU Wakeman, SE Pham-Kanter, G Baggett, MV Campbell, EG AF Wakeman, Sarah E. Pham-Kanter, Genevieve Baggett, Meridale V. Campbell, Eric G. TI Medicine Resident Preparedness to Diagnose and Treat Substance Use Disorders: Impact of an Enhanced Curriculum SO SUBSTANCE ABUSE LA English DT Article DE Resident preparedness; substance use disorder; addiction; curriculum; substance abuse; drug use ID INTERNAL-MEDICINE; PRIMARY-CARE; PHYSICIANS; ADDICTION; ATTITUDES; EDUCATION AB Background: The authors' previous study found that despite caring for many patients with addiction, most Massachusetts General Hospital (MGH) internal medicine residents feel unprepared to treat substance use disorders (SUDs) and rate SUD instruction during training as fair or poor. This follow-up study evaluates the impact of an enhanced curriculum on resident perceptions of the quality of instruction, knowledge base, and self-perceived preparedness to diagnose and treat SUDs. Methods: Based on the findings of the earlier study, an enhanced SUD curriculum was designed and delivered to MGH medicine residents. Impact of the curriculum was evaluated using the same Web-based survey that was administered in the earlier study to compare pre- and posttest results. Results: The authors' earlier study found that 75% of residents felt prepared to diagnose and 37% to treat SUDs and 45% of residents rated the overall quality of SUD instruction as good or excellent. Following the curriculum intervention, 87% of residents reported feeling prepared to diagnose (P = .028) and 60% to treat (P = .002) SUDs. Three quarters of residents rated the overall quality of instruction as good or excellent (P < .001), and 98% reported residency curriculum had a positive impact on their preparedness to care for patients with a SUDs. Residents who reported receiving an adequate amount of SUD instruction were more likely to feel prepared to diagnose and treat addiction (P < .001). Thirty-one percent of residents still rated the overall amount of SUD instruction as too little. The intervention did not significantly improve answers to knowledge questions. Conclusions: An enhanced SUDs curriculum for medicine residents increased self-perceived preparedness to diagnose and treat SUDs and educational quality ratings. However, there was no significant change in knowledge. Implementation of a more comprehensive curriculum and evaluation at other sites are necessary to determine the ideal SUD training model. C1 [Wakeman, Sarah E.; Baggett, Meridale V.; Campbell, Eric G.] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA. [Wakeman, Sarah E.; Baggett, Meridale V.; Campbell, Eric G.] Harvard Univ, Sch Med, Dept Med, Boston, MA USA. [Wakeman, Sarah E.] Massachusetts Gen Hosp, Ctr Community Hlth Improvement, Boston, MA 02114 USA. [Pham-Kanter, Genevieve; Campbell, Eric G.] Mongan Inst Hlth Policy, Boston, MA USA. [Pham-Kanter, Genevieve] Harvard Univ, Edmond J Safra Ctr Eth, Boston, MA 02115 USA. [Pham-Kanter, Genevieve] Univ Colorado, Colorado Sch Publ Hlth, Dept Hlth Syst Management & Policy, Aurora, CO USA. RP Wakeman, SE (reprint author), Massachusetts Gen Hosp, Dept Med, 73 High St, Charlestown, MA 02129 USA. EM swakeman@partners.org OI Kanter, Genevieve/0000-0002-3044-7829 NR 22 TC 3 Z9 3 U1 0 U2 8 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD OCT 2 PY 2015 VL 36 IS 4 BP 427 EP 433 DI 10.1080/08897077.2014.962722 PG 7 WC Substance Abuse SC Substance Abuse GA CX2LM UT WOS:000365528300008 PM 25257796 DA 2018-05-26 ER PT J AU Ching, SM Yee, A Ramachandran, V Lim, SMS Sulaiman, WAW Foo, YL Hoo, FK AF Ching, Siew Mooi Yee, Anne Ramachandran, Vasudevan Lim, Sazlyna Mohd Sazlly Sulaiman, Wan Aliaa Wan Foo, Yoke Loong Hoo, Fan Kee TI Validation of a Malay Version of the Smartphone Addiction Scale among Medical Students in Malaysia SO PLOS ONE LA English DT Article ID MOBILE PHONE DEPENDENCE; INTERNET ADDICTION; PROBLEMATIC INTERNET; UNIVERSITY-STUDENTS; COLLEGE-STUDENTS; LIFE-STYLE; HEALTH; SYMPTOMS; STRESS AB Introduction This study was initiated to determine the psychometric properties of the Smart Phone Addiction Scale (SAS) by translating and validating this scale into the Malay language (SAS-M), which is the main language spoken in Malaysia. This study can distinguish smart phone and internet addiction among multi-ethnic Malaysian medical students. In addition, the reliability and validity of the SAS was also demonstrated. Materials and Methods A total of 228 participants were selected between August 2014 and September 2014 to complete a set of questionnaires, including the SAS and the modified Kimberly Young Internet addiction test (IAT) in the Malay language. Results There were 99 males and 129 females with ages ranging from 19 to 22 years old (21.7 +/- 1.1) included in this study. Descriptive and factor analyses, intra-class coefficients, t-tests and correlation analyses were conducted to verify the reliability and validity of the SAS. Bartlett's test of sphericity was significant (p < 0.01), and the Kaiser-Mayer-Olkin measure of sampling adequacy for the SAS-M was 0.92, indicating meritoriously that the factor analysis was appropriate. The internal consistency and concurrent validity of the SAS-M were verified (Cronbach's alpha = 0.94). All of the subscales of the SAS-M, except for positive anticipation, were significantly related to the Malay version of the IAT. Conclusions This study developed the first smart phone addiction scale among medical students. This scale was shown to be reliable and valid in the Malay language. C1 [Ching, Siew Mooi] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Family Med, Serdang 43400, Selangor, Malaysia. [Ching, Siew Mooi; Ramachandran, Vasudevan] Univ Putra Malaysia, Malaysian Res Inst Ageing, Serdang 43400, Selangor, Malaysia. [Yee, Anne] Univ Malaya, Fac Med, Dept Psychol Med, Ctr Addict Sci, Kuala Lumpur, Malaysia. [Lim, Sazlyna Mohd Sazlly; Sulaiman, Wan Aliaa Wan; Foo, Yoke Loong; Hoo, Fan Kee] Univ Putra Malaysia, Dept Med, Fac Med & Hlth Sci, Serdang 43400, Selangor, Malaysia. RP Ching, SM (reprint author), Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Family Med, Serdang 43400, Selangor, Malaysia. EM sm_ching@upm.edu.my RI Hway Ann, Yee/D-7968-2012 OI Hway Ann, Yee/0000-0002-9835-6798 FU UPM research fund [UPM/700-2/1/GP- IPM/2014/9436500] FX The authors also would like to thank UPM research fund (grant no: UPM/700-2/1/GP- IPM/2014/9436500) for the financial support. The URL is http://www.rmc.upm.edu.my/. NR 33 TC 8 Z9 8 U1 0 U2 24 PU PUBLIC LIBRARY SCIENCE PI SAN FRANCISCO PA 1160 BATTERY STREET, STE 100, SAN FRANCISCO, CA 94111 USA SN 1932-6203 J9 PLOS ONE JI PLoS One PD OCT 2 PY 2015 VL 10 IS 10 AR e0139337 DI 10.1371/journal.pone.0139337 PG 11 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA CS6HH UT WOS:000362178700044 PM 26431511 OA gold DA 2018-05-26 ER PT J AU Broderick, KB Kaplan, B Martini, D Caruso, E AF Broderick, Kerryann B. Kaplan, Bonnie Martini, Dyllon Caruso, Emily TI EMERGENCY PHYSICIAN UTILIZATION OF ALCOHOL/SUBSTANCE SCREENING, BRIEF ADVICE AND DISCHARGE: A 10-YEAR COMPARISON SO JOURNAL OF EMERGENCY MEDICINE LA English DT Article DE SBIRT; alcohol abuse; substance abuse; emergency department; discharge advice; substance screening ID BRIEF INTERVENTION; ALCOHOL-PROBLEMS; CARE; SBIRT AB Background: In 2007, of the 130 million emergency department (ED) visits, similar to 38 million were due to injury, and of those, 1.9 million involved alcohol. The emergency department is a pivotal place to implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) due to the high number of patients presenting with alcohol/ substance abuse risk factors or related injuries. Study Objective: This study compares two surveys, approximately 11 years apart, of emergency physicians nationwide which assesses the use of validated screening tools, the availability of community resources for alcohol/ substance abuse treatment, and the prevailing attitudes of emergency physicians regarding Screening and Brief Intervention for alcohol/substance abuse. Methods: We performed cross-sectional anonymous surveys of 1500 emergency physicians drawn from American College of Emergency Physicians members. The survey results were compared for time interval change. Results: The two surveys had comparable response rates. The median percentage of patients screened for alcohol/ substance abuse in 1999 was 15%, vs. 20% in 2010. In 2010, 26% of emergency physicians had a formal screening tool, and the majority used Cut-down, Annoyed, Guilty, Eye-opener (85%). In 2010, a statistically significant increase in the number of emergency physicians said they would "always'' or "almost always'' use discharge instructions that were specific for alcohol/substance abuse, if available, vs. 1999. Conclusion: Few emergency physicians screen for alcohol/ substance abuse despite evidence that screening and brief intervention is effective. Emergency physicians are receptive to the use of discharge material. (C) 2015 Elsevier Inc. C1 [Broderick, Kerryann B.; Caruso, Emily] Denver Hlth Med Ctr, Denver, CO 80204 USA. [Kaplan, Bonnie; Martini, Dyllon] Univ Colorado, Denver, CO 80202 USA. RP Broderick, KB (reprint author), Denver Hlth Med Ctr, 777 Bannock St,MC 0108, Denver, CO 80204 USA. NR 26 TC 1 Z9 1 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0736-4679 EI 1090-1280 J9 J EMERG MED JI J. Emerg. Med. PD OCT PY 2015 VL 49 IS 4 BP 400 EP 407 DI 10.1016/j.jemermed.2015.05.014 PG 8 WC Emergency Medicine SC Emergency Medicine GA CU0LF UT WOS:000363207200013 PM 26234716 DA 2018-05-26 ER PT J AU Martino, S Zimbrean, P Forray, A Kaufman, J Desan, P Olmstead, TA Gueorguieva, R Howell, H McCaherty, A Yonkers, KA AF Martino, Steve Zimbrean, Paula Forray, Ariadna Kaufman, Joy Desan, Paul Olmstead, Todd A. Gueorguieva, Ralitza Howell, Heather McCaherty, Ashley Yonkers, Kimberly A. TI See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units SO IMPLEMENTATION SCIENCE LA English DT Article DE Primary care integration; Implementation strategies; Motivational interviewing ID UNHEALTHY ALCOHOL-USE; EFFECTIVENESS ACCEPTABILITY CURVES; PROGRAM THERAPIST ADHERENCE; GENERAL-HOSPITAL ADMISSIONS; COST-EFFECTIVENESS ANALYSIS; PRIMARY-CARE SETTINGS; DSM-IV ALCOHOL; BRIEF INTERVENTION; SUBSTANCE-ABUSE; HEALTH-CARE AB Background: General medical hospitals provide care for a disproportionate share of patients who abuse or are dependent upon substances. This group is among the most costly to treat and has the poorest medical and addiction recovery outcomes. Hospitalization provides a unique opportunity to identify and motivate patients to address their substance use problems in that patients are accessible, have time for an intervention, and are often admitted for complications related to substance use that renders hospitalization a "teachable moment." Methods/Design: This randomized controlled trial will examine the effectiveness of three different strategies for integrating motivational interviewing (MI) into the practice of providers working within a general medical inpatient hospitalist service: (1) a continuing medical education workshop that provides background and "shows" providers how to conduct MI (See One); (2) an apprenticeship model involving workshop training plus live supervision of bedside practice (Do One); and (3) ordering MI from the psychiatry consultation-liaison (CL) service after learning about it in a workshop (Order One). Thirty providers (physicians, physician assistants, nurses) will be randomized to conditions and then assessed for their provision of MI to 40 study-eligible inpatients. The primary aims of the study are to assess (1) the utilization of MI in each condition; (2) the integrity of MI when providers use it on the medical units; and (3) the relative costs and cost-effectiveness of the three different implementation strategies. Discussion: If implementation of Do One and Order One is successful, the field will have two alternative strategies for supporting medical providers' proficient use of brief behavioral interventions, such as MI, for medical inpatients who use substances problematically. C1 [Martino, Steve] VA Connecticut Healthcare Syst, Psychol Serv, West Haven, CT 06516 USA. [Martino, Steve; Zimbrean, Paula; Forray, Ariadna; Kaufman, Joy; Desan, Paul; Howell, Heather; McCaherty, Ashley; Yonkers, Kimberly A.] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT 06511 USA. [Olmstead, Todd A.] Univ Texas Austin, Lyndon B Johnson Sch Publ Affairs, Austin, TX 78712 USA. [Olmstead, Todd A.] Seton UT Clin Res Inst, Austin, TX 78701 USA. [Gueorguieva, Ralitza] Yale Univ, Dept Biostat, Sch Med, New Haven, CT 06510 USA. RP Martino, S (reprint author), VA Connecticut Healthcare Syst, Psychol Serv, 950 Campbell Ave 116B, West Haven, CT 06516 USA. EM steve.martino@yale.edu RI Forray, Ariadna/N-7057-2017 OI Forray, Ariadna/0000-0002-5806-8767; Gueorguieva, Ralitza/0000-0003-0944-5973 FU National Institute on Drug Abuse (NIDA) [R01 DA034243] FX The National Institute on Drug Abuse (NIDA) is funding the study (R01 DA034243). The authors wish to thank the medical providers at the medical hospital where the study is being conducted. We also would like to thank Victor Morris, Will Cushing, Jose Salvana, and Scott Sussman for the work they have done in support of the project. Finally, we want to acknowledge our research staff (Monica Canning-Ball, Jessica Katon, and Rebecca Aldi) for their ongoing efforts to implement this trial with integrity. NR 113 TC 1 Z9 1 U1 1 U2 8 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1748-5908 J9 IMPLEMENT SCI JI Implement. Sci. PD SEP 29 PY 2015 VL 10 AR 138 DI 10.1186/s13012-015-0327-9 PG 11 WC Health Care Sciences & Services; Health Policy & Services SC Health Care Sciences & Services GA CS6CN UT WOS:000362164900001 PM 26420671 OA gold DA 2018-05-26 ER PT J AU Boulis, S Khanduja, PK Downey, K Friedman, Z AF Boulis, Sherif Khanduja, P. Kristina Downey, Kristi Friedman, Zeev TI Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE LA English DT Article ID CHEMICAL DEPENDENCY; UNITED-STATES; TRAINING-PROGRAMS; RESPONSE RATES; PHYSICIANS; ADDICTION; SPECIALTY; PERSONNEL; OUTCOMES AB The abuse of substances available to anesthesiologists in their workspace is a potentially lethal occupational hazard. Our primary objective was to define the prevalence of substance abuse cases among Canadian anesthesiologists at university-affiliated hospitals. Our secondary aim was to describe the current management of confirmed cases, rehabilitation procedures being offered, and preventative strategies being employed. We conducted a cross-sectional electronic survey of all Canadian anesthesia residency program directors and site chiefs at university-affiliated hospitals. Data analysis was performed using descriptive statistics. The survey response rate was 54% (53/98). Substance abuse was reported as 1.6% for residents and 0.3% for clinical fellows over a ten-year period ending in June 2014. Fentanyl was abused in nine of 24 reported cases. At present, one of 22 respondents (4.5%) reported a formal education program on substance abuse for faculty members, and 72% described mandatory education for residents. The majority of participants did not perceive substance abuse as a growing problem. Seventy-one percent of respondents indicated that methods for controlled-drug handling had changed in the previous ten years; however, 66% did not think that the incidence of controlled substance abuse could be decreased further by more stringent measures. Only 21% of respondents supported the introduction of random urine drug testing. The prevalence of substance abuse among Canadian anesthesiologists and the substances abused appear comparable with data from the United States, with residents being the group most often affected. Early recognition and treatment of chemically dependent anesthesiologists remain imperfect. C1 [Boulis, Sherif; Khanduja, P. Kristina; Downey, Kristi; Friedman, Zeev] Univ Toronto, Mt Sinai Hosp, Dept Anesthesia & Pain Management, Toronto, ON M5G 1X5, Canada. RP Khanduja, PK (reprint author), Univ Toronto, Mt Sinai Hosp, Dept Anesthesia & Pain Management, 600 Univ Ave,Room 19-104, Toronto, ON M5G 1X5, Canada. EM kkhanduja@mtsinai.on.ca NR 32 TC 4 Z9 4 U1 0 U2 7 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0832-610X EI 1496-8975 J9 CAN J ANESTH JI Can. J. Anesth. PD SEP PY 2015 VL 62 IS 9 BP 964 EP 971 DI 10.1007/s12630-015-0404-1 PG 8 WC Anesthesiology SC Anesthesiology GA CP2YC UT WOS:000359742900005 PM 26001750 OA gold DA 2018-05-26 ER PT J AU Deepali, A Shobha, MV Reddy, PS AF Deepali, A. Shobha, M., V Reddy, Srinivasa P. TI A Study of Mobile Phone Usage on Sleep and Stress among First Year Medical Students SO RESEARCH JOURNAL OF PHARMACEUTICAL BIOLOGICAL AND CHEMICAL SCIENCES LA English DT Article DE stress; sleep deprivation; hypothalamo-pituitary axis(HPA) AB Mobile phone usage has become one of the leading addictions among adolescent students which is considered to be one of the prime dependency gadgets among the teenagers to adults. The use of mobile phones preceeds to day time sleepiness along with late working hours at night. The students are therefore subjected to increased stress which affects the body physically, mentally and emotionally where he/she tries to cope up with day today activities thus leading to sleep deprivation and stress. The aim of the study is to study the effect of mobile phone usage on sleep quality and stress. This study was designed in medical college students of first year (n=100) who were divided into two groups based on the duration of of mobile phone usage and their sleep quality was assessed by using Pittsburg sleep quality index (PSQI) and their stress was assessed using Cohen's perceived stress scale. Statistical analysis was done using paired t test to compare the sleep quality and stress between two groups. Study showed that 57% of the subjects were using mobile phones more than 2hrs and about 43% subjects were using mobile phones for less than 2hrs. The mean PSQI among group 2 (6.70+/-2.65) was significantly increased with p value<0.001 when compared to group 1 (4.58+/-1.89) and the Cohen's perceived stress scale among group 2 (20.07+/-4.80) was significantly increased with p value<0.019 when compared to group 1 (17.65+/-5.31). Therefore increased usage of mobile phones more than 2hrs/day by students suffer from sleep deprivation which is considered as an important stressor due to poor sleep quality leading to stress affecting the hypothalamo-pituitary axis (HPA). C1 [Deepali, A.; Shobha, M., V] Sri Siddhartha Med Coll, Dept Physiol, Tumkur 572107, Karnataka, India. [Reddy, Srinivasa P.] Sri Siddhartha Med Coll, Dept Forens Med, Tumkur 572107, Karnataka, India. RP Deepali, A (reprint author), Sri Siddhartha Med Coll, Dept Physiol, Tumkur 572107, Karnataka, India. NR 11 TC 0 Z9 0 U1 4 U2 4 PU RJPBCS RESEARCH JOURNAL PHARMACEUTICAL, BIOLOGICAL & CHEMICAL SCIENCES PI PRODDATUR PA RJPBCS RESEARCH JOURNAL PHARMACEUTICAL, BIOLOGICAL & CHEMICAL SCIENCES, PRODDATUR, 00000, INDIA SN 0975-8585 J9 RES J PHARM BIOL CHE JI Res. J. Pharm. Biol. Chem. Sci. PD SEP-OCT PY 2015 VL 6 IS 5 BP 720 EP 723 PG 4 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA VB1FV UT WOS:000413509700101 DA 2018-05-26 ER PT J AU Jungbluth, G AF Jungbluth, G. TI Training Curriculum "Addiction Medicine Basic Care" for Medical Assistant and Medical Assistants/inside the Adopted the German Medical Association SO SUCHTTHERAPIE LA German DT Editorial Material NR 0 TC 0 Z9 0 U1 0 U2 0 PU GEORG THIEME VERLAG KG PI STUTTGART PA RUDIGERSTR 14, D-70469 STUTTGART, GERMANY SN 1439-9903 EI 1439-989X J9 SUCHTTHERAPIE JI Suchttherapie PD AUG PY 2015 VL 16 IS 3 BP 145 EP 145 PG 1 WC Psychiatry SC Psychiatry GA CP9XN UT WOS:000360248900016 DA 2018-05-26 ER PT J AU Folan, PA Juster, HR Lennon, SE Briest, PJ Gero, CB AF Folan, Patricia A. Juster, Harlan R. Lennon, Susan E. Briest, Patricia J. Gero, C. Beth TI Improving Tobacco Dependence Treatment Delivery Medical Student Training and Assessment SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article AB Tobacco dependence is a chronic condition, with cigarette smoking considered the leading cause of preventable death, disease, and disability in the U.S. Currently, the U.S. adult smoking rate is 17.8%. National surveys reveal that approximately half of all smokers who have been treated by a healthcare provider in the last 12 months received Public Health Service-recommended guideline-concordant tobacco dependence treatment. Although smoking prevalence has been declining, several disparate groups continue to smoke at rates significantly higher than the national average, including those with low income, low educational attainment, or mental health disorders. To address these disparities and more effectively address tobacco use, provision of guideline-concordant tobacco dependence treatment within the healthcare system must improve. We discuss changes to the medical licensing examination that may result in enhanced tobacco dependence treatment education and skills training for students in medical school. (C) 2015 American Journal of Preventive Medicine C1 [Folan, Patricia A.] N Shore Univ Hosp, Manhasset, NY USA. [Juster, Harlan R.] New York State Dept Hlth, Albany, NY USA. [Lennon, Susan E.] Ctr Tobacco Free Hudson Valley, White Plains, NY USA. [Briest, Patricia J.] St Josephs Hosp, Syracuse, NY USA. [Gero, C. Beth] Canton Potsdam Hosp, Potsdam, NY USA. RP Folan, PA (reprint author), N Shore Univ Hosp, 225 Community Dr S, Great Neck, NY 11021 USA. EM pfolan@nshs.edu FU New York State Department of Health FX This study was funded by a grant from the New York State Department of Health. The conclusions in this article are those of the authors and do not represent the views of the New York State Department of Health. NR 17 TC 0 Z9 0 U1 1 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 EI 1873-2607 J9 AM J PREV MED JI Am. J. Prev. Med. PD AUG PY 2015 VL 49 IS 2 BP E9 EP E12 DI 10.1016/j.amepre.2015.04.005 PG 4 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA CM8YG UT WOS:000357989000001 PM 26091923 DA 2018-05-26 ER PT J AU Barros, HMT Tannhauser, CL Tannhauser, M AF Barros, H. M. T. Tannhauser, C. L. Tannhauser, M. TI DRUGS OF ABUSE, PHARMACOLOGY CURRICULUM AND LEARNING STYLES OF MEDICAL STUDENTS SO CLINICAL THERAPEUTICS LA English DT Meeting Abstract CT 12th Congress of the European-Association-for-Clinical-Pharmacology-and-Therapeutics CY JUN 27-30, 2015 CL Madrid, SPAIN SP European Assoc Clin Pharmacol & Therapeut C1 [Barros, H. M. T.; Tannhauser, C. L.] UFCSPA, Pharmacosci Dept, Ligue 132, Porto Alegre, RS, Brazil. [Tannhauser, C. L.; Tannhauser, M.] Encrementare, Porto Alegre, RS, Brazil. NR 0 TC 0 Z9 0 U1 0 U2 1 PU ELSEVIER PI BRIDGEWATER PA 685 ROUTE 202-206, BRIDGEWATER, NJ 08807 USA SN 0149-2918 EI 1879-114X J9 CLIN THER JI Clin. Ther. PD AUG PY 2015 VL 37 IS 8 SU S BP E69 EP E69 DI 10.1016/j.clinthera.2015.05.208 PG 1 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA DY2VW UT WOS:000384951200196 DA 2018-05-26 ER PT J AU Papazisis, G Sarrigiannidis, A Pourzitaki, C Apostolidou, E Garyfallos, G Kouvelas, D AF Papazisis, G. Sarrigiannidis, A. Pourzitaki, Ch. Apostolidou, E. Garyfallos, G. Kouvelas, D. TI SUBSTANCE USE AMONG MEDICAL STUDENTS IN GREECE SO CLINICAL THERAPEUTICS LA English DT Meeting Abstract CT 12th Congress of the European-Association-for-Clinical-Pharmacology-and-Therapeutics CY JUN 27-30, 2015 CL Madrid, SPAIN SP European Assoc Clin Pharmacol & Therapeut C1 [Papazisis, G.; Pourzitaki, Ch.; Apostolidou, E.; Kouvelas, D.] Aristotle Univ Thessaloniki, Fac Med, Dept Pharmacol & Clin Pharmacol, Thessaloniki, Greece. [Sarrigiannidis, A.; Garyfallos, G.] Aristotle Univ Thessaloniki, Fac Med, Dept Psychiat 2, Thessaloniki, Greece. NR 0 TC 1 Z9 1 U1 0 U2 0 PU ELSEVIER PI BRIDGEWATER PA 685 ROUTE 202-206, BRIDGEWATER, NJ 08807 USA SN 0149-2918 EI 1879-114X J9 CLIN THER JI Clin. Ther. PD AUG PY 2015 VL 37 IS 8 SU S BP E95 EP E95 DI 10.1016/j.clinthera.2015.05.273 PG 1 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA DY2VW UT WOS:000384951200265 DA 2018-05-26 ER PT J AU Klimas, J AF Klimas, J. TI Training in addiction medicine should be standardised and scaled up SO BMJ-BRITISH MEDICAL JOURNAL LA English DT Editorial Material ID EDUCATION; HEALTH; BURDEN C1 [Klimas, J.] Univ British Columbia, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, Vancouver, BC V6Z 1Y6, Canada. [Klimas, J.] Univ British Columbia, St Pauls Hosp, Dept Med, Vancouver, BC V6Z 1Y6, Canada. [Klimas, J.] Univ Coll Dublin, Sch Med & Med Sci, Dublin 4, Ireland. RP Klimas, J (reprint author), Univ British Columbia, BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM jan.klimas@ucd.ie FU NIDA NIH HHS [R25 DA037756, R25DA037756] NR 14 TC 8 Z9 8 U1 0 U2 8 PU BMJ PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 1756-1833 J9 BMJ-BRIT MED J JI BMJ-British Medical Journal PD JUL 28 PY 2015 VL 351 AR h4027 DI 10.1136/bmj.h4027 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA CO2TX UT WOS:000359010600007 PM 26220548 OA green_published DA 2018-05-26 ER PT J AU Malone, GP Arismendez, SV Warzinski, SS Amodei, N Burge, SK Wathen, PI Conde, MV Palmer, R Williams, JF AF Malone, Glenn P. Arismendez, Shruthi Vale Warzinski, Suyen Schneegans Amodei, Nancy Burge, Sandra K. Wathen, Patricia I. Conde, Michelle V. Palmer, Raymond Williams, Janet F. TI South Texas Residency Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training: 12-Month Outcomes SO SUBSTANCE ABUSE LA English DT Article DE screening substance-related disorders; medical training; Intervention; referral to treatment; substance use detection; SBIRT ID BEHAVIORAL-COUNSELING INTERVENTIONS; SERVICES-TASK-FORCE; PRIMARY-HEALTH-CARE; ALCOHOL-CONSUMPTION; GENERAL-PRACTITIONERS; EMERGENCY-DEPARTMENT; MEDICAL-EDUCATION; PROBLEM DRINKERS; NATIONAL-SURVEY; PHYSICIANS AB Background: Screening, brief intervention, and referral to treatment (SBIRT) is an efficacious and cost-effective skill set when implemented in primary care settings regarding hazardous alcohol use. This study assesses the impact of medical resident SBIRT training across 3 specialties and identifies predictors of change in trainee behavior, attitudes, and knowledge over 12months. Methods: This program's substance use SBIRT training was developed and tailored to fit diverse curricular objectives and settings across an array of medical residency programs in South Texas. The 329 residents training in pediatrics, family medicine, and internal medicine during 2009-2012 constituted the trainee group reported in this analysis. Surveys assessing SBIRT-related knowledge, current practice, confidence, role responsibility, attitudes, beliefs, and readiness to change were completed by 234 (71%) trainees at 3 time points: pre-training, then 30days and 12months post-initial training. Results: SBIRT-related knowledge, confidence, and practice increased from pre-training to 12-month follow-up. Residents who reported the least amount of pre-training clinical and/or prior academic exposure to substance use reported the greatest SBIRT practice increases. When controlling for demographic and prior exposure variables, the largest contributor to variance in SBIRT practice was attributed to residents' confidence in their SBIRT skills. Conclusions: SBIRT training that employs diverse educational methodologies as part of customizing the training to residency specialties can similarly enhance SBIRT-related knowledge, confidence, and practice. Trainee report of limited prior clinical or academic exposure to substance use and/or low confidence regarding SBIRT skills and their professional role responsibilities related to substance use predicted trainee success and sustained SBIRT strategy application. When customizing SBIRT training, curriculum developers should consider leveraging and capacity building related to those factors predicting continued use of SBIRT practices. C1 [Malone, Glenn P.; Warzinski, Suyen Schneegans; Amodei, Nancy; Williams, Janet F.] Univ Texas Hlth Sci Ctr San Antonio, Dept Pediat, San Antonio, TX 78229 USA. [Arismendez, Shruthi Vale] Univ Texas Hlth Sci Ctr San Antonio, ReACH Ctr, San Antonio, TX 78229 USA. [Burge, Sandra K.; Palmer, Raymond] Univ Texas Hlth Sci Ctr San Antonio, Dept Family & Community Med, San Antonio, TX 78229 USA. [Wathen, Patricia I.; Conde, Michelle V.] Univ Texas Hlth Sci Ctr San Antonio, Dept Med, San Antonio, TX 78229 USA. RP Amodei, N (reprint author), Univ Texas Hlth Sci Ctr San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA. EM amodei@uthscsa.edu FU Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment grant [U79 TI020249]; SAMHSA FX This work was supported by Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment grant U79 TI020249. SAMHSA funding allowed Project S-START research, but the agency did not directly participate in either conducting the research or preparing the manuscript. The authors declare that they have no conflicts of interest. NR 44 TC 2 Z9 2 U1 0 U2 13 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD JUL 3 PY 2015 VL 36 IS 3 BP 272 EP 280 DI 10.1080/08897077.2014.988839 PG 9 WC Substance Abuse SC Substance Abuse GA CQ0OA UT WOS:000360294600004 PM 25581553 DA 2018-05-26 ER PT J AU Whittle, AE Buckelew, SM Satterfield, JM Lum, PJ O'Sullivan, P AF Whittle, Amy E. Buckelew, Sara M. Satterfield, Jason M. Lum, Paula J. O'Sullivan, Patricia TI Addressing Adolescent Substance Use: Teaching Screening, Brief Intervention, and Referral to Treatment (SBIRT) and Motivational Interviewing (MI) to Residents SO SUBSTANCE ABUSE LA English DT Article DE Adolescent, motivational interviewing, pediatrics, resident training, SBIRT, substance abuse ID HEALTH BEHAVIORS; PROGRAM; ALCOHOL; DRUG AB Background: The American Academy of Pediatrics Committee on Substance Use recommends screening, brief intervention, and referral to treatment (SBIRT) at every adolescent preventive and all appropriate urgent visits. We designed an SBIRT curriculum as part of the adolescent block of a pediatric residency that combined online modules with an in-person workshop, faculty feedback on resident interactions with patients, and resident self-reflection on their motivational interviewing (MI) skills. Methods: To evaluate the curriculum, we measured resident satisfaction and self-reported confidence in using SBIRT and MI with teens using a retrospective pre/post questionnaire. We used qualitative analysis to evaluate the written comments from faculty observations of patient-trainee interactions and comments from resident self-reflection(s) on patient interactions. Results: Thirty-two residents completed the curriculum. Residents reported high satisfaction with the training. Comparing retrospective pre/post scores on the survey of resident self-reported confidence, measures increased significantly in all domains, including for both alcohol and other drug use. Regarding self-reported MI, skillfulness also increased significantly. Analysis of specific faculty feedback to residents revealed subthemes such as normalizing confidentiality and focusing more on the patient's perspectives on substance use. Resident reflections on their own abilities with SBIRT/MI focused on using the ruler tool and on adapting the MI style of shared decision-making. Conclusions: A curriculum that combines online training, small-group practice, clinical observations, and self-reflection is valued by residents and can increase resident self-reported confidence in using SBIRT and MI in adolescent encounters. Future studies should examine to what extent confidence predicts performance using standardized measures of MI skillfulness in patient encounters. C1 [Whittle, Amy E.; Buckelew, Sara M.] Univ Calif San Francisco, Dept Pediat, San Francisco, CA 94110 USA. [Satterfield, Jason M.; Lum, Paula J.; O'Sullivan, Patricia] Univ Calif San Francisco, Dept Med, San Francisco, CA 94110 USA. RP Whittle, AE (reprint author), Univ Calif San Francisco, Dept Pediat, 1001 Potrero Ave,MS6E, San Francisco, CA 94110 USA. EM Amy.Whittle@ucsf.edu.ucsf.edu FU Substance Abuse and Mental Health Services Administration (SAMHSA), US Department of Health and Human Services (HHS) [U79TI020296, U79TI020295] FX This work was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), US Department of Health and Human Services (HHS), through Cooperative Agreements U79TI020296 and U79TI020295. The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. NR 20 TC 6 Z9 6 U1 0 U2 7 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD JUL 3 PY 2015 VL 36 IS 3 BP 325 EP 331 DI 10.1080/08897077.2014.965292 PG 7 WC Substance Abuse SC Substance Abuse GA CQ0OA UT WOS:000360294600011 PM 25260121 DA 2018-05-26 ER PT J AU Mazor, KM Jolicoeur, D Hayes, RB Geller, AC Churchill, L Ockene, JK AF Mazor, Kathleen M. Jolicoeur, Denise Hayes, Rashelle B. Geller, Alan C. Churchill, Linda Ockene, Judith K. TI Assessing Medical Students' Tobacco Dependence Treatment Skills Using a Detailed Behavioral Checklist SO TEACHING AND LEARNING IN MEDICINE LA English DT Article DE clinical education; evaluation/assessment of clinical performance; development/evaluation; communication skills; curriculum; testing/assessment ID UNITED-STATES; COMMUNICATION-SKILLS; SMOKING; CESSATION; PERFORMANCE; PHYSICIANS; SCHOOLS AB Construct: This article describes the development and implementation of an assessment intended to provide objective scores that would be valid indications of medical students' abilities to counsel patients about tobacco dependence. Background: Assessing medical students' advanced communication skills, particularly in the context of providing tobacco-dependence treatment, consistently and accurately is challenging; doing so across multiple medical schools is even more difficult. Approach: Ten medical schools implemented a tobacco-dependence treatment case as part of an Objective Structured Clinical Examination for 3rd-year medical students. A 33-item checklist with detailed criteria and examples was developed for scoring students' performances. Trained coders viewed and coded 660 videotaped encounters; approximately 10% also were coded by the coding supervisor to check accuracy. Results: Average time required to code an encounter was approximately 31 minutes; accuracy (i.e., agreement with the gold standard coder) was excellent. Overall, students performed an average of 1 in 4 of the 33 behaviors included on the checklist, and only 1 in 10 discussed setting a quit date. Most students (almost 9 in 10) asked how much the patient smoked in a day, and just over 7 in 10 informed the patient that the cough was due to smoking. Conclusions: The authors developed and implemented a rigorous assessment that will be used to evaluate medical students' tobacco-dependence treatment skills. Operationalizing the specific counseling behaviors, training coders to accurately capture students' performances using a structured checklist, and conducting the coding all required substantial time commitments but will provide confidence in the objectivity of the assessment results. In addition, this assessment can be used to provide formative information on medical students' tobacco-dependence treatment skills and to tailor ongoing training for medical students in this area. C1 [Mazor, Kathleen M.] Meyers Primary Care Inst, Worcester, MA 01605 USA. [Mazor, Kathleen M.; Jolicoeur, Denise; Hayes, Rashelle B.; Churchill, Linda; Ockene, Judith K.] Univ Massachusetts, Sch Med, Dept Med, Worcester, MA USA. [Geller, Alan C.] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA. RP Mazor, KM (reprint author), Meyers Primary Care Inst, 630 Plantat St, Worcester, MA 01605 USA. EM Kathy.Mazor@meyersprimary.org FU National Institutes of Health/National Cancer Institute [5R01CA136888] FX This study was funded by the National Institutes of Health/National Cancer Institute 5R01CA136888 (RCT for Smoking Cessation in 10 Medical Schools). NR 22 TC 1 Z9 1 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 1040-1334 EI 1532-8015 J9 TEACH LEARN MED JI Teach. Learn. Med. PD JUL 3 PY 2015 VL 27 IS 3 BP 292 EP 298 DI 10.1080/10401334.2015.1044660 PG 7 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA CM4KM UT WOS:000357653400008 PM 26158331 OA green_accepted DA 2018-05-26 ER PT J AU Rule, JC Samuel, P AF Rule, J. Chris Samuel, Pearl TI Teaching family medicine residents brief interventions for alcohol misuse SO INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE LA English DT Article DE Primary care; alcohol misuse; brief interventions; motivational interviewing; curriculum ID PRIMARY-CARE; DRINKING; METAANALYSIS; CONSUMPTION AB Across the lifespan, alcohol misuse affects a large percentage of patients seen in primary care clinics. It can lead to alcohol use disorders, ranging from risky use to alcohol dependence. Alcohol use disorders frequently complicate acute and chronic illnesses of patients seen in FM clinics. Screening patients for alcohol and substance use has become a standard of practice in most primary care settings. This report describes how a family medicine residency program solidified a residency curriculum in substance abuse screening, assessment, and brief intervention by merging three presentation-style didactics into a blended approach. The curriculum combines didactic teaching, motivational interviewing, and behavioral rehearsal of clinical practice skills. Qualitative feedback suggests that the curriculum has been successful in exposing residents to a variety of practical assessment methods and, through rehearsal, has improved resident confidence in addressing alcohol use and misuse in a primary care population. C1 [Rule, J. Chris] Univ Arkansas Med Sci, Dept Psychiat, Little Rock, AR 72205 USA. [Rule, J. Chris; Samuel, Pearl] Univ Arkansas Med Sci, Dept Family & Prevent Med, Little Rock, AR 72205 USA. RP Rule, JC (reprint author), Univ Arkansas Med Sci, Dept Psychiat, 4301 W Markham St Slot 530, Little Rock, AR 72205 USA. EM JCRule@uams.edu NR 25 TC 0 Z9 0 U1 0 U2 2 PU SAGE PUBLICATIONS INC PI THOUSAND OAKS PA 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA SN 0091-2174 EI 1541-3527 J9 INT J PSYCHIAT MED JI Int. J. Psychiatr. Med. PD JUL PY 2015 VL 50 IS 1 SI SI BP 81 EP 91 DI 10.1177/0091217415592363 PG 11 WC Psychiatry SC Psychiatry GA CO6JD UT WOS:000359262100009 PM 26130770 DA 2018-05-26 ER PT J AU Avery, J Zerbo, E AF Avery, Jonathan Zerbo, Erin TI Improving Psychiatry Residents' Attitudes Toward Individuals Diagnosed with Substance Use Disorders SO HARVARD REVIEW OF PSYCHIATRY LA English DT Article ID ADDICTION PSYCHIATRY; HEALTH-PROFESSIONALS; HIDDEN CURRICULUM; DRUG-ABUSE; STIGMA; PHYSICIANS; MEDICINE; ALCOHOL; WORKING; STAFF AB Special attention needs to be paid to the attitudes of psychiatry residents toward individuals diagnosed with substance use disorders. The attitudes of trainees may be worse toward these individuals than toward individuals with other diagnoses, and these attitudes may worsen over time. While psychiatry residencies are increasingly teaching residents about how to diagnosis and treat individuals diagnosed with substance use disorders, more attention needs to be paid to educating residents about common attitudes toward these individuals. We recommend that psychiatry residency programs start with basic educational didactics and reflection exercises on attitudes toward individuals diagnosed with substance use disorders and that programs try to form a positive "hidden curriculum" in their institutions. C1 [Avery, Jonathan] Weill Cornell Med Coll, Dept Psychiat, New York, NY 10065 USA. [Zerbo, Erin] New York Univ, Langone Med Ctr, New York, NY USA. RP Avery, J (reprint author), Weill Cornell Med Coll, Dept Psychiat, 525 E 68th St, New York, NY 10065 USA. EM jdavery15@gmail.com FU American Board of Psychiatry and Neurology Faculty Innovation in Education Award FX Supported, in part, by an American Board of Psychiatry and Neurology Faculty Innovation in Education Award (Dr. Avery). NR 21 TC 2 Z9 2 U1 0 U2 10 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1067-3229 EI 1465-7309 J9 HARVARD REV PSYCHIAT JI Harv. Rev. Psychiatr. PD JUL-AUG PY 2015 VL 23 IS 4 BP 296 EP 300 DI 10.1097/HRP.0000000000000047 PG 5 WC Psychiatry SC Psychiatry GA CM8IA UT WOS:000357941700005 PM 26146757 DA 2018-05-26 ER PT J AU Mercadante, L AF Mercadante, Linda TI Sin and Addiction: Conceptual Enemies or Fellow Travelers? SO RELIGIONS LA English DT Article DE addiction recovery; theology; sin; spirituality; Oxford Group; religion; Protestant; will power; disease; moralism AB The addiction recovery metaphor of Alcoholics Anonymous (AA) and the sin/salvation metaphor of Protestant heritage have a lot more in common than people realize. On the surface, of course, it seems that the addiction recovery process is quite the opposite of what is assumed to be a religious approach to addiction. Many assume that religion takes a moralistic or judgmental attitude to addiction, focusing on intentional wrong-doing, lack of will power, or sin, i.e., offending God, self and others. Instead, from a theological perspective, sin and addiction are not the opposites generally assumed. The identification of alienation from God, and the focus on spirituality and healing are core issues for both concepts. Understanding this congruence can facilitate a very productive conversation between theologians, religious believers, and recovering persons.1 C1 Methodist Theol Sch Ohio, Hist Theol, Delaware, OH 43015 USA. RP Mercadante, L (reprint author), Methodist Theol Sch Ohio, Hist Theol, 3081 Columbus Pike, Delaware, OH 43015 USA. EM LMercadante@mtso.edu NR 10 TC 0 Z9 0 U1 1 U2 7 PU MDPI AG PI BASEL PA POSTFACH, CH-4005 BASEL, SWITZERLAND SN 2077-1444 J9 RELIGIONS JI Religions PD JUN PY 2015 VL 6 IS 2 BP 614 EP 625 DI 10.3390/rel6020614 PG 12 WC Religion SC Religion GA CM4FC UT WOS:000357638800001 OA gold DA 2018-05-26 ER PT J AU Smith, RJ Kilaru, AS Perrone, J Paciotti, B Barg, FK Gadsden, SM Meisel, ZF AF Smith, Robert J. Kilaru, Austin S. Perrone, Jeanmarie Paciotti, Breah Barg, Frances K. Gadsden, Sarah M. Meisel, Zachary F. TI How, Why, and for Whom Do Emergency Medicine Providers Use Prescription Drug Monitoring Programs? SO PAIN MEDICINE LA English DT Article DE Prescription Opioids; Prescription Monitoring Programs; Emergency Care; Healthcare Providers ID QUALITATIVE RESEARCH; HEALTH-CARE; CLINICIAN; PHYSICIANS; CRITERIA AB ObjectiveThe prescription opioid epidemic is currently responsible for the greatest number of unintentional deaths in the United States. One potential strategy for decreasing this epidemic is implementation of state-based Prescription Drug Monitoring Programs (PDMPs), which are designed for providers to identify patients who doctor shop for prescriptions. Emergency medicine physicians are some of the most frequent PDMP users and opioid prescribers, but little is known about how they actually use PDMPs, for which patients, and for what reasons. MethodsWe conducted and transcribed semistructured qualitative interviews with 61 physicians at a national academic conference in October 2012. Deidentified transcripts were entered into QSR NVivo 10.0, coded, and analyzed for themes using modified grounded theory. ResultsThere is variation in pattern and frequency of PDMP access by emergency physicians. Providers rely on both structural characteristics of the PDMP, such as usability, and also their own clinical gestalt impression when deciding to use PDMPs for a given patient encounter. Providers use the information in PDMPs to alter clinical decisions and guide opioid prescribing patterns. Physicians describe alternative uses for the databases, such as improving their ability to facilitate discussions on addiction and provide patient education. ConclusionPDMPs are used for multiple purposes, including identifying opioid misuse and enhancing provider-patient communication. Given variation in practice, standards may help direct indication and manner of physician use. Steps to minimize administrative barriers to PDMP access are warranted. Finally, alternative PDMP uses should be further studied to determine their appropriateness and potentially expand their role in clinical practice. C1 [Smith, Robert J.; Kilaru, Austin S.; Perrone, Jeanmarie; Paciotti, Breah; Meisel, Zachary F.] Univ Penn, Perelman Sch Med, Ctr Emergency Care Policy & Res, Dept Emergency Med, Philadelphia, PA 19104 USA. [Kilaru, Austin S.] Highland Hosp, Dept Emergency Med, Oakland, CA USA. [Perrone, Jeanmarie] Univ Penn, Perelman Sch Med, Dept Emergency Med, Div Med Toxicol, Philadelphia, PA 19104 USA. [Barg, Frances K.; Gadsden, Sarah M.] Univ Penn, Perelman Sch Med, Dept Family Med & Community Hlth, Mixed Methods Res Lab, Philadelphia, PA 19104 USA. RP Meisel, ZF (reprint author), Ctr Emergency Care Policy & Res, Dept Emergency Med, 3400 Spruce St, Philadelphia, PA 19104 USA. EM Zachary.Meisel@uphs.upenn.edu RI Meisel, Zachary/C-8631-2018 OI Meisel, Zachary/0000-0001-8474-7993; Smith, Robert James/0000-0001-9746-1230 FU NCI NIH HHS [KM1 CA156715]; AHRQ HHS [R18 HS021956] NR 22 TC 15 Z9 15 U1 1 U2 9 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1526-2375 EI 1526-4637 J9 PAIN MED JI Pain Med. PD JUN PY 2015 VL 16 IS 6 BP 1122 EP 1131 DI 10.1111/pme.12700 PG 10 WC Anesthesiology; Medicine, General & Internal SC Anesthesiology; General & Internal Medicine GA CL1SG UT WOS:000356724000011 PM 25688454 OA gold DA 2018-05-26 ER PT J AU Tsimtsiou, Z Haidich, AB Spachos, D Kokkali, S Bamidis, P Dardavesis, T Arvanitidou, M AF Tsimtsiou, Zoi Haidich, Anna-Bettina Spachos, Dimitris Kokkali, Stamatia Bamidis, Panagiotis Dardavesis, Theodoros Arvanitidou, Malamatenia TI Internet Addiction in Greek Medical Students: an Online Survey SO ACADEMIC PSYCHIATRY LA English DT Article DE Internet addiction; Impulsive behavior; Medical students ID TURKISH UNIVERSITY-STUDENTS AB The authors investigated the prevalence of Internet addiction (IA) in undergraduate medical students to identify possible associations with sociodemographics and Internet habits. All students at the Aristotle University of Thessaloniki School of Medicine, Greece, were invited to complete the online Internet Addiction Test (IAT) along with sociodemographics and preferences on Internet activities. The authors received 585 responses after three reminders (23.5 % response rate). Mild IA was found in 24.5 %, moderate in 5.4 %, and severe in 0.2 %. In multivariable analysis, the odds to develop IA were increased with visits in Internet cafes (Odds Ratio [OR] 3.49, 95 % Confidence Interval [CI]: 1.45, 8.46), the use of Facebook (OR 2.43, 95 % CI: 1.35, 4.38), Twitter (OR 2.45, 95 % CI: 1.37, 4.39), and online games (OR 1.95, 95 % CI: 1.29, 2.94). Using e-mails seemed to be protective against IA (OR 0.59, 95 % CI: 0.37, 0.94). This is the first IA prevalence study in a European medical school. Early-detection systems and other ways to help students with pathological behaviors should be developed. C1 [Tsimtsiou, Zoi; Haidich, Anna-Bettina; Spachos, Dimitris; Kokkali, Stamatia; Bamidis, Panagiotis; Dardavesis, Theodoros; Arvanitidou, Malamatenia] Aristotle Univ Thessaloniki, GR-54006 Thessaloniki, Greece. RP Tsimtsiou, Z (reprint author), Aristotle Univ Thessaloniki, GR-54006 Thessaloniki, Greece. EM zoitsimtsiou@yahoo.gr NR 10 TC 5 Z9 5 U1 1 U2 9 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2015 VL 39 IS 3 BP 300 EP 304 DI 10.1007/s40596-014-0273-x PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA CH5OB UT WOS:000354084100011 PM 25669634 DA 2018-05-26 ER PT J AU Palma, N AF Palma, Nadia TI A Medical Student's Education in Addiction SO ACADEMIC PSYCHIATRY LA English DT Editorial Material C1 Univ Florida, Coll Med, Gainesville, FL 32611 USA. RP Palma, N (reprint author), Univ Florida, Coll Med, Gainesville, FL 32611 USA. EM npalma@ufl.edu NR 3 TC 1 Z9 1 U1 0 U2 4 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUN PY 2015 VL 39 IS 3 BP 342 EP 343 DI 10.1007/s40596-014-0246-0 PG 2 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA CH5OB UT WOS:000354084100022 PM 25416610 OA gold DA 2018-05-26 ER PT J AU Roncero, C Egido, A Rodriguez-Cintas, L Perez-Pazos, J Collazos, F Casas, M AF Roncero, Carlos Egido, Angel Rodriguez-Cintas, Lola Perez-Pazos, Jesus Collazos, Francisco Casas, Miguel TI Substance Use among Medical Students: A Literature Review 1988-2013 SO ACTAS ESPANOLAS DE PSIQUIATRIA LA English DT Review DE Medical students; Substance abuse; Addiction; Alcohol; Tobacco; Sedatives ID PONTIFICIA UNIVERSIDAD CATOLICA; COLLEGE-STUDENTS; DRUG-USE; TOBACCO USE; ALCOHOL-CONSUMPTION; SMOKING-HABITS; CIGARETTE-SMOKING; PSYCHOACTIVE SUBSTANCES; SMOKELESS TOBACCO; NURSING-STUDENTS AB The use of legal and illegal substances by medical students is a phenomenon that is only partially known. The aim of this paper was to review the literature published internationally in the last 25 years about the use of legal and illegal substances by medical students. A systematic search was made of MEDLINE and LILACS. One hundred and six manuscripts were evaluated, which included a population of 88,413 medical students. We validated 74,001 questionnaires, which represented 83.7% of responses. The methodology and the rigor of its application are not the same in all the publications. There are many regional variations, most studies being made in America and Europe. With the exception of alcohol in some areas of the Western world, medical students use substances less than university students in general and the general population. The substances used are mainly alcohol (24%), tobacco (17.2%), and cannabis (11.8%). The use of hypnotic and sedative drugs also is common (9.9%). The rate of use of stimulants is 7.7% and of cocaine, 2.1%; opiate use being very low (0.4%). In some parts of Latin America, up to 14.1% use inhalants. Students in the last years of school have a higher rate of substance use. The use of substances, except for hypnotics and sedatives, is more common among men than women. The use of substances by medical students is a phenomenon that should be evaluated systematically due to its prevalence and potential impact. C1 [Roncero, Carlos; Egido, Angel; Rodriguez-Cintas, Lola; Perez-Pazos, Jesus] Hosp Univ Vall dHebron, Ctr Atenc Drogodependencias CAS Vall dHebron, ASPB, CIBERSAM, Barcelona 08035, Spain. [Roncero, Carlos; Perez-Pazos, Jesus; Collazos, Francisco; Casas, Miguel] Hosp Univ Vall dHebron, CIBERSAM, Dept Psychiat, Barcelona 08035, Spain. [Roncero, Carlos; Collazos, Francisco; Casas, Miguel] Univ Autonoma Barcelona, Dept Psychiat & Forens Med, E-08193 Barcelona, Spain. RP Roncero, C (reprint author), Hosp Univ Vall dHebron, Dept Psiquiatria, Passeig Vall dHebron 119-129, Barcelona 08035, Spain. EM croncero@vhebron.net RI Roncero, Carlos/F-6785-2015 OI Roncero, Carlos/0000-0003-1421-7385; Rodriguez-Cintas, Laia/0000-0003-2703-6225 NR 144 TC 8 Z9 8 U1 2 U2 20 PU JUAN JOSE LOPEZ-IBOR FOUNDATION PI MADRID PA NO 2, MADRID, 28035, SPAIN SN 1139-9287 EI 1578-2735 J9 ACTAS ESP PSIQUIATRI JI Actas Esp. Psiquiatri. PD MAY-JUN PY 2015 VL 43 IS 3 BP 109 EP 121 PG 13 WC Neurosciences; Psychiatry SC Neurosciences & Neurology; Psychiatry GA CK2GG UT WOS:000356028200005 PM 25999158 DA 2018-05-26 ER PT J AU Gordon, AJ Jenkins, JA Galanter, M AF Gordon, Adam J. Jenkins, Jennifer A. Galanter, Marc TI International Addiction Scholarship: Promise, Progress, and Results From the Annual Meeting of the International Society of Addiction Medicine SO SUBSTANCE ABUSE LA English DT Editorial Material ID BORDERS C1 [Gordon, Adam J.] Univ Pittsburgh, Sch Med, Div Gen Internal Med, Sect Treatment Res & Educ Addict Med, Pittsburgh, PA USA. [Gordon, Adam J.] VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA 15240 USA. [Gordon, Adam J.] VA Pittsburgh Healthcare Syst, Mental Illness Res Educ & Clin Ctr, Pittsburgh, PA 15240 USA. [Jenkins, Jennifer A.] VA Puget Sound Hlth Care Syst, Ctr Innovat Vet Ctr & Value Driven Care, Seattle, WA USA. [Galanter, Marc] NYU, Sch Med, Div Alcoholism & Drug Abuse, New York, NY USA. RP Gordon, AJ (reprint author), VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Univ Dr C,Bldg 30,Mailcode 151-C, Pittsburgh, PA 15240 USA. EM gordona@medschool.pitt.edu NR 6 TC 1 Z9 1 U1 1 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD APR 3 PY 2015 VL 36 IS 2 SI SI BP 129 EP 130 DI 10.1080/08897077.2015.1033887 PG 2 WC Substance Abuse SC Substance Abuse GA CK6UF UT WOS:000356363100002 DA 2018-05-26 ER PT J AU Bhatraju, EP Kurland, S Baum, LVM Chang, AA Taff, J Fox, J Lipkin, M Hanley, K AF Bhatraju, Elenore P. Kurland, Sienna Baum, Laura Van Metre Chang, Andrew A. Taff, Jessica Fox, Jaclyn Lipkin, Mack Hanley, Kathleen TI WAM! WEEK OF ADDICTION MEDICINE: AN INTENSIVE CURRICULUM FOR INTERNAL MEDICINE-PRIMARY CARE INTERNS SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 38th Annual Meeting of the Society-of-General-Internal-Medicine (SGIM) CY APR 22-25, 2015 CL Toronto, CANADA SP Soc Gen Internal Med C1 [Fox, Jaclyn] Manhattan VA, New York, NY USA. [Fox, Jaclyn] NYU, SoM, New York, NY USA. [Kurland, Sienna; Taff, Jessica; Hanley, Kathleen] NYU, New York, NY USA. [Chang, Andrew A.] NYU Gouverneur, New York, NY USA. [Lipkin, Mack] NYU, Sch Med, New York, NY USA. [Bhatraju, Elenore P.] Virginia Mason, Seattle, WA USA. [Baum, Laura Van Metre] Montefiore Med Ctr, New York, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2015 VL 30 SU 2 MA 2198070 BP S299 EP S299 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA CN4FV UT WOS:000358386901178 DA 2018-05-26 ER PT J AU Tetrault, JM Holt, S Cavallo, D Fiellin, DA AF Tetrault, Jeanette M. Holt, Stephen Cavallo, Dana Fiellin, David A. TI THE ADDICTION RECOVERY CLINIC: A NOVEL PRIMARY CARE-BASED APPROACH TO TEACHING ADDICTION MEDICINE SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 38th Annual Meeting of the Society-of-General-Internal-Medicine (SGIM) CY APR 22-25, 2015 CL Toronto, CANADA SP Soc Gen Internal Med C1 [Holt, Stephen; Cavallo, Dana; Fiellin, David A.] Yale Univ, New Haven, CT USA. [Tetrault, Jeanette M.] Yale Univ, Sch Med, New Haven, CT USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2015 VL 30 SU 2 MA 2199058 BP S509 EP S509 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA CN4FV UT WOS:000358386902156 DA 2018-05-26 ER PT J AU Billups, D Shorter, D AF Billups, Dana Shorter, Daryl TI Needs Assessment Survey of Addictions Training in General Psychiatry Residency SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Editorial Material ID PHYSICIANS C1 [Billups, Dana; Shorter, Daryl] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA. [Shorter, Daryl] Michael E DeBakey VA Med Ctr, Houston, TX USA. RP Shorter, D (reprint author), Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA. EM shorter@bcm.edu FU VA CSRD [I01BX007080] FX D Shorter received support from VA CSR&D I01BX007080. This material is the result of work supported with resources and the use of facilities at the Michael E. DeBakey VA Medical Center. NR 7 TC 1 Z9 1 U1 1 U2 2 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD APR PY 2015 VL 24 IS 3 BP 191 EP 192 DI 10.1111/ajad.12211 PG 2 WC Substance Abuse SC Substance Abuse GA CG6MC UT WOS:000353414300001 PM 25809494 DA 2018-05-26 ER PT J AU Dyrbye, LN West, CP Satele, D Boone, S Sloan, J Shanafelt, TD AF Dyrbye, Liselotte N. West, Colin P. Satele, Daniel Boone, Sonja Sloan, Jeff Shanafelt, Tait D. TI A National Study of Medical Students' Attitudes Toward Self-Prescribing and Responsibility to Report Impaired Colleagues SO ACADEMIC MEDICINE LA English DT Article ID PRESCRIPTION DRUG-USE; QUALITY-OF-LIFE; SUICIDAL-IDEATION; PRIMARY-CARE; PHYSICIANS; BURNOUT; PROFESSIONALISM; DEPRESSION; RESIDENTS; DISTRESS AB Purpose The authors investigated medical students' attitudes about appropriate prescribing behaviors, their personal responsibility to report impaired colleagues, and what factors may influence these beliefs. Method The authors conducted a cross-sectional study of U.S. medical students in 2012 to assess attitudes about appropriate prescribing behaviors and responsibility to report impaired colleagues, and to explore relationships between prescribing beliefs and burnout, depression, and alcohol abuse/dependence. Chi-square test and multivariate logistic regression were performed. Results Of 12,500 medical students invited to participate, 4,402 (35%) completed surveys. Believing it is appropriate to prescribe an antidepressant to self or spouse was rare (<10%) in comparison with believing it is appropriate to prescribe an antibiotic for oneself (34.5%) or a spouse (57.7%). In multivariate analysis, students with burnout were more likely to agree that each of the inappropriate prescribing behaviors was acceptable (ORs 1.15-1.51). Students with burnout were less likely to believe they had a personal responsibility to report colleagues with impairment due to alcohol or substance use (OR 0.87). Students personally experiencing symptoms of depression were less likely to believe medical students should report colleagues impaired by mental health problems (OR 0.72). Similarly, students with alcohol abuse/dependence were less likely to believe they had a duty to report colleagues impaired by alcohol/substance use (OR 0.55). Conclusions Suboptimal attitudes about prescribing and personal responsibility to report impaired colleagues are common among medical students. Suboptimal attitudes are associated with personal distress, further evidence of a link between personal distress and professionalism. C1 [Dyrbye, Liselotte N.] Mayo Clin, Dept Med, Div Primary Care Internal Med, Med, Rochester, MN USA. [West, Colin P.] Mayo Clin, Dept Med, Div Gen Internal Med, Med & Biostat, Rochester, MN USA. [Satele, Daniel] Mayo Clin, Biomed Stat & Informat, Rochester, MN USA. [Boone, Sonja] Amer Med Assoc, Chicago, IL 60610 USA. [Sloan, Jeff] Mayo Clin, Biostat & Oncol, Hlth Sci Res, Rochester, MN USA. [Shanafelt, Tait D.] Mayo Clin, Dept Med, Div Hematol, Med, Rochester, MN USA. RP Dyrbye, LN (reprint author), 200 First St, Rochester, MN 55905 USA. EM dyrbye.liselotte@mayo.edu FU American Medical Association (AMA); Mayo Clinic Department of Medicine Program on Physician Well-Being FX Funding for this study was provided by the American Medical Association (AMA) and the Mayo Clinic Department of Medicine Program on Physician Well-Being. The AMA assisted in the conduct of the study and approved the survey. Neither had any role in the collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. NR 42 TC 6 Z9 6 U1 1 U2 12 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD APR PY 2015 VL 90 IS 4 BP 485 EP 493 DI 10.1097/ACM.0000000000000604 PG 9 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA CE4BH UT WOS:000351775100025 PM 25539515 OA gold DA 2018-05-26 ER PT J AU Fernandez-Calderon, D Fernandez, F Ruiz-Curado, S Verdejo-Garcia, A Lozano, OM AF Fernandez-Calderon, David Fernandez, Fermin Ruiz-Curado, Sofia Verdejo-Garcia, Antonio Lozano, Oscar M. TI Profiles of substance use disorders in patients of therapeutic communities: Link to social, medical and psychiatric characteristics SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE Multiple substance use disorders; Comorbidity; Latent class analysis ID HEPATITIS-C VIRUS; NATIONAL EPIDEMIOLOGIC SURVEY; LATENT CLASS ANALYSIS; HEROIN USERS; CANNABIS USE; DRUG-USE; BENZODIAZEPINE USE; COCAINE USE; RISK-FACTOR; DEPENDENCE AB Background: Therapeutic community (TC) clients frequently display a pattern of multiple substance use disorders (SUDs) which is associated with poorer treatment outcomes. This study aimed to characterize multiple SUD profiles in patients enrolled in TCs, and examine the association of these profiles with social, medical and psychiatric outcomes. Methods: Observational study. We acquired substance use diagnoses and sociodemographic, medical and psychiatric comorbidity data for 4102 patients who had been admitted to six public TCs in Andalusia (Spain) from 2004 to 2012. Latent class analysis was applied to participants' substance use diagnoses, and the resulting classes were associated with social (i.e., education, employment, criminality), medical (i.e., infectious diseases) and psychiatric comorbidity. Results: We found four differentiated profiles of substance use diagnoses among TC patients: cocaine/opiates (Class 1: 37% of participants); cocaine/opiates/benzodiazepines (Class 2: 25.3%); alcohol (Class 3: 24.7%); and cocaine/cannabis/alcohol (Class 4: 12.9%). Classes 1 and 2 were associated with poorer social and medical characteristics. Class 2 was also associated with greater prevalence of impulsive spectrum mental disorders. Class 3 was associated with greater prevalence of mood and anxiety disorders and cognitive dysfunction, and Class 4 was associated with higher prevalence of psychotic illness. Conclusions: Patients admitted to TCs have heterogeneous substance use diagnostic profiles. Profiles involving multiple use of heroin, cocaine, alcohol and benzodiazepines are associated with poorer social and medical function and impulse control disorders. Profiles involving alcohol use and cannabis/cocaine use are associated with cognitive dysfunction and psychotic illness respectively. (C) 2015 Elsevier Ireland Ltd. All rights reserved. C1 [Fernandez-Calderon, David] Agcy Social Serv & Dependence Ansalusia, Therapeut Community Cartaya, Huelva, Spain. [Fernandez, Fermin] Agcy Social Serv & Dependence Ansalusia, Res & Informat Syst Dept, Huelva, Spain. [Fernandez, Fermin; Lozano, Oscar M.] Univ Huelva, Clin Expt & Social Psychol Dept, Huelva, Spain. [Ruiz-Curado, Sofia] Univ Pablo Olavide, Educ & Social Psychol Dept, Seville, Spain. [Verdejo-Garcia, Antonio; Lozano, Oscar M.] Univ Granada, Red Trastomos Adictivos, E-18071 Granada, Spain. [Verdejo-Garcia, Antonio] Monash Univ, Sch Psychol Sci, Clayton, Vic 3800, Australia. RP Lozano, OM (reprint author), Univ Huelva, Clin Expt & Social Psychol Dept, Huelva, Spain. EM oscar.lozano@dpsi.uhu.es RI Lozano, Oscar/C-6070-2011 OI Lozano, Oscar/0000-0003-2722-6563; Verdejo-Garcia, Antonio/0000-0001-8874-9339 NR 54 TC 9 Z9 9 U1 4 U2 25 PU ELSEVIER IRELAND LTD PI CLARE PA ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND SN 0376-8716 EI 1879-0046 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD APR 1 PY 2015 VL 149 BP 31 EP 39 DI 10.1016/j.drugalcdep.2015.01.013 PG 9 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA CE4KJ UT WOS:000351799200005 PM 25682479 DA 2018-05-26 ER PT J AU Guan, NC Isa, SM Hashim, AH Pillai, SK Singh, MKH AF Guan, Ng Chong Isa, Saramah Mohammed Hashim, Aili Hanim Pillai, Subash Kumar Singh, Manveen Kaur Harbajan TI Validity of the Malay Version of the Internet Addiction Test: A Study on a Group of Medical Students in Malaysia SO ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH LA English DT Article DE internet; addiction; reliability; validity; Malaysia ID PSYCHOMETRIC PROPERTIES AB The use of the Internet has been increasing dramatically over the decade in Malaysia. Excessive usage of the Internet has lead to a phenomenon called Internet addiction. There is a need for a reliable, valid, and simple-to-use scale to measure Internet addiction in the Malaysian population for clinical practice and research purposes. The aim of this study was to validate the Malay version of the Internet Addiction Test, using a sample of 162 medical students. The instrument displayed good internal consistency (Cronbach's alpha = .91), parallel reliability (intraclass coefficient = .88, P < .001), and concurrent validity with the Compulsive Internet Use Scale (Pearson's correlation = .84, P < .001). Receiver operating characteristic analysis showed that 43 was the optimal cutoff score to discriminate students with and without Internet dependence. Principal component analysis with varimax rotation identified a 5-factor model. The Malay version of the Internet Addiction Test appeared to be a valid instrument for assessing Internet addiction in Malaysian university students. C1 [Guan, Ng Chong; Isa, Saramah Mohammed; Hashim, Aili Hanim; Pillai, Subash Kumar; Singh, Manveen Kaur Harbajan] Univ Malaya, Kuala Lumpur 50603, Malaysia. RP Guan, NC (reprint author), Univ Malaya, Fac Med, Dept Psychol Med, Kuala Lumpur 50603, Malaysia. EM chong_guan1975@yahoo.co.uk RI Ng, Chong Guan/G-6170-2010 NR 17 TC 5 Z9 5 U1 0 U2 4 PU SAGE PUBLICATIONS INC PI THOUSAND OAKS PA 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA SN 1010-5395 EI 1941-2479 J9 ASIA-PAC J PUBLIC HE JI Asia-Pac. J. Public Health PD MAR PY 2015 VL 27 IS 2 BP NP2210 EP NP2219 DI 10.1177/1010539512447808 PG 10 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA CF5GT UT WOS:000352586200206 PM 22652253 DA 2018-05-26 ER PT J AU Raupach, T Al-Harbi, G McNeill, A Bobak, A McEwen, A AF Raupach, Tobias Al-Harbi, Ghada McNeill, Ann Bobak, Alex McEwen, Andy TI Smoking Cessation Education and Training in UK Medical Schools: A National Survey SO NICOTINE & TOBACCO RESEARCH LA English DT Article ID TOBACCO CESSATION; CURRICULA; STUDENTS; KNOWLEDGE; WORLDWIDE AB Introduction: Smoking cessation is one of the most cost-effective of all health interventions. Physicians are in a strong position to encourage smokers to make a quit attempt and to help them achieve long-term abstinence. Formal teaching on tobacco-related disease, the evidence base of smoking cessation, and practical skills training regarding cessation advice and counseling are therefore important parts of undergraduate medical education. A survey of U.K. medical schools conducted 11 years ago revealed substantial deficits in the curricular coverage of these topics. This study aimed at establishing whether the situation has improved since then. Methods: In 2013, all U.K. medical schools were invited to participate in an online survey of their curricular coverage of tobacco addiction and smoking cessation. Results: Of the 33 medical schools, 22 (67%) schools responded. Health effects of smoking were addressed in more than 90% of curricula, and factual knowledge on nicotine addiction and withdrawal symptoms was covered in 50% of curricula. Only 1 in 3 medical schools offered practical skills training in artificial (i.e., role play) or clinical settings, and 50% of schools did not address smoking in summative assessments. Conclusions: Practical skills training regarding cessation counseling is insufficient at most U.K. medical schools and may have become worse during the last 11 years. Increased curricular coverage-including summative assessments-of these topics would ensure that future physicians are adequately equipped to encourage and support effective evidence-based quit attempts in their patients. C1 [Raupach, Tobias; McEwen, Andy] UCL, Dept Epidemiol & Publ Hlth, Canc Res UK Hlth Behav Res Ctr, London, England. [Raupach, Tobias] Univ Med Ctr Gottingen, Dept Cardiol & Pneumol, Gottingen, Germany. [Al-Harbi, Ghada] Primary Hlth Care Corp, Dept Serv Dev & Hlth Promot, Doha, Qatar. [McNeill, Ann] Kings Coll London, Inst Psychiat, Natl Addict Ctr, UK Ctr Tobacco & Alcohol Studies, London WC2R 2LS, England. [Bobak, Alex] Wandsworth Med Ctr, London, England. [McEwen, Andy] Natl Ctr Smoking Cessat & Training, London, England. RP Raupach, T (reprint author), Univ Med Ctr Gottingen, Dept Cardiol & Pneumol, Gottingen, Germany. EM raupach@med.uni-goettingen.de FU Pfizer; Johnson Johnson; Astra Zeneca; Boehringer Ingelheim; GlaxoSmithKline; Novartis; Pfizer Ltd; Novartis UK; GSK Consumer Healthcare Ltd FX TR has received honoraria from Pfizer, Novartis, GlaxoSmithKline, Astra Zeneca, and Roche as a speaker in activities related to continuing medical education. He has also received financial support for investigator-initiated trials from Pfizer and Johnson & Johnson. AB has received sponsorship to attend scientific meetings and to speak in activities related to medical education from Astra Zeneca, Boehringer Ingelheim, GlaxoSmithKline, Novartis, and Pfizer. AM has received travel funding, honorariums, and consultancy payments from manufacturers of smoking cessation products (Pfizer Ltd, Novartis UK, and GSK Consumer Healthcare Ltd) and hospitality from North51 who provide online and database services. He also receives payment for providing training to smoking cessation specialists; receives royalties from books on smoking cessation and has a share in a patent of a nicotine delivery device. GA and AM have no competing interests. NR 18 TC 12 Z9 12 U1 0 U2 12 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 1462-2203 EI 1469-994X J9 NICOTINE TOB RES JI Nicotine Tob. Res. PD MAR PY 2015 VL 17 IS 3 BP 372 EP 375 DI 10.1093/ntr/ntu199 PG 4 WC Substance Abuse; Public, Environmental & Occupational Health SC Substance Abuse; Public, Environmental & Occupational Health GA CD3AH UT WOS:000350949600016 PM 25257981 OA green_published DA 2018-05-26 ER PT J AU Hayes, RB Geller, AC Crawford, SL Jolicoeur, DG Churchill, LC Okuyemi, KS David, SP Adams, M Waugh, J Allen, SS Leone, FT Fauver, R Leung, K Liu, Q Ockene, JK AF Hayes, Rashelle B. Geller, Alan C. Crawford, Sybil L. Jolicoeur, Denise G. Churchill, Linda C. Okuyemi, Kolawole S. David, Sean P. Adams, Michael Waugh, Jonathan Allen, Sharon S. Leone, Frank T. Fauver, Randy Leung, Katherine Liu, Qin Ockene, Judith K. TI Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year US medical students SO PREVENTIVE MEDICINE LA English DT Article DE Tobacco dependence treatment; Medical school curriculum and education; Medical students ID SMOKING-CESSATION; PLANNED BEHAVIOR; CONTROLLED-TRIAL; PHYSICIANS; EDUCATION; PREVENTION; ATTITUDES; EFFICACY; SMOKERS; QUIT AB Objective. Physicians play a critical role in addressing tobacco dependence, yet report limited training. Tobacco dependence treatment curricula for medical students could improve performance in this area. This study identified student and medical school tobacco treatment curricula characteristics associated with intentions and use of the 5As for tobacco treatment among 3rd year U.S. medical students. Methods. Third year medical students (N = 1065,49.3% male) from 10 U.S. medical schools completed a survey in 2009-2010 assessing student characteristics, including demographics, tobacco treatment knowledge, and self-efficacy. Tobacco curricula characteristics assessed included amount and type of classroom instruction, frequency of tobacco treatment observation, instruction, and perception of preceptors as role models. Results. Greater tobacco treatment knowledge, self-efficacy, and curriculum-specific variables were associated with 5A intentions, while younger age, tobacco treatment self-efficacy, intentions, and each curriculum-specific variable were associated with greater 5A behaviors. When controlling for important student variables, greater frequency of receiving 5A instruction (OR = 1.07; 95%CI 1.01-1.12) and perception of preceptors as excellent role models in tobacco treatment (OR = 1.35; 95%CI 1.04-1.75) were significant curriculum predictors of 5A intentions. Greater 5A instruction (B = .06 (.03); p < .05) and observation of tobacco treatment (B = .35 (.02); p < .001) were significant curriculum predictors of greater 5A behaviors. Conclusions. Greater exposure to tobacco treatment teaching during medical school is associated with both greater intentions to use and practice tobacco 5As. Clerkship preceptors, or those physicians who provide training to medical students, may be particularly influential when they personally model and instruct students in tobacco dependence treatment. (C) 2015 Elsevier Inc. All rights reserved. C1 [Hayes, Rashelle B.; Crawford, Sybil L.; Jolicoeur, Denise G.; Churchill, Linda C.; Leung, Katherine; Ockene, Judith K.] Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Dept Med, Worcester, MA 01655 USA. [Geller, Alan C.] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA. [Okuyemi, Kolawole S.; Allen, Sharon S.] Univ Minnesota, Sch Med, Family Med & Community Hlth, Minneapolis, MN USA. [David, Sean P.; Fauver, Randy] Stanford Univ, Sch Med, Ctr Educ & Res Family & Community Med, Div Gen Med Disciplines,Dept Med, Palo Alto, CA 94304 USA. [Adams, Michael] Georgetown Univ Hosp, Div Gen Internal Med, Dept Med, Washington, DC 20007 USA. [Waugh, Jonathan] Univ Alabama Birmingham, Dept Clin & Diagnost Sci, UAB Lung Hlth Ctr, Birmingham, AL USA. [Leone, Frank T.] Univ Penn, Div Pulm Allergy & Crit Care Med, Perelman Sch Med, Philadelphia, PA 19104 USA. [Liu, Qin] Wistar Inst Anat & Biol, Philadelphia, PA 19104 USA. RP Hayes, RB (reprint author), Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Dept Med, 55 Lake Ave North, Worcester, MA 01655 USA. EM Rashelle.Hayes@umassmed.edu OI Allen, Sharon/0000-0003-2797-8001; David, Sean/0000-0002-4922-2603 FU NCI [5R01 CA136888, 5R01CA136888-S] FX This research was supported by NCI grant 5R01 CA136888 and NCI 5R01CA136888-S to Dr. Ockene and Dr. Hayes respectively. NR 51 TC 4 Z9 4 U1 0 U2 5 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0091-7435 EI 1096-0260 J9 PREV MED JI Prev. Med. PD MAR PY 2015 VL 72 BP 56 EP 63 DI 10.1016/j.ypmed.2014.12.035 PG 8 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA CD3ZJ UT WOS:000351022100010 PM 25572623 OA green_accepted DA 2018-05-26 ER PT J AU Gignon, M Havet, E Ammirati, C Traulle, S Manaouil, C Balcaen, T Loas, G Dubois, G Ganry, O AF Gignon, M. Havet, E. Ammirati, C. Traulle, S. Manaouil, C. Balcaen, T. Loas, G. Dubois, G. Ganry, O. TI Alcohol, Cigarette, and Illegal Substance Consumption Among Medical Students A Cross-Sectional Survey SO WORKPLACE HEALTH & SAFETY LA English DT Article DE medical students; France; alcohol consumption; tobacco; cannabis ID DISORDERS IDENTIFICATION TEST; DRUG-USE; BINGE DRINKING; TEST AUDIT; PSYCHOLOGICAL DISTRESS; SUICIDAL IDEATION; NURSING-STUDENTS; COLLEGE-STUDENTS; PHYSICIAN HEALTH; USE ATTITUDES AB This study investigated addictive substance use by French medical students. A cross-sectional survey was distributed to 255 participants randomly selected from 1,021 second- to sixth-year medical students. Questionnaires were self-administered and included questions on sociodemographic characteristics, mental health, and alcohol (The Alcohol Use Disorders Identification Test [AUDIT test]), tobacco (Fagerstrom test), and illegal substance consumption (Cannabis Abuse Screening Test [CAST test]). The AUDIT scores indicated that 11% of the study participants were at risk for addiction and 21% were high-risk users. Tobacco dependence was strong or very strong for 12% of the participants. The CAST score showed that 5% of cannabis users needed health care services. Cannabis users were also more likely than non-users to fail their medical school examinations (89% vs. 39%, p < .01). One quarter of medical student participants (n = 41) had used other illegal drugs, and 10% of study participants had considered committing suicide during the previous 12 months. Psychoactive substance consumption by French medical students requires preventive measures, screening, and health care services. C1 [Gignon, M.; Ammirati, C.] Univ Paris 13, F-93430 Villetaneuse, France. [Gignon, M.; Havet, E.; Ammirati, C.; Traulle, S.; Manaouil, C.; Balcaen, T.; Loas, G.; Dubois, G.; Ganry, O.] Jules Verne Univ Picardy, Amiens, France. [Gignon, M.; Dubois, G.] Amiens Univ Hosp, Amiens, France. [Balcaen, T.] Amiens Univ Hosp, Publ Hlth & Epidemiol, Amiens, France. [Ganry, O.] Amiens Univ Hosp, Dept Publ Hlth, Amiens, France. RP Gignon, M (reprint author), Amiens Univ Hosp, Dept Publ Hlth, Amiens, France. EM maxime.gignon@u-picardie.fr OI GIGNON, Maxime/0000-0002-6517-6707 NR 70 TC 3 Z9 5 U1 2 U2 21 PU SAGE PUBLICATIONS INC PI THOUSAND OAKS PA 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA SN 2165-0799 EI 2165-0969 J9 WORKPLACE HEALTH SAF JI Workplace Health Saf. PD FEB PY 2015 VL 63 IS 2 BP 54 EP 63 DI 10.1177/2165079915570917 PG 10 WC Nursing SC Nursing GA CG3DJ UT WOS:000353157500002 PM 25881656 DA 2018-05-26 ER PT J AU Argyra, E Siafaka, I Moutzouri, A Papadopoulos, V Rekatsina, M Vadalouca, A Theodoraki, K AF Argyra, Eriphylli Siafaka, Ioanna Moutzouri, Astero Papadopoulos, Vassilios Rekatsina, Martina Vadalouca, Athina Theodoraki, Kassiani TI How Does an Undergraduate Pain Course Influence Future Physicians' Awareness of Chronic Pain Concepts? A Comparative Study SO PAIN MEDICINE LA English DT Article DE Pain Education; Medical Students; Chronic Pain; Undergraduate Teaching; Pain; Patient-Centered Care ID CHRONIC NONMALIGNANT PAIN; MEDICAL-STUDENTS; CANCER PAIN; OPIOID ANALGESICS; PALLIATIVE CARE; EDUCATION; CURRICULUM; MANAGEMENT; SKILLS; COMPASSION AB ObjectivePain is one of the most undertreated medical complaints, with barriers to effective pain management lying in poor education of health professionals and misconceptions regarding patients in pain. The aim of this study was to assess whether an elective undergraduate course on chronic pain offered in Greek medical schools influences knowledge and attitudes of medical undergraduates about chronic pain and helps them clarify pain-related concepts. MethodsAn electronic questionnaire with 6 demographic and 21 pain-related items was uploaded on SurveyMonkey. The questionnaire was open to medical students in every Greek medical school for 1 month. Students were asked to respond to questions regarding various aspects of pain taught in the aforementioned course. In specific, they were asked to respond to questions regarding the definition, types, and adequacy of treatment of chronic cancer and non-cancer pain. They were queried about their knowledge of pain clinics, health practitioners who run them, and types of treatment available there. There were also questions about opioid use in cancer and non-cancer chronic pain patients and regarding the likelihood of opioid addiction. ResultsAccording to their responses, medical students had good knowledge about the definition and consequences of pain, and those who attended the pain course had greater knowledge regarding the adequacy of treatment of chronic pain and were more familiar with the recent classification of types of pain. Students who did not have exposure to the undergraduate pain course had little information regarding pain clinics and had poor knowledge regarding the use of opioids in cancer and in nonmalignant chronic pain. All students expressed concerns regarding addiction to opioids. ConclusionsAlthough students enter medical school with little knowledge about pain issues, pain awareness can be positively influenced by education. A curriculum about pain should not only teach the basic science of pain but also present treatment strategies available and address the socio-emotional dimensions of pain. Additionally, if misconceptions about opioid use and addiction are properly elucidated early in medical education, the future health practitioners will be one step forward in achieving the goal of alleviating suffering patients' pain. C1 [Argyra, Eriphylli; Siafaka, Ioanna; Vadalouca, Athina; Theodoraki, Kassiani] Aretaie Hosp, Dept Anesthesiol Pain Relief & Palliat Care, Athens, Greece. [Moutzouri, Astero; Papadopoulos, Vassilios; Rekatsina, Martina] Univ Athens, Sch Med, GR-11527 Athens, Greece. RP Theodoraki, K (reprint author), Univ Athens, Sch Med, Aretaie Hosp, Dept Anesthesiol Pain Relief & Palliat Care, Vassilissis Sofias 76, Athens 11528, Greece. EM ktheodoraki@hotmail.com OI Papadopoulos, Vassilios/0000-0002-1183-8568 NR 40 TC 6 Z9 6 U1 0 U2 3 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1526-2375 EI 1526-4637 J9 PAIN MED JI Pain Med. PD FEB PY 2015 VL 16 IS 2 BP 301 EP 311 DI 10.1111/pme.12568 PG 11 WC Anesthesiology; Medicine, General & Internal SC Anesthesiology; General & Internal Medicine GA CB9UU UT WOS:000349979600014 PM 25219419 OA gold DA 2018-05-26 ER PT J AU Klimas, J Cullen, W AF Klimas, Jan Cullen, Walter TI Addressing a Training Gap Through Addiction Research Education for Medical Students: Letter to the Editor SO SUBSTANCE ABUSE LA English DT Letter ID PROBLEM ALCOHOL-USE; PROBLEM DRUG-USERS; BRIEF INTERVENTION; PRIMARY-CARE C1 [Klimas, Jan] Univ Coll Dublin, Sch Med & Med Sci, Dublin 8, Ireland. [Klimas, Jan; Cullen, Walter] Univ Limerick, Grad Entry Med Sch, Limerick, Ireland. [Klimas, Jan] BC Ctr Excellence HIV AIDS, Urban Hlth Res Initiat, Vancouver, BC, Canada. RP Klimas, J (reprint author), Univ Coll Dublin, Sch Med & Med Sci, Dublin 8, Ireland. EM jan.klimas@ucd.ie OI Cullen, Walter/0000-0003-1838-5052 FU Health Research Board of Ireland [CTF/2010/9, HRA_HSR/2012/14]; Research Incentives Programme at University of Limerick; University of Limerick Graduate Entry Medical School Strategic Research Fund; Irish Research Council New Foundations award (PINTA-TOUR); ELEVATE: Irish Research Council International Career Development Fellowship; Marie Cure Actions [ELEVATEPD/2014] FX Work on this paper was supported by research grants from Health Research Board of Ireland: CTF/2010/9 and HRA_HSR/2012/14, the Research Incentives Programme at University of Limerick, and the University of Limerick Graduate Entry Medical School Strategic Research Fund; the Irish Research Council New Foundations award (PINTA-TOUR), and the ELEVATE: Irish Research Council International Career Development Fellowship - co-funded by Marie Cure Actions (ELEVATEPD/2014). The funding agencies were not involved in the work reported in the manuscript or in the composition of the submission. NR 23 TC 1 Z9 1 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD JAN 2 PY 2015 VL 36 IS 1 BP 3 EP 5 DI 10.1080/08897077.2014.939802 PG 3 WC Substance Abuse SC Substance Abuse GA CD7MW UT WOS:000351275600002 PM 25084806 DA 2018-05-26 ER PT J AU Barrett, J Scott, KM AF Barrett, J. Scott, K. M. TI "Constantly ignored and told to disappear": A review of the literature on "teaching by humiliation" in medicine SO FOCUS ON HEALTH PROFESSIONAL EDUCATION-A MULTIDISCIPLINARY JOURNAL LA English DT Review DE clinical teachers; hidden curriculum; medical students; professionalism; student abuse; student mistreatment ID HIDDEN-CURRICULUM; STUDENT MISTREATMENT; PERCEPTIONS; EDUCATION; SCHOOL; HARASSMENT; ABUSE; PROFESSIONALISM; INTIMIDATION; ENVIRONMENT AB Introduction: The aim of this narrative review of the literature was to use systematic search and review procedures to describe a contemporary understanding of the expression "teaching by humiliation." Method: A search was conducted of MEDLINE, 1990. 2013, using search terms humiliat*, intimidat*, harass* and abus*. Three hundred and forty-one papers were located; however, only papers related to medical students and medical trainees were considered. Papers dealing with substance abuse, patient abuse and sexual harassment were excluded. Of the 341 papers located, only 30 met the criteria for inclusion. One reviewer/author read all 30 papers; both reviewers/authors annotated 15 papers each, and subsequently agreed on the following categories for the systematic review: clarifying terminology, identifying specific behaviours, the extent of the problem, explanations posited, and finally, the effects of humiliation and abuse. Results: The review confirmed that the expression "teaching by humiliation" appears in the literature but that "abuse" and "mistreatment" are more common terms for medical teachers' behaviours towards students. These behaviours range from yelling, shouting and physical abuse to subtle undermining and demeaning language and practices. The behaviours are widespread and persistent across many countries, and victims suffer personal and professional effects. Conclusion: There is ongoing concern in the literature about the culture of medical education that perpetuates these practices and the failure to interrupt that culture despite decades of research and commentary. C1 [Barrett, J.] Univ Melbourne, Melbourne, Vic, Australia. [Scott, K. M.] Univ Sydney, Sydney, NSW, Australia. RP Barrett, J (reprint author), Univ Melbourne, Fac Med Dent & Hlth Sci, Grattan St, Parkville, Vic 3010, Australia. EM j.barrett@unimelb.edu.au NR 44 TC 2 Z9 2 U1 1 U2 4 PU AUSTRALIAN NZ ASSOC HEALTH PROFESSIONAL EDUCATORS-ANZAHPE PI RENMARK PA C/HEALTH PROFESSIONAL EDUCATION, FLINDERS UNIV, PO BOX 852, RENMARK, SA 5341, AUSTRALIA SN 1442-1100 EI 2204-7662 J9 FOCUS HEALTH PROF ED JI Focus Health Prof. Educ. PY 2015 VL 16 IS 4 BP 3 EP 14 DI 10.11157/fohpe.v16i4.94 PG 12 WC Education, Scientific Disciplines SC Education & Educational Research GA DM4SH UT WOS:000376336500002 DA 2018-05-26 ER PT J AU Awan, S AF Awan, S. TI Prevalence of Internet Use and Internet Addiction Disorder among Medical Students: A Case from Low Income Country. SO INTERNATIONAL JOURNAL OF EPIDEMIOLOGY LA English DT Meeting Abstract CT 20th IEA World Congress of Epidemiology (WCE) CY AUG 17-21, 2014 CL Anchorage, AK SP Int Epidemiol Assoc C1 [Awan, S.] Aga Khan Univ Hosp, Karachi, Pakistan. NR 0 TC 0 Z9 0 U1 0 U2 1 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0300-5771 EI 1464-3685 J9 INT J EPIDEMIOL JI Int. J. Epidemiol. PY 2015 VL 44 SU 1 MA 3271 BP 233 EP 233 PG 1 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA DM9BV UT WOS:000376659900603 DA 2018-05-26 ER PT J AU Dangeti, N Praharaj, SK AF Dangeti, Nymisha Praharaj, Samir Kumar TI Internet Addiction and Psychological Morbidity among Undergraduate Medical Students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet addiction; Psychological morbidity; Medical students C1 [Dangeti, Nymisha; Praharaj, Samir Kumar] Katurba Med Coll, Manipal, Karnataka, India. EM drnysh@gmail.com; samirpsyche@yahoo.co.in NR 0 TC 0 Z9 0 U1 0 U2 1 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2015 VL 57 IS 5 SU 1 BP S47 EP S47 PG 1 WC Psychiatry SC Psychiatry GA CY6CH UT WOS:000366494300159 OA gold DA 2018-05-26 ER PT J AU Kumar, V Sinha, V Bharti, A Mishra, AK Anwar, Z Ansari, MH AF Kumar, Vipin Sinha, Vishal Bharti, Abhishek Mishra, Ashwini Kumar Anwar, Zeeshan Ansari, Mahboobul Hasan TI Internet Addiction among Medical Students: Extent & Effect SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract DE Internet; Internet Addiction; Medical Students C1 [Kumar, Vipin; Sinha, Vishal; Bharti, Abhishek; Mishra, Ashwini Kumar; Anwar, Zeeshan; Ansari, Mahboobul Hasan] SN Med Coll & Hosp, Jaipur, Rajasthan, India. EM vipinnarwal@gmail.com; drvisnh2000@yahoo.com; abhishek_bharti55@rediffmail.com; drashwani2010@gmail.com; zeeshan.anwar.mbbs@gmail.com; mha.snmc@gmail.com NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2015 VL 57 IS 5 SU 1 BP S38 EP S38 PG 1 WC Psychiatry SC Psychiatry GA CY6CH UT WOS:000366494300127 OA gold DA 2018-05-26 ER PT J AU Ayu, AP Schellekens, AFA Iskandar, S Pinxten, L De Jong, CAJ AF Ayu, Astri Parawita Schellekens, Arnt F. A. Iskandar, Shelly Pinxten, Lucas De Jong, Cor A. J. TI Effectiveness and Organization of Addiction Medicine Training Across the Globe SO EUROPEAN ADDICTION RESEARCH LA English DT Review DE Addiction training; Medical education; Curricula; Substance abuse; Addiction medicine ID SUBSTANCE USE DISORDERS; ALCOHOL-CONSUMPTION; ATTRACTIVE FIELD; YOUNG PHYSICIANS; MENTAL-ILLNESS; DRUG-ADDICTION; PRIMARY-CARE; EDUCATION; PSYCHIATRY; RESIDENTS AB 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. C1 [Ayu, Astri Parawita] Atma Jaya Catholic Univ Indonesia, Sch Med, Jakarta, Indonesia. [Schellekens, Arnt F. A.] Radboud Univ Nijmegen, Med Ctr, Dept Psychiat, NL-6503 GK Nijmegen, Netherlands. [Iskandar, Shelly] Padjajaran Univ, Hasan Sadikin Hosp, Dept Psychiat, Bandung, Indonesia. [Ayu, Astri Parawita; Schellekens, Arnt F. A.; Pinxten, Lucas; De Jong, Cor A. J.] Radboud Univ Nijmegen, NISPA, NL-6503 GK Nijmegen, Netherlands. RP Ayu, AP (reprint author), Radboud Univ Nijmegen, ACSW NISPA, Postbus 6909, NL-6503 GK Nijmegen, Netherlands. EM parawitayu@gmail.com RI Schellekens, Arnt/G-5611-2013 OI Schellekens, Arnt/0000-0002-7715-5209; Ayu, Astri Parawita/0000-0003-0979-1593 NR 77 TC 8 Z9 8 U1 0 U2 8 PU KARGER PI BASEL PA ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND SN 1022-6877 EI 1421-9891 J9 EUR ADDICT RES JI Eur. Addict. Res. PY 2015 VL 21 IS 5 BP 223 EP 239 DI 10.1159/000381671 PG 17 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA CP6IN UT WOS:000359989800001 PM 25966903 OA green_published DA 2018-05-26 ER PT J AU DeFlavio, JR Rolin, SA Nordstrom, BR Kazal, LA AF DeFlavio, J. R. Rolin, S. A. Nordstrom, B. R. Kazal, L. A., Jr. TI Analysis of barriers to adoption of buprenorphine maintenance therapy by family physicians SO RURAL AND REMOTE HEALTH LA English DT Article DE addiction; buprenorphine; family medicine; opioid; treatment access ID SUBSTANCE-ABUSE TREATMENT; HUMAN-IMMUNODEFICIENCY-VIRUS; HIV RISK BEHAVIORS; OPIOID DEPENDENCE; PRIMARY-CARE; METHADONE-MAINTENANCE; UNITED-STATES; 10-YEAR PERSPECTIVE; HEROIN DEPENDENCE; OPIATE ADDICTION AB Introduction: Opioid abuse has reached epidemic levels. Evidence-based treatments such as buprenorphine maintenance therapy (BMT) remain underutilized. Offering BMT in primary care settings has the potential to reduce overall costs of care, decrease medical morbidity associated with opioid dependence, and improve treatment outcomes. However, access to BMT, especially in rural areas, remains limited. This article will present a review of barriers to adoption of BMT among family physicians in a primarily rural area in the USA. Methods: An anonymous survey of family physicians practicing in Vermont or New Hampshire, two largely rural states, was conducted. The survey included both quantitative and qualitative questions, focused on BMT adoption and physician opinions of opioids. Specific factors assessed included physician factors, physicians' understanding of patient factors, and logistical issues. Results: One-hundred and eight family physicians completed the survey. Approximately 10% were buprenorphine prescribers. More than 80% of family physicians felt they regularly saw patients addicted to opiates. The majority (70%) felt that they, as family physicians, bore responsibility for treating opiate addiction. Potential logistical barriers to buprenorphine adoption included inadequately trained staff (88%), insufficient time (80%), inadequate office space (49%), and cumbersome regulations (37%). Common themes addressed in open-ended questions included lack of knowledge, time, or interest; mistrust of people with addiction or buprenorphine; and difficult patient population. Conclusions: This study aims to quantify perceived barriers to treatment and provide insight expanding the community of family physicians offering BMT. The results suggest family physicians are excellent candidates to provide BMT, as most report regularly seeing opioid-addicted patients and believe that treating opioid addiction is their responsibility. Significant barriers remain, including inadequate staff training, lack of access to addiction experts, and perceived efficacy of BMT. Addressing these barriers may lower resistance to buprenorphine adoption and increase access to BMT in rural areas. C1 [DeFlavio, J. R.; Rolin, S. A.; Nordstrom, B. R.; Kazal, L. A., Jr.] Geisel Sch Med Dartmouth, Hanover, NH 03755 USA. RP DeFlavio, JR (reprint author), Geisel Sch Med Dartmouth, Hanover, NH 03755 USA. FU Tenney Research Fellowship at the Geisel School of Medicine at Dartmouth FX Stephanie A. Rolin received financial support from the Tenney Research Fellowship at the Geisel School of Medicine at Dartmouth. NR 57 TC 17 Z9 17 U1 2 U2 16 PU AUSTRALIAN RURAL HEALTH EDUC NETWORK PI DEAKIN WEST PA PO BOX 242, DEAKIN WEST, ACT 2600, AUSTRALIA SN 1445-6354 J9 RURAL REMOTE HEALTH JI Rural Remote Health PD JAN-MAR PY 2015 VL 15 IS 1 AR 3019 PG 11 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA CM5GA UT WOS:000357713600007 PM 25651434 DA 2018-05-26 ER PT J AU Rymowicz, R AF Rymowicz, Robert TI Substance Use Amongst Medical Students in Their Pre-Clinical Years SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Rymowicz, Robert] Western Univ, London, ON, Canada. NR 0 TC 0 Z9 0 U1 1 U2 1 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2015 VL 24 IS 1 BP 66 EP 66 PG 1 WC Substance Abuse SC Substance Abuse GA CE7NZ UT WOS:000352029900032 DA 2018-05-26 ER PT J AU Edens, E Grunschel, B Savage, S Gafni, I Encandela, J AF Edens, Ellen Grunschel, Beth Savage, Seddon Gafni, Inbal Encandela, John TI Pain and Addiction Education: A Comparative Study of Fellowship Directors in Pain Medicine and Addiction Psychiatry SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Edens, Ellen; Grunschel, Beth; Encandela, John] Yale Univ, Sch Med, New Haven, CT 06520 USA. [Savage, Seddon] Dartmouth Med Sch, Hanover, NH USA. [Gafni, Inbal] Womens Coll Hosp, Toronto, ON, Canada. NR 0 TC 0 Z9 0 U1 0 U2 1 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2015 VL 24 IS 1 BP 71 EP 71 PG 1 WC Substance Abuse SC Substance Abuse GA CE7NZ UT WOS:000352029900042 DA 2018-05-26 ER PT J AU Turner, M Fellers, J Wallace, E AF Turner, Mary Fellers, Jonathan Wallace, Erin TI New Drugs of Abuse: Psychiatry Resident Education and Awareness SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Turner, Mary; Fellers, Jonathan; Wallace, Erin] Oregon Hlth & Sci Univ, Portland, VA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD JAN PY 2015 VL 24 IS 1 BP 83 EP 83 PG 1 WC Substance Abuse SC Substance Abuse GA CE7NZ UT WOS:000352029900067 DA 2018-05-26 ER PT J AU Rosenblatt, RA Andrilla, CHA Catlin, M Larson, EH AF Rosenblatt, Roger A. Andrilla, C. Holly A. Catlin, Mary Larson, Eric H. TI Geographic and Specialty Distribution of US Physicians Trained to Treat Opioid Use Disorder SO ANNALS OF FAMILY MEDICINE LA English DT Article DE buprenorphine; opiate substitution treatment; rural health; primary health care; opiate addiction; opioid treatment programs ID BUPRENORPHINE; BARRIERS; HEALTH AB PURPOSE The United States is experiencing an epidemic of opioid-related deaths driven by excessive prescribing of opioids, misuse of prescription drugs, and increased use of heroin. Buprenorphine-naloxone is an effective treatment for opioid use disorder and can be provided in office-based settings, but this treatment is unavailable to many patients who could benefit. We sought to describe the geographic distribution and specialties of physicians obtaining waivers from the Drug Enforcement Administration (DEA) to prescribe buprenorphine-naloxone to treat opioid use disorder and to identify potential shortages of physicians. METHODS We linked physicians authorized to prescribe buprenorphine on the July 2012 DEA Drug Addiction Treatment Act (DATA) Waived Physician List to the American Medical Association Physician Masterfile to determine their age, specialty, rural-urban status, and location. We then mapped the location of these physicians and determined their supply for all US counties. RESULTS Sixteen percent of psychiatrists had received a DEA DATA waiver (41.6% of all physicians with waivers) but practiced primarily in urban areas. Only 3.0% of primary care physicians, the largest group of physicians in rural America, had received waivers. Most US counties therefore had no physicians who had obtained waivers to prescribe buprenorphine-naloxone, resulting in more than 30 million persons who were living in counties without access to buprenorphine treatment. CONCLUSIONS In the United States opioid use and related unintentional lethal overdoses continue to rise, particularly in rural areas. Increasing access to office-based treatment of opioid use disorder-particularly in rural America-is a promising strategy to address rising rates of opioid use disorder and unintentional lethal overdoses. C1 [Rosenblatt, Roger A.; Andrilla, C. Holly A.; Catlin, Mary; Larson, Eric H.] Univ Washington, Dept Family Med, WWAMI Rural Hlth Res Ctr, Seattle, WA 98195 USA. [Catlin, Mary] Grp Hlth Cooperat Puget Sound, Seattle, WA USA. RP Andrilla, CHA (reprint author), Univ Washington, Dept Family Med, WWAMI Rural Hlth Res Ctr, Box 354696, Seattle, WA 98195 USA. EM hollya@uw.edu FU Federal Office of Rural Health Policy, Health Resources and Services Administration, US Department of Health and Human Services [U1CRH03712]; Life Sciences Discovery Fund (LSDF) of the State of Washington FX This study was supported by the Federal Office of Rural Health Policy, Health Resources and Services Administration, US Department of Health and Human Services (grant #U1CRH03712); and by the Life Sciences Discovery Fund (LSDF) of the State of Washington. NR 14 TC 52 Z9 52 U1 5 U2 31 PU ANNALS FAMILY MEDICINE PI LEAWOOD PA 11400 TOMAHAWK CREEK PARKWAY, LEAWOOD, KS 66211-2672 USA SN 1544-1709 EI 1544-1717 J9 ANN FAM MED JI Ann. Fam. Med. PD JAN-FEB PY 2015 VL 13 IS 1 BP 23 EP 26 DI 10.1370/afm.1735 PG 4 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA AZ0JJ UT WOS:000347931600008 PM 25583888 OA gold DA 2018-05-26 ER PT J AU Goel, N Khandelwal, V Pandya, K Kotwal, A AF Goel, Nidhi Khandelwal, Vivek Pandya, Kapil Kotwal, Atul TI Alcohol and Tobacco Use Among Undergraduate and Postgraduate Medical Students in India: A Multicentric Cross-sectional Study SO CENTRAL ASIAN JOURNAL OF GLOBAL HEALTH LA English DT Article DE alcohol; tobacco; undergraduate medical students; postgraduate medical students; cross-sectional AB Background: Substance use among medical fraternity is a well-known phenomenon among both undergraduate (UG) and postgraduate (PG) medical students. Yet, there have been very few multi-centric studies to estimate the actual burden of this problem in this important population group in India. This study was conducted to estimate the prevalence of alcohol and tobacco use, assess the knowledge and attitudes towards this issue, and identify factors associated with substance use among UG and PG medical students in India. Methods: A pre-tested, self-report, anonymous questionnaire was administered to medical undergraduates and post graduate medical residents of eight medical colleges across India. This study used a convenience sample of medical colleges with random selection of study participants within each college for each group, UG and PG. Results: Prevalence of alcohol and tobacco use among UG students was 16.6%, 95% CI [14.5, 18.9] and 8.0%, 95% CI [6.4, 9.6], respectively, whereas prevalence was 31.5%, 95% CI [26.3, 37.0] and 14.5%, 95% CI [10.7, 18.9], respectively for PGs. For both substances, males had a higher prevalence of use compared to females in both groups (p < 0.001). Positive family history of substance use (p < 0.001 for both groups) and early age of initiation (p = 0.011 for tobacco; p > 0.05 for alcohol) were associated with a greater difficulty to quit the habit. Over 90% of study participants felt that substance use adversely affected their skills and reported not using substances prior to managing their patients. Conclusions: Since substance use is a relatively common phenomenon among UG and PG medical students in India, future prospective studies and interventions are required to better understand the pattern of substance use and reduce its prevalence. C1 [Goel, Nidhi; Khandelwal, Vivek; Pandya, Kapil; Kotwal, Atul] Armed Forces Med Serv, New Delhi, India. RP Goel, N (reprint author), Armed Forces Med Serv, New Delhi, India. NR 19 TC 1 Z9 1 U1 0 U2 0 PU UNIV PITTSBURGH, UNIV LIBRARY SYSTEM PI PITTSBURGH PA 3960 FORBES AVE, PITTSBURGH, PA 15260 USA SN 2166-7403 J9 CENT ASIAN J GLOB HE JI Cent. Asian J. Glob. Health PY 2015 VL 4 IS 1 DI 10.5195/cajgh.2015.187 PG 11 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA V7B5S UT WOS:000420810300006 OA gold DA 2018-05-26 ER PT J AU Zaremba, N Zimenkovsky, A Boretska, O AF Zaremba, N. Zimenkovsky, A. Boretska, O. TI ATTITUDE OF MEDICAL STUDENTS FOR TAKING DRUGS: PROBLEM OF IRRESPONSIBLE SELF-TREATMENT SO PHARMACIA LA English DT Article DE irresponsible self-treatment; medical students; drugs AB The problem of irresponsible self-treatment among future doctors was argued according to the survey of 1305 medical students studying in 4th course of higher educational medical establishments from different regions of Ukraine. It was detected number of uncontrolled receptions of drugs depending on the place of study, sex and the degree of harm awareness from irresponsible self-treatment. C1 [Zaremba, N.; Zimenkovsky, A.; Boretska, O.] Danylo Halytsky Lviv Natl Med Univ, Dept Clin Pharm Pharmacotherapy & Med Standardiza, 69,Pekarska Str, UA-79010 Lvov, Ukraine. RP Boretska, O (reprint author), Danylo Halytsky Lviv Natl Med Univ, Dept Clin Pharm Pharmacotherapy & Med Standardiza, 69,Pekarska Str, UA-79010 Lvov, Ukraine. EM boretska-olga@mail.ru RI Zimenkovsky, Andriy/G-4596-2018 OI Zimenkovsky, Andriy/0000-0002-9649-293X NR 6 TC 0 Z9 0 U1 0 U2 0 PU BULGARIAN SOC PHARMACY PI SOFIA PA UL DUNAV, 2, SOFIA, 00000, BULGARIA SN 0428-0296 J9 PHARMACIA JI Pharmacia PY 2015 VL 62 IS 3 BP 10 EP 14 PG 5 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA V7P8F UT WOS:000421180800002 DA 2018-05-26 ER PT J AU Barnett, NP Ott, MQ Clark, MA AF Barnett, Nancy P. Ott, Miles Q. Clark, Melissa A. TI The Relevance of Network Prominence and Reciprocity of Relationships for Alcohol Use and Alcohol-Related Problems in a College Residence Hall Network SO PSYCHOLOGY OF ADDICTIVE BEHAVIORS LA English DT Article DE college; alcohol; social networks; peers ID ADOLESCENT SUBSTANCE USE; SOCIAL NETWORK; DRINKING BEHAVIOR; BINGE DRINKING; FRATERNITY/SORORITY AFFILIATION; EMERGING ADULTHOOD; INJUNCTIVE NORMS; RISKY DRINKING; 1ST SEMESTER; PEER NORMS AB Peer associations are influential for substance use among college students, but relatively few investigations have been conducted on the social network characteristics that are associated with problematic alcohol use in college. This study investigated the association between network characteristics of prestige, expansiveness, and reciprocity and alcohol use variables in a college residence hall network. Undergraduate students in 1 residence hall (N = 129; 51.9% female; 48.1% non-Hispanic White; 84.5% first-year) reported on their alcohol use and alcohol-related problems in the past semester and nominated up to 10 residence hall peers who were important to them. Network autocorrelation modeling evaluated the association between 5 network variables reflecting prestige (indegree and betweenness centrality), expansiveness (outdegree), and relationship agreement (indegree reciprocity and outdegree reciprocity) and 3 indicators of alcohol use (drinks per week, number of heavy drinking days, number of alcohol problems). Moderation by gender of the associations between network characteristics and alcohol variables was also investigated. Models controlled for demographics and network autocorrelation. A higher outdegree and higher betweenness centrality within the residence hall network were significantly related to the number of heavy drinking days and number of alcohol problems, respectively. Higher indegree and higher betweenness centrality were associated with more alcohol problems for women when alcohol use was controlled. Having higher prestige and indicating oneself as having more friends in a college residential network may convey alcohol-related risks, with some risks higher for women. C1 [Barnett, Nancy P.] Brown Univ, Dept Behav & Social Sci, Sch Publ Hlth, Providence, RI 02912 USA. [Ott, Miles Q.] Brown Univ, Dept Stat, Sch Publ Hlth, Providence, RI 02912 USA. [Clark, Melissa A.] Brown Univ, Dept Epidemiol, Sch Publ Hlth, Providence, RI 02912 USA. RP Barnett, NP (reprint author), Brown Univ, Box G-S121-5, Providence, RI 02912 USA. EM Nancy_Barnett@brown.edu NR 67 TC 3 Z9 3 U1 1 U2 14 PU EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC PI WASHINGTON PA 750 FIRST ST, NE, WASHINGTON, DC 20002-4242 USA SN 0893-164X EI 1939-1501 J9 PSYCHOL ADDICT BEHAV JI Psychol. Addict. Behav. PD DEC PY 2014 VL 28 IS 4 BP 980 EP 989 DI 10.1037/a0038354 PG 10 WC Substance Abuse; Psychology, Multidisciplinary SC Substance Abuse; Psychology GA AX0HP UT WOS:000346633900005 PM 25528047 DA 2018-05-26 ER PT J AU Foreman, K Parije, R Hughes, J Kirk, B Gilbert, B AF Foreman, Kevin Parije, Raj Hughes, Jill Kirk, Bruce Gilbert, Ben TI TARGETED OPPORTUNISTIC MULTI-DISCIPLINARY TEAM TRAINING IN THE TREATMENT OF OPIOID DEPENDENCE DELIVERED BY A PHARMACIST - WHAT DO DOCTORS AND NURSES THINK? SO DRUG AND ALCOHOL REVIEW LA English DT Meeting Abstract C1 [Foreman, Kevin; Parije, Raj; Hughes, Jill; Kirk, Bruce] Australian Capital Terr Hlth Directorate, Alcohol Serv, Canberra, ACT, Australia. [Foreman, Kevin; Parije, Raj; Hughes, Jill; Kirk, Bruce] Australian Capital Terr Hlth Directorate, Drug Serv, Canberra, ACT, Australia. [Foreman, Kevin; Gilbert, Ben] Univ Canberra, Discipline Pharm, Canberra, ACT 2601, Australia. EM kevin.foreman@act.gov.au NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0959-5236 EI 1465-3362 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD NOV PY 2014 VL 33 SU S1 SI SI BP 27 EP 27 PG 1 WC Substance Abuse SC Substance Abuse GA AT4NA UT WOS:000344914800079 DA 2018-05-26 ER PT J AU Karam-Hage, M Ouyang, FQ Ghorayeb, J Mullan, P Brower, K Gruppen, L AF Karam-Hage, Maher Ouyang, Fangqian Ghorayeb, Jihane Mullan, Patricia Brower, Kirk Gruppen, Larry TI Stimulating and Evaluating Acquired Knowledge of Addiction Among Residents Through Repeat Testing: A Pilot Study SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Article ID PSYCHIATRY RESIDENTS; EDUCATION AB Background: Addictive disorders receive little attention in medical school and residency program curricula. Objective: To evaluate an innovative learning approach encouraging and stimulating residents to focus on key competencies by testing before and after their addiction psychiatry rotation. Methods: We developed a 50-item test on substance use disorders. Twenty-six general psychiatry residents, post-graduate year I (PGY-I) and II (PGY-II), participated in the pilot study and were divided into three groups. PGY-I residents were divided into Group 1, who were tested the last day of the rotation and again 2 months later, and Group 2, who were tested on the first and the last day of the rotation. Eight of 11 PGY-II residents agreed to participate as controls (Group 3), as they had previously completed their 2-month addiction psychiatry rotation as PGY-I's. All residents were informed that the testing would not affect their individual grade. After taking the first test, all three groups received related study materials. Results: A statistically significant increase in re-test scores occurred in the combined groups (p < .001). The largest changes in scores were among Group 2 (the group taking the test on first and last day of their addiction psychiatry rotation). Conclusion: The greatest learning seemed to occur when residents were tested at beginning and end of the rotation. However, all residents' test scores improved to some degree, regardless of their level of training or the timing of the test. Scientific Significance: This study offers support for testing as a learning guide and as a means of stimulating residents' learning. C1 [Karam-Hage, Maher] Univ Texas MD Anderson Canc Ctr, Dept Behav Sci, Houston, TX 77030 USA. [Karam-Hage, Maher] Univ Texas MD Anderson Canc Ctr, Dept Psychiat, Houston, TX 77030 USA. [Ouyang, Fangqian] Univ Texas Houston, Sch Publ Hlth, Houston, TX USA. [Ghorayeb, Jihane] Univ Leeds, Leeds, W Yorkshire, England. [Mullan, Patricia] Univ Michigan, Sch Med, Dept Med Educ, Ann Arbor, MI USA. [Brower, Kirk] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA. [Gruppen, Larry] Univ Michigan, Dept Med Educ, Ann Arbor, MI 48109 USA. RP Karam-Hage, M (reprint author), Univ Texas MD Anderson Canc Ctr, Dept Behav Sci, 1155 Pressler St,CPB Unit 1330, Houston, TX 77030 USA. EM maherkaram@mdanderson.org OI Gruppen, Larry/0000-0002-2107-0126 NR 9 TC 1 Z9 1 U1 0 U2 2 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1055-0496 EI 1521-0391 J9 AM J ADDICTION JI Am. J. Addict. PD NOV-DEC PY 2014 VL 23 IS 6 BP 576 EP 581 DI 10.1111/j.1521-0391.2014.12141.x PG 6 WC Substance Abuse SC Substance Abuse GA AQ6FF UT WOS:000342904700006 PM 25065389 DA 2018-05-26 ER PT J AU Roncero, C Rodriguez-Cintas, L Egido, A Barral, C Perez-Pazos, J Collazos, F Grau-Lopez, L Casas, M AF Roncero, Carlos Rodriguez-Cintas, Laia Egido, Angel Barral, Carmen Perez-Pazos, Jesus Collazos, Francisco Grau-Lopez, Lara Casas, Miquel TI The Influence of Medical Student Gender and Drug Use on the Detection of Addiction in Patients SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article DE addiction; Medical students; education; drug dependence; gender ID PONTIFICIA UNIVERSIDAD CATOLICA; COLLEGE-ATTENDING PEERS; SUBSTANCE USE; ILLEGAL SUBSTANCES; NURSING-STUDENTS; SMOKING-HABITS; USE DISORDERS; TOBACCO USE; ALCOHOL; EDUCATION AB Little is known about medical students' interest in their training on drug addiction, their personal experience of consumption, and whether these aspects influence the detection of addiction in patients. Eighty-eight and one half percent considered that drug dependence issues are important to their professional future. The students report consuming alcohol (69%), cigarettes (19.5%), and illegal drugs (15.8%). Female students consumed fewer illegal drugs than the men (p =.022). Male students consumed more illegal drugs more frequently (p =.005), knew more consumers (p =.023), and those who drink alcohol consumed more illegal drugs than women who drink alcohol (p <.005). Drug and alcohol consumption among medical students may serve to normalize consumption and thus, may prevent the detection of addicts. It is important to educate and raise awareness about drugs and alcohol use, as this may influence detection. The focus should be particularly on the male group. C1 [Roncero, Carlos; Rodriguez-Cintas, Laia; Egido, Angel; Barral, Carmen; Perez-Pazos, Jesus; Grau-Lopez, Lara] Univ Vall Hebron ASPB, Psychiat Serv Hosp, Outpatient Drug Clin CAS Vall Hebron, Barcelona, Spain. [Roncero, Carlos; Barral, Carmen; Perez-Pazos, Jesus; Collazos, Francisco; Grau-Lopez, Lara; Casas, Miquel] Hosp Univ Vall Hebron, Psychiat Serv, CIBERSAM, Barcelona, Spain. [Roncero, Carlos; Collazos, Francisco; Casas, Miquel] Univ Autonoma Barcelona, Dept Psychiat, E-08193 Barcelona, Spain. RP Roncero, C (reprint author), Hosp Univ Vall Hebron, Serv Psiquiatria, Paseo Vall Hebron 119-129, Barcelona 08035, Spain. EM croncero@vhebron.net RI Roncero, Carlos/F-6785-2015; Barral, Carmen/D-8418-2016 OI Roncero, Carlos/0000-0003-1421-7385; Barral, Carmen/0000-0001-9963-6153; GRAU-LOPEZ, LARA/0000-0003-1297-1819; Rodriguez-Cintas, Laia/0000-0003-2703-6225 NR 68 TC 4 Z9 4 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1055-0887 EI 1545-0848 J9 J ADDICT DIS JI J. Addict. Dis. PD OCT 2 PY 2014 VL 33 IS 4 BP 277 EP 288 DI 10.1080/10550887.2014.969600 PG 12 WC Substance Abuse SC Substance Abuse GA AX3HZ UT WOS:000346831900001 PM 25299484 DA 2018-05-26 ER PT J AU Mancevska, S Pluncevic, J Todorovska, L Dejanova, B Tecce, J AF Mancevska, Sanja Pluncevic, Jasmina (Plincevic) Todorovska, Lidija Dejanova, Beti Tecce, Joseph TI Substance Use and Perceived Hassles among Junior Medical Students with High Anxiety Levels in the Republic of Macedonia SO IRANIAN JOURNAL OF PUBLIC HEALTH LA English DT Letter ID DEPRESSION C1 [Mancevska, Sanja] Univ Ss Cyril & Methodius, Fac Med, Dept Physiol, Skopje, Macedonia. Boston Coll, Dept Psychol, Chestnut Hill, MA 02167 USA. RP Mancevska, S (reprint author), Univ Ss Cyril & Methodius, Fac Med, Dept Physiol, Skopje, Macedonia. EM sanjamancevska@gmail.com NR 7 TC 1 Z9 1 U1 0 U2 0 PU IRANIAN SCIENTIFIC SOCIETY MEDICAL ENTOMOLOGY PI TEHRAN PA SCHOOL PUBLIC HEALTH & INST HEALTH RESEARCH, TEHRAN UNIV MEDICAL SCIENCES, P O BOX 6446-14155, TEHRAN, 00000, IRAN SN 2251-6085 EI 2251-6093 J9 IRAN J PUBLIC HEALTH JI Iran J. Public Health PD OCT PY 2014 VL 43 IS 10 BP 1451 EP 1453 PG 3 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA AU3PU UT WOS:000345526700016 PM 26060708 DA 2018-05-26 ER PT J AU Osama, M Islam, MY Hussain, SA Masroor, SMZ Burney, MU Masood, MA Menezes, RG Rehman, R AF Osama, Muhammad Islam, Mohammad Yousuful Hussain, Syed Ather Masroor, Syed Muhammad Zia Burney, Muhammad Usman Masood, Muhammad Atif Menezes, Ritesh G. Rehman, Razaur TI Suicidal ideation among medical students of Pakistan: A cross-sectional study SO JOURNAL OF FORENSIC AND LEGAL MEDICINE LA English DT Article DE Suicide; Suicidal ideation; Suicide intent; Risk factors; Medical students; Pakistan ID DEPRESSION; ANXIETY; ABUSE; PREVALENCE; PHYSICIANS; BEHAVIOR; COLLEGE; US AB Few studies have investigated suicidal ideation among medical students in the developing world. We found only one report on suicidal ideation among medical students in Pakistan published in the year 2005. The present cross-sectional survey on suicidal ideation conducted in July 2013 involved 331 medical students of Dow University of Health Sciences, Karachi, Pakistan. In the past one year, suicidal ideation was found in 118 (35.6%) students. Forty-six (13.9%) of all the students had made a plan in their life time to commit suicide while 16 (4.8%) of the 331 students tried to commit suicide at some point of time in their life. More females than males pondered suicide while first year medical students formed the majority of those with suicidal ideation. The single greatest risk factor predisposing to suicidal ideation was substance abuse. This was followed jointly by parental neglect and previous psychiatric disorder. Campaigns against substance abuse and counseling of vulnerable students will help in eradicating suicidal intent. (C) 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. C1 [Osama, Muhammad; Islam, Mohammad Yousuful; Hussain, Syed Ather; Masroor, Syed Muhammad Zia; Burney, Muhammad Usman; Masood, Muhammad Atif] Dow Univ Hlth Sci, Dow Med Coll, Karachi, Pakistan. [Menezes, Ritesh G.] Univ Dammam, King Fahd Hosp Univ, Dept Pathol, Forens Med Div,Coll Med, Dammam, Saudi Arabia. [Rehman, Razaur] Civil Hosp, Dept Psychiat, Karachi, Pakistan. RP Menezes, RG (reprint author), Univ Dammam, King Fahd Hosp Univ, Dept Pathol, Forens Med Div,Coll Med, Dammam, Saudi Arabia. EM mangalore971@yahoo.co.in RI Menezes, Ritesh/A-7480-2015 OI Menezes, Ritesh/0000-0002-2135-4161 NR 23 TC 13 Z9 13 U1 0 U2 6 PU ELSEVIER SCI LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND SN 1752-928X EI 1532-2009 J9 J FORENSIC LEG MED JI J. Forensic Leg. Med. PD OCT PY 2014 VL 27 BP 65 EP 68 DI 10.1016/j.jflm.2014.08.006 PG 4 WC Medicine, Legal SC Legal Medicine GA AR0YJ UT WOS:000343302100014 PM 25287803 DA 2018-05-26 ER PT J AU Vaysse, B Gignon, M Zerkly, S Ganry, O AF Vaysse, Benoit Gignon, Maxime Zerkly, Salah Ganry, Olivier TI Alcohol, tobacco, cannabis, anxiety and depression among second-year medical students. Identify in order to act SO SANTE PUBLIQUE LA French DT Article DE Alcohol drinking; Marijuana smoking; Students, medical; Smoking; Depressive disorder; Anxiety disorders ID COLLEGE-ATTENDING PEERS; ILLICIT DRUG-USE; BINGE-DRINKING; USE DISORDERS; SUICIDAL IDEATION; CONSUMPTION; HEALTH; DOCTORS; PREVALENCE; PHYSICIANS AB Introduction: Excessive alcohol consumption and illicit drug use among students have negative repercussions on their health, education and society in general. Medical students are no exception. Methods: The objective of this study was to evaluate the consumption of alcohol, tobacco and cannabis as well as levels of anxiety and depression of students admitted to the second year of medical studies based on anonymous self-administered questionnaires containing the following tests: AUDIT; Fagerstrom, CAST and HAD. Results: 198 of the 207 students involved agreed to participate. Excessive alcohol consumption was higher among women than among men (35% versus 22%), but fewer women were alcohol-dependent (2% versus 8%) (p < 0.05). 16% of students were tobacco smokers, with no signs of dependence in 80% of cases. 15% of students smoked cannabis and 52% of them presented problem use. 21% of women had a suspected anxiety disorder and 23% had a proven anxiety disorder, versus 17% and 6% of men, respectively (p = 0.002). 3% had a suspected depressive disorder and 0.5% had a proven depressive disorder. High-risk alcohol consumption was significantly correlated with high-risk cannabis use. No correlation was demonstrated between anxiety or depression and these consumptions. Discussion: Doctors appear to be particularly affected by psychological disorders or addictions and medical students are paradoxically less likely than the general population to receive appropriate care. Universities must provide monitoring and support for students in order to improve their health, but also to enable them to provide care and appropriate educational messages to their patients. C1 [Vaysse, Benoit; Gignon, Maxime; Zerkly, Salah; Ganry, Olivier] CHU Amiens Picardie, Hop Nord, Serv Epidemiol Hyg Hosp & Sante Publ, F-80054 Amiens, France. [Gignon, Maxime] Lab Pedag Sante, EA 3412, Paris, France. RP Vaysse, B (reprint author), CHU Amiens Picardie, Hop Nord, Serv Epidemiol Hyg Hosp & Sante Publ, Pl Victor Pauchet, F-80054 Amiens, France. EM bevaysse@live.fr OI GIGNON, Maxime/0000-0002-6517-6707 NR 43 TC 2 Z9 3 U1 1 U2 18 PU SOC FRANCAISE SANTE PUBLIQUE PI VANDOEUVRE-LES-NANCY CEDEX PA 2 RUE DU DOYEN JACQUES PARISOT, BP 7, VANDOEUVRE-LES-NANCY CEDEX, 54501, FRANCE SN 0995-3914 J9 SANTE PUBLIQUE JI Sante Publique PD SEP-OCT PY 2014 VL 26 IS 5 BP 613 EP 620 DI 10.3917/spub.145.0613 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA AX2DT UT WOS:000346754600004 PM 25490220 DA 2018-05-26 ER PT J AU el-Guebaly, NA AF el-Guebaly, N. A. TI INTERNATIONAL ADDICTION MEDICINE: EDUCATIONAL AND TRAINING EFFORTS SO ALCOHOL AND ALCOHOLISM LA English DT Meeting Abstract C1 [el-Guebaly, N. A.] Univ Calgary, Calgary, AB T2N 1N4, Canada. NR 0 TC 0 Z9 0 U1 0 U2 0 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0735-0414 EI 1464-3502 J9 ALCOHOL ALCOHOLISM JI Alcohol Alcohol. PD SEP PY 2014 VL 49 SU 1 MA SY13-1-3 PG 1 WC Substance Abuse SC Substance Abuse GA AP8TO UT WOS:000342352100213 DA 2018-05-26 ER PT J AU Welle-Strand, GK AF Welle-Strand, G. K. TI TRAINING IN ADDICTION MEDICINE AROUND THE WORLD AND ISAM'S NETWORK OF NATIONAL CONTACTS SO ALCOHOL AND ALCOHOLISM LA English DT Meeting Abstract C1 [Welle-Strand, G. K.] Norwegian Directorate Hlth, Dept Psychiat & Subst Treatment, Oslo, Norway. NR 0 TC 0 Z9 0 U1 0 U2 0 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0735-0414 EI 1464-3502 J9 ALCOHOL ALCOHOLISM JI Alcohol Alcohol. PD SEP PY 2014 VL 49 SU 1 MA SY13-1-1 PG 1 WC Substance Abuse SC Substance Abuse GA AP8TO UT WOS:000342352100211 DA 2018-05-26 ER PT J AU Abdulsalam, T Sheehan, E Benito, M AF Abdulsalam, T. Sheehan, E. Benito, M. TI Study of the Drinking Habit and Alcohol-Related Problems in Medical Students in TCD SO IRISH JOURNAL OF MEDICAL SCIENCE LA English DT Meeting Abstract C1 Trinity Coll Dublin, Sch Med, Dept Med Educ, Dublin, Ireland. TCD Intern Training Network, Dublin, Ireland. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER LONDON LTD PI LONDON PA 236 GRAYS INN RD, 6TH FLOOR, LONDON WC1X 8HL, ENGLAND SN 0021-1265 EI 1863-4362 J9 IRISH J MED SCI JI Irish J. Med. Sci. PD JUL PY 2014 VL 183 SU 4 BP S155 EP S156 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA AO1PV UT WOS:000341086400098 DA 2018-05-26 ER PT J AU Osborne, VA Cleveland, I AF Osborne, V. A. Cleveland, I. TI CHANGES IN FAMILY MEDICINE RESIDENTS' ATTITUDES, KNOWLEDGE AND PERCEIVED SKILLS FOR SUBSTANCE ABUSE ASSESSMENT FOLLOWING SBIRT TRAINING SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH LA English DT Meeting Abstract CT 37th Annual Scientific Meeting of the Research-Society-on-Alcoholism (RSA) / 17th Congress of the International-Society-for-Biomedical-Research-on-Alcoholism (ISBRA) CY JUN 21-25, 2014 CL Bellevue, WA SP Res Soc Alcoholism, Int Soc Biomed Res Alcoholism C1 [Osborne, V. A.; Cleveland, I.] St Louis Univ, Sch Med, Dept Family & Community Med, St Louis, MO 63104 USA. NR 0 TC 0 Z9 0 U1 0 U2 2 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0145-6008 EI 1530-0277 J9 ALCOHOL CLIN EXP RES JI Alcoholism (NY) PD JUN PY 2014 VL 38 SU 1 SI SI MA 0292 BP 73A EP 73A PG 1 WC Substance Abuse SC Substance Abuse GA AJ2VX UT WOS:000337523700293 DA 2018-05-26 ER PT J AU Neville, K Roan, N AF Neville, Kathleen Roan, Nora TI Challenges in Nursing Practice Nurses' Perceptions in Caring for Hospitalized Medical-Surgical Patients With Substance Abuse/Dependence SO JOURNAL OF NURSING ADMINISTRATION LA English DT Article ID USE ILLICIT DRUGS; THERAPEUTIC ATTITUDE; STIGMA AB OBJECTIVE: The objective of this study was to investigate nurses' perceptions of caring for hospitalized medical-surgical patients with comorbid conditions of substance abuse/dependence. BACKGROUND: Critical to this issue of quality patient care is the rising incidence of comorbid drug and alcohol abuse among hospitalized patients. Little research exists on the perceptions of nurses providing care to substance abuse/dependent medical-surgical hospitalized patients. There exists the need to further explore nurses' perceptions regarding caring for this challenging population. METHODS: Using a qualitative inductive approach, a convenience sample of 24 nurses completed research questions regarding their perceptions of caring for hospitalized patients with substance abuse/dependence. RESULTS: Data analysis revealed ethical duty to care, negative perceptions toward patients with substance abuse/dependence, need for further education, sympathy, and issues with pain management. Providing quality nursing care for the hospitalized medical-surgical patient with concomitant alcohol and/or drug dependence is challenging for nursing. Nurses need additional education and professional support in caring for these individuals. C1 [Neville, Kathleen] Kean Univ, Sch Nursing, Union, NJ 07083 USA. [Roan, Nora] Somerset Med Ctr, Somerville, NJ USA. RP Neville, K (reprint author), Kean Univ, Sch Nursing, 1000 Morris Ave, Union, NJ 07083 USA. EM kneville@kean.edu NR 14 TC 4 Z9 4 U1 3 U2 9 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0002-0443 EI 1539-0721 J9 J NURS ADMIN JI J. Nurs. Adm. PD JUN PY 2014 VL 44 IS 6 BP 339 EP 346 DI 10.1097/NNA.0000000000000079 PG 8 WC Nursing SC Nursing GA AI8FJ UT WOS:000337144200008 PM 24835142 DA 2018-05-26 ER PT J AU Haller, DM Meynard, A Lefebvre, D Ukoumunne, OC Narring, F Broers, B AF Haller, Dagmar M. Meynard, Anne Lefebvre, Daniele Ukoumunne, Obioha C. Narring, Francoise Broers, Barbara TI Effectiveness of training family physicians to deliver a brief intervention to address excessive substance use among young patients: a cluster randomized controlled trial SO CANADIAN MEDICAL ASSOCIATION JOURNAL LA English DT Article ID PRIMARY-CARE SETTINGS; ADOLESCENT HEALTH; CANNABIS USE; BINGE DRINKING; ALCOHOL-USE; DRUG-USE; SCREENING-TEST; GLOBAL BURDEN; TRAJECTORIES; PREVENTION AB Background: Brief interventions delivered by family physicians to address excessive alcohol use among adult patients are effective. We conducted a study to determine whether such an intervention would be similarly effective in reducing binge drinking and excessive cannabis use among young people. Methods: We conducted a cluster randomized controlled trial involving 33 family physicians in Switzerland. Physicians in the intervention group received training in delivering a brief intervention to young people during the consultation in addition to usual care. Physicians in the control group delivered usual care only. Consecutive patients aged 15-24 years were recruited from each practice and, before the consultation, completed a confidential questionnaire about their general health and substance use. Patients were followed up at 3, 6 and 12 months after the consultation. The primary outcome measure was self-reported excessive substance use ( 1 episode of binge drinking, or 1 joint of cannabis per week, or both) in the past 30 days. Results: Of the 33 participating physicians, 17 were randomly allocated to the intervention group and 16 to the control group. Of the 594 participating patients, 279 (47.0%) identified themselves as binge drinkers or excessive cannabis users, or both, at baseline. Excessive substance use did not differ significantly between patients whose physicians were in the intervention group and those whose physicians were in the control group at any of the follow-up points (odds ratio [OR] and 95% confidence interval [CI] at 3 months: 0.9 [0.6-1.4]; at 6 mo: 1.0 [0.6-1.6]; and at 12 mo: 1.1 [0.7-1.8]). The differences between groups were also nonsignificant after we re stricted the analysis to patients who reported excessive substance use at baseline (OR 1.6, 95% CI 0.9-2.8, at 3 mo; OR 1.7, 95% CI 0.9-3.2, at 6 mo; and OR 1.9, 95% CI 0.9-4.0, at 12 mo). Interpretation: Training family physicians to use a brief intervention to address excessive substance use among young people was not effective in reducing binge drinking and excessive cannabis use in this patient population. Trial registration: Australian New Zealand Clinical Trials Registry, no. ACTRN12608000432314. C1 [Haller, Dagmar M.] Univ Geneva, Fac Med, Div Primary Care, Geneva, Switzerland. [Haller, Dagmar M.; Meynard, Anne; Narring, Francoise] Univ Hosp Geneva, Dept Child & Adolescent Hlth, Adolescent & Young Adult Program, Geneva, Switzerland. [Haller, Dagmar M.; Meynard, Anne; Narring, Francoise] Univ Hosp Geneva, Dept Community Med Primary Care & Emergency Med, Adolescent & Young Adult Program, Geneva, Switzerland. [Haller, Dagmar M.] Univ Melbourne, Dept Gen Practice, Parkville, Vic 3052, Australia. [Ukoumunne, Obioha C.] Univ Exeter, Sch Med, Natl Inst Hlth Res NIHR Collaborat Leadership App, Exeter, Devon, England. [Broers, Barbara] Univ Hosp Geneva, Div Primary Care, Dept Community Med Primary Care & Emergency Med, Dependencies Unit, Geneva, Switzerland. RP Haller, DM (reprint author), Univ Geneva, Fac Med, Div Primary Care, Geneva, Switzerland. EM dagmar.haller-hester@hcuge.ch OI Haller, Dagmar/0000-0003-1781-3318 FU Safra Foundation; Geneva University Hospitals, Switzerland; Kathe-Zingg-Schwichtenberg Fund [KZS 08/08]; Swiss Academy for Medical Sciences; Swiss Federal Office of Public Health; NIHR Collaboration for Leadership in Applied Health Research and Care in the South West Peninsula; NIHR South West - NIHR FX This study was funded by the Safra Foundation and Geneva University Hospitals, Switzerland; the Kathe-Zingg-Schwichtenberg Fund (grant no. KZS 08/08), Swiss Academy for Medical Sciences; and the Swiss Federal Office of Public Health.; Obioha Ukoumunne is supported by the NIHR Collaboration for Leadership in Applied Health Research and Care in the South West Peninsula, a collaboration between the University of Exeter, the University of Plymouth and the NIHR South West that is funded by the NIHR. NR 45 TC 10 Z9 10 U1 1 U2 6 PU CMA-CANADIAN MEDICAL ASSOC PI OTTAWA PA 1867 ALTA VISTA DR, OTTAWA, ONTARIO K1G 5W8, CANADA SN 0820-3946 EI 1488-2329 J9 CAN MED ASSOC J JI Can. Med. Assoc. J. PD MAY 13 PY 2014 VL 186 IS 8 BP E263 EP E272 DI 10.1503/cmaj.131301 PG 10 WC Medicine, General & Internal SC General & Internal Medicine GA AG7OP UT WOS:000335607800022 PM 24616136 OA gold DA 2018-05-26 ER PT J AU El Kirat, H Filali, H AF El Kirat, Houda Filali, Hind TI Mental health professionals' representations of their practices in Rabat, Morocco SO SANTE PUBLIQUE LA French DT Article DE Interdisciplinary communication; Needs assessment; Education; Continuing; Community networks; Professional practice; Mental health services; Morocco ID CARE AB Introduction: The main challenges faced by the mental health system in Morocco are insufficient quality of care and limited human resources. Training of mental health providers therefore constitutes a way of improving quality of care. Methods: We conducted 22 semi-structured interviews with mental health practitioners, mental health senior managers and psychiatry teachers in order to identify training needs. Results: The main findings were the lack of communication, collaboration and updated knowledge especially concerning diagnosis, psychotropic drug prescriptions and addiction medicine. We also identified specific training needs for mental health specialists, such as geriatric psychiatry and paediatric psychiatry. Discussion: Consequently, better training in these areas would contribute to the success of managed care strategies in primary healthcare facilities. C1 [El Kirat, Houda] Direct Epidemiol & Lutte Malad, Rabat, Morocco. [Filali, Hind] Ecole Natl Sante Publ, Rabat 11000, Morocco. RP El Kirat, H (reprint author), Direct Epidemiol & Lutte Malad, 71 Ave Ibn Sina, Rabat, Morocco. EM houda-K@hotmail.com NR 24 TC 0 Z9 0 U1 0 U2 1 PU SOC FRANCAISE SANTE PUBLIQUE PI VANDOEUVRE-LES-NANCY CEDEX PA 2 RUE DU DOYEN JACQUES PARISOT, BP 7, VANDOEUVRE-LES-NANCY CEDEX, 54501, FRANCE SN 0995-3914 J9 SANTE PUBLIQUE JI Sante Publique PD MAY-JUN PY 2014 VL 26 IS 3 BP 385 EP 391 DI 10.3917/spub.139.0385 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA AN1BZ UT WOS:000340319000013 PM 25291887 DA 2018-05-26 ER PT J AU Salehi, M Khalili, MN Hojjat, SK Salehi, M Danesh, A AF Salehi, Maryam Khalili, Mina Norozi Hojjat, Seyed Kaveh Salehi, Mahta Danesh, Ali TI Prevalence of Internet Addiction and Associated Factors Among Medical Students From Mashhad, Iran in 2013 SO IRANIAN RED CRESCENT MEDICAL JOURNAL LA English DT Article DE Internet; Prevalence; Students ID UNIVERSITY-STUDENTS; ADOLESCENTS; PREDICTORS AB Background: Problematic internet use is on the increase and has caused serious problems in many areas. This issue seems to be more important for medical students. Objectives: This study was designed to explore the prevalence of internet addiction and its related factors among the students of Mashhad University of Medical Sciences. Materials and Methods: A cross sectional study was conducted on 383 medical students of Mashhad in 2013. Four hundred participants were selected through two-stage stratified sampling method proportional to the number of students in each stage of education. Data Collection was done through using the Chen Internet Addiction Scale (CIAS) and a checklist of demographic details and characteristics of internet usage behavior. Results: It was found that 2.1% of the studied population were at risk and 5.2% were addicted users. Chatting with new people, communicating with friends and families, and playing games were the most popular activities in these groups. The factors related to internet addiction included: male sex, stage of education, daily time spent on using internet, most frequent time of internet use, monthly cost of use, and tea consumption. Conclusions: Although our study showed the prevalence of internet addiction was not more than other populations and universities, since the prevalence of internet addiction is rapidly increasing worldwide, this population might also be at risk of addiction. Thus, focusing on related factors can help us in designing more effective interventions and treatments for this susceptible group. C1 [Salehi, Maryam; Khalili, Mina Norozi] Mashhad Univ Med Sci, Sch Med, Dept Community Med, Mashhad, Iran. [Salehi, Maryam] Mashhad Univ Med Sci, Sch Med, Res Ctr Patient Safety, Mashhad, Iran. [Hojjat, Seyed Kaveh] North Khorasan Univ Med Sci, Dept Psychiat, Bojnurd, Iran. [Hojjat, Seyed Kaveh] North Khorasan Univ Med Sci, Addict & Behav Sci Res Ctr, Bojnurd, Iran. [Salehi, Mahta; Danesh, Ali] Mashhad Univ Med Sci, Sch Med, Mashhad, Iran. RP Hojjat, SK (reprint author), North Khorasan Univ Med Sci, Addict & Behav Sci Res Ctr, Bojnurd, Iran. EM S.kavehhojjat1@gmail.com RI Hojjat, seyed kaveh/Q-3935-2017; salehi, Maryam/K-8396-2016 OI Salehi, Maryam/0000-0001-7325-6160 FU Mashhad University of Medical Sciences FX This study was funded by Mashhad University of Medical Sciences. NR 28 TC 11 Z9 11 U1 3 U2 17 PU KOWSAR PUBL PI HOENSBROEK PA PATERSWEG 22,, HOENSBROEK, LIMBURG 6431 GC, NETHERLANDS SN 2074-1804 EI 2074-1812 J9 IRAN RED CRESCENT ME JI Iran. Red Crescent Med. J. PD MAY PY 2014 VL 16 IS 5 AR e17256 DI 10.5812/ircmj.17256 PG 7 WC Medicine, General & Internal SC General & Internal Medicine GA AW8HH UT WOS:000346501700001 PM 25031856 OA gold DA 2018-05-26 ER PT J AU Desalegn, AA Berhan, A AF Desalegn, Anteneh Assefa Berhan, Asres TI Cheating on examinations and its predictors among undergraduate students at Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia SO BMC MEDICAL EDUCATION LA English DT Article DE Cheating Lecture; Academic dishonesty; Higher institutions ID ACADEMIC DISHONESTY; BEHAVIOR; ATTITUDES; SCHOOL; PERCEPTIONS; PREVALENCE AB Background: Cheating on examinations in academic institutions is a worldwide issue. When cheating occurs in medical schools, it has serious consequences for human life, social values, and the economy. This study was conducted to determine the prevalence of cheating and identify factors that influence cheating among students of Hawassa University College of medicine and health science. Methods: A cross sectional study was conducted from May through June 2013. A pre tested self-administered, structured questionnaire was used to collect self reported data regarding cheating. Data were entered and analyzed using SPSS version 20. Descriptive statistics were used for data summarization and presentation. Degree of association was measured by Chi Square test, with significance level set at p = 0.05. Bivariate and multivariate logistic regression analyses were used to assess associations. Results: The prevalence of self reported cheating was found to be 19.89c (95% Cl = 17.4 21.9). About 12.19c (05% Cl = 10.2-13.9) of students disclosed cheating on the entrance examination. The majority of students (80.1% (95% Cl = 77.9-82.3) disclosed that they would not report cheating to invigilators even if they had witnessed cheating. Analysis by multiple regression models showed that students who cheated in high school were more likely to cheat (adjusted OR = 1. 80, 95% Cl = 1. 01-3.19) and that cheating was less likely among students who didn't cheat on entrance examinations (adjusted OR = 0. 25, 95% Cl = 0. 14-0.45). Dining outside the university cafeteria and receiving pocket money of Birr 300 or more were strongly associated with cheating (adjusted OR = 3.08, 9590 Cl = 1.54-6.16 and adjusted OR = 1.69 (95% Cl = 1.05-2.72), respectively. The odds of cheating among students were significantly higher for those who went to private high school, were substance users, and didn't attend lectures than for those who attended government schools, were not substance abusers, and attended lectures. Conclusion: Our findings have important implications for development of an institution's policies on academic integrity. By extension, they affect the policies of high schools. Increased levels of supervision during entrance examination, mandated attendance at lectures, and reduction of substance use are likely to reduce cheating. No significant association was found with background, level of parental education, grade point average, and interest in field of study. C1 [Desalegn, Anteneh Assefa; Berhan, Asres] Hawassa Univ, Sch Med, Pharmacol Unit, Hawassa, Ethiopia. RP Desalegn, AA (reprint author), Hawassa Univ, Sch Med, Pharmacol Unit, POB 1560, Hawassa, Ethiopia. EM antepharma@yahoo.com FU Hawassa FX The authors would like to acknowledge Hawassa for the financial support. We would like to express my heartfelt gratitude to AutnorAid which provides free mentors who help individuals from developing Country publish their work. Our special thanks among the mentors goes to Nancy R. at President and Principal Medical Writing Consultant, Illyria Consulting Group, Inc. (Northern California, United States) for editing and review of the manuscript. NR 27 TC 5 Z9 5 U1 0 U2 20 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD APR 30 PY 2014 VL 14 AR 89 DI 10.1186/1472-6920-14-89 PG 11 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA AH2XL UT WOS:000335985300001 PM 24885973 OA gold DA 2018-05-26 ER PT J AU Tesema, L Marshall, J Hathaway, R Pham, C Clarke, C Bergeron, G Yeh, J Soliman, M McCormick, D AF Tesema, Lello Marshall, Jeffrey Hathaway, Rachel Pham, Christina Clarke, Camille Bergeron, Genevieve Yeh, James Soliman, Michael McCormick, Danny TI EXTENT AND PREDICTORS OF TRAINING IN OFFICE-BASED TREATMENT OF OPIOID ADDICTION IN US RESIDENCY PROGRAMS: A NATIONAL SURVEY OF PROGRAM DIRECTORS SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 37th Annual Meeting of the Society-General-Internal-Medicine CY APR 23-26, 2014 CL San Diego, CA SP Soc Gen Internal Med C1 Cambridge Hlth Alliance, Cambridge, MA USA. Harvard Univ, Sch Med, Cambridge, MA 02138 USA. NR 0 TC 0 Z9 0 U1 1 U2 2 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2014 VL 29 SU 1 BP S93 EP S93 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA AO0JZ UT WOS:000340996200223 DA 2018-05-26 ER PT J AU Wakeman, SE Pham-Kanter, G Baggett, M Campbell, E AF Wakeman, Sarah E. Pham-Kanter, Genevieve Baggett, Meridale Campbell, Eric TI IMPROVING INTERNAL MEDICINE RESIDENT PREPAREDNESS TO DIAGNOSE AND TREAT SUBSTANCE USE DISORDERS; EVALUATING THE IMPACT OF AN ENHANCED ADDICTION CURRICULUM SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 37th Annual Meeting of the Society-General-Internal-Medicine CY APR 23-26, 2014 CL San Diego, CA SP Soc Gen Internal Med C1 [Wakeman, Sarah E.; Baggett, Meridale; Campbell, Eric] Massachusetts Gen Hosp, Boston, MA 02114 USA. [Pham-Kanter, Genevieve] Univ Colorado, Denver, CO 80202 USA. [Campbell, Eric] Mongan Inst Hlth Policy, Boston, MA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2014 VL 29 SU 1 BP S124 EP S124 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA AO0JZ UT WOS:000340996200294 DA 2018-05-26 ER PT J AU Hutchinson, E Catlin, M Andrilla, CHA Baldwin, LM Rosenblatt, RA AF Hutchinson, Eliza Catlin, Mary Andrilla, C. Holly A. Baldwin, Laura-Mae Rosenblatt, Roger A. TI Barriers to Primary Care Physicians Prescribing Buprenorphine SO ANNALS OF FAMILY MEDICINE LA English DT Article DE buprenorphine; opiate substitution treatment; rural health; primary health care; opiate addiction ID OPIOID DEPENDENCE; ADDICTION SPECIALISTS; OPIATE ADDICTION; FACILITATORS; MANAGEMENT; POLICY AB PURPOSE Despite the efficacy of buprenorphine-naloxone for the treatment of opioid use disorders, few physicians in Washington State use this clinical tool. To address the acute need for this service, a Rural Opioid Addiction Management Project trained 120 Washington physicians in 2010-2011 to use buprenorphine. We conducted this study to determine what proportion of those trained physicians began prescribing this treatment and identify barriers to incorporating this approach into outpatient practice. METHODS We interviewed 92 of 120 physicians (77%), obtaining demographic information, current prescribing status, clinic characteristics, and barriers to prescribing buprenorphine. Residents and 7 physicians who were prescribing buprenorphine at the time of the course were excluded from the study. We analyzed the responses of the 78 remaining respondents. RESULTS Almost all respondents reported positive attitudes toward buprenorphine, but only 22 (28%) reported prescribing buprenorphine. Most (95%, n = 21) new prescribers were family physicians. Physicians who prescribed buprenorphine were more likely to have partners who had received a waiver to prescribe buprenorphine. A lack of institutional support was associated with not prescribing the medication (P =.04). A lack of mental health and psychosocial support was the most frequently cited barrier by both those who prescribe and who do not prescribe buprenorphine. CONCLUSION Interventions before and after training are needed to increase the number of physicians who offer buprenorphine for treatment of addiction. Targeting physicians in clinics that agree in advance to institute services, coupled with technical assistance after they have completed their training, their clinical teams, and their administrations is likely to help more physicians become active providers of this highly effective outpatient treatment. C1 [Hutchinson, Eliza; Catlin, Mary; Andrilla, C. Holly A.; Baldwin, Laura-Mae; Rosenblatt, Roger A.] Univ Washington, Dept Family Med, Res Sect, Seattle, WA 98195 USA. RP Rosenblatt, RA (reprint author), Univ Washington, Dept Family Med, Box 354696, Seattle, WA 98195 USA. EM rosenb@uw.edu FU Substance Abuse and Mental Health Administration [IH79T1022022]; Washington State Life Science Discovery Fund [109212-G002562]; American Osteopathic Academy of Addiction Medicine; American Academy of Addiction Psychiatry FX The American Osteopathic Academy of Addiction Medicine and American Academy of Addiction Psychiatry sponsored the training courses, which were made possible in part, by contract #IH79T1022022 from Substance Abuse and Mental Health Administration. We gratefully acknowledge funding from the Washington State Life Science Discovery Fund (WSU-LSDF subcontract number 109212-G002562, PI John Roll). NR 19 TC 42 Z9 42 U1 0 U2 15 PU ANNALS FAMILY MEDICINE PI LEAWOOD PA 11400 TOMAHAWK CREEK PARKWAY, LEAWOOD, KS 66211-2672 USA SN 1544-1709 EI 1544-1717 J9 ANN FAM MED JI Ann. Fam. Med. PD MAR-APR PY 2014 VL 12 IS 2 BP 128 EP 133 DI 10.1370/afm.1595 PG 6 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA AI3XV UT WOS:000336799900006 PM 24615308 OA gold DA 2018-05-26 ER PT J AU Hayes, RB Geller, A Churchill, L Jolicoeur, D Murray, DM Shoben, A David, SP Adams, M Okuyemi, K Fauver, R Gross, R Leone, F Xiao, R Waugh, J Crawford, S Ockene, JK AF Hayes, Rashelle B. Geller, Alan Churchill, Linda Jolicoeur, Denise Murray, David M. Shoben, Abigail David, Sean P. Adams, Michael Okuyemi, Kola Fauver, Randy Gross, Robin Leone, Frank Xiao, Rui Waugh, Jonathan Crawford, Sybil Ockene, Judith K. TI Teaching tobacco dependence treatment and counseling skills during medical school: Rationale and design of the Medical Students helping patients Quit tobacco (MSQuit) group randomized controlled trial SO CONTEMPORARY CLINICAL TRIALS LA English DT Article DE Tobacco dependence treatment and counseling; 5As; Medical school education; Medical students; Tobacco control; Group randomized controlled trial ID ONE-MINUTE PRECEPTOR; SMOKING-CESSATION; UNITED-STATES; INTERVENTION; PHYSICIANS; EDUCATION; SMOKERS; PERCEPTIONS; CURRICULUM; PROJECT AB Introduction: Physician-delivered tobacco treatment using the 5As is clinically recommended, yet its use has been limited. Lack of adequate training and confidence to provide tobacco treatment is cited as leading reasons for limited 5A use. Tobacco dependence treatment training while in medical school is recommended, but is minimally provided. The MSQuit trial (Medical Students helping patients Quit tobacco) aims to determine if a multi-modal and theoretically-guided tobacco educational intervention will improve tobacco dependence treatment skills (i.e. 5As) among medical students. Methods/design: 10 U.S. medical schools were pair-matched and randomized in a group-randomized controlled trial to evaluate whether a multi-modal educational (MME) 'intervention compared to traditional education (TE) will improve observed tobacco treatment skills. MME is primarily composed of TE approaches (i.e. didactics) plus a 1st year web-based course and preceptor-objective score on an Objective Structured Clinical Examination (OSCE) tobacco-counseling smoking case among 3rd year medical students from schools who implemented the MME or TE. Discussion: MSQuit is the first randomized to evaluate whether a tobacco treatment educational intervention implemented during medical school will improve medical students' tobacco treatment skills. We hypothesize that the MME intervention will better prepare students in tobacco dependence treatment as measured by the OSCE. If a comprehensive tobacco treatment educational learning approach is effective, while also feasible and acceptable to implement, then medical schools may substantially influence skill development and use of the 5As among future physicians. (c) 2014 The Authors. Published by Elsevier Inc. C1 [Hayes, Rashelle B.; Churchill, Linda; Jolicoeur, Denise; Xiao, Rui; Crawford, Sybil; Ockene, Judith K.] Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Dept Med, Worcester, MA 01655 USA. [Geller, Alan] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA. [Murray, David M.] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Biostat & Bioinformat Branch, Div Epidemiol Stat & Prevent Res, NIH, Bethesda, MD USA. [Shoben, Abigail] Ohio State Univ, Coll Publ Hlth, Div Biostat, Columbus, OH 43210 USA. [David, Sean P.; Fauver, Randy] Stanford Univ, Sch Med, Dept Med, Div Gen Med Disciplines,Ctr Educ & Res Family & C, Palo Alto, CA 94304 USA. [Adams, Michael] Georgetown Univ Hosp, Dept Med, Div Gen Internal Med, Washington, DC USA. [Okuyemi, Kola] Univ Minnesota, Sch Med, Dept Med, Minneapolis, MN 55455 USA. [Gross, Robin] Georgetown Univ Hosp, Dept Med, Div Pulm Crit Care & Sleep Med, Washington, DC 20007 USA. [Leone, Frank] Univ Penn, Perelman Sch Med, Div Pulm Allergy & Crit Care Med, Philadelphia, PA 19104 USA. [Waugh, Jonathan] Univ Alabama Birmingham, UAB Lung Hlth Ctr, Dept Clin & Diagnost Sci, Birmingham, AL USA. RP Hayes, RB (reprint author), Univ Massachusetts, Sch Med, 55 Lake Ave North, Worcester, MA 01655 USA. EM rashelle.hayes@umassmed.edu; ageller@hsph.harvard.edu; linda.churchill@umassmed.edu; denise.jolicoeur@umassmed.edu; david.murray2@nih.gov; ashoben@cph.osu.edu; spdavid@stanford.edu; adams@gunet.georgetown.edu; kokuyemi@umn.edu; rfauver@stanford.edu; rlg4@gunet.georgetown.edu; frank.tleone@uphs.upenn.edu; rui.xiao@umassmed.edu; waughj@uab.edu; sybil.crawford@umassmed.edu; judith.ockene@umassmed.edu OI David, Sean/0000-0002-4922-2603 FU NIH/NCI [5R01 CA 136888, 5R01CA136888S] FX This work was supported by the NIH/NCI research grant 5R01 CA 136888 and 5R01CA136888S to Judith K. Ockene & Rashelle B. Hayes respectively. We also acknowledge all school site Pls, research coordinators, academic detailers, research assistants, support staff, as well as the participating medical students and preceptors who have implemented and participated in the study thus far. NR 51 TC 9 Z9 9 U1 0 U2 3 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1551-7144 EI 1559-2030 J9 CONTEMP CLIN TRIALS JI Contemp. Clin. Trials PD MAR PY 2014 VL 37 IS 2 BP 284 EP 293 DI 10.1016/j.cct.2014.01.008 PG 10 WC Medicine, Research & Experimental; Pharmacology & Pharmacy SC Research & Experimental Medicine; Pharmacology & Pharmacy GA AG7ZA UT WOS:000335636100015 PM 24486635 OA gold DA 2018-05-26 ER PT J AU Rosenberg, KP Carnes, P O'Connor, S AF Rosenberg, Kenneth Paul Carnes, Patrick O'Connor, Suzanne TI Evaluation and Treatment of Sex Addiction SO JOURNAL OF SEX & MARITAL THERAPY LA English DT Article ID HYPERSEXUAL PATIENTS; DRUG-TREATMENT; GENE AVPR1A; DSM-V; DOPAMINE; BEHAVIOR; DISORDERS; REWARD; ATTACHMENT; POPULATION AB There have been several diagnostic labels for persistent, excessive sexual behaviors, often referred in the popular media as sex addiction. Two related diagnoses, Internet addictive disorder and hypersexual disorder, were considered for, but not included in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders. However, most clinicians, even those trained in sexual disorders or addiction medicine, have little to no training in treating sexual compulsivity and cybersex addiction. The authors present the historical context, proposed diagnostic criteria, evaluation protocols, comorbid disorders, speculations about the neuroscience, and treatment recommendations. C1 [Rosenberg, Kenneth Paul] Weill Cornell Med Coll, Dept Psychiat, New York, NY USA. [Carnes, Patrick] Pine Grove Behav Hlth, Hattiesburg, MS USA. [O'Connor, Suzanne] Argosy Univ, Arizona Sch Profess Psychol, Phoenix, AZ USA. RP Rosenberg, KP (reprint author), New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Psychiat, 49 East 78th St,2-A, New York, NY 10075 USA. EM krosenbergmd@yahoo.com NR 98 TC 18 Z9 18 U1 4 U2 70 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0092-623X EI 1521-0715 J9 J SEX MARITAL THER JI J. Sex Marital Ther. PD MAR 1 PY 2014 VL 40 IS 2 BP 77 EP 91 DI 10.1080/0092623X.2012.701268 PG 15 WC Psychology, Clinical; Family Studies SC Psychology; Family Studies GA 303TA UT WOS:000330696200001 PM 23790248 DA 2018-05-26 ER PT J AU Kamal, RM van Iwaarden, S Dijkstra, BAG de Jong, CAJ AF Kamal, Rama M. van Iwaarden, Sjacco Dijkstra, Boukje A. G. de Jong, Cornelis A. J. TI Decision rules for GHB (gamma-hydroxybutyric acid) detoxification: A vignette study SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE Gamma-hydroxybutyric acid; GHB; Detoxification; Outpatient; Vignette study ID WITHDRAWAL SYNDROME; MANAGEMENT; DEPRESSION; QUALITY; CARE AB Background: GHB dependent patients can suffer from a severe and sometimes life-threatening withdrawal syndrome. Therefore, most of the patients are treated within inpatient settings. However, some prefers an outpatient approach to treatment. The aim of this study was to develop decision rules for addiction physicians to determine whether an outpatient or inpatient setting should be chosen for a safe GHB detoxification. Methods: A prospective vignette study was performed. Forty addiction medicine specialists from various treatment settings and residents of the Addiction Medicine postgraduate Master training were asked to contribute vignettes of GHB dependent patients. A focus group of 15 psychiatrists and addiction medicine specialists was asked to recommend an outpatient or inpatient setting for GHB detoxification treatment per vignette. Finally, five addiction medicine specialists, experts in GHB dependence treatment in the Netherlands, assessed the bio-psychosocial reasons for the choices of the focus group and formulated the recommended criteria. Results: Based on the bio-psychosocial state of twenty vignette patients, addiction physicians and psychiatrists established the criteria and conditions recommended for the indication of an outpatient GHB detoxification. Intensity of addiction (GHB dose <= 32 g/d and frequency of abuse <= 2 h) was stated as the primary criterion in determining the setting as well as the complexity of the psychiatric comorbid disorders. The importance of a stable support system was emphasised. Conclusion: The vignette study resulted in a set of criteria with which addiction medicine specialists can make a weighted decision as to an outpatient or inpatient setting for GHB detoxification. (C) 2013 Elsevier Ireland Ltd. All rights reserved. C1 [Kamal, Rama M.; Dijkstra, Boukje A. G.; de Jong, Cornelis A. J.] NISPA, NL-6525 ED Nijmegen, Netherlands. [Kamal, Rama M.; Dijkstra, Boukje A. G.] Novadic Kentron Addict Care Network, NL-5260 AE Vught, Netherlands. [van Iwaarden, Sjacco] Dimence Mental Hlth Care, NL-8012 EN Zwolle, Netherlands. RP Kamal, RM (reprint author), Hogedwarsstr 3,POB 243, NL-5260 AE Vught, Netherlands. EM rama.kamal@novadic-kentron.nl OI Dijkstra, Boukje/0000-0003-1467-7808 NR 26 TC 3 Z9 3 U1 1 U2 10 PU ELSEVIER IRELAND LTD PI CLARE PA ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND SN 0376-8716 EI 1879-0046 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD FEB 1 PY 2014 VL 135 BP 146 EP 151 DI 10.1016/j.drugalcdep.2013.12.003 PG 6 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA AC7YH UT WOS:000332749700019 PM 24380737 DA 2018-05-26 ER PT J AU Berner, JE Santander, J Contreras, AM Gomez, T AF Enrique Berner, Juan Santander, Jaime Maria Contreras, Ana Gomez, Teresita TI Description of Internet Addiction among Chilean Medical Students: A Cross-Sectional Study SO ACADEMIC PSYCHIATRY LA English DT Article DE Internet; Addiction; Abuse; Impulsive; Behavior; Medical students ID US COLLEGE-STUDENTS; CHINESE ADOLESCENTS; DSM-V; PREVALENCE; DEPRESSION AB Objective Internet addiction (IA) has been described as an emerging behavior related to the development of new technologies, with scarce studies on the subject and none involving medical students. The Internet Addiction Test (IAT) is a screening instrument used to detect IA worldwide, which was published in 1998 and inspired by the DSM-IV criteria for pathologic gambling. The objective of this study aims to measure the prevalence of IA in Chilean medical students and its possible association with demographic variables and depressive symptoms. Methods First- to fifth-year undergraduate medical students at a medical school in Santiago de Chile answered a self-administered survey that included demographic data, the IAT scale, and the Goldberg's General Health Questionnaire (GHQ-12) to screen for IA and depressive symptoms, respectively. Results Three hundred eighty-four students participated, achieving a response rate of 69.8 %, of which 11.5 % were classified as problematic users according to the IAT. The authors found a statistical association between positive results on the IAT and positive scores on the GHQ-12, as well as with the male gender. Conclusion In this first study of IA in medical students, the authors found a rate of incidence similar to what has been published in the literature focusing on college students. Additionally, there was a positive association between emotional symptoms and other abuse behaviors. C1 [Enrique Berner, Juan] Hosp Clin Fuerza Aerea Chile, Santiago, Chile. [Santander, Jaime; Gomez, Teresita] Pontificia Univ Catolica Chile, Santiago, Chile. [Maria Contreras, Ana] Hosp Psiquiatr Peral, Santiago, Chile. RP Berner, JE (reprint author), Hosp Clin Fuerza Aerea Chile, Santiago, Chile. EM jeberner@uc.cl OI Berner, Juan Enrique/0000-0003-2178-5161 NR 25 TC 11 Z9 12 U1 0 U2 19 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 EI 1545-7230 J9 ACAD PSYCHIATR JI Acad. Psych. PD FEB PY 2014 VL 38 IS 1 BP 11 EP 14 DI 10.1007/s40596-013-0022-6 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA AB7PR UT WOS:000331983600003 PM 24430588 DA 2018-05-26 ER PT J AU Ibrahim, A Fouad, INAS AF Ibrahim, A. Fouad, I. N. A. S. TI THE PREVALENCE AND SOCIO-DEMOGRAPHIC CORRELATES OF INTERNET ADDICTION AMONG MEDICAL STUDENTS SO EUROPEAN PSYCHIATRY LA English DT Meeting Abstract DE Internet Addiction; Medical Students; Suicide C1 [Ibrahim, A.; Fouad, I. N. A. S.] Assiut Univ, Asyut, Egypt. NR 0 TC 0 Z9 0 U1 0 U2 1 PU ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER PI PARIS PA 23 RUE LINOIS, 75724 PARIS, FRANCE SN 0924-9338 EI 1778-3585 J9 EUR PSYCHIAT JI Eur. Psychiat. PY 2014 VL 29 SU 1 MA EPA-0668 PG 1 WC Psychiatry SC Psychiatry GA AY0IO UT WOS:000347280700506 DA 2018-05-26 ER PT J AU Masmoudi, J Boudabbous, J Feki, I Masmoudi, R Baati, I Jaoua, A AF Masmoudi, J. Boudabbous, J. Feki, I. Masmoudi, R. Baati, I. Jaoua, A. TI INTERNET ADDICTION AMONG MEDICINE STUDENT'S IN TUNISIA SO EUROPEAN PSYCHIATRY LA English DT Meeting Abstract C1 [Masmoudi, J.; Boudabbous, J.; Feki, I.; Masmoudi, R.; Baati, I.; Jaoua, A.] CHU HEDI CHAKER SFAX, Sfax, Tunisia. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER PI PARIS PA 23 RUE LINOIS, 75724 PARIS, FRANCE SN 0924-9338 EI 1778-3585 J9 EUR PSYCHIAT JI Eur. Psychiat. PY 2014 VL 29 SU 1 MA EPA-0462 PG 1 WC Psychiatry SC Psychiatry GA AY0IO UT WOS:000347280700347 DA 2018-05-26 ER PT J AU Roncero, C Rodriguez-Cintas, L Egido, A Barral, C Perez-Pazos, J Collazos, F Grau-Lupez, L Casas, M AF Roncero, C. Rodriguez-Cintas, L. Egido, A. Barral, C. Perez-Pazos, J. Collazos, F. Grau-Lupez, L. Casas, M. TI THE INFLUENCE OF MEDICAL STUDENT GENDER AND DRUG USE ON THE DETECTION OF ADDICTION IN PATIENTS SO EUROPEAN PSYCHIATRY LA English DT Meeting Abstract C1 [Roncero, C.; Rodriguez-Cintas, L.; Egido, A.; Barral, C.; Perez-Pazos, J.; Grau-Lupez, L.] Vall dHebron Univ Hosp, ASPB, Dept Psychiat, Outpatient Drug Clin, Barcelona, Spain. [Collazos, F.; Casas, M.] Vall dHebron Univ Hosp, Dept Psychiat, Barcelona, Spain. RI Roncero, Carlos/F-6785-2015 OI Roncero, Carlos/0000-0003-1421-7385 NR 0 TC 0 Z9 0 U1 0 U2 0 PU ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER PI PARIS PA 23 RUE LINOIS, 75724 PARIS, FRANCE SN 0924-9338 EI 1778-3585 J9 EUR PSYCHIAT JI Eur. Psychiat. PY 2014 VL 29 SU 1 MA EPA-1157 PG 1 WC Psychiatry SC Psychiatry GA AY0IO UT WOS:000347280700888 DA 2018-05-26 ER PT J AU Matthys, F Soyez, V van den Brink, W Joostens, P Tremmery, S Sabbe, B AF Matthys, Frieda Soyez, Veerle van den Brink, Wim Joostens, Peter Tremmery, Sabine Sabbe, Bernard TI Barriers to Implementation of Treatment Guidelines for ADHD in Adults With Substance Use Disorder SO JOURNAL OF DUAL DIAGNOSIS LA English DT Article DE guideline; ADHD; barriers to implementing; attention deficit hyperactivity disorder; substance use disorder; addiction; qualitative research ID ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; CLINICAL GUIDELINES; GENERAL-PRACTICE; DEPENDENCE; ADDICTION; ALCOHOL; METHYLPHENIDATE; COMORBIDITY; PREVALENCE; FOCUS AB Objective: Attention deficit hyperactivity disorder (ADHD) is common among adult patients with a substance use disorder, yet often goes undetected. This is a qualitative study to explore implementation barriers to a guideline developed in Belgium for the recognition and treatment of ADHD in adult patients with substance use disorder and to gain a better understanding of the strategies to overcome these barriers. Methods: Focus groups were conducted with caregivers and patients to explore experiences with comorbid substance use disorder and ADHD. The barriers reported in these focus groups became the subject of further study in focus groups with addiction professionals (physicians, psychiatrists, and psychologists) who had tried the guideline and with psychiatrists specializing in addiction but without experience with ADHD. Results: Our analysis revealed a number of barriers to the implementation of this guideline, including lack of information from the family, pressure from patients and caregivers to make an ADHD diagnosis, and the potential for abuse of ADHD medication. Furthermore, diagnostic instruments for ADHD have not been validated in people with substance use disorder. Although patients with ADHD are usually treated in an outpatient setting, patients with ADHD comorbid with substance use disorder are difficult to identify in an outpatient setting for various reasons. Finally, there is a lack of specific ADHD expertise in substance use treatment organizations. Conclusions: Despite the availability of an approved guideline for recognizing and treating adult ADHD in patients with a substance use disorder, underdiagnosis and inadequate treatment still persist. As in general substance use treatment, medication only plays a supportive role in the treatment of substance use disorder with comorbid ADHD. An integrated approach and further improvements in the competence of practitioners may help to reduce the resistance to diagnosing ADHD in substance use treatment centers. Practitioners who specialize in addiction medicine and therapists without medical education view the problem from different perspectives and therefore each group needs specific information and training. Targeted interventions need to be developed to keep these patients in treatment. C1 [Matthys, Frieda] Vrije Univ Brussel, Univ Hosp, Dept Psychiat, B-1090 Brussels, Belgium. [Matthys, Frieda] MSOC Free Clin, Antwerp, Belgium. [Soyez, Veerle] Vrije Univ Brussel, Fac Psychol, B-1090 Brussels, Belgium. [Soyez, Veerle] Vrije Univ Brussel, Educ Sci Dept, B-1090 Brussels, Belgium. [van den Brink, Wim] Univ Amsterdam, Acad Med Ctr, Amsterdam Inst Addict Res, Dept Psychiat, NL-1105 AZ Amsterdam, Netherlands. [Joostens, Peter] Psychiat Ctr Broeders Alexianen, Tienen, Belgium. [Tremmery, Sabine] Univ Hosp Leuven, Dept Child & Adolescent Psychiat, Leuven, Belgium. [Tremmery, Sabine] Katholieke Univ Leuven, Dept Neurosci, Leuven, Belgium. [Sabbe, Bernard] Vrije Univ Brussel, Univ Antwerp, CAPRI, Duffel, Belgium. [Sabbe, Bernard] Psychiat Hosp St Norbertus, Duffel, Belgium. RP Matthys, F (reprint author), Vrije Univ Brussel, Laarbeeklaan 103, B-1090 Brussels, Belgium. EM frieda.matthys@vub.ac.be NR 33 TC 2 Z9 2 U1 2 U2 15 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 1550-4263 EI 1550-4271 J9 J DUAL DIAGN JI J. Dual Diagn. PY 2014 VL 10 IS 3 BP 130 EP 138 DI 10.1080/15504263.2014.926691 PG 9 WC Psychology, Clinical; Substance Abuse; Psychiatry SC Psychology; Substance Abuse; Psychiatry GA AN2BS UT WOS:000340388900004 PM 25392286 DA 2018-05-26 ER PT J AU Poland, C Samet, JH Jackson, AH Winter, MR Alford, DP AF Poland, Cara Samet, J. H. Jackson, A. H. Winter, M. R. Alford, D. P. TI Barriers to Teaching Addiction Medicine SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Poland, Cara; Samet, J. H.; Jackson, A. H.; Alford, D. P.] Boston Univ, Sch Med, Boston Med Ctr, Boston, MA 02215 USA. [Poland, Cara] Boston VA Med Ctr, Boston, MA USA. [Winter, M. R.] Boston Univ, Sch Publ Hlth, Data Coordinating Ctr, Boston, MA 02215 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2014 VL 35 IS 2 BP 210 EP 210 PG 1 WC Substance Abuse SC Substance Abuse GA AI9HY UT WOS:000337244900064 DA 2018-05-26 ER PT J AU Mooney, CD Sufrin, C AF Mooney, Claudia D. Sufrin, Carolyn TI Teaching Resident Physicians about Substance Use in Pregnancy SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Mooney, Claudia D.] Univ Calif San Francisco, San Francisco, CA 94143 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2014 VL 35 IS 2 BP 211 EP 211 PG 1 WC Substance Abuse SC Substance Abuse GA AI9HY UT WOS:000337244900067 DA 2018-05-26 ER PT J AU Grassi, MC Baraldo, M Chiamulera, C Culasso, F Raupach, T Ferketich, AK Patrono, C Nencini, P AF Grassi, Maria Caterina Baraldo, Massimo Chiamulera, Christian Culasso, Franco Raupach, Tobias Ferketich, Amy K. Patrono, Carlo Nencini, Paolo TI Knowledge about Health Effects of Cigarette Smoking and Quitting among Italian University Students: The Importance of Teaching Nicotine Dependence and Treatment in the Medical Curriculum SO BIOMED RESEARCH INTERNATIONAL LA English DT Article ID UNITED-STATES; TOBACCO; EDUCATION; CESSATION; SCHOOLS; WORLDWIDE; SMOKERS; HABITS; HELP AB Aims of the study were to compare medical students (MS) to non-MS with respect to their knowledge of smoking and to investigate the effect of a short educational intervention on MS knowledge. MS (n = 962) and students of architecture and law (n = 229) were asked to complete a 60-item questionnaire addressing knowledge of smoking epidemiology and health effects ("Score 1"), and effectiveness of cessation treatments ("Score 2"). Upon completion of questionnaire, fourth year MS received a lecture on tobacco dependence. These students were asked to complete the same questionnaire one and two years later. Mean values for Score 1 were 48.9 +/- 11.5% in MS and 40.5 +/- 11.4% in non-MS (P < 0.001; d = 0.69). Respective values for Score 2 were 48.1 +/- 10.8% and 42.6 +/- 10.6% (P < 0.001; d = 0.50). Fifth year students who had attended the lecture in year 4 scored higher than students who had not attended the lecture. Significant differences were noted one but not two years after the educational intervention. In conclusion, MS know slightly more about smoking-related diseases and methods to achieve cessation than nonmedical students; a short educational intervention was associated with better knowledge one year later, but the effect was moderate and short-lived. C1 [Grassi, Maria Caterina; Nencini, Paolo] Univ Roma La Sapienza, Sch Med, Dept Physiol & Pharmacol V Erspamer, I-00185 Rome, Italy. [Baraldo, Massimo] Univ Udine, Sch Med, Dept Expt & Clin Med, I-33100 Udine, Italy. [Chiamulera, Christian] Univ Verona, Pharmacol Sect, Dept Publ Hlth & Community Med, I-36134 Verona, Italy. [Culasso, Franco] Univ Roma La Sapienza, Sch Med, Dept Publ Hlth & Infect Dis, I-00185 Rome, Italy. [Raupach, Tobias] Univ Hosp Gottingen, Dept Cardiol & Pneumol, D-37075 Gottingen, Germany. [Raupach, Tobias] UCL, Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 7HB, England. [Ferketich, Amy K.] Ohio State Univ, Coll Publ Hlth, Div Epidemiol, Columbus, OH 43210 USA. [Patrono, Carlo] Univ Cattolica Sacro Cuore, Sch Med, Dept Pharmacol, I-00168 Rome, Italy. RP Grassi, MC (reprint author), Univ Roma La Sapienza, Sch Med, Dept Physiol & Pharmacol V Erspamer, Piazzale Aldo Moro 5, I-00185 Rome, Italy. EM caterina.grassi@uniroma1.it RI Raupach, Tobias/H-4737-2014 OI Chiamulera, Cristiano/0000-0001-5076-8518; Grassi, Maria Caterina/0000-0002-8022-0526 FU Sapienza University of Rome FX The authors are grateful to Piero Mancini for his help in creating the database and analysis of the data and to Francesca Zanusso for her help in entering the data. The study was supported by a grant from Sapienza University of Rome. NR 30 TC 3 Z9 3 U1 1 U2 5 PU HINDAWI PUBLISHING CORPORATION PI NEW YORK PA 410 PARK AVENUE, 15TH FLOOR, #287 PMB, NEW YORK, NY 10022 USA SN 2314-6133 EI 2314-6141 J9 BIOMED RES INT JI Biomed Res. Int. PY 2014 AR 321657 DI 10.1155/2014/321657 PG 9 WC Biotechnology & Applied Microbiology; Medicine, Research & Experimental SC Biotechnology & Applied Microbiology; Research & Experimental Medicine GA AF6MM UT WOS:000334829200001 OA gold DA 2018-05-26 ER PT J AU Armor, BL Bulkley, CF Truong, T Carter, SM AF Armor, Becky L. Bulkley, Christina F. Teresa Truong Carter, Sandra M. TI Assessing Student Pharmacists' Ability to Identify Drug-Related Problems in Patients Within a Patient-Centered Medical Home SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION LA English DT Article DE student pharmacist; medication reconciliation; patient-centered medical home; drug-related problems; adverse drug effects; primary care ID HOSPITAL ADMISSIONS; PREVENTION; EVENTS; PCMH; CARE AB Objective. To quantify, describe, and categorize patient drug-related problems (DRPs) and recommendations identified by fourth-year (P4) student pharmacists during a live medication reconciliation activity within a patient-centered medical home (PCMH). Methods. Fourth-year student pharmacists conducted chart reviews, identified and documented DRPs, obtained live medication histories, and immediately provided findings and recommendations to the attending physicians. Documentation of DRPs and recommendations were analyzed retrospectively. Results. Thirty-eight students completed 99 medication reconciliation sessions from June 2011 to October 2012 during their advanced pharmacy practice experience (APPE). The students obtained 676 patient medication histories and identified or intervened on 1308 DRPs. The most common DRPs reported were incomplete medication list and diagnostic/laboratory testing needed. Physicians accepted 1,018 (approximately 78%) recommendations. Conclusion. Student pharmacists successfully identified and reduced DRPs through a live medication reconciliation process within an academic-based PCMH model. Their medication history-taking skills improved and medication use was optimized. C1 [Armor, Becky L.; Bulkley, Christina F.; Teresa Truong; Carter, Sandra M.] Univ Oklahoma, Coll Pharm, Oklahoma City, OK 73126 USA. RP Armor, BL (reprint author), Univ Oklahoma, Coll Pharm, POB 26901, Oklahoma City, OK 73126 USA. EM Becky-Armor@ouhsc.edu NR 28 TC 8 Z9 8 U1 0 U2 7 PU AMER ASSOC COLL PHARMACY PI ALEXANDRIA PA 1426 PRINCE STREET, ALEXANDRIA, VA 22314-2815 USA SN 0002-9459 EI 1553-6467 J9 AM J PHARM EDUC JI Am. J. Pharm. Educ. PY 2014 VL 78 IS 1 AR 6 DI 10.5688/ajpe7816 PG 6 WC Education, Scientific Disciplines; Pharmacology & Pharmacy SC Education & Educational Research; Pharmacology & Pharmacy GA AB2HB UT WOS:000331612700006 PM 24558274 OA gold DA 2018-05-26 ER PT J AU Alam, A Sivachidambaram Srinivasagopalan Sultana, Z Shailaja AF Alam, Asgar Sivachidambaram Srinivasagopalan Sultana, Zubaida Shailaja TI Prevalence of internet addiction among medical students in both UG and PG SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2014 VL 56 IS 5 SU 1 BP S65 EP S65 PG 1 WC Psychiatry SC Psychiatry GA V44AY UT WOS:000209723100240 OA gold DA 2018-05-26 ER PT J AU Jradi, H Wewers, ME Pirie, PL Binkley, PF Ferketich, AK AF Jradi, Hoda Wewers, Mary Ellen Pirie, Phyllis L. Binkley, Philip F. Ferketich, Amy K. TI Tobacco dependence curricula in Middle Eastern and North African medical education SO TOBACCO CONTROL LA English DT Letter DE Tobacco education; medical schools; physician training; low; middle income country; global health; surveillance and monitoring; cessation; underserved smokers; appalachian smokers; nicotine dependence NR 0 TC 0 Z9 0 U1 0 U2 0 PU BMJ PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0964-4563 EI 1468-3318 J9 TOB CONTROL JI Tob. Control PD NOV PY 2013 VL 22 IS 6 BP 427 EP 428 DI 10.1136/tobaccocontrol-2012-050500 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 240OY UT WOS:000326107800018 PM 22923480 DA 2018-05-26 ER PT J AU Cranford, JA McCabe, SE Boyd, CJ AF Cranford, James A. McCabe, Sean Esteban Boyd, Carol J. TI Adolescents' nonmedical use and excessive medical use of Prescription medications and the identification of substance use subgroups SO ADDICTIVE BEHAVIORS LA English DT Article DE Nonmedical use prescription medications; Excessive medical use prescription; medications; Adolescent substance use; Gender differences; Parental influence ID CHILD GENDER; ALCOHOL; ABUSE; DEPENDENCE; SYMPTOMS; OPIOIDS; MISUSE; PARENT; RISK AB The purpose of this study was to identify subgroups of adolescents based on their past 12 months use of tobacco, alcohol, marijuana, illicit drugs, and nonmedical use and excessive medical use of prescription medications. A cross-sectional Web-based survey of adolescents from two middle and high school districts in Southeastern Michigan was conducted. The sample included 2,744 middle school (7th and 8th grade) and high school (9th through 12th grade) students. Participants had a mean age of 14.8 years (SD = 1.9 years); 50.4% were female, 64.1% were Caucasian, and 30.6% were African American. Participants completed measures of the past 12 months of substance use, parental monitoring, parental substance use, and internalizing and externalizing problems. Exploratory latent class analysis (LCA) indicated four classes. The largest class was composed of participants with low probabilities of using any substances (low/no use class), and the smallest class was composed of participants with relatively high probabilities of using all substances (multiple substances class). A third class included participants with high probabilities of using tobacco, alcohol, and marijuana (TAM). The fourth class consisted of participants with relatively high probabilities of alcohol use, nonmedical prescription drug use, and excessive medical use of prescription drugs (ANM). Female gender predicted membership in the ANM and multiple substance classes, and parental monitoring, parental substance use problems, internalizing, and externalizing problems uniquely predicted membership in all three high-risk risk classes. Results indicated three high-risk subgroups of adolescents, each characterized by a different pattern of substance use. Two risk groups are characterized by relatively high probabilities of nonmedical use and excessive medical use of prescription medications. (C) 2013 Elsevier Ltd. All rights reserved. C1 [Cranford, James A.] Univ Michigan, Dept Psychiat, Addict Res Ctr, Ann Arbor, MI 48109 USA. [Boyd, Carol J.] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA. [McCabe, Sean Esteban] Univ Michigan, Inst Res Women & Gender, Ann Arbor, MI 48109 USA. RP Cranford, JA (reprint author), Univ Michigan, Dept Psychiat, Addict Res Ctr, Rachel Upjohn Bldg,4250 Plymouth Rd, Ann Arbor, MI 48109 USA. EM jcranfor@med.umich.edu OI McCabe, Sean/0000-0002-9622-4652; Cranford, James/0000-0003-2068-9282 FU National Institute on Drug Abuse, National Institutes of Health [R01DA024678, R01DA031160] FX This research was supported by the National Institute on Drug Abuse, National Institutes of Health (research grant nos. R01DA024678 and R01DA031160). NIDA had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. NR 29 TC 17 Z9 18 U1 1 U2 43 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0306-4603 J9 ADDICT BEHAV JI Addict. Behav. PD NOV PY 2013 VL 38 IS 11 BP 2768 EP 2771 DI 10.1016/j.addbeh.2013.06.015 PG 4 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 225KM UT WOS:000324961800021 PM 23954563 OA green_accepted DA 2018-05-26 ER PT J AU Wood, E Samet, JH Volkow, ND AF Wood, Evan Samet, Jeffrey H. Volkow, Nora D. TI Physician Education in Addiction Medicine SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Editorial Material ID DEPENDENCE; HEALTH; BURDEN; CARE C1 [Wood, Evan] Univ British Columbia, Dept Med, Vancouver, BC V6Z 1Y6, Canada. [Samet, Jeffrey H.] Boston Univ, Sch Med, Gen Internal Med Sect, Boston, MA 02118 USA. [Volkow, Nora D.] US Natl Inst Drug Abuse, Bethesda, MD USA. RP Wood, E (reprint author), Univ British Columbia, Div Aids, 608-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada. EM uhri-ew@cfenet.ubc.ca OI Samet, Jeffrey/0000-0002-0897-3400 FU Intramural NIH HHS [Z99 DA999999] NR 9 TC 33 Z9 35 U1 0 U2 8 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0098-7484 EI 1538-3598 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD OCT 23 PY 2013 VL 310 IS 16 BP 1673 EP 1674 DI 10.1001/jama.2013.280377 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 238LR UT WOS:000325948500019 PM 24150462 OA green_accepted DA 2018-05-26 ER PT J AU Wamsley, MA Julian, KA O'Sullivan, P McCance-Katz, EF Batki, SL Satre, DD Satterfield, J AF Wamsley, Maria A. Julian, Katherine A. O'Sullivan, Patricia McCance-Katz, Elinore F. Batki, Steven L. Satre, Derek D. Satterfield, Jason TI Team-Based Learning Exercise Efficiently Teaches Brief Intervention Skills to Medicine Residents SO SUBSTANCE ABUSE LA English DT Article DE Curriculum development and evaluation; graduate medical education; substance use; team-based learning ID PATIENTS ALCOHOL-USE; PRIMARY-CARE; SUBSTANCE-ABUSE; TREATMENT SBIRT; DRUG-USE; IMPACT; CURRICULUM; EDUCATION; PERFORMANCE; SETTINGS AB Background: Evaluations of substance use screening and brief intervention (SBI) curricula typically focus on learner attitudes and knowledge, although effects on clinical skills are of greater interest and utility. Moreover, these curricula often require large amounts of training time and teaching resources. This study examined whether a 3-hour SBI curriculum for internal medicine residents utilizing a team-based learning (TBL) format is effective for SBI skills as measured by a standardized patient (SP) assessment. Methods: A waitlist-controlled design was employed. Results: Twenty-four postgraduate year 2 (PGY-2) and PGY-3 residents participated in a SP assessment prior to the TBL session (waitlist control group) and 32 participated in a SP assessment after the TBL session (intervention group). The intervention residents demonstrated better brief intervention skills than waitlist control residents, but there were no differences between the groups in screening and assessment skills. Residents receiving the TBL curriculum prior to the SP assessment reported increased confidence in all SBI skills. Conclusion: Findings indicate that a brief educational intervention can improve brief intervention skills. However, more intensive education may be needed to improve substance use screening and assessment. C1 [Wamsley, Maria A.; Julian, Katherine A.; O'Sullivan, Patricia; Satterfield, Jason] Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 94143 USA. [McCance-Katz, Elinore F.; Batki, Steven L.; Satre, Derek D.] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA. [Batki, Steven L.] San Francisco Vet Adm Med Ctr, San Francisco, CA USA. [Satre, Derek D.] Kaiser Permanente, Div Res, San Francisco, CA USA. RP Wamsley, MA (reprint author), Univ Calif San Francisco, Div Gen Internal Med, 1545 Divisadero St,Room 322,Campus Box 0320, San Francisco, CA 94143 USA. EM maria.wamsley@ucsf.edu RI Herring, Anna/L-7859-2014 FU SAMHSA [U79T1020295] FX This research was funded by SAMHSA grant U79T1020295 awarded to Dr. Satterfield. NR 41 TC 5 Z9 5 U1 0 U2 9 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD OCT 1 PY 2013 VL 34 IS 4 BP 344 EP 349 DI 10.1080/08897077.2013.787958 PG 6 WC Substance Abuse SC Substance Abuse GA 269LB UT WOS:000328241700003 PM 24159904 DA 2018-05-26 ER PT J AU Parish, SJ Stein, MR Hahn, SR Goldberg, U Arnsten, JH AF Parish, Sharon J. Stein, Melissa R. Hahn, Steven R. Goldberg, Uri Arnsten, Julia H. TI Teaching and Assessing Residents' Skills in Managing Heroin Addiction With Objective Structured Clinical Examinations (OSCEs) SO SUBSTANCE ABUSE LA English DT Article DE Heroin addiction; Objective Structured Clinical Examination (OSCE); substance abuse ID SUBSTANCE-ABUSE; STANDARDIZED PATIENTS; ALCOHOL; BUPRENORPHINE; INTERVENTION; EDUCATION AB Background: Heroin-abusing patients present a significant challenge. Objective Structured Clinical Examinations (OSCEs) allow evaluation of residents' clinical skills. The objective of this study was to examine residents' OSCE performance assessing and managing heroin abuse. Methods: Evaluation and comparison of heroin-specific communication, assessment, and management skills in a 5-station postgraduate year 3 (PGY3) substance abuse OSCE. Faculty used a 4-point Likert scale to assess residents' skills; standardized patients provided written comments. Results: Two hundred sixty-five internal and family medicine residents in an urban university hospital participated over 5years. In the heroin station, residents' skills were better (P < .001 for both comparisons) in communication (mean overall score: 316 +/- 0.51) than in either assessment (mean overall score: 2.66 +/- 0.60) or management (mean overall score: 2.50 +/- 0.73). The mean score for assessing specific high-risk behaviors was lower than the mean overall assessment score (222 +/- 1.01vs. 2.74 +/- .59; P < .0001), and the mean score for recommending appropriate harm reduction management strategies was lower than the mean overall management score (2.39 +/- .89vs. 2.54 +/- .74; P < .005). Standardized patients' comments reflected similar weaknessess in residents' skills. Conclusions: Assessment and management of heroin abuse were more challenging for residents than general communication. Additional training is required for residents to assess and counsel patients about high-risk behaviors. C1 [Parish, Sharon J.; Stein, Melissa R.; Arnsten, Julia H.] Albert Einstein Coll Med, Dept Med, Div Gen Internal Med, Bronx, NY 10467 USA. [Parish, Sharon J.; Stein, Melissa R.; Goldberg, Uri; Arnsten, Julia H.] Montefiore Med Ctr, Bronx, NY 10467 USA. [Stein, Melissa R.; Goldberg, Uri; Arnsten, Julia H.] Albert Einstein Coll Med, Dept Psychiat & Behav Sci, Div Substance Abuse, Bronx, NY 10467 USA. [Hahn, Steven R.] Jacobi Med Ctr, Dept Med, Bronx, NY USA. [Hahn, Steven R.] Albert Einstein Coll Med, Bronx, NY 10467 USA. RP Parish, SJ (reprint author), Montefiore Med Ctr, Dept Med, Centennial 3,111 East 210th St, Bronx, NY 10467 USA. EM sparish@montefiore.org FU NIH [R25 DA 14551, R25 DA023021] FX The project was supported by NIH R25 DA 14551 and R25 DA023021 (to J. Arnsten). NR 26 TC 4 Z9 4 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD OCT 1 PY 2013 VL 34 IS 4 BP 350 EP 355 DI 10.1080/08897077.2013.776658 PG 6 WC Substance Abuse SC Substance Abuse GA 269LB UT WOS:000328241700004 PM 24159905 OA green_accepted DA 2018-05-26 ER PT J AU Meltzer, EC Suppes, A Burns, S Shuman, A Orfanos, A Sturiano, CV Charney, P Fins, JJ AF Meltzer, Ellen C. Suppes, Alexandra Burns, Sam Shuman, Andrew Orfanos, Alex Sturiano, Christopher V. Charney, Pamela Fins, Joseph J. TI Stigmatization of Substance Use Disorders Among Internal Medicine Residents SO SUBSTANCE ABUSE LA English DT Article DE Addiction education; alcoholism; narcotic pain medication dependence; stigma ID BRIEF PHYSICIAN ADVICE; DRUG-USE DISORDER; GENERAL-PRACTITIONERS; ABUSING PATIENTS; ATTITUDES; ALCOHOL; ADDICTION; STUDENTS; EXPERIENCE; DIAGNOSES AB Background: Evidence suggests that some physicians harbor negative attitudes towards patients with substance use disorders (SUDs). The study sought to (1) measure internal medicine residents' attitudes towards patients with SUDs and other conditions; (2) determine whether demographic factors influence regard for patients with SUDs; and (3) assess the efficacy of a 10-hour addiction medicine course for improving attitudes among a subset of residents. Methods: A prospective cohort study of 128 internal medicine residents at an academic medical center in New York City. Scores from the validated Medical Condition Regard Scale (MCRS) were used to assess attitude towards patients with alcoholism, dependence on narcotic pain medication, heartburn, and pneumonia. Demographic variables included gender, postgraduate training year, and prior addiction education. Results: Mean baseline MCRS scores were lower (less regard) for patients with alcoholism (41.4) and dependence on narcotic pain medication (35.3) than for patients with pneumonia (54.5) and heartburn (48.9) (P < .0001). Scores did not differ based upon gender, prior hours of addiction education, or year of training. After the course, MCRS scores marginally increased for patients with alcoholism (mean increased by 0.16, P = .04 [95% confidence interval, CI: 0.004-0.324]) and dependence on narcotic pain medication (mean increased by 0.09, P = .10 [95% CI: 0.02-0.22]). Conclusions: Internal medicine residents demonstrate less regard for patients with SUDs. Participation in a course in addiction medicine was associated with modest attitude improvement; however, other efforts may be necessary to ensure that patients with potentially stigmatized conditions receive optimal care. C1 [Meltzer, Ellen C.; Suppes, Alexandra; Burns, Sam; Shuman, Andrew; Fins, Joseph J.] Weill Cornell Med Coll, Dept Publ Hlth, Div Med Eth, New York, NY USA. [Meltzer, Ellen C.; Charney, Pamela; Fins, Joseph J.] Weill Cornell Med Coll, Dept Med, New York, NY USA. [Meltzer, Ellen C.; Charney, Pamela; Fins, Joseph J.] New York Presbyterian Weill Cornell Med Ctr, New York, NY 10021 USA. [Suppes, Alexandra] Columbia Univ, Dept Psychol, New York, NY 10027 USA. [Orfanos, Alex] Cornell Univ, Coll Arts & Sci, Ithaca, NY USA. [Sturiano, Christopher V.] Midtown Ctr Treatment & Res, Weill Cornell Med Coll, New York, NY USA. [Charney, Pamela] Weill Cornell Med Coll, Dept Obstet & Gynecol, New York, NY USA. RP Meltzer, EC (reprint author), New York Presbyterian Weill Cornell Med Ctr, Div Med Eth, 435 East 70th St,Suite 4J, New York, NY 10021 USA. EM elc9076@med.cornell.edu NR 39 TC 8 Z9 9 U1 4 U2 21 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD OCT 1 PY 2013 VL 34 IS 4 BP 356 EP 362 DI 10.1080/08897077.2013.815143 PG 7 WC Substance Abuse SC Substance Abuse GA 269LB UT WOS:000328241700005 PM 24159906 DA 2018-05-26 ER PT J AU Wakeman, SE Baggett, MV Pham-Kanter, G Campbell, EG AF Wakeman, Sarah E. Baggett, Meridale V. Pham-Kanter, Genevieve Campbell, Eric G. TI 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 SO SUBSTANCE ABUSE LA English DT Article DE Addiction; medical education; preparedness; residency training; substance use disorder ID PRIMARY-CARE; DRUG-USERS; PREVALENCE; PHYSICIANS; ALCOHOL; BUPRENORPHINE; DISCHARGE; ADVICE; ABUSE AB 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 residents' perceptions of the quality of addictions instruction, and evaluates basic knowledge of addictions. Methods: A survey was e-mailed to 184 internal medicine residents at Massachusetts General Hospital in May 2012. Results: Responses were obtained from 55% of residents. Residents estimated that 26% of inpatients they cared for met criteria for a substance use disorder (SUD). Twenty-five percent of residents felt unprepared to diagnose and 62% felt unprepared to treat addiction. Only 13% felt very prepared to diagnose addiction. No residents felt very prepared to treat addiction. Preparedness to diagnose or treat addiction did not differ significantly across postgraduate year (PGY) level. Fifty-five percent rated the overall instruction in addictions as poor or fair. Seventy-two percent of residents rated the quality of addictions training as poor or fair in the outpatient clinical setting, and 56% in the inpatient setting. No resident answered all 6 knowledge questions correctly. Slightly more than half correctly identified the mechanism of buprenorphine and 19% correctly answered a question about naltrexone. Nine percent of residents responded that someone had expressed concern about the respondent's substance use. Conclusions: Despite providing care for a substantial population with addiction, the majority of internal medicine residents in this study feel unprepared to treat SUDs. More than half rate the quality of addictions instruction as fair or poor. Structured and comprehensive addictions curriculum and faculty development are needed to address the deficiencies of the current training system. C1 [Wakeman, Sarah E.; Baggett, Meridale V.] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA. [Wakeman, Sarah E.; Campbell, Eric G.] Harvard Univ, Sch Med, Dept Med, Boston, MA USA. [Pham-Kanter, Genevieve; Campbell, Eric G.] Mongan Inst Hlth Policy, Boston, MA USA. [Pham-Kanter, Genevieve] Harvard Univ, Edmond J Safra Ctr Eth, Cambridge, MA 02138 USA. [Pham-Kanter, Genevieve] Univ Colorado, Colorado Sch Publ Hlth, Dept Hlth Syst Management & Policy, Denver, CO 80202 USA. RP Wakeman, SE (reprint author), Massachusetts Gen Hosp, 55 Fruit St,GRB 740, Boston, MA 02114 USA. EM swakeman@partners.org OI Kanter, Genevieve/0000-0002-3044-7829 NR 18 TC 21 Z9 21 U1 0 U2 10 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PD OCT 1 PY 2013 VL 34 IS 4 BP 363 EP 370 DI 10.1080/08897077.2013.797540 PG 8 WC Substance Abuse SC Substance Abuse GA 269LB UT WOS:000328241700006 PM 24159907 DA 2018-05-26 ER PT J AU Wile, C Jenkins, K AF Wile, Cheryl Jenkins, Kym TI The value of a support group for medical professionals with substance use disorders SO AUSTRALASIAN PSYCHIATRY LA English DT Article DE doctors; medical professionals; medical students; substance use disorders; support group ID PHYSICIANS; PROGRAM; SPECIALTY; OUTCOMES; DOCTORS AB Objective: The objective of this study was to explore how a support group in Victoria, Australia, that has been set up for doctors and medical students with substance use disorders is perceived by group members. Method: Past and present participants were surveyed anonymously regarding their attitudes to the group and its role in their recovery. Results: Respondents overwhelmingly valued the support group, seeing it as an integral and essential part of their recovery and on-going health. Conclusions: It is recommended that such support groups for doctors who have substance use disorders be more widely available in jurisdictions other than Victoria. C1 [Wile, Cheryl; Jenkins, Kym] VDHP, Fitzroy, Vic 3065, Australia. RP Wile, C (reprint author), VDHP, Level 8,Aikenhead Bldg,27 Victoria Parade, Fitzroy, Vic 3065, Australia. EM cheryl@vdhp.org.au NR 13 TC 1 Z9 1 U1 0 U2 2 PU SAGE PUBLICATIONS LTD PI LONDON PA 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND SN 1039-8562 EI 1440-1665 J9 AUSTRALAS PSYCHIATRY JI Australas. Psychiatry PD OCT PY 2013 VL 21 IS 5 BP 481 EP 485 DI 10.1177/1039856213498289 PG 5 WC Psychiatry SC Psychiatry GA 227GU UT WOS:000325100600010 PM 23897729 DA 2018-05-26 ER PT J AU McMullen, I Cartledge, J Levine, R Iversen, A AF McMullen, Isabel Cartledge, Jonathan Levine, Ruth Iversen, Amy TI Team-based learning for psychiatry residents: a mixed methods study SO BMC MEDICAL EDUCATION LA English DT Article DE Instructional methods; Team-based learning; Continuing medical education; Residents; Psychiatry ID MEDICAL GROSS-ANATOMY; CONTROLLED-TRIAL; EDUCATION; STUDENTS; PHARMACOLOGY; PERFORMANCE; EMBRYOLOGY; EXPERIENCE; CURRICULUM; PHYSICIAN AB Background: Team-based learning (TBL) is an effective teaching method for medical students. It improves knowledge acquisition and has benefits regarding learner engagement and teamwork skills. In medical education it is predominately used with undergraduates but has potential benefits for training clinicians. The aims of this study were to examine the impact of TBL in a sample of psychiatrists in terms of classroom engagement, attitudes towards teamwork, learner views and experiences of TBL. Methods: Forty-four psychiatry residents participated in an Addictions Psychiatry TBL module. Mixed-methods were used for evaluation. Self-rated measures of classroom engagement (Classroom Engagement Survey, CES) were compared with conventional lectures, and attitudes regarding the value of teams (Value of Teams Scale, VTS) were compared before and after the module. Independent t-tests were used to compare 'lecture' CES scores with TBL CES scores and pre and post scores for the VTS. Feedback questionnaires were completed. Interviews were conducted with a subset of residents and transcripts analysed using thematic analysis. Results: Twenty-eight residents completed post-course measures (response rate 63.6%). Seven participants volunteered for qualitative interviews-one from each team. There was a significant difference in the mean CES score lectures compared to TBL (p < 0.001) but no difference was found in mean VTS score pre and post for either subscale (p = 0.519; p = 0.809). All items on the feedback questionnaire were positively rated except two regarding session preparation. The qualitative analysis generated seven themes under four domains: 'Learning in teams', 'Impact on the individual learner', 'Relationship with the teacher' and 'Efficiency and effectiveness of the learning process'. Conclusions: In this group of residents, TBL significantly improved learner-rated classroom engagement and seemed to promote interactivity between learners. TBL was generally well-received, although required learners to prepare for class which was difficult for some. TBL did not change these clinicians' views about teamwork. C1 [McMullen, Isabel] South London & Maudsley NHS Fdn Trust, Guys Hosp, London SE1 9RT, England. [Cartledge, Jonathan] UCL, Acad Ctr Med Educ, London WC1E 6BT, England. [Levine, Ruth] Univ Texas Med Branch, Dept Psychiat & Behav Sci, Galveston, TX 77555 USA. [Iversen, Amy] Weston Educ Ctr, Inst Psychiat, London SE5 9RJ, England. RP McMullen, I (reprint author), South London & Maudsley NHS Fdn Trust, Guys Hosp, Weston St, London SE1 9RT, England. EM isabel.mcmullen@kcl.ac.uk RI Herring, Anna/L-7859-2014 OI Levine, Ruth/0000-0001-7792-316X FU Maudsley Charity FX We thank the Maudsley Charity who funded this work, and Hannah Sallis from the Institute of Psychiatry Department of Biostatistics for her help with analysing the data. NR 34 TC 7 Z9 7 U1 0 U2 18 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD SEP 11 PY 2013 VL 13 AR 124 DI 10.1186/1472-6920-13-124 PG 8 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA 222WW UT WOS:000324764000001 PM 24025540 OA gold DA 2018-05-26 ER PT J AU Harris, JM Sun, HP AF Harris, John M. Sun, Huaping TI A Randomized Trial of Two e-Learning Strategies for Teaching Substance Abuse Management Skills to Physicians SO ACADEMIC MEDICINE LA English DT Article ID MEDICAL-EDUCATION; HEALTH-PROFESSIONS; METAANALYSIS; CARE AB Purpose To compare the educational effectiveness of two virtual patient (VP)-based e-learning strategies, versus no training, in improving physicians' substance abuse management knowledge, attitudes, self-reported behaviors, and decision making. Method The 2011-2012 study was a posttest-only, three-arm, randomized controlled trial in 90 resident and 30 faculty physicians from five adult medicine primary care training programs. The intervention was one of two 2-hour VP-based e-learning programs, designed by national experts to teach structured screening, brief interventions, referral, and treatment skills. One used traditional problem solving with feedback (unworked example), and the other incorporated an expert demonstration first, followed by problem solving with feedback (worked example). The main outcome measure was performance on the Physicians' Competence in Substance Abuse Test (P-CSAT, maximum score = 315), a self-administered, previously validated measure of physicians' competence in managing substance abuse. The survey was completed at the outset of the study and two months later. Results Overall P-CSAT scores were virtually identical (202-211, P > .05) between both intervention groups and the no-training control group at both times. Average faculty P-CSAT scores (221.9, 224.6) were significantly higher (P < .01) than resident scores (203.7, 202.5) at both times. Conclusions This study did not provide evidence that a brief, worked example, VP-based e-learning program or a traditional, unworked, VP-based e-learning program was superior to no training in improving physicians' substance abuse management skills. The study did provide additional evidence that the P-CSAT distinguishes between physicians who should possess different levels of substance abuse management skills. C1 [Harris, John M.] Univ Arizona, Coll Med, Tucson, AZ 85724 USA. [Sun, Huaping] Amer Board Anesthesiol, Raleigh, NC USA. RP Harris, JM (reprint author), Univ Arizona, Coll Med, Off Continuing Med Educ, Tucson, AZ 85724 USA. EM jharris@medadmin.arizona.edu FU National Institute on Drug Abuse (NIDA) [R44 DA026218] FX This work was funded by grant R44 DA026218 from the National Institute on Drug Abuse (NIDA) to Medical Directions, Inc. NR 21 TC 8 Z9 8 U1 0 U2 20 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD SEP PY 2013 VL 88 IS 9 BP 1357 EP 1362 DI 10.1097/ACM.0b013e31829e7ec6 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 208AN UT WOS:000323647300043 PM 23887001 OA gold DA 2018-05-26 ER PT J AU Geller, AC Hayes, RB Leone, F Churchill, LC Leung, K Reed, G Jolicoeur, D Okuliar, C Adams, M Murray, DM Liu, Q Waugh, J David, S Ockene, JK AF Geller, Alan C. Hayes, Rashelle B. Leone, Frank Churchill, Linda C. Leung, Katherine Reed, George Jolicoeur, Denise Okuliar, Catherine Adams, Michael Murray, David M. Liu, Qin Waugh, Jonathan David, Sean Ockene, Judith K. TI Tobacco dependence treatment teaching by medical school clerkship preceptors: Survey responses from more than 1000 US medical students SO PREVENTIVE MEDICINE LA English DT Article DE Medical schools; Education; Smoking ID COMMUNICATION-SKILLS; CARE SETTINGS; CESSATION; PERFORMANCE; EXPERIENCES; FEEDBACK AB Objective. To determine factors associated with tobacco cessation counseling in medical school clerkships. Methods. Third-year medical students at 10 medical schools across the United States completed a 100-item survey, measuring the frequency with which they experienced their preceptors providing clinical teaching components: clear instruction, feedback, modeling behavior, setting clear objectives, and responding to questions about tobacco dependence counseling as well as frequency of use of tobacco prompts and office systems. Our primary dependent measure was student self-reported skill level for items of tobacco dependence treatment (e.g. "5As"). Results. Surveys were completed by 1213 students. For both family medicine and internal medicine clerkships, modeling and providing clear instruction on ways to provide tobacco counseling were reported most commonly. In contrast, providing feedback and clear objectives for tobacco dependence treatment lagged behind. Overall, students who reported preceptors' provision of optimal clinical teaching components and office system prompts in both family medicine and internal medicine clerkships had higher self-reported skill (P < 0.001) than students with no exposure or exposure during only one of the clerkships. Conclusions. Future educational interventions intended to help students adopt effective tobacco dependence treatment techniques should be engineered to facilitate these critical precepting components. (C) 2013 Elsevier Inc. All rights reserved. C1 [Geller, Alan C.] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA. [Hayes, Rashelle B.; Churchill, Linda C.; Leung, Katherine; Reed, George; Jolicoeur, Denise; Liu, Qin; Ockene, Judith K.] Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Worcester, MA USA. [Leone, Frank] Univ Penn, Dept Med, Philadelphia, PA 19104 USA. [Okuliar, Catherine; Adams, Michael] Georgetown Univ, Washington, DC 20057 USA. [Waugh, Jonathan] Univ Alabama Birmingham, Birmingham, AL USA. [David, Sean] Stanford Univ, Stanford, CA 94305 USA. RP Geller, AC (reprint author), Harvard Univ, Sch Publ Hlth, Kresge Bldg Room 718,677 Huntington Ave, Boston, MA 02115 USA. EM ageller@hsph.harvard.edu OI David, Sean/0000-0002-4922-2603 FU National Cancer Institute [R01 CA136888-04] FX A grant from the National Cancer Institute R01 CA136888-04 provided funding for this study. NR 21 TC 4 Z9 4 U1 0 U2 7 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0091-7435 J9 PREV MED JI Prev. Med. PD AUG PY 2013 VL 57 IS 2 BP 81 EP 86 DI 10.1016/j.ypmed.2013.04.006 PG 6 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 191LE UT WOS:000322413700003 PM 23623894 OA green_accepted DA 2018-05-26 ER PT J AU Kunins, HV Sohler, NL Giovanniello, A Thompson, D Cunningham, CO AF Kunins, Hillary V. Sohler, Nancy L. Giovanniello, Angela Thompson, Devin Cunningham, Chinazo O. TI A Buprenorphine Education and Training Program for Primary Care Residents: Implementation and Evaluation SO SUBSTANCE ABUSE LA English DT Article DE Buprenorphine; opioid dependence; substance abuse education ID OPIOID DEPENDENCE; SUBSTANCE-ABUSE; UNITED-STATES; MEDICAL-EDUCATION; CURRICULUM; ADDICTION; METHADONE; BARRIERS; ANALGESICS; EXPERIENCE AB .Background: Although substance use disorders are highly prevalent, resident preparation to care for patients with these disorders is frequently insufficient. With increasing rates of opioid abuse and dependence, and the availability of medication-assisted treatment, one strategy to improve resident skills is to incorporate buprenorphine treatment into training settings. Methods: In this study, esidency faculty delivered the BupEd education and training program to 71 primary care residents. BupEd included (1) a didactic session on buprenorphine, (2) an interactive motivational interviewing session, (3) monthly case conferences, and (4) supervised clinical experience providing buprenorphine treatment. To evaluate BupEd, the authors assessed (1) residents' provision of buprenorphine treatment during residency, (2) residents' provision of buprenorphine treatment after residency, and (3) treatment retention among patients treated by resident versus attending physicians. Results: Of 71 residents, most served as a covering or primary provider to at least 1 buprenorphine-treated patient (84.5 and 66.2%, respectively). Of 40 graduates, 27.5% obtained a buprenorphine waiver and 17.5% prescribed buprenorphine. Treatment retention was similar between patients cared for by resident PCPs versus attending PCPs (90-day retention: 63.6% [n = 35] vs. 67.9% [n = 152]; P = .55). Conclusion: These results show that BupEd is feasible, provides residents with supervised clinical experience in treating opioid-dependent patients, and can serve as a model to prepare primary care physicians to care for patients with opioid dependence. C1 [Kunins, Hillary V.; Giovanniello, Angela; Cunningham, Chinazo O.] Albert Einstein Coll Med, Bronx, NY 10467 USA. [Kunins, Hillary V.; Giovanniello, Angela; Cunningham, Chinazo O.] Montefiore Med Ctr, Bronx, NY 10467 USA. [Sohler, Nancy L.] CUNY City Coll, Sophie Davis Sch Biomed Educ, New York, NY 10031 USA. [Thompson, Devin] Howard Univ, Washington, DC 20059 USA. RP Cunningham, CO (reprint author), Montefiore Med Ctr, Albert Einstein Coll Med, 111 East 210th St, Bronx, NY 10467 USA. EM ccunning@montefiore.org FU Health Resources and Services Administration (HRSA), Residency Training in Primary Care Grant [D58HP10330]; HRSA, HIV/AIDS Bureau, Special Projects of National Significance [6H97HA00247]; Center for AIDS Research at the Albert Einstein College of Medicine and Montefiore Medical Center [NIH AI-51519]; NIH [R25DA023021]; Robert Wood Johnson Foundation's Harold Amos Medical Faculty Development Program FX This work was supported by Health Resources and Services Administration (HRSA), Residency Training in Primary Care Grant, D58HP10330; HRSA, HIV/AIDS Bureau, Special Projects of National Significance, grant 6H97HA00247; the Center for AIDS Research at the Albert Einstein College of Medicine and Montefiore Medical Center (NIH AI-51519); NIH R25DA023021; and the Robert Wood Johnson Foundation's Harold Amos Medical Faculty Development Program. NR 34 TC 6 Z9 6 U1 1 U2 8 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PD JUL 1 PY 2013 VL 34 IS 3 BP 242 EP 247 DI 10.1080/08897077.2012.752777 PG 6 WC Substance Abuse SC Substance Abuse GA 181SF UT WOS:000321688100003 PM 23844954 OA green_accepted DA 2018-05-26 ER PT J AU Tofighi, B Lee, JD Szyld, D McNeely, J Rotrosen, J Kim, P Jay, M AF Tofighi, Babak Lee, Joshua D. Szyld, Demian McNeely, Jennifer Rotrosen, John Kim, Paul Jay, Melanie TI AN INTERCLERKSHIP INTENSIVE ON ADDICTION AMONG CLERKSHIP-YEAR MEDICAL STUDENTS SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 36th Annual Meeting of the Society-of-General-Internal-Medicine CY APR 24-27, 2013 CL Denver, CO SP Soc Gen Internal Med C1 [Tofighi, Babak; Lee, Joshua D.; Szyld, Demian; McNeely, Jennifer; Rotrosen, John; Kim, Paul; Jay, Melanie] NYU, Sch Med, New York, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUN PY 2013 VL 28 SU 1 BP S453 EP S454 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA AB6ZP UT WOS:000331939302392 DA 2018-05-26 ER PT J AU Wakeman, S Baggett, M Campbell, E Pham-Kanter, G AF Wakeman, Sarah Baggett, Meridale Campbell, Eric Pham-Kanter, Genevieve TI INTERNAL MEDICINE RESIDENTS' TRAINING IN SUBSTANCE USE DISORDERS SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 36th Annual Meeting of the Society-of-General-Internal-Medicine CY APR 24-27, 2013 CL Denver, CO SP Soc Gen Internal Med C1 [Wakeman, Sarah; Baggett, Meridale] Massachusetts Gen Hosp, Boston, MA 02114 USA. [Wakeman, Sarah; Campbell, Eric] Harvard Univ, Sch Med, Boston, MA USA. [Campbell, Eric; Pham-Kanter, Genevieve] Mongan Inst Hlth Policy, Boston, MA USA. [Pham-Kanter, Genevieve] Univ Colorado Anschutz Med Campus, Denver, CO USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUN PY 2013 VL 28 SU 1 BP S109 EP S110 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA AB6ZP UT WOS:000331939301022 DA 2018-05-26 ER PT J AU Muriungi, SK Ndetei, DM AF Muriungi, S. K. Ndetei, D. M. TI Effectiveness of psycho-education on depression, hopelessness, suicidality, anxiety and substance use among basic diploma students at Kenya Medical Training College SO SOUTH AFRICAN JOURNAL OF PSYCHIATRY LA English DT Article ID COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; PSYCHOLOGICAL-PROBLEMS; USE DISORDERS; ALCOHOL-USE; PSYCHOEDUCATION; PREVALENCE; SYMPTOMS; OUTCOMES; CARE AB Objective. To determine the effectiveness of psycho-education on symptom severity in depression, hopelessness, suicidality, anxiety and risk of substance abuse among para-medical students at Kenya Medical Training College (KMTC). Methodology. A clinical trial drew experimental (N=1 181) and control (N=1 926) groups from different KMTC campuses. Self-administered questionnaires were used to collect data: the researcher-designed social demographic questionnaire was used at baseline only, while Beck's Depression Inventory, Beck's Hopelessness Scale, Beck's Suicide Ideation Scale, Beck's Anxiety Inventory and World Health Organization alcohol, smoking and substance involvement screening test (ASSIST) (for drug abuse) were used for baseline, mid-point and end-point assessments at 3-month intervals. The experimental group received a total of 16 hours of structured psycho-education. All study participants gave informed consent. Results. Overall, there was no significant reduction in symptom severity between the experimental and control groups at 3 months (p>0.05) but there was a significant difference at 6 months (p<0.05). Conclusion. Psycho-education was effective in reducing the severity of symptoms of depression, hopelessness, suicidality, anxiety and risk of substance abuse at 6 months. C1 [Muriungi, S. K.] Kenya Med Training Coll, Nairobi, Kenya. [Muriungi, S. K.] Daystar Univ, Nairobi, Kenya. [Ndetei, D. M.] Univ Nairobi, Dept Psychiat, Nairobi, Kenya. [Ndetei, D. M.] Africa Mental Hlth Fdn, Nairobi, Kenya. RP Muriungi, SK (reprint author), Kenya Med Training Coll, Nairobi, Kenya. EM skagwi2004@yahoo.com NR 39 TC 3 Z9 3 U1 0 U2 14 PU SA MEDICAL ASSOC HEALTH & MEDICAL PUBL GROUP PI CLAREMONT PA 21 DREYER ST, 4TH FLOOR, SANCLARE BLDG, CLAREMONT, 7700, SOUTH AFRICA SN 1608-9685 J9 SAJP-S AFR J PSYCHI JI SAJP PD JUN PY 2013 VL 19 IS 2 BP 41 EP 50 DI 10.7196/SAJP.401 PG 10 WC Psychiatry SC Psychiatry GA 205RG UT WOS:000323461700004 OA gold DA 2018-05-26 ER PT J AU Hardy, MA AF Hardy, Mark A. TI ADDICTION MEDICINE ONLINE MODULES SO INTERNAL MEDICINE JOURNAL LA English DT Meeting Abstract C1 [Hardy, Mark A.] Northern Sydney Local Hlth Dist, St Leonards, NSW, Australia. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1444-0903 J9 INTERN MED J JI Intern. Med. J. PD MAY PY 2013 VL 43 SU 3 SI SI BP 19 EP 19 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 144AM UT WOS:000318911400059 DA 2018-05-26 ER PT J AU Choi, D Tolova, V Socha, E Samenow, CP AF Choi, Daisi Tolova, Vera Socha, Edward Samenow, Charles P. TI Substance Use and Attitudes on Professional Conduct Among Medical Students: A Single-Institution Study SO ACADEMIC PSYCHIATRY LA English DT Article ID PRESCRIPTION STIMULANTS; COLLEGE-STUDENTS; PREVALENCE; BEHAVIOR AB Objective: This study sought to examine how specific substance-use behavior, including nonmedical prescription stimulant (NPS) use, among U.S. medical students correlates with their attitudes and beliefs toward professionalism. Method: An anonymous survey was distributed to all medical students at a private medical university (46% response rate). Participants were asked to report alcohol and marijuana use patterns, NPS use, stress levels, and history of suicidal ideation. Results: Over one-third of medical students reported excessive drinking during the past month, and 5% reported NPS use during the past year. Students who endorsed such behavior were significantly less likely to view it as unprofessional and warranting intervention. A large number of students seemed unfamiliar with how to help a classmate with an NPS use problem. Conclusions: Medical students' substance use behaviors appear to influence attitudes and beliefs toward professional issues regarding substance use. C1 [Choi, Daisi] Georgetown Univ Hosp, Dept Emergency Med, Washington Hosp Ctr, Washington, DC 20007 USA. [Tolova, Vera] Albert Einstein Med Ctr, Dept Emergency Med, Philadelphia, PA 19141 USA. [Socha, Edward] US Dept Educ, Washington, DC USA. [Samenow, Charles P.] George Washington Univ, Dept Psychiat & Behav Sci, Washington, DC USA. RP Choi, D (reprint author), Georgetown Univ Hosp, Dept Emergency Med, Washington Hosp Ctr, Washington, DC 20007 USA. EM daisichoi@gmail.com NR 10 TC 6 Z9 7 U1 1 U2 10 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD MAY-JUN PY 2013 VL 37 IS 3 BP 191 EP 195 DI 10.1176/appi.ap.12060126 PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 137SY UT WOS:000318459000010 PM 23632932 DA 2018-05-26 ER PT J AU Vanderhoek, AJ Hammal, F Chappell, A Wild, TC Raupach, T Finegan, BA AF Vanderhoek, Amanda J. Hammal, Fadi Chappell, Alyssa Wild, T. Cameron Raupach, Tobias Finegan, Barry A. TI Future physicians and tobacco: an online survey of the habits, beliefs and knowledge base of medical students at a Canadian University SO TOBACCO INDUCED DISEASES LA English DT Article DE Medical education; Tobacco cessation; Waterpipe; Medical students ID PREVENTION COUNSELING PRACTICES; SMOKING-CESSATION; WATERPIPE SMOKING; ATTITUDES; PREDICTORS; HEALTH AB Background: Little is known about the knowledge and attitudes towards tobacco use among medical students in Canada. Our objectives were to estimate the prevalence of tobacco use among medical students, assess their perceived level of education about tobacco addiction management and their preparedness to address tobacco use with their future patients. Methods: A cross-sectional online survey was administered to University of Alberta undergraduate medical school trainees. The 32-question survey addressed student demographics, tobacco use, knowledge and attitudes around tobacco and waterpipe smoking, tobacco education received in medical school, as well as knowledge and competency regarding tobacco cessation interventions. Results: Of 681 polled students, 301 completed the survey. Current (defined as "use within the last 30 days") cigarette, cigar/cigarillo and waterpipe smoking prevalence was 3.3%, 6% and 6%, respectively. One third of the respondents had ever smoked a cigarette, but 41% had tried cigars/cigarillos and 40% had smoked a waterpipe at some time in the past. Students reported moderate levels of education on a variety of tobacco-related subjects but were well-informed on the role of tobacco in disease causation. The majority of students in their final two years of training felt competent to provide tobacco cessation interventions, but only 10% definitively agreed that they had received enough training in this area. Conclusions: Waterpipe exposure/current use was surprisingly high among this sample of medical students, a population well educated about the role of tobacco in disease causation. The majority of respondents appeared to be adequately prepared to manage tobacco addiction but education could be improved, particularly training in behavioral modification techniques used in tobacco use cessation. C1 [Vanderhoek, Amanda J.; Hammal, Fadi; Chappell, Alyssa; Finegan, Barry A.] Univ Alberta, Dept Anesthesiol & Pain Med, Edmonton, AB, Canada. [Wild, T. Cameron] Univ Alberta, Sch Publ Hlth, Edmonton, AB, Canada. [Raupach, Tobias] Univ Hosp Gottingen, Dept Cardiol & Pneumol, Gottingen, Germany. RP Finegan, BA (reprint author), Univ Alberta, Dept Anesthesiol & Pain Med, Edmonton, AB, Canada. EM bfinegan@ualberta.ca RI Raupach, Tobias/H-4737-2014 NR 31 TC 17 Z9 17 U1 0 U2 5 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1617-9625 J9 TOB INDUC DIS JI Tob. Induc. Dis. PD APR 4 PY 2013 VL 11 AR 9 DI 10.1186/1617-9625-11-9 PG 9 WC Substance Abuse; Public, Environmental & Occupational Health SC Substance Abuse; Public, Environmental & Occupational Health GA 254YA UT WOS:000327204500001 PM 23557392 OA gold DA 2018-05-26 ER PT J AU Crowe, TP Kelly, P Pepper, J McLennan, R Deane, FP Buckingham, M AF Crowe, Trevor P. Kelly, Peter Pepper, James McLennan, Ross Deane, Frank P. Buckingham, Mark TI Service Based Internship Training to Prepare Workers to Support the Recovery of People with Co-Occurring Substance Abuse and Mental Health Disorders SO INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION LA English DT Article DE Co-occurring disorders; Internship training; Workforce development; Recovery; Competence ID SELF-DETERMINATION; EXPERIENCE; KNOWLEDGE; ATTITUDES; ILLNESS; STAFF AB A repeated measures design was used to evaluate a 12 month on-site counsellor internship programme aimed at training staff to support the recovery needs of people with co-occurring substance use and mental health disorders. Fifty-four interns completed measures of recovery knowledge, attitudes, confidence/competence, as well as identifying significant learning events. Statistically significant improvements were found in terms of attitudes and confidence/competence, and only one recovery knowledge factor, 'roles of self-definition and peers in recovery'. Recovery knowledge at the end of the internship was positively associated with increases in interns' confidence/competence but was not associated with changes in the interns' attitudes. The mentoring, training/feedback and observational elements of the internship programme were highly valued by interns. Competency based learning events were most frequently identified as significant. Strategies to increase self-directed and interpersonally focused learning, and specific personal recovery knowledge in training are discussed. C1 [Crowe, Trevor P.; Kelly, Peter; Deane, Frank P.] Univ Wollongong, Illawarra Inst Mental Hlth, Sch Psychol, Wollongong, NSW 2522, Australia. [Pepper, James; McLennan, Ross; Buckingham, Mark] Kedesh Rehabil Serv, Wollongong, NSW, Australia. RP Crowe, TP (reprint author), Univ Wollongong, Illawarra Inst Mental Hlth, Sch Psychol, Wollongong, NSW 2522, Australia. EM tcrowe@uow.edu.au OI Kelly, Peter/0000-0003-0500-1865; Deane, Frank/0000-0002-6247-7416 NR 36 TC 4 Z9 4 U1 0 U2 19 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1557-1874 J9 INT J MENT HEALTH AD JI Int. J. Mental Health Addict. PD APR PY 2013 VL 11 IS 2 BP 269 EP 280 DI 10.1007/s11469-012-9419-9 PG 12 WC Psychology, Clinical; Substance Abuse; Psychiatry SC Psychology; Substance Abuse; Psychiatry GA 109ER UT WOS:000316349400010 DA 2018-05-26 ER PT J AU Holt, SR Ramos, J Harma, M Cabrera, F Louis-Ashby, C Dinh, A Fiellin, DA Tetrault, JM AF Holt, Stephen R. Ramos, Jorge Harma, Michael Cabrera, Felix Louis-Ashby, Coeurlida Dinh, An Fiellin, David A. Tetrault, Jeanette M. TI Physician Detection of Unhealthy Substance Use on Inpatient Teaching and Hospitalist Medical Services SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE LA English DT Article DE Substance Abuse Detection; Alcohol-Related Disorders; Drug Users; Education; medical; graduate; Substance-related disorders; Hospitalists; Education; medical ID ALCOHOL-USE DISORDERS; RANDOMIZED CONTROLLED-TRIAL; IDENTIFICATION TEST AUDIT; SCREENING-TEST ASSIST; BRIEF INTERVENTIONS; PROBLEM DRINKING; HAZARDOUS DRINKERS; UNITED-STATES; PRIMARY-CARE; DRUG-USE AB Background: Screening, brief intervention, and referral to treatment for substance use depends on reliable identification. The goal of this study was to determine the rate of detection of unhealthy substance use by physicians on teaching and nonteaching medical services at a community teaching hospital. Methods: This cross-sectional study was conducted from February to June 2009. All new medicine admissions to the Teaching Service or the nonteaching Hospitalist Service were assessed for unhealthy substance use using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and Drug Abuse Screening Test (DAST). All patients identified with substance use completed the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Medical record review was also performed to assess physician documentation. Results: Of 442 eligible patients, 414 consented to participate. Patients on the Teaching Service were more likely to be male, younger, unmarried, non-white, uninsured or receiving publicly funded insurance, and current smokers (p < .01 for all comparisons). Overall, the detection rate for unhealthy substance use was 64.3% (63 of 98 confirmed cases), with service-specific rates of 73.4% for the Teaching Service, compared with 47.1% for the Hospitalist Service (p = .011). ICD-9 coding accounted for 53.1% of identified cases on the Teaching Service and 14.7% of identified cases on the Hospitalist Service (p < .001). Assignment to the Hospitalist Service, being married, and isolated unhealthy drug use were independently associated with decreased physician detection rates. Conclusions: Our study suggests that unhealthy substance use is more likely to be detected on a Teaching Service than on a Hospitalist Service. C1 [Holt, Stephen R.; Ramos, Jorge; Harma, Michael; Cabrera, Felix; Louis-Ashby, Coeurlida; Dinh, An; Fiellin, David A.; Tetrault, Jeanette M.] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06520 USA. [Holt, Stephen R.; Ramos, Jorge; Harma, Michael; Cabrera, Felix; Louis-Ashby, Coeurlida; Dinh, An; Fiellin, David A.; Tetrault, Jeanette M.] Yale Univ, Sch Med, Dept Invest Med, New Haven, CT 06520 USA. RP Holt, SR (reprint author), Yale Univ, Sch Med, Dept Internal Med, POB 208025, New Haven, CT 06520 USA. EM stephen.holt@yale.edu OI Fiellin, David/0000-0002-4006-010X NR 51 TC 0 Z9 0 U1 0 U2 7 PU INFORMA HEALTHCARE PI LONDON PA TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4LQ, ENGLAND SN 0095-2990 J9 AM J DRUG ALCOHOL AB JI Am. J. Drug Alcohol Abuse PD MAR PY 2013 VL 39 IS 2 BP 121 EP 129 DI 10.3109/00952990.2012.715703 PG 9 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 093IH UT WOS:000315184600010 PM 22992028 DA 2018-05-26 ER PT J AU Hochberg, MS Berman, RS Kalet, AL Zabar, SR Gillespie, C Pachter, HL AF Hochberg, Mark S. Berman, Russell S. Kalet, Adina L. Zabar, Sondra R. Gillespie, Colleen Pachter, H. Leon TI The stress of residency: recognizing the signs of depression and suicide in you and your fellow residents SO AMERICAN JOURNAL OF SURGERY LA English DT Article; Proceedings Paper CT Meeting of the Association-for-Surgical-Education (ASE) / Surgical Education Week CY MAR 19-24, 2012 CL San Diego, CA SP Assoc Surg Educ (ASE) DE Surgical education; Depression; Suicide; Professionalism; Surgical residency; Surgical training ID SURGEONS AB BACKGROUND: Stress, depression, and suicide are universal but frequently unrecognized issues for women and men in residency training. Stress affects cognitive and psychomotor performance both inside and outside of the operating room. Stress impairs the 2 key components of a surgeon's responsibilities: intellectual judgment and technical skill. We hypothesized that the recognition of depression, substance abuse, failing personal relationships, and potential suicide is poor among surgeons. If residents can recognize the signs of stress, depression, and suicide among colleagues, we believe it will not only improve their quality of life but also may preserve it. METHODS: We first determined baseline resident knowledge of the signs of surgical stress including fatigue; burn out; depression; physician suicide; drug and alcohol abuse; and their effects on family, friends, and relationships. We then developed a curriculum to identify these signs in first, second, third, and fourth year surgical residents were identified as the target learners. The major topics discussed were depression; physician suicide; drug and alcohol abuse; and the effects of stress on family, friends, and our goals. Secondary objectives included identifying major sources of stress, general self-awareness, understanding professional choices, and creating a framework to manage stress. Residents participated in an interactive seminar with a surgical facilitator. Before and after the seminar, a multiple-choice test was administered with questions to assess knowledge of the signs of stress (eg, fatigue, burn out, and depression). RESULTS: Twenty-one residents participated in this study. Seventeen completed the pretest, and 21 participated in the interactive seminar and completed the post-test. The pretest revealed that surgical residents were correct in 46.8% (standard deviation [SD] = 25.4%) of their responses. The postseminar test showed an improvement to 89.7% (SD = 6.1%, P < .001, paired Student t test = 5.37). The same test administered 4 months later to 17 of the 21 learners revealed 76.9% (SD = 18.7%) correct answers, suggesting that the information had been internalized. Cronbach alpha was calculated to be .67 for the pretest and .76 for the post-test, suggesting a moderate to high degree of internal consistency. CONCLUSIONS: Stress is a significant and regularly overlooked component of a surgeon's life. Because its effects often go unrecognized, stress frequently remains unresolved. To prevent its associated consequences such as depression, substance abuse, divorce, and suicide, educating house staff about stress is crucial. This study suggests that the symptoms, causes, and treatment of stress among surgeons can be taught effectively to surgical resident learners. (C) 2013 Elsevier Inc. All rights reserved. C1 [Hochberg, Mark S.; Berman, Russell S.; Kalet, Adina L.; Zabar, Sondra R.; Gillespie, Colleen; Pachter, H. Leon] NYU, Med Ctr, Dept Surg, New York, NY 10016 USA. RP Hochberg, MS (reprint author), NYU, Med Ctr, Dept Surg, 550 1st Ave,NBV 15 N1, New York, NY 10016 USA. EM mark.hochberg@nyumc.org OI Berman, Russell/0000-0002-5026-5651; Kalet, Adina/0000-0003-4855-0223; Hochberg, Mark/0000-0002-0943-4388; Gillespie, Colleen/0000-0001-9096-3430 NR 14 TC 19 Z9 19 U1 1 U2 20 PU EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC PI BRIDGEWATER PA 685 ROUTE 202-206 STE 3, BRIDGEWATER, NJ 08807 USA SN 0002-9610 J9 AM J SURG JI Am. J. Surg. PD FEB PY 2013 VL 205 IS 2 BP 141 EP 146 DI 10.1016/j.amjsurg.2012.08.003 PG 6 WC Surgery SC Surgery GA 086US UT WOS:000314713800005 PM 23246287 DA 2018-05-26 ER PT J AU Anders, S Strobel, L Krampe, H Raupach, T AF Anders, S. Strobel, L. Krampe, H. Raupach, T. TI Do final-year medical students know enough about the treatment of alcohol use disorders and smoking? SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT LA German DT Article DE smoking; tobacco; alcohol; addiction; arterial hypertension; diabetes mellitus; medical education ID GERMANY; DEPENDENCE; KNOWLEDGE; CESSATION AB Do final-year medical students know enough about the treatment of alcohol use disorders and smoking? Background and objective: Smoking and alcohol use disorders (AUD) are associated with significant morbidity and mortality in Germany. However, it has recently been shown that German medical students in years 1 to 5 do not feel competent to treat patients who are addicted to tobacco or alcohol. This study examined whether these deficits are also prevalent in students in the final (sixth) year of training. Methods: Students enrolled in the final year at University Medical Centre Hamburg-Eppendorf were invited to complete a questionnaire assessing smoking status and self-reported knowledge of health consequences of and treatment options for AUD and smoking as well as arterial hypertension and diabetes mellitus. Students were also asked to provide effectiveness estimates for different methods to treat AUD and smoking. Results: A total of 228 out of 345 students participated in the survey (response rate 66%). Smoking prevalence was 24%. Approximately 90% of students believed they knew how to treat arterial hypertension and diabetes mellitus, but less than a third thought they knew how to treat smokers and patients with AUD. Effectiveness ratings of treatments for the two addictive disorders revealed severe misconceptions. Conclusion: The deficits in undergraduate medical education regarding the treatment of addictive disorders reported for students from years 1 to 5 extend to students in the sixth year. Just before graduation, students still have severe knowledge gaps. In order to prevent tobacco- and alcohol-related deaths, medical school curricula need to be urgently improved. C1 [Anders, S.] Univ Klinikum Hamburg Eppendorf, Inst Rechtsmed, Hamburg, Germany. [Strobel, L.; Raupach, T.] Univ Med Gottingen, Abt Kardiol & Pneumol, Gottingen, Germany. [Krampe, H.] Charite Univ Med Berlin, Klin Anasthesiol Schwerpunkt Operat Intens Med, Berlin, Germany. [Raupach, T.] UCL, Hlth Behav Res Ctr, London WC1E 6BT, England. RP Raupach, T (reprint author), Univ Klinikum Gottingen, Abt Kardiol & Pneumol, Robert Koch Str 40, D-37075 Gottingen, Germany. EM raupach@med.uni-goettingen.de RI Anders, Sven/D-7670-2014; Raupach, Tobias/H-4737-2014 NR 29 TC 3 Z9 3 U1 0 U2 2 PU GEORG THIEME VERLAG KG PI STUTTGART PA RUDIGERSTR 14, D-70469 STUTTGART, GERMANY SN 0012-0472 J9 DEUT MED WOCHENSCHR JI Dtsch. Med. Wochenschr. PD JAN 4 PY 2013 VL 138 IS 1-2 BP 23 EP 27 DI 10.1055/s-0032-1327367 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA 099XT UT WOS:000315659900007 PM 23250691 DA 2018-05-26 ER PT J AU Floros, GD Siomos, KE Antoniadis, D Stogiannidou, A Giouzepas, I Garyfallos, G AF Floros, G. D. Siomos, K. E. Antoniadis, D. Stogiannidou, A. Giouzepas, I. Garyfallos, G. TI Internet addiction and related addictive behaviors in a sample of medical school students SO EUROPEAN PSYCHIATRY LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 1 PU ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER PI PARIS PA 23 RUE LINOIS, 75724 PARIS, FRANCE SN 0924-9338 EI 1778-3585 J9 EUR PSYCHIAT JI Eur. Psychiat. PY 2013 VL 28 SU 1 MA 742 DI 10.1016/S0924-9338(13)75955-8 PG 2 WC Psychiatry SC Psychiatry GA AG5LN UT WOS:000335460600244 DA 2018-05-26 ER PT J AU Tektas, OY Paulsen, F Sel, S AF Tektas, Ozan Yueksel Paulsen, Friedrich Sel, Saadetin TI Test anxiety among German medical students and its impact on lifestyle and substance abuse SO MEDICAL TEACHER LA English DT Letter C1 [Tektas, Ozan Yueksel; Paulsen, Friedrich] Univ Erlangen Nurnberg, Dept Anat 2, D-91054 Erlangen, Germany. [Sel, Saadetin] Univ Erlangen Nurnberg, Dept Ophthalmol, Erlangen, Germany. [Sel, Saadetin] Univ Erlangen Nurnberg, Univ Eye Hosp, D-91054 Erlangen, Germany. RP Tektas, OY (reprint author), Univ Erlangen Nurnberg, Dept Anat 2, D-91054 Erlangen, Germany. EM ozan.y.tektas@googlemail.com NR 2 TC 3 Z9 3 U1 0 U2 7 PU INFORMA HEALTHCARE PI LONDON PA TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4LQ, ENGLAND SN 0142-159X EI 1466-187X J9 MED TEACH JI Med. Teach. PY 2013 VL 35 IS 11 BP 969 EP 969 DI 10.3109/0142159X.2013.786813 PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 236AJ UT WOS:000325765500023 PM 23607520 OA gold DA 2018-05-26 ER PT J AU Krampea, H Strobel, L Beard, E Anders, S West, R Raupach, T AF Krampea, Henning Strobel, Lisa Beard, Emma Anders, Sven West, Robert Raupach, Tobias TI German Medical Students' Beliefs about How Best to Treat Alcohol Use Disorder SO EUROPEAN ADDICTION RESEARCH LA English DT Article DE Alcohol use disorder; Smoking; Treatment; Medical education; Knowledge ID MENTAL-DISORDERS; KNOWLEDGE; METAANALYSIS; COMORBIDITY; PREVALENCE; DEPENDENCE; PROGRAM; SCHOOLS; TRIALS; ABUSE AB Background/Aims: A minority of German medical students believe they know how to support smokers willing to quit. This paper examined whether the same would be true for treating alcohol use disorder (AUD), and individual factors associated with incorrect beliefs about the effectiveness of methods to treat AUD. Methods: In this cross-sectional study, 19,526 undergraduate students from 27 German medical schools completed a survey addressing beliefs about the effectiveness of different methods of overcoming AUD. Beliefs about AUD treatment effectiveness were compared across the 5 years of undergraduate education and predictors identified by means of multiple linear regression. Results: Even in the fifth year, 28.1% (95% CI: 26.5-29.7) of students believed that willpower alone was more effective for overcoming AUD than a comprehensive treatment program. The only significant predictor of this belief was a similar belief for stopping smoking. Conclusion: Our results indicate that a considerable proportion of German medical students overestimate the effectiveness of willpower to treat smoking and AUD. The addictive nature of these disorders needs to be stressed during undergraduate medical education to ensure that future physicians will be able and motivated to support patients in their quit attempts. Copyright (c) 2013 S. Karger AG, Basel C1 [Krampea, Henning] Charite, Dept Anesthesiol & Intens Care Med, Berlin, Germany. [Strobel, Lisa; West, Robert] Univ Med Ctr, Dept Cardiol & Pneumol, Gottingen, Germany. [Anders, Sven] Univ Hamburg Eppendorf, Dept Legal Med, Hamburg, Germany. [Raupach, Tobias] UCL, Hlth Behavi Res Ctr, London, England. RP Raupach, T (reprint author), Univ Hosp Gottingen, Dept Cardiol & Pneumol, Robert Koch Str 40, D-37075 Gottingen, Germany. EM raupach@med.uni-goettingen.de RI Raupach, Tobias/H-4737-2014; Anders, Sven/D-7670-2014 FU Cancer Research UK [14135] NR 34 TC 2 Z9 2 U1 0 U2 4 PU KARGER PI BASEL PA ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND SN 1022-6877 EI 1421-9891 J9 EUR ADDICT RES JI Eur. Addict. Res. PY 2013 VL 19 IS 5 BP 245 EP 251 DI 10.1159/000346672 PG 7 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 224SF UT WOS:000324908200003 PM 23428902 DA 2018-05-26 ER PT J AU Bucher, JT Vu, DM Hojat, M AF Bucher, Joshua T. Vu, Duc M. Hojat, Mohammadreza TI Psychostimulant drug abuse and personality factors in medical students SO MEDICAL TEACHER LA English DT Article ID PHYSICIAN EMPATHY; SPECIALTY INTEREST; PSYCHOMETRIC DATA; JEFFERSON SCALE; NONMEDICAL USE; PREVALENCE; GENDER; STIMULANTS AB Background: Psychostimulants have a high abuse potential and are appealing to college students for enhancing their examination performance. Aim: This study was designed to examine the prevalence of psychostimulant drug abuse among medical students and to test the hypothesis that medical students who use psychostimulant drugs for non-medical reasons are characterized by a sensation seeking and aggressive-hostility personality and exhibit lower empathy. Methods: The Zuckerman-Kuhlman Personality Questionnaire and the Jefferson Scale of Empathy were completed anonymously on-line by 321 medical students in 2010-2011 academic year. Results: A total of 45 students (14%) reported that they had abused psychostimulant medications either before or during medical school. Results of multivariate analysis of variance provided support for one of our research hypothesis: students who reported using psychostimulant compared to the rest, obtained a significantly higher average score on the aggressive-hostility personality factor. No other significant differences were observed. Conclusion: Further research is needed to confirm the rate of psychostimulant drug abusers among medical students in other medical schools. In particular, it is desirable to examine if such psychostimulant drug abusers are likely to abuse other substances in medical school and later in their professional career. C1 [Bucher, Joshua T.; Vu, Duc M.; Hojat, Mohammadreza] Thomas Jefferson Univ, Philadelphia, PA 19107 USA. RP Bucher, JT (reprint author), Thomas Jefferson Univ, 1020 Walnut St, Philadelphia, PA 19107 USA. EM Joshua.t.bucher@gmail.com NR 17 TC 4 Z9 4 U1 0 U2 17 PU INFORMA HEALTHCARE PI LONDON PA TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4LQ, ENGLAND SN 0142-159X J9 MED TEACH JI Med. Teach. PY 2013 VL 35 IS 1 BP 53 EP 57 DI 10.3109/0142159X.2012.731099 PG 5 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 062WJ UT WOS:000312954300014 PM 23102153 DA 2018-05-26 ER PT J AU Lev-Ran, S Adler, L Nitzan, U Fennig, S AF Lev-Ran, Shaul Adler, Limor Nitzan, Uri Fennig, Shmuel TI Attitudes towards nicotine, alcohol and drug dependence among physicians in Israel SO JOURNAL OF SUBSTANCE ABUSE TREATMENT LA English DT Article DE Attitudes; Physicians; Addictions; Israel; Alcohol; Drug; Nicotine; Substance use ID SUBSTANCE-ABUSE; RESPONSE RATES; ILLICIT DRUG; ADDICTION; CONSUMPTION; KNOWLEDGE; PHARMACOTHERAPY; INTERVENTIONS; PREVALENCE; MANAGEMENT AB Prevalence of substance use and substance use disorders in Israel is similar to those in other developed countries. The aim of this study was to examine attitudes of physicians in Israel towards nicotine, alcohol and drug use and dependence. A national sample of physicians from different fields of medical specialty (n = 208, response rate 26%) responded to a 50-item questionnaire. Questions included general questions regarding substance use and addictions, as well as specific questions focusing on nicotine, alcohol, cannabis and heroin use. The poor response rate in this survey dictates caution in interpretation the results. However, they suggest that among medical specialties, psychiatrists had higher levels of self-reported competency in treating addictions and lower rates of moralism towards addictions. Across substances, the highest rates of moralism and lowest ratings of treatment efficacy were directed towards individuals with alcohol dependence. Physicians generally reported experiencing lower levels of satisfaction and higher levels of aggression when treating individuals with alcohol or drug dependence compared with other patients. Physicians' attitudes towards addictions have a significant role in the care that clients with addictions receive. Medical education programs in Israel should devote provisions towards educating physicians about addictions. (C) 2013 Elsevier Inc. All rights reserved. C1 [Lev-Ran, Shaul; Nitzan, Uri; Fennig, Shmuel] Shalvata Mental Hlth Ctr, Hod Hasharon, Israel. [Lev-Ran, Shaul; Adler, Limor; Nitzan, Uri; Fennig, Shmuel] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel. [Lev-Ran, Shaul] Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON M5S 2S1, Canada. RP Lev-Ran, S (reprint author), Shalvata Mental Hlth Ctr, POB 94, Hod Hasharon, Israel. EM shauli.levran@gmail.com NR 53 TC 6 Z9 6 U1 0 U2 12 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0740-5472 J9 J SUBST ABUSE TREAT JI J. Subst. Abus. Treat. PD JAN PY 2013 VL 44 IS 1 BP 84 EP 89 DI 10.1016/j.jsat.2012.04.001 PG 6 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 050JV UT WOS:000312050500013 PM 22579033 DA 2018-05-26 ER PT J AU Arora, R Kataria, L Shan, S Patel, V Sharma, D AF Arora, Raghav Kataria, Lakhan Shan, Sandip Patel, Vidhi Sharma, Diwakar TI A study of internet addiction disorder among under graduate medical and dental students SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract C1 [Arora, Raghav; Kataria, Lakhan; Shan, Sandip; Patel, Vidhi; Sharma, Diwakar] Smt BK Shah Med Inst & Res Ctr, Dept Psychiat, Vadodara, Gujarat, India. EM drraghav_arora@yahoo.com NR 0 TC 0 Z9 0 U1 0 U2 1 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2013 VL 55 IS 5 SU 1 MA F. 11.17 BP S65 EP S66 PG 2 WC Psychiatry SC Psychiatry GA V44AR UT WOS:000209722400261 OA gold DA 2018-05-26 ER PT J AU Moirgangthem, S Rudhran, V Mathangi, DC Varman, A Usha, S AF Moirgangthem, Sydney Rudhran, Vidyendran Mathangi, D. C. Varman, Arul Usha, S. TI To assess the prevalence and correlates of internet addiction and the level of stress in MBBS students in a medical college SO INDIAN JOURNAL OF PSYCHIATRY LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 1 PU MEDKNOW PUBLICATIONS & MEDIA PVT LTD PI MUMBAI PA B-9, KANARA BUSINESS CENTRE, OFF LINK RD, GHAKTOPAR-E, MUMBAI, 400075, INDIA SN 0019-5545 EI 1998-3794 J9 INDIAN J PSYCHIAT JI Indian J. Psychiatry PD JAN PY 2013 VL 55 IS 5 SU 1 MA F. 11.20 BP S66 EP S66 PG 1 WC Psychiatry SC Psychiatry GA V44AR UT WOS:000209722400264 OA gold DA 2018-05-26 ER PT J AU Morley-Forster, PK Pergolizzi, JV Taylor, R Axford-Gatley, RA Sellers, EM AF Morley-Forster, Patricia K. Pergolizzi, Joseph V. Taylor, Robert, Jr. Axford-Gatley, Robert A. Sellers, Edward M. TI Mitigating the risk of opioid abuse through a balanced undergraduate pain medicine curriculum SO JOURNAL OF PAIN RESEARCH LA English DT Review DE chronic pain; curricular content; medical education; opioids; pain education; pain knowledge; physician training; teaching AB Chronic pain is highly prevalent in the United States and Canada, occurring in an estimated 30% of the adult population. Despite its high prevalence, US and Canadian medical schools provide very little training in pain management, including training in the safe and effective use of potent analgesics, most notably opioids. In 2005, the International Association for the Study of Pain published recommendations for a core undergraduate pain management curriculum, and several universities have implemented pilot programs based on this curriculum. However, when outcomes have been formally assessed, these initiatives have resulted in only modest improvements in physician knowledge about chronic pain and its treatment. This article discusses strategies to improve undergraduate pain management curricula and proposes areas in which those efforts can be augmented. Emphasis is placed on opioids, which have great potency as analgesics but also substantial risks in terms of adverse events and the risk of abuse and addiction. The authors conclude that the most important element of an undergraduate pain curriculum is clinical experience under mentors who are capable of reinforcing didactic learning by modeling best practices. C1 [Morley-Forster, Patricia K.] Univ Western Ontario, Dept Anesthesia & Perioperat Med, London, ON, Canada. [Morley-Forster, Patricia K.] St Josephs Hosp, Outpatient Pain Clin, London, ON N6A 4V2, Canada. [Pergolizzi, Joseph V.] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA. [Pergolizzi, Joseph V.] Temple Univ, Sch Med, Dept Pharmacol, Philadelphia, PA 19122 USA. [Pergolizzi, Joseph V.; Taylor, Robert, Jr.] NEMA Res Inc, Naples, FL USA. [Axford-Gatley, Robert A.] Complete Healthcare Commun Inc, Clin Content & Editorial Serv, Chadds Ford, PA USA. [Sellers, Edward M.] DL Global Partners Inc, Toronto, ON, Canada. RP Morley-Forster, PK (reprint author), St Josephs Hosp, Outpatient Pain Clin, Room B3-628,268 Grosvenor St, London, ON N6A 4V2, Canada. EM pat.morley-forster@sjhc.london.on.ca OI Sellers, Edward/0000-0002-0669-2373; Axford-Gatley, Robert/0000-0002-4797-2435 FU Endo Pharmaceuticals Inc, Malvern, PA, USA FX Editorial support for this manuscript was provided by Jeffrey Coleman, MA, of Complete Healthcare Communications, Inc, Chadds Ford, PA, USA, with funding from Endo Pharmaceuticals Inc, Malvern, PA, USA. NR 89 TC 12 Z9 12 U1 0 U2 7 PU DOVE MEDICAL PRESS LTD PI ALBANY PA PO BOX 300-008, ALBANY, AUCKLAND 0752, NEW ZEALAND SN 1178-7090 J9 J PAIN RES JI J. Pain Res. PY 2013 VL 6 BP 791 EP 801 DI 10.2147/JPR.S47192 PG 11 WC Clinical Neurology SC Neurosciences & Neurology GA V41EG UT WOS:000209528900083 PM 24353438 OA gold DA 2018-05-26 ER PT J AU Moaouad, J Kazour, F Haddad, R Rouhayem, J Chammai, R Richa, S AF Moaouad, J. Kazour, F. Haddad, R. Rouhayem, J. Chammai, R. Richa, S. TI Chemical and behavioural addiction of medical students. Comparative study in Lebanese students SO ENCEPHALE-REVUE DE PSYCHIATRIE CLINIQUE BIOLOGIQUE ET THERAPEUTIQUE LA French DT Article DE Students; Medicine; Dependence; Addiction; Substance; Drug; Behaviour ID PHYSICIAN SUBSTANCE USE; COLLEGE-STUDENTS; UNITED-STATES; RESIDENT-PHYSICIANS; RISK-FACTORS; DRUG-USE; ALCOHOL; ABUSE; PREVALENCE; ATTITUDES AB Objective. - Evaluate chemical and behavioural dependence of medical students, and compare it to a control group (students in non-medical faculties), in order to underline the harmful effect of university on medical students' dependence. Methods. - A three-part questionnaire was distributed to a sample of 140 medical students at the Saint-Joseph university of Beirut (USJ), and to 140 students in many other USJ faculties, and filled in anonymously. The first part is about demographic criteria and the second and third parts are respectively about chemical and behavioural dependence, based on DSM IV criteria. Results. - There is no statistically significant difference between the two studied populations concerning the dependence on alcohol, cannabis, sedatives, opiates, amphetamines, workaholism, gambling and Internet. However, the prevalence of addiction to caffeine, cocaine, nicotine; sexual addiction, and compulsive buying are significantly lower in medical students when compared to the control group. Men, compared to women, did not show significantly higher levels of dependence on chemical substances. Workaholism is not significantly more prevalent in women. Sexual addiction and compulsive buying are not significantly higher in men. However, pathological gambling and Internet addiction are significantly more prevalent in men. Finally, this study does not show a variation in dependence through the years of medical studies. Discussion. - Most studies show that medical students have high levels of dependence on alcohol, opiates and sedatives. The results of our study show greater dependence on caffeine followed by nicotine, alcohol and sedatives. Medical students in our population did not reveal higher dependence rates compared to other university students. Overall, substance addiction in medical students may be related to the stress of medical studies, and easy access to drugs and prescriptions. These factors may be balanced by perfectionist traits, ethical standards and knowledge of adverse effects seen in medical students resulting in more adjusted prevalence of addiction when compared to other university students. Conclusion. - The prevalence of chemical and behavioural dependency of medical students is not higher than the other population. (c) L'Encephale, Paris, 2011. C1 [Moaouad, J.; Richa, S.] Hotel Dieu France, Achafieh, Lebanon. [Kazour, F.; Rouhayem, J.] Hop Psychiat Croix, Jall Eddib, Lebanon. [Haddad, R.] Hop Mt Liban, Mt Liban, Lebanon. [Chammai, R.] USJ, Fac Med, Dept Psychiat, Beirut, Lebanon. RP Richa, S (reprint author), Hotel Dieu France, Achafieh, Lebanon. EM samiric@idm.net.lb NR 42 TC 4 Z9 5 U1 1 U2 24 PU MASSON EDITEUR PI MOULINEAUX CEDEX 9 PA 21 STREET CAMILLE DESMOULINS, ISSY, 92789 MOULINEAUX CEDEX 9, FRANCE SN 0013-7006 J9 ENCEPHALE JI Enceph.-Rev. Psychiatr. Clin. Biol. Ther. PD DEC PY 2012 VL 38 IS 6 BP 467 EP 472 DI 10.1016/j.encep.2011.12.010 PG 6 WC Neurosciences; Psychiatry SC Neurosciences & Neurology; Psychiatry GA 082GF UT WOS:000314379600004 PM 23200612 DA 2018-05-26 ER PT J AU Peniston, JH AF Peniston, John H. TI A Review of Pharmacotherapy for Chronic Low Back Pain with Considerations for Sports Medicine SO PHYSICIAN AND SPORTSMEDICINE LA English DT Review DE acetaminophen; chronic low back pain; nonsteroidal anti-inflammatory agents; opioids; pharmacotherapy; sports medicine ID NONSTEROIDAL ANTIINFLAMMATORY DRUGS; OXYMORPHONE EXTENDED-RELEASE; CHRONIC NONCANCER PAIN; TRAMADOL/ACETAMINOPHEN COMBINATION TABLETS; RANDOMIZED CONTROLLED-TRIAL; TOPICAL METHYL SALICYLATE; PLACEBO-CONTROLLED TRIAL; CROSS-SECTIONAL SURVEY; DOUBLE-BLIND; CYCLO-OXYGENASE-2 INHIBITORS AB Up to 30% of athletes experience low back pain (LBP) depending on sport type, sex, training intensity and frequency, and technique. United States clinical guidelines define back pain as chronic if it persists for >= 12 weeks, and subacute if it persists 4 to < 12 weeks. Certain sports injuries are likely to lead to chronic pain. Persistent or chronic symptoms are frequently associated with degenerative lumbar disc disease or spondylolytic stress lesions. Exercise therapy is widely used and is the most conservative form of treatment for chronic LBP (cLBP). Pharmacotherapies for cLBP include acetaminophen, nonsteroidal anti-inflammatory drugs, and opioids. Acetaminophen is a well-tolerated first-line pharmacotherapy, but high-dose, long-term use is associated with hepatic toxicity. Nonsteroidal anti-inflammatory drugs can be an effective second-line option if acetaminophen proves inadequate but they have well-known risks of gastrointestinal, cardiovascular, and other systemic adverse effects that increase with patient age, dose amount, and duration of use. The serotonin-norepinephrine reuptake inhibitor, duloxetine, has demonstrated modest efficacy and is associated with systematic adverse events, including serotonin syndrome, which can be dose related or result from interaction with other analgesics. Opioids may be an effective choice for moderate to severe pain but also have significant risks of adverse events and carry a substantial risk of addiction and abuse. Because the course of cLBP may be protracted, patients may require treatment over years or decades, and it is critical that the risk/benefit profiles of pharmacotherapies are closely evaluated to ensure that short- and long-term treatments are optimized for each patient. This article reviews the clinical evidence and the guideline recommendations for pharmacotherapy of cLBP. C1 Feasterville Family Hlth Care Ctr, Feasterville, PA 19053 USA. RP Peniston, JH (reprint author), Feasterville Family Hlth Care Ctr, 1665 Bustleton Pike, Feasterville, PA 19053 USA. EM jhpdo@aol.com FU Endo Pharmaceuticals Inc., Chadds Ford, PA FX The authors would like to acknowledge Robert Gatley, MD, and Leonard Lionnet, PhD, of Complete Healthcare Communications, Inc. (Chadds Ford, PA), who provided medical writing and editorial support with funding by Endo Pharmaceuticals Inc., Chadds Ford, PA. The funding organization had no involvement in the literature search design, collection, analysis, or interpretation of the literature reviewed in this manuscript and did not participate in the preparation or approval of the manuscript. A courtesy copy of the completed manuscript was provided to the funding organization at the time of its submission. NR 146 TC 6 Z9 6 U1 1 U2 30 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 0091-3847 EI 2326-3660 J9 PHYSICIAN SPORTSMED JI Physician Sportsmed. PD NOV PY 2012 VL 40 IS 4 BP 21 EP 32 DI 10.3810/psm.2012.11.1985 PG 12 WC Primary Health Care; Orthopedics; Sport Sciences SC General & Internal Medicine; Orthopedics; Sport Sciences GA 107EH UT WOS:000316197100002 PM 23306412 DA 2018-05-26 ER PT J AU Albright, B Skipper, B Riley, S Wilhelm, P Rayburn, WF AF Albright, Brittany Skipper, Betty Riley, Shawne Wilhelm, Peggy Rayburn, William F. TI Medical Students' Comfort With Pregnant Women With Substance-Use Disorders: A Randomized Educational Study SO ACADEMIC PSYCHIATRY LA English DT Article; Proceedings Paper CT 164th Annual Meeting of the American-Psychiatric-Association CY MAY 14-18, 2011 CL Honolulu, HI SP Amer Psychiat Assoc ID PHYSICIANS; PROGRAM AB Objective: The study objective was to determine whether medical students' attendance at a rehabilitation residence for pregnant women with substance-use disorders yielded changes in their attitudes and comfort levels in providing care to this population. Methods: This randomized educational trial involved 96 consecutive medical students during their obstetrics and gynecology clerkship. In addition to attending a half-day prenatal clinic designed for women with substance-use disorders, every student was randomly assigned either to attend (Study group) or not to attend (Control group) a rehabilitation residence for pregnant women with substance-use disorders. The primary objective was to measure differences in responses to a confidential 12-question survey addressing comfort levels and attitudes, at the beginning and end of the clerkship. Results: Survey responses revealed improvements in students' comfort levels and attitudes toward pregnant women with substance-use disorders by attending the clinic alone or the clinic and residence. Those who attended the residence reported becoming more comfortable in talking with patients about adverse effects from substance abuse, more understanding of "street" terms, and stronger belief that patients will disclose their substance use to providers. Residents expressed more openly their hardships and barriers while trying to set therapeutic goals. Conclusions: Medical students became more comfortable and insightful about pregnant women with substance-use disorders after attending a rehabilitation residence in addition to a prenatal clinic dedicated to this population. Academic Psychiatry 2012; 36:457-460 C1 [Rayburn, William F.] Univ New Mexico, Sch Med, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA. Univ New Mexico, Sch Med, Dept Family & Community Med, Albuquerque, NM 87131 USA. RP Rayburn, WF (reprint author), Univ New Mexico, Sch Med, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA. EM WRayburn@salud.unm.edu NR 13 TC 1 Z9 1 U1 0 U2 5 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD NOV-DEC PY 2012 VL 36 IS 6 BP 457 EP 460 DI 10.1176/appi.ap.11070134 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 039KL UT WOS:000311244600007 PM 23154692 DA 2018-05-26 ER PT J AU Vasylyeva, A Tabachnikov, S Ritkis, I Gurkova, A AF Vasylyeva, A. Tabachnikov, S. Ritkis, I. Gurkova, A. TI Smoking, nicotine dependence and anxiety in medical students SO EUROPEAN NEUROPSYCHOPHARMACOLOGY LA English DT Meeting Abstract CT 25th Congress of the European-College-of-Neuropsychopharmacology (ECNP) CY OCT 13-17, 2012 CL Vienna, AUSTRIA SP European Coll Neuropsychopharmacol (ECNP) C1 [Vasylyeva, A.] Donetsk Natl Med Univ, Ukrainian Res Inst Social & Forens Psychiat & Dru, Dept Psychiat Addictol & Med Psychol, Kyiv Donetsk, Ukraine. [Tabachnikov, S.; Ritkis, I.; Gurkova, A.] Ukrainian Res Inst Social & Forens Psychiat & Dru, Dept Addictol, Kiev, Ukraine. NR 1 TC 0 Z9 0 U1 0 U2 2 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0924-977X J9 EUR NEUROPSYCHOPHARM JI Eur. Neuropsychopharmacol. PD OCT PY 2012 VL 22 SU 2 BP S411 EP S412 DI 10.1016/S0924-977X(12)70644-2 PG 2 WC Clinical Neurology; Neurosciences; Pharmacology & Pharmacy; Psychiatry SC Neurosciences & Neurology; Pharmacology & Pharmacy; Psychiatry GA 130VQ UT WOS:000317948600535 DA 2018-05-26 ER PT J AU Strobel, L Schneider, NK Krampe, H Beissbarth, T Pukrop, T Anders, S West, R Aveyard, P Raupach, T AF Strobel, Lisa Schneider, Nick K. Krampe, Henning Beissbarth, Tim Pukrop, Tobias Anders, Sven West, Robert Aveyard, Paul Raupach, Tobias TI German medical students lack knowledge of how to treat smoking and problem drinking SO ADDICTION LA English DT Article DE Alcohol; curriculum; medical education; smoking; students ID TOBACCO CESSATION; SCHOOLS; ADDICTION; MORTALITY; DISEASE AB Aim To assess the extent of undergraduate medical training on alcohol use disorders (AUD) and smoking, and medical students' perceived knowledge regarding consequences of, and treatment options for, these disorders compared with other chronic conditions. Design Cross-sectional survey assessing teaching and perceived knowledge of health consequences and treatment options for AUD and smoking compared with diabetes and hypertension. Setting Medical schools in Germany. Participants Twenty-five of 36 medical school offices (response rate 69.4%) and 19 526 of 39 358 students from 27 medical schools (response rate 49.6%). Measurement Medical schools were asked to provide information on curricular coverage of the four conditions. Students reported their year of study and perceived knowledge about the consequences of all four disorders and perceived knowledge of treatment options. Findings Courses time-tabled approximately half as many teaching hours on AUD and tobacco as on diabetes or hypertension. Final-year students reported high levels of knowledge of consequences of all four conditions and how to treat diabetes and hypertension, but only 20% believed they knew how to treat alcohol use disorders or smoking. Conclusions Curriculum coverage in German medical schools of alcohol use disorders and smoking is half that of diabetes and hypertension, and in the final year of their undergraduate training most students reported inadequate knowledge of how to intervene to address them. C1 [Strobel, Lisa; Raupach, Tobias] Univ Hosp Gottingen, Dept Cardiol & Pneumol, D-37075 Gottingen, Germany. [Schneider, Nick K.] German Canc Res Ctr, Unit Canc Prevent, D-6900 Heidelberg, Germany. [Schneider, Nick K.] WHO Collaborating Ctr Tobacco Control, Heidelberg, Germany. [Krampe, Henning] Charite, Dept Anesthesiol & Intens Care Med, Campus Virchow Klinikum, D-13353 Berlin, Germany. [Krampe, Henning] Charite, Campus Charite Mitte, D-13353 Berlin, Germany. [Beissbarth, Tim] Univ Hosp Gottingen, Dept Med Stat, D-37075 Gottingen, Germany. [Pukrop, Tobias] Univ Hosp Gottingen, Dept Haematol & Oncol, D-37075 Gottingen, Germany. [Anders, Sven] Univ Klinikum Hamburg Eppendorf, Dept Legal Med, Hamburg, Germany. [West, Robert; Raupach, Tobias] UCL, Canc Res UK Hlth Behav Res Ctr, London, England. [Aveyard, Paul] Univ Birmingham, UK Ctr Tobacco Control Studies, Birmingham, W Midlands, England. RP Raupach, T (reprint author), Univ Hosp Gottingen, Dept Cardiol & Pneumol, Robert Koch Str 40, D-37075 Gottingen, Germany. EM raupach@med.uni-goettingen.de RI Beissbarth, Tim/B-3129-2013; Raupach, Tobias/H-4737-2014; Anders, Sven/D-7670-2014; West, Robert/B-5414-2009 OI Beissbarth, Tim/0000-0001-6509-2143; West, Robert/0000-0002-0291-5760; West, Robert/0000-0001-6398-0921; Aveyard, Paul/0000-0002-1802-4217 FU Johnson & Johnson GmbH (Johnson & Johnson Consumer Healthcare Germany) FX The authors would like to thank Christian Munscher for technical support. In addition, we greatly appreciate the contribution of site coordinators and survey participants. This investigator-initiated study was funded jointly by Johnson & Johnson GmbH (Johnson & Johnson Consumer Healthcare Germany) and the authors' institutions. The sponsor did not have any influence on study design, questionnaire content, data analysis and presentation. NR 20 TC 16 Z9 17 U1 2 U2 8 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0965-2140 EI 1360-0443 J9 ADDICTION JI Addiction PD OCT PY 2012 VL 107 IS 10 BP 1878 EP 1882 DI 10.1111/j.1360-0443.2012.03907.x PG 5 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 002ZK UT WOS:000308577700027 PM 22551065 DA 2018-05-26 ER PT J AU Ashor, AW AF Ashor, Ammar W. TI Variable influence of the degree of smoking dependence on adult attention deficit/hyperactivity disorder in Iraqi medical students SO NEUROSCIENCES LA English DT Article ID DEFICIT HYPERACTIVITY DISORDER; OF-THE-LITERATURE; REPORT SCALE ASRS; NICOTINE DEPENDENCE; CIGARETTE-SMOKING; MENTAL-ILLNESS; RATING-SCALES; ADHD; POPULATION; PREVALENCE AB Objective: To demonstrate the differences in the patterns of adult attention deficit/hyperactivity disorder (ADHD) symptoms among non, light, and heavy smokers. Methods: A cross-sectional study involving 400 medical students (representing first to sixth year students) was conducted in the Department of Pharmacology, University of Al-Mustansiriya, Baghdad, Iraq from March to June 2011. The medical students completed a questionnaire containing the adult ADHD self-report scale (ASRS-screener) and the Fagerstrom Test for Nicotine Dependence (FTND). An ADHD score >= 14 was considered positive. An FTND score >= 6 signifies heavy smokers, and an FTND score <= 5 signifies light smokers. Results: Three hundred and sixty-one medical students completed the questionnaire, 16.6% reported ADHD symptoms (19.8% male, 12.1% females). Forty-five percent of ADHD adults were smokers; more than half of them were categorized as heavy smokers (51.8%). In comparison with non-smokers, heavy smokers displayed significant deterioration in their inattentive and total ASRS score (p=0.0001). Light smokers show significantly higher hyperactive symptoms in comparison with non-smokers (p=0.041). A high FTND score was associated with severer deterioration in inattentive (r=0.391, p=0.001) but not hyperactive symptoms (r=0.153, p=0.117). Conclusions: The ADHD symptoms are highly prevalent among Iraqi medical students, and smoking among ADHD students is higher and heavier than non-ADHD controls. Heavy smoking tends to deteriorate rather than ameliorate (self-medicate) ADHD symptoms. Neurosciences 2012; Vol. 17 (3): 241-247 C1 Al Mustansiriya Univ, Coll Med, Dept Pharmacol, Baghdad, Iraq. RP Ashor, AW (reprint author), Al Mustansiriya Univ, Coll Med, Dept Pharmacol, POB 14132, Baghdad, Iraq. EM ammar_w_78@yahoo.com RI Ashor, Ammar/A-9094-2013 OI Ashor, Ammar/0000-0002-0826-5471 NR 40 TC 1 Z9 1 U1 1 U2 5 PU RIYADH ARMED FORCES HOSPITAL PI RIYADH PA PO BOX 7897, RIYADH, KSA 11159, SAUDI ARABIA SN 1319-6138 J9 NEUROSCIENCES JI Neurosciences PD JUL PY 2012 VL 17 IS 3 BP 241 EP 247 PG 7 WC Clinical Neurology SC Neurosciences & Neurology GA 065OA UT WOS:000313156600010 PM 22772930 DA 2018-05-26 ER PT J AU Ashor, AW AF Ashor, Ammar W. TI Smoking dependence and common psychiatric disorders in medical students: Cross-sectional study SO PAKISTAN JOURNAL OF MEDICAL SCIENCES LA English DT Article DE Anxiety; Depression; Medical Students; Nicotine Dependence ID NICOTINE DEPENDENCE; DEPRESSIVE SYMPTOMS; CIGARETTE-SMOKING; GENERAL-POPULATION; MAJOR DEPRESSION; ANXIETY; COMORBIDITY; PREVALENCE AB Objectives: Exploring the variable effect of the degree of smoking dependence on the level of anxiety and depression symptoms among medical students. Methodology: This cross-section study, conducted in the Department of Pharmacology, College of Medicine, Al-Mustansiriya University, Baghdad-Iraq from December 2010 to May 2011, involving 300 medical students selected by cluster random sampling techniques. Those students completed the Hamilton rating scale for anxiety, Zung self-report depression scale and the Fagerstrom test for nicotine dependence with a value of six or more regarded as heavy smokers, and a value less than six considered as light smokers. Results: The response rate was 89%, heavy smokers were significantly older and start smoking at an earlier age than non- and light smokers (p=0.001). Heavy smokers associated with high chance of depressive symptoms in comparison with non-smokers (OR=4.8, C.I.=1.752-13.677) and light smokers (OR=4.2, C.I.=1.042-17.161). Regarding anxiety symptoms, heavy smokers demonstrate high chance of anxiety symptoms in comparison with non-smokers (OR=5.2, C.I.=1.826-15.176), and light smokers (OR=4.5, C.I.=1.318-15.526). Conclusions: Heavy smokers differ from non- and light smokers, associated with high risk of anxiety and depression, therefore heavy smoking tends to deteriorate rather than ameliorate these symptoms. C1 Al Mustansiriya Univ, Coll Med, Dept Pharmacol, Baghdad, Iraq. RP Ashor, AW (reprint author), Al Mustansiriya Univ, Coll Med, Dept Pharmacol, POB 14132, Baghdad, Iraq. EM ammar_w_78@yahoo.com RI Ashor, Ammar/A-9094-2013 OI Ashor, Ammar/0000-0002-0826-5471 NR 30 TC 2 Z9 2 U1 0 U2 7 PU PROFESSIONAL MEDICAL PUBLICATIONS PI SADDAR PA PANORAMA CENTRE, RM 522, 5TH FLOOR, BLDG 2, RAJA GHAZANFAR ALI RD, PO BOX 8766, SADDAR, KARACHI 00000, PAKISTAN SN 1682-024X J9 PAK J MED SCI JI Pak. J. Med. Sci. PD JUL-SEP PY 2012 VL 28 IS 4 BP 670 EP 674 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA 000JU UT WOS:000308383400022 OA gold DA 2018-05-26 ER PT J AU Brown, A Kolade, V Patel, N Staton, L AF Brown, Angel Kolade, Victor Patel, Neha Staton, Lisa TI AN ASSESSMENT OF INTERNAL MEDICINE RESIDENT AND MEDICAL STUDENT KNOWLEDGE OF ADDICTION MEDICINE SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract C1 [Brown, Angel; Kolade, Victor; Patel, Neha; Staton, Lisa] Univ Tennessee, Coll Med Chattanooga, Chattanooga, TN USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 EI 1525-1497 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUL PY 2012 VL 27 SU 2 BP S118 EP S118 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA V35IG UT WOS:000209142900046 DA 2018-05-26 ER PT J AU Rasyidi, E Wilkins, JN Danovitch, I AF Rasyidi, Ernest Wilkins, Jeffery N. Danovitch, Itai TI Training the Next Generation of Providers in Addiction Medicine SO PSYCHIATRIC CLINICS OF NORTH AMERICA LA English DT Article DE Addiction; Psychiatry; Physician training; Primary care; Addiction medicine; Addiction psychiatry; Patient-centered medical home ID ALCOHOL INTERVENTIONS; PSYCHIATRY RESIDENTS; PRIMARY-CARE; CURRICULUM; DISORDERS; CLERKSHIP; EDUCATION AB The current state of addiction training in medical schools, residencies including psychiatry, and addiction psychiatry and addiction medicine fellowships is presented. Deficits in addiction training are described as well as proposed models targeting training of relevant addiction clinical competencies. Specific recommendations address future roles for psychiatrists who specialize in addiction. Tables and boxes describe addiction training in medical school, residencies, and addiction fellowships, and outline a select history of physician contributions to the addiction field and physician education. Proposed competencies for primary care residents, principles of the patient-centered medical home, and recommended skillsets of tomorrow's psychiatry addiction specialists are outlined. C1 [Rasyidi, Ernest; Wilkins, Jeffery N.; Danovitch, Itai] Cedars Sinai Med Ctr, Dept Psychiat & Behav Neurosci, Los Angeles, CA 90048 USA. RP Rasyidi, E (reprint author), Cedars Sinai Med Ctr, Dept Psychiat & Behav Neurosci, 6214 Drexel Ave, Los Angeles, CA 90048 USA. EM Ernest.Rasyidi@cshs.org NR 59 TC 20 Z9 20 U1 0 U2 14 PU W B SAUNDERS CO-ELSEVIER INC PI PHILADELPHIA PA 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899 USA SN 0193-953X J9 PSYCHIAT CLIN N AM JI Psychiatr. Clin. North Amer. PD JUN PY 2012 VL 35 IS 2 BP 461 EP + DI 10.1016/j.psc.2012.04.001 PG 21 WC Psychiatry SC Psychiatry GA 966OT UT WOS:000305848000012 PM 22640766 DA 2018-05-26 ER PT J AU Barron, R Frank, E Gitlow, S AF Barron, Rebecca Frank, Erica Gitlow, Stuart TI Evaluation of an Experiential Curriculum for Addiction Education Among Medical Students SO JOURNAL OF ADDICTION MEDICINE LA English DT Article DE addiction medicine; medical education; program evaluation ID SUBSTANCE-ABUSE; ALCOHOL-ABUSE; UNITED-STATES; PHYSICIANS; ATTITUDES AB Objectives: Undergraduate medical education about addictive disease can take many forms, but it is unclear which educational methods are most effective at shaping medical students into physicians who are interested in and competent at addressing addiction. The purpose of this study was to evaluate the efficacy of the Betty Ford Institute's Summer Institute for Medical Students (SIMS), a week-long program aimed at educating medical students about addiction through a combination of traditional didactic and novel experiential sessions. Methods: A written survey assessing beliefs, attitudes, and practices related to addictive disease was administered to physicians who previously participated in SIMS (n = 140) and to physicians matched for year of graduation from medical school who did not participate in SIMS (n = 105). Results: Compared with their peers, and controlling for sex, age, year of graduation from medical school, specialty, personal experience with addiction, and training in talking to patients about substance use, physicians who participated in SIMS were more likely to believe that they could help addicted patients, find working with addicted patients satisfying, be confident in knowing available resources for addicted patients, believe that addiction is a disease, and be confident in speaking to patients about substance use. Physicians who participated in SIMS were not more likely to practice addiction medicine or to view talking to patients about substance use as clinically relevant. Conclusions: Undergraduate medical educational interventions combining traditional and experiential programming may render participants better equipped than peers receiving only traditional education to address addiction as physicians. C1 [Barron, Rebecca] Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI 02903 USA. [Frank, Erica] Univ British Columbia, Fac Med, Sch Populat & Publ Hlth, Vancouver, BC, Canada. [Gitlow, Stuart] Mt Sinai Sch Med, New York, NY USA. RP Barron, R (reprint author), Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, 593 Eddy St,Claverick 274, Providence, RI 02903 USA. EM rebecca_barron_1@brown.edu FU Annenberg Physician Training Program in Addictive Disease FX Funded by the Annenberg Physician Training Program in Addictive Disease. Conflicts of Interest: Rebecca Barron participated in the SIMS program in 2010. NR 17 TC 10 Z9 10 U1 0 U2 5 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1932-0620 J9 J ADDICT MED JI J. Addict. Med. PD JUN PY 2012 VL 6 IS 2 BP 131 EP 136 DI 10.1097/ADM.0b013e3182548abd PG 6 WC Substance Abuse SC Substance Abuse GA 941AS UT WOS:000303934800006 PM 22534417 DA 2018-05-26 ER PT J AU Edelman, EJ Dinh, AT Moore, BA Schottenfeld, RS Fiellin, DA Sullivan, LE AF Edelman, E. Jennifer Dinh, An T. Moore, Brent A. Schottenfeld, Richard S. Fiellin, David A. Sullivan, Lynn E. TI Human Immunodeficiency Virus Testing Practices Among Buprenorphine-prescribing Physicians SO JOURNAL OF ADDICTION MEDICINE LA English DT Article DE buprenorphine; cross-sectional study; HIV screening; physicians ID HEPATITIS-C VIRUS; SEXUALLY-TRANSMITTED INFECTIONS; NONINJECTING HEROIN USERS; OPIOID-DEPENDENT PATIENTS; ABUSE TREATMENT PROGRAMS; PRIMARY-CARE; HEALTH-SERVICES; UNITED-STATES; DRUG-USERS; HIV AB Background: Despite the Centers for Disease Control and Prevention recommendations for annual HIV testing of at-risk populations, including those with substance use disorders, there are no data on the human immunodeficiency virus (HIV) testing practices of buprenorphine-prescribing physicians. Objective: To describe HIV testing practices among buprenorphine-prescribing physicians. Methods: We conducted a cross-sectional survey of physicians enrolled in a national system to support buprenorphine prescribing between July and August 2008. The electronic survey included questions on demographics; clinical training and experience; clinical practice; patient characteristics; and physician screening practices, including HIV testing. Results: Only 46% of 382 respondent physicians conducted HIV testing. On univariate analysis, physicians who conducted HIV testing were more likely to report addiction specialty training (33% vs 19%, P = 0.001), practicing in addiction settings (28% vs 16%, P = 0.006), and having treated more than 50 patients with buprenorphine (50% vs 31%, P < 0.0001) than those who did not. Compared with physicians who did not conduct HIV testing, physicians who conducted HIV testing had a lower proportion of buprenorphine patients who were white (75% vs 82%, P = 0.01) or dependent upon prescription opioids (57% vs 70%, P < 0.0001). In multivariate analysis, physicians who conducted HIV testing were more likely to have treated more than 50 patients with buprenorphine (odds ratio = 1.777, 95% CI 1.011-3.124) and had fewer patients dependent upon prescription opioids (odds ratio = 0.986 95% CI 0.975-0.998) than physicians who did not. Conclusions: Interventions to increase HIV testing among physicians prescribing buprenorphine are needed. C1 [Edelman, E. Jennifer] Robert Wood Johnson Fdn, Clin Scholars Program, New Haven, CT 06520 USA. [Edelman, E. Jennifer; Dinh, An T.; Moore, Brent A.; Schottenfeld, Richard S.; Fiellin, David A.; Sullivan, Lynn E.] Yale Univ, Sch Med, New Haven, CT USA. [Edelman, E. Jennifer; Schottenfeld, Richard S.; Fiellin, David A.; Sullivan, Lynn E.] Yale Univ, Ctr Interdisciplinary Res AIDS, Sch Publ Hlth, New Haven, CT USA. [Edelman, E. Jennifer] VA Connecticut Healthcare Syst, West Haven, CT USA. RP Edelman, EJ (reprint author), Robert Wood Johnson Fdn, Clin Scholars Program, POB 208088, New Haven, CT 06520 USA. EM ejennifer.edelman@yale.edu OI Moore, Brent/0000-0003-0123-6616; Fiellin, David/0000-0002-4006-010X FU Robert Wood Johnson Physician Faculty; NIDA [DA022398, DA000445, DA009803, DA019511-01, DA025991, DA020576-01A1]; Robert Wood Johnson Foundation; US Department of Veterans Affairs Administration FX Supported by Robert Wood Johnson Physician Faculty Scholars Award; NIDA grants (DA022398, DA000445, DA009803, DA019511-01, DA025991, and DA020576-01A1); Robert Wood Johnson Foundation Clinical Scholars Program and the US Department of Veterans Affairs Administration. These funding sources had no further role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication. NR 44 TC 10 Z9 10 U1 0 U2 5 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1932-0620 J9 J ADDICT MED JI J. Addict. Med. PD JUN PY 2012 VL 6 IS 2 BP 159 EP 165 DI 10.1097/ADM.0b013e31824339fc PG 7 WC Substance Abuse SC Substance Abuse GA 941AS UT WOS:000303934800010 PM 22367499 OA green_accepted DA 2018-05-26 ER PT J AU Harris, JM Sun, HP AF Harris, John M., Jr. Sun, Huaping TI The Physicians' Competence in Substance Abuse Test (P-CSAT): A multidimensional educational measurement tool for substance abuse training programs SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE Medical education; Substance abuse training; Script concordance test ID INTIMATE PARTNER VIOLENCE; SCRIPT CONCORDANCE TEST; VALIDITY EVIDENCE; CLINICAL SKILLS; PERFORMANCE; STUDENTS; EXAMS; PAIN AB Background: Efforts to enhance physician substance abuse (SA) management skills lack tools to assess skills and training effectiveness. We sought to develop an easily administered survey to assess SA fact-based skills and clinical decision-making. Methods: We prepared 60 fact-based items dealing with SA knowledge, attitudes, and behaviors (KAB) and 53 script concordance test (SCT) items assessing SA decision-making. We used expert review and standard psychometric criteria to eliminate discordant or non-contributory survey items. We tested 92 draft items in 117 physicians, including 13 with additional SA training (trained), and 17 recognized SA experts. We assessed final survey internal consistency with Cronbach's alpha and differences in scores between experts, trained physicians, and physicians without SA training (novices) with the Kruskal-Wallis test. Results: Following refinement, the draft survey was reduced to 30 KAB and 33 SCT items. Alpha was 0.901 for the final 63-item survey and 0.887 and 0.797 for the KAB and SCT subscales, respectively. Novices, trained physicians, and experts scored means of 196, 213, and 261 respectively out of 315 possible points on the final survey. The KAB and SCT subscale results showed similar patterns. Score differences for the overall survey and its subscales were highly significant (p < 0.001). Conclusions: This survey, which we have named the Physicians' Competence in Substance Abuse Test (P-CSAT) and placed in the public domain, meets baseline criteria for reliability and validity. Future studies should determine the extent to which the P-CSAT provides consistent results in other practitioner populations and responds to SA educational efforts. (C) 2011 Elsevier Ireland Ltd. All rights reserved. C1 [Harris, John M., Jr.] Med Direct Inc, Tucson, AZ 85712 USA. [Harris, John M., Jr.] Univ Arizona, Coll Med, Off Continuing Med Educ, Tucson, AZ 85724 USA. [Sun, Huaping] Univ Memphis, Dept Counseling Educ Psychol & Res, Memphis, TN 38152 USA. RP Harris, JM (reprint author), Med Direct Inc, 6101 E Grant Rd, Tucson, AZ 85712 USA. EM sharris@md-inc.com FU Small Business Innovation and Research (SBIR) from National Institute on Drug Abuse [R44DA026218] FX The development of the P-CSAT was supported by Small Business Innovation and Research (SBIR) grant R44DA026218 from the National Institute on Drug Abuse. The sponsor had no role in the design and conduct of the study, the collection, management, analysis, and interpretation of the data, or in the preparation, review, or approval of the manuscript. The Principal Investigator (Dr. Harris) had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. NR 21 TC 2 Z9 2 U1 0 U2 3 PU ELSEVIER IRELAND LTD PI CLARE PA ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND SN 0376-8716 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD MAY 1 PY 2012 VL 122 IS 3 BP 236 EP 240 DI 10.1016/j.drugalcdep.2011.10.006 PG 5 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 934GQ UT WOS:000303432200010 PM 22055011 OA green_accepted DA 2018-05-26 ER PT J AU Janichek, JL Reiman, A AF Janichek, Jennifer L. Reiman, Amanda TI Clinical service desires of medical cannabis patients SO HARM REDUCTION JOURNAL LA English DT Article DE Medical cannabis patients; Harm reduction; Cannabis dispensaries; Substance use; Substance misuse ID OPIATE-DEPENDENCE; MARIJUANA; CALIFORNIA; ALCOHOL AB Background: Medical cannabis dispensaries following the social or hybrid model offer supplementary holistic services in addition to dispensing medical cannabis. Historically, alternative physical health services have been the norm for these dispensaries, including services such as yoga, acupuncture, or chiropractor visits. A clinical service dearth remains for medical cannabis patients seeking substance use, misuse, dependence, and mental health services. This study examined patient desires for various clinical services and level of willingness to participate in specific clinical services. Methods: Anonymous survey data (N = 303) were collected at Harborside Health Center (HHC), a medical cannabis dispensary in Oakland, CA. The sample was 70% male, 48% Caucasian and 21% African American. The mean male age was 38 years old and female mean age was 30. Sixty two percent of the male participants and 44% of the female participants are single. Sixteen percent of the population reported having a domestic partner. Forty six percent of the participants are employed full time, 41% have completed at least some college, and 49% make less than $40,000 a year. Results: A significant portion of the sample, 62%, indicated a desire to participate in free clinical services at HHC, 34% would like more information about substances and use, and 41% want to learn more about reducing harms from substance use. About one quarter of the participants marked "would" or "likely would" participate in individual services such as consultation. Approximately 20% indicated "would" or "likely would" participate in psycho-educational forums, harm reduction information sharing sessions, online support groups, and coping, life, and social skills group. There was little interest in traditional NA/AA 12-step groups or adapted 12-step groups. Conclusions: Desired clinical services can be qualified as a combination of harm reduction, educational, skills-based, peer support and therapeutic individual and group services. Results suggest that medical cannabis patients seek more information about various substances, including cannabis. Dispensaries can help to decrease gaps in substance education and clinical services and fulfill unmet clinical desires. More research is necessary in additional medical cannabis dispensaries in different geographic settings with different service delivery models. C1 [Reiman, Amanda] Univ Calif Berkeley, Berkeley, CA 94720 USA. [Janichek, Jennifer L.] Roosevelt Univ, Inst Metropolitan Affairs, Chicago, IL 60605 USA. RP Reiman, A (reprint author), Univ Calif Berkeley, Berkeley, CA 94720 USA. EM areiman@berkeley.edu NR 27 TC 7 Z9 7 U1 0 U2 18 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1477-7517 J9 HARM REDUCT J JI Harm Reduct. J. PD MAR 13 PY 2012 VL 9 AR 12 DI 10.1186/1477-7517-9-12 PG 6 WC Substance Abuse SC Substance Abuse GA 933EZ UT WOS:000303343900001 PM 22414074 OA gold DA 2018-05-26 ER PT J AU Holt, SR Ramos, J Harma, MA Cabrera, F Louis-Ashby, C Dinh, A Tetrault, JM Fiellin, DA AF Holt, Stephen R. Ramos, Jorge Harma, Michael A. Cabrera, Felix Louis-Ashby, Coeurlida Dinh, An Tetrault, Jeanette M. Fiellin, David A. TI Prevalence of Unhealthy Substance Use on Teaching and Hospitalist Medical Services: Implications for Education SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Article ID ALCOHOL-USE DISORDERS; DETECTING HAZARDOUS DRINKERS; IDENTIFICATION TEST AUDIT; SCREENING-TEST ASSIST; ILLICIT DRUG-USE; LENGTH-OF-STAY; UNITED-STATES; PROBLEM DRINKING; PRIMARY-CARE; DIAGNOSTIC USEFULNESS AB The prevalence of unhealthy substance use (USU) among medical inpatients can vary, and prior research has not characterized the prevalence of USU among patients cared for by a teaching service (TS) and a nonteaching hospitalist service (NTHS). The objective of this study was to compare the prevalence of USU among patients cared for by a TS and an NTHS. We conducted a cross-sectional study from February to June 2009 at a community teaching hospital. Within 24 hours of admission, all eligible internal medicine admissions to the TS or NTHS were screened for USU, using the Alcohol Use Disorders Identification Test-Consumption and Drug Abuse Screening Test. Patients screening positive then underwent a diagnostic interview and blinded chart review to increase case finding and to assess whether each patient's admission was related to USU. There were 414 eligible and consenting patients out of 656 patients identified. Patients on the TS were younger and more likely to be current smokers, male, unmarried, non-white, and unemployed (p < .01 for all comparisons). TS patients were more likely to have evidence of USU (29.2% vs. 12.3%; p < .01). Among all admissions to the TS, 22.2% were deemed to be probably or possibly due to USU, as compared with only 3.7% of admissions to the NTHS (p < .01). Medical TSs care for a greater share of patients with USU as compared with an NTHS. These data highlight the need for expanded medical resident training in the diagnosis and management of USU. (Am J Addict 2012;00:1-9) C1 [Holt, Stephen R.] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06520 USA. Yale Univ, Sch Med, Dept Invest Med, New Haven, CT 06520 USA. RP Holt, SR (reprint author), Yale Univ, Sch Med, Dept Internal Med, POB 208025, New Haven, CT 06520 USA. EM stephen.holt@yale.edu OI Fiellin, David/0000-0002-4006-010X NR 69 TC 12 Z9 12 U1 0 U2 2 PU WILEY-BLACKWELL PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PD MAR-APR PY 2012 VL 21 IS 2 BP 111 EP 119 DI 10.1111/j.1521-0391.2011.00207.x PG 9 WC Substance Abuse SC Substance Abuse GA 894SO UT WOS:000300447300003 PM 22332853 DA 2018-05-26 ER PT J AU Childers, JW Arnold, RM AF Childers, Julie W. Arnold, Robert M. TI "I Feel Uncomfortable 'Calling a Patient Out'": Educational Needs of Palliative Medicine Fellows in Managing Opioid Misuse SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT LA English DT Article DE Medical education; specialization; palliative care; attitude of health personnel; pain/therapy; opioid-related disorders; program development; questionnaires; risk assessment; substance abuse; analgesics; opioid; needs assessment; clinical competence; opioid/adverse effects; opioid/therapeutic use ID CHRONIC PAIN; CANCER-PATIENTS; AIDS PATIENTS; CARE; CONSULTATION; THERAPY; POPULATION; ALCOHOLISM; SYMPTOM; IMPACT AB Context. During the past 10 years, advocates of palliative care have sought to be included earlier in the course of patients' illnesses. Palliative care providers may thus be more likely to care for patients who misuse and abuse opioids. Objectives. To assess whether hospice and palliative medicine (HPM) fellows see patients at risk for opioid misuse and how competent they perceive themselves to be to treat pain in these patients. Methods. An electronic survey was distributed to 102 HPM fellows. The survey included questions assessing self-perceived competency in care for patients who misuse opioids. Responses were rated using a Likert scale of one to seven, where one strongly agree and seven strongly disagree; any number greater than two was considered to be nonagreement. Results. Fifty-seven (56%) fellows from 34 programs responded to the survey. In the previous two weeks, 77.2% of respondents had seen at least one patient with a substance use disorder (SUD) and 43.9% had treated a patient whom they were concerned was misusing opioids. Half (47.2%) of respondents stated that they have a working knowledge of addiction, 41.4% agreed their training has prepared them to manage opioid misuse, and 36.8% felt they knew how to differentiate pain from addiction. Only 21.1% were satisfied with how they treat symptoms in this population. Fellowship training in opioid misuse was associated with increased satisfaction. Conclusion. HPM fellows regularly see patients who are at risk for opioid misuse and feel unprepared to treat pain in these patients. There is a need for more education of fellows in this area. J Pain Symptom Manage 2012; 43: 253-260. (C) 2012 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. C1 [Childers, Julie W.; Arnold, Robert M.] Univ Pittsburgh, Med Ctr, Div Gen Internal Med, Sect Palliat Care & Med Eth, Pittsburgh, PA 15213 USA. [Arnold, Robert M.] Univ Pittsburgh, Sch Med, Ctr Bioeth & Hlth Law, Pittsburgh, PA 15213 USA. RP Childers, JW (reprint author), Univ Pittsburgh, Med Ctr, Div Gen Internal Med, Sect Palliat Care & Med Eth, 200 Lothrop St,Suite 9W, Pittsburgh, PA 15213 USA. EM childersjw2@upmc.edu NR 34 TC 17 Z9 17 U1 1 U2 7 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0885-3924 J9 J PAIN SYMPTOM MANAG JI J. Pain Symptom Manage. PD FEB PY 2012 VL 43 IS 2 BP 253 EP 260 DI 10.1016/j.jpainsymman.2011.03.009 PG 8 WC Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology SC Health Care Sciences & Services; General & Internal Medicine; Neurosciences & Neurology GA 889DY UT WOS:000300054900015 PM 21680141 DA 2018-05-26 ER PT J AU Nazir, HMA Ghader, ZB Reza, GSH AF Nazir, Hashemi Mohammad Abad Ghader, Zadeh-Bagheri Reza, Ghafarian Shirazi Hamid TI Opiate and Alcohol abuse and related factors in Yasouj University of Medical Sciences (south of Iran) SO LIFE SCIENCE JOURNAL-ACTA ZHENGZHOU UNIVERSITY OVERSEAS EDITION LA English DT Article DE opiate; alcohol; medical student; Yasouj ID HIGH-SCHOOL-STUDENTS; SUBSTANCE-ABUSE; OPIUM USE; DRUG-USE; POPULATION; TRENDS AB Introduction: Substance abuse is a major concern all over the word and among medical students and physicians should be taken more seriously. Materials and methods: samples were selected by randomized systematic sampling of all students of Yasouj University of medical sciences. Sample size was estimated 215 students. Data were collected using questionnaire prepared by researchers. Result: 30 (13.95%) of 215 students had usage of alcohol, 14 (6.5%) had usage of opium with inhalation method, 3 (1.39%) had usage of morphine and 2 (0.93%) had usage of heroin with inhalation method, with significant male and single predominance. Conclusion: There is substance abuse in medical students with high usage rate and most intuition factor is seeking pleasure. Hashemi Mohammad Abad Nazir, Zadeh-Bagheri Ghader and Ghafarian Shirazi Hamid Reza.. Life Sci J 2012;9(3):1195-1198]. (ISSN: 1097-8135). http://www.lifesciencesite.com. 168 C1 [Nazir, Hashemi Mohammad Abad; Ghader, Zadeh-Bagheri] Yasouj Univ Med Sci, Fac Med, Dept Psychiat, Yasuj, Iran. [Reza, Ghafarian Shirazi Hamid] Yasouj Univ Med Sci, Res Ctr Social Factors Affecting Hlth, Fac Med, Yasuj, Iran. [Reza, Ghafarian Shirazi Hamid] Univ Tehran Med Sci, Sch Publ Hlth, Tehran, Iran. RP Reza, GSH (reprint author), Yasouj Univ Med Sci, Res Ctr Social Factors Affecting Hlth, Fac Med, Yasuj, Iran. EM nazir.hashemi@gmail.com FU Social Determinants of Health Research Center FX This study has been conducted by the Social Determinants of Health Research Center's financial and moral support, Yasouj University of Medical Sciences. We appreciate the esteemed authorities of this research center, the esteemed research council of the university and all the employees and students who have assisted us in conducting this study. NR 14 TC 1 Z9 1 U1 2 U2 3 PU MARSLAND PRESS PI LANSING PA PO BOX 21126, LANSING, MI 48909 USA SN 1097-8135 J9 LIFE SCI J JI Life Sci. J. PY 2012 VL 9 IS 3 BP 1195 EP 1198 PG 4 WC Biology SC Life Sciences & Biomedicine - Other Topics GA 100SX UT WOS:000315724100166 DA 2018-05-26 ER PT J AU Castaldelli-Maia, JM Oliveira, HP Andrade, AG Lotufo-Neto, F Bhugra, D AF Castaldelli-Maia, Joao Mauricio Oliveira, Hercilio Pereira Andrade, Arthur Guerra Lotufo-Neto, Francisco Bhugra, Dinesh TI Using selected scenes from Brazilian films to teach about substance use disorders, within medical education SO SAO PAULO MEDICAL JOURNAL LA English DT Article DE Motion pictures as topic; Alcoholic intoxication; Substance-related disorders; Behavior, addictive; Education, medical ID PSYCHIATRY RESIDENTS; POPULAR MOVIES; CINEMA; STUDENTS; DRUGS; HELP AB CONTEXT AND OBJECTIVES: Themes like alcohol and drug abuse, relationship difficulties, psychoses, autism and personality dissociation disorders have been widely used in films. Psychiatry and psychiatric conditions in various cultural settings are increasingly taught using films. Many articles on cinema and psychiatry have been published but none have presented any methodology on how to select material. Here, the authors look at the portrayal of abusive use of alcohol and drugs during the Brazilian cinema revival period (1994 to 2008). DESIGN AND SETTING: Qualitative study at two universities in the state of Sao Paulo. METHODS: Scenes were selected from films available at rental stores and were analyzed using a specifically designed protocol. We assessed how realistic these scenes were and their applicability for teaching. One author selected 70 scenes from 50 films (graded for realism and teaching applicability = 8). These were then rated by another two judges. Rating differences among the three judges were assessed using nonparametric tests (P < 0.001). Scenes with high scores (= 8) were defined as "quality scenes". RESULTS: Thirty-nine scenes from 27 films were identified as "quality scenes". Alcohol, cannabis, cocaine, hallucinogens and inhalants were included in these. Signs and symptoms of intoxication, abusive/harmful use and dependence were shown. CONCLUSIONS: We have produced rich teaching material for discussing psychopathology relating to alcohol and drug use that can be used both at undergraduate and at postgraduate level. Moreover, it could be seen that certain drug use behavioral patterns are deeply rooted in some Brazilian films and groups. C1 [Castaldelli-Maia, Joao Mauricio] Fac Med ABC FMABC, Disciplinas Psiquiatria & Psicol Med, BR-09060870 Santo Andre, SP, Brazil. Fac Med Sao Paulo FMUSP, Sao Paulo, Brazil. RP Castaldelli-Maia, JM (reprint author), Fac Med ABC FMABC, Disciplinas Psiquiatria & Psicol Med, Av Lauro Gomes 2-000, BR-09060870 Santo Andre, SP, Brazil. EM jmcmaia2@gmail.com RI Lotufo-Neto, Francisco/D-3982-2014; Andrade, Arthur/O-1964-2015 OI Andrade, Arthur/0000-0002-6856-8212 NR 34 TC 8 Z9 8 U1 1 U2 6 PU ASSOCIACAO PAULISTA MEDICINA PI SAO PAULO PA AV BRIG LUIS ANTONIO, 278-7 ANDAR, SAO PAULO, CEP01318-901, BRAZIL SN 1516-3180 J9 SAO PAULO MED J JI Sao Paulo Med. J. PY 2012 VL 130 IS 6 BP 380 EP 391 DI 10.1590/S1516-31802012000600005 PG 12 WC Medicine, General & Internal SC General & Internal Medicine GA 075EZ UT WOS:000313867900005 PM 23338735 OA gold DA 2018-05-26 ER PT J AU Janik-Koncewicz, K Zatonski, T Poltyn-Zaradna, K Zatonska, K Cedzynska, M Przewozniak, K Wojtyla, A AF Janik-Koncewicz, Kinga Zatonski, Tomasz Poltyn-Zaradna, Katarzyna Zatonska, Katarzyna Cedzynska, Magdalena Przewozniak, Krzysztof Wojtyla, Andrzej TI An attempt to assess knowledge about tobacco dependence among students at the Medical University in Wroclaw SO ANNALS OF AGRICULTURAL AND ENVIRONMENTAL MEDICINE LA English DT Article DE medical students; tobacco smoking; tobacco dependence treatment; knowledge on smoking cessation ID SMOKING; DISEASES; HEALTH; POLAND; RISK AB Introduction: Tobacco smoking is still one of the greatest, avoidable, singular causes of death. Although students of medical faculties are expected to have solid knowledge about smoking hazards, a significant number of them still smoke. Aim: The aim of the study was to assess knowledge on tobacco dependence in a sample of students at the Medical University in Wroclaw. Material and methods: Between 2009-2011, non-compulsory lectures on the diagnosis and treatment of tobacco dependence were provided for 3rd to 6th year students of medicine at the Medical University in Wroclaw (170 students). The questionnaire contained 10 questions about smoking-related diseases and medicines used in tobacco dependence treatment. Results: 21% of students smoked cigarettes and 79% were never smokers. 36% of the study group was exposed to passive smoking at the university. Nearly 80% of survey respondents agreed with the statement that cigarette smoking can lead to psychological addiction as strong as drug addiction, but more than 12% of the respondents perceived smoking just as a strong habit. Only 6 out of 10 surveyed students recognised tobacco dependence as an illness classified in an international classification of diseases and health problems (ICD-10). The correct amount of the chemical substances to be found in tobacco smoke was known by 67.1% of all surveyed students. The vast majority of the surveyed students indicated correctly 2 brands of nicotine replacement therapy, but none of them could name even one chemical and corresponding trade name of the pharmaceutical with central effect. Conclusions: The level of knowledge about the diagnosis and treatment of tobacco dependence among the students of the Medical Faculty in Wroclaw Medical University is low, and requires improvement through educational activities at both facultative and compulsory study level. Special attention should be paid to pharmaceutical treatment of the tobacco dependence syndrome. C1 [Janik-Koncewicz, Kinga; Cedzynska, Magdalena; Przewozniak, Krzysztof] Maria Sklodowska Curie Mem Canc Ctr, PL-02781 Warsaw, Poland. [Janik-Koncewicz, Kinga; Cedzynska, Magdalena; Przewozniak, Krzysztof] Inst Oncol, Dept Canc Epidemiol & Prevent, Warsaw, Poland. [Zatonski, Tomasz] Med Acad Wroclaw, Dept & Clin Otolaryngol Head & Neck Surg, Wroclaw, Poland. [Poltyn-Zaradna, Katarzyna; Zatonska, Katarzyna] Med Acad Wroclaw, Dept Social Med, Wroclaw, Poland. [Wojtyla, Andrzej] Inst Rural Hlth, Dept Hlth Promot Food & Nutr, Lublin, Poland. RP Janik-Koncewicz, K (reprint author), Maria Sklodowska Curie Mem Canc Ctr, 5 Roentgena, PL-02781 Warsaw, Poland. EM janikk@coi.pl RI Janik-Koncewicz, Kinga/F-4691-2016 NR 31 TC 3 Z9 3 U1 1 U2 10 PU INST AGRICULTURAL MEDICINE PI LUBLIN PA JACZEWSKIEGO 2, PO BOX 185, 20-950 LUBLIN, POLAND SN 1232-1966 J9 ANN AGR ENV MED JI Ann. Agr. Env. Med. PY 2012 VL 19 IS 3 BP 345 EP 349 PG 5 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 013TC UT WOS:000309327800004 PM 23020022 OA gold DA 2018-05-26 ER PT J AU Shorter, D Dermatis, H AF Shorter, Daryl Dermatis, Helen TI Addiction Training in General Psychiatry Residency: A National Survey SO SUBSTANCE ABUSE LA English DT Letter ID SUBSTANCE USE DISORDERS; CURRICULUM C1 [Shorter, Daryl; Dermatis, Helen] NYU, Sch Med, Div Alcoholism & Drug Abuse, New York, NY 10016 USA. RP Dermatis, H (reprint author), NYU, Sch Med, Div Alcoholism & Drug Abuse, New York, NY 10016 USA. EM hd7@nyu.edu OI Dermatis, Helen/0000-0002-6007-6475 NR 7 TC 3 Z9 3 U1 0 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 4 BP 392 EP 394 DI 10.1080/08897077.2011.638737 PG 3 WC Substance Abuse SC Substance Abuse GA 008XE UT WOS:000308989100010 PM 22989284 DA 2018-05-26 ER PT J AU Merlo, LJ Ruffalo, M Averbuch, R AF Merlo, Lisa J. Ruffalo, Melissa Averbuch, Robert TI Changes in Medical Student Beliefs About Addiction Following Participation in an Addiction Medicine Rotation SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Merlo, Lisa J.; Ruffalo, Melissa; Averbuch, Robert] Univ Florida, Gainesville, FL 32611 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 2 BP 202 EP 202 PG 1 WC Substance Abuse SC Substance Abuse GA 974UZ UT WOS:000306464200025 DA 2018-05-26 ER PT J AU Stein, M Osinaga, AM Kunins, HV Roose, RJ AF Stein, Melissa Osinaga, Alda M. Kunins, Hillary V. Roose, Robert J. TI Teaching Residents About Caring for Patients with Substance Use Disorders: An Experiential Approach SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Stein, Melissa; Kunins, Hillary V.; Roose, Robert J.] Albert Einstein Coll Med, Bronx, NY 10461 USA. [Osinaga, Alda M.; Kunins, Hillary V.] Montefiore Med Ctr, Bronx, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 2 BP 212 EP 212 PG 1 WC Substance Abuse SC Substance Abuse GA 974UZ UT WOS:000306464200049 DA 2018-05-26 ER PT J AU Carden, G AF Carden, Geoffrey TI Survey of Addiction and Chronic Noncancer Pain Curriculum in Family Medicine Programs SO SUBSTANCE ABUSE LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 2 BP 216 EP 216 PG 1 WC Substance Abuse SC Substance Abuse GA 974UZ UT WOS:000306464200059 DA 2018-05-26 ER PT J AU Pace, N Schwartz, CE Ciccaroni, W Levounis, P Parish, S Schwartzberg, MY AF Pace, Nicholas Schwartz, Charles E. Ciccaroni, William Levounis, Petros Parish, Sharon Schwartzberg, Max Y. TI Screening, Brief Intervention, Referral, and Treatment (SBIRT): The Physician Alcoholism and Other Addictions Training Program (PAAT) SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Pace, Nicholas] NYU, New York, NY 10003 USA. [Schwartz, Charles E.; Parish, Sharon] Albert Einstein Coll Med, Montefiore Med Ctr, New York, NY USA. [Levounis, Petros] Columbia Univ Coll Phys & Surg, New York, NY USA. NR 0 TC 0 Z9 0 U1 1 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 2 BP 223 EP 223 PG 1 WC Substance Abuse SC Substance Abuse GA 974UZ UT WOS:000306464200075 DA 2018-05-26 ER PT J AU Bray, JH Kowalchuk, A Waters, V Laufman, L Shilling, EH AF Bray, James H. Kowalchuk, Alicia Waters, Vicki Laufman, Larry Shilling, Elizabeth H. TI Baylor SBIRT Medical Residency Training Program: Model Description and Initial Evaluation SO SUBSTANCE ABUSE LA English DT Article DE Alcohol use; brief intervention; motivational interviewing; SBIRT; substance abuse; residency training ID PRIMARY-CARE SETTINGS; SUBSTANCE-ABUSE; ALCOHOL-USE; DRUG-ABUSE; INTERVENTIONS; DISORDERS AB The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment (SBIRT) methods for alcohol and substance use problems. This paper describes the training program and provides initial evaluation after the first year of the project. The program was successfully incorporated into the residency curricula in family medicine, internal medicine, and psychiatry. Initial evaluations indicate a high degree of satisfaction with the program and, despite a slight decrease in satisfaction scores, participants remained satisfied with the program after 30 days. Implementation barriers, solutions, and future directions of the program are discussed. C1 [Bray, James H.; Kowalchuk, Alicia; Shilling, Elizabeth H.] Baylor Coll Med, Dept Family & Community Med, Houston, TX 77098 USA. [Waters, Vicki] Baylor Coll Med, Phys Assistant Program, Houston, TX 77098 USA. [Laufman, Larry] Baylor Coll Med, Dept Internal Med, Houston, TX 77098 USA. RP Bray, JH (reprint author), Baylor Coll Med, Dept Family & Community Med, 3701 Kirby Dr,Suite 600, Houston, TX 77098 USA. EM jbray@bcm.edu FU Substance Abuse and Mental Health Services Administration [5UT79TI020247] FX The authors would like to thank the dedicated work of Amanda Clinton and the participating faculty and residents who are a part of this project. This project was supported by grant from the Substance Abuse and Mental Health Services Administration, grant no.: 5UT79TI020247. NR 24 TC 9 Z9 9 U1 0 U2 8 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 3 SI SI BP 231 EP 240 DI 10.1080/08897077.2011.640160 PG 10 WC Substance Abuse SC Substance Abuse GA 974UT UT WOS:000306463600002 PM 22738000 DA 2018-05-26 ER PT J AU Muench, J Jarvis, K Boverman, J Hardman, J Hayes, M Winkle, J AF Muench, John Jarvis, Kelly Boverman, Josh Hardman, Joseph Hayes, Meg Winkle, Jim TI Tilling the Soil While Sowing the Seeds: Combining Resident Education with Medical Home Transformation SO SUBSTANCE ABUSE LA English DT Article DE Integration; medical home; primary care; resident; SBIRT ID PRIMARY-CARE AB In order to successfully integrate screening, brief intervention, and referral to treatment (SBIRT) into primary care, education of clinicians must be paired with sustainable transformation of the clinical settings in which they practice. The SBIRT Oregon project adopted this strategy in an effort to fully integrate SBIRT into 7 primary care residency clinics. Residents were trained to assess and intervene in their patients' unhealthy substance use, whereas clinic staff personnel were trained to carry out a multistep screening process. Electronic medical record tools were created to further integrate and track SBIRT processes. This article describes how a resident training curriculum complemented and was informed by the transformation of workflow processes within the residents' home clinics. C1 [Muench, John; Boverman, Josh; Hayes, Meg; Winkle, Jim] Oregon Hlth & Sci Univ, Dept Family Med, Portland, OR 97239 USA. [Jarvis, Kelly] RMC Corp, Portland, OR USA. [Hardman, Joseph] Oregon Hlth & Sci Univ, Div Gen Internal Med, Portland, OR 97239 USA. RP Muench, J (reprint author), Oregon Hlth & Sci Univ, Dept Family Med, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239 USA. EM muenchj@ohsu.edu FU Center for Substance Abuse Treatment under the Substance Abuse and Mental Health Services Administration FX This project is funded by the Center for Substance Abuse Treatment under the Substance Abuse and Mental Health Services Administration. NR 3 TC 13 Z9 13 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 3 SI SI BP 282 EP 285 DI 10.1080/08897077.2011.640088 PG 4 WC Substance Abuse SC Substance Abuse GA 974UT UT WOS:000306463600008 PM 22738006 DA 2018-05-26 ER PT J AU Neufeld, KJ Alvanzo, A King, VL Feldman, L Hsu, JH Rastegar, DA Colbert, JM MacKinnon, DF AF Neufeld, Karin J. Alvanzo, Anika King, Van L. Feldman, Leonard Hsu, Jeffrey H. Rastegar, Darius A. Colbert, Jorie M. MacKinnon, Dean F. TI A Collaborative Approach to Teaching Medical Students How to Screen, Intervene, and Treat Substance Use Disorders SO SUBSTANCE ABUSE LA English DT Article DE Knowledge assessment; medical school curricula; screening; brief intervention; referral to treatment (SBIRT); skills training; substance use disorders ID PRIMARY-CARE; DRUG; METAANALYSIS AB Few medical schools require a stand-alone course to develop knowledge and skills relevant to substance use disorders (SUDs). The authors successfully initiated a new course for second-year medical students that used screening, brief intervention, and referral to treatment (SBIRT) as the course foundation. The 15-hour course (39 faculty teaching hours) arose from collaboration between faculty in Departments of Medicine and Psychiatry and included 5 hours of direct patient interaction during clinical demonstrations and in small-group skills development. Pre- and post-exam results suggest that the course had a significant impact on knowledge about SUDs. The authors' experience demonstrates that collaboration between 2 clinical departments can produce a successful second-year medical student course based in SBIRT principles. C1 [Neufeld, Karin J.; King, Van L.; Hsu, Jeffrey H.; MacKinnon, Dean F.] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA. [Alvanzo, Anika; Feldman, Leonard; Rastegar, Darius A.] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA. [Feldman, Leonard] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21205 USA. [Colbert, Jorie M.] Johns Hopkins Univ, Sch Med, Off Med Educ Serv, Baltimore, MD USA. RP Neufeld, KJ (reprint author), Johns Hopkins Univ Hosp, Osler 320,600 N Wolfe St, Baltimore, MD 21227 USA. EM kneufel2@jhmi.edu OI Feldman, Leonard/0000-0002-4444-6624; Colbert-Getz, Jorie/0000-0001-7419-7588 NR 18 TC 7 Z9 7 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 3 SI SI BP 286 EP 291 DI 10.1080/08897077.2011.640090 PG 6 WC Substance Abuse SC Substance Abuse GA 974UT UT WOS:000306463600009 PM 22738007 DA 2018-05-26 ER PT J AU Satterfield, JM O'Sullivan, P Satre, DD Tsoh, JY Batki, SL Julian, K McCance-Katz, EF Wamsley, M AF Satterfield, Jason M. O'Sullivan, Patricia Satre, Derek D. Tsoh, Janice Y. Batki, Steven L. Julian, Kathy McCance-Katz, Elinore F. Wamsley, Maria TI Using Standardized Patients to Evaluate Screening, Brief Intervention, and Referral to Treatment (SBIRT) Knowledge and Skill Acquisition for Internal Medicine Residents SO SUBSTANCE ABUSE LA English DT Article DE Graduate medical education; SBIRT; standardized patients; substance use disorders AB Comprehensive clinical competency curricula for hazardous drinking and substance use disorders (SUDs) exists for medical students, residents, and practicing health care providers. Evaluations of these curricula typically focus on learner attitudes and knowledge, although changes in clinical skills are of greater interest and utility. The authors present a pre-post clinical skill evaluation of a 10-hour screening, brief intervention, and referral to treatment (SBIRT) curriculum for hazardous drinking and SUDs for primary care internal medicine residents using standardized patient examinations to better determine the impact of SBIRT training on clinical practice. Residents had large improvements in history taking, substance use screening skills, SUD assessment and diagnostic skills, and in SBIRT knowledge, including documentation, systems, and diversity issues. Residents made moderate improvements in brief intervention skills. Future SBIRT curricular evaluations would ideally include a controlled comparison with larger samples from multiple institutions. C1 [Satterfield, Jason M.; O'Sullivan, Patricia; Julian, Kathy; Wamsley, Maria] Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 94143 USA. [Satre, Derek D.; Tsoh, Janice Y.; Batki, Steven L.; McCance-Katz, Elinore F.] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA. [Satre, Derek D.] Kaiser Permanente Div Res, San Francisco, CA USA. [Batki, Steven L.] San Francisco Vet Adm Med Ctr, San Francisco, CA USA. RP Satterfield, JM (reprint author), Univ Calif San Francisco, Div Gen Internal Med, 1545 Divisadero St,Box 0320, San Francisco, CA 94143 USA. EM Jsatter@medicine.ucsf.edu NR 8 TC 13 Z9 13 U1 0 U2 3 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 3 SI SI BP 303 EP 307 DI 10.1080/08897077.2011.640103 PG 5 WC Substance Abuse SC Substance Abuse GA 974UT UT WOS:000306463600012 PM 22738010 DA 2018-05-26 ER PT J AU Scott, DM McLaurin-Jones, T Brown, FD Newton, R Marshall, VJ Kalu, N Cain, GE Taylor, RE AF Scott, Denise M. McLaurin-Jones, TyWanda Brown, Fannie D. Newton, Robin Marshall, Vanessa J. Kalu, Nnenna Cain, Gloria E. Taylor, Robert E. TI Institutional Incorporation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Residency Training: Achieving a Sustainable Curriculum SO SUBSTANCE ABUSE LA English DT Article DE Graduate medical education; SBIRT training ID ALCOHOL-USE; HEALTH; CARE AB The success of implementing a screening, brief intervention and referral to treatment (SBIRT) program within a medical residency program for sustainability is contingent upon a well-crafted training curriculum that incorporates substance abuse education and clinical practice skills. The goal of the Howard University (HU) SBIRT program is to train residents in providing culturally competent evidence-based screening, brief intervention and referral to treatment for patients who have a substance use disorder or who are at risk for developing the disorder. Utilizing the Office of Graduate Medical Education (GME) allows all residents to be trained in SBIRT techniques and receive continuing education in SBIRT and SBIRT-related topics through new resident orientation and the core lecture series. The utilization of Graduate Medical Education office has allowed a robust SBIRT training program to be implemented into medical residency education, contributing to the sustainability of SBIRT as a component of patient care. C1 [Scott, Denise M.] Howard Univ, Dept Pediat, Washington, DC 20059 USA. [Scott, Denise M.] Howard Univ, Dept Human Genet, Washington, DC 20059 USA. [McLaurin-Jones, TyWanda] Howard Univ, Dept Community & Family Med, Washington, DC 20059 USA. [Brown, Fannie D.; Newton, Robin] Howard Univ Hosp, Off Grad Med Educ, Washington, DC USA. [Marshall, Vanessa J.; Kalu, Nnenna; Cain, Gloria E.] Howard Univ, Alcohol Res Ctr, Washington, DC 20059 USA. [Taylor, Robert E.] Howard Univ, Off Dean, Coll Med, Washington, DC 20059 USA. RP Scott, DM (reprint author), Howard Univ, Dept Pediat, 520 W St NW,Suite 3408, Washington, DC 20059 USA. EM d_m_scott2@howard.edu FU SAMSHA [1 U79 T1020245] FX This study was supported in part by the following grant from SAMSHA 1 U79 T1020245. NR 8 TC 3 Z9 3 U1 0 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2012 VL 33 IS 3 SI SI BP 308 EP 311 DI 10.1080/08897077.2011.640135 PG 4 WC Substance Abuse SC Substance Abuse GA 974UT UT WOS:000306463600013 PM 22738011 DA 2018-05-26 ER PT J AU Steed, H Groome, M Rice, P Simpson, K Day, A Ker, J AF Steed, H. Groome, M. Rice, P. Simpson, K. Day, A. Ker, J. TI A Brief Report on Perceptions of Alcohol and Society among Scottish Medical Students SO ALCOHOL AND ALCOHOLISM LA English DT Article ID INTERVENTIONS AB Aims: To assess perceptions on alcohol misuse and addiction among medical students prior to in-depth training in order to determine areas of the curriculum that need to be reshaped or focused on. Methods: A questionnaire assessment of first- and second-year medical students' perceptions of alcohol misuse. Results: Students had some misconceptions about current alcohol misuse rates, including a perception that addiction is common among health professionals, that the under-25s had the fastest increasing rate of alcohol addiction and that British women had a more rapidly increasing rate of alcohol addiction than British men. Conclusion: Encouragingly, students overwhelmingly felt that alcohol addiction was something to which they could make a difference. It highlights that early education about alcohol misuse is important in terms of teaching students how to recognize hazardous and harmful drinkers and how to manage them. C1 [Steed, H.; Groome, M.] Univ Dundee, Ninewells Hosp & Med Sch, Dept Gastroenterol, Dundee DD1 9SY, Scotland. [Rice, P.; Simpson, K.; Day, A.] Univ Dundee, Ninewells Hosp & Med Sch, Dept Psychiat, Dundee DD1 9SY, Scotland. [Ker, J.] Univ Dundee, Ninewells Hosp & Med Sch, Dept Undergrad Educ, Dundee DD1 9SY, Scotland. RP Groome, M (reprint author), Univ Dundee, Ninewells Hosp & Med Sch, Dept Gastroenterol, Dundee DD1 9SY, Scotland. EM m.groome@nhs.net NR 14 TC 1 Z9 1 U1 0 U2 1 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0735-0414 J9 ALCOHOL ALCOHOLISM JI Alcohol Alcohol. PD JAN-FEB PY 2012 VL 47 IS 1 BP 75 EP 78 DI 10.1093/alcalc/agr139 PG 4 WC Substance Abuse SC Substance Abuse GA 866MH UT WOS:000298384600012 PM 22085525 OA gold DA 2018-05-26 ER PT J AU Pena, JB Matthieu, MM Zayas, LH Masyn, KE Caine, ED AF Pena, Juan B. Matthieu, Monica M. Zayas, Luis H. Masyn, Katherine E. Caine, Eric D. TI Co-occurring risk behaviors among White, Black, and Hispanic US high school adolescents with suicide attempts requiring medical attention, 1999-2007: Implications for future prevention initiatives SO SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY LA English DT Article DE Suicide attempted; Adolescent; Prevention; Health status disparities; Risk-taking ID DELIBERATE SELF-HARM; SUBSTANCE USE; FOLLOW-UP; DATING VIOLENCE; MULTISYSTEMIC THERAPY; PEER VIOLENCE; UNITED-STATES; YOUTH; IDEATION; INTERVENTIONS AB To identify subtypes of adolescent suicide attempters by examining risk profiles related to substance use, violent behavior, and depressive symptoms. To examine the relationship between these subtypes and having had two or more suicide attempts during the past year. To explore race and gender differences across subtypes of suicide attempters. Data were combined from five nationally representative cohorts of the US Youth Risk Behavior Surveillance System (YRBSS) and focused on a subpopulation of youth who reported a suicide attempt requiring medical attention. Latent class analysis was used to identify subtypes of suicide attempters. Analysis yielded three classes of youth who attempted suicide, distinguishable by their levels of substance use and violent behaviors: low substance use and violent behaviors, high substance use and violent behaviors, and extreme substance use and violent behaviors. All three classes had a high propensity for endorsing depressive symptoms. The proportion of youth with two or more suicide attempts during the past year increased across subgroup of attempters with higher levels of substance use and violent behaviors. Racial and gender differences were found across subtypes of suicide attempters. Preventing and treating the co-occurrence of substance use and violent behaviors may serve as essential strategies for reducing suicide attempts, especially among male youth. The use of public health strategies for suicide prevention should take into account the different needs of youth at risk for suicide. C1 [Pena, Juan B.; Matthieu, Monica M.; Zayas, Luis H.] Washington Univ, St Louis, MO 63130 USA. [Masyn, Katherine E.] Harvard Univ, Grad Sch Educ, Cambridge, MA 02138 USA. [Caine, Eric D.] Univ Rochester, Dept Psychiat, Med Ctr, Rochester, NY 14627 USA. RP Pena, JB (reprint author), Washington Univ, 1 Brookings Dr,CB 1196, St Louis, MO 63130 USA. EM JPena@wustl.edu FU Brown Center for Violence and Injury Prevention [1R49CE001510]; Centers for Disease Control (CDC); Center for Public Health and Population Interventions for Preventing Suicide [P20MH071897]; University of Rochester Medical Center [R01MH070689]; Center for Latino Family Research; Center for Mental Health Services Research at Washington University in St. Louis; Prevention Science Methodology Group FX This publication was made possible in part from funding from the Brown Center for Violence and Injury Prevention Grant Number 1R49CE001510 from the Centers for Disease Control (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of CDC. This work was also supported, in part, by grant P20MH071897 (E. D. Caine, PI) to the Center for Public Health and Population Interventions for Preventing Suicide, University of Rochester Medical Center and grant R01MH070689 (L. H. Zayas, PI). We thank the Brown Center for Violence and Injury Prevention, the Center for Latino Family Research, the Center for Mental Health Services Research at Washington University in St. Louis, and the Prevention Science Methodology Group for their ongoing support. We also thank research assistants Christina Lindstrom, MSW, Natalie Morgan, and Jill Kuhlberg, MSW at the George Warren Brown School of Social Work at Washington University in St. Louis for their assistance with formatting and uploading the manuscript (contribution was compensated). The NIMH or CDC had no role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review, or approval of the manuscript. NR 60 TC 28 Z9 28 U1 1 U2 20 PU SPRINGER HEIDELBERG PI HEIDELBERG PA TIERGARTENSTRASSE 17, D-69121 HEIDELBERG, GERMANY SN 0933-7954 J9 SOC PSYCH PSYCH EPID JI Soc. Psychiatry Psychiatr. Epidemiol. PD JAN PY 2012 VL 47 IS 1 BP 29 EP 42 DI 10.1007/s00127-010-0322-z PG 14 WC Psychiatry SC Psychiatry GA 871RQ UT WOS:000298755800004 PM 21153018 DA 2018-05-26 ER PT J AU O'Brien, S Cullen, W AF O'Brien, S. Cullen, W. TI Undergraduate medical education in substance use in Ireland: a review of the literature and discussion paper SO IRISH JOURNAL OF MEDICAL SCIENCE LA English DT Review DE Undergraduate; Substance use; Medical curriculum AB Background Medical complications of substance use are a considerable cause of morbidity and the role of the physician in the care of such problems has consistently been demonstrated. Appropriate knowledge and skills are necessary to carry out this role. Aims To review the literature on training undergraduate medical students in identifying and managing substance misuse and to discuss the implications of this literature for Irish medical education. Methods A search of the literature was performed using keywords; "substance-related disorders'', "undergraduate'' and "curriculum''. All abstracts were reviewed and the full text of relevant abstracts was studied and references reviewed for further articles. Results Despite an increase in prevalence of the problem of drug and alcohol use in Ireland and the UK, this has not been reflected in undergraduate medical curricula. In the UK, minimal time is devoted to formal teaching of medical undergraduates in the area of substance misuse and many doctors do not have the appropriate knowledge, skills, attitudes and confidence to treat patients with such problems. In Ireland, no data has reported formal undergraduate teaching hours in the area of drug and alcohol misuse. Internationally, substance abuse curricula have been developed and implemented in medical schools in the United States and Australia. Conclusion While substance misuse is increasing in prevalence, this is not reflected in the composition of medical curricula, especially in Ireland. International best practice whereby undergraduate curricula that adequately address substance misuse and related issues are systematically developed and implemented, is recommended for adoption by Irish medical schools. C1 [O'Brien, S.] Coombe Healthcare Ctr, UCD Sch Med & Med Sci, UCD Gen Practice, Dublin 8, Ireland. [Cullen, W.] Univ Limerick, Grad Entry Med Sch, Fac Educ & Hlth Sci, Limerick, Ireland. RP O'Brien, S (reprint author), Coombe Healthcare Ctr, UCD Sch Med & Med Sci, UCD Gen Practice, Dublin 8, Ireland. EM sarahob17@gmail.com; Walter.Cullen@ul.ie OI Cullen, Walter/0000-0003-1838-5052 NR 45 TC 13 Z9 13 U1 0 U2 8 PU SPRINGER LONDON LTD PI LONDON PA 236 GRAYS INN RD, 6TH FLOOR, LONDON WC1X 8HL, ENGLAND SN 0021-1265 J9 IRISH J MED SCI JI Irish J. Med. Sci. PD DEC PY 2011 VL 180 IS 4 BP 787 EP 792 DI 10.1007/s11845-011-0736-y PG 6 WC Medicine, General & Internal SC General & Internal Medicine GA V27YO UT WOS:000208648700002 PM 21805088 DA 2018-05-26 ER PT J AU Michael, YL Gregg, J Amann, T Solotaroft, R Sve, C Bowen, JL AF Michael, Yvonne L. Gregg, Jessica Amann, Ted Solotaroft, Rachel Sve, Chuck Bowen, Judith L. TI Evaluation of a Community-Based, Service-Oriented Social Medicine Residency Curriculum SO PROGRESS IN COMMUNITY HEALTH PARTNERSHIPS-RESEARCH EDUCATION AND ACTION LA English DT Article DE Internal medicine; education; community-based participatory research; qualitative research; quantitative research AB Background: Educators can create opportunities for physicians-in-training to learn about the health care needs of the underserved and expose learners to models of care and opportunities for service. Objectives: We evaluated a community-based, service-oriented Social Medicine curriculum for Internal Medicine interns and residents initiated in 2007. Methods: Qualitative data were collected through focus groups. Conclusions: Potent community-based experiential learning with adequate time and encouragement to hear clients' stories allowed residents to gain an understanding of some of the complex factors that contribute to ill health in this population and seemed to influence residents' confidence in their skills in working with an undeserved population, particularly a population struggling with addiction. However, the curriculum did not provide adequate time for facilitated, personal reflection. These data will assist community health partnerships in developing their own curricula to address health needs of the underserved. C1 [Michael, Yvonne L.] Drexel Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Philadelphia, PA 19104 USA. [Gregg, Jessica] Oregon Hlth & Sci Univ, Dept Med, Portland, OR 97201 USA. [Bowen, Judith L.] Oregon Hlth & Sci Univ, Dept Med Informat & Clin Epidemiol, Portland, OR 97201 USA. RP Michael, YL (reprint author), Drexel Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Philadelphia, PA 19104 USA. NR 25 TC 1 Z9 1 U1 0 U2 2 PU JOHNS HOPKINS UNIV PRESS PI BALTIMORE PA JOURNALS PUBLISHING DIVISION, 2715 NORTH CHARLES ST, BALTIMORE, MD 21218-4363 USA SN 1557-0541 J9 PROG COMM HLTH PARTN JI Prog. Community Health Partnersh. PD WIN PY 2011 VL 5 IS 4 BP 433 EP 442 PG 10 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA V27JT UT WOS:000208610200013 PM 22616211 DA 2018-05-26 ER PT J AU Krajewska-Kulak, E Kulak, W Marcinkowski, JT Van Damme-Ostapowicz, K Lewko, J Lankau, A Lukaszuk, C Rozwadowska, E AF Krajewska-Kulak, Elzbieta Kulak, Wojciech Marcinkowski, Jerzy Tadeusz Van Damme-Ostapowicz, Katarzyna Lewko, Jolanta Lankau, Agnieszka Lukaszuk, Cecylia Rozwadowska, Emilia TI Internet Addiction Among Students of the Medical University of Bialystok SO CIN-COMPUTERS INFORMATICS NURSING LA English DT Article DE Internet; Internet addiction; Students ID COLLEGE-STUDENTS; ADOLESCENTS; SYMPTOMS; THERAPY AB The objective of this research was to assess Internet addiction among students of the Faculty of Health Prevention at the Medical University of Bialystok. The present study included 358 students-nursing (n = 232), midwifery (n = 71), and medical rescue (n = 55). The following instruments were administered to the participants: the Young test, a test of the intensity of the abstinence syndrome, and a test of "online" addiction. Students who did not have a computer at home spent 3 hours a day on the Internet; students who did have a computer at home spent 0.5 to 8 hours. On average, all respondents spent 1.8 +/- 1.3 hours daily online. Internet addiction was confirmed among 24 (10.3%) nursing, 7 (9.9%) midwifery, and 5 (9.1%) medical rescue students. The abstinence syndrome was noted among 11 (4.7%) nursing, 7 (9.9%) obstetrics, and 7 (12.7%) medical rescue students. Several students had both an Internet addiction and the abstinence syndrome. C1 [Krajewska-Kulak, Elzbieta; Van Damme-Ostapowicz, Katarzyna; Lewko, Jolanta; Lankau, Agnieszka; Lukaszuk, Cecylia; Rozwadowska, Emilia] Med Univ Bialystok, Dept Integrated Med Care, PL-15096 Bialystok, Poland. [Kulak, Wojciech] Med Univ Bialystok, Dept Pediat Rehabil, PL-15096 Bialystok, Poland. [Marcinkowski, Jerzy Tadeusz] Karol Marcinkowski Univ Med Sci, Dept Social Med, Poznan, Poland. RP Krajewska-Kulak, E (reprint author), Med Univ Bialystok, Dept Integrated Med Care, 7A M Curie Sklodowskiej Str, PL-15096 Bialystok, Poland. EM elzbieta.krajewska@wp.pl OI Marcinkowski, Jerzy/0000-0001-6495-8988 NR 26 TC 9 Z9 9 U1 2 U2 17 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1538-2931 J9 CIN-COMPUT INFORM NU JI CIN-Comput. Inform. Nurs. PD NOV PY 2011 VL 29 IS 11 BP 657 EP 661 DI 10.1097/NCN.0b013e318224b34f PG 5 WC Computer Science, Interdisciplinary Applications; Medical Informatics; Nursing SC Computer Science; Medical Informatics; Nursing GA 846OL UT WOS:000296913000006 PM 21697708 DA 2018-05-26 ER PT J AU Lloyd-Jones, M Pastor, A Soh, T AF Lloyd-Jones, Martyn Pastor, Adam Soh, Tracy TI THE ADDICTION MEDICINE TRAINING PROGRAM IN AUSTRALASIA-8 YEARS EXPERIENCE: PROGRESS AND OUTCOMES SO DRUG AND ALCOHOL REVIEW LA English DT Meeting Abstract C1 [Lloyd-Jones, Martyn; Pastor, Adam] St Vincents Hosp, Dept Addict Med, Melbourne, Vic, Australia. [Soh, Tracy] Eastern Hlth, Turning Point Alcohol & Drug Ctr, Melbourne, Vic, Australia. EM martyn.lloydjones@svhm.org.au NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0959-5236 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD NOV PY 2011 VL 30 SU 1 SI SI BP 55 EP 56 PG 2 WC Substance Abuse SC Substance Abuse GA 848AV UT WOS:000297019700171 DA 2018-05-26 ER PT J AU Allan, J AF Allan, Julaine TI Advanced rural skills training The value of an addiction medicine rotation SO AUSTRALIAN FAMILY PHYSICIAN LA English DT Article DE substance related disorders; rural health services; education, medical, graduate ID PRIMARY-HEALTH-CARE; NEW-SOUTH-WALES; ALCOHOL; DRUG AB Background General practitioners are ideally placed to address drug and alcohol problems in the Australian population. Lack of adequate undergraduate and postgraduate training has been suggested as a key barrier limiting their involvement in addiction medicine. Objective This article describes the establishment and operations of an advanced rural skills training program at the Lyndon Community a rural drug and alcohol treatment organisation in New South Wales. Discussion An addiction medicine rotation offers general practice registrars the opportunity to develop skills and experience in psychosocial interventions as well as physical and mental health issues common in the treatment population. Registrars participating in the Lyndon Community program perceived that the training period had influenced and enhanced their future practice. C1 Lyndon Community Res & Training, Orange, NSW, Australia. RP Allan, J (reprint author), Lyndon Community Res & Training, Orange, NSW, Australia. EM jallan@lyndoncom-munity.org.au OI Allan, Julaine/0000-0001-9299-5866 FU Austroads FX Fiona Landgren holds a contract with Austroads to promote awareness and educate health professionals regarding assessing fitness to drive. NR 13 TC 2 Z9 2 U1 1 U2 3 PU ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS PI SOUTH MELBOURNE PA 1 PALMERSTON CRESCENT, SOUTH MELBOURNE, VICTORIA 3205, AUSTRALIA SN 0300-8495 J9 AUST FAM PHYSICIAN JI Aust. Fam. Physician PD NOV PY 2011 VL 40 IS 11 BP 927 EP + PG 3 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA 846YR UT WOS:000296939600021 PM 22059226 DA 2018-05-26 ER PT J AU Lofwall, MR Wunsch, MJ Nuzzo, PA Walsh, SL AF Lofwall, Michelle R. Wunsch, Martha J. Nuzzo, Paul A. Walsh, Sharon L. TI Efficacy of continuing medical education to reduce the risk of buprenorphine diversion SO JOURNAL OF SUBSTANCE ABUSE TREATMENT LA English DT Article DE Office-based opioid dependence treatment; Buprenorphine; Diversion and misuse; Continuing medical education ID UNITED-STATES; OPIOID ANALGESICS; NETWORK THERAPY; MAINTENANCE; DEPENDENCE; DEATHS; ABUSE; PREVALENCE; METHADONE; BLOCKADE AB As office-based opioid dependence treatment (OBOT) has grown in the United States, postmarketing surveillance data reveal increased reports of buprenorphine misuse and diversion, it is important that doctors understand buprenorphine clinical pharmacology and engage in practices to decrease risk of misuse, diversion, and other adverse events. This study evaluated the efficacy of continuing medical education (CME) in two U.S. regions with surveillance signals of buprenorphine misuse/diversion. Four surveys (before, on-site, and 1 and 3 months post CME) evaluated physician characteristics, practice behaviors, and buprenorphine pharmacology and legislative knowledge. The results show that physicians had limited addictions training. Knowledge and practice behaviors significantly improved after the CME, which should enhance the quality of OBOT and may decrease risk of buprenorphine misuse and diversion from their practices. Mandatory CME targeting OBOT-certified physicians could have a positive impact on patient and public health outcomes. (C) 2011 Elsevier Inc. All rights reserved. C1 [Lofwall, Michelle R.; Wunsch, Martha J.; Walsh, Sharon L.] Univ Kentucky, Dept Psychiat, Lexington, KY 40509 USA. [Lofwall, Michelle R.; Wunsch, Martha J.; Nuzzo, Paul A.; Walsh, Sharon L.] Univ Kentucky, Dept Behav Sci, Lexington, KY 40509 USA. [Lofwall, Michelle R.; Wunsch, Martha J.; Walsh, Sharon L.] Univ Kentucky, Ctr Drug & Alcohol Res, Lexington, KY 40509 USA. RP Lofwall, MR (reprint author), Univ Kentucky, Dept Psychiat, 3470 Blazer Pkwy, Lexington, KY 40509 USA. EM michelle.lofwall@uky.edu NR 31 TC 17 Z9 17 U1 0 U2 6 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0740-5472 J9 J SUBST ABUSE TREAT JI J. Subst. Abus. Treat. PD OCT PY 2011 VL 41 IS 3 BP 321 EP 329 DI 10.1016/j.jsat.2011.04.008 PG 9 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 821NQ UT WOS:000294982100014 PM 21664789 DA 2018-05-26 ER PT J AU Nardin, R Zallman, L Frank, C Day, B Boyd, JW AF Nardin, Rachel Zallman, Leah Frank, Cassie Day, Benjamin Boyd, J. Wesley TI US Medical Students' Health Insurance Coverage for Mental Health and Substance Abuse Treatment SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Letter C1 [Nardin, Rachel; Zallman, Leah; Frank, Cassie] Cambridge Hlth Alliance, Dept Med, Cambridge, MA USA. [Boyd, J. Wesley] Cambridge Hlth Alliance, Dept Psychiat, Cambridge, MA USA. [Day, Benjamin] Phys Natl Hlth Program, Chicago, IL USA. RP Nardin, R (reprint author), Cambridge Hlth Alliance, Dept Med, Cambridge, MA USA. EM rnardin@challiance.org FU PHS HHS [T32HP12706] NR 6 TC 1 Z9 1 U1 0 U2 4 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0098-7484 EI 1538-3598 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD SEP 7 PY 2011 VL 306 IS 9 BP 931 EP 933 DI 10.1001/jama.2011.1262 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 815QT UT WOS:000294542600007 PM 21900132 OA gold DA 2018-05-26 ER PT J AU Duka, T Crombag, HS Stephens, DN AF Duka, Theodora Crombag, Hans S. Stephens, David N. TI Experimental medicine in drug addiction: towards behavioral, cognitive and neurobiological biomarkers SO JOURNAL OF PSYCHOPHARMACOLOGY LA English DT Review DE Craving; decision-making; extinction; incentive salience; reconsolidation; reward ID DRD4 VNTR POLYMORPHISM; PAVLOVIAN-INSTRUMENTAL TRANSFER; CONDITIONED EMOTIONAL RESPONSE; IMPAIRED INHIBITORY CONTROL; ALCOHOL ATTENTIONAL BIAS; BRAIN REWARD FUNCTION; SMOKING-BEHAVIOR; DECISION-MAKING; SOCIAL DRINKERS; ORBITOFRONTAL CORTEX AB Several theoretical frameworks have been developed to understand putative processes and mechanisms involved in addiction. Whilst these 'theories of addiction' disagree about importance and/or nature of a number of key psychological processes (e.g. the necessity of craving and/or the involvement of drug-value representations), a number of commonalities exist. For instance, it is widely accepted that Pavlovian associations between cues and environmental contexts and the drug effects acquired over the course of addiction play a critical role, especially in relapse vulnerability in detoxified addicts. Additionally, all theories of addiction (explicitly or implicitly) propose that chronic drug exposure produces persistent neuroplastic changes in neurobiological circuitries underlying critical emotional, cognitive and motivational processes, although disagreement exists as to the precise nature of these neurobiological changes and/or their psychological consequences. The present review, rather than limiting itself to any particular theoretical stance, considers various candidate psychological, neurobiological and/or behavioral processes in addiction and outlines conceptual and procedural approaches for the experimental medicine laboratory. The review discusses (1) extinction, renewal and (re)consolidation of learned associations between cues and drugs, (2) the drug reward value, (3) motivational states contributing to drug seeking and (4) reflective (top-down) and sensory (bottom-up) driven decision-making. In evaluating these psychological and/or behavioral processes and their relationship to addiction we make reference to putative underlying brain structures identified by basic animal studies and/or imaging studies with humans. C1 [Duka, Theodora; Crombag, Hans S.; Stephens, David N.] Univ Sussex, Sch Psychol, Behav & Clin Neurosci Res Grp, Brighton BN1 9QG, E Sussex, England. RP Duka, T (reprint author), Univ Sussex, Sch Psychol, Behav & Clin Neurosci Res Grp, Brighton BN1 9QG, E Sussex, England. EM t.duka@sussex.ac.uk RI Stephens, David/G-2384-2012 FU UK Medical Research Council; European Commission; EC [Alcobinge] FX During the writing of this review the authors' research was supported by the UK Medical Research Council, a European Commission Marie-Curie grant, and the EC InterReg grant 'Alcobinge'. NR 204 TC 19 Z9 19 U1 1 U2 17 PU SAGE PUBLICATIONS LTD PI LONDON PA 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND SN 0269-8811 EI 1461-7285 J9 J PSYCHOPHARMACOL JI J. Psychopharmacol. PD SEP PY 2011 VL 25 IS 9 SI SI BP 1235 EP 1255 DI 10.1177/0269881110388324 PG 21 WC Clinical Neurology; Neurosciences; Pharmacology & Pharmacy; Psychiatry SC Neurosciences & Neurology; Pharmacology & Pharmacy; Psychiatry GA 832KC UT WOS:000295802600010 PM 21169391 DA 2018-05-26 ER PT J AU Deressa, W Azazh, A AF Deressa, Wakgari Azazh, Aklilu TI Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia SO BMC PUBLIC HEALTH LA English DT Article ID HIGH-SCHOOL-STUDENTS; COLLEGE-STUDENTS; CIGARETTE USE; ALCOHOL-USE; DRUG-USE; HEALTH; KHAT; PROFESSIONALS; PREVALENCE; BEHAVIOR AB Background: Substance use remains high among Ethiopian youth and young adolescents particularly in high schools and colleges. The use of alcohol, khat and tobacco by college and university students can be harmful; leading to decreased academic performance, increased risk of contracting HIV and other sexually transmitted diseases. However, the magnitude of substance use and the factors associated with it has not been investigated among medical students in the country. This study was conducted to determine the prevalence of substance use and identify factors that influenced the behavior among undergraduate medical students of Addis Ababa University in Ethiopia. Methods: A cross-sectional study using a pre-tested structured self-administered quantitative questionnaire was conducted in June 2009 among 622 medical students (Year I to Internship program) at the School of Medicine. The data were entered into Epi Info version 6.04d and analyzed using SPSS version 15 software program. Descriptive statistics were used for data summarization and presentation. Differences in proportions were compared for significance using Chi Square test, with significance level set at p < 0.05. Multivariate logistic regression analyses were used to assess the magnitude of associations between substance use and socio-demographic and behavioral correlates. Results: In the last 12 months, alcohol was consumed by 22% (25% males vs. 14% females, p = 0.002) and khat use was reported by 7% (9% males vs. 1.5% females, p < 0.001) of the students. About 9% of the respondents (10.6% males vs. 4.6% females, p = 0.014) reported ever use of cigarette smoking, and 1.8% were found to be current smokers. Using multiple logistic regression models, being male was strongly associated with alcohol use in the last 12 months (adjusted OR = 2.14, 95% CI = 1.22-3.76). Students whose friends currently consume alcohol were more likely to consume alcohol (adjusted OR = 2.47, 95% CI = 1.50-4.08) and whose friends' use tobacco more likely to smoke (adjusted OR = 3.89, 95% CI = 1.83-8.30). Khat use within the past 12 months was strongly and positively associated with alcohol consumption (adjusted OR = 15.11, 95% CI = 4.24-53.91). Similarly, ever use of cigarette was also significantly associated with alcohol consumption (adjusted OR = 8.65, 95% CI = 3.48-21.50). Conclusions: Concordant use of alcohol, khat and tobacco is observed and exposure to friends' use of substances is often implicated. Alcohol consumption or khat use has been significantly associated with tobacco use. While the findings of this study suggest that substance use among the medical students was not alarming, but its trend increased among students from Year I to Internship program. The university must be vigilant in monitoring and educating the students about the consequences of substance use. C1 [Deressa, Wakgari] Univ Addis Ababa, Dept Epidemiol & Biostat, Sch Publ Hlth, Coll Hlth Sci, Addis Ababa, Ethiopia. [Azazh, Aklilu] Univ Addis Ababa, Dept Internal Med, Sch Med, Coll Hlth Sci, Addis Ababa, Ethiopia. RP Deressa, W (reprint author), Univ Addis Ababa, Dept Epidemiol & Biostat, Sch Publ Hlth, Coll Hlth Sci, Addis Ababa, Ethiopia. EM deressaw@yahoo.com FU Faculty of Medicine; School of Public Health at Addis Ababa University FX The study was funded by the Faculty of Medicine and partly supported by the School of Public Health at Addis Ababa University. The authors would like to acknowledge Mr. Abiy Seifu for his assistance in the coordination and supervision of data collection. We gratefully acknowledge medical students who enthusiastically participated in this study for their time and for sharing us their experiences. We also extend our appreciation to Prof. Damen Hailemariam for his support during the planning and implementation of the study. NR 32 TC 42 Z9 42 U1 0 U2 5 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1471-2458 J9 BMC PUBLIC HEALTH JI BMC Public Health PD AUG 22 PY 2011 VL 11 AR 660 DI 10.1186/1471-2458-11-660 PG 11 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 818SE UT WOS:000294774600001 PM 21859483 OA gold DA 2018-05-26 ER PT J AU Ordak, M Wozny, E Matsumoto, HZ Abramowska, M Dziklinska, A Sygitowicz, G Biecek, P Sitkiewicz, D AF Ordak, M. Wozny, E. Matsumoto, H. Z. Abramowska, M. Dziklinska, A. Sygitowicz, G. Biecek, P. Sitkiewicz, D. TI Biomarkers of alcohol abuse: beta-hexosaminidase activity in serum and urine in a sample of students of Medical University of Warsaw SO THERAPEUTIC DRUG MONITORING LA English DT Meeting Abstract CT 12th International Congress of Therapeutic Drug Monitoring and Clinical Toxicology CY OCT 02-06, 2011 CL Stuttgart, GERMANY DE beta-hexosaminidase in serum and urine; biomarkers of alcohol abuse; drug of abuse tests; students of medical university C1 [Ordak, M.; Wozny, E.; Matsumoto, H. Z.; Abramowska, M.; Dziklinska, A.] Med Univ Warsaw, Dept Psychiat, Warsaw, Poland. [Sygitowicz, G.; Sitkiewicz, D.] Med Univ Warsaw, Dept Biochem, Warsaw, Poland. [Biecek, P.] Univ Warsaw, Fac Math, Warsaw, Poland. NR 0 TC 0 Z9 0 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0163-4356 J9 THER DRUG MONIT JI Ther. Drug Monit. PD AUG PY 2011 VL 33 IS 4 BP 497 EP 497 PG 1 WC Medical Laboratory Technology; Pharmacology & Pharmacy; Toxicology SC Medical Laboratory Technology; Pharmacology & Pharmacy; Toxicology GA 792PY UT WOS:000292761500125 DA 2018-05-26 ER PT J AU Maremmani, I Pacini, M Pani, PP AF Maremmani, Icro Pacini, Matteo Pani, Pier Paolo CA Basics Addiction Grp TI Basics on Addiction: a training package for medical practitioners or psychiatrists who treat opioid dependence SO HEROIN ADDICTION AND RELATED CLINICAL PROBLEMS LA English DT Article DE Tolerance; physical dependence; addiction; clinical assessment; maintenance pharmacotherapies; methadone; buprenorphine; suboxone ID METHADONE-MAINTENANCE PATIENTS; CLINICAL-TRIALS NETWORK; BUPRENORPHINE-NALOXONE; HEROIN DEPENDENCE; PARTIAL AGONIST; DRUG-ADDICTION; PHARMACOLOGY; BRAIN; ABUSE; RECEPTORS AB Opioid dependence is a chronic, relapsing brain disease that causes major medical, social and economic problems to both the individual and society. This seminar is intended to be a useful training resource to aid healthcare professionals - in particular, physicians who prescribe opioid pharmacotherapies in assessing and treating opioid-dependent individuals. Herein we describe the neurobiological basis of the condition; recommended approaches to patient assessment and monitoring; and the main principles and strategies underlying medically assisted approaches to treatment, including the pharmacology and clinical application of methadone, buprenorphine and buprenorphine naloxone. C1 [Maremmani, Icro; Basics Addiction Grp] Univ Pisa, Santa Chiara Univ Hosp, Dept Psychiat, Vincent P Dole Dual Diag Unit,NPB, I-56100 Pisa, Italy. [Pacini, Matteo] G de Lisio Inst Behav Sci, Pisa, Italy. [Pani, Pier Paolo] Hlth Dist 8 ASL 8, Social Hlth Div, Cagliari, Italy. RP Maremmani, I (reprint author), Univ Pisa, Santa Chiara Univ Hosp, Dept Psychiat, Vincent P Dole Dual Diag Unit,NPB, Via Roma 67, I-56100 Pisa, Italy. EM maremman@med.unipi.it RI Pani, Pier Paolo/K-1353-2016 OI Pani, Pier Paolo/0000-0001-5969-1342; Pacini, Matteo/0000-0002-8195-9963 NR 113 TC 17 Z9 17 U1 0 U2 8 PU PACINI EDITORE PI PISA PA VIA DELLA GHERARDESCA-ZONA INDUSTRIALE OSPEDALETTO, 56121 PISA, ITALY SN 1592-1638 J9 HEROIN ADDICT REL CL JI Heroin Addict. Relat. Clin. Probl. PD JUN PY 2011 VL 13 IS 2 BP 5 EP 40 PG 36 WC Substance Abuse SC Substance Abuse GA 805ZP UT WOS:000293769900001 DA 2018-05-26 ER PT J AU Suzuki, J Gitlin, DF Chang, G AF Suzuki, Joji Gitlin, David F. Chang, Grace TI Survey of Psychosomatic Medicine Fellowships: Training in Substance Use Disorders SO PSYCHOSOMATICS LA English DT Letter C1 [Suzuki, Joji; Gitlin, David F.; Chang, Grace] Harvard Univ, Dept Psychiat, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA. RP Suzuki, J (reprint author), Harvard Univ, Dept Psychiat, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA. NR 3 TC 0 Z9 0 U1 0 U2 0 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 0033-3182 J9 PSYCHOSOMATICS JI Psychosomatics PD MAY-JUN PY 2011 VL 52 IS 3 BP 296 EP 297 DI 10.1016/j.psym.2011.01.005 PG 2 WC Psychiatry; Psychology SC Psychiatry; Psychology GA 771UU UT WOS:000291187000016 PM 21565606 DA 2018-05-26 ER PT J AU Neelon, B O'Malley, AJ Normand, SLT AF Neelon, Brian O'Malley, A. James Normand, Sharon-Lise T. TI A Bayesian Two-Part Latent Class Model for Longitudinal Medical Expenditure Data: Assessing the Impact of Mental Health and Substance Abuse Parity SO BIOMETRICS LA English DT Article DE Bayesian analysis; Growth mixture model; Latent class model; Mental health parity; Semi-continuous data; Two-part model ID SEMICONTINUOUS DATA; JOINT ANALYSIS; TRAJECTORIES; INFERENCE; BIOMARKER; OUTCOMES; EVENT AB In 2001, the U.S. Office of Personnel Management required all health plans participating in the Federal Employees Health Benefits Program to offer mental health and substance abuse benefits on par with general medical benefits. The initial evaluation found that, on average, parity did not result in either large spending increases or increased service use over the four-year observational period. However, some groups of enrollees may have benefited from parity more than others. To address this question, we propose a Bayesian two-part latent class model to characterize the effect of parity on mental health use and expenditures. Within each class, we fit a two-part random effects model to separately model the probability of mental health or substance abuse use and mean spending trajectories among those having used services. The regression coefficients and random effect covariances vary across classes, thus permitting class-varying correlation structures between the two components of the model. Our analysis identified three classes of subjects: a group of low spenders that tended to be male, had relatively rare use of services, and decreased their spending pattern over time; a group of moderate spenders, primarily female, that had an increase in both use and mean spending after the introduction of parity; and a group of high spenders that tended to have chronic service use and constant spending patterns. By examining the joint 95% highest probability density regions of expected changes in use and spending for each class, we confirmed that parity had an impact only on the moderate spender class. C1 [Neelon, Brian] Duke Univ, Nicholas Sch Environm, Durham, NC 27708 USA. [O'Malley, A. James; Normand, Sharon-Lise T.] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA. [Normand, Sharon-Lise T.] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA. RP Neelon, B (reprint author), Duke Univ, Nicholas Sch Environm, Durham, NC 27708 USA. EM brian.neelon@duke.edu FU National Institute of Mental Health, Bethesda, MD [R01-MH61434, R01-MH80797] FX This work was supported by Grants R01-MH61434 and R01-MH80797 from the National Institute of Mental Health, Bethesda, MD. The authors thank Haiden Huskamp (Harvard Medical School) for discussion and use of the FEHB data, Hocine Azeni (Harvard Medical School) for assistance in preparing the data, and the referee and associate editor for their helpful comments. NR 33 TC 15 Z9 16 U1 0 U2 11 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0006-341X J9 BIOMETRICS JI Biometrics PD MAR PY 2011 VL 67 IS 1 BP 280 EP 289 DI 10.1111/j.1541-0420.2010.01439.x PG 10 WC Biology; Mathematical & Computational Biology; Statistics & Probability SC Life Sciences & Biomedicine - Other Topics; Mathematical & Computational Biology; Mathematics GA 735AW UT WOS:000288386800030 PM 20528856 OA green_accepted DA 2018-05-26 ER PT J AU Finkelstein, R Netherland, J Sylla, L Gourevitch, MN Cajina, A Cheever, L AF Finkelstein, Ruth Netherland, Julie Sylla, Laurie Gourevitch, Marc N. Cajina, Adan Cheever, Laura CA BHIVES Collaborativ TI Policy Implications of Integrating Buprenorphine/Naloxone Treatment and HIV Care SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES LA English DT Article DE buprenorphine/naloxone; HIV/AIDS; opioid treatment; policy; substance-use treatment ID OFFICE-BASED TREATMENT; PATIENTS RECEIVING BUPRENORPHINE/NALOXONE; RANDOMIZED CONTROLLED TRIAL/; SUBSTANCE-ABUSE SERVICES; PRIMARY MEDICAL-CARE; METHADONE-MAINTENANCE; OPIOID DEPENDENCE; ADDICTION TREATMENT; TREATMENT OUTCOMES; GENERAL-PRACTICE AB Researchers, practitioners, and policymakers have long recognized the potential benefits of providing integrated substance abuse and medical care services, particularly for special populations such as people living with HIV/AIDS. Buprenorphine, an office-based pharmacological treatment for opioid dependence, offers new opportunities for integrating drug treatment into HIV care settings. However, the historical separation between the drug treatment and medical care systems has resulted in a host of policy barriers. The Buprenorphine and HIV Care Evaluation and Support initiative, a multisite demonstration project to assess the feasibility and effectiveness of integrating buprenorphine/naloxone into HIV care settings, provided an opportunity to evaluate if and how policy barriers affect efforts to integrate HIV care and addiction treatment. We found that financing issues, workforce and training issues, and the operational consequences of some conceptual differences between HIV care and addiction treatment are barriers to the full integration of buprenorphine into HIV care. We recommend changes to financing and reimbursement policies, programs to strengthen the addiction treatment skills of physicians, and cross training between the fields of addiction, medicine, drug treatment, and HIV medicine. By addressing some of the policy barriers to integration, this promising new treatment can help the thousands of people living with HIV/AIDS who are also opioid dependent. C1 [Finkelstein, Ruth; Netherland, Julie] New York Acad Med, Div Hlth Policy, New York, NY 10029 USA. [Sylla, Laurie] Yale Univ, Sch Med, New Haven, CT USA. [Gourevitch, Marc N.] NYU, Sch Med, New York, NY USA. [Cajina, Adan; Cheever, Laura] US Hlth Resources & Serv Adm, HIV AIDS Bur, Rockville, MD 20857 USA. RP Finkelstein, R (reprint author), New York Acad Med, Div Hlth Policy, 1216 5th Ave, New York, NY 10029 USA. EM rfinkelstein@nyam.org FU Health Resources and Services Administration [H97HA03793]; HIV/AIDS Bureau's Special Project of National Significance FX Supported by grant numbers H97HA03793 from the Health Resources and Services Administration. This grant is funded through the HIV/AIDS Bureau's Special Project of National Significance. NR 53 TC 12 Z9 12 U1 0 U2 2 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1525-4135 J9 JAIDS-J ACQ IMM DEF JI JAIDS PD MAR 1 PY 2011 VL 56 SU 1 BP S98 EP S104 DI 10.1097/QAI.0b013e31820a9a97 PG 7 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 729YL UT WOS:000287990500015 PM 21317602 OA gold DA 2018-05-26 ER PT J AU O'Connor, PG Nyquist, JG McLellan, AT AF O'Connor, Patrick G. Nyquist, Julie G. McLellan, A. Thomas TI Integrating Addiction Medicine Into Graduate Medical Education in Primary Care: The Time Has Come SO ANNALS OF INTERNAL MEDICINE LA English DT Article ID DRUG-USE; ALCOHOL; INTERVENTIONS; PREVALENCE; CURRICULUM; DISORDERS AB Substance use disorders create an enormous burden of medical, behavioral, and social problems and pose a major and costly public health challenge. Despite the high prevalence of substance use and its consequences, physicians often do not recognize these conditions and, as a result, provide inadequate patient care. At the center of this failure is insufficient training for physicians about substance use disorders. To address this deficit, the Betty Ford Institute convened a meeting of experts who developed the following 5 recommendations focused on improving training in substance abuse in primary care residency programs in internal medicine and family medicine: 1) integrating substance abuse competencies into training, 2) assigning substance abuse teaching the same priority as teaching about other chronic diseases, 3) enhancing faculty development, 4) creating addiction medicine divisions or programs in academic medical centers, and 5) making substance abuse screening and management routine care in new models of primary care practice. This enhanced primary care residency training should represent a major step forward in improving patient care. C1 [O'Connor, Patrick G.] Yale Univ, Sch Med, New Haven, CT 06520 USA. Univ So Calif, Keck Sch Med, Los Angeles, CA 90033 USA. White House Off Natl Drug Control Policy, Washington, DC USA. RP O'Connor, PG (reprint author), Yale Univ, Sch Med, POB 208093, New Haven, CT 06520 USA. EM patrick.oconnor@yale.edu FU The Betty Ford Institute; Norlien Foundation FX The Betty Ford Institute and the Norlien Foundation provided funding for this article and the conference that generated the recommendations. NR 25 TC 52 Z9 53 U1 0 U2 8 PU AMER COLL PHYSICIANS PI PHILADELPHIA PA INDEPENDENCE MALL WEST 6TH AND RACE ST, PHILADELPHIA, PA 19106-1572 USA SN 0003-4819 EI 1539-3704 J9 ANN INTERN MED JI Ann. Intern. Med. PD JAN 4 PY 2011 VL 154 IS 1 BP 56 EP U192 DI 10.7326/0003-4819-154-1-201101040-00008 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA 701OT UT WOS:000285830900007 PM 21200039 DA 2018-05-26 ER PT J AU Alford, DP Jackson, AH Bridden, C Brett, B Samet, JH AF Alford, D. P. Jackson, A. H. Bridden, C. Brett, B. Samet, J. H. TI Mentoring to Promote Addiction Medicine Teaching: An Evaluation of Chief Resident Immersion Training (CRIT) SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Alford, D. P.; Jackson, A. H.; Bridden, C.; Samet, J. H.] Boston Univ, Sch Med, Boston, MA 02215 USA. [Brett, B.] Brett Consulting Grp, Somerville, MA 02144 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 1 BP 53 EP 53 PG 1 WC Substance Abuse SC Substance Abuse GA 717GE UT WOS:000287030800021 DA 2018-05-26 ER PT J AU Wilson, L Midmer, D Kahan, M AF Wilson, L. Midmer, D. Kahan, M. TI Twenty Years of Advancing Canadian Medical Education in Substance Use Disorders: Lessons Learned SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Wilson, L.; Midmer, D.; Kahan, M.] Univ Toronto, Toronto, ON M5S 1A1, Canada. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 1 BP 54 EP 55 PG 2 WC Substance Abuse SC Substance Abuse GA 717GE UT WOS:000287030800025 DA 2018-05-26 ER PT J AU Metcalf, MP Tanner, TB Wilhelm, S AF Metcalf, M. P. Tanner, T. B. Wilhelm, S. TI Assessing the Impact on Medical Students of an Online Curriculum on Opioid Dependence and Treatment SO SUBSTANCE ABUSE LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 1 BP 60 EP 61 PG 2 WC Substance Abuse SC Substance Abuse GA 717GE UT WOS:000287030800037 DA 2018-05-26 ER PT J AU Tanner, TB Metcalf, MP Rossie, KM Wilhelm, SE AF Tanner, T. B. Metcalf, M. P. Rossie, K. M. Wilhelm, S. E. TI The Interface of Pain and Addiction: Meeting Curriculum and Clinical Skills Needs of Medical Students via Faculty Input SO SUBSTANCE ABUSE LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 1 BP 61 EP 61 PG 1 WC Substance Abuse SC Substance Abuse GA 717GE UT WOS:000287030800038 DA 2018-05-26 ER PT S AU Pinxten, WJL Siregar, IMP Hidayat, T Istiqomah, AN Achmad, YM Norviatin, D Purnama, RR Luycks, L De Jong, CAJ AF Pinxten, W. J. L. Siregar, I. M. P. Hidayat, T. Istiqomah, A. N. Achmad, Y. M. Norviatin, D. Purnama, Raya R. Luycks, L. De Jong, C. A. J. GP ELSEVIER SCIENCE BV TI Developing a competence-based addiction medicine curriculum in Indonesia: "work in progress" SO 3RD WORLD CONFERENCE ON EDUCATIONAL SCIENCES (2011) SE Procedia Social and Behavioral Sciences LA English DT Proceedings Paper CT 3rd World Conference on Educational Sciences (WCES) CY FEB 03-07, 2011 CL Bahcesehir Univ, Istanbul, TURKEY SP Ankara Univ, Bahcesehir Univ, Near E Univ HO Bahcesehir Univ DE Indonesia; competence-based; addiction medicine; evidence-based Ehtical clearance: not applicable for this workshop-based organisations research AB Indonesia has one of the fastest growing, former or currently Injecting Drugs User (IDU)-driven, HIV epidemics in Asia. Coverage of needle syringe programs (NSP), opioid substitution therapy (OST) and anti-retroviral treatment (ART) is increasing, but still low, while professional training in addiction medicine is not yet established. Urgent development and scaling-up of professional capacity in comprehensive, evidence-based addiction medicine is needed. In this article the results of the first steps in the development of a national addiction medicine curriculum are presented: taking the an initiative to collaborate with the organizers of the Dutch Master course in Addiction Medicine, development of a training need assessment (TNA) and the first draft of training modules. C1 [Pinxten, W. J. L.; Achmad, Y. M.; Norviatin, D.; Purnama, Raya R.] Univ Padjadjaran UNPAD, Fac Med, Hlth Res Unit, Bandung, Indonesia. EM lpinxten@yahoo.com NR 21 TC 0 Z9 0 U1 0 U2 0 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA SARA BURGERHARTSTRAAT 25, PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1877-0428 J9 PROCD SOC BEHV PY 2011 VL 15 DI 10.1016/j.sbspro.2011.03.151 PG 6 WC Education & Educational Research SC Education & Educational Research GA BYG68 UT WOS:000298605100110 OA gold DA 2018-05-26 ER PT J AU Kothari, D Gourevitch, MN Lee, JD Grossman, E Truncali, A Ark, TK Kalet, AL AF Kothari, Devyani Gourevitch, Marc N. Lee, Joshua D. Grossman, Ellie Truncali, Andrea Ark, Tavinder K. Kalet, Adina L. TI Undergraduate Medical Education in Substance Abuse: A Review of the Quality of the Literature SO ACADEMIC MEDICINE LA English DT Review ID STUDENTS-ATTITUDES; CONTROLLED-TRIAL; CLINICAL-EXPERIENCE; INTERVENTION SKILLS; CHEMICAL DEPENDENCY; OUTCOMES RESEARCH; ALCOHOL-PROBLEMS; USE DISORDERS; PROGRAM; SCHOOLS AB Purpose To prepare to develop a medical school curriculum on substance abuse disorders (SADs), the authors conducted a review of the quality of the sparse published literature. Method The authors searched MEDLINE (1950 through December 2008) using OVID, PsycINFO, and PubMed to identify all studies of SAD interventions targeted toward undergraduate medical students. Of the 1,084 studies identified initially, 31 reported sufficient data to allow the authors to evaluate quality using Medical Education Research Study Quality Instrument (MERSQI) scores. The authors also determined the impact of the studies by considering three-year citation rate and journal impact factor. A detailed review of the literature provided data on contact hours and intervention content. Results The three-rater intraclass correlation coefficient for total MERSQI score was 0.82 (95% confidence interval: 0.70-0.90). The mean MERSQI score was 10.42 of a possible 18 (SD 2.59; range: 6.33-14.83). MERSQI scores were higher for more recently published studies and correlated with three-year citation rate but not impact factor. The mean contact time for 26 studies was 29.25 hours (range: 0.83-200 hours). Conclusions The literature provides a variety of educational methods to train medical students in SAD detection and intervention skills. This literature is of variable quality and provides limited guidance for development of curricula and medical education policy. Better methods of curriculum evaluation and publication guidelines would help ensure that this literature has a positive impact on educational practice and public health. C1 [Kothari, Devyani] NYU, Sch Med, Subst Abuse Res & Educ Training SARET Program, New York, NY USA. [Kalet, Adina L.] NYU, Sch Med, Div Gen Internal Med, Sect Primary Care, New York, NY USA. [Lee, Joshua D.] NYU, Sch Med, Dept Med, New York, NY USA. [Lee, Joshua D.] NYU, Sch Med, Dept Psychiat, New York, NY USA. [Ark, Tavinder K.] NYU, Dept Internal Med, New York, NY USA. RP Kalet, AL (reprint author), BCD, 550 1st Ave,D401, New York, NY 10016 USA. EM adina.kalet@nyumc.org OI Kalet, Adina/0000-0003-4855-0223; Gourevitch, Marc/0000-0001-6865-2126 FU NIH/NIDA [R25 DA022461-03] FX Dr. Kothari received support from the Substance Abuse Research and Education Training Program from September 2008 to September 2009 (NIH/NIDA # R25 DA022461-03). NR 55 TC 19 Z9 21 U1 0 U2 7 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD JAN PY 2011 VL 86 IS 1 BP 98 EP 112 DI 10.1097/ACM.0b013e3181ff92cf PG 15 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 700GL UT WOS:000285725900029 PM 21099395 OA gold DA 2018-05-26 ER PT J AU Haber, PS AF Haber, Paul S. TI International Perspectives in Postgraduate Medical Training in Addiction Medicine SO SUBSTANCE ABUSE LA English DT Editorial Material C1 Univ Sydney, Drug Hlth Serv, Discipline Addict Med, Royal Prince Alfred Hosp, Camperdown, NSW, Australia. RP Haber, PS (reprint author), Univ Sydney, Drug Hlth Serv, Discipline Addict Med, Royal Prince Alfred Hosp, Camperdown, NSW, Australia. NR 6 TC 2 Z9 2 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 75 EP 76 AR PII 932786736 DI 10.1080/08897077.2011.555695 PG 2 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300001 PM 21534127 OA gold DA 2018-05-26 ER PT J AU Tontchev, GV Housel, TR Callahan, JF Kunz, KB Miller, MM Blondell, RD AF Tontchev, Gramen V. Housel, Timothy R. Callahan, James F. Kunz, Kevin B. Miller, Michael M. Blondell, Richard D. TI Specialized Training on Addictions for Physicians in the United States SO SUBSTANCE ABUSE LA English DT Article DE Graduate medical education; organization and administration; standards; trends ID PSYCHIATRY AB In the United States accredited residency programs in addiction exist only for psychiatrists specializing in addiction psychiatry (ADP); nonpsychiatrists seeking training in addiction medicine (ADM) can train in nonaccredited ofellowships,o or can receive training in some ADP programs, only to not be granted a certificate of completion of accredited training. Information about ADP residency programs has been tabulated, but it is not available for ADM fellowships. The authors conducted a national survey to compile information about the location, structure, curriculum, and other characteristics of active ADM fellowships. Of the 40 accredited ADP residency programs, 7 offered training in addiction to nonpsychiatrists. The authors identified 14 nonaccredited ADM fellowships. In 2009 and 2010, there were approximately 15 nonpsychiatrists in ADP programs and 25 in ADM fellowships. Clinical experiences included inpatient services, outpatient treatment services such as methadone maintenance or buprenorphine maintenance, and providing addiction consult services. The most common academic activities included weekly lectures and the teaching of medical students. C1 [Tontchev, Gramen V.; Housel, Timothy R.; Blondell, Richard D.] SUNY Buffalo, Dept Family Med, Buffalo, NY 14215 USA. [Callahan, James F.; Kunz, Kevin B.; Blondell, Richard D.] Amer Board Addict Med, Chevy Chase, MD USA. [Miller, Michael M.] Rogers Mem Hosp, Oconomowoc, WI USA. RP Blondell, RD (reprint author), SUNY Buffalo, Dept Family Med, 462 Grider St,CC-190, Buffalo, NY 14215 USA. EM blondell@buffalo.edu FU University at Buffalo; ABAM Foundation; National Institute on Alcohol Abuse and Alcoholism [K23AA015616] FX This study was supported, in part, by funding from the University at Buffalo (Dr. Tontchev), the ABAM Foundation (Mr. Housel), and by grant number K23AA015616 from the National Institute on Alcohol Abuse and Alcoholism (Dr. Blondell). Assistance in manuscript preparation was provided by Andrew Danzo, Laurene Tumiel-Berhalter, PhD, and John S. Taylor, MBA. NR 7 TC 7 Z9 7 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 84 EP 92 AR PII 933007446 DI 10.1080/08897077.2011.555702 PG 9 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300003 PM 21534129 OA green_accepted DA 2018-05-26 ER PT J AU el-Guebaly, N Crockford, D Cirone, S Kahan, M AF el-Guebaly, Nady Crockford, David Cirone, Sharon Kahan, Meldon TI Addiction Medicine in Canada: Challenges and Prospects SO SUBSTANCE ABUSE LA English DT Article DE Certification; qualifications; training requirements AB In Canada, the qualification of physicians is the jurisdiction of the College of Family Physicians and the Royal College of Physicians and Surgeons. The Colleges have promoted the training of ogeneralistso in family medicine and osophisticated generalistso among the traditional specialties, and the development of subspecialties has not been encouraged. Nevertheless, due to the increasing number of family physicians and specialists practicing a range of new subspecialties, including addiction medicine, the College of Family Physicians has recognized special interest or focused practices, whereas the Royal College has recognized, in psychiatry, 3 subspecialties (child, geriatric, forensic) requiring an extra year of training and may offer others a diploma recognition. These new opportunities will shape the training requirements of addiction medicine leading to available certification through the International and American Medical Societies of Addiction Medicine. C1 [el-Guebaly, Nady] Univ Calgary, Addict Div, Calgary, AB, Canada. [Crockford, David] Univ Calgary, Dept Psychiat, Calgary, AB, Canada. [Cirone, Sharon] Focused Practice Addict Med, Toronto, ON, Canada. [Kahan, Meldon] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada. RP el-Guebaly, N (reprint author), Addict Ctr, Foothills Med Ctr, 1403 29th St NW, Calgary, AB T2N 2T9, Canada. EM nady.el-guebaly@albertahealthservices.ca NR 12 TC 4 Z9 4 U1 1 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 93 EP 100 AR PII 932786754 DI 10.1080/08897077.2011.555705 PG 8 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300004 PM 21534130 DA 2018-05-26 ER PT J AU Pinxten, WJL De Jong, C Hidayat, T Istiqomah, AN Achmad, YM Raya, RP Norviatin, D Siregar, IMP AF Pinxten, W. J. L. De Jong, C. Hidayat, T. Istiqomah, A. N. Achmad, Y. M. Raya, R. P. Norviatin, D. Siregar, I. M. P. TI Developing a Competence-Based Addiction Medicine Curriculum in Indonesia: The Training Needs Assessment SO SUBSTANCE ABUSE LA English DT Article DE HIV; injecting drug use; training need assessment; addiction medicine; Indonesian addiction curriculum; evidence-based; competence-based addiction medicine ID HIV PREVENTION AB Indonesia has one of the fastest growing, injecting drugs user-driven, human immunodeficiency virus (HIV) epidemics in Asia. Coverage of needle and syringe programs (NSPs), opioid substitution therapy (OST), and antiretroviral treatment (ART) is increasing, but is still low, whereas professional training in addiction medicine is not yet established. Urgent development and scaling-up of professional capacity in comprehensive, evidence-based addiction medicine is needed. In this article the results of the first step is presented, being the training needs assessment (TNA) and the process of further developing a national evidence- and competence-based addiction medicine curriculum in Indonesia. C1 [Pinxten, W. J. L.; Achmad, Y. M.; Raya, R. P.; Norviatin, D.] IMPACT, Bandung, Indonesia. [De Jong, C.] NISPA, Nijmegen, Netherlands. [De Jong, C.] Radboud Univ Nijmegen, Inst Postgrad Educ SPON, Fac Social Sci, NL-6525 ED Nijmegen, Netherlands. [Hidayat, T.; Istiqomah, A. N.; Siregar, I. M. P.] Padjadjaran State Univ, Dept Psychiat, Fac Med, Bandung, Indonesia. RP Pinxten, WJL (reprint author), IMPACT, Jl Eijkman 38, Bandung, Indonesia. EM lpinxten@yahoo.com RI DeJong, Cornelis/G-3957-2012 NR 23 TC 5 Z9 5 U1 0 U2 3 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 101 EP 107 AR PII 933149398 DI 10.1080/08897077.2011.555710 PG 7 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300005 PM 21534131 DA 2018-05-26 ER PT J AU De Jong, C Luycks, L Delicat, JW AF De Jong, Cornelis Luycks, Lonneke Delicat, Jan-Wilm TI The Master in Addiction Medicine Program in The Netherlands SO SUBSTANCE ABUSE LA English DT Article DE Addiction medicine; competency-based; student-centered approach; personal education plan ID YOUNG PHYSICIANS; ATTRACTIVE FIELD; SKILLS AB Since 2007 there is a full-time, 2-year professional training in addiction medicine in the Netherlands. The aim of this article is to describe in detail the development and present status of the Dutch Master in Addiction Medicine (MiAM) program. In this competency-based professional training, theoretical courses are integrated with learning in clinical practice under guidance of an experienced clinical teacher. The theoretical courses consist of evidence-based medicine, communication and basic psychotherapeutic skills, neurobiology of addiction, addiction medicine, addiction and psychiatry, and public health. The 7 main competencies are made ready for operation in the personal education plan and are evaluated by different styles of examination. C1 [De Jong, Cornelis] NISPA, Nijmegen, Netherlands. [De Jong, Cornelis; Luycks, Lonneke; Delicat, Jan-Wilm] Radboud Univ Nijmegen, Inst Postgrad Educ SPON, Fac Social Sci, NL-6525 ED Nijmegen, Netherlands. RP De Jong, C (reprint author), NISPA Radboud Univ, Montessorilaan 10, NL-6525 HR Nijmegen, Netherlands. EM nispa.dejong@gmail.com RI DeJong, Cornelis/G-3957-2012 NR 15 TC 6 Z9 7 U1 1 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 108 EP 114 AR PII 933166543 DI 10.1080/08897077.2011.555713 PG 7 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300006 PM 21534132 DA 2018-05-26 ER PT J AU Haber, PS Murnion, BP AF Haber, Paul S. Murnion, Bridin P. TI Training in Addiction Medicine in Australia SO SUBSTANCE ABUSE LA English DT Article DE Specialist training; postgraduate; fellowship AB Barriers to entering addiction medicine (AM) have led to a persisting workforce shortage. To address this problem, the Chapter of Addiction Medicine (AChAM) was formed in 2001 as a subdivision of the Royal Australasian College of Physicians (RACP). Through consultation, AChAM has identified the scope of practice and offered fellowship to suitable established practitioners. The Chapter successfully applied to the Australian Government for recognition of AM as a medical specialty, which was finalized in November 2009. Specialist reimbursement item numbers were incorporated into that decision process and commence operating in November 2010. AChAM has designed and implemented a training scheme using a model similar to that of the RACP internal medicine training program. This comprises 3 years of basic general medical training post internship followed by 3 years of discipline-specific supervised training. The training is broadly based, with experience in both ambulatory care and inpatient care, and including physical health as well as mental health. Assessment is continuous and competency based. There is no exit examination. The overriding clinical approach rests upon the harm minimization framework consistent with long-established national drug policy in Australia and favors evidence-based treatment. C1 [Haber, Paul S.; Murnion, Bridin P.] Royal Prince Alfred Hosp, Drug Hlth Serv, Camperdown, NSW 2050, Australia. [Haber, Paul S.; Murnion, Bridin P.] Univ Sydney, Discipline Addict Med, Camperdown, NSW, Australia. RP Haber, PS (reprint author), Royal Prince Alfred Hosp, Drug Hlth Serv, Missenden Rd, Camperdown, NSW 2050, Australia. EM paul.haber@sydney.edu.au NR 0 TC 4 Z9 4 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 2 SI SI BP 115 EP 119 AR PII 933123228 DI 10.1080/08897077.2011.555718 PG 5 WC Substance Abuse SC Substance Abuse GA 756YS UT WOS:000290051300007 PM 21534133 DA 2018-05-26 ER PT J AU Neufeld, KJ Schuckit, MA Hernandez-Avila, CA AF Neufeld, Karin J. Schuckit, Marc A. Hernandez-Avila, Carlos A. TI Alcohol Medical Scholars Program - A Mentorship Program for Improving Medical Education Regarding Substance Use Disorders SO SUBSTANCE ABUSE LA English DT Article DE Addiction; faculty development; medical education; mentorship; substance use disorders ID HOSPITAL ADMISSIONS; NATIONAL-SURVEY AB The Alcohol Medical Scholars Program (AMSP) is designed to improve medical education related to substance use disorders (SUDs) through mentorship of junior, full-time academic faculty from medical schools across the United States. Scholarship focuses on literature review and synthesis, lecture development and delivery, increasing SUD education in their medical schools, professional development, and networking. Results are reported from an anonymous survey of self-reported changes in educational involvement by 28 of 33 AMSP graduates. Participation was associated with a 4-fold increase in yearly SUD lecture time and topics, increased numbers of medical disciplines taught and trained in clinical rotations, design of new SUD-related electives and journal clubs, and membership on medical education committees. Sixty percent of scholars reported promotion since involvement in AMSP, with the majority endorsing the organization's contribution to professional development. AMSP is a useful mentorship model for junior faculty and is associated with increasing SUD-related medical education. C1 [Neufeld, Karin J.] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA. [Schuckit, Marc A.] Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92093 USA. [Hernandez-Avila, Carlos A.] Univ Connecticut, Dept Psychiat, Farmington, CT 06107 USA. RP Neufeld, KJ (reprint author), Johns Hopkins Univ Hosp, Osler 320,600 N Wolfe St, Baltimore, MD 21227 USA. EM kneufel2@jhmi.edu FU Anheiser Busch company FX In addition to the gratitude extended to all of the Alcohol Medical Scholars who participated in this program and the survey of its impact, the authors thank especially Marianne Gushwan, MD, Susan Tapert, PhD, and Marcy Gregg for their tireless efforts in the running of program, and to the Anheiser Busch company for its financial support in the form of an unrestricted grant to the University of California at San Diego. The Anheiser Busch Company has no involvement in the implementation or content of the program nor has it been involved in any way in the writing of this article. NR 10 TC 2 Z9 2 U1 1 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 3 BP 121 EP 127 AR PII 934416497 DI 10.1080/08897077.2011.562451 PG 7 WC Substance Abuse SC Substance Abuse GA 776JY UT WOS:000291531700001 PM 21660871 DA 2018-05-26 ER PT J AU Midmer, D Kahan, M Kim, T Ordean, A Graves, L AF Midmer, Deana Kahan, Meldon Kim, Theresa Ordean, Alice Graves, Lisa TI Efficacy of a Physicians' Pocket Guide About Prenatal Substance Use: A Randomized Trial SO SUBSTANCE ABUSE LA English DT Article DE Medical education; pregnancy; addiction ID ALCOHOL-USE; KNOWLEDGE; WOMEN; CARE AB A pocket guide on management of substance use during pregnancy was developed by a group of Canadian care providers. One hundred and fifteen family medicine residents in 6 Canadian teaching sites were randomized to receive either the pocket guide or a paper summary on similar clinical topics, based on UpToDate, a comprehensive Web-based resource. At baseline, both groups completed a survey containing questions on beliefs, attitudes, experience, and training on pregnancy and substance use. Participants then answered 28 multiple choice questions about substance use in pregnancy, using either the pocket guide or UpToDate. Finally participants were asked to rate ease of use for the 2 resources. The results showed that the pocket guide group had higher knowledge scores than the UpToDate group overall and at each study site (61.27% vs. 42.86%, P < .001). The residents found the pocket guide easier to use than UpToDate (mean = 2.73 vs. 4.36, P < .001), and were more likely to want to use it again (96% for pocket card, 78% for UpToDate, P = .005). It is concluded that the pocket guide is a practical source of clinical information at point of care, particularly for "orphan" subjects such as substance use in pregnancy. C1 [Kahan, Meldon] Univ Toronto, Dept Family & Community Med, St Josephs Hlth Ctr, Toronto, ON M6R 1B5, Canada. [Graves, Lisa] No Ontario Sch Med, Sudbury, ON, Canada. RP Kahan, M (reprint author), Univ Toronto, Dept Family & Community Med, St Josephs Hlth Ctr, Toronto, ON M6R 1B5, Canada. EM kahanm@stjoe.on.ca OI Kim, Theresa H.M./0000-0002-0691-9072 FU Lawson foundation FX The study was funded by a grant from the Lawson foundation. NR 13 TC 1 Z9 1 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 4 BP 175 EP 179 DI 10.1080/08897077.2011.598399 PG 5 WC Substance Abuse SC Substance Abuse GA 888PO UT WOS:000300016200001 PM 22014247 DA 2018-05-26 ER PT J AU Stein, MR Arnsten, JH Parish, SJ Kunins, HV AF Stein, Melissa R. Arnsten, Julia H. Parish, Sharon J. Kunins, Hillary V. TI Evaluation of a Substance Use Disorder Curriculum for Internal Medicine Residents SO SUBSTANCE ABUSE LA English DT Article DE Resident education; substance use disorders ID NATIONAL-SURVEY; EDUCATION AB Teaching about diagnosis, treatment, and sequelae of substance use disorders (SUDs) is insufficient in most Internal Medicine residency programs. To address this, the authors developed, implemented, and evaluated a novel and comprehensive SUD curriculum for first year residents (interns) in Internal Medicine, which anchors the ensuing 3-year longitudinal SUD curriculum. This intern curriculum includes didactic and experiential elements and allows skills practice. Topics include local epidemiology of substance abuse, neurobiology of SUDs, and screening, treatment, and referral. The entire curriculum is delivered over 7 hours during a month-long ambulatory rotation. Among 58 interns who have completed a pre-post evaluation of the curriculum, the majority reported an increased sense of responsibility for and confidence in treating patients with SUDs. C1 [Stein, Melissa R.; Arnsten, Julia H.; Parish, Sharon J.; Kunins, Hillary V.] Albert Einstein Coll Med, Dept Med, Bronx, NY 10467 USA. [Stein, Melissa R.; Arnsten, Julia H.; Parish, Sharon J.; Kunins, Hillary V.] Montefiore Med Ctr, Bronx, NY 10467 USA. [Stein, Melissa R.; Arnsten, Julia H.; Kunins, Hillary V.] Albert Einstein Coll Med, Dept Psychiat & Behav Sci, Bronx, NY 10467 USA. RP Stein, MR (reprint author), Port Morris Wellness Ctr, 804 E 138th St, Bronx, NY 10454 USA. EM mstein@montefiore.org FU NIH [R25 DA 14551, R25 DA 02302] FX This project was supported by NIH grants R25 DA 14551 to Montefiore Medical Center and R25 DA 02302 to Albert Einstein College of Medicine (P.I. J. Arnsten). NR 7 TC 4 Z9 4 U1 0 U2 2 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 4 BP 220 EP 224 DI 10.1080/08897077.2011.598408 PG 5 WC Substance Abuse SC Substance Abuse GA 888PO UT WOS:000300016200006 PM 22014252 OA green_accepted DA 2018-05-26 ER PT J AU Hauli, KA Ndetei, DM Jande, MB Kabangila, R AF Hauli, Kiyeti A. Ndetei, David M. Jande, Mary B. Kabangila, Rodrick TI The Prevalence of Substance Use Among Psychiatric Patients: The Case Study of Bugando Medical Centre, Mwanza (Northern Tanzania) SO SUBSTANCE ABUSE LA English DT Article DE Substance use; psychiatric disorder; co-morbidity; family history of mental illness; family history of substance use; peer pressure AB World Health Organization (2004) documented that substance use or abuse and mental disorders are important causes of disease burden accounting for 8.8% and 16.6% of the total burden of disease in low income and lower middle-income countries, respectively. Alcohol use/abuse disorders alone contribute to 0.6%-2.6% of the total burden of disease in these countries. This cross-sectional descriptive study recruited 184 psychiatric patients seen at Bugando Medical centre and assessed them for substance involvement using the WHO Alcohol, Smoking and Substance Involvement Screening Test. The most frequently used substances among respondents were alcohol (59.3%), tobacco (38.6%), and cannabis (29.3%), while heroin and cocaine were least used (2.1% and 1.6%, respectively). Statistical significant difference existed between substance use and participants: level of education, formal employment, marital status, gender, family history of mental illness, and family history of substance use. About a third attributed their involvement into substance exclusively to peer pressure, 8.7 to both peer pressure and curiosity while 7.1% exclusively to curiosity. This result represents one of the most important risks to mental health, and is a leading factor that causes high rates of admission or reason to be seen by a psychiatrist, this cannot be ignored when managing psychiatric disorders and therefore calls for routing screening for substance involvement among clients seeking psychiatric treatment. It also calls for appropriate standard operation policy procedures that can be operationlized as a matter of clinical practice by mental health workers in their routine medical practice. C1 [Hauli, Kiyeti A.; Ndetei, David M.] Univ Nairobi, Nairobi, Kenya. [Jande, Mary B.; Kabangila, Rodrick] Weill Bugando Univ, Coll Hlth Sci, Mwanza, Tanzania. RP Ndetei, DM (reprint author), POB 48423,00100 GPO, Nairobi, Kenya. EM dmndetei@uonbi.ac.ke RI Price, Katie/H-1931-2012 NR 10 TC 6 Z9 6 U1 0 U2 4 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2011 VL 32 IS 4 BP 238 EP 241 DI 10.1080/08897077.2011.599253 PG 4 WC Substance Abuse SC Substance Abuse GA 888PO UT WOS:000300016200008 PM 22014254 DA 2018-05-26 ER PT J AU Rastegar, DA Bertram, A Sisson, SD AF Rastegar, Darius A. Bertram, Amanda Sisson, Stephen D. TI Use of an Internet-Based Curriculum to Teach Internal Medicine Residents About Addiction SO JOURNAL OF ADDICTION MEDICINE LA English DT Article DE substance-related disorders; graduate medical education; Internet ID SUBSTANCE USE DISORDERS; DRUG-ABUSE; NATIONAL-SURVEY; EDUCATION; ALCOHOL; CARE; PHYSICIANS; ATTITUDES AB Objectives: Addiction is an important and common health problem. Many internal medicine training programs do not offer structured training in addiction; as a result, residents often report feeling unprepared in caring for patients with this problem. We developed an Internet-based curriculum to teach internal medicine residents about evaluating and treating patients with substance use disorders. Methods: Three educational modules on addiction were developed and posted on an established Web site that provides an internal medicine curriculum for training programs throughout the United States. Baseline and posttest questions were tested and validated by having house officers and addiction medicine faculty members complete the tests. We compared baseline pretest scores between first (PGY-1) and third year (PGY-3) residents to assess baseline knowledge and pretest and posttest scores for the entire cohort to assess the impact of the modules. Results: Each module was completed by over 1200 residents at 86 different training programs. Although overall baseline pretest scores were better among PGY-3 than PGY-1 residents (mean 58% vs 55%; P < 0.05), the difference between the 2 groups for individual modules was not significant. The mean baseline pretest score was 56.4% and posttest score was 74.8%, a difference that was statistically significant (P < 0.001). When asked to rate the educational value of the program, the residents gave it a mean score of 4.2 on a 5-point Likert scale (1 = not instructive; 5 = highly instructive). Conclusions: Internet-based curricula can be an effective tool to disseminate knowledge on addiction to trainees. Learners show an improvement in testing scores and rate these programs highly. C1 [Rastegar, Darius A.; Bertram, Amanda; Sisson, Stephen D.] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA. RP Rastegar, DA (reprint author), Johns Hopkins Bayview Med Ctr, Ctr Chem Dependence, D2W,5200 Eastern Ave, Baltimore, MD 21224 USA. EM drasteg1@jhmi.edu NR 21 TC 0 Z9 0 U1 0 U2 5 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1932-0620 J9 J ADDICT MED JI J. Addict. Med. PD DEC PY 2010 VL 4 IS 4 BP 233 EP 235 DI 10.1097/ADM.0b013e3181cc9fc7 PG 3 WC Substance Abuse SC Substance Abuse GA 683RD UT WOS:000284492000007 PM 21769041 DA 2018-05-26 ER PT J AU Pastor, A Soh, T AF Pastor, Adam Soh, Tracy TI SYMPOSIUM - AUSTRALASIAN CHAPTER OF ADDICTION MEDICINE TRAINEES' SYMPOSIUM SO DRUG AND ALCOHOL REVIEW LA English DT Meeting Abstract C1 [Pastor, Adam] St Vincents Hosp, Melbourne, Vic, Australia. [Soh, Tracy] Turning Point Alcohol & Drug Ctr, Melbourne, Vic, Australia. [Soh, Tracy] Monash Univ, Clayton, Vic 3800, Australia. EM adam.pastor@svhm.org.au NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0959-5236 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD NOV PY 2010 VL 29 SU 1 BP 57 EP 57 PG 1 WC Substance Abuse SC Substance Abuse GA 688ZG UT WOS:000284895600151 DA 2018-05-26 ER PT J AU Su, YJ Wang, CL Ling, W Woo, JCAL Sabrina, K Chang, L Lei, Z AF Su Yanjun Wang Changli Ling, Weng Woo, Jennifer Catherine Ai-lian Sabrina, Kwauk Chang, Liu Lei, Zhang TI A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China SO SUPPORTIVE CARE IN CANCER LA English DT Article DE Morphine; Cancer pain; Pain management; China ID NURSES KNOWLEDGE; PALLIATIVE CARE; MANAGEMENT; OPIOIDS AB Background The WHO's three-step guideline for cancer pain management has been introduced in China; however, there remain large differences in the standards of cancer pain management between China and other developed countries. This survey was carried out to determine the degree of physician knowledge on morphine use and the factors that impede morphine use in clinical practice in China. Methods A self-reported questionnaire was designed and administered to randomly selected physicians in four tertiary hospitals in the cities of Changchun and Changsha in China. Statistical analyses were conducted using SPSS statistical software. Results Two hundred and one clinical physicians participated in the survey. Physicians who reported having received training in cancer pain management and drug use demonstrated a significantly higher mean score of basic knowledge compared to physicians who reported not having received training (9.31 +/- 2.88:8.23 +/- 2.70, u=2.74, p<0.001). The top three cited impediments to widespread clinical use of morphine for cancer pain were: (1) lack of professional knowledge and training; (2) fear of opioid addiction; and (3) physicians' personal preferences to select other drugs. Conclusions Medical staffs lack the basic knowledge and harbor misconceptions about the clinical use of morphine for cancer pain treatment. Creating training opportunities for medical staffs is necessary to increase their awareness and knowledge of effective cancer pain management. C1 [Su Yanjun; Wang Changli; Lei, Zhang] Tianjin Med Univ, Canc Inst & Hosp, Dept Thorac Surg, Tianjin Lung Canc Ctr, Tianjin 300060, Peoples R China. [Ling, Weng] Cent S Univ, Xiangya Med Sch, Changsha, Hunan, Peoples R China. [Woo, Jennifer Catherine Ai-lian; Sabrina, Kwauk] Harvard Univ, Cambridge, MA 02138 USA. RP Lei, Z (reprint author), Tianjin Med Univ, Canc Inst & Hosp, Dept Thorac Surg, Tianjin Lung Canc Ctr, Tianjin 300060, Peoples R China. EM raymd728@yahoo.com.cn NR 32 TC 4 Z9 4 U1 0 U2 2 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0941-4355 J9 SUPPORT CARE CANCER JI Support. Care Cancer PD NOV PY 2010 VL 18 IS 11 BP 1455 EP 1460 DI 10.1007/s00520-009-0768-2 PG 6 WC Oncology; Health Care Sciences & Services; Rehabilitation SC Oncology; Health Care Sciences & Services; Rehabilitation GA 654QG UT WOS:000282182500012 PM 19902274 DA 2018-05-26 ER PT J AU Boyle, MJ Williams, B Brown, T Molloy, A McKenna, L Molloy, E Lewis, B AF Boyle, Malcolm J. Williams, Brett Brown, Ted Molloy, Andrew McKenna, Lisa Molloy, Elizabeth Lewis, Belinda TI Attitudes of undergraduate health science students towards patients with intellectual disability, substance abuse, and acute mental illness: a cross-sectional study SO BMC MEDICAL EDUCATION LA English DT Article ID DEVELOPMENTAL-DISABILITIES; PSYCHIATRIC-ILLNESS; MEDICAL-STUDENTS; STIGMA; ADDICTION; DIAGNOSES; EDUCATION AB Background: There is a long history of certain medical conditions being associated with stigma, stereotypes, and negative attitudes. Research has shown that such attitudes can have a detrimental effect on patients presenting with stigmatised medical conditions and can even flow on to impact their family. The objective of this study was to measure the attitudes of undergraduate students enrolled in six different health-related courses at Monash University toward patients with intellectual disability, substance abuse, and acute mental illness. Methods: A convenience sample of undergraduate students enrolled in six health-related courses in first, second and third years at Monash University were surveyed. The Medical Condition Regard Scale - a valid and reliable, self-report measure of attitudes - was administered to students along with a brief demographic form. Mean scores, t-tests, and ANOVA were used to analyse student attitudes. Ethics approval was granted. Results: 548 students participated. Statistically significant differences were found between the courses (p = 0.05), year of the course (p = 0.09), and gender (p = 0.04) for the medical condition of intellectual disability. There was no statistically significant difference between the courses, year of the course, gender, and age group for substance abuse or acute mental illness conditions. Conclusion: The findings suggest that students in undergraduate health-related courses, as a group, have a strong regard for patients with intellectual disability and some regard for patients with acute mental illness, but not for patients presenting with substance abuse problems. C1 [Boyle, Malcolm J.; Williams, Brett] Monash Univ, Dept Community Emergency Hlth & Paramed Practice, Frankston, Vic 3199, Australia. [Brown, Ted; Molloy, Andrew] Monash Univ, Dept Occupat Therapy, Frankston, Vic 3199, Australia. [McKenna, Lisa] Monash Univ, Sch Nursing & Midwifery, Frankston, Vic 3199, Australia. [Molloy, Elizabeth] Monash Univ, Ctr Med Hlth Sci Educ, Notting Hill, Vic 3168, Australia. [Lewis, Belinda] Monash Univ, Sch Primary Hlth Care, Frankston, Vic 3199, Australia. RP Boyle, MJ (reprint author), Monash Univ, Dept Community Emergency Hlth & Paramed Practice, POB 527, Frankston, Vic 3199, Australia. EM Mal.Boyle@monash.edu RI McKenna, Lisa/K-2603-2013; Boyle, Malcolm/A-4301-2008; Williams, Brett/F-6776-2014 OI McKenna, Lisa/0000-0002-0437-6449; Boyle, Malcolm/0000-0003-4186-1280; Williams, Brett/0000-0001-6307-1779; Brown, Ted/0000-0001-9403-5877 NR 29 TC 17 Z9 18 U1 3 U2 27 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD OCT 21 PY 2010 VL 10 AR UNSP 71 DI 10.1186/1472-6920-10-71 PG 8 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA 688LC UT WOS:000284849800001 PM 20964840 OA gold DA 2018-05-26 ER PT J AU Khanal, P Ghimire, RH Gautam, B Dhungana, SK Parajuli, P Jaiswal, AK Khanal, B AF Khanal, P. Ghimire, R. H. Gautam, B. Dhungana, S. K. Parajuli, P. Jaiswal, A. K. Khanal, B. TI Substance Use among Medical Students in Kathmandu Valley SO JOURNAL OF NEPAL MEDICAL ASSOCIATION LA English DT Article DE alcohol; medical students; substance use; tobacco AB Introduction: Substance use including tobacco and alcohol is the most important cause of preventable morbidity, disability, and premature mortality. The study aims to specify the prevalence and the pattern of use of different substance. Methods: A cross sectional study was performed amongst first year and final year students in four medical colleges in Kathmandu using self administered anonymous questionnaire. Data collectedfrom 446 students were analyzed. Results: Prevalence of substance use was found to be 60.3% among the medical students. Alcohol (57.6%) was the substance most prevalently used followed by tobacco (27.58%) and cannabis (12.8%). Mean age of first exposure was 17.94 (Confidence interval: 17.91-17.97). There was significant difference in the useof tobacco and cannabis amongst final year students than first year students. Male and female differed significantly in use of every substance except for benzodiazepine. Medical college, college and school were place of first exposure in 17.26%, 15.92% and 13.23% of the cases respectively. Family history was associated with substance use in medical students and was statistically significant (P < 0.0001). Experimentation was the major reason for the use of most of the substances. Conclusions: Substance use is prevalent in male medical students of both first and final year. Hence steps should be initiated early in school, college and medical college to prevent substance use. C1 [Khanal, P.; Dhungana, S. K.; Jaiswal, A. K.; Khanal, B.] Inst Med, Kathmandu, Nepal. [Ghimire, R. H.] Canberra Hosp, Canberra, ACT, Australia. [Gautam, B.] Danbury Hosp, Danbury, CT USA. [Parajuli, P.] Univ Lousiana, Monroe, LA USA. RP Khanal, P (reprint author), Inst Med, Kathmandu, Nepal. EM docpkhanal@gmail.com NR 35 TC 5 Z9 6 U1 0 U2 1 PU NEPAL MEDICAL ASSOC PI KATHMANDU PA NMA BUILDING, SIDDIHI SADAN, PO BOX 189, EXHIBITION RD, KATHMANDU, 00000, NEPAL SN 0028-2715 EI 1815-672X J9 J NEPAL MED ASSOC JI J. Nepal Med. Assoc. PD OCT-DEC PY 2010 VL 49 IS 4 BP 267 EP 272 PG 6 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA V22BZ UT WOS:000208252000003 PM 22049888 OA gold DA 2018-05-26 ER PT J AU Kuehn, BM AF Kuehn, Bridget M. TI FDA Opioid Safety Plan Promotes Patient, Physician Education to Prevent Abuse SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT News Item NR 1 TC 3 Z9 3 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0098-7484 EI 1538-3598 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD AUG 25 PY 2010 VL 304 IS 8 BP 845 EP 845 DI 10.1001/jama.2010.1200 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 644OY UT WOS:000281389900005 PM 20736462 DA 2018-05-26 ER PT J AU Steed, H Groome, M Rice, P Simpson, K Day, A Ker, J AF Steed, H. Groome, M. Rice, P. Simpson, K. Day, A. Ker, J. TI Evaluation of a New Core Curriculum on Alcohol Use Disorders for Undergraduate Medical Students SO ALCOHOL AND ALCOHOLISM LA English DT Article ID BRIEF INTERVENTIONS; SUBSTANCE MISUSE AB Aims: This study was aimed to review and rewrite the undergraduate curriculum on alcohol use disorders, implement the changes and assess for any early evidence of an improvement in knowledge. Methods: A three-stage process was used to review the old curriculum and a new one was designed around the five undergraduate years. Students' opinions were sought about the acceptability of the new curriculum using a questionnaire, to which 93 responded and 70 volunteers were objectively assessed using an examination based on questions from the text of the Medical Students' Handbook on Alcohol and Health. Results: There was no evidence of any improvement in the students' knowledge using the old curriculum. After teaching with the new curriculum, examination scores significantly increased (P < 0.0001). There was no difference between the sexes. The new curriculum was assessed as acceptable to the students. Conclusion: This new curriculum reflects the need for a new teaching method and not only offers improved teaching, but also produces a generation of doctors equipped to identify alcohol-related problems and to deliver brief interventions, helping to reduce the projected consequences of alcohol abuse and the associated burden on the health service. C1 [Steed, H.; Groome, M.] Ninewells Hosp, Dept Gastroenterol, Dundee DD1 9SY, Scotland. [Rice, P.; Simpson, K.; Day, A.] Ninewells Hosp, Dept Psychiat, Dundee DD1 9SY, Scotland. [Ker, J.] Ninewells Hosp, Clin Skills Ctr, Dundee DD1 9SY, Scotland. RP Groome, M (reprint author), Univ Dundee, Ninewells Hosp & Med Sch, Dept Gastroenterol, Dundee DD1 9SY, Scotland. EM m.groome@nhs.net NR 16 TC 4 Z9 4 U1 0 U2 1 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0735-0414 J9 ALCOHOL ALCOHOLISM JI Alcohol Alcohol. PD JUL-AUG PY 2010 VL 45 IS 4 BP 395 EP 397 DI 10.1093/alcalc/agq024 PG 3 WC Substance Abuse SC Substance Abuse GA 616BW UT WOS:000279183800013 PM 20501550 OA gold DA 2018-05-26 ER PT J AU Ramos, J Louis-Ashby, C Holt, S Harma, M Cabrera, F Dinh, A Tetrault, J Fiellin, D AF Ramos, Jorge Louis-Ashby, Coeurlida Holt, Stephen Harma, Michael Cabrera, Felix Dinh, An Tetrault, Jeanette Fiellin, David TI PREVALENCE OF UNHEALTHY SUBSTANCE USE ON TEACHING AND HOSPITALIST MEDICAL SERVICES: IMPLICATIONS FOR EDUCATION SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 33rd Annual Meeting of the Society-of-General-Internal-Medicine CY APR 18-MAY 01, 2010 CL Minneapolis, MN SP Soc Gen Internal Med C1 [Ramos, Jorge; Holt, Stephen; Harma, Michael; Cabrera, Felix] Yale Univ, Primary Care Program, Waterbury, CT USA. [Louis-Ashby, Coeurlida] Tampa Family Hlth Ctr, Tampa, FL USA. [Dinh, An; Tetrault, Jeanette; Fiellin, David] Yale Univ, Sch Med, New Haven, CT USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUN PY 2010 VL 25 SU 3 BP 362 EP 363 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 591EO UT WOS:000277282300342 DA 2018-05-26 ER PT J AU Tetrault, J Degutis, L D'Onofrio, G Ryan, S Karsif, B Martel, S Pantalon, M O'Connor, P Fiellin, D Martino, S Thung, S Green, M Bernstein, S AF Tetrault, Jeanette Degutis, Linda D'Onofrio, Gail Ryan, Sheryl Karsif, Brian Martel, Shara Pantalon, Michael O'Connor, Patrick Fiellin, David Martino, Steve Thung, Stephen Green, Michael Bernstein, Steven TI A MULTI-SPECIALTY, GRADUATE MEDICAL EDUCATION SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) CURRICULUM FOR ALCOHOL AND SUBSTANCE USE DISORDERS SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 33rd Annual Meeting of the Society-of-General-Internal-Medicine CY APR 18-MAY 01, 2010 CL Minneapolis, MN SP Soc Gen Internal Med C1 [Tetrault, Jeanette; D'Onofrio, Gail; Ryan, Sheryl; Karsif, Brian; Martel, Shara; Pantalon, Michael; O'Connor, Patrick; Fiellin, David; Martino, Steve; Thung, Stephen; Bernstein, Steven] Yale Univ, Sch Med, New Haven, CT USA. [Degutis, Linda] Yale Univ, Sch Publ Hlth, New Haven, CT USA. [Green, Michael] Yale Univ, Sch Med, Waterbury, CT USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUN PY 2010 VL 25 SU 3 BP 437 EP 437 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 591EO UT WOS:000277282300508 DA 2018-05-26 ER PT J AU Seale, JP Shellenberger, S Clark, DC AF Seale, J. Paul Shellenberger, Sylvia Clark, Denice Crowe TI Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum SO BMC MEDICAL EDUCATION LA English DT Article ID PRIMARY-HEALTH-CARE; MANAGING ALCOHOL-PROBLEMS; BRIEF INTERVENTION; GENERAL-PRACTITIONERS; NATIONAL-SURVEY; USE DISORDERS; TREAT PATIENTS; PHYSICIANS; ATTITUDES; EDUCATION AB Background: This article, developed for the Betty Ford Institute Consensus Conference on Graduate Medical Education (December, 2008), presents a model curriculum for Family Medicine residency training in substance abuse. Methods: The authors reviewed reports of past Family Medicine curriculum development efforts, previously-identified barriers to education in high risk substance use, approaches to overcoming these barriers, and current training guidelines of the Accreditation Council for Graduate Medical Education (ACGME) and their Family Medicine Residency Review Committee. A proposed eight-module curriculum was developed, based on substance abuse competencies defined by Project MAINSTREAM and linked to core competencies defined by the ACGME. The curriculum provides basic training in high risk substance use to all residents, while also addressing current training challenges presented by U. S. work hour regulations, increasing international diversity of Family Medicine resident trainees, and emerging new primary care practice models. Results: This paper offers a core curriculum, focused on screening, brief intervention and referral to treatment, which can be adapted by residency programs to meet their individual needs. The curriculum encourages direct observation of residents to ensure that core skills are learned and trains residents with several "new skills" that will expand the basket of substance abuse services they will be equipped to provide as they enter practice. Conclusions: Broad-based implementation of a comprehensive Family Medicine residency curriculum should increase the ability of family physicians to provide basic substance abuse services in a primary care context. Such efforts should be coupled with faculty development initiatives which ensure that sufficient trained faculty are available to teach these concepts and with efforts by major Family Medicine organizations to implement and enforce residency requirements for substance abuse training. C1 [Seale, J. Paul] Mercer Univ, Sch Med, Dept Family Med, Macon, GA 31206 USA. Med Ctr Cent Georgia, Macon, GA 31206 USA. RP Seale, JP (reprint author), Mercer Univ, Sch Med, Dept Family Med, 3780 Eisenhower Pkwy, Macon, GA 31206 USA. EM seale.paul@mccg.org FU Betty Ford Institute Consensus Conference on Graduate Medical Education (Los Angeles); Norlien Foundation of Calgary; Canada and the Betty Ford Institute of Palm Desert, California; Medical Education and Research Foundation (MERF) FX The funding for the Betty Ford Institute Consensus Conference on Graduate Medical Education (Los Angeles, December, 2008) entitled "Addressing the Crisis: Helping Graduate Medical Education Integrate Addiction Medicine and Science into Primary Care" Conference was provided by the Norlien Foundation of Calgary, Canada and the Betty Ford Institute of Palm Desert, California. An additional collaborator with the Betty Ford Institute in the execution of the conference was The Medical Education and Research Foundation (MERF) for the Treatment of Alcoholism and Drug Dependencies. NR 87 TC 15 Z9 15 U1 1 U2 10 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD MAY 11 PY 2010 VL 10 AR 33 DI 10.1186/1472-6920-10-33 PG 12 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA 688IN UT WOS:000284843100001 PM 20459842 OA gold DA 2018-05-26 ER PT J AU Jackson, AH Alford, DP Dube, CE Saitz, R AF Jackson, Angela H. Alford, Daniel P. Dube, Catherine E. Saitz, Richard TI Internal medicine residency training for unhealthy alcohol and other drug use: recommendations for curriculum design SO BMC MEDICAL EDUCATION LA English DT Article ID ASSESSING CLINICAL SKILLS; SUBSTANCE USE DISORDERS; PRIMARY-CARE; STANDARDIZED PATIENTS; PREVENTIVE-SERVICES; NATIONAL-SURVEY; ABUSE; EDUCATION; PORTFOLIO; ATTITUDES AB Background: Unhealthy substance use is the spectrum from use that risks harm, to use associated with problems, to the diagnosable conditions of substance abuse and dependence, often referred to as substance abuse disorders. Despite the prevalence and impact of unhealthy substance use, medical education in this area remains lacking, not providing physicians with the necessary expertise to effectively address one of the most common and costly health conditions. Medical educators have begun to address the need for physician training in unhealthy substance use, and formal curricula have been developed and evaluated, though broad integration into busy residency curricula remains a challenge. Discussion: We review the development of unhealthy substance use related competencies, and describe a curriculum in unhealthy substance use that integrates these competencies into internal medicine resident physician training. We outline strategies to facilitate adoption of such curricula by the residency programs. This paper provides an outline for the actual implementation of the curriculum within the structure of a training program, with examples using common teaching venues. We describe and link the content to the core competencies mandated by the Accreditation Council for Graduate Medical Education, the formal accrediting body for residency training programs in the United States. Specific topics are recommended, with suggestions on how to integrate such teaching into existing internal medicine residency training program curricula. Summary: Given the burden of disease and effective interventions available that can be delivered by internal medicine physicians, teaching about unhealthy substance use must be incorporated into internal medicine residency training, and can be done within existing teaching venues. C1 [Jackson, Angela H.; Alford, Daniel P.; Saitz, Richard] Boston Univ, Sch Med, Residency Training Program Internal Med, Boston, MA 02118 USA. [Jackson, Angela H.; Alford, Daniel P.; Saitz, Richard] Boston Univ, Sch Med, Clin Addict Res & Educ CARE Unit, Gen Internal Med Sect, Boston, MA 02118 USA. [Jackson, Angela H.; Alford, Daniel P.; Dube, Catherine E.; Saitz, Richard] Boston Med Ctr, Dept Med, Boston, MA USA. [Saitz, Richard] Boston Univ, Sch Publ Hlth, Youth Alcohol Prevent Ctr, Boston, MA 02118 USA. [Saitz, Richard] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02118 USA. RP Jackson, AH (reprint author), Boston Univ, Sch Med, Residency Training Program Internal Med, Boston, MA 02118 USA. EM angela.jackson@bmc.org OI /0000-0002-2535-1427 FU Betty Ford Institute FX This manuscript was written for the Betty Ford Institute Consensus Conference, December 2008. The Betty Ford Institute provided financial support for publication fees and for experts (including RS) to attend the Consensus Conference. NR 71 TC 12 Z9 12 U1 0 U2 4 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1472-6920 J9 BMC MED EDUC JI BMC Med. Educ. PD MAR 15 PY 2010 VL 10 AR UNSP 22 DI 10.1186/1472-6920-10-22 PG 15 WC Education & Educational Research; Education, Scientific Disciplines SC Education & Educational Research GA 688HR UT WOS:000284840900001 PM 20230607 OA gold DA 2018-05-26 ER PT J AU Pham, DB Clough, AR Nguyen, HV Kim, GB Buettner, PG AF Pham, Diep B. Clough, Alan R. Nguyen, Hien V. Kim, Giang B. Buettner, Petra G. TI Alcohol consumption and alcohol-related problems among Vietnamese medical students SO DRUG AND ALCOHOL REVIEW LA English DT Article DE medical student; alcohol consumption; alcohol-related problem; Vietnam; sex difference ID DISORDERS IDENTIFICATION TEST; HAZARDOUS DRINKING; BINGE DRINKING; SCREENING TOOL; TEST AUDIT; DRUG-USE; UNIVERSITY; HEALTH; CARE; KNOWLEDGE AB Introduction and Aims. This study examined prevalence and predictors of alcohol consumption and alcohol problems in a sample of medical students in Vietnam. Design and Methods. A cross-sectional survey using a multi-stage cluster sampling approach was conducted in 2007 in two universities in Vietnam. The students (n = 619, 100% response rate) completed questionnaires based on the Alcohol Use Disorder Identification Test. A score of >= 8 defined presence of alcohol problems. Data analyses adjusted for the cluster sampling approach. Results. Overall 65.5% of students had drunk alcohol during the previous year while alcohol problems were detected in 12.5%. Male students, students who reported that their family members drank and students who reported that their flat mates were drinking were more likely to be current drinkers. Male students were 14.3 times more likely to have an Alcohol Use Disorder Identification Test score of >= 8 compared with female students (P = 0.005). Discussion and Conclusions. Intervention programs focusing on male students and their social environment are warranted. As Vietnamese society rapidly modernises prevention programs for female students may also be needed. [Pham DB, Clough AR, Nguyen HV, Kim GB, Buettner PG. Alcohol consumption and alcohol-related problems among Vietnamese medical students. Drug Alcohol Rev 2009]. C1 [Pham, Diep B.; Nguyen, Hien V.; Kim, Giang B.] Hanoi Med Univ, Fac Publ Hlth, Hanoi, Vietnam. [Pham, Diep B.; Clough, Alan R.; Buettner, Petra G.] James Cook Univ, Sch Publ Hlth Trop Med & Rehabil Sci, Townsville, Qld 4811, Australia. [Clough, Alan R.] James Cook Univ, Sch Indigenous Australian Studies, Townsville, Qld 4811, Australia. RP Pham, DB (reprint author), Hanoi Med Univ, Fac Publ Hlth, 1 Ton Tung St, Hanoi, Vietnam. EM phambichdiep@gmail.com RI Clough, Alan/B-1804-2014 OI Clough, Alan/0000-0001-9673-1913 NR 32 TC 15 Z9 16 U1 0 U2 2 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0959-5236 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD MAR PY 2010 VL 29 IS 2 BP 219 EP 226 DI 10.1111/j.1465-3362.2009.00094.x PG 8 WC Substance Abuse SC Substance Abuse GA 563OP UT WOS:000275142500016 PM 20447232 DA 2018-05-26 ER PT J AU Chambers, RA Connor, MC Boggs, CJ Parker, GF AF Chambers, R. Andrew Connor, Michael C. Boggs, Cathy J. Parker, George F. TI The Dual Diagnosis Physician-infrastructure Assessment Tool: Examining Physician Attributes and Dual Diagnosis Capacity SO PSYCHIATRIC SERVICES LA English DT Article ID SUBSTANCE USE DISORDERS; ADDICTION PSYCHIATRY; MENTAL-ILLNESS; PREVALENCE; PROGRESS; ABUSE; CARE AB Objective: Inadequate physician training and involvement in addictions treatment are barriers to integrating mental health and addiction services in public behavioral health care. The authors designed and implemented the Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify statewide dimensions of this workforce problem. Methods: The DDPAT examined institutional dual diagnosis capability and physician workforce, training backgrounds, and clinical roles across Indiana's 30 community mental health centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment centers. Results: All treatment centers and 75% of physicians responded. Sixty-nine percent of all treatment centers and 97% of CMHCs reported dual diagnosis capability. However, 29% of physicians treated both mental illness and addictions, and only 8% had certification in an addiction specialty. Overall workforce shortages, particularly of younger psychiatrists, contextualized these findings. Conclusions: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states. (Psychiatric Services 61:184-188, 2010) C1 [Chambers, R. Andrew; Parker, George F.] Indiana Univ, Sch Med, Dept Psychiat, Inst Psychiat Res, Indianapolis, IN 46202 USA. [Chambers, R. Andrew; Boggs, Cathy J.; Parker, George F.] Indiana Div Mental Hlth & Addict, Indianapolis, IN USA. [Connor, Michael C.] Indiana State Dept Hlth, Indianapolis, IN 46202 USA. RP Chambers, RA (reprint author), Indiana Univ, Sch Med, Dept Psychiat, Inst Psychiat Res, 791 Union Dr, Indianapolis, IN 46202 USA. EM robchamb@iupui.edu FU Indiana Division of Mental Health and Addiction; Family and Social Services Administration, State of Indiana; National Institute on Drug Abuse [DA019850] FX This work was supported by the Indiana Division of Mental Health and Addiction, the Family and Social Services Administration, State of Indiana (all authors), and a National Institute on Drug Abuse K08-award DA019850 (first author). The authors thank the 49 treatment centers and 215 physicians who participated in this study in Indiana. NR 15 TC 2 Z9 2 U1 0 U2 4 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1075-2730 J9 PSYCHIAT SERV JI Psychiatr. Serv. PD FEB PY 2010 VL 61 IS 2 BP 184 EP 188 PG 5 WC Health Policy & Services; Public, Environmental & Occupational Health; Psychiatry SC Health Care Sciences & Services; Public, Environmental & Occupational Health; Psychiatry GA 550VN UT WOS:000274160300014 PM 20123825 DA 2018-05-26 ER PT J AU Al-Haqwi, AI AF Al-Haqwi, Ali I. TI Perception among medical students in Riyadh, Saudi Arabia, regarding alcohol and substance abuse in the community: a cross-sectional survey SO SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY LA English DT Article ID RISK-FACTORS; DRUG; DEPENDENCE; SCHOOL AB Background: This study was conducted to examine the perception and views of medical students regarding the extent of alcohol and substance abuse in the community and the possible predisposing factors for this problem. Methods: It is a cross-sectional study involving samples from two medical colleges in Riyadh, Saudi Arabia. The students who decided to participate in the study without the offer of any incentives filled an anonymous, self administered questionnaire which had been designed to meet the purpose of the study. Results: Two hundred and fifteen out of three hundred and thirty students (65% response rate) participated in this study. About 75% of them believe that alcohol and substance abuse is a common problem in the community. Students' views also correspond with the reported view that the problem is mainly present in young adult males. Married males and senior students perceived the problem as more serious than their other colleagues. Students perceived that alcohol was the most commonly abused drug in the community, followed by amphetamines, heroin, cannabis and cocaine. They believe that influence of friends, life stressors, tobacco smoking and curiosity are the most important predisposing factors for abuse of alcohol and other substances. According to the students' perception, the main beneficial effect of alcohol and substance abuse was stress alleviation. About 3% of the students have also indicated that they may use alcohol or some other substance in the future. Conclusion: Despite scarce information on the subject and a strong religious belief in Saudi Arabia against the use of alcohol and other addictive substances, a significant majority of the medical students in Riyadh, the capital of Saudi Arabia, perceived that alcohol and substance abuse is a common problem in the community. Some students appear to perceive the seriousness of the problem less than others. Efforts are needed to educate young men and women at an early stage of their academic life, as a medical student about the existence of this problem in the community, its consequences and predisposing factors. Teaching teenagers and young adults about stress coping strategies may be of special importance in reducing the risk of alcohol and substance abuse. C1 King Saud Ben Abdul Aziz Univ Hlth Sci KSAU HS, Riyadh, Saudi Arabia. RP Al-Haqwi, AI (reprint author), King Saud Ben Abdul Aziz Univ Hlth Sci KSAU HS, Riyadh, Saudi Arabia. EM alhaqwi@gmail.com NR 23 TC 9 Z9 9 U1 2 U2 7 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1747-597X J9 SUBST ABUSE TREAT PR JI Subst/ Abus. Treatment Prev. Pol. PD JAN 22 PY 2010 VL 5 AR 2 DI 10.1186/1747-597X-5-2 PG 6 WC Substance Abuse SC Substance Abuse GA 568FM UT WOS:000275507700001 PM 20092658 OA gold DA 2018-05-26 ER PT J AU Agrawal, S Everett, WW Sharma, S AF Agrawal, Shantanu Everett, Worth W. Sharma, Sonali TI Medical student views of substance abuse treatment, policy and training SO DRUGS-EDUCATION PREVENTION AND POLICY LA English DT Article ID ILLICIT DRUG-USE; EMERGENCY-ROOM; ATTITUDES; ALCOHOL; KNOWLEDGE; EDUCATION; BELIEFS; SKILLS AB Purpose: This study examined the impact of medical education on students' views of substance abuse treatment, public policy options and training. Method: A longitudinal survey was conducted on a single-class cohort of 101 students in a major American, urban medical school. The survey was administered in the Spring semesters of the first to third years of the curriculum. The survey evaluated attitudes in three areas: (1) Treatment: efficacy of treatment and ideal level of physician involvement in substance abuse issues, (2) Public policy: degrees of support for competing public policy strategies and (3) Training: the amount of substance abuse education offered in medical school. Results: Response rates were 92% in the first year, 90% in the second and 75% in the third. About 54% of respondents were female, 55% were white (non-Hispanic) and 71% were 20-24 years old. Treatment: students held consistent views towards treating substance abuse patients, but there was a significant decline in the percentage who felt that drug addiction can be successfully treated (from 47 to 22%, p < 0.001). Public policy: support for public health approaches ranged from 86 to 92%, but most criminal justice approaches were favoured by fewer than 40% of respondents. Training: respondents reported a significant increase in any degree of substance abuse training (p = 0.0001); classroom and clinical experiences were the predominant sources of training. Conclusions: Surveyed medical students retained many of their a priori beliefs about substance abuse, though there were some significant changes during the survey period. Further studies are required to evaluate how these views were established and how medical education impacts potentially malleable attitudes. C1 [Agrawal, Shantanu; Everett, Worth W.] Hosp Univ Penn, Dept Emergency Med, Philadelphia, PA 19104 USA. [Sharma, Sonali] New York Presbyterian Hosp, Dept Psychiat, Weill Cornell Med Coll, New York, NY USA. RP Agrawal, S (reprint author), 3600 Joseph Siewick Dr, Fairfax, VA 22033 USA. EM ska3000@gmail.com NR 16 TC 3 Z9 3 U1 0 U2 3 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0968-7637 J9 DRUG-EDUC PREV POLIC JI Drug-Educ. Prev. Policy PY 2010 VL 17 IS 5 BP 587 EP 602 DI 10.3109/09687630902729602 PG 16 WC Substance Abuse SC Substance Abuse GA 663MB UT WOS:000282890900010 DA 2018-05-26 ER PT J AU Stillman, D Lee, R Chu, D Yu, S AF Stillman, D. Lee, R. Chu, D. Yu, S. TI TRENDS IN TOBACCO-DEPENDENCE CURRICULA IN US MEDICAL SCHOOLS BASED ON 1998 AND 2008 SURVEYS SO JOURNAL OF INVESTIGATIVE MEDICINE LA English DT Meeting Abstract CT Western Regional Meeting of the American-Federation-for-Medical-Research CT Western Region Annual Meeting of the Society-of-Investigative-Medicine CY JAN 27-30, 2010 CY JAN 27-30, 2010 CL Carmel, CA CL Carmel, CA SP Amer Federat Med Res SP Soc Investgat Med, Western Reg C1 [Stillman, D.; Lee, R.; Chu, D.; Yu, S.] Loma Linda Med Sch, Loma Linda, CA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU BMJ PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 1081-5589 EI 1708-8267 J9 J INVEST MED JI J. Invest. Med. PD JAN PY 2010 VL 58 IS 1 MA 251 BP 175 EP 175 PG 1 WC Medicine, General & Internal; Medicine, Research & Experimental SC General & Internal Medicine; Research & Experimental Medicine GA 544FK UT WOS:000273638400264 DA 2018-05-26 ER PT J AU Bailey, JA Hurley, RW Gold, MS AF Bailey, John A. Hurley, Robert W. Gold, Mark S. TI Crossroads of Pain and Addiction SO PAIN MEDICINE LA English DT Review DE Pain Training Programs; Drug Abuse; Addiction; Chronic Pain ID SUBSTANCE USE DISORDERS; POSTTRAUMATIC-STRESS-DISORDER; CHRONIC NONMALIGNANT PAIN; CHILDHOOD SEXUAL-ABUSE; PRESCRIPTION DRUGS; PSYCHIATRIC-DISORDERS; DEPENDENT PATIENTS; REWARD CIRCUITRY; OPIATE ADDICTS; OPIOID THERAPY AB Background. Despite the fact that chronic pain and addiction often coexist, few pain training programs offer significant experiential and didactic training in drug abuse and addiction. Similarly, addiction medicine programs often offer little training in pain management. What follows is a review of the intersection between these two specialties from the perspective of clinicians that practice both. Objective. The objective of this study was to review the historical backdrop, terminology, vulnerability, and neurobiology of addiction; explore the effects of drug, delivery system, timing, and environment on drug self-administration; and review strategies used in managing patients with coexisting addiction and chronic pain. Setting. The University of Florida has training programs in both pain management and addiction medicine. The collaboration of these two subspecialties has led to the development of a successful pain management clinic that manages difficult patients based on the strategies that are discussed. Conclusions. It is possible to successfully manage patients with coexisting chronic pain and addictive disorders. Addiction medicine and pain management training programs should offer didactic and experiential training in both subspecialties. C1 [Bailey, John A.] Univ Florida, Springhill Hlth Ctr, Div Addict Med, Dept Psychiat, Gainesville, FL 32606 USA. [Hurley, Robert W.] Univ Florida, Div Pain, Dept Anesthesiol, Gainesville, FL 32611 USA. [Gold, Mark S.] McKnight Brain Inst, Dept Psychiat, Gainesville, FL USA. RP Bailey, JA (reprint author), Univ Florida, Springhill Hlth Ctr, Div Addict Med, Dept Psychiat, 8491 NW 39th Ave, Gainesville, FL 32606 USA. EM baileyjo@ufl.edu NR 143 TC 17 Z9 17 U1 1 U2 8 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 1526-2375 EI 1526-4637 J9 PAIN MED JI Pain Med. PY 2010 VL 11 IS 12 BP 1803 EP 1818 DI 10.1111/j.1526-4637.2010.00982.x PG 16 WC Anesthesiology; Medicine, General & Internal SC Anesthesiology; General & Internal Medicine GA 691FQ UT WOS:000285066100012 PM 21040437 OA gold DA 2018-05-26 ER PT J AU Petroianu, A dos Reis, DCF Cunha, BDS de Souza, DM AF Petroianu, Andy Ferreira dos Reis, Daniel Cruz Silva Cunha, Breno Dayrell de Souza, Davi Machado TI PREVALENCE OF ALCOHOL, TOBACCO AND PSYCHOTROPIC DRUG CONSUMPTION BY MEDICAL STUDENTS OF THE "UNIVERSIDADE FEDERAL DE MINAS GERAIS" SO REVISTA DA ASSOCIACAO MEDICA BRASILEIRA LA Portuguese DT Article DE Students; Public health; Medicine; Alcohol drinking; Consumption of tobacco-derived products; Psychotropic drugs ID SUBSTANCE USE; PROBLEM DRINKING; PHYSICIANS; SCHOOLS; SAMPLE; ABUSE AB PREVALENCE OF ALCOHOL, TOBACCO AND PSYCHOTROPIC DRUG CONSUMPTION BY MEDICAL STUDENTS OF THE "UNIVERSIDADE FEDERAL DE MINAS GERAIS" OBJECTIVE. The purpose of this study was to assess the prevalence of alcohol, tobacco and psychotropic drug consumption by students of the Medical School of the Federal University of Minas Gerais, Brazil, and to verify aspects related to those addictions. METHODS. This study was carried out with students of all years of the medical course invited to participate anonymously, by answering a self-applied questionnaire which was previously evaluated and adapted to Brazilian reality. It was based upon the World Health Organization's Guidelines for Student Substance Use Survey and included 25 questions about drug addiction. Student's t test and chi-square test were applied to assess differences between the mean and proportions of data. RESULTS. Alcohol and tobacco were the more frequently used by the students, 85.2% and 16.3% respectively. Among psychotropic drugs, marijuana was reported by 16.5% of students, LSD by 6.9%, sedatives by 12%, amphetamines by 7.5% and inhalant substances by 16.8%. Cocaine, crack, opiates, anti-cholinergics and anabolics consumption were rarely mentioned. CONCLUSION. Alcohol was the drug most used and was related to other drug addictions. Drugs were most frequently used by single, male students, who live alone and do not support themselves. [Rev Assoc Med Bras 2010; 56(5): 568-71] C1 [Petroianu, Andy; Ferreira dos Reis, Daniel Cruz; Silva Cunha, Breno Dayrell; de Souza, Davi Machado] Univ Fed Minas Gerais, Fac Med, Dept Cirugia, Belo Horizonte, MG, Brazil. RP Petroianu, A (reprint author), Ave Afonso Pena 1626,Apto 1901, BR-30130005 Belo Horizonte, MG, Brazil. EM petroian@medicina.ufmg.br RI Petroianu, Andy/K-9110-2013 NR 34 TC 11 Z9 17 U1 0 U2 8 PU ASSOC MEDICA BRASILEIRA PI SAO PAULO PA RUA SAO CARLOS DO PINHAL 324, CAIXA POSTAL 8904, SAO PAULO, SP, BRAZIL SN 0104-4230 J9 REV ASSOC MED BRAS JI Rev. Assoc. Med. Bras. PY 2010 VL 56 IS 5 BP 568 EP 571 DI 10.1590/S0104-42302010000500019 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA 693TF UT WOS:000285247600018 PM 21152830 OA gold DA 2018-05-26 ER PT J AU Gawlikowska-Sroka, A Dzieciolowska, E Szczurowski, J Kamienska, E Czerwinski, F AF Gawlikowska-Sroka, A. Dzieciolowska, E. Szczurowski, J. Kamienska, E. Czerwinski, F. TI TOBACCO ABUSE AND PHYSICAL ACTIVITY AMONG MEDICAL STUDENTS SO EUROPEAN JOURNAL OF MEDICAL RESEARCH LA English DT Article DE health promotion; physical activity; respiratory diseases; smoking AB Objective: This lifestyle is mainly determined during childhood and connected with poor public prophylactic health policy. The aim of this study was to estimate physical activity and level of tobacco abuse, as well as knowledge about health behaviours, among medical students. Methods: Questionnaires were completed by Polish (243) and foreign medical students (80). Results: It was stated that about 20% of the students smoked cigarettes. Female students from Norway took up smoking significantly more often than other participants, whereas there were more smokers among those from Poland. There was a significantly larger percentage of smoking males from Norway than among male Polish students. The same students presented a low level of physical activity. The smallest level of physical activity was characteristic of the Polish women. Conclusion: This situation requires an intensification of activities aimed at supporting pro-health lifestyles and the elimination of unfavourable effects, especially among medical students. C1 [Gawlikowska-Sroka, A.; Dzieciolowska, E.; Czerwinski, F.] Pomeranian Med Univ, Dept Normal & Clin Anat, Al Powstancow Wielkopolskich 72, PL-70111 Szczecin, Poland. [Szczurowski, J.] Univ Wroclaw, Dept Anthropol, Wroclaw, Poland. [Kamienska, E.] Pomeranian Med Univ, Clin Pediat Hematol & Oncol, Szczecin, Poland. RP Gawlikowska-Sroka, A (reprint author), Pomeranian Med Univ, Dept Normal & Clin Anat, Al Powstancow Wielkopolskich 72, PL-70111 Szczecin, Poland. EM gawlikow@sci.pam.szczecin.pl NR 20 TC 4 Z9 4 U1 0 U2 0 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 0949-2321 EI 2047-783X J9 EUR J MED RES JI Eur. J. Med. Res. PD DEC 7 PY 2009 VL 14 SU 4 BP 86 EP 89 PG 4 WC Medicine, Research & Experimental SC Research & Experimental Medicine GA V35BQ UT WOS:000215876500020 OA green_published DA 2018-05-26 ER PT J AU Schnoll, SH AF Schnoll, Sidney H. TI REFLECTIONS OF AN ACADEMIC CLINICAL RESEARCHER ON THE PAST 40 YEARS OF ADDICTION DEVELOPMENT SO JOURNAL OF DRUG ISSUES LA English DT Article AB This paper reflects on three areas of addiction: prescription drug abuse, perinatal addiction, and the clinical fields of addiction medicine and addiction psychiatry. The concerns about the abuse and misuse of prescription drugs date back over a century with numerous laws passed to address these problems. Despite these laws, there has been increasing concern over the past decade about the increases in the nonmedical use and abuse of prescription drugs. This begs the question of whether the passing of laws addressing the supply side of the problem is the correct approach. Abuse of licit and illicit drugs by pregnant women creates concern because of the effects of drugs and alcohol on the fetus and future development of the child. Most of the studies have addressed newborn development without adequate studies of the effects of the drugs and withdrawal on pregnancy and the fetus. In addition, studies of long-term effects on the development of the child are needed. The only way to adequately address these important clinical issues will be to have well-trained clinicians and clinical investigators in addiction medicine and addiction psychiatry. C1 [Schnoll, Sidney H.] Virginia Commonwealth Univ, Sch Med, Internal Med & Psychiat, Richmond, VA 23284 USA. NR 10 TC 0 Z9 0 U1 0 U2 0 PU J DRUG ISSUES INC PI TALLAHASSEE PA FLORIDA STATE UNIV, SCHOOL CRIMINOLOGY CRIMINAL JUSTICE, PO BOX 66696, TALLAHASSEE, FL 32313-6696 USA SN 0022-0426 J9 J DRUG ISSUES JI J. Drug Issues PD WIN PY 2009 VL 39 IS 1 BP 21 EP 28 DI 10.1177/002204260903900103 PG 8 WC Substance Abuse SC Substance Abuse GA 451ZH UT WOS:000266508900004 DA 2018-05-26 ER PT J AU Dodds, LH Soh, T Dunlop, A AF Dodds, Lucy Harvey Soh, Tracy Dunlop, Adrian TI THE AUSTRALASIAN CHAPTER OF ADDICTION MEDICINE TRAINEES SYMPOSIUM SO DRUG AND ALCOHOL REVIEW LA English DT Meeting Abstract C1 [Dodds, Lucy Harvey] S Eastern Sydney & Illawarra Area Hlth Serv, Sydney, NSW, Australia. [Soh, Tracy] Turning Point Alcohol & Drug Ctr, Melbourne, Vic, Australia. [Dunlop, Adrian] Univ Newcastle, Callaghan, NSW 2308, Australia. EM lucy.harveydodds@sesiahs.health.nsw.gov.au NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0959-5236 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD NOV PY 2009 VL 28 BP A73 EP A73 PG 1 WC Substance Abuse SC Substance Abuse GA 508FZ UT WOS:000270916300222 DA 2018-05-26 ER PT J AU Bryson, EO AF Bryson, Ethan O. TI Should anesthesia residents with a history of substance abuse be allowed to continue training in clinical anesthesia? The results of a survey of anesthesia residency program directors SO JOURNAL OF CLINICAL ANESTHESIA LA English DT Article DE Addiction; Anesthesia residents; Substance abuse; Reentry after treatment ID PHYSICIANS; SPECIALTY AB Study Objective: To determine the experience, attitudes, and opinions of program directors regarding the reintroduction of residents in recovery from substance abuse into the clinical practice of anesthesiology. Design: Survey instrument. Setting: Anesthesia residency training programs in the United States. Measurements: After obtaining institutional review board approval, a list of current academic anesthesia residency programs in the United States was compiled. A survey was mailed to 131 program directors along with a self-addressed stamped return envelope to ensure anonymity. Returned surveys were reviewed and data compiled by hand, with categorical variables described as frequency and percentages. Main Results: A total of 91 (69%) surveys were returned, representing experience with 11,293 residents over the ten-year period from July of 1997 through June of 2007. Fifty-six (62%) program directors reported experience with at least one resident requiring treatment for substance abuse. For residents allowed to continue with anesthesia residency training after treatment, the relapse rate was 29%. For those residents, death was the initial presentation of relapse in 10% of the reported cases. 43% of the program directors surveyed believe residents in recovery from addiction should be allowed to attempt re-entry while 30% believe that residents in recovery from addiction should not. Conclusions: The practice of allowing residents who have undergone treatment for substance abuse to return to their training program in clinical anesthesia remains highly controversial. They are often lost to follow-up, making it difficult, if not impossible to determine if re-training in a different medical specialty decreases their risk for relapse. A comprehensive assessment of the outcomes associated with alternatives to re-entry into clinical anesthesia training programs is needed. (C) 2009 Elsevier Inc. All rights reserved. C1 Mt Sinai Hosp, Dept Anesthesiol, New York, NY 10029 USA. RP Bryson, EO (reprint author), Mt Sinai Hosp, Dept Anesthesiol, New York, NY 10029 USA. EM ethan.bryson@mountsinai.org NR 11 TC 5 Z9 5 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0952-8180 J9 J CLIN ANESTH JI J. Clin. Anesth. PD NOV PY 2009 VL 21 IS 7 BP 508 EP 513 DI 10.1016/j.jclinane.2008.12.026 PG 6 WC Anesthesiology SC Anesthesiology GA 584WF UT WOS:000276783600007 PM 20006259 DA 2018-05-26 ER PT J AU Kalet, A Gillespie, C Naegle, MA More, F AF Kalet, Adina Gillespie, Colleen Naegle, Madeline A. More, Frederick TI Attracting health professional students to substance abuse research SO MEDICAL EDUCATION LA English DT News Item C1 [Kalet, Adina] NYU, Sect Primary Care, Sch Med, New York, NY 10016 USA. RP Kalet, A (reprint author), NYU, Sect Primary Care, Sch Med, 550 1st Ave,BCD D401, New York, NY 10016 USA. EM adina.kalet@nyumc.org OI Kalet, Adina/0000-0003-4855-0223; Gillespie, Colleen/0000-0001-9096-3430 FU NIDA NIH HHS [R25 DA022461, R25DA022461] NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0308-0110 J9 MED EDUC JI Med. Educ. PD NOV PY 2009 VL 43 IS 11 BP 1094 EP 1094 DI 10.1111/j.1365-2923.2009.03479.x PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 509GS UT WOS:000271003600025 PM 19874512 OA gold DA 2018-05-26 ER PT J AU Reid, SR AF Reid, Savanna R. TI Injection drug use, unsafe medical injections, and HIV in Africa: a systematic review SO HARM REDUCTION JOURNAL LA English DT Review ID SUB-SAHARAN AFRICA; SOUTH-AFRICA; HEALTH-CARE; TRANSITIONAL COUNTRIES; NATIONAL MULTICENTER; HEROIN INJECTION; NYANZA PROVINCE; UNITED-STATES; TRANSMISSION; INFECTION AB The reuse of injecting equipment in clinical settings is well documented in Africa and appears to play a substantial role in generalized HIV epidemics. The U. S. and the WHO have begun to support large scale injection safety interventions, increased professional education and training programs, and the development and wider dissemination of infection control guidelines. Several African governments have also taken steps to control injecting equipment, including banning syringes that can be reused. However injection drug use (IDU), of heroin and stimulants, is a growing risk factor for acquiring HIV in the region. IDU is increasingly common among young adults in sub-Saharan Africa and is associated with high risk sex, thus linking IDU to the already well established and concentrated generalized HIV epidemics in the region. Demand reduction programs based on effective substance use education and drug treatment services are very limited, and imprisonment is more common than access to drug treatment services. Drug policies are still very punitive and there is widespread misunderstanding of and hostility to harm reduction programs e. g. needle exchange programs are almost non-existent in the region. Among injection drug users and among drug treatment patients in Africa, knowledge that needle sharing and syringe reuse transmit HIV is still very limited, in contrast with the more successfully instilled knowledge that HIV is transmitted sexually. These new injection risks will take on increased epidemiological significance over the coming decade and will require much more attention by African nations to the range of effective harm reduction tools now available in Europe, Asia, and North America. C1 Univ Nevada, Sch Community Hlth Sci, Las Vegas, NV 89154 USA. RP Reid, SR (reprint author), Univ Nevada, Sch Community Hlth Sci, 4505 Maryland Pkwy, Las Vegas, NV 89154 USA. EM inkwell_11@yahoo.com NR 78 TC 36 Z9 37 U1 0 U2 10 PU BIOMED CENTRAL LTD PI LONDON PA 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND SN 1477-7517 J9 HARM REDUCT J JI Harm Reduct. J. PD AUG 28 PY 2009 VL 6 AR 24 DI 10.1186/1477-7517-6-24 PG 11 WC Substance Abuse SC Substance Abuse GA 542XU UT WOS:000273533400001 PM 19715601 OA gold DA 2018-05-26 ER PT J AU de Jong, CAJ van de Wetering, BJM AF de Jong, Cor A. J. van de Wetering, Ben J. M. TI ADDICTION MEDICINE IS AN ATTRACTIVE FIELD FOR YOUNG PHYSICIANS-A CALL FOR A EUROPEAN INITIATIVE FOR THE TRAINING IN ADDICTION MEDICINE SO ADDICTION LA English DT Letter C1 [de Jong, Cor A. J.] NISPA, NL-6500 HE Nijmegen, Netherlands. [van de Wetering, Ben J. M.] Board Bouman Mental Hlth Ctr, Rotterdam, Netherlands. RP de Jong, CAJ (reprint author), NISPA, POB 9104, NL-6500 HE Nijmegen, Netherlands. EM c.dejong@acsw.ru.nl RI DeJong, Cornelis/G-3957-2012 NR 2 TC 2 Z9 2 U1 0 U2 2 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0965-2140 J9 ADDICTION JI Addiction PD JUL PY 2009 VL 104 IS 7 BP 1258 EP 1259 DI 10.1111/j.1360-0443.2009.02606.x PG 2 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 454MK UT WOS:000266686000027 PM 19563568 OA gold DA 2018-05-26 ER PT J AU Book, SW Back, SE Santos, AB Uhde, TW Brady, KT AF Book, Sarah W. Back, Sudie E. Santos, Alberto B. Uhde, Thomas W. Brady, Kathleen T. TI MUSC'S DRUG ABUSE RESEARCH TRAINNG (DART) PROGRAM: A MODEL FOR TRAINING ADDICTION PHYSICIAN-SCIENTISTS SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH LA English DT Meeting Abstract CT 32nd Annual Scientific Meeting of the Research-Society-on-Alcoholism CY JUN 20-24, 2009 CL San Diego, CA SP Res Soc Alcoholism C1 [Book, Sarah W.; Back, Sudie E.; Santos, Alberto B.; Uhde, Thomas W.; Brady, Kathleen T.] Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0145-6008 J9 ALCOHOL CLIN EXP RES JI Alcoholism (NY) PD JUN PY 2009 VL 33 IS 6 BP 282A EP 282A PG 1 WC Substance Abuse SC Substance Abuse GA 449MQ UT WOS:000266335101078 DA 2018-05-26 ER PT J AU Alford, DP Bridden, C Saitz, R Jackson, AH Samet, JH AF Alford, D. P. Bridden, C. Saitz, R. Jackson, A. H. Samet, J. H. TI BARRIERS TO INCORPORATING SUBSTANCE ABUSE EDUCATION INTO GENERALIST RESIDENCY TRAINING SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 32nd Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 13-16, 2009 CL Miami, FL SP Soc Gen Internal Med C1 [Alford, D. P.; Saitz, R.; Jackson, A. H.; Samet, J. H.] Boston Univ, Sch Med, Boston Med Ctr, Boston, MA 02118 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2009 VL 24 SU 1 BP 31 EP 31 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 435ZI UT WOS:000265382000082 DA 2018-05-26 ER PT J AU Renner, JA Karam-Hage, M Levinson, M Craig, T Eld, B AF Renner, John A., Jr. Karam-Hage, Maher Levinson, Marjorie Craig, Thomas Eld, Beatrice TI What Do Psychiatric Residents Think of Addiction Psychiatry as a Career? SO ACADEMIC PSYCHIATRY LA English DT Article AB Objective: The authors attempt to better understand the recent decline in the number of applicants to addiction psychiatry training. Methods: The Corresponding Committee on Training and Education in Addiction Psychiatry of APA's Council on Addiction Psychiatry sent out a 14-question anonymous e-mail survey to all postgraduate-year 2 (PGY-2) through PGY-4 APA Members-in-Training. The questions explored residents' beliefs and attitudes toward addiction psychiatry and sought their opinion on how training in addiction psychiatry can be made more attractive to them. Results: Of 2,511 eligible psychiatric residents surveyed nationally, 276 (10.6%) residents responded to the survey. Residents who responded had a generally positive impression of addiction psychiatrists but expressed much less favorable attitudes toward the practice of addiction psychiatry. Respondents provided three major subsets of suggestions: employment security and compensation, optimize PGY-1-4 addiction training, and fellowship training issues. Conclusion: These findings may be used to improve addiction psychiatry training and recruitment. C1 [Renner, John A., Jr.] Boston Univ, Div Psychiat, Boston, MA 02215 USA. [Karam-Hage, Maher] MD Anderson Hosp, Dept Psychiat, Houston, TX USA. [Levinson, Marjorie] St Lukes Roosevelt Hosp, Dept Child & Adolescent Psychiat, New York, NY USA. [Craig, Thomas; Eld, Beatrice] Amer Psychiat Assoc, Arlington, VA USA. RP Renner, JA (reprint author), VA Outpatient Clin, 251 Causeway St, Boston, MA 02114 USA. EM John.Renner@va.gov NR 10 TC 9 Z9 9 U1 0 U2 0 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD MAR-APR PY 2009 VL 33 IS 2 BP 139 EP 142 DI 10.1176/appi.ap.33.2.139 PG 4 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 437ZP UT WOS:000265526000012 PM 19398628 DA 2018-05-26 ER PT J AU Paley, B O'Connor, MJ Baillie, SJ Guiton, G Stuber, ML AF Paley, Blair O'Connor, Mary J. Baillie, Susan J. Guiton, Gretchen Stuber, Margaret L. TI Integrating Case Topics in Medical School Curriculum to Enhance Multiple Skill Learning: Using Fetal Alcohol Spectrum Disorders as an Exemplary Case SO ACADEMIC PSYCHIATRY LA English DT Article ID CARE AB Objectives: This article describes the use of fetal alcohol spectrum disorders (FASDs) as a theme to connect the learning of basic neurosciences with clinical applications across the age span within a systems-based, integrated curricular structure that emphasizes problem-based learning. Methods: In collaboration with the Centers for Disease Control and Prevention (CDC) and the National Organization on Fetal Alcohol Syndrome, the Western Regional Training Center for Fetal Alcohol Exposure at UCLA developed and integrated educational materials on FASDs into the curriculum for first-year medical students. Results: Quantitative and qualitative evaluations suggested materials were effective in enhancing student knowledge and skills related to FASDs, as well as embryology, brain development, substance abuse, developmental psychopathology, and medical ethics. Conclusion: The use of a unifying theme integrating basic science and clinical information and skills is effective for medical student training in the prevention and treatment of common medical problems. C1 [Paley, Blair; O'Connor, Mary J.; Stuber, Margaret L.] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Behav Sci, Los Angeles, CA 90024 USA. [Baillie, Susan J.] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USA. [Guiton, Gretchen] Univ Colorado, Sch Med, Dept Med, Boulder, CO 80309 USA. RP Paley, B (reprint author), Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Behav Sci, 760 Westwood Plaza,Rm 48-241, Los Angeles, CA 90024 USA. EM bpaley@mednet.ucla.edu FU PHS HHS [MM-M0263-03]; NCCIH NIH HHS [K07 AT003346] NR 10 TC 6 Z9 6 U1 0 U2 0 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD MAR-APR PY 2009 VL 33 IS 2 BP 143 EP 148 DI 10.1176/appi.ap.33.2.143 PG 6 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 437ZP UT WOS:000265526000013 PM 19398629 OA green_accepted DA 2018-05-26 ER PT J AU Likic, R Vitezic, D Maxwell, S Polasek, O Francetic, I AF Likic, Robert Vitezic, Dinko Maxwell, Simon Polasek, Ozren Francetic, Igor TI The effects of problem-based learning integration in a course on rational drug use: a comparative study between two Croatian medical schools SO EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY LA English DT Article DE Clinical pharmacology; Problem-based learning; Teaching; Rational drug use ID PHARMACOLOGY; CURRICULA; STUDENTS AB Young doctors write prescriptions regularly from their first day of practice. We investigated final-semester students' perceptions of their training in relation to prescribing in two Croatian medical schools with different clinical pharmacology (CPT) teaching styles (Zagreb: problem-based and Rijeka: lecture-based course). A total of 315 students (220 in Zagreb, 95 in Rijeka) underwent a 4-week-long course in CPT in the academic year 2006/2007. We compared the impact of different educational methods on student performance using an MCQ assessment. After the training, students completed a paper questionnaire on prescribing skills and knowledge of pharmacotherapy. Students in Rijeka were significantly more satisfied with their traditional lecture-based course. Only 56% of Zagreb students and 54% of students from Rijeka felt confident about their prescription-writing skills. Only 8% of Zagreb and none of Rijeka students had written more than six prescriptions during their entire medical curriculum. There was no difference in the participants' levels of factual knowledge of rational pharmacotherapy. The style of learning about medicines did not affect students' factual knowledge. Only half of the student cohort felt confident about their ability to prescribe medicines, and few had practiced this skill during their medical training. C1 [Likic, Robert; Francetic, Igor] Univ Zagreb, Univ Hosp Rebro, Clin Pharmacol Unit, Dept Internal Med,Sch Med, Zagreb 10000, Croatia. [Vitezic, Dinko] Univ Rijeka, Sch Med, Dept Pharmacol, Rijeka 51000, Croatia. [Maxwell, Simon] Univ Edinburgh, Queens Med Res Inst, Royal Infirm Edinburgh, Clin Pharmacol Unit,Coll Med, Edinburgh EH16 4TJ, Midlothian, Scotland. [Polasek, Ozren] Univ Zagreb, Sch Med, Andrija Stampar Sch Publ Hlth, Dept Med Stat Epidemiol & Med Informat, Zagreb 10000, Croatia. RP Likic, R (reprint author), Univ Zagreb, Univ Hosp Rebro, Clin Pharmacol Unit, Dept Internal Med,Sch Med, Kispaticeva 12, Zagreb 10000, Croatia. EM RobertLikic@inet.hr RI Polasek, Ozren/B-6002-2011 OI Polasek, Ozren/0000-0002-5765-1862; Likic, Robert/0000-0003-1413-4862 NR 16 TC 8 Z9 8 U1 0 U2 6 PU SPRINGER HEIDELBERG PI HEIDELBERG PA TIERGARTENSTRASSE 17, D-69121 HEIDELBERG, GERMANY SN 0031-6970 J9 EUR J CLIN PHARMACOL JI Eur. J. Clin. Pharmacol. PD MAR PY 2009 VL 65 IS 3 BP 231 EP 237 DI 10.1007/s00228-008-0592-5 PG 7 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA 409DV UT WOS:000263487300003 PM 19083211 DA 2018-05-26 ER PT J AU Murphy, MK Chabon, B Delgado, A Newville, H Nicolson, SE AF Murphy, Mary K. Chabon, Brenda Delgado, Arelis Newville, Howard Nicolson, Stephen E. TI Development of a Substance Abuse Consultation and Referral Service in an Academic Medical Center: Challenges, Achievements and Dissemination SO JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS LA English DT Article DE Substance abuse; Consultation service; SBIRT; Hospitalized substance users ID ALCOHOL; PERSPECTIVES; DISORDERS; CARE AB Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model. C1 [Murphy, Mary K.] Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA. [Chabon, Brenda; Delgado, Arelis; Newville, Howard; Nicolson, Stephen E.] Dept Psychiat & Behav Sci, Montefiore Med Ctr, Addict Psychiat Serv, Bronx, NY USA. [Chabon, Brenda; Delgado, Arelis; Newville, Howard; Nicolson, Stephen E.] Montefiore Med Ctr, Addict Psychiat Serv, Dept Psychiat & Behav Sci, Bronx, NY 10467 USA. RP Murphy, MK (reprint author), Albert Einstein Coll Med, Dept Emergency Med, 111 E 210th St, Bronx, NY 10467 USA. EM mmurphy@aecom.yu.edu; bchabon@montefiore.org RI Newville, Howard/H-3175-2014 OI Newville, Howard/0000-0001-7694-9368 NR 24 TC 0 Z9 0 U1 0 U2 1 PU SPRINGER/PLENUM PUBLISHERS PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1068-9583 J9 J CLIN PSYCHOL MED S JI J. Clin. Psychol. Med. Settings PD MAR PY 2009 VL 16 IS 1 BP 77 EP 86 DI 10.1007/s10880-009-9149-8 PG 10 WC Psychology, Clinical SC Psychology GA 420YP UT WOS:000264325400010 PM 19219627 DA 2018-05-26 ER PT J AU Smit, P Pretorius, PJ Joubert, G AF Smit, P. Pretorius, P. J. Joubert, G. TI University of the Free State medical students' view of at-risk drinking behaviour and psychoactive substance use SO SOUTH AFRICAN JOURNAL OF PSYCHIATRY LA English DT Article ID DRUG-USE; ALCOHOL; CONSUMPTION; DISEASE; SCHOOL AB Objectives. To investigate undergraduate medical students' knowledge of at-risk drinking behaviour and their own patterns of alcohol intake. The use of non-alcoholic psychoactive substances was also investigated. Design. A cross-sectional study design was used. Participants completed a self-administered anonymous questionnaire designed using the US Department of Health and Human Services guidelines for identifying at-risk drinking. Setting. The School of Medicine, University of the Free State, Bloemfontein. Subjects. Participants included first-, fourth- and fifth-year medical students enrolled in 2006. Results. Of 408 questionnaires, 371 (90.9%) were returned. Of students who repeated an academic year, 10% ascribed it to substance use. The majority of students conservatively estimated the maximum daily and weekly safe levels of alcohol consumption for both men and women as notably lower than set by the guidelines. Nevertheless, 32% of students admitted to alcohol intake exceeding these limits, and 55.3% were identified as at-risk drinkers. Marijuana was the most common non-alcoholic substance used by medical students (14.6%) in the preceding 3 years. Alcohol and other substances were most frequently used during social activities with friends. Conclusion. Both medical students' knowledge of levels of alcohol intake associated with increased risks and their own drinking patterns could potentially influence their approach to patients with alcohol-related problems. Education regarding at-risk drinking behaviour therefore needs to be addressed. C1 [Smit, P.; Pretorius, P. J.] Univ Free State, Dept Psychiat, Fac Hlth Sci, Bloemfontein, South Africa. [Joubert, G.] Univ Free State, Dept Biostat, Fac Hlth Sci, Bloemfontein, South Africa. RP Smit, P (reprint author), Univ Free State, Dept Psychiat, Fac Hlth Sci, Bloemfontein, South Africa. RI Joubert, Gina/I-2985-2018 OI Joubert, Gina/0000-0002-3728-6925 NR 19 TC 1 Z9 1 U1 0 U2 1 PU SA MEDICAL ASSOC HEALTH & MEDICAL PUBL GROUP PI CLAREMONT PA 21 DREYER ST, 4TH FLOOR, SANCLARE BLDG, CLAREMONT, 7700, SOUTH AFRICA SN 1608-9685 J9 SAJP-S AFR J PSYCHI JI SAJP PD MAR PY 2009 VL 15 IS 1 BP 13 EP 18 PG 6 WC Psychiatry SC Psychiatry GA 443QR UT WOS:000265925500005 OA gold DA 2018-05-26 ER PT J AU Soyka, M Gorelick, DA AF Soyka, Michael Gorelick, David A. TI Why should addiction medicine be an attractive field for young physicians? SO ADDICTION LA English DT Article DE Addiction medicine; addiction psychiatry; profession; specialty; stigma; training; treatment ID ILLICIT DRUGS; DSM-V; COST; CHALLENGES; DEPENDENCE; PSYCHIATRY; SUBSTANCE; OUTCOMES; ALCOHOL; TOBACCO AB The clinical practice and science of addiction are increasingly active fields, which are attracting professionals from diverse disciplines such as psychology and neurobiology. Our scientific knowledge of the pathophysiology of addiction is rapidly growing, along with the variety of effective treatments available to clinicians. Yet, we believe that the medical specialties of addiction medicine/psychiatry are not attracting the interest and enthusiasm of young physicians. What can be done? We offer the opinions of two experience addiction psychiatrists. In the US, there has been a decline in the number of psychiatrists seeking training or board certification in addiction psychiatry; about one-third of graduates with such training are not practicing in an addiction psychiatry setting. There is widespread neglect of addiction medicine/psychiatry among the medical profession, academia and national health authorities. This neglect is unfortunate, given the enormous societal costs of addiction (3-5% of the gross domestic product in some developed countries), the substantial unmet need for addiction treatment, and the highly favourable benefit to cost yield (at least 7:1) from treatment. We believe that addiction medicine/psychiatry can be made more attractive for young physicians. Helpful steps include widening acceptance as a medical specialty or subspecialty, reducing the social stigma against people with substance use disorders, expanding insurance coverage and increasing the low rates of reimbursement for physicians. These steps would be easier to take with broader societal (and political) recognition of substance use disorders as a major cause of premature death, morbidity and economic burden. C1 [Gorelick, David A.] NIDA, Intramural Res Program, NIH, Baltimore, MD 21224 USA. [Soyka, Michael] Univ Munich, Hosp Psychiat, D-8000 Munich, Germany. [Soyka, Michael] Private Hosp Meiringen, Meiringen, Switzerland. RP Gorelick, DA (reprint author), NIDA, Intramural Res Program, NIH, 251 Bayview Blvd, Baltimore, MD 21224 USA. EM dgorelic@intra.nida.nih.gov FU Intramural Research Program; US National Institutes of Health; National Institute on Drug Abuse FX Dr Gorelick is supported by the Intramural Research Program, US National Institutes of Health, National Institute on Drug Abuse. NR 26 TC 10 Z9 10 U1 0 U2 2 PU WILEY-BLACKWELL PUBLISHING, INC PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 0965-2140 J9 ADDICTION JI Addiction PD FEB PY 2009 VL 104 IS 2 BP 169 EP 172 DI 10.1111/j.1360-0443.2008.02330.x PG 4 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 394MK UT WOS:000262450600002 PM 18778386 DA 2018-05-26 ER PT J AU Iannucci, R Sanders, K Greenfield, SF AF Iannucci, Rocco Sanders, Kathy Greenfield, Shelly F. TI A 4-Year Curriculum on Substance Use Disorders for Psychiatry Residents SO ACADEMIC PSYCHIATRY LA English DT Article; Proceedings Paper CT 5th Annual Medcial Education Day CY NOV, 2006 CL Boston, MA ID POSITION STATEMENT; ABUSE; EDUCATION AB Objective: The authors describe an addiction psychiatry curriculum integrated in a general psychiatry training program to demonstrate comprehensive and practical approaches to educating general psychiatric residents on the recognition and treatment of substance use disorders. Methods: The Massachusetts General Hospital/McLean Hospital adult psychiatric residency training program provides training in addiction psychiatry in multiple treatment settings during the 4 years of residency. Addiction specialists, nonspecialty psychiatrists, and residents and fellows provide training. Results: Adult psychiatric residencies can provide comprehensive addiction psychiatry training that spans multiple treatment settings and postgraduate years by training general staff psychiatrists, senior residents, and fellows to assist core addiction faculty in providing addiction psychiatry education. Conclusion: Substance use disorders are common among patients presenting to general psychiatry treatment settings, and thus it is important that all psychiatric residents be well trained in the screening, diagnosis, and treatment of outpatients with these problems. C1 [Iannucci, Rocco] Berkshire Med Ctr Pittsfield, Dept Psychiat, Pittsfield, MA USA. [Sanders, Kathy] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA. [Greenfield, Shelly F.] McLean Hosp, Alcohol & Drug Abuse Treatment Program, Belmont, MA 02178 USA. RP Greenfield, SF (reprint author), McLean Hosp Harvard, 115 Mill St, Belmont, MA 02478 USA. EM sgreenfield@mclean.harvard.edu FU NIDA NIH HHS [K24 DA019855-01, K24 DA019855] NR 18 TC 8 Z9 9 U1 0 U2 4 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD JAN-FEB PY 2009 VL 33 IS 1 BP 60 EP 66 DI 10.1176/appi.ap.33.1.60 PG 7 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 429NF UT WOS:000264926700013 PM 19349447 OA green_accepted DA 2018-05-26 ER PT J AU McCance-Katz, E AF McCance-Katz, Elinore TI Psychiatry Resident Training in Office-Based Treatment of Opioid Dependence (OBOT): A new Method of Addiction Training and Early Results SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [McCance-Katz, Elinore] Univ Calif San Francisco, Amer Acad Addict Psychiat, San Francisco, CA 94143 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PY 2009 VL 18 IS 4 MA 4 BP 322 EP 322 PG 1 WC Substance Abuse SC Substance Abuse GA 446FJ UT WOS:000266105800012 DA 2018-05-26 ER PT J AU Tanner, TB Metcalf, MP AF Tanner, T. Bradley Metcalf, M. P. TI Interactive Online Learning for Medical Students about Opioid Abuse and Treatment SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Tanner, T. Bradley] Clin Tools Inc, Chapel Hill, NC USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PY 2009 VL 18 IS 4 MA 9 BP 323 EP 323 PG 1 WC Substance Abuse SC Substance Abuse GA 446FJ UT WOS:000266105800015 DA 2018-05-26 ER PT J AU Furtado, E Corradi-Webster, CM Laprega, MR AF Furtado, Erikson Corradi-Webster, C. M. Laprega, M. R. TI Educational Needs of Medical Psychiatric Residents Concerning the Assessment of Alcohol Problems among Psychiatric Outpatients in Brazil SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 [Furtado, Erikson] Univ Sao Paulo, BR-14049 Ribeirao Preto, Brazil. RI Furtado, Erikson/A-7586-2010 OI Furtado, Erikson/0000-0001-8006-7077 NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-BLACKWELL PI MALDEN PA COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PY 2009 VL 18 IS 4 MA 25 BP 328 EP 328 PG 1 WC Substance Abuse SC Substance Abuse GA 446FJ UT WOS:000266105800029 DA 2018-05-26 ER PT J AU Cape, G AF Cape, Gavin TI Movies as a vehicle to teach addiction medicine SO INTERNATIONAL REVIEW OF PSYCHIATRY LA English DT Article ID ALCOHOL; KNOWLEDGE; ATTITUDES; COMORBIDITY; DEPENDENCE; DISORDERS; SKILLS; DRUG AB Dependence on a substance and the role of medical practitioners in this health problem can be perceived as an enigma. Movies, as a tool for teaching, can be a powerful means of engaging, clarifying and educating students within the addiction medicine arena. Popular mythologies and stereotypes of drug use (including alcohol) and users in cinema can be explored within a learning environment aiding the understanding of this complex topic, thereby improving the therapeutic commitment to addiction medicine. There is a responsibility of the teacher to use this tool with care so as not to perpetuate the mythologies of addiction as often portrayed within commercial cinema. Tried and tested use of this potent educational aid, with suggestions for further development, are outlined in this article. C1 Univ Otago, Dept Psychol Med, Dunedin, New Zealand. RP Cape, G (reprint author), Univ Otago, Dept Psychol Med, Dunedin, New Zealand. EM gavin.cape@stonebow.otago.ac.nz NR 32 TC 15 Z9 15 U1 0 U2 12 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0954-0261 J9 INT REV PSYCHIATR JI Int. Rev. Psych. PY 2009 VL 21 IS 3 BP 213 EP 217 AR PII 911474131 DI 10.1080/09540260902747094 PG 5 WC Psychiatry SC Psychiatry GA 448FM UT WOS:000266248500006 PM 19459096 DA 2018-05-26 ER PT J AU Alford, DP Bridden, C Jackson, AH Saitz, R Amodeo, M Barnes, HN Samet, JH AF Alford, Daniel P. Bridden, Carly Jackson, Angela H. Saitz, Richard Amodeo, Maryann Barnes, Henrietta N. Samet, Jeffrey H. TI Promoting Substance Use Education Among Generalist Physicians: An Evaluation of the Chief Resident Immersion Training (CRIT) Program SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Article; Proceedings Paper CT 67th Annual Scientific Meeting of the College-on-Problems-of-Drug-Dependence CY JUN 21-23, 2005 CL Orlando, FL SP Coll Problems Drug Dependence DE medical education; addiction; chief resident training; substance-related disorders ID PRIMARY MEDICAL-CARE; FACULTY-DEVELOPMENT; ADDICTION MEDICINE; NATIONAL-SURVEY; USE DISORDERS; ABUSE; ALCOHOL; LEADERSHIP; ATTITUDES; INTERVENTION AB Education about substance use (SU) disorders remains inadequate in medical training. To describe the Chief Resident Immersion Training (CRIT) program in addiction medicine and to evaluate its impact on chief resident (CR) physicians' substance use knowledge, skills, clinical practice, and teaching. A controlled educational study of CRIT programs (2003, 2004, and 2005) for incoming CRs in generalist disciplines. Intervention CRs were trained to diagnose, manage, and teach about SU. The control CRs sought but did not receive the intervention. Eighty-six CR applicants to the CRIT program. Baseline and 6-month questionnaires assessing substance use knowledge, skills, clinical practice, and teaching. Outcomes were compared within groups from baseline to follow-up and between groups at follow-up. The intervention (n = 64) and control (n = 22) CRs were similar demographically. At 6-month follow-up, the intervention CRs reported a significant increase in SU knowledge, confidence, and preparedness to diagnose, manage, and teach and an increase in SU clinical and teaching practices compared to their baseline and control CRs. This intensive training for chief residents (CRs) improved knowledge, confidence, and preparedness to diagnose, manage, and teach about substance use (SU), affecting both the CRs' SU clinical and teaching practices. The CRIT program was an effective model for dissemination of SU knowledge and skills to educators in a key position to share this training with a broader audience of medical trainees. This model holds potential to address other high priority medical, yet under-addressed, content areas as well. C1 [Alford, Daniel P.; Bridden, Carly; Jackson, Angela H.; Saitz, Richard; Samet, Jeffrey H.] Boston Univ, Sch Med, Boston Med Ctr, Sect Gen Internal Med,Dept Med,CARE Unit, Boston, MA 02118 USA. [Saitz, Richard] Boston Univ, Sch Publ Hlth, Youth Alcohol Prevent Ctr, Boston, MA 02118 USA. [Saitz, Richard] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02118 USA. [Amodeo, Maryann] Boston Univ, Sch Social Work, Ctr Addict Res & Serv, Boston, MA 02215 USA. [Barnes, Henrietta N.] Harvard Univ, Sch Med, Dept Med, Boston, MA USA. [Samet, Jeffrey H.] Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02118 USA. RP Alford, DP (reprint author), Boston Univ, Sch Med, Boston Med Ctr, Sect Gen Internal Med,Dept Med,CARE Unit, 801 Massachusetts Ave,2nd Floor, Boston, MA 02118 USA. EM dan.alford@bmc.org OI Samet, Jeffrey/0000-0002-0897-3400; Bridden, Carly/0000-0002-7208-7235; /0000-0002-2535-1427 FU NIDA NIH HHS [R25 DA13582, R25 DA013582]; NIAAA NIH HHS [K24-AA015674, K24 AA015674] NR 47 TC 13 Z9 13 U1 0 U2 6 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JAN PY 2009 VL 24 IS 1 BP 40 EP 47 DI 10.1007/s11606-008-0819-2 PG 8 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 387RS UT WOS:000261969900007 PM 18937015 OA green_published DA 2018-05-26 ER PT J AU Pace, NA Schwartz, CE AF Pace, N. A. Schwartz, C. E. TI A Model for a Community-Based, Standardized 12 Hour Resident Physicians Alcoholism Addiction Training Program (PAAT) SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Pace, N. A.; Schwartz, C. E.] NYU Med Ctr, New York, NY 10016 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 93 EP 93 PG 1 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800031 DA 2018-05-26 ER PT J AU Wilhelm, S Metcalf, MP Tanner, TB AF Wilhelm, S. Metcalf, M. P. Tanner, T. B. TI Improving Medical Student Knowledge and Clinical Skills Regarding Alcohol Use Disorders SO SUBSTANCE ABUSE LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 93 EP 94 PG 2 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800032 DA 2018-05-26 ER PT J AU Tanner, TB Metcalf, MP Wilhelm, S AF Tanner, T. B. Metcalf, M. P. Wilhelm, S. TI Web Based Training for Medical Students on Alcohol Use Disorders SO SUBSTANCE ABUSE LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 94 EP 94 PG 1 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800033 DA 2018-05-26 ER PT J AU Parish, SJ Stein, MR Hahn, SR Goldberg, U Arnsten, JH AF Parish, S. J. Stein, M. R. Hahn, S. R. Goldberg, U. Arnsten, J. H. TI Residents' Objective Structured Clinical Exam Skills Scores Improve After Participation in an Enhanced Substance Abuse Curriculum SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Parish, S. J.; Stein, M. R.; Hahn, S. R.; Goldberg, U.; Arnsten, J. H.] Albert Einstein Coll Med, Bronx, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 96 EP 96 PG 1 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800036 DA 2018-05-26 ER PT J AU Phillips, KA Walley, AY Gordon, AJ AF Phillips, K. A. Walley, A. Y. Gordon, A. J. TI Patients in Recovery (PIR): Success at Teaching Opioid Addiction Treatments to Physicians SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Phillips, K. A.] NIDA, NIH, Bethesda, MD USA. [Walley, A. Y.] Boston Univ, Sch Med, Boston, MA 02215 USA. [Gordon, A. J.] Univ Pittsburgh, Sch Med, Pittsburgh, PA 15260 USA. NR 0 TC 0 Z9 0 U1 0 U2 3 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 96 EP 97 PG 2 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800037 DA 2018-05-26 ER PT J AU Kim, T Alford, DP Ellenberg, L Clark, D Brolin, M AF Kim, T. Alford, D. P. Ellenberg, L. Clark, D. Brolin, M. TI Teaching Medical Students How to Perform Screening and Brief Interventions for Unhealthy Substance Use SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 Boston Univ, Sch Med, Boston Med Ctr, Boston Publ Hlth Commiss, Boston, MA 02215 USA. Brandeis Univ, Waltham, MA 02254 USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 1 BP 103 EP 103 PG 1 WC Substance Abuse SC Substance Abuse GA 668WO UT WOS:000283304800049 DA 2018-05-26 ER PT J AU Shah, AA Bazargan-Hejazi, S Lindstrom, RW Wolf, KE AF Shah, Ameet Arvind Bazargan-Hejazi, Shahrzad Lindstrom, Richard W. Wolf, Kenneth E. TI Prevalence of At-Risk Drinking Among a National Sample of Medical Students SO SUBSTANCE ABUSE LA English DT Article DE Alcohol; at-risk drinking; behaviors; medical school; medical student; risky behaviors ID IDENTIFICATION TEST AUDIT; SUBSTANCE USE; ALCOHOL-CONSUMPTION; HAZARDOUS DRINKING; BINGE DRINKING; UNITED-STATES; SCHOOL; INJURY; PERSONALITY; DISTRESS AB As limited research exists on medical students' substance use patterns, including over-consumption of alcohol, the objective of this study was to determine prevalence and correlates of at-risk drinking among a national sample of medical students, using a cross-sectional, anonymous, Web-based survey. A total of 2710 medical students from 36 U.S. medical schools (1st to 4th year) completed the survey. Included in the instruments was a 10-item scale (AUDIT) to assess at-risk drinking behaviors within the last 12 months. Over 15% of the subjects (n = 412) scored positive for at-risk drinking (>= 8). Multivariate analysis of the data revealed the following independent predictors were statistically significant (P <= 0.05) for at-risk drinking: being of younger age, male, unmarried, using illicit drugs, smoking tobacco products within the last 30 days, having low perception of risk, showing impulsive behavior, being depressed, and having gambling problems. Findings from this study provides initial data for investigating further associations between risky drinking behavior, lifestyle, and psychosocial factors, as well as effectiveness of curriculum or campus-wide policy interventions to reduce over-consumption of drinking among this population. C1 [Bazargan-Hejazi, Shahrzad] Charles R Drew Univ Med & Sci, Coll Med, Dept Psychiat, Los Angeles, CA 90059 USA. [Shah, Ameet Arvind] Kaiser Permanente Los Angeles, Dept Family Med, Los Angeles, CA USA. [Bazargan-Hejazi, Shahrzad] Univ Calif Los Angeles, David Geffen Sch Med, Semel Inst, Los Angeles, CA 90095 USA. [Lindstrom, Richard W.] Charles R Drew Univ Med & Sci, Coll Med, Dept Internal Med, Los Angeles, CA 90059 USA. [Wolf, Kenneth E.] Charles R Drew Univ Med & Sci, Coll Med, Dept Otolaryngol, Los Angeles, CA 90059 USA. RP Bazargan-Hejazi, S (reprint author), Charles R Drew Univ Med & Sci, Coll Med, Dept Psychiat, 1621 E 120th St, Los Angeles, CA 90059 USA. EM shahrzadbazargan@cdrewu.edu OI Bazargan-Hejazi, Shahrzad/0000-0001-8361-5198 FU Charles Drew University of Medicine and Science; NIH NCRR [5 S21 MD00103-04] FX This work was funded by Charles Drew University of Medicine and Science, Primary Care Program, and also by NIH NCRR Endowment Grant 5 S21 MD00103-04. NR 53 TC 28 Z9 32 U1 0 U2 11 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 2 BP 141 EP 149 DI 10.1080/08897070902802067 PG 9 WC Substance Abuse SC Substance Abuse GA 668WZ UT WOS:000283306600004 PM 19347753 OA green_accepted DA 2018-05-26 ER PT J AU Savage, S West, D AF Savage, S. West, D. TI Review of Undergraduate Medical Education in Addiction Medicine Using a Curricular Template Keyed to ACGME Competency Domains SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Savage, S.; West, D.] Dartmouth Med Sch, Hanover, NH USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 2 BP 201 EP 202 PG 2 WC Substance Abuse SC Substance Abuse GA 668WZ UT WOS:000283306600029 DA 2018-05-26 ER PT J AU Stein, MR Kunins, HV Parish, SJ Arnsten, JH AF Stein, M. R. Kunins, H. V. Parish, S. J. Arnsten, J. H. TI Evaluation of a Substance Abuse Curriculum for Internal Medicine Residents SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Stein, M. R.; Kunins, H. V.; Parish, S. J.; Arnsten, J. H.] Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 2 BP 202 EP 202 PG 1 WC Substance Abuse SC Substance Abuse GA 668WZ UT WOS:000283306600030 DA 2018-05-26 ER PT J AU Buchanan, AR Prince-Elcan, MC AF Buchanan, A. R. Prince-Elcan, M. C. TI On-Line Medical Student Training on Buprenorphine and Opioid Dependence SO SUBSTANCE ABUSE LA English DT Meeting Abstract C1 [Buchanan, A. R.; Prince-Elcan, M. C.] Clin Tools Inc, Chapel Hill, NC USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 2 BP 212 EP 212 PG 1 WC Substance Abuse SC Substance Abuse GA 668WZ UT WOS:000283306600051 DA 2018-05-26 ER PT J AU Hettema, JE Sorensen, JL Uy, M Jain, S AF Hettema, Jennifer E. Sorensen, James L. Uy, Manelisa Jain, Sharad TI Motivational Enhancement Therapy to Increase Resident Physician Engagement in Substance Abuse Education SO SUBSTANCE ABUSE LA English DT Article DE Alcohol; brief intervention; drug; medical education; screening ID BRIEF INTERVENTIONS; ALCOHOL-USE; HEALTH AB Rates of screening, brief intervention, and referral to treatment (SBIRT) for alcohol and drug use by physicians remain low, despite evidence of efficacy. Motivational enhancement therapy (MET) may be a promising means to help physicians resolve ambivalence about intervening with alcohol and drug users and take advantage of educational opportunities. In the present study, 9 internal medicine residents received brief MET prior to standard education in SBIRT. Residents' self-reported SBIRT attitudes and behaviors were measured before the intervention and at a 5-week follow-up point. Changes in SBIRT attitudes and behaviors all occurred in the expected direction, although, due to the small sample size, none reached statistical significance. Results suggest that MET may enhance educational opportunities and lead to changes in SBIRT behavior. C1 [Hettema, Jennifer E.] Univ Virginia, Dept Psychiat & Neurobehav Sci, Charlottesville, VA USA. [Sorensen, James L.; Uy, Manelisa] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Psychiat, San Francisco, CA USA. [Jain, Sharad] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Med, San Francisco, CA USA. RP Hettema, JE (reprint author), UVA CARE Richmond, 2821 N Parham Rd,Suite 203, Richmond, VA 23294 USA. EM jhettema@virginia.edu FU NIH [5P50DA009253-14] FX This work was funded by NIH grant 5P50DA009253-14. NR 8 TC 13 Z9 13 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 3 BP 244 EP 247 DI 10.1080/08897070903041210 PG 4 WC Substance Abuse SC Substance Abuse GA 668XF UT WOS:000283307400005 PM 19591061 OA green_accepted DA 2018-05-26 ER PT J AU Gunderson, EW Coffin, PO Chang, N Polydorou, S Levin, FR AF Gunderson, Erik W. Coffin, Phillip O. Chang, Nancy Polydorou, Soteri Levin, Frances R. TI The Interface Between Substance Abuse and Chronic Pain Management in Primary Care: A Curriculum for Medical Residents SO SUBSTANCE ABUSE LA English DT Article DE Chronic pain; curriculum; primary care; opioid; substance abuse ID CLINICAL-PRACTICE GUIDELINE; LOW-BACK-PAIN; OPIOID-TREATED PATIENTS; CHRONIC NONCANCER PAIN; SOCIETY/AMERICAN COLLEGE; VALIDATION; PHYSICIANS; THERAPY; PREVALENCE; ADDICTION AB Objectives: To develop and assess a housestaff curriculum on opioid and other substance abuse among patients with chronic noncancer pain (CNCP). Methods: The two-hour, case-based curriculum delivered to small groups of medical housestaff sought to improve assessment and management of opioid-treated CNCP patients, including those with a substance use disorder. A two-page pre-post survey was administered to assess self-efficacy change on a scale from 1 (strongly disagree) to 5 (strongly agree). Results: Of 47/50 (94%) respondents, self-efficacy significantly improved across all items (mean pre vs. post ratings, P < .001). Housestaff were more prepared to manage patients on chronic opioid medication (2.8 vs. 3.8), including those with substance use disorders (2.3 vs. 3.4). They felt more prepared to identify opioid dependence (2.8 vs. 3.9) and overall rated the curriculum favorably (4.2). Conclusions: The brief curriculum was well received and appears effective. Further study is needed to determine practice impact. C1 [Gunderson, Erik W.] Univ Virginia, Charlottesville, VA USA. [Gunderson, Erik W.; Coffin, Phillip O.; Chang, Nancy; Polydorou, Soteri; Levin, Frances R.] Columbia Univ Coll Phys & Surg, New York, NY 10032 USA. RP Gunderson, EW (reprint author), Univ Virginia Hlth Syst, Box 800623, Charlottesville, VA 22908 USA. EM erikgunderson@virginia.edu OI Coffin, Phillip/0000-0002-3891-6570 FU Center for Substance Abuse Treatment (CSAT) of the Substance Abuse and Mental Health Administration (SAMHSA); Department of Health and Human Services (DHHS); National Institute on Drug Abuse [K23 DA 020000, K02 DA 000465] FX The Authors gratefully acknowledge the support of the Center for Substance Abuse Treatment (CSAT) of the Substance Abuse and Mental Health Administration (SAMHSA), Department of Health and Human Services (DHHS), including Robert Lubran, MS, MPA, Director Division of Pharmacologic Therapies, and Anton Bizzell, MD, Project Officer for the Prescription Drug Misuse and Abuse Program of during the study period. Dr. Gunderson and Dr. Levin are supported through the National Institute on Drug Abuse K23 DA 020000 and K02 DA 000465, respectively. The authors also thank Gydmer Perez for assistance with data entry, DB Consulting Group and Nicholas Fiebach, MD, for critical review of the manuscript. The authors thank the faculty members who reviewed the curriculum and housestaff participants. NR 34 TC 5 Z9 5 U1 0 U2 7 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2009 VL 30 IS 3 BP 253 EP 260 DI 10.1080/08897070903041277 PG 8 WC Substance Abuse SC Substance Abuse GA 668XF UT WOS:000283307400007 PM 19591063 OA green_accepted DA 2018-05-26 ER PT J AU Reynolds, PP AF Reynolds, P. Preston TI Title VII Innovations in American Medical and Dental Education: Responding to 21st Century Priorities for the Health of the American Public SO ACADEMIC MEDICINE LA English DT Article ID PRIMARY-CARE AB The Title VII Training in Primary Care Medicine and Dentistry grant program has been an engine for innovation by providing funds to develop and implement new curricula, new models of care delivery, and new methods of fellowship and faculty development. During period one, 1963-1975, the disciplines of family medicine and physicians assistants (PAs) first received funding to establish residency programs in family medicine and student training for PAs. Other innovations included interdisciplinary training and curricula in substance abuse and nutrition. During period two, 1976-1991, Title VII funds supported implementation of general dental residency programs. in family medicine, general internal medicine, and general pediatrics, ambulatory care training was expanded with a focus on community-oriented primary care and preventive medicine, as well as curricula in ethics, distance learning, behavioral health, and what is now called evidence-based medicine. During period two, Title VII also helped build the infrastructure of primary care through funding to recruit faculty, to expand training sites into community settings, and to incorporate topics relevant to primary care. During period three, 1992-present, innovations shifted to areas of clinical relevance or national priority, training in the care of vulnerable populations, and design of educational strategies to eliminate health disparities, often through collaborative partnerships between medicine, dentistry, and public health. This article focuses on three areas that reflect much of the current work of Title VII grantees: clinical skills and practice improvement, interdisciplinary models of training and patient care, and care of vulnerable and underserved populations. This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs. C1 [Reynolds, P. Preston] Univ Virginia, Ctr Biomed Eth & Humanities, Dept Med, Div Gen Med Geriatr & Palliat Care, Charlottesville, VA USA. RP Reynolds, PP (reprint author), POB 800761, Charlottesville, VA 22908 USA. EM ppr8q@virginia.edu NR 25 TC 6 Z9 6 U1 0 U2 4 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD NOV PY 2008 VL 83 IS 11 BP 1015 EP 1020 DI 10.1097/ACM.0b013e3181892966 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 466IL UT WOS:000267654700010 PM 18971651 DA 2018-05-26 ER PT J AU Springer, CM Niang, KMT Matte, TD Miller, N Bassett, MT Frieden, TR AF Springer, Carolyn M. Niang, Kathryn M. Tannert Matte, Thomas D. Miller, Nancy Bassett, Mary T. Frieden, Thomas R. TI Do Medical Students Know Enough About Smoking to Help Their Future Patients? Assessment of New York City Fourth-Year Medical Students' Knowledge of Tobacco Cessation and Treatment for Nicotine Addiction SO ACADEMIC MEDICINE LA English DT Article ID WORLDWIDE SURVEY; INTERVENTION; ATTITUDES; EDUCATION; SCHOOLS; HABITS; PHYSICIANS; BELIEFS; SMOKERS AB Purpose Practicing physicians underutilize U.S. Department of Health and Human Services evidence-based approaches to nicotine addiction and treatment. Few studies have assessed medical student knowledge in this area. This study examined New York City fourth-year medical students' knowledge of tobacco cessation and treatment of nicotine addiction. Method The authors conducted a Web-based survey, comprising 27 closed- and open-ended questions, of six of seven New York City medical schools in the spring of 2004. They drew questions from international, national, and local surveys on tobacco and health, U.S. Department of Health and Human Services tobacco treatment guidelines, and prior studies. Primary outcome measures were knowledge of the epidemiology of smoking, benefits of cessation and treatment of nicotine addiction, clinical cessation practices, and students' use of tobacco and intentions to stop smoking. Results Of 943 fourth-year medical students, 469 (50%) completed an online survey. Students had good knowledge of the epidemiology of smoking, including its prevalence and health effects, with most responding correctly to relevant questions (mean correct response 79%; SD = 9.4). Students demonstrated a fair understanding of the benefits of cessation (mean correct response, 67%; SD = 19.2) and treatment of nicotine addiction (mean correct response, 61%, SD = 13.2). Three hundred students (64%) rated their own preparation to assist patients to quit as less than adequate. Conclusions Fourth-year medical students at the participating schools in New York City understood the harms of smoking but needed more information on the benefits of stopping smoking and treatment of nicotine addiction. C1 [Niang, Kathryn M. Tannert; Matte, Thomas D.] New York City Dept Hlth & Mental Hyg, Bur Tobacco Control, Div Hlth Promot & Dis Prevent Res Surveillan & Ev, New York, NY 10007 USA. [Springer, Carolyn M.] Adelphi Univ, Derner Inst Adv Psychol Studies, Garden City, NY 11530 USA. [Bassett, Mary T.] Div Hlth Promot & Dis Prevent, New York City Dept Hlth & Mental Hyg, New York, NY USA. RP Niang, KMT (reprint author), New York City Dept Hlth & Mental Hyg, Bur Tobacco Control, Div Hlth Promot & Dis Prevent Res Surveillan & Ev, 2 Lafayette St,CN 18, New York, NY 10007 USA. EM ktannert@health.nyc.gov FU tax levy resources of the City of New York FX This study was funded with tax levy resources of the City of New York. NR 31 TC 25 Z9 27 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD OCT PY 2008 VL 83 IS 10 BP 982 EP 989 DI 10.1097/ACM.0b013e3181850b68 PG 8 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 466IJ UT WOS:000267654500016 PM 18820533 OA gold DA 2018-05-26 ER PT J AU Xiao, Q Dong, MX Yao, J Li, WX Ye, DQ AF Xiao, Qin Dong, Ma-Xia Yao, Jie Li, Wen-Xian Ye, Dong-Qing TI Parental Alcoholism, Adverse Childhood Experiences, and Later Risk of Personal Alcohol Abuse among Chinese Medical Students SO BIOMEDICAL AND ENVIRONMENTAL SCIENCES LA English DT Article DE Alcohol abuse; Child abuse; Child neglect; China; Household dysfunction ID HOUSEHOLD DYSFUNCTION; SEXUAL-ABUSE; NEGLECT; PREVALENCE; SUICIDE; ADULT; WOMEN; MEN AB Objective To determine the status of adverse childhood experiences (ACEs) and the association of multiple ACEs with both parental alcoholism and latter personal alcohol among Chinese medical students with a view of improving adolescent health and reducing alcohol abuse among them. Methods In this cross-sectional study, 2073 Chinese medical students completed a survey on ten categories of ACEs in Anhui province of China. The association of parental alcoholism with ACEs and personal alcohol abuse was assessed by logistic regression analyses. Results The adjusted odds ratio (OR) for each category of ACEs in the subjects whose parents (either fathers or mothers or both) had alcohol abuse was 2 to 14 times higher than that in those with parental alcoholism (P<0.05). Subjects with bi-parental alcoholism had the highest likelihood of ACEs. Compared with the subjects without ACEs, the risk of personal alcohol abuse was increased by 2-4-folds in the subjects with ACEs, irrespective of parental alcoholism (P<0.05). The total number of ACEs (ACE score) had a graded relationship to 4 categories of personal alcohol abuse with or without parental alcoholism. The prevalence of personal alcohol abuse among the subjects with parental alcoholism was higher, which was independent of ACE scores. Conclusion The prevalence of ACEs is generally serious in China. Efforts should be made to prevent and treat children with ACEs and subsequently to reduce alcohol abuse and later problems. C1 [Xiao, Qin; Dong, Ma-Xia; Li, Wen-Xian; Ye, Dong-Qing] Anhui Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hefei 230032, Anhui, Peoples R China. [Yao, Jie] Jiangsu Inst Planned Parenthood Res, Nanjing 210036, Jiangsu, Peoples R China. RP Ye, DQ (reprint author), Anhui Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hefei 230032, Anhui, Peoples R China. EM xiaoqin-2002@163.com; ydq@ahmu.edu.cn FU National Natural Science Foundation of China [30671815]; Anhui Provincial Natural Science Foundation [070413106] FX This work was supported by grant from National Natural Science Foundation of China (No. 30671815), and Anhui Provincial Natural Science Foundation (No. 070413106). NR 21 TC 8 Z9 8 U1 1 U2 10 PU CHINESE ACAD PREVENTIVE MEDICINE PI ORLANDO PA C/O ACADEMIC PRESS INC, 6277 SEA HARBOR DR, ORLANDO, FL 32887-4900 USA SN 0895-3988 J9 BIOMED ENVIRON SCI JI Biomed. Environ. Sci. PD OCT PY 2008 VL 21 IS 5 BP 411 EP 419 DI 10.1016/S0895-3988(08)60062-8 PG 9 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 365ZG UT WOS:000260448100008 PM 19133615 DA 2018-05-26 ER PT J AU Dutta, SB Keshari, SS Acharya, SB AF Dutta, S. B. Keshari, S. S. Acharya, S. B. TI Study of self-medication and drug abuse by medical students in a tertiary care teaching hospital SO INDIAN JOURNAL OF PHARMACOLOGY LA English DT Meeting Abstract C1 [Dutta, S. B.; Keshari, S. S.; Acharya, S. B.] SGRR Inst Med & Hlth Sci, Dehra Dun, Uttar Pradesh, India. NR 0 TC 0 Z9 0 U1 0 U2 1 PU MEDKNOW PUBLICATIONS PI MUMBAI PA A-108-109 KANARA BUSINESS CENTRE, GHAKTOPAR, MUMBAI, 400075, INDIA SN 0253-7613 J9 INDIAN J PHARMACOL JI Indian J. Pharmacol. PD OCT PY 2008 VL 40 MA 040 BP 48 EP 48 PG 1 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA 429MJ UT WOS:000264924200041 DA 2018-05-26 ER PT J AU Ford, JA Arrastia, MC AF Ford, Jason A. Arrastia, Meagan C. TI Pill-poppers and dopers: A comparison of non-medical prescription drug use and illicit/street drug use among college students SO ADDICTIVE BEHAVIORS LA English DT Article DE college students; non-medical prescription drug use; Illicit/street drug use ID 4 HARVARD-SCHOOL; SUBSTANCE USE; NATIONAL-SURVEY; YOUNG ADULTHOOD; UNITED-STATES; INSURANCE STATUS; BINGE-DRINKING; MARIJUANA USE; ALCOHOL-USE; JUVENILE ARRESTEES AB Data from the 2001 College Alcohol Study, a national sample of U.S. college students, were used to conduct multinomial logistic regression analysis examining correlates of substance use. Students were divided into three groups based on their lifetime substance use: non-users, non-medical prescription drug use only, and illicit/street drug use only. The purpose of this analytic strategy was to examine the similarities/differences in the correlates of non-medical prescription drug use and illicit/street drug use. Findings indicate that race, age, C.P.A., sexual activity, health, binge drinking, marijuana use, social bonding and social learning measures are correlates of non-medical prescription drug use. Correlates of illicit/street drug use include gender, Hispanic ethnicity, sexual activity, binge drinking, marijuana use, social bonding and social learning measures. Finally, the focus of the paper is a comparison of students who report only non-medical prescription drug use to students who report only illicit/street drug use. Findings indicate that gender, race, marital status, sexual activity, marijuana use, and social bonding measures significantly distinguish illicit/street drug use from non-medical prescription drug use. Important implications, limitations, and future research needs were discussed. (C) 2008 Elsevier Ltd. All rights reserved. C1 [Ford, Jason A.; Arrastia, Meagan C.] Univ Cent Florida, Dept Sociol, Orlando, FL 32816 USA. RP Ford, JA (reprint author), Univ Cent Florida, Dept Sociol, Orlando, FL 32816 USA. EM jaford@mail.ucf.edu RI Arrastia, Meagan/M-7654-2013 OI Arrastia, Meagan/0000-0001-5491-5554; ford, jason/0000-0003-0070-5062 NR 81 TC 30 Z9 30 U1 2 U2 16 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0306-4603 J9 ADDICT BEHAV JI Addict. Behav. PD JUL PY 2008 VL 33 IS 7 BP 934 EP 941 DI 10.1016/j.addbeh.2008.02.016 PG 8 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 310WN UT WOS:000256561600007 PM 18403131 DA 2018-05-26 ER PT J AU Lee, JD Triola, M Gillespie, C Gourevitch, MN Hanley, K Truncali, A Zabar, S Kalet, A AF Lee, Joshua D. Triola, Marc Gillespie, Colleen Gourevitch, Marc N. Hanley, Kathleen Truncali, Andrea Zabar, Sondra Kalet, Adina TI Working with patients with alcohol problems: A controlled trial of the impact of a rich media web module on medical student performance SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Article DE health education; alcohol use disorders/alcoholism; internet; multimedia learning ID COMPUTER-ASSISTED-INSTRUCTION; EDUCATION; COMMUNICATION; COMPETENCE; PHYSICIANS AB INTRODUCTION/AIMS: We designed an interactive web module to improve medical student competence in screening and interventions for hazardous drinking. We assessed its impact on performance with a standardized patient (SP) vs. traditional lecture. SETTING: First year medical school curriculum. PROGRAM DESCRIPTION: The web module included pre/posttests, Flash (R), and text didactics. It centered on videos of two alcohol cases, each contrasting a novice with an experienced physician interviewer. The learner free-text critiqued each clip then reviewed expert analysis. PROGRAM EVALUATION: First year medical students conveniently assigned to voluntarily complete a web module (N = 2) or lecture (N = 81) were rated by a SP in a later alcohol case. Participation trended higher (82% vs. 72%, p < .07) among web students, with an additional 4 lecture-assigned students crossing to the web module. The web group had higher mean scores on scales of individual components of brief intervention (assessment and decisional balance) and a brief intervention composite score (1-13 pt.; 9 vs. 7.8, p < .02) and self-reported as better prepared for the SP case. CONCLUSIONS: web module for alcohol use interview skills reached a greater proportion of voluntary learners and was associated with equivalent overall performance scores and higher brief intervention skills scores on a standardized patient encounter. C1 [Lee, Joshua D.; Triola, Marc; Gillespie, Colleen; Gourevitch, Marc N.; Hanley, Kathleen; Truncali, Andrea; Zabar, Sondra; Kalet, Adina] NYU, Sch Med, Div Gen Internal Med, New York, NY 10010 USA. RP Lee, JD (reprint author), NYU, Sch Med, Div Gen Internal Med, 423 E 23rd St,VAMC 15th Fl 15156N, New York, NY 10010 USA. EM joshua.lee@med.nyu.edu OI Gourevitch, Marc/0000-0001-6865-2126; Gillespie, Colleen/0000-0001-9096-3430; Kalet, Adina/0000-0003-4855-0223; Triola, Marc/0000-0002-6303-3112 FU PHS HHS [12-191-1077] NR 15 TC 13 Z9 13 U1 0 U2 6 PU SPRINGER PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD JUL PY 2008 VL 23 IS 7 BP 1006 EP 1009 DI 10.1007/s11606-008-0557-5 PG 4 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 324AH UT WOS:000257489400021 PM 18612733 OA green_published DA 2018-05-26 ER PT J AU Neuner, B Spies, C Miller, P Weiss-Gerlach, E Neumann, T Schoenfeld, H Eisenmann, D Maulhardt, A Braehler, E Schlattmann, P AF Neuner, Bruno Spies, Claudia Miller, Peter Weiss-Gerlach, Edith Neumann, Tim Schoenfeld, Helge Eisenmann, Dorothea Maulhardt, Andrea Braehler, Elmar Schlattmann, Peter TI Unobserved heterogeneity in trauma patients' desire for autonomy in medical decision making in an emergency department SO MEDICAL SCIENCE MONITOR LA English DT Article DE substance use; patient's desire for autonomy; medical decision making; emergency department ID DISORDERS IDENTIFICATION TEST; ALCOHOL-CONSUMPTION; BRIEF INTERVENTION; SMOKING; INJURY; RISK; DISEASE; MODELS; ABUSE; CARE AB Background: To evaluate unobserved heterogeneity in trauma patients' desire for autonomy in medical decision making (DAD). Material/Methods: This cross-sectional study at an inner-city emergency department screened 1009 patients for DAD (using the Decision Making Preference Scale of the Antonomy Preference Index), education level, and substance use. To investigate unobserved heterogeneity, a covariate adjusted finite mixture model was established. Model fit was evaluated with the Bayesian Information Criterion. Results: The median age of participants was 32 years (range, 18-84 years) and 62% were male. Unobserved heterogeneity explained more variance in DAD than did sex, age, or substance use, but less variance than level of education. The best overall model fit was found with 3 latent subpopulations: 53.3% of patients with low DAD, 35.6% of patients with medium DAD, and 11.1% of patients with high DAD. Female sex and level of education showed a positive association; higher age and substance use showed a negative association with patients DAD. Conclusions: Apart from a negative association with substance use and the known associations with sex and level of education, trauma patients' DAD showed substantial variability between individuals, and this variability could not be explained by these factors. C1 [Neuner, Bruno; Spies, Claudia; Weiss-Gerlach, Edith; Neumann, Tim; Schoenfeld, Helge; Eisenmann, Dorothea; Maulhardt, Andrea] Charite Univ Med Berlin, Dept Anesthesiol & Intens Care Med, D-10117 Berlin, Germany. [Miller, Peter] Med Univ S Carolina, Ctr Drug & Alcohol Programs, Charleston, SC 29425 USA. [Braehler, Elmar] Univ Leipzig, Independent Dept Med Psychol & Med Sociol, Leipzig, Germany. [Schlattmann, Peter] Charite Univ Med Berlin, Inst Biometry & Clin Epidemiol, D-10117 Berlin, Germany. RP Neuner, B (reprint author), Charite Univ Med Berlin, Dept Anesthesiol & Intens Care Med, Campus Virchow Klinikum & Campus Charite Mitte,Ch, D-10117 Berlin, Germany. EM bruno.neuner@charite.de RI Schlattmann, Peter/B-5289-2008 FU German Ministry of Health [BMG 217-43794-5/5] FX This study was sponsored by the German Ministry of Health (BMG 217-43794-5/5) NR 31 TC 0 Z9 0 U1 0 U2 1 PU INT SCIENTIFIC LITERATURE, INC PI ALBERTSON PA 1125 WILLIS AVE, ALBERTSON, NY 11507 USA SN 1234-1010 J9 MED SCI MONITOR JI Med. Sci. Monitor PD JUL PY 2008 VL 14 IS 7 BP CR366 EP CR371 PG 6 WC Medicine, Research & Experimental SC Research & Experimental Medicine GA 347BV UT WOS:000259114900010 PM 18591918 DA 2018-05-26 ER PT J AU Gorai, S Dhar, G AF Gorai, S. Dhar, G. TI Prevalence of drug abuse among medical & non-medical students SO INDIAN JOURNAL OF MEDICAL RESEARCH LA English DT Meeting Abstract CT 1st Asian and 2nd National Medical Students Research Conference CY FEB 20-24, 2008 CL Pune, INDIA C1 [Gorai, S.; Dhar, G.] Midnapore Med Coll, Dept Community Med, Paschim Medinipur 721101, W Bengal, India. EM surajit_mmch@rediffmail.com NR 0 TC 0 Z9 0 U1 0 U2 1 PU INDIAN COUNCIL MEDICAL RES PI NEW DELHI PA PO BOX 4911 ANSARI NAGAR, NEW DELHI 110029, INDIA SN 0971-5916 J9 INDIAN J MED RES JI Indian J. Med. Res. PD JUN PY 2008 VL 127 IS 6 BP 652 EP 652 PG 1 WC Immunology; Medicine, General & Internal; Medicine, Research & Experimental SC Immunology; General & Internal Medicine; Research & Experimental Medicine GA 348UM UT WOS:000259235600069 OA gold DA 2018-05-26 ER PT J AU Firth-Cozens, J AF Firth-Cozens, J. TI Doctors with difficulties: why so few women? SO POSTGRADUATE MEDICAL JOURNAL LA English DT Article ID WORKING-CONDITIONS; GENDER-DIFFERENCES; MENTAL-HEALTH; COMMUNICATION; ALCOHOLICS; MEDICINE; RISK; CARE AB The National Clinical Assessment Service (NCAS), an NHS organisation that assesses doctors and dentists referred to them because of perceived difficulties, has produced a report describing data arising from its first 4 years, showing that male doctors were referred to the service considerably more often than female doctors. Despite women accounting for 42% of the general practitioner medical workforce and 37% of the medical hospital and community (H&C) workforce in 2004, only 13% of GPs and 20% of H&C NCAS referrals were women. When the H&C data were split into specialties, women were under-represented proportionally in all specialties. This paper offers a review of possible reasons for these gender differences and in doing so contributes to the debates concerning problems in performance and also the costs of employing a growing proportion of women doctors. Firstly, it hypothesises that the NCAS data may be nonrepresentative of similar agency data, but finds that in disciplinary organisations of various types around the world, men are consistently over- represented. Secondly, it suggests that perhaps men are referred to such agencies more often than women because their employers are more lenient on women. There is no evidence for this, and it requires primary research to investigate it further. Finally, it considers gender differences in the attributes, beyond technical skills, that underpin a good doctor - patient relationship and finds that, on these attributes, women usually excel over men. In addition, far fewer women are disciplined for addiction. The implications of this for education and rehabilitation are considered. It concludes that any analysis of the economic costs of employing a greater proportion of female doctors must take into account the higher costs of men's litigation, discipline and retraining. C1 London Deanery, London WC1B 5DN, England. RP Firth-Cozens, J (reprint author), London Deanery, Stewart House,32 Russell Sq, London WC1B 5DN, England. EM jfirth-cozens@londondeanery.ac.uk NR 35 TC 17 Z9 17 U1 0 U2 3 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0032-5473 J9 POSTGRAD MED J JI Postgrad. Med. J. PD JUN PY 2008 VL 84 IS 992 BP 318 EP 320 DI 10.1136/pgmj.2008.068478 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 328IB UT WOS:000257790500008 PM 18644923 OA gold DA 2018-05-26 ER PT J AU Ciccarone, D Jain, S Bourgois, P AF Ciccarone, Dan Jain, Sharad Bourgois, Philippe TI Understanding illicit substance use in the real world SO MEDICAL EDUCATION LA English DT News Item C1 [Ciccarone, Dan] Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA 94143 USA. RP Ciccarone, D (reprint author), Univ Calif San Francisco, Dept Family & Community Med, 500 Parnassus,MU-3E,POB 0900, San Francisco, CA 94143 USA. EM ciccaron@fcm.ucsf.edu RI Ciccarone, Dan/I-5404-2013 OI Ciccarone, Dan/0000-0002-2355-5477; Bourgois, Philippe/0000-0002-1600-233X FU NIDA NIH HHS [R01 DA010164, K23 DA016165, K23 DA016165-04, R01 DA010164-12] NR 0 TC 0 Z9 0 U1 0 U2 4 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0308-0110 J9 MED EDUC JI Med. Educ. PD MAY PY 2008 VL 42 IS 5 BP 532 EP 532 DI 10.1111/j.1365-2923.2008.03074.x PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 287YS UT WOS:000254954000033 PM 18412911 OA gold DA 2018-05-26 ER PT J AU Da Silveira, DX Rosa-Oliveira, L Di Pietro, M Niel, M Doering-Silveira, E Jorge, MR AF Da Silveira, Dartiu Xavier Rosa-Oliveira, Leonardo Di Pietro, Monica Niel, Marcelo Doering-Silveira, Evelyn Jorge, Miguel Roberto TI Evolutional pattern of drug use by medical students SO ADDICTIVE BEHAVIORS LA English DT Article DE medical students; drugs; gender; pattern of use ID SUBSTANCE USE; ALCOHOL AB Recent use of psychoactive substances among 456 medical students throughout the six grades was surveyed by way of a self-report questionnaire using World Health Organisation criteria. Among male medical students, the most frequently used substances were alcohol (80.5%), cannabis (25.3%), solvents (25.2%), and tobacco (25.2%), whereas among female students the most frequently used drugs were alcohol (72.6%), tobacco (14.6%), solvents (10.5%), and tranquillizers (7.5%). Switch from illegal to legal drugs were observed only among female medical students. Male students tend to alternate cannabis and solvents throughout college years. Interventions aiming to influence patterns of drug consumption among medical students must consider both gender differences and evolutional patterns of substance use throughout medical course. (c) 2007 Published by Elsevier Ltd. C1 [Da Silveira, Dartiu Xavier; Rosa-Oliveira, Leonardo; Di Pietro, Monica; Niel, Marcelo; Doering-Silveira, Evelyn; Jorge, Miguel Roberto] Univ Fed Sao Paulo, Dept Psychiat, Addict Unit PROAD, Sao Paulo, Brazil. RP Da Silveira, DX (reprint author), Univ Fed Sao Paulo, Dept Psychiat, Addict Unit PROAD, Sao Paulo, Brazil. EM dartiu@terra.com.br NR 10 TC 8 Z9 9 U1 0 U2 3 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0306-4603 J9 ADDICT BEHAV JI Addict. Behav. PD MAR PY 2008 VL 33 IS 3 BP 490 EP 495 DI 10.1016/j.addbeh.2007.10.005 PG 6 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 267AJ UT WOS:000253480000008 PM 18068309 DA 2018-05-26 ER PT J AU McCabe, SE AF McCabe, Sean Esteban TI Screening for drug abuse among medical and nonmedical users of prescription drugs in a probability sample of college students SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article ID ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; OPIOID ANALGESICS; NATIONAL TRENDS; PSYCHOTROPIC MEDICATIONS; YOUNG-ADULTS; METHYLPHENIDATE; ADOLESCENTS; STIMULANTS; PREVALENCE; PATTERNS AB Objectives: To determine the prevalence of medical and nonmedical use of 4 classes of prescription drugs (opioid, stimulant, sleeping, and sedative or anxiety) and to assess probable drug abuse among 4 mutually exclusive groups of medical and nonmedical use of prescription drugs. Design: In 2005, a Web survey was self-administered by a probability sample of 3639 college students (68% response rate). Setting: A large, midwestern 4-year university. Participants: The sample had a mean age of 19.9 years, and respondents were 53.6% female, 67.4% white, 12.1% Asian, 6.0% African American, 4.2% Hispanic, and 10.2% other racial categories. Main Outcome Measures: Medical and nonmedical use of prescription drugs was measured. Probable drug abuse was assessed using a modified version of the Drug Abuse Screening Test, Short Form. Results: A total of 40.1% of respondents reported no lifetime use of at least 1 of 4 classes of prescription drugs, 39.7% reported medical use only, 15.8% reported both medical and nonmedical use, and 4.4% reported nonmedical use only. The odds of a positive screening result for drug abuse were greater among medical and nonmedical users (adjusted odds ratio, 5.5; 95% confidence interval, 3.4-7.3) and nonmedical users only (adjusted odds ratio, 6.5; 95% confidence interval, 4.0-10.6) compared with nonusers. The odds of a positive screening result for drug abuse did not differ between medical users only and nonusers. Conclusions: Nonmedical users of prescription drugs are at heightened risk for drug abuse, whereas medical users without a history of nonmedical use are generally not at increased risk. Drug abuse screening should be routine for college students, especially among individuals with any history of nonmedical use of prescription drugs. C1 Univ Michigan, Substance Abuse Res Ctr, Ann Arbor, MI 48105 USA. RP McCabe, SE (reprint author), Univ Michigan, Substance Abuse Res Ctr, 2025 Traverwood Dr,Ste C, Ann Arbor, MI 48105 USA. EM plius@umich.edu OI McCabe, Sean/0000-0002-9622-4652 FU NIDA NIH HHS [R03 DA018239-02, R03 DA019492-01, DA018239, R03 DA018239, R03 DA019492, R03 DA018239-01, DA019492]; NIAAA NIH HHS [U18 AA015275] NR 38 TC 44 Z9 44 U1 0 U2 12 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610-0946 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD MAR PY 2008 VL 162 IS 3 BP 225 EP 231 DI 10.1001/archpediatrics.2007.41 PG 7 WC Pediatrics SC Pediatrics GA 269TB UT WOS:000253672100005 PM 18316659 OA gold DA 2018-05-26 ER PT J AU Stein, MR Kunins, HV Parish, SJ Arnsten, J AF Stein, M. R. Kunins, H. V. Parish, S. J. Arnsten, J. TI Evaluation of a substance abuse curriculum for internal medicine residents. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 31st Annual Meeting of the Society-of-General-Internal-Medicine CY APR 09-12, 2008 CL Pittsburgh, PA SP Soc Gen Internal Med C1 [Stein, M. R.; Kunins, H. V.; Parish, S. J.; Arnsten, J.] Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY 10467 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING STREET, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAR PY 2008 VL 23 SU 2 BP 200 EP 201 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 277TH UT WOS:000254237100306 DA 2018-05-26 ER PT J AU Parish, SJ Stein, MR Hahn, SR Goldberg, U Arnsten, JH AF Parish, S. J. Stein, M. R. Hahn, S. R. Goldberg, U. Arnsten, J. H. TI Residents' objective structured clinical exam skills scores improve after introduction of enhanced substance abuse curriculum SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 31st Annual Meeting of the Society-of-General-Internal-Medicine CY APR 09-12, 2008 CL Pittsburgh, PA SP Soc Gen Internal Med C1 [Parish, S. J.; Stein, M. R.; Hahn, S. R.; Goldberg, U.; Arnsten, J. H.] Albert Einstein Coll Med, Bronx, NY 10467 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING STREET, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAR PY 2008 VL 23 SU 2 BP 209 EP 209 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 277TH UT WOS:000254237100329 DA 2018-05-26 ER PT J AU Rastegar, DA Sisson, SD AF Rastegar, D. A. Sisson, S. D. TI Use of a web-based curriculum to teach internal medicine residents about addiction SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 31st Annual Meeting of the Society-of-General-Internal-Medicine CY APR 09-12, 2008 CL Pittsburgh, PA SP Soc Gen Internal Med C1 [Rastegar, D. A.; Sisson, S. D.] Johns Hopkins Univ, Baltimore, MD USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING STREET, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAR PY 2008 VL 23 SU 2 BP 215 EP 215 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 277TH UT WOS:000254237100345 DA 2018-05-26 ER PT J AU Seshadri, S AF Seshadri, Shekhar TI Substance abuse among medical students and doctors: A call for action SO NATIONAL MEDICAL JOURNAL OF INDIA LA English DT Editorial Material C1 Natl Inst Mental Hlth & Neurosci, Dept Psychiat, Unit Child & Adolescent Psychiat, Bangalore 560029, Karnataka, India. RP Seshadri, S (reprint author), Natl Inst Mental Hlth & Neurosci, Dept Psychiat, Unit Child & Adolescent Psychiat, Bangalore 560029, Karnataka, India. EM shekhar@nimhans.kar.nic.in NR 8 TC 6 Z9 7 U1 0 U2 2 PU ALL INDIA INST MEDICAL SCIENCES PI NEW DELHI PA ANSARI NAGAR, NEW DELHI 110 029, INDIA SN 0970-258X J9 NATL MED J INDIA JI Natl. Med. J. India PD MAR-APR PY 2008 VL 21 IS 2 BP 57 EP 59 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 306JC UT WOS:000256243100001 PM 18807308 DA 2018-05-26 ER PT J AU Rai, D Gaete, J Girotra, S Pal, HR Araya, R AF Rai, Dheeraj Gaete, Jorge Girotra, Saket Pal, Hem Raj Araya, Ricardo TI Substance use among medical students: Time to reignite the debate? SO NATIONAL MEDICAL JOURNAL OF INDIA LA English DT Article ID ILLICIT DRUG-USE; ALCOHOL; PHYSICIANS; UNIVERSITY; ABUSE AB Background. Substance use among medical students could impact on the conduct, safety and efficiency of future doctors. Despite serious medicolegal, ethical and political ramifications, there is little research on the subject, especially from the Indian subcontinent. We aimed to explore the patterns of substance use among a sample of medical students from the Indian subcontinent. Methods. An opportunistic, cross-sectional survey of medical students from 76 medical schools attending an inter-medical school festival. A brief self-reported questionnaire was used to identify current and lifetime use of tobacco, alcohol, cannabis, heroin and non-prescription drugs. Multivariable logistic regression analysis was used to identify factors associated with illicit substance use. Results. Responses from 2135 medical students were analysed. Current alcohol and tobacco (chewable or smoked) use was reported by 7.1% and 6.1% of the respondents, respectively. Lifetime use of illicit substances was reported by 143 (6.7%) respondents. Use of illicit substances was strongly associated with use of tobacco, alcohol and non-prescription drugs. Conclusion. This study provides a snapshot of the problem of substance use among medical students from the Indian subcontinent. The reported prevalence of alcohol and illicit substance use in our sample was lower, while tobacco use was similar, when compared with data from western studies. Further research is needed from the Indian subcontinent to study nationwide patterns of substance use among medical students, and to identify important determinants and reinforce protective factors. Strategies need to be developed for supporting students with a substance use problem. C1 [Rai, Dheeraj; Gaete, Jorge; Girotra, Saket; Pal, Hem Raj; Araya, Ricardo] Univ Bristol, Acad Unit Psychiat, Bristol, Avon, England. RP Rai, D (reprint author), Univ Los Andes, Sch Psychol, Santiago, Chile. EM dheeraj.rai@awp.nhs.uk RI Rai, Dheeraj/A-3315-2012; Gaete, Jorge/C-7471-2014 OI Gaete, Jorge/0000-0002-6650-6018; Rai, Dheeraj/0000-0002-7239-3523 NR 22 TC 11 Z9 12 U1 0 U2 1 PU ALL INDIA INST MEDICAL SCIENCES PI NEW DELHI PA ANSARI NAGAR, NEW DELHI 110 029, INDIA SN 0970-258X J9 NATL MED J INDIA JI Natl. Med. J. India PD MAR-APR PY 2008 VL 21 IS 2 BP 75 EP 78 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA 306JC UT WOS:000256243100005 PM 18807312 DA 2018-05-26 ER PT J AU Lubman, D Jurd, S Baigent, M Krabman, P AF Lubman, Dan Jurd, Stephen Baigent, Michael Krabman, Peter TI Putting 'addiction' back into psychiatry: the RANZCP section of addiction psychiatry SO AUSTRALASIAN PSYCHIATRY LA English DT Article DE addiction; alcohol; drugs; psychiatry; section ID MENTAL-HEALTH; ALCOHOL; COMORBIDITY; DISORDERS; CANNABIS AB Objective: The aim of this paper is to provide an overview of the history and activities of the RANZCP Section of Addiction Psychiatry, as well as its current challenges and opportunities. Conclusions: From initial exclusion to an active and growing membership, the Section of Addiction Psychiatry continues to ensure that problematic substance use and gambling remain core issues within Australasian psychiatry. In addition to commenting and contributing to ongoing clinical and policy initiatives, the Section has recently introduced an advanced training curriculum and maintains a strong partnership with the relatively new Australasian Chapter of Addiction Medicine. Its active input into education, training, media and policy development within the College guarantees that psychiatry is represented within the addiction field, and that tomorrow's psychiatrists are competent to assess and treat comorbid addiction issues. C1 [Lubman, Dan] Univ Melbourne, ORYGEN Res Ctr, Dept Psychiat, Melbourne, Vic, Australia. [Jurd, Stephen] Univ Sydney, Dept Psychiat, Sydney, NSW 2006, Australia. [Jurd, Stephen] No Sydney Cent Coast Hlth, Sydney, NSW, Australia. [Baigent, Michael] Flinders Med Ctr, Dept Psychiat, Adelaide, SA, Australia. [Baigent, Michael] Flinders Univ S Australia, Adelaide, SA 5001, Australia. [Krabman, Peter] Coral Tree Family Serv, Sydney, NSW, Australia. RP Lubman, D (reprint author), ORYGEN Res Ctr, Dept Psychiat, 35 Poplar Rd Locked Bag 10, Parkville, Vic 3052, Australia. EM dan.lubman@mh.org.au OI Lubman, Dan/0000-0002-6747-1937 NR 9 TC 5 Z9 5 U1 0 U2 8 PU INFORMA HEALTHCARE PI NEW YORK PA 52 VANDERBILT AVE, NEW YORK, NY 10017 USA SN 1039-8562 J9 AUSTRALAS PSYCHIATRY JI Australas. Psychiatry PD FEB PY 2008 VL 16 IS 1 BP 39 EP 43 DI 10.1080/10398560701760227 PG 5 WC Psychiatry SC Psychiatry GA 282PR UT WOS:000254580200009 PM 18202932 OA green_published DA 2018-05-26 ER PT J AU McBeth, BD Ankel, FK Ling, LJ Asplin, BR Mason, EJ Flottemesch, TJ McNamara, RM AF McBeth, Brian D. Ankel, Felix K. Ling, Louis J. Asplin, Brent R. Mason, Emily J. Flottemesch, Thomas J. McNamara, Robert M. TI Substance use in emergency medicine training programs SO ACADEMIC EMERGENCY MEDICINE LA English DT Article; Proceedings Paper CT Research Forum of the American-College-of-Emergency-Physicians CY OCT 15-16, 2006 CL New Orleans, LA SP Amer Coll Emergency Phys DE physician impairment; graduate medical education ID PHYSICIANS-HEALTH-PROGRAM; CORONARY-HEART-DISEASE; IMPAIRED PHYSICIANS; CAGE QUESTIONNAIRE; ALCOHOL-PROBLEMS; HOUSE STAFF; RESIDENTS; ABUSE; DEPRESSION; PREVALENCE AB Objectives: To explore the prevalence of substance use among emergency medicine (EM) residents and compare to a prior study conducted in 1992. Methods: A voluntary, anonymous survey was distributed in February 2006 to EM residents nationally in the context of the national in-service examination. Data regarding 43 substances, demographics, and perceptions of personal patterns of substance use were collected. Results: A total of 133 of 134 residencies distributed the surveys (99%). The response rate was 56% of the total EM residents who took the in-service examination (2,397/4,281). The reported prevalence of most illicit drug use, including cocaine, heroin, amphetamines, and other opioids, among EM residents are low. Although residents reporting past marijuana use has declined (52.3% in 1992 to 45.0% in 2006; p < 0.001), past-year use (8.8%-11.8%; p < 0.001) and past-month use (2.5%-4.0%; p < 0.001) have increased. Alcohol use appears to be increasing, including an increase in reported daily drinkers from 3.3% to 4.9% (p < 0.001) and an increase in number of residents who indicate that their consumption of alcohol has increased during residency (from 4% to 12.6%; p < 0.001). Conclusions: Self-reported use of most street drugs remains uncommon among EM residents. Marijuana and alcohol use, however, do appear to be increasing. Educators should be aware of these trends, and this may allow them to target resources for impaired and at-risk residents. C1 [McBeth, Brian D.] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Emergency Med, San Francisco, CA 94143 USA. [Ankel, Felix K.; Asplin, Brent R.; Mason, Emily J.; Flottemesch, Thomas J.] Reg Hosp, Dept Emergency Med, St Paul, MN USA. [Ling, Louis J.] Hennepin Cty Med Ctr, Dept Emergency Med, Minneapolis, MN 55415 USA. [McNamara, Robert M.] Temple Univ, Med Ctr, Dept Emergency Med, Philadelphia, PA 19122 USA. RP McBeth, BD (reprint author), Univ Calif San Francisco, San Francisco Gen Hosp, Dept Emergency Med, San Francisco, CA 94143 USA. EM bmcbeth@sfghed.ucsf.edu NR 38 TC 2 Z9 2 U1 0 U2 2 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 1069-6563 J9 ACAD EMERG MED JI Acad. Emerg. Med. PD JAN PY 2008 VL 15 IS 1 BP 45 EP 53 DI 10.1111/j.1553-2712.2007.00008.x PG 9 WC Emergency Medicine SC Emergency Medicine GA 265PT UT WOS:000253374100007 PM 18211313 OA gold DA 2018-05-26 ER PT J AU Kale, SA Barkin, RL AF Kale, Scott A. Barkin, Robert L. TI Proposal for a Medical Master Class System of Medical Education for Common Complex Medical Entities SO AMERICAN JOURNAL OF THERAPEUTICS LA English DT Editorial Material DE master class; Flexnor; master physician; apprentice system of medical education; teaching; physician residency program AB It is imperative that the management of complex outpatient medical problems be taught using an apprentice system of education. The implementation of highly experienced and outcome successful " master physicians'' to train outpatient practicing clinicians will provide a powerful frame of reference and a highly imitatable model on which clinicians can base their presentations of information and medications to patients with complex medical problems such as type 2 diabetes, cardiovascular disease, chronic pain, obesity, or tobacco addiction. Because doctors have always learned by observation, we must ensure that those who they observe will be "worth watching'' and that those watched can provide skills of patient management currently not taught in the Flexnor-styled medical educational system, which effectively ended the apprentice system of training. The reintroduction of a carefully crafted apprentice system will foreseeably improve patient care and reduce morbidity, mortality, medical errors, and medical expenses. C1 [Kale, Scott A.] St Joseph Hosp, Chicago, IL USA. [Barkin, Robert L.] Rush Univ, Med Ctr, Coll Med, Rush Pain Ctr, Chicago, IL 60612 USA. [Barkin, Robert L.] Rush N Shore Med Ctr, N Shore Pain Ctr, Skokie, IL USA. RP Kale, SA (reprint author), 30 S Michigan Ave,Suite 404, Chicago, IL 60603 USA. EM Kaledoc@aol.com NR 6 TC 0 Z9 1 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1075-2765 J9 AM J THER JI Am. J. Ther. PD JAN-FEB PY 2008 VL 15 IS 1 BP 92 EP 96 DI 10.1097/MJT.0b013e31815fa680 PG 5 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA V12TU UT WOS:000207622300016 PM 18223360 DA 2018-05-26 ER PT J AU Mancevska, S Bozinovska, L Tecce, J Pluncevik-Ghgoroska, J Sivevska-Smilevska, E AF Mancevska, S. Bozinovska, L. Tecce, J. Pluncevik-Ghgoroska, J. Sivevska-Smilevska, E. TI Depression, anxiety and substance use in medical students in the Republic of Macedonia SO BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY LA English DT Article DE depression; anxiety; substance use; medical students ID TURKEY; SCHOOL; SYMPTOMS; SMOKING; MOOD AB Objectives: To determine the prevalence of depressive and high trait anxiety symptoms and substance use, including alcohol and nicotine, in first-year and second-year medical students in Skopje University Medical School, Republic of Macedonia. Background: It is important to investigate medical students because they are under significant pressure during early years of medical education, a period during which the attitudes and behaviors of physicians develop. Methods: A cross-sectional survey in classroom settings, using an anonymous self-administered questionnaire, was performed in 354 participants (181 first-year, 118 females and 63 males and 173 second-year medical students, 116 females and 57 males) aged 18 to 23 years. The Beck Depression Inventory (BDI) and Taylor Manifest Anxiety Scale (TMAS) were used to determine depressive and high trait anxiety symptoms. BDI scores 17 or higher were categorized as depressive and TMAS scores 16 or higher as high anxiety symptoms. A Student Nest was used for continuous data analysis. Results: Out of all participants 10.4% had BDI score 17 or higher and 65.5% had TMAS score 16 or higher. Alcohol was the most frequently used substance in both groups. Smoking prevalence was 25%. Benzodiazepines (diazepam, alprazolam) use was 13.1%. Illicit drug use was rare (1.1% in freshmen and 3.6% in juniors) in both groups. Conclusions: High frequency of manifest high anxiety symptoms and depressive symptoms and benzodiazepine use among Macedonian junior medical students should be taken seriously and a student counseling service offering mental health assistance is necessary (Tab. 3, Ref. 23). Full Text (Free, PDF) www.bmj.sk. C1 [Mancevska, S.; Bozinovska, L.; Pluncevik-Ghgoroska, J.; Sivevska-Smilevska, E.] Univ Ss Cyril & Methodius, Dept Physiol, Fac Med, Skopje 1000, Macedonia. [Tecce, J.] Boston Coll Arts & Sci, Dept Psychol, Boston, MA USA. RP Mancevska, S (reprint author), Univ Ss Cyril & Methodius, Dept Physiol, Fac Med, 50 Divizija Br 6, Skopje 1000, Macedonia. EM smancevska@medf.ukim.edu.mk NR 23 TC 25 Z9 26 U1 1 U2 8 PU COMENIUS UNIV PI BRATISLAVA I PA SCH MEDICINE, SPITALSKA 24, BRATISLAVA I, SK-813 72, SLOVAKIA SN 0006-9248 J9 BRATISL MED J JI Bratisl. Med. J. PY 2008 VL 109 IS 12 BP 568 EP 572 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA 413SO UT WOS:000263813000007 PM 19348380 DA 2018-05-26 ER PT J AU de Mesquita, EM Nunes, AJ Cohen, C AF de Mesquita, Elisa Maria Nunes, Alice Jaruche Cohen, Claudio TI Evaluation of medical students' attitudes towards drug abuse by colleagues in the academic environment SO REVISTA DE PSIQUIATRIA CLINICA LA Portuguese DT Article DE medical students; drug abuse; ethics ID ILLICIT DRUGS; ALCOHOL AB Background: The prevalence of drug use among young college students is increasing. This gives cause for special concern to medical students who will later confront the consequences of the drug problems both in the classroom as well as in clinical practice. Objectives: The purpose of this paper is the evaluation of medical students' attitudes towards drug abuse in the academic environment; comparing these with respect to different kinds of drugs - illegal, legal, and alcohol exclusively. Methods: Three different versions of a self-completed questionnaire (approved by the Ethics Committee for Research Project Evaluation) were ministered to groups of equal numbers of medical students attending the University of Sao Paulo, School of Medicine - FMUSP (Brazil). Each questionnaire focused on illegal drugs, legal drugs, and alcohol. Results: The results indicated a significant difference in the students' attitudes regarding intervention for the different types of drug abuse. There was also indication of a difference in the students' opinions regarding the roles that colleagues, relatives, and health professionals undertake in dealing with these issues, including the respective treatment plans for drug abuse. Conclusions: Medical students tend to be more tolerant of alcohol consumption, considering themselves to be less vulnerable to alcohol abuse. Therefore, harmful consequences may not be apparent until an incapacitating level of dysfunction affects the individual on both a personal and professional level. C1 [de Mesquita, Elisa Maria; Nunes, Alice Jaruche] Univ Sao Paulo, Fac Med, Acad Curso Med, BR-05405000 Sao Paulo, Brazil. [Cohen, Claudio] Univ Sao Paulo, Fac Med, Dept Med Legal Et Med & Med Social & Trabalho, BR-05405000 Sao Paulo, Brazil. [Cohen, Claudio] Univ Sao Paulo, Fac Med, Comissao Bioet HC, BR-05405000 Sao Paulo, Brazil. RP de Mesquita, EM (reprint author), Rua Cardeal Arcoverde 388,Apto 21, BR-05408000 Sao Paulo, Brazil. EM elisamesquita@yahoo.com.br NR 32 TC 0 Z9 0 U1 0 U2 2 PU UNIV SAO PAULO, INST PSIQUIATRIA PI SAO PAULO PA RUA OVIDIO PIRES CAMPOS, 785, 1 ANDAR, SAO PAULO, 05403-010, BRAZIL SN 0101-6083 J9 REV PSIQ CLIN-BRAZIL JI Rev. Psiquiatr. Clin. PY 2008 VL 35 SU 1 BP 8 EP 12 PG 5 WC Psychiatry SC Psychiatry GA 319UD UT WOS:000257188900003 OA gold DA 2018-05-26 ER PT J AU Midmer, D Kahan, M Wilson, L AF Midmer, Deana Kahan, Meldon Wilson, Lynn TI Medical Students' Experiences with Addicted Patients: A Web-Based Survey SO SUBSTANCE ABUSE LA English DT Article DE Medical students substance use; undergraduate education; addiction AB Project CREATE was an initiative to strengthen undergraduate medical education in addictions. As part of a needs assessment, forty-six medical students at Ontario's five medical schools completed a bi-weekly, interactive web-based survey about addiction-related learning events. In all, 704 unique events were recorded, for an average of 16.7 entries per student. The most commonly discussed topic was alcohol withdrawal and the complications of alcohol use. The most common learning venues were lectures and clinical encounters in the emergency department or hospital. The proportion of advice-related topics (e. g., advice to drinkers and smokers) to advice plus non-advice related topics (e.g., medical complications) was greater for outpatient and community settings than for acute care and didactic settings (ratio 1.29, chi sq 15.85, p < 0.01). Students reacted strongly to the psychosocial impact of addictions on patients, yet they viewed addiction as a personal choice, not an illness. Conclusion: Medical students are not being trained to diagnose addiction or provide advice and counseling. Medical schools need to provide students with positive clinical experiences supervised by physicians experienced in addictions. doi: 10.1300/J465v29n01_04 [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: < docdelivery@haworthpress.com > Website: < http://www.HaworthPress.com > (C) 2008 by The Haworth Press. All rights reserved.] C1 [Midmer, Deana] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada. [Kahan, Meldon] St Josephs Hlth Ctr, Addict Med Serv, Toronto, ON, Canada. [Wilson, Lynn] St Josephs Hlth Ctr, Dept Family Med, Toronto, ON, Canada. RP Midmer, D (reprint author), Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada. FU Centre for Addiction and Mental Health; Lawson Foundation; Richard and Jean Ivey Fund; Max Bell Foundation FX Funding for this study came from Project CREATE, an educational project funded by the Centre for Addiction and Mental Health, the Lawson and Max Bell Foundations and the Richard and Jean Ivey Fund. NR 31 TC 1 Z9 1 U1 0 U2 6 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 EI 1547-0164 J9 SUBST ABUS JI Subst. Abus. PY 2008 VL 29 IS 1 BP 25 EP 32 DI 10.1300/J465v29n01_04 PG 8 WC Substance Abuse SC Substance Abuse GA V14AS UT WOS:000207707900004 PM 19042316 DA 2018-05-26 ER PT J AU Walley, AY Phillips, KA Gordon, AJ AF Walley, Alexander Y. Phillips, Karran A. Gordon, Adam J. TI The Patients in Recovery (PIR) Perspective: Teaching Physicians About Methamphetamine SO SUBSTANCE ABUSE LA English DT Article DE Methamphetamine abuse; physician education; substance abuse training AB Methamphetamine dependence is an emerging epidemic confronting physicians. In an effort to improve understanding of its impact, the authors presented an educational workshop at a national meeting for general internists featuring small group discussions with patients in recovery (PIR) from methamphetamine dependence. Participants rated the workshop highly, stating it would lead to concrete change in their teaching, research, or patient care practices and they would invite the workshop to their institution for presentation. Direct interaction with PIR was the most valued aspect of the workshop. Lessons learned included patient's fear of being "turned in" limits disclosure of methamphetamine use to physicians; active users have little insight into methamphetamine-related changes in physical appearance; and a sense of productivity reinforces ongoing methamphetamine use. Workshops that include small group discussions between physicians and PIR are an innovative, practical, and acceptable method to teach physicians about their role in helping patients with substance dependence. C1 [Walley, Alexander Y.] Boston Med Ctr, Gen Internal Med Sect, Clin Addict Res & Educ Unit, Boston, MA 02218 USA. [Phillips, Karran A.] Johns Hopkins Sch Med, Div Gen Internal Med, Baltimore, MD USA. [Gordon, Adam J.] VA Pittsburgh Healthcare Syst, Mental Illness Res Educ & Clin Ctr, VISN 4, Pittsburgh, PA USA. [Gordon, Adam J.] VA Pittsburgh Healthcare Syst, Ctr Hlth Equity Res & Promot, Pittsburgh, PA USA. [Gordon, Adam J.] Univ Pittsburgh, Ctr Res Hlth Care, Pittsburgh, PA USA. RP Walley, AY (reprint author), Boston Med Ctr, Gen Internal Med Sect, Clin Addict Res & Educ Unit, 801 Massachusetts Ave,2nd Floor, Boston, MA 02218 USA. EM awalley@bu.edu OI Walley, Alexander/0000-0002-8158-4882 FU National Institute on Drug Abuse [R25-DA13582]; National Institute of Allergy and Infectious Diseases [T32-AI52074]; VA HSR&D Research Career Development Award [RCD-00038-2] FX The authors would like to acknowledge the assistance of Deborah Service of the Matrix Institute and the 10 volunteer small group leaders at the workshop. The authors would also like to acknowledge Maryann Amodeo, MSW, PhD, for guidance in developing the workshop. Dr. Walley was supported by the National Institute on Drug Abuse (R25-DA13582) and National Institute of Allergy and Infectious Diseases (T32-AI52074). Dr. Gordon was supported by a VA HSR&D Research Career Development Award (RCD-00038-2). The results of this paper were presented at the 2006 Association for Medical Education and Research in Substance Abuse (AMERSA) national conference, Washington, DC, November 2007. NR 12 TC 0 Z9 0 U1 0 U2 3 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 0889-7077 J9 SUBST ABUS JI Subst. Abus. PY 2008 VL 29 IS 4 BP 61 EP 64 DI 10.1080/08897070802418493 PG 4 WC Substance Abuse SC Substance Abuse GA V14AZ UT WOS:000207708600006 PM 19042199 DA 2018-05-26 ER PT J AU Lee, CS Abrantes, AM Colby, SM Lopez, SR Jordan, TJ AF Lee, Christina S. Abrantes, Ana M. Colby, Suzanne M. Lopez, Steven R. Jordan, Theresa J. TI Medical student judgments of adolescents with alcohol use disorders (AUD) SO SUBSTANCE USE & MISUSE LA English DT Article DE adolescent; alcohol use disorders; clinician; identification ID SUBSTANCE USE; ATTRIBUTIONAL ANALYSIS; RESIDENCY PROGRAMS; CLINICAL JUDGMENT; NATIONAL-SURVEY; TRAUMA CENTER; INJURY; PSYCHIATRY; DEPENDENCE; PHYSICIANS AB The clinical encounter presents opportunities for detection and intervention of adolescent alcohol use disorders (AUDs). Aims: Investigate (a) identification rate of AUDs, (b) whether AUD identification predicts clinical judgment, and (c) patient characteristics influences on clinical judgment. Medical students (n = 123) read a case study and completed questions on diagnosis and clinical judgment. Twenty-five percent of participants identified AUD adolescents, who were more negatively rated than non-AUD adolescents. Prior clinical experience and addiction training predicted AUD identification. Patient race and gender influenced clinical judgment ratings. Addictions training is needed to improve identification rates. Study limitations are noted. C1 [Lee, Christina S.] Brown Univ, Ctr Alcohol & Addict Studies, Dept Community Hlth, Providence, RI 02912 USA. [Abrantes, Ana M.] Butler Hosp, Dept Psychiat & Human Behav, Providence, RI 02906 USA. [Colby, Suzanne M.] Brown Univ, Ctr Alcohol & Addict Studies, Dept Psychiat & Human Behav, Providence, RI 02912 USA. [Colby, Suzanne M.] Brown Univ, Brown Med Sch, Providence, RI 02912 USA. [Lopez, Steven R.] Univ Calif Los Angeles, Dept Psychol Psychiat & Chicanao Studies, Los Angeles, CA USA. [Jordan, Theresa J.] NYU, Dept Appl Psychol, New York, NY USA. RP Lee, CS (reprint author), Brown Univ, Ctr Alcohol & Addict Studies, Dept Community Hlth, Box G-S 121-5, Providence, RI 02912 USA. EM Christina_Lee@Brown.edu FU NIAAA NIH HHS [F31 AA005559, F31 AA005558-01, F31 AA005558] NR 36 TC 2 Z9 2 U1 0 U2 4 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 530 WALNUT STREET, STE 850, PHILADELPHIA, PA 19106 USA SN 1082-6084 EI 1532-2491 J9 SUBST USE MISUSE JI Subst. Use Misuse PY 2008 VL 43 IS 5 BP 709 EP 721 DI 10.1080/10826080701202791 PG 13 WC Substance Abuse; Psychiatry; Psychology SC Substance Abuse; Psychiatry; Psychology GA 293NS UT WOS:000255342600008 PM 18393085 OA green_accepted DA 2018-05-26 ER PT J AU Lin, JJ Alfandre, D Moore, C AF Lin, Jenny J. Alfandre, David Moore, Carlton TI Physician attitudes toward opioid prescribing for patients with persistent noncancer pain SO CLINICAL JOURNAL OF PAIN LA English DT Article DE chronic pain; elderly; opioid analgesics; ambulatory prescribing ID CHRONIC NONMALIGNANT PAIN; PRIMARY-CARE PHYSICIANS; KNOWLEDGE; PREVALENCE; MANAGEMENT AB Objectives: Physicians frequently express dissatisfaction about caring for patients with chronic pain and frequently report that inadequate training and concern about addiction are impediments to prescribing opioids. Elderly patients with chronic pain may be at increased risk of experiencing uncontrolled pain and this patient population is increasingly being cared for by geriatricians rather than internists. We sought to determine if there is a differential impact on internists and geriatricians of the factors that adversely affect attitudes toward opioid prescribing. Methods: Anonymous survey of geriatric and internal medicine physicians at a large urban academic medical center about their beliefs and behaviors regarding opioid prescribing. Results: One hundred thirty-two of 187 physicians completed the survey for an overall response rate of 71 %. Controlling for level of training, internists were more likely to be concerned about illegal diversion (adjusted odds ratio = 10.0, P = 0.004), were more concerned about causing addiction (38% vs. 0%, P < 0.00 1), and were more likely to be concerned about their inability to prescribe the correct opioid dose (adjusted odds ratio = 11.1, P = 0.020). Discussion: Factors shown to have an adverse affect on opioid prescribing disproportionately impact on the attitudes of internists compared with geriatricians. Further research is needed to determine if there is also a differential impact on how internists care for their elderly patients with chronic pain. C1 CUNY Mt Sinai Sch Med, Dept Med, Div Gen Internal Med, New York, NY 10029 USA. RP Lin, JJ (reprint author), CUNY Mt Sinai Sch Med, Dept Med, Div Gen Internal Med, 1470 Madison Ave,Box 1087, New York, NY 10029 USA. EM jennyj.lin@mountsinai.org NR 22 TC 41 Z9 41 U1 1 U2 4 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0749-8047 J9 CLIN J PAIN JI Clin. J. Pain PD NOV-DEC PY 2007 VL 23 IS 9 BP 799 EP 803 DI 10.1097/AJP.0b013e3181565cf1 PG 5 WC Anesthesiology; Clinical Neurology SC Anesthesiology; Neurosciences & Neurology GA 224CW UT WOS:000250424400011 PM 18075408 DA 2018-05-26 ER PT J AU Cadzow, RB Servoss, TJ Fox, CH AF Cadzow, Renee B. Servoss, Timothy J. Fox, Chester H. TI The health status of patients of a student-run free medical clinic in inner-city Buffalo, NY SO JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE LA English DT Article ID COMORBIDITY SURVEY REPLICATION; ILL AFRICAN-AMERICANS; SOCIOECONOMIC-STATUS; CAGE QUESTIONNAIRE; INCOME INEQUALITY; SEX-DIFFERENCES; SAFETY NET; PRIME-MD; CARE; DEPRESSION AB Background: This study explores the health status and the social and economic correlates of adults 20 years of age and older who presented at an urban free medical clinic in Buffalo, NY, between 2002 and 2005. Methods: Clinic staff asked patients to fill out a Health Risk Assessment questionnaire that addressed their chronic disease and illness history, mental health, social support, substance use, income, education, and housing. Through statistical analysis of 469 anonymous patient questionnaires, we identified prevalent health conditions in this patient population and compared these rates to regional and national data. Results: Of those patients 20 years of age and older, 70% earned less than US $10,000 a year. The rates of obesity, hypertension, asthma, diabetes, anxiety, and depression were higher in this population than in the Buffalo, NY, region and the general United States population. Conclusion: The data reflect the health disparity experienced by low-income minority populations in the United States and emphasize a need to plan additional services that target hypertension, heart disease, obesity, diabetes, and mental health disorders such as anxiety and depression. Findings also serve as an introduction to the patient population for volunteer medical students who have limited exposure to urban, low-income populations. C1 SUNY Buffalo, Dept Family Med, ECMC Clin Ctr, Primary Care Res Inst, Buffalo, NY 14215 USA. SUNY Buffalo, Dept Anthropol, Buffalo, NY 14260 USA. Canisius Coll, Dept Psychol, Buffalo, NY 14208 USA. RP Cadzow, RB (reprint author), SUNY Buffalo, Dept Family Med, ECMC Clin Ctr, Primary Care Res Inst, CC 119,462 Grider St, Buffalo, NY 14215 USA. EM rcadzow@buffalo.edu NR 64 TC 18 Z9 18 U1 0 U2 9 PU AMER BOARD FAMILY MEDICINE PI LEXINGTON PA 2228 YOUNG DR, LEXINGTON, KY 40505 USA SN 1557-2625 J9 J AM BOARD FAM MED JI J. Am. Board Fam. Med. PD NOV-DEC PY 2007 VL 20 IS 6 BP 572 EP 580 DI 10.3122/jabfm.2007.06.070036 PG 9 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA 223AC UT WOS:000250340800011 PM 17954865 OA gold DA 2018-05-26 ER PT J AU Dargan, PI Bishop, C Jones, AL Wood, DM AF Dargan, P., I Bishop, C. Jones, A. L. Wood, D. M. TI Medical students knowledge of drugs of abuse SO CLINICAL TOXICOLOGY LA English DT Meeting Abstract C1 Univ Newcastle, Newcastle, NSW 2308, Australia. Guys & St Thomas Poisons Unit, London, England. NR 0 TC 0 Z9 0 U1 0 U2 0 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 0731-3810 J9 CLIN TOXICOL JI Clin. Toxicol. PD SEP PY 2007 VL 45 IS 6 MA 27 BP 609 EP 609 PG 1 WC Toxicology SC Toxicology GA 214UE UT WOS:000249762900028 DA 2018-05-26 ER PT J AU Petersen, T Fava, M Alpert, JE Vorono, S Sanders, KM Mischoulon, D AF Petersen, Timothy Fava, Maurizio Alpert, Jonathan E. Vorono, Sienna Sanders, Kathy M. Mischoulon, David TI Does psychiatry residency training reflect the "Real world" of psychiatry practice? A survey of residency graduates SO ACADEMIC PSYCHIATRY LA English DT Article ID PSYCHODYNAMIC PSYCHOTHERAPY; GERIATRIC PSYCHIATRY; MANAGED CARE; PROGRAMS; DEPRESSION; ATTITUDES; HEALTH AB Objective: The authors determine whether Massachusetts General Hospital's residency graduates believed their training reflected their current practice activities. Method: The authors surveyed 134 graduates from MGH and MGH-McLean residency classes from 1983 to 2003. Subjects ranked their satisfaction with different components of training on a scale of 1 to 6 and listed areas they wanted emphasized during residency. Results: Sixty-six subjects (49%) returned surveys. Twenty respondents graduated in the 1980s (Cohort 1), 27 in the 1990s (Cohort 2), and 16 in the 2000s (Cohort 3). The most common activities included psychopharmacology, teaching, supervision, research, administration, psychodynamic therapy, and supportive therapy. Least common activities included geriatrics, addiction, and psychoanalysis. Satisfaction with training was high, as was relevance of training. Conclusions: Our graduates from 1983 to 2003 considered residency good preparation for the world of practice and reported that psychopharmacology should be emphasized during training. Respondents expressed a strong desire for continued training in psychodynamic therapy, despite growing emphasis on short-term therapies and biological treatments. C1 Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA. RP Mischoulon, D (reprint author), Massachusetts Gen Hosp, Dept Psychiat, WAC-812,15 Parkman St, Boston, MA 02114 USA. EM dmischoulon@partners.org OI Alpert, Jonathan/0000-0002-4332-908X NR 21 TC 9 Z9 9 U1 0 U2 2 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUL-AUG PY 2007 VL 31 IS 4 BP 281 EP 289 DI 10.1176/appi.ap.31.4.281 PG 9 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 190HI UT WOS:000248049500007 PM 17626190 DA 2018-05-26 ER PT J AU Shankar, PR Palaian, S Gyawali, S Mishra, P Mohan, L AF Shankar, P. Ravi Palaian, Subish Gyawali, Sudesh Mishra, Pranaya Mohan, Lalit TI Personal Drug Selection: Problem-Based Learning in Pharmacology: Experience from a Medical School in Nepal SO PLOS ONE LA English DT Article AB Background. At the Manipal College of Medical Sciences, Pokhara, Nepal, Pharmacology is taught during the first four semesters of the undergraduate medical course. Personal or P-drug selection is an important exercise. The present study was carried out to obtain student opinion about the P-drug learning sessions, the assessment examinations, and on the small group dynamics. Method. The practical sessions on P-drug selection are carried out in small groups. Student feedback about the session was obtained using focus group discussions. The focus groups were selected to represent both genders and the three main nationalities, Nepalese, Indians, and Sri Lankans. There were four Nepalese, five Indians, and three Sri Lankans. Within each nationality and gender category the students were randomly selected. The respondents were explained the objectives of the study and were invited to participate. Written informed consent was obtained. The discussion lasted around two hours and was conducted in the afternoon in two groups of six students each. The first author (PRS) acted as a facilitator. The responses were recorded and analyzed qualitatively. Results. The overall student opinion was positive. Around 25% (3 respondents) of respondents were confused about whether P-drugs were for a disease or a patient. Group consensus was commonly used to give numerical values for the different criteria. The large number of brands created problems in calculating cost. The students wanted more time for the exercise in the examination. Formative assessment during the learning sessions may be considered. The group members usually got along well. Absenteeism was a problem and not all members put in their full effort. The physical working environment should be improved. Conclusions. Based on what the students say, the sessions on P-drugs should be continued and strengthened. Modifications in the sessions are required. Sessions during the clinical years and internship training can be considered. C1 [Shankar, P. Ravi; Palaian, Subish; Gyawali, Sudesh; Mishra, Pranaya; Mohan, Lalit] Manipal Coll Med Sci, Dept Pharmacol, Pokhara, Nepal. RP Shankar, PR (reprint author), Manipal Coll Med Sci, Dept Pharmacol, Pokhara, Nepal. EM ravi.dr.shankar@gmail.com NR 15 TC 9 Z9 9 U1 0 U2 3 PU PUBLIC LIBRARY SCIENCE PI SAN FRANCISCO PA 185 BERRY ST, STE 1300, SAN FRANCISCO, CA 94107 USA SN 1932-6203 J9 PLOS ONE JI PLoS One PD JUN 13 PY 2007 VL 2 IS 6 AR e524 DI 10.1371/journal.pone.0000524 PG 5 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA V10GD UT WOS:000207451600012 PM 17565377 OA gold DA 2018-05-26 ER PT J AU Makanjuola, AB Daramola, TO Obembe, AO AF Makanjuola, Alfred B. Daramola, Temitayo O. Obembe, Ayo O. TI Psychoactive substance use among medical students in a Nigerian university SO WORLD PSYCHIATRY LA English DT Article DE psychoactive substance use; medical students; Nigeria ID DRUG-USE; MARIJUANA; ALCOHOL; ABUSE; LAGOS AB The study was aimed at determining the prevalence, pattern and factors associated with psychoactive substance use among medical students in the University of Ilorin, Nigeria. All consenting medical students were requested to compile a 22-item modified, pilot-tested semi-structured self-report questionnaire based on the World Health Organization's guidelines for student substance use survey.. It was found that the most currently used substances were mild stimulants (33.3%), alcohol (13.6%), sedatives (7.3%) and tobacco (3.2%). Except for tobacco, the use of these substances seemed to be only instrumental. Substance use was directly associated with male gender, living alone, self-reported study difficulty, being a clinical student, and being aged 25 years or more. There was an inverse relationship of substance use with religiosity and good mental health. C1 Univ Teaching Hosp, Dept Behav Sci, Ilorin, Nigeria. Usman Dan Fodiyo Hosp, Dept Med, Sokoto, Nigeria. RP Makanjuola, AB (reprint author), Univ Teaching Hosp, Dept Behav Sci, POB 617, Ilorin, Nigeria. NR 26 TC 7 Z9 7 U1 1 U2 3 PU ELSEVIER MASSON PI MILANO PA VIA PALEOCAPA 7, 20121 MILANO, ITALY SN 1723-8617 J9 WORLD PSYCHIATRY JI World Psychiatry PD JUN PY 2007 VL 6 IS 2 BP 48 EP 50 PG 3 WC Psychiatry SC Psychiatry GA 181FR UT WOS:000247422900016 DA 2018-05-26 ER PT J AU Kuehn, BM AF Kuehn, Bridget M. TI Centers to weave addiction treatment into medical education SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT News Item NR 0 TC 4 Z9 4 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610-0946 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 25 PY 2007 VL 297 IS 16 BP 1763 EP 1763 DI 10.1001/jama.297.16.1763 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 160DW UT WOS:000245922100005 PM 17456812 DA 2018-05-26 ER PT J AU Parish, SJ Stein, MR Goldberg, U Arnsten, JH AF Parish, S. J. Stein, M. R. Goldberg, U. Arnsten, J. H. TI Teaching and assessing residents skills in managing opioid addiction with objective structured clinical exams SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 30th Annual Meeting of the Society-of-General-Internal-Medicine CY APR 25-28, 2007 CL Toronto, CANADA SP Soc Gen Internal Med C1 [Parish, S. J.; Stein, M. R.; Goldberg, U.; Arnsten, J. H.] Albert Einstein Coll Med, Bronx, NY 10467 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING STREET, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2007 VL 22 SU 1 BP 187 EP 187 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 240TQ UT WOS:000251610700645 DA 2018-05-26 ER PT J AU McLellan, AT AF McLellan, A. Thomas TI Changes at Journal of Substance Abuse Treatment: Rotations on the editorial board and the 2007 JSAT editorial fellowship SO JOURNAL OF SUBSTANCE ABUSE TREATMENT LA English DT Editorial Material C1 Treatment Res Inst, Philadelphia, PA USA. RP McLellan, AT (reprint author), Treatment Res Inst, Philadelphia, PA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0740-5472 J9 J SUBST ABUSE TREAT JI J. Subst. Abus. Treat. PD MAR PY 2007 VL 32 IS 2 BP 111 EP 112 DI 10.1016/j.jsat.2007.01.003 PG 2 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 141ZM UT WOS:000244617800001 DA 2018-05-26 ER PT J AU Prochaska, JJ Fromont, SC Banys, P Eisendrath, SJ Horowitz, MJ Jacobs, MH Hall, SM AF Prochaska, Judith J. Fromont, Sebastien C. Banys, Peter Eisendrath, Stuart J. Horowitz, Mardi J. Jacobs, Marc H. Hall, Sharon M. TI Addressing nicotine dependence in psychodynamic psychotherapy: Perspectives from residency training SO ACADEMIC PSYCHIATRY LA English DT Article ID COGNITIVE-BEHAVIORAL THERAPY; PRACTICE GUIDELINE; SMOKING; PSYCHIATRY; DEPRESSION; PREVALENCE; DISORDER; CANCER; RISK AB Objective: According to APA treatment recommendations, psychiatrists should assess and intervene in tobacco use with all of their patients who smoke. The ease with which this occurs may vary by treatment model. This study examined perspectives in residency training to identify a framework for addressing nicotine dependence within psychodynamic psychotherapy. Method: The authors collected data from a focus group of psychiatry residents and interviews with psychiatry residency faculty with expertise in psychodynamic psychotherapy. The transcribed interviews were analyzed for key themes and synthesized. Results: Though the residents reported hesitancy to address patients' tobacco use, specifically in psychodynamic psychotherapy, the consensus from the expert faculty consultants was that tobacco interventions can and should be incorporated. The faculty provided suggestions, consistent with a psychodynamic formulation, for assessing patients' tobacco use and their interest in quitting, providing cessation treatment and/or referrals, and following up with patients to address relapse. Conclusions: The findings provide a useful framework, consistent with a psychodynamic model, for assessing and treating tobacco use with patients. Additional training and supervision likely are needed to increase residents' confidence and comfort with implementing these strategies. C1 Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA. Alta Bates Summit Med Ctr, Berkeley, CA USA. San Francisco Vet Adm Med Ctr, San Francisco, CA USA. RP Prochaska, JJ (reprint author), 401 Parnassus Ave,TRC 0984, San Francisco, CA 94143 USA. EM JProchaska@lppi.ucsf.edu FU NIDA NIH HHS [P50 DA009253, K05 DA016752, K23 DA018691, P50 DA09253] NR 24 TC 4 Z9 4 U1 0 U2 2 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD FEB PY 2007 VL 31 IS 1 BP 8 EP 14 DI 10.1176/appi.ap.31.1.8 PG 7 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 127PY UT WOS:000243600000003 PM 17242046 OA green_accepted DA 2018-05-26 ER PT J AU Lande, RG Marin, BA Chang, AS Mason, S Lande, GR AF Lande, R. Gregory Marin, Barbara A. Chang, Audrey S. Mason, Sarah Lande, Galen R. TI A survey of alcohol consumption among first-year military medical students SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE LA English DT Article DE binge drinking; survey ID PHYSICIANS; DRINKING; SCHOOL AB First- year medical students ( n= 138) at the U. S. Military's Medical School report frequent binge drinking. Nearly one fifth of female and one third of male students report at least one episode of binge drinking in the two weeks preceding a survey of alcohol use. Only one fifth of the medical students reported an interest in an expanded addiction medicine curriculum. The authors' promoted the use of a survey to bridge the gap between self assessment and learning. C1 Walter Reed Army Med Ctr, Army Subst Abuse Program, Washington, DC 20307 USA. Walter Reed Army Med Ctr, Dept Clin Invest, Washington, DC 20307 USA. GRL Technol Prod & Serv LLC, Silverspring, MD USA. RP Lande, RG (reprint author), Walter Reed Army Med Ctr, Army Subst Abuse Program, Washington, DC 20307 USA. EM rglande@pol.net NR 12 TC 2 Z9 2 U1 0 U2 1 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 0095-2990 J9 AM J DRUG ALCOHOL AB JI Am. J. Drug Alcohol Abuse PY 2007 VL 33 IS 4 BP 605 EP 610 DI 10.1080/00952990701407678 PG 6 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 195YU UT WOS:000248449200012 PM 17668346 DA 2018-05-26 ER PT J AU Ramirez-Cacho, WA Strickland, L Beraun, C Meng, C Rayburn, WF AF Ramirez-Cacho, William A. Strickland, Lisa Beraun, Cristina Meng, Chen Rayburn, William F. TI Medical students' attitudes toward pregnant women with substance use disorders SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY LA English DT Article; Proceedings Paper CT 45th Annual Meeting of the Teratology-Society CY JUN 25-30, 2005 CL St Pete Beach, FL SP Teratol Soc AB In a prospective study, third-year medical students became more, comfortable and better informed about treating pregnant women with substance use disorders after attending a clinic dedicated to that population's needs. C1 Univ New Mexico, Sch Med, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA. RP Ramirez-Cacho, WA (reprint author), Univ New Mexico, Sch Med, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA. NR 0 TC 6 Z9 6 U1 0 U2 0 PU MOSBY-ELSEVIER PI NEW YORK PA 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA SN 0002-9378 J9 AM J OBSTET GYNECOL JI Am. J. Obstet. Gynecol. PD JAN PY 2007 VL 196 IS 1 BP 86 EP 87 DI 10.1016/j.ajog.2006.06.092 PG 2 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 127GA UT WOS:000243572100033 DA 2018-05-26 ER PT J AU Latorre, J Lopez-Torres, J Sanchez-Nunez, T Serrano, JP Montanes, J Escobar, F AF Latorre, Jose Lopez-Torres, Jesus Sanchez-Nunez, Trinidad Serrano, Juan Pedro Montanes, Juan Escobar, Francisco TI Primary care doctors' perception of treatment demand and need for training in drug addiction issues SO PRIMARY CARE & COMMUNITY PSYCHIATRY LA English DT Article DE attitudes; demand perception; drugs addiction; training need ID ALCOHOL-USE DISORDERS; PRIMARY MEDICAL-CARE; IDENTIFICATION TEST AUDIT; SUBSTANCE-ABUSE; PHYSICIAN; EDUCATION; HEALTH; PERSPECTIVES; RELIABILITY; EMERGENCY AB Aim: To learn the opinion of primary care physicians (PCPs) on healthcare provision for the drug addict population and to determine their knowledge and needs as regards to continuing training and their attitudes towards drug addiction. Methods: We conducted a cross-sectional survey of 301 PCPs in Castilla-La Mancha, Spain using a questionnaire designed to elicit physician's opinions about drug addiction. Results: The response rate was 85.0% (256 cases). 84.2% of the doctors considered that 10% of patient visits to primary care centres were related to drug addiction. The doctors frequently experienced difficulty in: the diagnosis and treatment of organic diseases associated with addiction (18.4%), the assessment of the situation and level of dependence (36.7%), support to treatment of some aspects of drug addiction (51.3%) and, above all, the treatment of these addictions (62.9%). Of all respondents, 53.8% reported they had received some form of postgraduate training in drug addiction issues. Only 28.5% considered they had received sufficient information on specialised. drug addiction services. Conclusions: As regards to PCPs' attitudes to drug addiction, we observed a positive attitude regarding the needs of those who abuse drugs, and the development of intervention programmes. PCPs believe that addicts deserve treatment, that there should be more treatment programmes and that primary healthcare centres should establish links with specialised services. C1 Univ Castilla La Mancha, Dept Psychol, Fac Med, Albacete 02006, Spain. Univ Castilla La Mancha, Dept Med Sci, E-13071 Ciudad Real, Spain. CRIB, Castilla La Mancha, Spain. Castilla La Mancha Hlth Serv, Castilla La Mancha, Spain. Univ Castilla La Mancha, Sch Med, E-13071 Ciudad Real, Spain. RP Latorre, J (reprint author), Univ Castilla La Mancha, Dept Psychol, Fac Med, C Almansa 14, Albacete 02006, Spain. EM Jose.Latorre@uclm.es RI Lopez-Torres Hidalgo, Jesus/Q-8234-2017 OI Lopez-Torres Hidalgo, Jesus/0000-0001-7249-3623; Latorre Postigo, Jose Miguel/0000-0002-6159-5074 NR 33 TC 0 Z9 1 U1 0 U2 1 PU LIBRAPHARM/INFORMA HEALTHCARE PI LONDON PA TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4 LQ, ENGLAND SN 1746-8841 J9 PRIMARY CARE COMMUN JI Prim. Care Community Psychiatry PY 2007 VL 12 IS 1 BP 33 EP 41 DI 10.1080/09513590701592736 PG 9 WC Medicine, General & Internal; Psychiatry SC General & Internal Medicine; Psychiatry GA 230IM UT WOS:000250870200005 DA 2018-05-26 ER PT J AU Passos, SRL do Brasil, PEAA dos Santos, MAB de Aquino, MTC AF Lambert Passos, Sonia Regina Americano do Brasil, Pedro Emmanuel Alvarenga Borges dos Santos, Maria Angelica Costa de Aquino, Maria Tereza TI Prevalence of psychoactive drug use among medical students in Rio de Janeiro SO SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY LA English DT Article DE students; medical; substance use; substance abuse; illicit drugs; street drugs; alcohol; alcoholism ID SUBSTANCE USE; SELF-REPORTS; PHYSICIANS; ALCOHOL; DRINKING; ABUSE; SMOKING; SCHOOLS; PREDICTORS; UNIVERSITY AB Background Drug use and abuse may hamper learning capabilities and the development of technical skills in medical students and, therefore, the quality of care offered to patients. The aim of this investigation was to estimate the prevalence of psychoactive drug use among medical students of public universities in Rio de Janeiro, Brazil, and to identify characteristics associated with substance use. Method This was a cross-sectional investigation designed to include all medical students of four universities. The final sample included 1,054 students. Patterns of licit and illicit drug use (at least once in lifetime drug use, drug use in the last 30 days (LTD) and CAGE) before and during medical school were assessed by a multiple-choice, self-administered anonymous questionnaire. Results Alcohol abuse was more prevalent among male students from higher income families. Alcohol LTD use was more prevalent among male students with college-educated parents. Tobacco, cannabis and inhalant lifetime use was more prevalent among males and tranquillizer use among females. Tobacco, cannabis and tranquillizer lifetime use was more prevalent among students with divorced or dead parents. Inhalant lifetime use was more prevalent among students from higher income families. Students who had college-educated, divorced or dead parents or evidenced tobacco, cocaine or inhalant lifetime use were more prevalent among cannabis users. Male students from higher income families had higher prevalence of cocaine lifetime use. Conclusion Substance use in this group of medical students is not widespread compared to rates reported for developed countries. Preventive efforts should focus on alcohol and cannabis use by medical students. C1 Fiocruz MS, Dept Epidemiol, Inst Pesquisa Clin Evandro Chagas, BR-20149590 Rio De Janeiro, Brazil. Fundacao Oswaldo Cruz, Sch Govt, Natl Sch Publ Hlth, Rio De Janeiro, Brazil. Univ State Rio de Janeiro, Ctr Res Drug Abuse, NEPAD, UERI, Rio De Janeiro, Brazil. Fundacao Oswaldo Cruz, Evandro Chagas Clin Res, Dept Epidemiol, Rio De Janeiro, Brazil. RP Passos, SRL (reprint author), Fiocruz MS, Dept Epidemiol, Inst Pesquisa Clin Evandro Chagas, Av Brasil 4365, BR-20149590 Rio De Janeiro, Brazil. EM sonialambert@ipec.fiocruz.br RI Passos, Sonia/C-5292-2013 OI Brasil, Pedro Emmanuel/0000-0002-6700-2268 NR 47 TC 17 Z9 17 U1 0 U2 6 PU DR DIETRICH STEINKOPFF VERLAG PI DARMSTADT PA PO BOX 10 04 62, D-64204 DARMSTADT, GERMANY SN 0933-7954 J9 SOC PSYCH PSYCH EPID JI Soc. Psychiatry Psychiatr. Epidemiol. PD DEC PY 2006 VL 41 IS 12 BP 989 EP 996 DI 10.1007/s00127-006-0114-7 PG 8 WC Psychiatry SC Psychiatry GA 123WJ UT WOS:000243326600009 PM 16969604 DA 2018-05-26 ER PT J AU Knights, JA Kennedy, BJ AF Knights, Janice A. Kennedy, Barbara J. TI Medical school selection: screening for dysfunctional tendencies SO MEDICAL EDUCATION LA English DT Article DE education, medical, undergraduate; school admission criteria; Australia; personality assessment; schools, medical; curriculum; male; female; humans; adolescent ID STUDENT ABUSE; RELIABILITY; ALCOHOL AB AIM One of the aims of medical selection is to deselect students who have personal characteristics that would impact negatively on their ability to interact with patients, supervisors and peers and impede their ability to cope with the stress of medical training. The arduous requirements of the formal curriculum, the customs and rituals of the socialisation process and the mistreatment and abuse reportedly experienced by students all contribute to stress, mental illness, suicide, lowered self-confidence in clinical ability, decreased ability to learn and alcohol and substance abuse. There has been little research on the effectiveness of the selection interview in deselecting students with negative personal characteristics. Our research profiles the dysfunctional interpersonal tendencies of students already selected into a medical programme through the process of academic merit, application and interview. METHODS During 2001 and 2002, 159 students enrolled in an Australian undergraduate medical programme completed the Hogan Development Survey (HDS), which is a self-report measure of dysfunctional personality characteristics that inhibit the development of working relationships with others. RESULTS The HDS identified negative personality characteristics in medical students that were not detected in the selection interview. CONCLUSIONS The presence of patterns of dysfunctional behaviour in medical training has implications for the selection, teaching and pastoral care of medical students. The HDS has the potential to identify negative personal characteristics that are hard to detect during a selection interview, and may be a valuable adjunct to the interview. C1 James Cook Univ N Queensland, Sch Psychol, Townsville, Qld 4810, Australia. RP Knights, JA (reprint author), James Cook Univ N Queensland, Sch Psychol, Townsville, Qld 4810, Australia. EM Janice.Knights@jcu.edu.au NR 26 TC 27 Z9 27 U1 0 U2 6 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0308-0110 J9 MED EDUC JI Med. Educ. PD NOV PY 2006 VL 40 IS 11 BP 1058 EP 1064 DI 10.1111/j.1365-2929.2006.02609.x PG 7 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 096HS UT WOS:000241368800001 PM 17054614 DA 2018-05-26 ER PT J AU McBeth, BD Ankel, FK Ling, LJ McNamara, RM Flottemesch, TJ Asplin, BR Mason, E AF McBeth, B. D. Ankel, F. K. Ling, L. J. McNamara, R. M. Flottemesch, T. J. Asplin, B. R. Mason, E. TI Substance use in emergency medicine training programs SO ANNALS OF EMERGENCY MEDICINE LA English DT Meeting Abstract CT Research Forum of the American-College-of-Emergency-Physicians CY OCT 15-16, 2006 CL New Orleans, LA SP Amer Coll Emergency Physicians C1 Reg Hosp, St Paul, MN USA. Hennepin Cty Med Ctr, Minneapolis, MN 55415 USA. Temple Univ Hosp & Med Sch, Philadelphia, PA 19140 USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU MOSBY-ELSEVIER PI NEW YORK PA 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA SN 0196-0644 J9 ANN EMERG MED JI Ann. Emerg. Med. PD OCT PY 2006 VL 48 IS 4 SU S MA 101 BP S32 EP S32 PG 1 WC Emergency Medicine SC Emergency Medicine GA 090NQ UT WOS:000240958400103 DA 2018-05-26 ER PT J AU Anderson, P Petrino, R Halpern, P Tintinalli, J AF Anderson, Philip Petrino, Roberta Halpern, Pinchas Tintinalli, Judith TI The globalization of emergency medicine and its importance for public health SO BULLETIN OF THE WORLD HEALTH ORGANIZATION LA English DT Review ID CARE; SURVEILLANCE; CITY AB Emergency medicine (EM) is a global discipline that provides secondary disease prevention and is also a tool for primary prevention. It is a horizontally integrated system of emergency care consisting of access to EM care; provision of EM care in the community and during transportation of patients; and provision of care at the receiving facility or hospital emergency department. EM can offer many tools to improve public health. These tools include primary disease prevention; interventions for addressing substance abuse and interpersonal violence; education about safety practices; epidemiological surveillance; enrolment of patients in clinical research trials focusing on acute interventions; education and clinical training of health-care providers; and participation in local and regional responses to natural and man-made disasters. Public health advocates and health policy-makers can benefit from the opportunities of EM and can help overcome its challenges. Advocating the establishment and recognition of the specialty of EM worldwide can result in benefits for health-care education, help in incorporating the full scope of EM care into the system of public health, and expand the capabilities of EM for primary and secondary prevention for the benefit of the health of the public. C1 Univ N Carolina, Dept Emergency Med, Chapel Hill, NC 27599 USA. Harvard Univ, Sch Med, Boston, MA 02115 USA. Univ Eastern Piedmont, Novara, Italy. Tel Aviv Sourasky Med Ctr, Tel Aviv, Israel. RP Tintinalli, J (reprint author), Univ N Carolina, Dept Emergency Med, CB 7594, Chapel Hill, NC 27599 USA. EM jet@med.unc.edu NR 19 TC 28 Z9 30 U1 2 U2 6 PU WORLD HEALTH ORGANIZATION PI GENEVA 27 PA MARKETING AND DISSEMINATION, CH-1211 GENEVA 27, SWITZERLAND SN 0042-9686 J9 B WORLD HEALTH ORGAN JI Bull. World Health Organ. PD OCT PY 2006 VL 84 IS 10 BP 835 EP 839 DI 10.2471/BLT.05.028548 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 092XM UT WOS:000241130900015 PM 17128364 OA green_published DA 2018-05-26 ER PT J AU Fong, TW Schuckit, MA AF Fong, Timothy W. Schuckit, M. A. TI A personalized approach to training medical school teachers regarding alcohol and drug disorders: The alcohol medical scholar program (AMSP) SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Meeting Abstract C1 Univ Calif San Diego, La Jolla, CA 92093 USA. Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Los Angeles, CA 90024 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXFORDSHIRE, ENGLAND SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PD JUL-AUG PY 2006 VL 15 IS 4 BP 317 EP 317 PG 1 WC Substance Abuse SC Substance Abuse GA 067BG UT WOS:000239274900011 DA 2018-05-26 ER PT J AU Hemandez-Avila, CA Schuckit, MA Tapert, SF Guschwan, M AF Hemandez-Avila, C. A. Schuckit, M. A. Tapert, S. F. Guschwan, M. TI The impact of Alcohol Medical Scholars Program (AMSP) in improving teaching of alcohol and other substance use disorders in US medical schools. SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH LA English DT Meeting Abstract CT 29th Annual Meeting of the Research-Society-on-Alcoholism CY JUN 23-29, 2006 CL Baltimore, MD SP Res Soc Alcoholism C1 Univ Connecticut, Sch Med, Alcohol Res Ctr, Farmington, CT 06030 USA. NR 0 TC 1 Z9 1 U1 0 U2 1 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0145-6008 J9 ALCOHOL CLIN EXP RES JI Alcoholism (NY) PD JUN PY 2006 VL 30 IS 6 SU S BP 209A EP 209A PG 1 WC Substance Abuse SC Substance Abuse GA 053IS UT WOS:000238299401257 DA 2018-05-26 ER PT J AU Rayburn, WF Meng, C Ramirez-Cacho, WA Rayburn, B AF Rayburn, WF Meng, C Ramirez-Cacho, WA Rayburn, B TI Impact of a specialized prenatal clinic on medical students' attitudes toward alcohol abuse SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Meeting Abstract C1 Univ New Mexico, Hlth Sci Ctr, Albuquerque, NM 87131 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-LISS PI HOBOKEN PA DIV JOHN WILEY & SONS INC, 111 RIVER ST, HOBOKEN, NJ 07030 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD MAY PY 2006 VL 76 IS 5 MA P18 BP 379 EP 379 PG 1 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 048GS UT WOS:000237936200119 DA 2018-05-26 ER PT J AU Parish, SJ Ramaswamy, M Stein, MR Kachur, EK Arnsten, JH AF Parish, SJ Ramaswamy, M Stein, MR Kachur, EK Arnsten, JH TI Teaching about substance abuse with objective structured clinical exams SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Article; Proceedings Paper CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med DE substance abuse; alcoholism and addictive behaviors; objective structured clinical exam (OSCE); standardized patients; residency evaluation ID PRIMARY-CARE; EXAMINATION OSCE; STANDARDIZED PATIENTS; NATIONAL-SURVEY; USE DISORDERS; RESIDENTS; COMPETENCE; PHYSICIANS; EDUCATION; SKILLS AB BACKGROUND: Although residents commonly manage substance abuse disorders, optimal approaches to teaching these specialized interviewing and intervention skills are unknown. OBJECTIVE: We developed a Substance Abuse Objective Structured Clinical Exam (OSCE) to teach addiction medicine competencies using immediate feedback. In this study we evaluated OSCE performance, examined associations between performance and self-assessed interest and competence in substance abuse, and assessed learning during the OSCE. DESIGN: Five-station OSCE, including different substance abuse disorders and readiness to change stages, administered during postgraduate year-3 ambulatory rotations for 2 years. PARTICIPANTS: One hundred and thirty-one internal and family medicine residents. MEASUREMENTS: Faculty and standardized patients (SPs) assessed residents' general communication, assessment, management, and global skills using 4-point scales. Residents completed a pre-OSCE survey of experience, interest and competence in substance abuse, and a post-OSCE survey evaluating its educational value. Learning during the OSCE was also assessed by measuring performance improvement from the first to the final OSCE station. RESULTS: Residents performed better (P <.001) in general communication (mean +/- SD across stations=3.12 +/- 0.35) than assessment (2.65 +/- 0.32) or management (2.58 +/- 0.44), and overall ratings were lowest in the contemplative alcohol abuse station (2.50 +/- 0.83). Performance was not associated with residents' self-assessed interest or competence. Perceived educational value of the OSCE was high, and feedback improved subsequent performance. CONCLUSIONS: Although internal and family medicine residents require additional training in specialized substance abuse skills, immediate feedback provided during an OSCE helped teach needed skills for assessing and managing substance abuse disorders. C1 Montefiore Med Ctr, Dept Med, Centennial 3, Bronx, NY 10467 USA. Montefiore Med Ctr, Albert Einstein Coll Med, Dept Med, Div Gen Internal Med, Bronx, NY 10467 USA. Albert Einstein Coll Med, Dept Psychiat & Behav Sci, Div Subst Abuse, Bronx, NY USA. Montefiore Med Ctr, Bronx, NY 10467 USA. Med Educ Dev, New York, NY USA. Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA. Montefiore Med Ctr, Bronx, NY 10467 USA. RP Parish, SJ (reprint author), Montefiore Med Ctr, Dept Med, Centennial 3, 111 E 210th St, Bronx, NY 10467 USA. EM sparish@montefiore.org FU NIDA NIH HHS [R25 DA014551-02, R25 DA014551, R25 DA014551-04, R25 DA014551-03] NR 44 TC 27 Z9 27 U1 0 U2 4 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAY PY 2006 VL 21 IS 5 BP 453 EP 459 DI 10.1111/j.1525-1497.2006.00426.x PG 7 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 040ZL UT WOS:000237422300010 PM 16704387 OA green_published DA 2018-05-26 ER PT J AU Ahmadi, J Fallahzadeh, H Salimi, A Rahimian, M Salehi, V Khaghani, M Babaeebeigi, M AF Ahmadi, J Fallahzadeh, H Salimi, A Rahimian, M Salehi, V Khaghani, M Babaeebeigi, M TI Analysis of opium use by students of medical sciences SO JOURNAL OF CLINICAL NURSING LA English DT Article DE opium dependence; opium use; students of medical sciences ID POST-REVOLUTIONARY IRAN; ADOLESCENTS; PREDICTORS; ABUSE AB Aims and objectives. To investigate the prevalence of opium use in university students. Background. University health professionals and authorities are very concerned about substance use among university students. Design. A survey with a representative sample of 2519 (1126 men and 1393 women) university students and opium use disorders assessed by means of DSM-IV criteria (Diagnostic Statistical Manual-IV Axis I during the year 2003). Findings. Mean age of the sample was 23.8 year and SD was 3.9. Of the students, 110 (4.4%) admitted using of opium once or more during their lives (9.1% of men and 0.6% of women; P < 0.01). Fifty (2%) were occasional opium user (4.2% of men and 0.2% of women; P < 0.01). Nineteen (0.8%) were current opium user (1.4% of men and 0.2% of women; P = 0.001). Mean age of opium users was higher than the remainder. Opium use was significantly related to gender (P = 0.001), and life stress (P = 0.04). Conclusion. These findings can be considered for preventive and therapeutic programmes, because early intervention during the formative university years may present an opportunity to reduce the risk of long-term problems, to decrease social and individual harm and also to promote public health of society. Relevance to clinical practice. These findings can be considered in clinical practice for detection and treatment of opioid abuse. C1 Shiraz Univ Med Sci, Dept Psychiat, Shiraz, Iran. RP Ahmadi, J (reprint author), Shiraz Univ Med Sci, Dept Psychiat, POB 71345-1416, Shiraz, Iran. EM jamshid_ahmadi@yahoo.com RI Ahmadi, Jamshid/P-1381-2017 OI Ahmadi, Jamshid/0000-0002-7060-469X NR 13 TC 10 Z9 11 U1 0 U2 2 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0962-1067 J9 J CLIN NURS JI J. Clin. Nurs. PD APR PY 2006 VL 15 IS 4 BP 379 EP 386 DI 10.1111/j.1365-2702.2006.01157.x PG 8 WC Nursing SC Nursing GA 021LR UT WOS:000235985200002 PM 16553750 DA 2018-05-26 ER PT J AU Nigwekar, SU Morse, DS AF Nigwekar, S. U. Morse, D. S. TI Educational half day: An innovative way to incorporate substance abuse curriculum into residency training SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract C1 Rochester Gen Hosp, Rochester, NY USA. Univ Rochester, Rochester, NY 14627 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI NEW YORK PA 233 SPRING STREET, NEW YORK, NY 10013 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2006 VL 21 SU 4 BP 172 EP 172 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA V43VG UT WOS:000202962000612 DA 2018-05-26 ER PT J AU Samet, JH Galanter, M Bridden, C Lewis, DC AF Samet, JH Galanter, M Bridden, C Lewis, DC TI Association for Medical Education and Research in Substance Abuse SO ADDICTION LA English DT Biographical-Item DE education; faculty development; professional organization; substance abuse AB The Association for Medical Education and Research in Substance Abuse (AMERSA) is a multi-disciplinary organization committed to health professional faculty development in substance abuse. In 19 76, members of the Career Teachers Training Program in Alcohol and Drug Abuse, a US federally funded multi-disciplinary faculty development program, formed AMERSA. The organization grew from 59 founding members, who were primarily medical school faculty, to over 300 health professionals from a spectrum of disciplines including physicians, nurses, social workers, dentists, allied health professionals, psychologists and other clinical educators who are responsible for advancing substance abuse education. AMERSA members promote substance abuse education among health professionals by developing curricula, promulgating relevant policy and training health professional faculty to become excellent teachers in this field. AMERSA influences public policy by offering standards for improving substance abuse education. The organization publishes a peer-reviewed, quarterly journal, Substance Abuse, which emphasizes research on the education and training of health professions and also includes original clinical and prevention research. Each year, the AMERSA National Conference brings together researchers and health professional educators to learn about scientific advances and exemplary teaching approaches. In the future, AMERSA will continue to pursue this mission of advancing and supporting health professional faculty who educate students and trainees to address substance abuse in patients and clients. C1 Boston Univ, Sch Med, Dept Med, Gen Internal Med Sect,CARE Unit,Boston Med Ctr, Boston, MA 02118 USA. Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02118 USA. NYU, Sch Med, Dept Psychiat, New York, NY USA. Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USA. RP Samet, JH (reprint author), Boston Univ, Sch Med, Dept Med, Gen Internal Med Sect,CARE Unit,Boston Med Ctr, 91 E Concord St,Suite 200, Boston, MA 02118 USA. EM jsamet@bu.edu OI Bridden, Carly/0000-0002-7208-7235; Samet, Jeffrey/0000-0002-0897-3400 NR 0 TC 5 Z9 5 U1 0 U2 2 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0965-2140 J9 ADDICTION JI Addiction PD JAN PY 2006 VL 101 IS 1 BP 10 EP 15 DI 10.1111/j.1360-0443.2005.01228.x PG 6 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 001NG UT WOS:000234543000005 PM 16393188 OA gold DA 2018-05-26 ER PT J AU Lindberg, M Vergara, C Wild-Wesley, R Gruman, C AF Lindberg, Michael Vergara, Cunegundo Wild-Wesley, Rebecca Gruman, Cynthia TI Physicians-in-training attitudes toward caring for and working with patients with alcohol and drug abuse diagnoses SO SOUTHERN MEDICAL JOURNAL LA English DT Article DE residency education; attitudes; alcoholism; substance abuse ID CONTINUING MEDICAL-EDUCATION; PREVALENCE; DRINKERS AB Introduction: Physicians in all specialties commonly encounter patients who abuse alcohol or illegal drugs. Working with these patient populations can be challenging and potentially engender negative attitudes. This study is designed to identify the progression of attitudinal shifts over time of physicians-in-training toward caring for substance abusing patients. Methods and Materials: A 31-item survey was designed to capture demographic information of participants, attitudes toward treating patients with substance abuse diagnoses, previous participant education, experience in and comfort with diagnosing and treating substance abuse, and satisfaction achieved in working with this patient population. Medical students in their third and fourth years of education as well as residents in training, years one through four, were surveyed. Responses to the survey's attitudinal items were analyzed across years of training, looking for changes associated with time and experience. drugs (P = 0.356) have challenging medical and social issues from which they can learn. There was consistency across years in the perception that providing care to alcohol-abusing patients (P = 0.679) and drug-abusing patients (P = 0.090) is repetitive and detracts from the care of others. All felt their training was adequate to care for alcohol (P = 0.628) and drug-abusing patients (P = 0.484). Satisfaction achieved in caring for alcohol (P = 0.017) and illegal drug-abusing patients (P = 0.015) consistently diminishes over years in training. Conclusions: There are positive as well as negative aspects for physicians-in-training to caring for patients with alcohol and illegal drug abuse problems. Combining effective education strategies with the needs of physicians at specific points in their education may be effective in reversing the negative trends seen in attitudes toward caring for patients with substance abuse problems. Key Words: residency education, attitudes, alcoholism, substance abuse. Results: Fifty-seven percent of eligible participants anonymously completed the survey. There was general agreement across all years of training that health care professionals should be allowed continued employment in their professions when in recovery from alcohol abuse (P = 0.424) and drug abuse (P = 0.409). Across years of training there was agreement that patients can recuperate and provide meaningful contributions to society when recovering from alcohol (P = 0.847) and drug (P = 0.859) abuse. From medical school years through residency there were enhanced beliefs that alcohol-abusing patients (P = 0.027) and drug-abusing patients (P = 0.009) overutilize health care resources. Most trainees, despite year of education, believe patients who abuse alcohol (P = 0.521 and illegal drugs (P = 0.356) have challenging medical and social issues from which they can learn. There was consistency across years in the perception that providing care to alcohol-abusing patients (P = 0.679) and drug-abusing patients (P = 0.090) is repetitive and detracts from the care of others. All felt their training was adequate to care for alcohol (P = 0.628) and drug-abusing patients (P = 0.484). Satisfaction achieved in caring for alcohol (P = 0.017) and illegal drug-abusing patients (P = 0.015) consistently diminishes over years in training. Conclusions: There are positive as well as negative aspects for physicians-in-training to caring for patients with alcohol and illegal drug abuse problems. Combining effective education strategies with the needs of physicians at specific points in their education may be effective in reversing the negative trends seen in attitudes toward caring for patients with substance abuse problems. C1 Hartford Hosp, Dept Med, Ishikari, Hokkaido 06102, Japan. Braceland Ctr Mental Hlth & Aging, Inst Living, Hartford, CT USA. RP Lindberg, M (reprint author), Hartford Hosp, Dept Med, 80 Seymour St, Ishikari, Hokkaido 06102, Japan. EM mlindbe@harthosp.org NR 18 TC 31 Z9 32 U1 0 U2 12 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0038-4348 J9 SOUTH MED J JI South.Med.J. PD JAN PY 2006 VL 99 IS 1 BP 28 EP 35 DI 10.1097/01.smj.0000197514.83606.95 PG 8 WC Medicine, General & Internal SC General & Internal Medicine GA 095NK UT WOS:000241314400016 PM 16466119 DA 2018-05-26 ER PT J AU Labbe, E Herbert, D Haynes, J AF Labbe, E Herbert, D Haynes, J TI Physicians' attitude and practices in sickle cell disease pain management SO JOURNAL OF PALLIATIVE CARE LA English DT Article ID CANCER PAIN; PROMETHAZINE; RATES AB Many physicians believe that patients with sickle cell disease (SCD) are more likely to become addicted to pain medication than are other patient populations. This study hypothesizes that physicians' attitudes towards addiction in patients with SCD affects pain management practices. The Physician Attitudes Survey was sent to 286 physicians at seven National Institutes of Health-funded university-based comprehensive sickle cell centres. The survey assessed demographic information; and physician's attitudes toward and knowledge of pain, pain treatment, and drug addiction and abuse. Significant Pearson product-moment correlations were found between attitudes towards pain and beliefs regarding addiction to prescribed opioids. Physicians reported varied pain management strategies, however, many believe that attitudes towards a diction and to patients in pain crises may result in undertreatment of pain. These results indicate that physicians might benefit from additional education regarding sickle cell disease, addiction to pain medication, the pharmacology of opioids, and the assessment and treatment of pain. C1 Univ S Alabama, Ctr Comprehens Sickle Cell, Dept Psychol, Mobile, AL 36688 USA. Univ S Alabama, Ctr Comprehens Sickle Cell, Dept Stat, Mobile, AL 36688 USA. Univ S Alabama, Ctr Comprehens Sickle Cell, Dept Med, Mobile, AL 36688 USA. RP Labbe, E (reprint author), Univ S Alabama, Ctr Comprehens Sickle Cell, Dept Psychol, Mobile, AL 36688 USA. NR 18 TC 35 Z9 35 U1 0 U2 7 PU CENTER BIOETHICS CLIN RES INST MONTREAL PI MONTREAL PA 110 PINE AVE W, MONTREAL, QUEBEC H2W 1R7, CANADA SN 0825-8597 J9 J PALLIATIVE CARE JI J. Palliative Care PD WIN PY 2005 VL 21 IS 4 BP 246 EP 251 PG 6 WC Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 000KG UT WOS:000234459900005 PM 16483093 DA 2018-05-26 ER PT J AU Primm, AB AF Primm, AB TI Beny J Primm, MD: Pioneer physician, educator, and advocate for people with addictions and HIV/AIDS SO JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED LA English DT Article; Proceedings Paper CT Meeting on Reducing HIV and Criminal Justice Involvement in African Amereicans as a Consequence of Drug Use CY OCT 12-13, 2004 CL Bethesda, MD SP NIDA C1 Amer Psychiat Assoc, Arlington, VA USA. Addict Res & Treatment Corp, Brooklyn, NY USA. Cornell Univ, Weill Med Coll, Ithaca, NY 14853 USA. Amer Soc Addict Med, Chevy Chase, MD 20815 USA. RP Primm, AB (reprint author), Amer Psychiat Assoc, Arlington, VA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU JOHNS HOPKINS UNIV PRESS PI BALTIMORE PA JOURNALS PUBLISHING DIVISION, 2715 NORTH CHARLES ST, BALTIMORE, MD 21218-4363 USA SN 1049-2089 J9 J HEALTH CARE POOR U JI J. Health Care Poor Underserved PD NOV PY 2005 VL 16 IS 4 SU B BP 6 EP 8 DI 10.1353/hpu.2005.0115 PG 3 WC Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 992IT UT WOS:000233878300002 PM 16327103 DA 2018-05-26 ER PT J AU Feroni, I Aubisson, S Boubnik, AD Paraponaris, A Masut, A Coudert, C Obadia, Y AF Feroni, I Aubisson, S Boubnik, AD Paraponaris, A Masut, A Coudert, C Obadia, Y TI Collaboration between general practitioners and pharmacists in the management of patients on high-dosage buprenorphine treatment - Prescribers' practices SO PRESSE MEDICALE LA French DT Article ID MANAGING DRUG MISUSE; MAINTENANCE TREATMENT; FRENCH REGION; PRESCRIPTION; CARE AB Objectives This paper examines the collaboration between general practitioners (GPs) and pharmacists in the outpatient management of patients on high-dosage buprenorphine (HDB) treatment. Methods A telephone survey of a sample of HDB prescribers in southeastern France questioned them about their knowledge, practices, and opinions about HDB treatment in October 2002; data from the national health insurance fund and the national statistics institute completed the study. Logistic regression was used to investigate factors associated with collaboration with pharmacists. GPs' practices were compared to assess their correlation, if any, with this collaboration. Results 345 GPs participated in the study. Only 54% reported collaborating with dispensing pharmacists in managing patients on HDB, despite official guidelines encouraging it. Collaboration was independently related to training in addiction treatment, a favorable opinion of maintenance treatment by Us, long experience in HDB prescription, and participation in a specialized medical network. Conclusion Implementation of recommendations on physician-pharmacist collaboration requires additional training in addiction medicine for GPs and the encouragement of their participation in medical networks. On the other hand, increasing the constraints on GPs may negatively affect patients' access to care. C1 INSERM, U 379, ORS, F-13006 Marseille, France. PACA, ORS, Marseille, France. Echelon Local Serv Med Assurance Maladie, Marseille, France. Univ Mediterranee, UFR Sci, Marseille, France. Univ Nice, Sofia, Bulgaria. RP Feroni, I (reprint author), INSERM, U 379, ORS, 23 Rue Stanislas, F-13006 Marseille, France. EM feroni@marseille.inserm.fr NR 33 TC 6 Z9 7 U1 1 U2 1 PU MASSON EDITEUR PI MOULINEAUX CEDEX 9 PA 21 STREET CAMILLE DESMOULINS, ISSY, 92789 MOULINEAUX CEDEX 9, FRANCE SN 0755-4982 J9 PRESSE MED JI Presse Med. PD OCT 8 PY 2005 VL 34 IS 17 BP 1213 EP 1219 DI 10.1016/S0755-4982(05)84159-4 PG 7 WC Medicine, General & Internal SC General & Internal Medicine GA 976YO UT WOS:000232769800003 PM 16230961 DA 2018-05-26 ER PT J AU Thomsen, NM AF Thomsen, Natasha M. TI Medical training needs to include alcohol abuse SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION LA English DT News Item NR 2 TC 0 Z9 0 U1 0 U2 0 PU NATL MED ASSOC PI WASHINGON PA 1012 10TH ST, N W, WASHINGON, DC 20001 USA SN 0027-9684 J9 J NATL MED ASSOC JI J. Natl. Med. Assoc. PD SEP PY 2005 VL 97 IS 9 BP 1312 EP 1312 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA V50JA UT WOS:000203403400019 DA 2018-05-26 ER PT J AU Thomsen, NM AF Thomsen, Natasha M. TI Physicians need more training for controlled prescription drug abuse SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION LA English DT News Item NR 1 TC 0 Z9 0 U1 0 U2 0 PU NATL MED ASSOC PI WASHINGON PA 1012 10TH ST, N W, WASHINGON, DC 20001 USA SN 0027-9684 J9 J NATL MED ASSOC JI J. Natl. Med. Assoc. PD SEP PY 2005 VL 97 IS 9 BP 1312 EP 1312 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA V50JA UT WOS:000203403400018 DA 2018-05-26 ER PT J AU Krupitsky, EM Horton, NJ Williams, EC Lioznov, D Kuznetsova, M Zvartau, E Samet, JH AF Krupitsky, EM Horton, NJ Williams, EC Lioznov, D Kuznetsova, M Zvartau, E Samet, JH TI Alcohol use and HIV risk behaviors among HIV infected hospitalized patients in St. Petersburg, Russia SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE HIV risk; alcohol abuse; Russia ID INCONSISTENT CONDOM USE; INJECTION-DRUG USERS; SEXUAL-BEHAVIOR; CONSUMPTION; PREVALENCE; DEPENDENCE; EXPECTANCIES; TRANSMISSION; STUDENTS; MEN AB Purpose: Russia has high per capita alcohol consumption and an injection-drug-use-driven HIV epidemic. However, the role of alcohol in the spread of HIV infection in Russia is largely unexplored. Thus, we assessed recent alcohol use and associated HIV risk behaviors among HIV-infected persons in St. Petersburg, Russia. Methods: we recruited HIV-infected hospitalized patients from the Botkin Irfectious Disease Hospital between June 2001 and March 2002. Interviewers assessed alcohol and drug use with the addiction severity index (ASI) and sex- and drug-risk behaviors with the risk assessment battery (RAB). Lifetime abuse or dependence diagnoses for alcohol and drugs were established by a physician with addiction medicine training. Results: Among 201 subjects, diagnoses of abuse or dependence (AB/DEP) were common: 9% (19/201) had only alcohol AB/DEP; 39% (78/201) had alcohol and drug AB/DEP; 47% (95/201) had only drug AWDEP; and 4% (9/201) had no diagnosis of alcohol or drug AB/DEP. Sex- and drug-risk behaviors varied significantly by substance use diagnosis. Subjects with any alcohol AB/DEP had higher sex-risk RAB scores than those with drug only AB/DEP (6.1 versus 3.9, p <.0001). Among subjects with any diagnosis of drug AB/DEP, having in addition an alcohol diagnosis was associated with unclean needle use in the last six months (33% (26/78) versus 21% (20/95), p=0.08). Conclusions: Lifetime alcohol diagnoses of abuse or dependence were present in nearly one-half of hospitalized HIV-infected patients in St. Petersburg. Russia and were associated with significantly higher sex-risk behaviors and borderline significantly higher drug-risk behaviors. As HIV infection spreads rapidly in Russia and Eastern Europe, these data support the need for HIV risk-reduction interventions in alcohol abusing populations and raise the potential of benefit by addressing alcohol use in HIV-infected populations. (c) 2005 Elsevier Ireland Ltd. All rights reserved. C1 Boston Univ, Med Ctr, Dept Med, Sect Gen Internal Med,CARE, Boston, MA 02118 USA. St Petersburg State Pavlov Med Univ, St Petersburg Sci Res Ctr Addict & Psychopharmaco, St Petersburg 197089, Russia. Boston Univ, Sch Med, Boston, MA 02118 USA. Smith Coll, Dept Math, Northampton, MA 01063 USA. Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02118 USA. Univ Washington, Sch Med, Dept Med, Seattle, WA 98195 USA. VA Puget Sound Hlth Care Syst, Hlth Serv Res & Dev, Seattle, WA 98108 USA. VA Puget Sound Hlth Care Syst, Ctr Excellence Subst Treatment & Educ, Seattle, WA 98108 USA. RP Samet, JH (reprint author), Boston Univ, Med Ctr, Dept Med, Sect Gen Internal Med,CARE, Boston, MA 02118 USA. EM jsamet@bu.edu RI Horton, Nicholas/A-2493-2008; Lioznov, Dmitry/J-2539-2013 OI Horton, Nicholas/0000-0003-3332-4311; Lioznov, Dmitry/0000-0003-3643-7354; Samet, Jeffrey/0000-0002-0897-3400 FU NIAAA NIH HHS [R01 AA011785, R01-AA11785] NR 41 TC 32 Z9 33 U1 0 U2 4 PU ELSEVIER IRELAND LTD PI CLARE PA ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND SN 0376-8716 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD AUG 1 PY 2005 VL 79 IS 2 BP 251 EP 256 DI 10.1016/j.drugalcdep.2005.01.015 PG 6 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 949OB UT WOS:000230796900014 PM 16002034 OA green_accepted DA 2018-05-26 ER PT J AU Waldbaum, M Galanter, M Dermatis, H Greenberg, WM AF Waldbaum, M Galanter, M Dermatis, H Greenberg, WM TI A survey of addiction training in child and adolescent psychiatry residency programs SO ACADEMIC PSYCHIATRY LA English DT Article ID ABUSE AB Objective: Childhood and adolescence represent a critical period for the potential initiation of substance use, and thus it is important that child and adolescent psychiatry (CAP) residents learn to screen, assess, refer, and/or treat children and adolescents who have substance abuse diagnoses. Method: The authors conducted a survey by mail of directors from all accredited U.S. CAP residency programs in order to describe addiction training in their respective programs. Results: Seventy percent of program directors responded and indicated diverse addiction training experiences for their residents. Findings indicate that the majority of CAP residents are treating patients with substance use disorders in both years of training and in multiple treatment settings. Conclusion: The survey provides preliminary data for system-level constraints that merit additional consideration in order to potentially advance addiction training in CAP residencies. C1 NYU, Med Ctr, Div Alcoholism & Drug Abuse, Dept Psychiat, New York, NY 10016 USA. RP Waldbaum, M (reprint author), NYU, Med Ctr, Div Alcoholism & Drug Abuse, Dept Psychiat, 550 First Ave, New York, NY 10016 USA. EM mew123452003@yahoo.com NR 9 TC 5 Z9 5 U1 0 U2 2 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD JUL-AUG PY 2005 VL 29 IS 3 BP 274 EP 278 DI 10.1176/appi.ap.29.3.274 PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 960MH UT WOS:000231596700008 PM 16141123 DA 2018-05-26 ER PT J AU [Anonymous] AF [Anonymous] TI Medical students' attitudes toward pregnant women with substance use disorders SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU WILEY-LISS PI HOBOKEN PA DIV JOHN WILEY & SONS INC, 111 RIVER ST, HOBOKEN, NJ 07030 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD MAY PY 2005 VL 73 IS 5 BP 346 EP 346 PG 1 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 931EF UT WOS:000229467900106 DA 2018-05-26 ER PT J AU Stein, MR Parish, SJ Arnsten, JH AF Stein, MR Parish, SJ Arnsten, JH TI The OSCE as a formative evaluation tool for substance abuse teaching SO MEDICAL EDUCATION LA English DT News Item C1 Hub 2 Clin, Bronx, NY 10455 USA. RP Stein, MR (reprint author), Hub 2 Clin, 368 E 149th St, Bronx, NY 10455 USA. EM mstein@montefriore.org FU NIDA NIH HHS [R25 DA014551-03, R25 DA014551-02, R25 DA014551-01, R25 DA014551-04, R25 DA014551] NR 0 TC 7 Z9 7 U1 0 U2 2 PU BLACKWELL PUBLISHING LTD PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DG, OXON, ENGLAND SN 0308-0110 J9 MED EDUC JI Med. Educ. PD MAY PY 2005 VL 39 IS 5 BP 529 EP 530 DI 10.1111/j.1365-2929.2005.02147.x PG 2 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 917SG UT WOS:000228488900041 PM 15842715 OA gold DA 2018-05-26 ER PT J AU Hagan, H Strauss, SM Astone, JM Jarlais, DCD AF Hagan, H Strauss, SM Astone, JM Jarlais, DCD TI Medical examinations at entry to treatment for drug abuse as an opportunity to initiate care for hepatitis C virus infection SO CLINICAL INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT Conference on Hepatitis C Virus Infection and Substance Abuse CY NOV 11-13, 2003 CL Washington, DC SP Off AIDS Res, NIAID, Natl Inst Diabetes & Dugest & Kidney Dus, Dept Vet Affairs, Hlth Resources & Serv Adm ID METHADONE-MAINTENANCE; TREATMENT PROGRAMS; TREATMENT UNITS; USERS; ADDICTION; SERVICES; HIV AB Over the course of addiction, a substantial proportion of drug users enter drug abuse treatment programs. Data from a cross-sectional survey of drug abuse treatment programs in the United States were analyzed to describe the scope of the medical examination performed at admission to such programs. All of the methadone programs (n = 95) and 50% of drug-free programs (80 of 161) required a medical examination at entry. Most examinations included screening for signs and symptoms of liver disease and liver function testing. Nearly all methadone programs (97%) provided referral to medical care or support for patients with test results positive for antibody to hepatitis C virus (HCV), compared with 75% of drug-free programs (P < .01). Drug-free programs requiring medical examinations provided education about HCV and testing for HCV to a larger proportion of their patients (p < .05). With high dropout rates in the early stages of treatment for drug addiction, these medical visits may be an important opportunity for further monitoring and care for HCV infection and other conditions. C1 Natl Dev & Res Inst, Ctr Drug Use & HIV Res, New York, NY 10010 USA. Beth Israel Med Ctr, Baron Edmund Rothschild Chem Dependency Inst, New York, NY 10003 USA. RP Hagan, H (reprint author), Natl Dev & Res Inst, Ctr Drug Use & HIV Res, 71 W 23rd St, New York, NY 10010 USA. EM holly.hagan@ndri.org FU NIDA NIH HHS [DA-13409] NR 21 TC 7 Z9 7 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2005 VL 40 SU 5 BP S297 EP S303 DI 10.1086/427444 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 908WM UT WOS:000227820900007 PM 15768338 OA gold DA 2018-05-26 ER PT J AU Vergara, CM Lindberg, W Gruman, C Wild-Wesley, R AF Vergara, CM Lindberg, W Gruman, C Wild-Wesley, R TI Physicians-in-training attitudes toward caring for and working with patients with alcohol and drug abuse diagnoses. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 28th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 11-14, 2005 CL New Orleans, LA SP Soc General Internal Med C1 Hartford Hosp, Hartford, CT 06115 USA. Braceland Ctr Mental Hlth & Aging, Hartford, CT USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2005 VL 20 SU 1 BP 178 EP 178 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 922IQ UT WOS:000228831001140 DA 2018-05-26 ER PT J AU Dore, GJ Thomas, DL AF Dore, GJ Thomas, DL TI Management and treatment of injection drug users with hepatitis C virus (HCV) infection and HCV/human immunodeficiency virus coinfection SO SEMINARS IN LIVER DISEASE LA English DT Review DE hepatitis C; HIV/HCV coinfection; injection drug users ID ALPHA-2A PLUS RIBAVIRIN; METHADONE-MAINTENANCE PATIENTS; LIVER FIBROSIS PROGRESSION; INTERFERON-ALPHA; NATURAL-HISTORY; ANTIRETROVIRAL THERAPY; RANDOMIZED-TRIAL; BIOCHEMICAL MARKERS; INITIAL TREATMENT; RISK-FACTORS AB Injection drug use is the major mode of hepatitis C virus (HCV) transmission in developed countries. Despite this, relatively few current and recovering injection drug users (IDUs) have received HCV treatment. Studies among individuals with a recent history of injection drug use or those receiving drug dependency treatment have provided evidence that these groups can be successfully treated for chronic HCV infection. These studies have provided the impetus to change guidelines for treatment of current and recovering IDUs, with a move toward individualized HCV treatment assessment and the removal of defined periods of illicit drug use abstinence. Strategies to improve access to HCV treatment for current and recovering IDUs include drug dependency treatment education and training for hepatologists and other HCV treatment physicians, HCV treatment education and training for addiction medicine physicians, development of multidisciplinary clinics, and peer-based eduction and support for individuals considering and receiving HCV treatment. C1 Univ New S Wales, Natl Ctr HIV Epidemiol & Clin Res, Viral Hepatitis program, Darlinghurst, NSW 2010, Australia. St Vincents Hosp, HIV Immunol Infect Dis Clin Serv Unit, Darlinghurst, NSW 2010, Australia. Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA. RP Dore, GJ (reprint author), Univ New S Wales, Natl Ctr HIV Epidemiol & Clin Res, Viral Hepatitis program, Level 2,376 Victoria St, Darlinghurst, NSW 2010, Australia. EM gdore@nchecr.unsw.edu.au NR 107 TC 29 Z9 29 U1 0 U2 1 PU THIEME MEDICAL PUBL INC PI NEW YORK PA 333 SEVENTH AVE, NEW YORK, NY 10001 USA SN 0272-8087 J9 SEMIN LIVER DIS JI Semin. Liver Dis. PD FEB PY 2005 VL 25 IS 1 BP 18 EP 32 DI 10.1055/s-2005-864779 PG 15 WC Gastroenterology & Hepatology SC Gastroenterology & Hepatology GA 902KJ UT WOS:000227354400002 PM 15731995 DA 2018-05-26 ER PT J AU Gunderson, EW Levin, FR Smith, L AF Gunderson, EW Levin, FR Smith, L TI Screening and intervention for alcohol and illicit drug abuse: A survey of internal medicine housestaff SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article; Proceedings Paper CT Annual Meeting of the Association-for-Medical-Education-and-Research-on-Substance-Abuse CY NOV, 2002 CL Washington, DC SP Assoc Med Educ & Res Substance Abuse DE substance abuse; resident physicians; screening; treatment; medical education ID PRIMARY-CARE PHYSICIANS; HOSPITALIZED-PATIENTS; SUBSTANCE-ABUSE; NATIONAL-SURVEY; CAGE QUESTIONNAIRE; UNITED-STATES; RESIDENTS; ATTITUDES; PREVALENCE; RECOGNITION AB This study attempts to determine how internal medicine housestaff screen and intervene for problematic alcohol and illicit drug use, as well as identify factors correlating with favorable practices. A cross-sectional survey was administered to 93 medical housestaff. Of 64 (69%) respondents, 94% reported routinely screening new patients for alcohol or illicit drug use, while only 52% routinely quantified alcohol consumption and 28% routinely used a screening instrument. Housestaff were unfamiliar with national guidelines and felt unprepared to diagnose substance use disorders, particularly prescription drug abuse. Most routinely counseled patients with alcohol (89%) or illicit-drug problems (91 %), although only a third of these patients were referred for formal treatment. More thorough screening practices were associated with greater treatment optimism, while favorable referral practices were associated with greater optimism about 12-step program benefit and difficulty with management. These findings suggest areas to be addressed in residency curricula on substance abuse. C1 Columbia Univ Coll Phys & Surg, Dept Psychiat, Div Substance Abuse, New York, NY 10032 USA. CUNY Mt Sinai Sch Med, New York, NY 10029 USA. RP Gunderson, EW (reprint author), New York State Psychiat Inst & Hosp, 1051 Riverside Dr,Unit 66, New York, NY 10032 USA. EM eg2009@columbia.edu FU NIDA NIH HHS [T32-DA07294, L30 DA018521-01]; PHS HHS [K02-00465] NR 51 TC 8 Z9 8 U1 0 U2 5 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2005 VL 24 IS 2 BP 1 EP 18 DI 10.1300/J069v24n02_01 PG 18 WC Substance Abuse SC Substance Abuse GA 919JP UT WOS:000228614600001 PM 15784519 DA 2018-05-26 ER PT J AU Pace, NA Polydorou, S Rabinowitz, E Andrieni, J Meredith, J AF Pace, NA Polydorou, S Rabinowitz, E Andrieni, J Meredith, J TI The effect of Addiction Training on internal medicine residents' perception of addictive diseases SO JOURNAL OF ADDICTIVE DISEASES LA English DT Meeting Abstract C1 NYU, Sch Med, FASAM, New York, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2005 VL 24 IS 2 MA 22A BP 130 EP 130 PG 1 WC Substance Abuse SC Substance Abuse GA 919JP UT WOS:000228614600031 DA 2018-05-26 ER PT J AU Crome, IB Shaikh, N AF Crome, IB Shaikh, N TI Undergraduate medical school education in substance misuse in Britain III: can medical students drive change? SO DRUGS-EDUCATION PREVENTION AND POLICY LA English DT Article ID PSYCHIATRIC-DISORDERS; BRIEF INTERVENTIONS; MENTAL ILLNESSES; ALCOHOL-PROBLEMS; DUAL DIAGNOSIS; SOUTH LONDON; DRUG-USE; HEALTH; ABUSE; DRINKING AB Background: Two previous studies have demonstrated the parlous state of undergraduate medical education. A third study was undertaken to evaluate any change. Methodology: All deans, heads of psychiatry and addiction specialists working in 28 British medical schools were surveyed by questionnaire. Items included time allocated to formal training, clinical resources, training objectives, professional confidence and competence, postgraduate facilities, plans for change, opinion on the importance of addiction in the curriculum, and scientific credibility. Findings: There was a 100%, 71% and 46% response rate from specialists, heads, and deans respectively. Medical students were receiving, on average, six hours of formal training in substance misuse over their entire course. Although there was disparity in responses between the three groups, there was a clear consensus that the addiction field had scientific credibility. However, this achievement has not been translated into more training, and there is pessimism about any likelihood of change. Discussion: Barriers to training such as too few addiction specialists, stigma, and tensions in academia resulting from the Research Assessment Exercise, are identified. Conclusion: Since the General Medical Council and the Alcohol Harm Reduction Strategy have explicitly stated the need for undergraduate training, ways in which medical students, as 'users' of the undergraduate training package, may be the drivers of change, are suggested. C1 Keele Univ, Sch Med, Harplands Hosp, Acad Psychiat Unit, Stoke On Trent ST4 6TH, Staffs, England. Univ Leeds, Sch Med, Leeds LS2 9NL, W Yorkshire, England. RP Crome, IB (reprint author), Keele Univ, Sch Med, Harplands Hosp, Acad Psychiat Unit, Harplands Campus,Hilton Rd, Stoke On Trent ST4 6TH, Staffs, England. EM pca03@keele.ac.uk NR 82 TC 12 Z9 12 U1 1 U2 6 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND SN 0968-7637 EI 1465-3370 J9 DRUG-EDUC PREV POLIC JI Drug-Educ. Prev. Policy PD DEC PY 2004 VL 11 IS 6 BP 483 EP 503 DI 10.1080/09687630410001701322 PG 21 WC Substance Abuse SC Substance Abuse GA 871VE UT WOS:000225163900004 DA 2018-05-26 ER PT J AU Nicholson, WK Brickhouse, B Powe, NR Bronner, Y AF Nicholson, WK Brickhouse, B Powe, NR Bronner, Y TI Prenatal patients ' views of prenatal care services: A medical center-based assessment of knowledge and intent to use support services SO ETHNICITY & DISEASE LA English DT Article DE prenatal support services; patient-centered care; needs assessment ID BIRTH OUTCOMES; NEEDS ASSESSMENT; PHYSICIAN RELATIONSHIP; ELIGIBLE WOMEN; PROGRAM AB Background: Our objective was to ascertain the priority of prenatal support services from the perspective of high-risk patients. The relationship between patients' needs, and both knowledge of and intent to use services, was examined, while documenting factors associated with the intent to use available support services. Methods: The authors of this study conducted a cross-sectional survey of 102 African-American women at a university-affiliated, urban-health center. Patients' priority support needs were compared to their knowledge of and intent to use support services using chi-square statistics. Logistic regression was used to determine factors independently associated with patients' intent to use 5 support services (substance abuse counseling, community referrals, health education, nutrition services, and social work services), while adjusting for potential socioeconomic confounding variables, knowledge, and need for services. Results: Knowledge of existing services was independently associated with patient intent to use one or more support services (odds ratio 3.6; confidence interval 1.4-9.4). With each one-unit increase in parity, a 30% less odds (odds ratio 0.7; confidence interval 0.4-0.9) of using one or more support services occurred. Conclusions: Physicians should ensure prenatal patients' knowledge of support services at healthcare centers. Multiparity is inversely related to women's intent to use support services, independent of their knowledge of service availability. C1 Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Gynecol & Obstet, Baltimore, MD 21287 USA. Johns Hopkins Univ, Sch Med, Womens & Childrens Hlth Policy Ctr, Dept Populat & Family Hlth Sci, Baltimore, MD USA. Johns Hopkins Univ, Sch Med, Dept Hlth Policy & Management, Baltimore, MD USA. Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA. Johns Hopkins Univ, Sch Med, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA. Morgan State Univ, Publ Hlth Program, Baltimore, MD 21239 USA. RP Nicholson, WK (reprint author), Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Gynecol & Obstet, 600 N Wolfe St,Harvey 319, Baltimore, MD 21287 USA. EM wnichol@jhmi.edu NR 19 TC 1 Z9 1 U1 0 U2 2 PU INT SOC HYPERTENSION BLACKS-ISHIB PI ATLANTA PA 100 AUBURN AVE NE STE 401, ATLANTA, GA 30303-2527 USA SN 1049-510X J9 ETHNIC DIS JI Ethn. Dis. PD WIN PY 2004 VL 14 IS 1 BP 13 EP 20 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 803OE UT WOS:000220239600004 PM 15002918 DA 2018-05-26 ER PT J AU Renner, JA AF Renner, JA TI How to train residents to identify and treat dual diagnosis patients SO BIOLOGICAL PSYCHIATRY LA English DT Article; Proceedings Paper CT Conference on Impact of Substance Abuse on the Diagnosis, Course, and Treatment of Mood Disorders CY NOV 19-20, 2003 CL Washington, DC SP Depress & Bipolar Support Alliance, Abbott Lab, Amer Coll Neuropsychopharmacol, AstraZemeca Pharmaceut, Bristol-Myer Squibb Co, Cyberon Inc, Eli Lilly & Co, GlaxoSmithKline, Janssen Pharmaceut Products, Merck & Co Inc, Wyeth Pharmaceut DE education; psychiatric comorbidity; psychiatry; residency training; substance abuse ID SUBSTANCE USE DISORDERS; POSITION STATEMENT; MEDICAL-STUDENTS; ALCOHOL-PROBLEMS; NATIONAL-SURVEY; DRUG-ABUSE; ATTITUDES; EDUCATION; ADDICTION; INSTRUMENT AB Medical training has failed to address the needs of patients with comorbid substance use and psychiatric disorders. Addiction teaching is limited and often fails to change the negative attitudes of many physicians. In many psychiatry residencies, addiction training occurs on inpatient or detoxification units and the focus is on screening, detoxification, and referral. Most residents do not gain adequate experience in the long-term management of dual-diagnosis patients. Successful clinical care is based on three critical elements (the "clinician's triad"): an adequate knowledge base, a positive attitude toward the patient and the benefits of treatment, and a sense of responsibility for the clinical problem. The Boston University Psychiatry Residency has designed an addiction training program to address these three issues. In addition to a comprehensive addiction seminar series, there are several unique features. The required clinical rotation occurs in an outpatient dual-diagnosis clinic and permits residents to follow a case load of patients for 12 months. Extensive experience is gained in motivational interviewing, cognitive behavioral therapy, and pharmacotherapy. Self-directed learning approaches are used to maximize the educational experience on services that lack addiction faculty. Guidelines are provided for establishing a similar program and for more of effective approaches to resident teaching. C1 Boston Univ, Sch Med, Div Psychiat, Boston, MA 02215 USA. RP Renner, JA (reprint author), Vet Affairs Outpatient Clin, 251 Causeway St, Boston, MA 02114 USA. NR 42 TC 20 Z9 21 U1 0 U2 5 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0006-3223 J9 BIOL PSYCHIAT JI Biol. Psychiatry PD NOV 15 PY 2004 VL 56 IS 10 BP 810 EP 816 DI 10.1016/j.biopsysch.2004.04.003 PG 7 WC Neurosciences; Psychiatry SC Neurosciences & Neurology; Psychiatry GA 874KM UT WOS:000225349300018 PM 15556127 DA 2018-05-26 ER PT J AU Sattar, SP Madison, J Markert, RJ Bhatia, SC Petty, F AF Sattar, SP Madison, J Markert, RJ Bhatia, SC Petty, F TI Addiction training scale: Pilot study of a self-report evaluation tool for psychiatry residents SO ACADEMIC PSYCHIATRY LA English DT Article ID GRADUATING RESIDENTS; PREPAREDNESS; ALCOHOL AB Objective: Alcohol and drug dependence disorders have become common public health hazards. Psychiatrists encounter these problems in a major portion of their patients. However, recent data suggest that their training does not provide them the confidence to treat these disorders. Current methods of evaluating residents fail to adequately ascertain the lack of confidence in substance abuse training. Here, we present the Addiction Training Scale (ATS) that we developed to help trainers identify deficits in residents' substance abuse training. Method: We developed the ATS and conducted a pilot study with the psychiatry residents at the Creighton University Department of Psychiatry, to test the validity of the ATS as a self-report evaluation tool to measure the level of psychiatry residents' preparedness in treating substance abuse disorders. Results: Our results suggest that the ATS is related to the confidence and preparedness that residents express in their ability to treat substance abuse problems. Conclusion: The ATS may be beneficial in assessing psychiatry residents' substance abuse training and identifying deficits, which may be addressed during training. C1 Creighton Univ, Sch Med, Ctr Med Educ, Omaha, NE 68178 USA. Omaha VA Med Ctr, Omaha, NE USA. RP Sattar, SP (reprint author), 3528 Dodge St, Omaha, NE 68131 USA. EM syed.sattar@med.va.gov NR 10 TC 2 Z9 2 U1 0 U2 2 PU AMER PSYCHIATRIC PUBLISHING, INC PI ARLINGTON PA 1000 WILSON BOULEVARD, STE 1825, ARLINGTON, VA 22209-3901 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD FAL PY 2004 VL 28 IS 3 BP 204 EP 208 DI 10.1176/appi.ap.28.3.204 PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 863MA UT WOS:000224564700008 PM 15507555 DA 2018-05-26 ER PT J AU Akvardar, Y Demiral, Y Ergor, G Ergor, A AF Akvardar, Y Demiral, Y Ergor, G Ergor, A TI Substance use among medical students and physicians in a medical school in Turkey SO SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY LA English DT Article DE substance use; medical students; residents; physicians; Turkey ID ALCOHOL-USE; DRUG-USE; ADDICTED DOCTORS; UNITED-STATES; LIFE-STYLES; PREVALENCE; ABUSE; CONSUMPTION; UNIVERSITY; RESIDENTS AB Background This study examined substance use and abuse, including nicotine and alcohol, in subjects who were at various stages of a medical career in Dokuz Eylul University Medical School in Turkey. Anxiety and depression levels were also assessed in order to determine the relationship of the substance use and anxiety and depression. Method Using an anonymous, self-administered questionnaire, we surveyed 121 junior, and 52 senior medical students, 73 residents and 80 practicing physicians who completed the questionnaire. Results Alcohol was the most frequently used substance in all groups. Two or more positive responses on the CAGE were obtained for 22.4% of the junior students, 20% of the senior students, 8.9% of the residents and 6.5% of the physicians. Lifetime smoking prevalence was as high as 50%. The age of onset for nicotine and alcohol use was earlier in first-year medical students than the other groups. Benzodiazepines (alprozolam, diazepam) were the most frequently used sedative-hypnotics. The use of illicit substances was rare in all four groups, with cannabis being the most commonly used illicit substance. The junior medical students (23.6 %) had the highest level of anxiety, while the senior students (44 %) had the highest level of depression, assessed by the Hospital Anxiety and Depression Scale. However, the levels of anxiety and depression did not correlate with the levels of cigarette and alcohol consumption. Conclusions Smoking and alcohol abuse amongst medical students and physicians should be taken more seriously because their own attitudes towards substances may influence their professional behavior. There is a need for better education about substances. C1 Dokuz Eylul Univ, Sch Med, Dept Psychiat, TR-35340 Izmir, Turkey. RP Akvardar, Y (reprint author), Dokuz Eylul Univ, Sch Med, Dept Psychiat, TR-35340 Izmir, Turkey. EM yildiz.akvardar@deu.edu.tr OI Demiral, Yucel/0000-0002-4281-0218 NR 41 TC 52 Z9 53 U1 3 U2 12 PU DR DIETRICH STEINKOPFF VERLAG PI DARMSTADT PA PO BOX 10 04 62, D-64204 DARMSTADT, GERMANY SN 0933-7954 J9 SOC PSYCH PSYCH EPID JI Soc. Psychiatry Psychiatr. Epidemiol. PD JUN PY 2004 VL 39 IS 6 BP 502 EP 506 DI 10.1007/s00127-004-0765-1 PG 5 WC Psychiatry SC Psychiatry GA 832FA UT WOS:000222251400012 PM 15205736 DA 2018-05-26 ER PT J AU Alford, D Clark, TW Samet, JH AF Alford, D Clark, TW Samet, JH TI Promoting substance abuse education among generalists: The Chief Resident Immersion Training (CRIT) program. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Boston Med Ctr, Boston, MA USA. Hlth & Addict Res Inc, Boston, MA USA. NR 0 TC 2 Z9 2 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 93 EP 93 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800297 DA 2018-05-26 ER PT J AU Humair, J Broers, B Gache, P AF Humair, J Broers, B Gache, P TI Teaching addiction medicine in a clinical clerkship of community medicine: Medical students like it! SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Univ Hosp Geneva, Dept Community Med, Geneva, Switzerland. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 94 EP 95 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800302 DA 2018-05-26 ER PT J AU Wilk, A Chheda, SG AF Wilk, A Chheda, SG TI Teaching medical students the assessment of substance abuse when evaluating patients during their primary care clerkship. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Univ Wisconsin, Sch Med, Madison, WI 53706 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 95 EP 96 PG 2 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800306 DA 2018-05-26 ER PT J AU Krantz, MJ Mehler, PS AF Krantz, MJ Mehler, PS TI Treating opioid dependence - Growing implications for primary care SO ARCHIVES OF INTERNAL MEDICINE LA English DT Review ID METHADONE-MAINTENANCE TREATMENT; INJECTION-DRUG USERS; ALPHA-ACETYLMETHADOL LAAM; NARCOTIC ADDICTION TREATMENT; HUMAN-IMMUNODEFICIENCY-VIRUS; RANDOMIZED CONTROLLED-TRIAL; HIGH-DOSE METHADONE; TORSADE-DE-POINTES; HIV RISK BEHAVIORS; HEPATITIS-C AB Almost 3 million Americans have abused heroin. The most effective treatment for this concerning epidemic is opioid replacement therapy. Although, from a historical perspective, acceptance of this therapy has been slow, growing evidence supports its efficacy. There are 3 approved medications for opioid maintenance therapy: methadone hydrochloride, levomethadyl acetate, and buprenorphine hydrochloride. Each has unique characteristics that determine its suitability for an individual patient. Cardiac arrhythmias have been reported with methadone and levomethadyl, but not with buprenorphine. Due to concerns about cardiac risk, levomethadyl use has declined and the product may ultimately be discontinued. These recent safety concerns, specifics about opioid detoxification and maintenance, and new federal initiatives were studied. Opioid detoxification has a role in both preventing acute withdrawal and maintaining long-term abstinence. Although only a minority of eligible patients are engaged in treatment, opioid maintenance therapy appears to offer the greatest public health benefits. There is growing interest in expanding treatment into primary care, allowing opioid addiction to be managed like other chronic illnesses. This model has gained wide acceptance in Europe and is now being implemented in the United States. The recent Drug Addiction Treatment Act enables qualified physicians to treat opioid-dependent patients with buprenorphine in an office-based setting. Mainstreaming opioid addiction treatment has many advantages; its success will depend on resolution of ethical and delivery system issues as well as improved and expanded training of physicians in addiction medicine. C1 Denver Hlth, Div Cardiol, Denver, CO 80204 USA. Univ Colorado, Hlth Sci Ctr, Dept Med, Denver, CO USA. RP Krantz, MJ (reprint author), Denver Hlth, Div Cardiol, 777 Bannock St,MC 0960, Denver, CO 80204 USA. EM mkrantz@dhha.org NR 173 TC 90 Z9 92 U1 1 U2 12 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0003-9926 EI 1538-3679 J9 ARCH INTERN MED JI Arch. Intern. Med. PD FEB 9 PY 2004 VL 164 IS 3 BP 277 EP 288 DI 10.1001/archinte.164.3.277 PG 12 WC Medicine, General & Internal SC General & Internal Medicine GA 771JQ UT WOS:000188782200007 PM 14769623 OA gold DA 2018-05-26 ER PT J AU Moulton, EA McMain, SS AF Moulton, EA McMain, SS TI An iceberg in Springfield: using the humanities to explore and challenge the attitudes of general practice (GP) educators towards the management of GP registrars with substance abuse problems SO MEDICAL EDUCATION LA English DT Article DE attitude of health personnel; education, medical, undergraduate, methods; faculty; students, medical, psychology; substance-related disorders, diagnosis ID DOCTORS; ALCOHOL; HEALTH; CARE; DRUG AB INTRODUCTION Some general practice registrars (GPRs) have substance abuse problems, and course organisers and trainers need to be vigilant to this possibility. We describe a critical incident involving this type of problem, and how the learning was shared with other GP educators. By using the humanities, we attempted to generate an emotional as well as an intellectual response, with the aim of achieving deeper learning. METHODS We gave a presentation to a group of GP educators, using a variety of material from the creative arts (visual, auditory and creative writing) to raise awareness of the issues. The presentation was designed to enable participants to experience some of the feelings of surprise and lack of preparedness that we had experienced ourselves. RESULTS The presentation stimulated an in-depth discussion about the challenges faced by educators when they discover that their learners may have substance abuse problems. Early and late evaluation indicated that awareness of the problem had been raised and attitudes challenged and changed. Participation in the presentation had stimulated educators to consider including this area within their teaching, to be more vigilant to the possibility of registrars with substance abuse problems and to think about developing systems to manage such registrars. CONCLUSION Diverse educational methods can be effective when teaching within difficult and complex areas that challenge attitudes. C1 St James Univ Hosp, Postgrad Ctr, Leeds LS9 7TF, W Yorkshire, England. Yorkshire Deanery, Leeds, W Yorkshire, England. RP Moulton, EA (reprint author), St James Univ Hosp, Postgrad Ctr, Leeds LS9 7TF, W Yorkshire, England. EM drlizmoulton@hotmail.com NR 9 TC 1 Z9 1 U1 0 U2 5 PU BLACKWELL PUBLISHING LTD PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DG, OXON, ENGLAND SN 0308-0110 J9 MED EDUC JI Med. Educ. PD FEB PY 2004 VL 38 IS 2 BP 218 EP 222 DI 10.1046/j.1365-2923.2004.01757.x PG 5 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 773HR UT WOS:000188893000016 PM 14871392 DA 2018-05-26 ER PT J AU Frost-Pineda, K VanSusteren, T Gold, MS AF Frost-Pineda, K VanSusteren, T Gold, MS TI Are physicians and medical students prepared to educate patients about alcohol consumption? SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article DE alcohol; abuse; dependence; physicians; education ID NATIONAL-SURVEY; UNITED-STATES; USE DISORDERS; PREGNANCY; ABUSE; INTERVENTION; DRINKING AB Given the tremendous financial and human costs of alcohol abuse and dependence, physician competency in alcohol related issues must be increased. Alcohol competency is essential to evaluate the risks and to detect alcohol problems early in the course of alcohol abuse and dependence. But, are medical students and physicians adequately trained in alcohol-related issue to give appropriate advice about alcohol? Are they trained to use an office visit to promote health, identify early abuse and dependence, intervene, and make recommendations? Several studies suggest that they are not. We have recent data that provide further evidence that future and current physicians may not be sufficiently competent in alcohol issues to counsel their patients about alcohol. Medical school curriculum and Continuing Medical Education on alcohol abuse and addiction should be required of all students and physicians so they can be best prepared to prevent problems and identify and treat those for whom prevention has failed. C1 Univ Florida, Coll Med, Dept Psychiat, Gainesville, FL 32611 USA. Univ Florida, McKnight Brain Inst, Dept Psychiat, Div Addict Med, Gainesville, FL 32611 USA. Univ Florida, McKnight Brain Inst, Dept Neurosci, Div Addict Med, Gainesville, FL 32611 USA. Univ Florida, McKnight Brain Inst, Dept Community Hlth & Family Med Chief, Div Addict Med, Gainesville, FL 32611 USA. RP Frost-Pineda, K (reprint author), Univ Florida, Coll Med, Dept Psychiat, Gainesville, FL 32611 USA. NR 29 TC 12 Z9 13 U1 0 U2 1 PU ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD PI ABINGDON PA 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1055-0887 EI 1545-0848 J9 J ADDICT DIS JI J. Addict. Dis. PY 2004 VL 23 IS 2 BP 1 EP 13 DI 10.1300/J069v23n02_01 PG 13 WC Substance Abuse SC Substance Abuse GA 820NL UT WOS:000221396400001 PM 15132339 DA 2018-05-26 ER PT J AU Gunderson, EW Levin, FR Owen, P AF Gunderson, EW Levin, FR Owen, P TI Impact of a substance abuse curriculum on medical resident screening: A chart review. SO JOURNAL OF ADDICTIVE DISEASES LA English DT Meeting Abstract C1 Columbia Univ Coll Phys & Surg, Div Subst Abuse, New York, NY 10032 USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2004 VL 23 IS 2 MA 13A BP 137 EP 137 PG 1 WC Substance Abuse SC Substance Abuse GA 820NL UT WOS:000221396400022 DA 2018-05-26 ER PT J AU Fucito, LM Gomes, BS Murnion, B Haber, PS AF Fucito, LM Gomes, BS Murnion, B Haber, PS TI General practitioners' diagnostic skills and referral practices in managing patients with drug and alcohol-related health problems: implications for medical training and education programmes SO DRUG AND ALCOHOL REVIEW LA English DT Article DE diagnostic skills; drug and alcohol use; general practitioners; medical training; education; referral ID ATTITUDES; MANAGEMENT; KNOWLEDGE; DRINKING; ADVICE AB The aim of this study was to determine the current practices of established general practitioners in managing patients with drug and alcohol-related problems and identify gaps in training. A random sample of general practitioners completed a survey assessing diagnostic skills and referral practices concerning alcohol and illicit drug use in general practices in February 1999, comprising 110 general practitioners registered with the Central Sydney Division of General Practice. The main outcome measures were competent skills and knowledge, willingness to treat. The majority (96%) of GPs provided clinically appropriate responses for at least one drug category, although none received this rating for all six. Most general practitioners reported that they were unwilling to treat heroin and cocaine problems themselves but expressed willingness to refer patients appropriately. More than a quarter of general practitioners were unaware of the safe drinking levels for men and women or the appropriate treatment for patients consuming above such levels. Age, years in practice, type of practice, willingness to obtain drug use histories and post-graduate training were all significantly associated with general practitioners' willingness to treat and competence in managing drug and alcohol-related problems. In this study, general practioners reported low levels of skills and referrals for treatment of illicit drug use and suboptimal skills in the management of alcohol problems. The results suggest that a more comprehensive approach to education and training is required to bring about a change in practice behaviour. C1 Univ Sydney, Dept Med, Sydney, NSW 2006, Australia. Royal Prince Alfred Hosp, Drug Hlth Serv, Camperdown, NSW 2050, Australia. RP Haber, PS (reprint author), Univ Sydney, Dept Med, Sydney, NSW 2006, Australia. NR 24 TC 23 Z9 23 U1 0 U2 1 PU CARFAX PUBLISHING PI BASINGSTOKE PA RANKINE RD, BASINGSTOKE RG24 8PR, HANTS, ENGLAND SN 0959-5236 J9 DRUG ALCOHOL REV JI Drug Alcohol Rev. PD DEC PY 2003 VL 22 IS 4 BP 417 EP 424 DI 10.1080/09595230310001613930 PG 8 WC Substance Abuse SC Substance Abuse GA 746MV UT WOS:000186750900005 PM 14660131 DA 2018-05-26 ER PT J AU Akvardar, Y Demiral, Y Ergor, G Ergor, A Bilici, M Ozer, OM AF Akvardar, Y Demiral, Y Ergor, G Ergor, A Bilici, M Ozer, OM TI Substance use in a sample of Turkish medical students SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE medical students; alcohol; illicit drugs; smoking ID ALCOHOL-USE; DRUG-USE; LIFE-STYLES; PHYSICIANS; ABUSE; UNIVERSITY; PREVALENCE; DRINKING; SCHOOL AB This study identifies the prevalence of smoking, alcohol, and illicit drug use in a sample of Turkish medical students. Information about substance us, was obtained from 304 first-year, and 143 sixth-year medical students from three different medical schools in Turkey. Nearly half of the students (53.9%) were non-drinkers. Risky alcohol use was 7.4%. Lifetime smoking prevalence was 39.9 and 26.4% of the junior and 44.1% of the senior medical students (mean consumption of 13.9 and 15.5 cigarettes a day, respectively) reported regular smoking. Nicotine dependence was present in 3.1%. Only 4% of the students reported using illicit drugs (cannabis, ecstasy, cocaine) at least once in their lifetime. The mean ages of first use of cigarettes, alcohol and illicit drugs were earlier for junior medical students than senior students. Of the students. 25.5% had anxiety and 36.8% had depression scores in the clinically significant range. Our results suggest that although Turkish medical students are not at a high risk of substance abuse it should not be underestimated, and the risk factors as well as the protective factors must be identified in nation-wide studies. (C) 2003 Elsevier Ireland Ltd. All rights reserved. C1 Dokuz Eylul Univ, Sch Med, Dept Psychiat, TR-35340 Izmir, Turkey. Dokuz Eylul Univ, Sch Med, Dept Publ Hlth, TR-35340 Izmir, Turkey. Karadeniz Tech Univ, Sch Med, Dept Psychiat, Trabzon, Turkey. Yuzuncu Yil Univ, Sch Med, Dept Psychiat, Van, Turkey. RP Akvardar, Y (reprint author), Dokuz Eylul Univ, Sch Med, Dept Psychiat, TR-35340 Izmir, Turkey. OI Demiral, Yucel/0000-0002-4281-0218 NR 27 TC 40 Z9 44 U1 2 U2 8 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0376-8716 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD NOV 24 PY 2003 VL 72 IS 2 BP 117 EP 121 DI 10.1016/S0376-8716(03)00192-3 PG 5 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA 752XQ UT WOS:000187201800002 PM 14636966 DA 2018-05-26 ER PT J AU Biem, HJ Turnell, RW D'Arcy, C AF Biem, HJ Turnell, RW D'Arcy, C TI Computer telephony: automated calls for medical care SO CLINICAL AND INVESTIGATIVE MEDICINE-MEDECINE CLINIQUE ET EXPERIMENTALE LA English DT Review DE automatic data; automation; computer systems; data collection; disease management; health services administration; medical informatics applications; office automation; outcome assessment (health care); patient care management; preventive health services; telemedicine; telephone ID INTERACTIVE VOICE RESPONSE; NURSE FOLLOW-UP; HEALTH-CARE; IMMUNIZATION COVERAGE; COST-EFFECTIVENESS; PHYSICAL-ACTIVITY; RANDOMIZED TRIAL; MESSAGES; SYSTEM; REMINDERS AB Background: The computer telephony system (CTS) combines computer and telephone to automate the collection, processing and dissemination of information. Many innovative applications of the CTS have emerged. In this article we summarize the evidence for CTS-based medical interventions based on randomized controlled trials. Methods: We searched for trials in MEDLINE, CINAHL, the Cochrane Central Register of Controlled Trials, and bibliographies of retrieved articles, review articles and textbooks. We excluded non-English articles and those pertaining to psychology, addiction, psychiatry, research and education. Results: In health care delivery, 3 of 4 trials of CTS-based interventions improved clinic show rates. In preventive health care, 4 of 5 showed higher childhood immunization rates. For nutrition, 2 small trials showed no clear benefit in cholesterol lowering or in weight reduction, but 1 trial showed a benefit in fibre intake. For increasing physical activity, 1 smaller trial showed no benefit but a larger one did. For medical management of chronic conditions, 1 trial showed improved hemoglobin A(1c) levels and 1 trial showed better processes of care in diabetes. In hypertension management, 1 trial found better adherence to medication regimens and control of blood pressure. In outpatient oncology care, 1 trial showed better supportive care. For support of caregivers for dementia patients, 1 trial showed no benefit. One small trial showed better adherence to medication in seniors. Conclusions: The CTS has diverse applications in medical care; however, the evidence for these is limited. Despite being impersonal, the reliability and availability of the CTS make it attractive for reminders and follow-up. More research is needed to deter-mine the role of the CTS in medical care. (C) 2003 Canadian Medical Association. C1 Univ Saskatchewan, Dept Med, Div Gen Internal Med, Saskatoon, SK S7N 0W0, Canada. Univ Alberta, Dept Obstet & Gynecol, Edmonton, AB, Canada. Univ Saskatchewan, Dept Psychiat, Saskatoon, SK S7N 0W0, Canada. RP Biem, HJ (reprint author), 103 Hosp Dr, Saskatoon, SK S7N 0W8, Canada. NR 44 TC 17 Z9 17 U1 0 U2 4 PU CANADIAN MEDICAL ASSOCIATION PI OTTAWA PA 1867 ALTA VISTA DR, OTTAWA, ONTARIO K1G 3Y6, CANADA SN 0147-958X J9 CLIN INVEST MED JI Clin. Invest. Med.-Med. Clin. Exp. PD OCT PY 2003 VL 26 IS 5 BP 259 EP 268 PG 10 WC Medicine, Research & Experimental SC Research & Experimental Medicine GA 728ZU UT WOS:000185746900006 PM 14596488 DA 2018-05-26 ER PT J AU Dubois, JA Broers, B AF Dubois, JA Broers, B TI Education in addiction medicine: from sensibilization to specialisation SO MEDECINE ET HYGIENE LA French DT Article ID DISORDERS AB Education in addiction medicine should be developed, it should start in the beginning of the medical curriculum, be integrated throughout and beyond in postgraduate and continuous medical education. In the French speaking part of Switzerland groups of medical practitioners, meeting since their long lasting and important implication in substitution treatments, tried to overcome part of the gaps in education in this field and contributed to the development of a local and very active network of physicians interested in addiction problems. Their experiences have helped to guide some principles for the development of a addiction medicine of quality: 1) it is essential to take addiction medicine out of the marginality; 2) substance abuse and dependences are above all within the competence of the primary care physicians and 3) improved education is not sufficient, the primary care physician should be able to count on a network of addiction specialists. The creation of an official certification, not for all general practitioners but for specialists, could stimulate the development of this network, intensify links between research and practice and favour a coherent and unified approach to addictions. C1 Ctr Prevent & Traitment Toxicomaine, CH-2300 La Chaux De Fords, Switzerland. Hop Cantonal Univ Geneva, Dept Med Communautaire, CH-1211 Geneva 14, Switzerland. RP Dubois, JA (reprint author), Ctr Prevent & Traitment Toxicomaine, Rue Hotel Ville 27, CH-2300 La Chaux De Fords, Switzerland. NR 19 TC 1 Z9 1 U1 0 U2 0 PU MEDECINE ET HYGIENE PI GENEVA 4 PA 78, AVE DE LA ROSERAIE, CASE POSTALE 456,, CH-1211 GENEVA 4, SWITZERLAND SN 0025-6749 J9 MED HYG JI Med. Hyg. PD SEP 24 PY 2003 VL 61 IS 2451 BP 1793 EP + PG 4 GA 736JJ UT WOS:000186167400004 DA 2018-05-26 ER PT J AU Potter, B Fleming, MF AF Potter, B Fleming, MF TI Obstetrics and gynecology resident education in tobacco, alcohol, and drug use disorders SO OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA LA English DT Article ID ABUSE AB The consequences of tobacco, alcohol, and drug use are some of the most common health problems that affect women. Since the majority of women in the United States visit the office of an obstetrician-gynecologist for routine care, obstetrics and gynecology physicians have the opportunity to prevent and treat substance use disorders in this population. Studies have shown that women will discuss their tobacco, alcohol, and drug use with their physicians, and many will respond to brief counseling and pharmacotherapy [ 1,2]. This is particularly true for women who use mood-altering drugs above recommended limits but who are not addicted or drug-dependent. Studies suggest that 24% of women smoke cigarettes, 21% drink above recommended limits, and 3% to 5% abuse illegal drugs and prescription medication [3]. Tobacco, alcohol, and drug use are implicated in many health problems, including sexually transmitted diseases (STDs), adverse pregnancy outcomes, trauma, breast and colon cancer, lung disease, cardiovascular disease, and fetal alcohol syndrome. Depression, domestic violence, and suicide are often linked to substance use. In addition, these drugs can affect the outcome of surgical procedures. Withdrawal from these drugs can compromise postoperative and postpartum care. Residents in obstetrics and gynecology need to recognize substance use disorders, as well as their health effects and treatment options. All obstetrics and gynecology residents are expected to meet the following objectives: 1. Assess for evidence of substance abuse throughout the life span. 2. Describe the teratogenic effects of nonprescription drugs (alcohol, heroin, cocaine, tobacco). 3. Assess and evaluate for substance abuse in pregnancy. C1 Univ Wisconsin, Sch Med, Dept Family Med, Madison, WI 53715 USA. RP Potter, B (reprint author), Univ Wisconsin, Sch Med, Dept Family Med, 777 S Mills St, Madison, WI 53715 USA. NR 11 TC 2 Z9 2 U1 0 U2 1 PU W B SAUNDERS CO PI PHILADELPHIA PA INDEPENDENCE SQUARE WEST CURTIS CENTER, STE 300, PHILADELPHIA, PA 19106-3399 USA SN 0889-8545 J9 OBSTET GYN CLIN N AM JI Obstet. Gynecol. Clin. N. Am. PD SEP PY 2003 VL 30 IS 3 BP 583 EP + DI 10.1016/S0889-8545(03)00081-0 PG 18 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 745YR UT WOS:000186719500010 PM 14664328 DA 2018-05-26 ER PT J AU Bott, K Hapke, U Freyer, J Riedel, J Wedler, B Hartmann, B Pockrandt, C Stegemann, K John, U AF Bott, K Hapke, U Freyer, J Riedel, J Wedler, B Hartmann, B Pockrandt, C Stegemann, K John, U TI Conception and implementation of medical training for motivational counseling of patients with alcohol-related disorders SO GESUNDHEITSWESEN LA German DT Meeting Abstract C1 Univ Greifswald, Inst Epidemiol & Sozialmed, Greifswald, Germany. NR 0 TC 0 Z9 0 U1 0 U2 0 PU GEORG THIEME VERLAG KG PI STUTTGART PA RUDIGERSTR 14, D-70469 STUTTGART, GERMANY SN 0941-3790 J9 GESUNDHEITSWESEN JI Gesundheitswesen PD AUG-SEP PY 2003 VL 65 IS 8-9 BP A28 EP A28 PG 1 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 723PQ UT WOS:000185441100090 DA 2018-05-26 ER PT J AU Monnat, M Broers, B AF Monnat, M Broers, B TI Addiction medicine and harm reduction: limits, challenges and perspectives SO MEDECINE ET HYGIENE LA French DT Article ID INJECTION-DRUG USERS; RISK BEHAVIOR; HEPATITIS-C; HIV; PARAPHERNALIA; PREVALENCE; EQUIPMENT; EXCHANGE; CARE AB Collective harm reduction measures for drug users are part of the official Swiss drug policy since 1991, and have contributed to the important decrease in prevalence and incidence of HIV and viral hepatitis. However, the recent and massive use of cocaine among drug users have confronted us with an increase in viral and bacterial diseases. We propose a reflection about the need to expand existing collective harm reduction measures and to develop indivualised strategies based on the individual's needs and capacities. Harm reduction advice should be given by every professional working with drug users, independent of his <> working domain. Otherwise, the aging of the drug using population with chronic health problems impose a strengthening of the somatic pole of addiction medicine, and a reflection about future education of and collaboration among different partners working in the addiction field. C1 Ctr St Martin, CH-1003 Lausanne, Switzerland. Hop Univ Geneva, Dept Med Communautaire, Addict Med Communautaire, CH-1211 Geneva 14, Switzerland. RP Monnat, M (reprint author), Ctr St Martin, Rue St Martin 7, CH-1003 Lausanne, Switzerland. NR 22 TC 0 Z9 0 U1 0 U2 2 PU MEDECINE ET HYGIENE PI GENEVA 4 PA 78, AVE DE LA ROSERAIE, CASE POSTALE 456,, CH-1211 GENEVA 4, SWITZERLAND SN 0025-6749 J9 MED HYG JI Med. Hyg. PD JUL 30 PY 2003 VL 61 IS 2445 BP 1439 EP 1443 PG 5 GA 736JQ UT WOS:000186168000004 DA 2018-05-26 ER PT J AU McGovern, MP Angres, DH Shaw, M Rawal, P AF McGovern, MP Angres, DH Shaw, M Rawal, P TI Gender of physicians with substance use disorders: Clinical characteristics, treatment utilization, and post-treatment functioning SO SUBSTANCE USE & MISUSE LA English DT Article DE substance use disorders; substance abuse treatment; addicted physicians; gender and addiction ID PSYCHIATRIC-DISORDERS; FEMALE PHYSICIANS; ABUSE AB Gender has emerged as an important variable in both the course and treatment of substance-use disorders. This study examines the role of gender in a sample of physicians (n = 73) treated for substance-use disorders. Pilot data gathered on physicians treated during 1995 to 1997, included initial pretreatment characteristics, service utilization, and posttreatment functioning. Although there were many similarities, important differences emerged among the groups. These differences have implications for physician education and training and warrant more systematic clinical research. C1 Dartmouth Coll Sch Med, Dartmouth Ctr Addict Recovery & Educ, Dept Psychiat, Hanover, NH 03755 USA. Rush Presbyterian St Lukes Med Ctr, Dept Psychiat, Sect Addict Med, Chicago, IL 60612 USA. Northwestern Univ, Sch Med, Dept Psychiat & Behav Sci, Div Psychiat, Chicago, IL 60611 USA. Northwestern Univ, Inst Hlth Serv Res & Policy Studies, Chicago, IL 60611 USA. RP McGovern, MP (reprint author), Dartmouth Coll Sch Med, Dartmouth Ctr Addict Recovery & Educ, Dept Psychiat, 40 N Coll St, Hanover, NH 03755 USA. NR 18 TC 6 Z9 6 U1 0 U2 0 PU MARCEL DEKKER INC PI NEW YORK PA 270 MADISON AVE, NEW YORK, NY 10016 USA SN 1082-6084 J9 SUBST USE MISUSE JI Subst. Use Misuse PD JUN PY 2003 VL 38 IS 7 BP 993 EP 1001 DI 10.1081/JA-120017620 PG 9 WC Substance Abuse; Psychiatry; Psychology SC Substance Abuse; Psychiatry; Psychology GA 686FG UT WOS:000183310300009 PM 12801152 DA 2018-05-26 ER PT J AU Rastegar, DA Fingerhood, MI Burgert, SL Jasinski, DR AF Rastegar, DA Fingerhood, MI Burgert, SL Jasinski, DR TI Training residents in HIV and substance abuse care in an inpatientand outpatient rotation. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 26th Annual Meeting of the Society-of-General-Internal-Medicine CY APR 30-MAY 03, 2003 CL VANCOUVER, CANADA SP Soc Gen Internal Med C1 Johns Hopkins Univ, Baltimore, MD USA. Johns Hopkins Bayview Med Ctr, Baltimore, MD USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2003 VL 18 SU 1 BP 120 EP 120 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 673DF UT WOS:000182564300417 DA 2018-05-26 ER PT J AU Barnes, HR Kim, JY AF Barnes, HR Kim, JY TI What does a required journaling exercise reveal about residents, learning experiences on a four-week addiction medicine rotation? SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 26th Annual Meeting of the Society-of-General-Internal-Medicine CY APR 30-MAY 03, 2003 CL VANCOUVER, CANADA SP Soc Gen Internal Med C1 Harvard Univ, Cambridge, MA 02138 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2003 VL 18 SU 1 BP 235 EP 235 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 673DF UT WOS:000182564300949 DA 2018-05-26 ER PT J AU Parthasarathy, S Mertens, J Moore, C Weisner, C AF Parthasarathy, S Mertens, J Moore, C Weisner, C TI Utilization and cost impact of integrating substance abuse treatment and primary care SO MEDICAL CARE LA English DT Article DE integrated care; substance abuse; cost offset; medical conditions ID ADDICTION SEVERITY INDEX; ALCOHOLISM-TREATMENT; MEDICAL CONSEQUENCES; COCAINE; COMPLICATIONS; DISORDERS AB OBJECTIVE. To examine the impact of integrating medical and substance abuse treatment on health care utilization and cost. RESEARCH DESIGN. Randomized clinical trial assigning patients to one of two treatment modalities: an Integrated Care model where primary health care is provided along with substance abuse treatment within the unit and an Independent Care model where medical care is provided in the HMO's primary care clinics independently from substance abuse treatment. SUBJECTS. Adult patients entering treatment at the outpatient Chemical Dependency Recovery Program in Kaiser Sacramento. MEASURES. Medical utilization and cost for 12 months pretreatment and 12 months after treatment entry. RESULTS. For the full, randomized cohort, there were no statistically significant differences between the two treatment groups over time. However, among the subset of patients with substance abuse related medical conditions (SAMC), Integrated Care patients had significant decreases in hospitalization rates (P = 0.04), inpatient days (P = 0.05) and ER use (P = 0.02). Total medical costs per member-month declined from $431.12 to $200.03 (P = 0.02). Among SAMC Independent Care patients, there was a downward trend in inpatient days (P = 0.08) and ER costs (P = 0.05) but no statistically significant decrease in total medical cost. CONCLUSIONS. (Non)findings for the full sample suggest that integrating substance abuse treatment with primary care, may not be necessary or appropriate for all patients. However, it may be beneficial to refer patients with substance abuse related medical conditions to a provider also trained in addiction medicine. There appear to be large cost impacts of providing integrated care for such patients. C1 Kaiser Permanente, Div Res, Med Care Program, Oakland, CA 94612 USA. Kaiser Permanente, Chem Dependency Recovery Program, Sacramento, CA USA. Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA. RP Mertens, J (reprint author), Kaiser Permanente, Div Res, Med Care Program, 2000 Broadway,3rd Floor, Oakland, CA 94612 USA. FU NIDA NIH HHS [R01-DA10572] NR 34 TC 59 Z9 59 U1 0 U2 6 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0025-7079 J9 MED CARE JI Med. Care PD MAR PY 2003 VL 41 IS 3 BP 357 EP 367 DI 10.1097/00005650-200303000-00004 PG 11 WC Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 653EQ UT WOS:000181422600004 PM 12618639 DA 2018-05-26 ER PT J AU Weintraub, TA Saitz, R Samet, JH AF Weintraub, TA Saitz, R Samet, JH TI Education of preventive medicine residents - Alcohol, tobacco, and other drug abuse SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Editorial Material ID SUBSTANCE USE DISORDERS; NATIONAL SURVEY; CORE COMPETENCES; PROGRAMS; FACULTY AB Background: Generalist physicians' addiction training is inadequate, but general preventive medicine residency (PMR) programs have not been studied. We determined PMR programs' alcohol, tobacco, and other drug abuse (ATOD) training from 1995 to 2000 and identified barriers to this education. Methods: Interviewer-administered telephone survey of program directors (PDs) of accredited PMR programs in the United States. Results: We interviewed all 41 PMR PDs. While 78% of PMR PDs reported interest in increasing ATOD education, for 68% it was not a high educational priority. Tobacco ranked in the top third of preventive medicine topics by 58%, while alcohol and other drugs ranked in the bottom third by 48% and 52%, respectively. Twenty-two percent of programs required a clinical ATOD rotation, most commonly smoking-cessation clinics. Only 29% of PMR PDs felt that residents were well prepared in clinical aspects of ATOD, while 60% felt that residents were prepared in ATOD research and public health issues. The most commonly reported barriers to ATOD training were lack of resident interest and defined competencies (64% each); limited faculty time (59%); limited teaching time (54%); lack of available teaching materials (53%); and lack of faculty expertise (51%). Conclusions: While the majority of PMR PDs recognize the importance of incorporating teaching about addictions into training, much of the ATOD education in PMRs focuses on tobacco alone. Setting educational standards, defining competencies, investing in faculty development, and creating ATOD curricular modules are important next steps toward preparing preventive medicine physicians to effectively reduce the public health toll of addictions. C1 Boston Univ, Sch Med, Gen Internal Med Sect, Clin Addict Res & Educ Care Unit, Boston, MA 02118 USA. RP Samet, JH (reprint author), Boston Univ, Sch Med, Gen Internal Med Sect, Clin Addict Res & Educ Care Unit, 91 E Concord St, Boston, MA 02118 USA. NR 16 TC 7 Z9 7 U1 0 U2 4 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD JAN PY 2003 VL 24 IS 1 BP 101 EP 105 AR PII S0749-3797(02)00567-6 PG 5 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 634EA UT WOS:000180326000013 DA 2018-05-26 ER PT S AU Zieglgansberger, W Kuntze, MF AF Zieglgansberger, W Kuntze, MF BE Kuntze, MF MullerSpahn, F Ladewig, D Bullinger, AH TI Learning, interneurons and addiction medicine SO BASIC AND CLINICAL SCIENCE OF OPIOID ADDICTION SE BIBLIOTHECA PSYCHIATRICA LA English DT Proceedings Paper CT Symposium on Opioid-Assisted Treatment CY NOV, 2001 CL BASEL, SWITZERLAND SP Janssen-Cilag AG, Organon AG, AstraZeneca AG, Lundbeck AG, Pfizer AG, Swiss Acad, Med Sci C1 Max Planck Inst Psychiat, Klin Pharmakol, D-80804 Munich, Germany. Univ Basel, Psychiat Klin, Basel, Switzerland. RP Zieglgansberger, W (reprint author), Max Planck Inst Psychiat, Klin Pharmakol, Kraepelinstr 2-10, D-80804 Munich, Germany. NR 0 TC 0 Z9 0 U1 0 U2 1 PU KARGER PI BASEL PA POSTFACH, CH-4009 BASEL, SWITZERLAND SN 0067-8147 BN 3-8055-7504-1 J9 BIBL PSYCHIAT JI Bibl.Psychiatr. PY 2003 IS 170 BP 64 EP 67 PG 4 WC Substance Abuse; Neurosciences; Psychiatry SC Substance Abuse; Neurosciences & Neurology; Psychiatry GA BW63S UT WOS:000182662100010 DA 2018-05-26 ER PT J AU Ferguson, L Ries, R Russo, J AF Ferguson, L Ries, R Russo, J TI Barriers to identification and treatment of hazardous drinkers as assessed by urban/rural primary care doctors SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article DE physician screening; alcohol and health; primary care ID ALCOHOL-PROBLEMS; PHYSICIAN; CAGE; CONSUMPTION; PREVALENCE; ATTITUDES; ABUSE; INTERVENTION; POPULATION; PREVENTION AB This pilot study analyzed three types of barriers encountered by forty family physicians when identifying and treating patients with hazardous drinking and alcohol dependence. The Patient Centered category included patient denial and lack of motivation to change. The Physician Centered category included lack of physician time and lack of addiction medicine training. The System Centered category included lack of community resources and distance to treatment programs. The Patient Centered barriers were rated significantly greater (p <.001) than the Physician Centered or the System Centered barriers. There was also a significant negative correlation (r = -0.49, p <.001) between the Physician Centered and the Patient Centered categories, meaning that the more problematic the patients were rated, the less problematic the physicians rated their time or training. The types of barriers that were rated as most problematic varied depending on rural/urban practice location and how current the physician's training was. C1 Univ Washington, Harborview Med Ctr, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98104 USA. RP Ries, R (reprint author), Univ Washington, Harborview Med Ctr, Sch Med, Dept Psychiat & Behav Sci, Box 359911, Seattle, WA 98104 USA. NR 35 TC 11 Z9 11 U1 0 U2 3 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2003 VL 22 IS 2 BP 79 EP 90 DI 10.1300/J069v22n02_07 PG 12 WC Substance Abuse SC Substance Abuse GA 677VQ UT WOS:000182829600007 PM 12703671 DA 2018-05-26 ER PT J AU Tanner, TB AF Tanner, TB TI Online opiate addiction education for primary care physicians SO JOURNAL OF ADDICTIVE DISEASES LA English DT Meeting Abstract C1 Clin Tools Inc, Chapel Hill, NC 27516 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2003 VL 22 IS 2 MA 7A BP 113 EP 113 PG 1 WC Substance Abuse SC Substance Abuse GA 677VQ UT WOS:000182829600016 DA 2018-05-26 ER PT J AU Diaz-Olavarrieta, C Ellertson, C Paz, F de Leon, SP Alarcon-Segovia, D AF Diaz-Olavarrieta, C Ellertson, C Paz, F de Leon, SP Alarcon-Segovia, D TI Prevalence of battering among 1780 outpatients at an internal medicine institution in Mexico SO SOCIAL SCIENCE & MEDICINE LA English DT Article DE Mexico; domestic violence; family violence; sexual abuse; battering syndrome ID DOMESTIC VIOLENCE; CLINICAL CHARACTERISTICS; WOMEN; ABUSE; HEALTH; EMERGENCY; PREGNANCY; DISORDERS AB Violence against women has recently drawn attention in the medical community as a leading cause of preventable morbidity and mortality. Specific algorithms designed to identify women at risk can be applied to create an opportunity for screening, diagnosis and treatment during medical care initiated for common conditions. This study investigated the incidence and history of battering among women seeking general medical care, and looked for potential risk factors and associations with presenting symptoms. We used a self-administered, anonymous survey to question 1780 adult female outpatients visiting a tertiary care internal medicine teaching hospital in Mexico City. We calculated current abuse (physical and/or sexual abuse by a partner within the past year), abuse during pregnancy, childhood abuse, and lifetime abuse. We found levels of violence against women in Mexico comparable to those reported from other countries. 152 women (9%) reported current physical and/or sexual abuse. An identical number also reported abuse during pregnancy. Lifetime prevalence was 41 %. Women currently or previously abused reported more physical symptoms in the last six months than did non-abused participants. Pelvic pain, depression, headache and substance abuse were frequent among abused women. Currently abused women also scored higher (p<0.01) on indicators of depression. Current abuse correlated strongly with a childhood history of physical and/or sexual abuse, with low educational level of the victim, with substance abuse by the partner or by the woman herself, and with higher parity. (C) 2002 Elsevier Science Ltd. All rights reserved. C1 Inst Nacl Neurol & Neurocirug, Mexico City 14269, DF, Mexico. Populat Council, Mexico City, DF, Mexico. Natl Inst Med Sci & Nutr, Mexico City, DF, Mexico. RP Diaz-Olavarrieta, C (reprint author), Inst Nacl Neurol & Neurocirug, Insurgentes Sur 3877, Mexico City 14269, DF, Mexico. NR 45 TC 44 Z9 46 U1 1 U2 4 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0277-9536 J9 SOC SCI MED JI Soc. Sci. Med. PD NOV PY 2002 VL 55 IS 9 BP 1589 EP 1602 AR PII S0277-9536(01)00293-3 DI 10.1016/S0277-9536(01)00293-3 PG 14 WC Public, Environmental & Occupational Health; Social Sciences, Biomedical SC Public, Environmental & Occupational Health; Biomedical Social Sciences GA 608GV UT WOS:000178838600009 PM 12297245 DA 2018-05-26 ER PT J AU Booth, JV Grossman, D Moore, J Lineberger, C Reynolds, JD Reves, JG Sheffield, D AF Booth, JV Grossman, D Moore, J Lineberger, C Reynolds, JD Reves, JG Sheffield, D TI Substance abuse among physicians: A survey of academic anesthesiology programs SO ANESTHESIA AND ANALGESIA LA English DT Article; Proceedings Paper CT Annual Meeting of the American-Society-of-Anesthesiologists CY OCT 14-18, 2000 CL SAN FRANCISCO, CALIFORNIA SP Amer Soc Anesthesiologists ID TRAINING-PROGRAMS; DRUG-ABUSE AB Efforts to reduce controlled-substance abuse by anesthesiologists have focused on education and tighter regulation of controlled substances. However, the efficacy of these approaches remains to be determined. Our hypotheses were that the reported incidence of controlled-substance abuse is unchanged from previous reports and that the control and accounting process involved in distribution of operating room drugs has tightened. We focused our survey on anesthesiology programs at American academic medical centers. Surveys were sent to the department chairs of the 133 US anesthesiology training programs accredited at the end of 1997. There was a response rate of 93%. The incidence of known drug abuse was 1.0% among faculty members and 1.6% among residents. Fentanyl was the controlled substance most often abused. The number of hours of formal education regarding drug abuse had increased in 47% of programs. Sixty-three percent of programs surveyed had tightened their methods for dispensing, disposing of, or accounting for controlled substances. The majority of programs (80%,) compared the amount of controlled substances dispensed against individual provider usage, whereas only 8% used random urine testing. Sixty-one percent of departmental chairs indicated that they would approve of random urine screens of anesthesia providers. C1 Duke Univ, Med Ctr, Dept Anesthesiol, Durham, NC 27710 USA. W Jersey Anesthesia Associates, Marlton, NJ USA. E Tennessee State Univ, Sch Med, Johnson City, TN 37614 USA. Staffordshire Univ, Dept Psychol, Div Cardiol, Stoke On Trent ST4 2DE, Staffs, England. RP Booth, JV (reprint author), Duke Univ, Med Ctr, Dept Anesthesiol, Box 3094, Durham, NC 27710 USA. OI Sheffield, David/0000-0001-9121-1783 NR 24 TC 33 Z9 39 U1 0 U2 2 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0003-2999 J9 ANESTH ANALG JI Anesth. Analg. PD OCT PY 2002 VL 95 IS 4 BP 1024 EP 1030 DI 10.1213/01.ANE.0000026379.66419.DB PG 7 WC Anesthesiology SC Anesthesiology GA 598EF UT WOS:000178261900046 PM 12351288 DA 2018-05-26 ER PT J AU Chan, D Absher, D Sabatier, S AF Chan, D Absher, D Sabatier, S TI Recipients in need of ancillary services and their receipt of HIV medical care in California SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; ANTIRETROVIRAL THERAPY; DRUG-USERS; BARRIERS; ADHERENCE; WOMEN; ACCESS AB For many individuals with access to quality medical care, HIV disease is no longer a critical short term illness but a chronic condition giving rise to more clients requiring ongoing medical care. Programs funded by the federal Ryan White Comprehensive AIDS Resources Emergency Act not only provide essential medical care for these individuals but also facilitate access to medical care services. These programmes fund services, including case management, transportation, and translation assistance, that feature ongoing assistance and enable individuals to remain in the health care system. Because of the importance of maintaining the strict drug regimen, retention in care is also an important part of the overall HIV care component. This study analyzed the relationship of ancillary services and a federal health programme client's receipt of medical care and retention in the health care system. We defined a cohort in need of ancillary services in part by a questionnaire designed to identify factors relating to need. These factors included education, language, and substance use. By merging client level data files we were able to identify medical service utilization trends among the individuals in the cohort who received a high number of ancillary services (more than 11 ancillary service visits in the two-year study period, n = 138) and those who received few services (fewer than six ancillary service visits in the two-year study period, n = 132). Results suggest that the receipt of ancillary services is associated with receipt of and retention in primary medical care. We found that for federal health programme clients in need of ancillary services, a positive relationship existed between their receipt of ancillary services and their access to primary medical care (p less than or equal to0.001). This observation held constant when age, race, gender, and insurance coverage were controlled for. Also, these clients were more likely to be seen by a medical doctor at least once in three consecutive six-month periods when they received needed ancillary services (p less than or equal to0.01). C1 Calif Dept Hlth Serv, Off AIDS, HIV AIDS Epidemiol Branch, Sacramento, CA 94234 USA. RP Chan, D (reprint author), Calif Dept Hlth Serv, Off AIDS, HIV AIDS Epidemiol Branch, 611 N 7th St, Sacramento, CA 94234 USA. FU SAMHSA HHS [250-OA-13(8)] NR 17 TC 17 Z9 17 U1 0 U2 3 PU CARFAX PUBLISHING PI BASINGSTOKE PA RANKINE RD, BASINGSTOKE RG24 8PR, HANTS, ENGLAND SN 0954-0121 J9 AIDS CARE JI Aids Care-Psychol. Socio-Med. Asp. Aids/Hiv PD AUG PY 2002 VL 14 SU 1 BP S73 EP S83 DI 10.1080/0954012021000009665 PG 11 WC Health Policy & Services; Public, Environmental & Occupational Health; Psychology, Multidisciplinary; Respiratory System; Social Sciences, Biomedical SC Health Care Sciences & Services; Public, Environmental & Occupational Health; Psychology; Respiratory System; Biomedical Social Sciences GA 587ZZ UT WOS:000177676100007 PM 12204143 DA 2018-05-26 ER PT J AU D'Onofrio, G Nadel, ES Degutis, LC Sullivan, LM Casper, K Bernstein, E Samet, JH AF D'Onofrio, G Nadel, ES Degutis, LC Sullivan, LM Casper, K Bernstein, E Samet, JH TI Improving emergency medicine residents' approach to patients with alcohol problems: A controlled educational trial SO ANNALS OF EMERGENCY MEDICINE LA English DT Article; Proceedings Paper CT Annual Meeting of the Society-for-Academic-Emergency-Medicine CY MAY 05-08, 2001 CL ATLANTA, GEORGIA SP Soc Acad Emergency Med ID PRIMARY-CARE; INTERVENTION SKILLS; ATTITUDES; STUDENTS; STRATEGIES; PHYSICIANS; SERVICES; DRINKERS; INJURY AB Study objective: We determine whether training using a structured skills-based intervention would improve emergency medicine residents' knowledge and practice in screening and intervening with patients presenting to the emergency department with alcohol problems. Methods: In a controlled trial conducted at 2 similar emergency medicine residency programs associated with urban, Level I trauma centers, a 4-hour didactic, video, and skills-based workshop was conducted. Main outcome measures included (1) scores on changes in self-reported knowledge, current practice, self-efficacy, roleresponsibility, attitudes and beliefs, and provider readiness to change from baseline to 1 year after intervention and (2) change in practice as measured by record review before and after intervention. Results: The intervention group (n=17) had a significant increase in knowledge scores (P<.001) and practice with regard to percent of medical records with evidence of screening and intervention (17% before versus 58% after; 95% confidence interval [CI] 31 to 50; P<.001); no change was observed in the control group (n=19). These increases were significantly different between groups (95% Cl 30 to 54; P<.001). There were no significant differences within or between groups for composite scores derived for current practice, self-efficacy, role responsibility, or readiness to change. Conclusion: A brief, structured, educational intervention for residents contributed to significant improvement in knowledge and practice with regard to patients with alcohol problems. C1 Yale Univ, Sch Med, Sect Emergency Med, New Haven, CT 06519 USA. Harvard Univ, Dept Emergency Med, Boston, MA 02115 USA. Boston Univ, Sch Med, Stat & Consulting Unit, Boston, MA 02118 USA. Boston Univ, Sch Med, Dept Emergency Med, Boston, MA 02118 USA. Boston Univ, Sch Med, Gen Internal Med Sect, Clin Addict Res & Educ Unit, Boston, MA 02118 USA. RP D'Onofrio, G (reprint author), Yale Univ, Sch Med, Sect Emergency Med, 464 Congress Ave,Suite 260, New Haven, CT 06519 USA. OI Samet, Jeffrey/0000-0002-0897-3400; Sullivan, Lisa/0000-0003-0726-7149; D'Onofrio, Gail/0000-0002-3833-1871 NR 42 TC 8 Z9 8 U1 0 U2 3 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0196-0644 J9 ANN EMERG MED JI Ann. Emerg. Med. PD JUL PY 2002 VL 40 IS 1 BP 52 EP 64 DI 10.1067/mem.2002.123693 PG 13 WC Emergency Medicine SC Emergency Medicine GA 569GE UT WOS:000176592100009 DA 2018-05-26 ER PT J AU Greenberg, WM Ritvo, JI Fazzio, L Bridgeford, D Fong, T AF Greenberg, WM Ritvo, JI Fazzio, L Bridgeford, D Fong, T TI A survey of addiction training programming in psychiatry residencies SO ACADEMIC PSYCHIATRY LA English DT Article; Proceedings Paper CT 29th Annual Meeting of the American-Association-of-Directors-of-Psychiatric-Residency-Training CY MAR 10, 2000 CL SAN JUAN, PUERTO RICO SP Amer Assoc Directors Psychiat Residency Training ID EDUCATION; DISORDERS AB The authors surveyed 50 psychiatry residency training programs to examine the current status of addiction training and the impact of the new Residency Review Committee addiction training criteria for general psychiatry residencies. Only 5 programs did not already meet the new 1-month full-time equivalent addiction training requirement, and those programs anticipated only modest changes, The modal full-time equivalent addiction experience was actually 2 months, with great diversity in timing and settings. Respondents, however, often felt that their programs relied on one key addiction supervisor and that affiliated PGY-5 addiction residents usually had only limited roles in teaching and supervising the general psychiatry residents. C1 Med Coll Penn & Hahnemann Sch Med, Philadelphia, PA USA. Univ Colorado, Boulder, CO 80309 USA. RP Greenberg, WM (reprint author), Nathan S Kline Inst Psychiat Res, 140 Old Orangeburg Rd, Orangeburg, NY 10962 USA. NR 11 TC 9 Z9 10 U1 0 U2 2 PU AMER PSYCHIATRIC PRESS, INC PI WASHINGTON PA 1400 K ST, N W, STE 1101, WASHINGTON, DC 20005 USA SN 1042-9670 J9 ACAD PSYCHIATR JI Acad. Psych. PD SUM PY 2002 VL 26 IS 2 BP 105 EP 109 DI 10.1176/appi.ap.26.2.105 PG 5 WC Education & Educational Research; Psychiatry SC Education & Educational Research; Psychiatry GA 557LH UT WOS:000175909700008 PM 12824152 DA 2018-05-26 ER PT J AU Matthews, J Kadish, W Barrett, SV Mazor, K Field, D Jonassen, J AF Matthews, J Kadish, W Barrett, SV Mazor, K Field, D Jonassen, J TI The impact of a brief interclerkship about substance abuse on medical students' skills SO ACADEMIC MEDICINE LA English DT Article ID EDUCATION; ALCOHOL; ATTITUDES; DRUG; CURRICULUM; DIAGNOSIS; PROGRAM; SCHOOL AB Purpose. To examine the immediate and delayed impact of an intensive one- or two-day interclerkship on substance abuse (SA) for third-year medical students. The program is a response to the problem of inadequacy of substance abuse education in the standard curriculum. Method. Each year since 1997-98 all third-year students at the University of Massachusetts Medical School have participated in a one- or two-day SA interclerkship to enhance their knowledge and competence with SA assessment and brief intervention. Students' knowledge, attitudes, and confidence were assessed immediately before and after the interclerkship. In addition, during 199899, each student's clinical skills in SA assessment and intervention were evaluated at the completion of the student's six-week psychiatry clerkship using objective standardized clinical examinations (OSCEs) with two simulated patients, one with and one without active SA issues. Students who took the psychiatry clerkship in the first half of the year had not yet participated in the interclerkship. Students' pooled performances before and after the interclerkship were compared. Results. Students' attitudes toward and knowledge about SA disorders and their confidence about SA assessment and intervention all showed significant positive changes immediately after the interclerkship. The OSCE performance data demonstrated a significant sustained improvement in clinical skills in SA assessment and intervention as measured up to six months following the interclerkship. Conclusion. These data suggest that brief intensive training in SA during the clinical years of medical school can have a positive and lasting impact on students' clinical performances. C1 Univ Massachusetts, Sch Med, Dept Psychiat, Off Psychiat Educ & Training, Worcester, MA 01655 USA. Univ Massachusetts, Sch Med, Dept Med, Worcester, MA 01655 USA. Univ Massachusetts, Sch Med, Div Res & Evaluat, Worcester, MA 01655 USA. Meyers Primary Care Inst, Worcester, MA USA. RP Matthews, J (reprint author), Univ Massachusetts, Sch Med, Dept Psychiat, Off Psychiat Educ & Training, 55 Lake Ave N, Worcester, MA 01655 USA. NR 19 TC 19 Z9 19 U1 0 U2 4 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD MAY PY 2002 VL 77 IS 5 BP 419 EP 426 DI 10.1097/00001888-200205000-00017 PG 8 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 554DA UT WOS:000175717300012 PM 12010703 OA gold DA 2018-05-26 ER PT J AU Merrill, J Rhodes, LA Deyo, RA Marlott, GA Bradley, KA AF Merrill, J Rhodes, LA Deyo, RA Marlott, GA Bradley, KA TI Mutual mistrust in the medical care of drug users - The keys to the ''narc'' cabinet SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Article; Proceedings Paper CT 21st Annual Meeting of the Society-of-General-Internal-Medicine CY APR 23-25, 1998 CL CHICAGO, ILLINOIS SP Soc Gen Internal Med DE injection drug use; physician-patient relations; attitude of health personnel; trust; pain treatment; ethnography ID RANDOMIZED CONTROLLED TRIAL; METHADONE-MAINTENANCE; SUBSTANCE-ABUSE; PAIN; MANAGEMENT; DEPENDENCE; PHYSICIANS; OPIOIDS; ACCESS AB OBJECTIVE: Caring for patients who are active drug users is challenging. To better understand the often difficult relationships between Illicit drug-using patients and their physicians, we sought to identify major issues that emerge during their interactions in a teaching hospital. DESIGN: Exploratory qualitative analysis of data from direct observation of patient care interactions and interviews with drug-using patients and their physicians. SETTING: The inpatient internal medicine service of an urban public teaching hospital. PARTICIPANTS: Nineteen patients with recent active drug use, primarily opiate use, and their 8 physician teams. RESULTS: Four major themes emerged. First, physicians feared being deceived by drug-using patients. In particular, they questioned whether patients' requests for opiates to treat pain or withdrawal might result from addictive behavior rather than from "medically indicated" need. Second, they lacked a standard approach to commonly encountered clinical issues, especially the assessment and treatment of pain and opiate withdrawal. Because patients' subjective report of symptoms Is suspect, physicians struggled to find criteria for appropriate opiate prescription. Third, physicians avoided engaging patients regarding key complaints, and expressed discomfort and uncertainty in their approach to these patients. Fourth, drug-using patients were sensitive to the possibility of poor medical care, often interpreting physician inconsistency or hospital Inefficiency as signs of intentional mistreatment. CONCLUSION: Physicians and drug-using patients in the teaching hospital setting display mutual mistrust, especially concerning opiate prescription. Physicians' fear of deception, inconsistency and avoidance interacts with patients' concern that they are mistreated and stigmatized. Medical education should focus greater attention on addiction medicine and pain management. C1 Harborview Med Ctr, Div Gen Internal Med, Seattle, WA 98104 USA. Univ Washington, Dept Med, Seattle, WA USA. Univ Washington, Dept Hlth Serv, Seattle, WA USA. Univ Washington, Dept Anthropol, Seattle, WA 98195 USA. Univ Washington, Dept Psychol, Seattle, WA 98195 USA. VA Puget Sound Hlth Care Syst, NW Hlth Serv, Res & Dev Ctr Excellence, Seattle, WA USA. VA Puget Sound Hlth Care Syst, Primary & Specialty Med Care Serv, Seattle, WA USA. RP Merrill, J (reprint author), Harborview Med Ctr, Div Gen Internal Med, 325 9th Ave,Box 359780, Seattle, WA 98104 USA. NR 49 TC 103 Z9 103 U1 0 U2 7 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD MAY PY 2002 VL 17 IS 5 BP 327 EP 333 DI 10.1046/j.1525-1497.2002.10625.x PG 7 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 556ZU UT WOS:000175882000002 PM 12047728 DA 2018-05-26 ER PT J AU Harford, TC Wechsler, H Muthen, BO AF Harford, TC Wechsler, H Muthen, BO TI The impact of current residence and high school drinking on alcohol problems among college students SO JOURNAL OF STUDIES ON ALCOHOL LA English DT Article ID BINGE-DRINKING; NATIONAL SURVEY; SUBSTANCE USE; HEALTH; ASSOCIATIONS; ENVIRONMENT; TRANSITION; DRUG AB Objective: This study examines relationships between type of (current) residence, heavy episodic drinking in high school and alcohol-related problems among college students. Method: The study participants were respondents in the 1993, 1997 and 1999 Harvard School of Public Health College Alcohol Study (CAS) surveys of students attending 119 4-year U.S. colleges. Based on responses from 6,525 (55.6% female) students in the 1993 CAS, an exploratory factor analysis of the alcohol problem items was specified in a confirmatory factor analysis framework based on a four-factor solution, and related to study variables. The 1993 data were cross-validated with the 1997 and 1999 surveys. Results: When compared with students living in single-gender dormitories, students living off campus with parents reported lower alcohol-related problem consequences and a higher probability of drinking/driving. Students residing off campus without parents, compared with students in single-gender dorms, reported a higher probability of drinking/driving. Associations between off-campus residence and probabilities for drinking/driving were mediated by frequency of driving. Students living in coed dormitories, when compared with students in single-gender dorms, incurred more problem consequences related to drinking but reported significantly lower probabilities associated with designated driving and drinking/driving. Heavy episodic drinking in high school was related to higher probabilities of problems on all outcome measures. Conclusions: The presence of direct and independent effects for both heavy drinking prior to college and high-risk environmental factors in collegiate drinking practices support targeted and diverse strategies for prevention activities. C1 Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA. RP Harford, TC (reprint author), 279 N Main St, Wolfeboro, NH 03894 USA. FU NIAAA NIH HHS [K02 AA 00230-01] NR 33 TC 62 Z9 62 U1 1 U2 17 PU ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV PI PISCATAWAY PA C/O DEIRDRE ENGLISH, 607 ALLISON RD, PISCATAWAY, NJ 08854-8001 USA SN 0096-882X J9 J STUD ALCOHOL JI J. Stud. Alcohol PD MAY PY 2002 VL 63 IS 3 BP 271 EP 279 DI 10.15288/jsa.2002.63.271 PG 9 WC Substance Abuse; Psychology SC Substance Abuse; Psychology GA 564CB UT WOS:000176296200003 PM 12086127 DA 2018-05-26 ER PT J AU Christison, GW Haviland, MG Riggs, ML AF Christison, GW Haviland, MG Riggs, ML TI The medical condition regard scale: Measuring reactions to diagnoses SO ACADEMIC MEDICINE LA English DT Article ID ATTITUDES; PATIENT; AIDS AB Purpose. To develop a non-condition-specific scale to capture biases, emotions and expectation generated by medical condition descriptors. Method. An 18-item pilot scale was developed from the literature on physicians' responses to patients they like and dislike, stigma definitions, and discussions with primary care faculty. Exploratory factor analysis was conducted after 440 medical students rated one of 12 diverse condition. Confirmatory factor analysis was performed after 163 medical students rated two psychiatric conditions. Validity was evaluated by the scale's ability to meaningfully stratify the 12 conditions and identify changes in attitudes toward psychiatric conditions after a psychiatry clerkship. Results. Exploratory factor analysis supported an 11-item unidimensional solution (all factor loadings >.40, coefficient alpha =.87). The final scale, the Medical Condition Regard Scale (MCRS), tap, the degree to which medical Students find patients with a given medical condition to be enjoyable, treatable, and worthy of medical resources. The unidimensional model also was supported by the confirmatory factor analyses for the two psychiatric conditions (both comparative fit indices = .98). The scale stratified the 12 conditions as expected: straightforward medical conditions rated highest, so-matoform conditions rated lowest. Students showed greater regard for patients with major depression after the psychiatry clerkship, and students who rotated through an addiction treatment program showed a greater increase in regard for patients with alcoholism than did student not exposed to addiction treatment. Conclusion. MCRS scores are reliable, and the scale appears to be a valid instrument for assessing regard for any medical condition. C1 Loma Linda Univ, Med Ctr, Dept Psychiat, Loma Linda, CA 92354 USA. Loma Linda Univ, Med Ctr, Dept Psychol, Loma Linda, CA 92354 USA. RP Christison, GW (reprint author), Loma Linda Univ, Med Ctr, Dept Psychiat, 11374 Mountain View Ave, Loma Linda, CA 92354 USA. NR 20 TC 45 Z9 46 U1 2 U2 6 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD MAR PY 2002 VL 77 IS 3 BP 257 EP 262 DI 10.1097/00001888-200203000-00017 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 530HX UT WOS:000174353200012 PM 11891166 OA gold DA 2018-05-26 ER PT J AU Karam-Hage, M Nerenberg, L Brower, KJ AF Karam-Hage, M Nerenberg, L Brower, KJ TI Modifying residents' professional attitudes about substance abuse treatment and training SO AMERICAN JOURNAL ON ADDICTIONS LA English DT Article ID MEDICAL-EDUCATION; NETWORK THERAPY; ALCOHOL; ADDICTION; INTERVENTION; DIAGNOSIS; KNOWLEDGE; BEHAVIOR AB Some physicians have negative attitudes and beliefs towards patients with addiction. Moreover, few residents are inclined towards a subspecialty fellowship in addiction psychiatry. We aimed to determine if a one-day educational conference could facilitate attitudinal change among 52 general psychiatry residents. Significant changes (p < 0.05) in attitudes were reported following the conference, including enhanced beliefs that physicians can motivate their addicted patients to seek treatment and increased physician interest in pursuing advanced addiction training. A one-day educational intervention may be effective in improving professional attitudes toward addiction treatment by reinforcing previously acquired medical education. The duration of these changes remains to be determined. C1 Univ Michigan, Dept Psychiat, Ann Arbor, MI 48108 USA. Univ Michigan, Alcohol Res Ctr, Ann Arbor, MI 48108 USA. RP Karam-Hage, M (reprint author), Univ Michigan, Dept Psychiat, 400 E Eisenhower Pkwy,Suite 2A, Ann Arbor, MI 48108 USA. NR 23 TC 31 Z9 31 U1 0 U2 6 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1055-0496 J9 AM J ADDICTION JI Am. J. Addict. PD WIN PY 2001 VL 10 IS 1 BP 40 EP 47 PG 8 WC Substance Abuse SC Substance Abuse GA 410HF UT WOS:000167434000004 PM 11268827 DA 2018-05-26 ER PT J AU Ahmadi, J Benrazavi, L Ghanizadeh, A AF Ahmadi, J Benrazavi, L Ghanizadeh, A TI Substance abuse among contemporary Iranian medical students and medical patients SO JOURNAL OF NERVOUS AND MENTAL DISEASE LA English DT Article C1 Shiraz Univ Med Sci, Hafez Hosp, Dept Psychiat, Shiraz, Iran. RP Ahmadi, J (reprint author), Shiraz Univ Med Sci, Hafez Hosp, Dept Psychiat, POB 71345-1416, Shiraz, Iran. RI Ghanizadeh, Ahmad/C-2177-2011; Ahmadi, Jamshid/P-1381-2017 OI Ahmadi, Jamshid/0000-0002-7060-469X NR 8 TC 8 Z9 9 U1 0 U2 3 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0022-3018 J9 J NERV MENT DIS JI J. Nerv. Ment. Dis. PD DEC PY 2001 VL 189 IS 12 BP 860 EP 861 DI 10.1097/00005053-200112000-00009 PG 2 WC Clinical Neurology; Psychiatry SC Neurosciences & Neurology; Psychiatry GA 507WJ UT WOS:000173054000009 PM 11794581 DA 2018-05-26 ER PT J AU Miller, NS Sheppard, LM Magen, J AF Miller, NS Sheppard, LM Magen, J TI Barriers to improving education and training in addiction medicine SO PSYCHIATRIC ANNALS LA English DT Article ID SUBSTANCE-ABUSE EDUCATION; ALCOHOL-PROBLEMS; PRIMARY-CARE; DRUG-ABUSE; SCHOOLS; CURRICULUM; SPECIALTIES; INTEGRATION; PHYSICIANS; STUDENTS C1 Michigan State Univ, Coll Human Med, Dept Psychiat, E Lansing, MI 48824 USA. Michigan State Univ, Dept Educ Psychol, E Lansing, MI 48824 USA. RP Miller, NS (reprint author), Michigan State Univ, Coll Human Med, Dept Psychiat, A-227 E Fee Hall, E Lansing, MI 48824 USA. NR 36 TC 4 Z9 4 U1 0 U2 4 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0048-5713 J9 PSYCHIAT ANN JI Psychiatr. Ann. PD NOV PY 2001 VL 31 IS 11 BP 649 EP 656 DI 10.3928/0048-5713-20011101-06 PG 8 WC Psychiatry SC Psychiatry GA 490KH UT WOS:000172050700003 DA 2018-05-26 ER PT J AU Rosselli, D Rey, O Calderon, C Rodriguez, MN AF Rosselli, D Rey, O Calderon, C Rodriguez, MN TI Smoking in Colombian medical schools: The hidden curriculum SO PREVENTIVE MEDICINE LA English DT Article; Proceedings Paper CT AMEE Conference on Medical Education CY SEP, 2000 CL BEER SHEVA, ISRAEL SP AMEE DE Colombia; medical education; smoking; addiction ID ANTISMOKING CAMPAIGNS; STUDENTS; COUNTRIES; ATTITUDES; TOBACCO; DEPENDENCE; MORTALITY; ALTITUDE; HABITS AB Background. Tobacco companies are focusing their interest in less developed countries. In the absence of governmental opposition, physicians are expected to lead tobacco control efforts. We studied Colombian medical students' smoking prevalence and tobacco attitudes. Methods. First- and fifth-year students from 11 medical schools in seven Colombian cities answered anonymous, self-administered, 38-item questionnaires. Additionally, smokers answered the Fagerstrom Test for Nicotine Dependence (FTND). Results. Two thousand twenty-one students (males 50.6%; age 15-44, median 19) completed the survey; average response rate was 89.9%. Globally 25.9% of students were current smokers (males 27.9%, females 24.0%). Living at higher altitude and attending private universities were associated with higher prevalence (P < 0.001). Males had a higher chance of having given up smoking (P < 0.05); 91.3% of current smokers would like to quit; 67.3% of all smokers and 44.8% of daily smokers scored 0 in the FTND. Prevalence was similar among first- and fifth-years, but fifth-year students were more complacent with smoking in health centers and showed a lesser desire to quit. Conclusions. Medical students' smoking prevalence is similar to that of the general population. Tobacco control strategies need to be included in the curriculum. Nicotine addiction does not seem to be the main perpetuating factor. (C) 2001 American Health Foundation and Academic Press. C1 Univ Javeriana, Sch Med, Clin Epidemiol & Biostat Unit, Bogota, Colombia. RP Rosselli, D (reprint author), Univ Javeriana, Sch Med, Clin Epidemiol & Biostat Unit, Carrera 7 40-62, Bogota, Colombia. OI Rosselli, Diego/0000-0003-0960-9480 NR 18 TC 22 Z9 26 U1 0 U2 2 PU ACADEMIC PRESS INC PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0091-7435 J9 PREV MED JI Prev. Med. PD SEP PY 2001 VL 33 IS 3 BP 170 EP 174 DI 10.1006/pmed.2001.0864 PG 5 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 467YD UT WOS:000170730600005 PM 11522157 DA 2018-05-26 ER PT J AU Knight, JR Goodman, E Pulerwitz, T DuRant, RH AF Knight, JR Goodman, E Pulerwitz, T DuRant, RH TI Reliability of the Problem Oriented Screening Instrument for Teenagers (POSIT) in adolescent medical practice SO JOURNAL OF ADOLESCENT HEALTH LA English DT Article DE POSIT; reliability; substance abuse; screening; high-risk behavior; adolescents AB Purpose: To determine the internal consistency and 1-week test-retest reliability of the Problem Oriented Screening Instrument for Teenagers (POSIT) among adolescent medical patients. Methods: A research assistant administered the POSIT to a consecutive sample of 15- to 18-year-old patients arriving for routine medical care at a hospital-based adolescent medical practice. Each subject returned for a retest 1 week later. Internal consistency for each scale on test and retest was calculated using Cronbach alpha, and 1-week test-retest reliability by the intraclass correlation coefficient (r) and the kappa coefficient (kappa). Results: The Substance Use/Abuse, Mental Health Status, Educational Status, and Aggressive Behavior/Delinquency scales had favorable alpha scores (> .70). Others, including Physical Health Status, had lower alpha scores. High intraclass correlation coefficients were found for all 10 POSIT scales (r = .72 to .88), although (r) was lower for males on two of the scales. Kappa coefficients for all scales indicated good reproducibility beyond chance (kappa = .42 to .73). Conclusions: This study provided supportive evidence for the reliability of the POSIT in primary care medical settings, although some POSIT scales could likely be improved. The 20- to 30-min administration time is most practical in settings that are dedicated to adolescent medicine, and computerized administration and scoring are needed. (C) Society for Adolescent Medicine, 2001. C1 Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA. Childrens Hosp, Div Gen Pediat, Boston, MA 02115 USA. Childrens Hosp, Div Adolescent Young Adult Med, Boston, MA 02115 USA. RP Goodman, E (reprint author), Childrens Hosp, 300 Longwood Ave, Boston, MA 02115 USA. OI Goodman, Elizabeth/0000-0002-9640-9884 NR 16 TC 36 Z9 38 U1 0 U2 5 PU ELSEVIER SCIENCE INC PI NEW YORK PA 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010 USA SN 1054-139X J9 J ADOLESCENT HEALTH JI J. Adolesc. Health PD AUG PY 2001 VL 29 IS 2 BP 125 EP 130 DI 10.1016/S1054-139X(00)00206-8 PG 6 WC Psychology, Developmental; Public, Environmental & Occupational Health; Pediatrics SC Psychology; Public, Environmental & Occupational Health; Pediatrics GA 457PN UT WOS:000170146100008 PM 11472871 DA 2018-05-26 ER PT J AU Miller, NS Sheppard, LM Colenda, CC Magen, J AF Miller, NS Sheppard, LM Colenda, CC Magen, J TI Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders SO ACADEMIC MEDICINE LA English DT Article ID SUBSTANCE-ABUSE; MEDICAL-STUDENTS; UNITED-STATES; EDUCATION; ADDICTION; SCHOOLS; CURRICULUM; INTEGRATION; CARE; KNOWLEDGE AB Most primary care physician do not feel competent to treat alcohol- and drug-related disorders. Physicians generally do not like to work with patients with these dis orders and do not find treating them rewarding. Despite large numbers of such patients, the diagnosis and treatment of alcohol- and drug-related disorders are generally considered peripheral to or outside medical matters and ultimately outside medical education. There is substantial evidence that physicians fail even to identify: a large percentage of patients with these disorders. Essential role models are lacking for future physicians to develop the attitudes and training they need to adequately approach addiction as a treatable medical illness. Faculty development programs in addictive disorders are needed to overcome the stigma, poor attitudes, and deficient skill among physicians who provide education and leadership for medical students and residents. The lack of parity with other medical disorders gives reimbursement and education for addiction disorders low priority. Medical students and physicians can also be consumers and patients with addiction problems. Their attitudes and abilities to learn about alcohol- and drug related disorders are impaired without interventions. Curricula lack sufficient instruction and experiences in addiction medicine throughout all years of medical education. Programs that have successfully changed students' attitudes and skills for treatment of addicted patients continue to he exceptional and limited in focus rather than the general practice in U.S. medical schools. The authors review the findings of the literature on these problems, discuss the barriers to educational reform. and propose recommendations for developing an effective medical school curriculum about alcohol- and drug-related disorders. C1 Michigan State Univ, Coll Human Med, Dept Psychiat, E Lansing, MI 48824 USA. RP Miller, NS (reprint author), Michigan State Univ, Coll Human Med, Dept Psychiat, A-227 E Fee Hall, E Lansing, MI 48824 USA. NR 57 TC 154 Z9 155 U1 0 U2 7 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1040-2446 J9 ACAD MED JI Acad. Med. PD MAY PY 2001 VL 76 IS 5 BP 410 EP 418 DI 10.1097/00001888-200105000-00007 PG 9 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 430JU UT WOS:000168571400006 PM 11346513 OA gold DA 2018-05-26 ER PT J AU Harford, TC Muthen, BO AF Harford, TC Muthen, BO TI Alcohol use among college students: The effects of prior problem behaviors and change of residence SO JOURNAL OF STUDIES ON ALCOHOL LA English DT Article ID BINGE-DRINKING; EDUCATIONAL STATUS; SUBSTANCE USE; YOUNG-ADULTS; HIGH-SCHOOL; ASSOCIATIONS; CONSUMPTION; TRANSITION; PATTERNS; FRESHMEN AB Objective: This article examines the relationship between prior problem behaviors and change in residence on alcohol use patterns among college students. Method: Measures of alcohol consumption (e.g., drinking frequency, average consumption and frequency of heavy episodic drinking were related to residence patterns and prior problem behaviors (e.g., conduct problems, illicit substance involvement and early age at onset of alcohol consumption). Subjects (N = 2,465; 51% women) were a subsample drawn from the National Longitudinal Study of Labor Market Experience in Youth. The analysis was conducted using a linear growth model for continuous outcomes with time-invariant and time-varying covariates for each of the drinking measures. Results: The results of the structural equation analysis yielded significant and direct effects related to residence patterns and prior problem behaviors. problem behaviors were related to drinking measures; however, them was no evidence for a mediational hypothesis. Neither was there systematic evidence that the relationship between prior problem behavior and alcohol use was mediated by residence patterns. The analysis of change in residence was related to both time-specific and longer-term influences on alcohol use. Conclusions: The presence of direct and independent effects for both dispositional and high-risk environmental factors in collegiate drinking practices support targeted and diverse strategies for prevention activities. C1 Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA. RP Harford, TC (reprint author), 279 N Main St, Wolfeboro, NH 03894 USA. FU NIAAA NIH HHS [K02 AA00230 01, R21 AA10948 01A1] NR 28 TC 27 Z9 27 U1 3 U2 6 PU ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV PI PISCATAWAY PA C/O DEIRDRE ENGLISH, 607 ALLISON RD, PISCATAWAY, NJ 08854-8001 USA SN 0096-882X J9 J STUD ALCOHOL JI J. Stud. Alcohol PD MAY PY 2001 VL 62 IS 3 BP 306 EP 312 DI 10.15288/jsa.2001.62.306 PG 7 WC Substance Abuse; Psychology SC Substance Abuse; Psychology GA 441NG UT WOS:000169236000005 PM 11414340 DA 2018-05-26 ER PT J AU Friedmann, PD Saitz, R Gogineni, A Zhang, JX Stein, MD AF Friedmann, PD Saitz, R Gogineni, A Zhang, JX Stein, MD TI Validation of the screening strategy in the NIAAA "Physicians' guide to helping patients with alcohol problems" SO JOURNAL OF STUDIES ON ALCOHOL LA English DT Article; Proceedings Paper CT Annual Meeting of the Association-for-Medical-Education-and-Research-in-Substance-Abuse CY NOV 04, 1999 CL ALEXANDRIA, VIRGINIA SP Assoc Med Educ Res Sunst Abuse ID PRIMARY-CARE PATIENTS; PROBLEM DRINKING; DIAGNOSTIC-TESTS; USE DISORDERS; BIAS; POPULATION; AUDIT; CAGE; QUESTIONNAIRE; VERIFICATION AB Objective: This study was undertaken to determine the diagnostic test characteristics of the alcohol screening strategy recommended in the National Institute on Alcoholism and Alcohol Abuse (NIAAA) ''Physicians' Guide to Helping Patients with Alcohol Problems:" Method: A research interview was performed on patients who presented to one urban emergency department (N = 395; 61% women). It asked three alcohol consumption questions, the CAGE questionnaire, and about past alcohol problems. The NIAAA-recommended screen was considered positive for alcohol consumption in excess of 14 drinks per week or 4 drinks per occasion for men, or 7 drinks per week or 3 drinks per occasion for women, or a CAGE score of 1 or greater. A sample of patients (n = 250) received the Composite International Diagnostic Interview substance abuse module, a gold standard interview, to determine lifetime or prior 12-month alcohol abuse or dependence; results were adjusted for verification bias. Results: The prevalence of lifetime alcohol abuse or dependence was 13%, for which the NIAAA strategy was 81% sensitive and 80% specific. The prevalence of alcohol abuse or dependence in the prior 12 months was 10%, for which the strategy was 83% sensitive and 84% specific. Its positive likelihood ratio exceeded that of the CAGE, augmented CAGE or consumption questions alone, and its negative likelihood ratio aas the lowest. Conclusions: The screening strategy combining alcohol consumption and CAGE questions recommended in the NIAAA "Physicians' Guide" is valid, and has superior test characteristics compared to the CAGE alone, in this predominantly black (86%) emergency department population. Its brevity and simple interpretation recommend wider dissemination of the NIAAA "Physicians' Guide" although future research should examine its test characteristics in other clinical settings and with other populations. C1 Brown Univ, Sch Med, Rhode Isl Hosp, Div Gen Internal Med, Providence, RI 02903 USA. RP Friedmann, PD (reprint author), Brown Univ, Sch Med, Rhode Isl Hosp, Div Gen Internal Med, 593 Eddy St, Providence, RI 02903 USA. FU NIDA NIH HHS [R01-DA10019, K08-DA00320]; CSAP SAMHSA HHS [T26-SP08355]; NIAAA NIH HHS [R01-AA/DA11796, R21-AA12293, R01-AA10870]; NIMH NIH HHS [R01-MH61141]; PHS HHS [R01-12617] NR 29 TC 42 Z9 42 U1 0 U2 3 PU ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV PI PISCATAWAY PA C/O DEIRDRE ENGLISH, 607 ALLISON RD, PISCATAWAY, NJ 08854-8001 USA SN 0096-882X J9 J STUD ALCOHOL JI J. Stud. Alcohol PD MAR PY 2001 VL 62 IS 2 BP 234 EP 238 DI 10.15288/jsa.2001.62.234 PG 5 WC Substance Abuse; Psychology SC Substance Abuse; Psychology GA 423RD UT WOS:000168189800012 PM 11332444 DA 2018-05-26 ER PT J AU Bland, E Oppenheimer, L Brisson-Carroll, G Morel, C Holmes, P Gruslin, A AF Bland, E Oppenheimer, L Brisson-Carroll, G Morel, C Holmes, P Gruslin, A TI Influence of an educational program on medical students' attitudes to substance use disorders in pregnancy SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE LA English DT Article DE education; medical; substance-related disorders; undergraduate ID ABUSE AB Substance use disorders (SUDs) in pregnancy are becoming increasingly prevalent. Our study aimed to measure the effect of a teaching module on alcohol, tobacco, and drug use on the attitude of second year medical students toward pregnant women with SUDs. A questionnaire was administered to 84 medical students before a 5-week systems block on human reproduction, which included specific learning events related to SUDs. The questionnaire was readministered at the completion of the block. Pre- and postintervention scores were compared. Students showed significant improvement (p < .05, reliability coefficient 0.90) in their level of comfort in dealing with women with SUD in pregnancy. Other positive trends relating to attitudes toward drug- and alcohol-dependent women during pregnancy were also identified. SUD teaching interventions among medical students can improve their comfort level and attitude toward pregnant women with SUDs. This supports the current initiative of Project CREATE (Curriculum Renewal and Evaluation of Addiction Training and Education) to implement a comprehensive undergraduate SUD teaching program in Canadian medical schools. C1 Ottawa Hosp, Div Maternal Fetal Med, Dept Obstet, Ottawa, ON K1H 8L6, Canada. Univ Ottawa, Ottawa, ON, Canada. RP Oppenheimer, L (reprint author), Ottawa Hosp, Div Maternal Fetal Med, Dept Obstet, Room 8420,Gen Campus,501 Smyth Rd, Ottawa, ON K1H 8L6, Canada. NR 11 TC 23 Z9 23 U1 0 U2 7 PU MARCEL DEKKER INC PI NEW YORK PA 270 MADISON AVE, NEW YORK, NY 10016 USA SN 0095-2990 J9 AM J DRUG ALCOHOL AB JI Am. J. Drug Alcohol Abuse PY 2001 VL 27 IS 3 BP 483 EP 490 DI 10.1081/ADA-100104513 PG 8 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA 458UJ UT WOS:000170212700005 PM 11506263 DA 2018-05-26 ER PT J AU Isaacson, JH Fleming, M Kraus, M Kahn, R Mundt, M AF Isaacson, JH Fleming, M Kraus, M Kahn, R Mundt, M TI A national survey of training in substance use disorders in residency programs SO JOURNAL OF STUDIES ON ALCOHOL LA English DT Article ID MEDICAL-EDUCATION; ALCOHOL-ABUSE; CARE; RECOGNITION; PREVALENCE; POPULATION; FACULTY AB Objective: To determine the amount of formal training in substance use disorders that occurs in selected residency programs and to identify the perceived barriers to such training. Method: A national survey was conducted of program directors in emergency medicine, family medicine, internal medicine, obstetrics/gynecology, osteopathic medicine, pediatrics and psychiatry. In 1997, program directors were mailed a brief survey to determine the extent to which required training in substance use disorders occurred and the median number of hours devoted to substance use disorders training. Follow-up telephone surveys were conducted with faculty designated in the survey as responsible for substance-related disorders training to determine type of training and barriers to training. Results: Of 1,831 program directors, 1,183 (64.6%) responded to the brief survey. The percentage of programs with required substance use disorders training ranged from 31.8% in pediatrics to 95.0% in psychiatry, with 56.3% for all programs combined. The median number of curricular hours ranged from 3 (emergency medicine and OB/GYN) to 12 (family medicine). Time was perceived to be the most common barrier to additional training. Conclusions: Consistent training for all residents in the initial diagnosis and management of substance use disorders has not been achieved. New strategics that integrate into existing residency structures are needed to improve substance use disorders training. Faculty development in substance use disorders and review of current substance use disorders training as part of the residency review process should facilitate this endeavor. C1 Cleveland Clin Fdn, Dept Gen Internal Med, Cleveland, OH 44195 USA. Ohio State Univ, Cleveland, OH USA. RP Isaacson, JH (reprint author), Cleveland Clin Fdn, Dept Gen Internal Med, 9500 Euclid Ave,Desk A-91, Cleveland, OH 44195 USA. FU NHLBI NIH HHS [103HR960593P000-000] NR 18 TC 64 Z9 65 U1 0 U2 2 PU ALCOHOL RES DOCUMENTATION INC CENT ALCOHOL STUD RUTGERS UNIV PI PISCATAWAY PA C/O DEIRDRE ENGLISH, 607 ALLISON RD, PISCATAWAY, NJ 08854-8001 USA SN 0096-882X J9 J STUD ALCOHOL JI J. Stud. Alcohol PD NOV PY 2000 VL 61 IS 6 BP 912 EP 915 DI 10.15288/jsa.2000.61.912 PG 4 WC Substance Abuse; Psychology SC Substance Abuse; Psychology GA 383GL UT WOS:000165874700018 PM 11188498 DA 2018-05-26 ER PT J AU Wadland, W Keefe, C Thompson, M Noel, M AF Wadland, W Keefe, C Thompson, M Noel, M TI Tobacco dependence curricula in medical schools SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Letter C1 Michigan State Univ, Coll Human Med, E Lansing, MI 48824 USA. RP Wadland, W (reprint author), Michigan State Univ, Coll Human Med, E Lansing, MI 48824 USA. NR 4 TC 8 Z9 8 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 15 PY 2000 VL 283 IS 11 BP 1426 EP 1427 DI 10.1001/jama.283.11.1426 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 290UR UT WOS:000085696700025 PM 10732931 DA 2018-05-26 ER PT J AU Ferry, LH Grissino, LM AF Ferry, LH Grissino, LM TI Tobacco dependence curricula in medical schools - Reply SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Letter ID SMOKING-CESSATION; STUDENTS C1 Loma Linda Univ, Sch Med, Loma Linda, CA 92354 USA. RP Ferry, LH (reprint author), Loma Linda Univ, Sch Med, Loma Linda, CA 92354 USA. NR 3 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 15 PY 2000 VL 283 IS 11 BP 1427 EP 1427 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 290UR UT WOS:000085696700026 DA 2018-05-26 ER PT J AU Bostwick, JM Bobenrieth, C AF Bostwick, JM Bobenrieth, C TI Alcohol use disorders: Recognition and physician education in a general hospital setting SO PSYCHOSOMATICS LA English DT Meeting Abstract NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER PSYCHIATRIC PRESS, INC PI WASHINGTON PA 1400 K ST, N W, STE 1101, WASHINGTON, DC 20005 USA SN 0033-3182 J9 PSYCHOSOMATICS JI Psychosomatics PD MAR-APR PY 2000 VL 41 IS 2 BP 183 EP 184 PG 2 WC Psychiatry; Psychology SC Psychiatry; Psychology GA 294PZ UT WOS:000085920700070 DA 2018-05-26 ER PT J AU Siegal, HA Cole, PA Li, L Eddy, MF AF Siegal, HA Cole, PA Li, L Eddy, MF TI Can a brief clinical practicum influence physicians' communications with patients about alcohol and drug problems? Results of a long-term follow-up SO TEACHING AND LEARNING IN MEDICINE LA English DT Article ID MEDICAL-EDUCATION; SUBSTANCE-ABUSE; PRIMARY-CARE; CURRICULUM; RECOGNITION; PREVALENCE AB Background: A survey was conducted in 1996 to assess the perceptions of medical school graduates concerning alcohol and drug problems among their-patients, and their attitudes and comfort toward addressing these issues, Survey questionnaires were sent to all individuals who graduated from Wright State University School of Medicine Dayton, Ohio, between 1982 and 1990. Purpose: The study aimed to assess the long-term impact that participation in a brief clinical experience in tandem with a standard didactic substance abuse curriculum material had on former medical students now in practice. The study examined how these physicians perceived their skills in communicating with patients about alcohol and drug use, and attendant problems. Methods: An Alcohol and Drug Use Communication (ADUC) scale was developed by combining several survey items. Data analyses included correlation assessments of the ADUC scale and other variables, and multiple-regression analyses for identifying factors independently associated with the ADUC scale although other factors were controlled Results: Former students who participated in the brief clinical program, known as the Weekend Intervention Program, as part of their medical school curriculum were most likely to report having better communication concerning alcohol and drug use with their patients than students who only had didactic education. Also, additional training in addictions after graduation was significantly associated with better alcohol and drug use communication between physician and patient. Former students who participated in the Weekend Intervention Program were more than twice as likely as those without the experience to report confronting at least 10% of their patients about their concerns about the patients' alcohol or drug use. Conclusions: The results of this study suggest that undergraduate medical students' participation in a modest clinical program can enhance substance abuse Education. Through increased training in substance abuse, physicians reported greater confidence in their ability to relate to patients with substance abuse problems. Copyright (C) 2000 by Lawrence Erlbaum Associates, Inc. C1 Wright State Univ, Sch Med, Subst Abuse Intervent Programs, Dayton, OH 45435 USA. RP Siegal, HA (reprint author), Wright State Univ, Sch Med, Subst Abuse Intervent Programs, 216 Med Sci Bldg, Dayton, OH 45435 USA. NR 19 TC 11 Z9 11 U1 0 U2 3 PU LAWRENCE ERLBAUM ASSOC INC PI MAHWAH PA 10 INDUSTRIAL AVE, MAHWAH, NJ 07430-2262 USA SN 1040-1334 J9 TEACH LEARN MED JI Teach. Learn. Med. PD SPR PY 2000 VL 12 IS 2 BP 72 EP 77 DI 10.1207/S15328015TLM1202_2 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA 294UL UT WOS:000085928700002 PM 11228680 DA 2018-05-26 ER PT J AU Hoffmann, NG Chang, AJ Lewis, DC AF Hoffmann, NG Chang, AJ Lewis, DC TI Medical student attitudes toward drug addiction policy SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article DE medical students; addiction; medical training; substance abuse; drug policy ID SUBSTANCE-ABUSE; ALCOHOLISM AB This study explores the attitudes and perceptions of medical students concerning patients with addictions and policy issues related to drugs. Over 1,250 students from 15 medical schools responded to an anonymous survey concerning their experience and training regarding addictions, and their level of support or opposition for various drug policy approaches. Medical students expressed general support for treatment funding and related demand reduction strategics, but the strength of their support was influenced more by their political orientation than their perception of the effectiveness of the strategy. Students who identified themselves as liberals more strongly favored demand reduction and alternatives strategies such as needle exchange programs and drug courts. Conservatives more strongly favored supply reduction strategies including harsher sanctions for users. Need for additional training in medical school was indicated by the fact that 20% reported no training in addictions. C1 Brown Univ, Ctr Alcohol & Addict Studies, Dept Community Hlth, Providence, RI 02912 USA. ABT Associates Inc, Cambridge, MA 02138 USA. Brown Univ, Sch Med, Providence, RI 02912 USA. RP Lewis, DC (reprint author), Brown Univ, Ctr Alcohol & Addict Studies, Dept Community Hlth, Box G-BH, Providence, RI 02912 USA. NR 17 TC 10 Z9 11 U1 0 U2 1 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 2000 VL 19 IS 3 BP 1 EP 12 DI 10.1300/J069v19n03_01 PG 12 WC Substance Abuse SC Substance Abuse GA 375GL UT WOS:000165391100001 PM 11076116 DA 2018-05-26 ER PT J AU Larimer, ME Anderson, BK Baer, JS Marlatt, GA AF Larimer, ME Anderson, BK Baer, JS Marlatt, GA TI An individual in context: Predictors of alcohol use and drinking problems among Greek and residence hall students SO JOURNAL OF SUBSTANCE ABUSE LA English DT Article ID COLLEGE DRINKING; ABUSE PREVENTION; SUBSTANCE USE; EXPECTANCIES; FREQUENCY; QUANTITY; NORMS; CONSUMPTION; FOLLOW; INTERVENTION AB Fraternity, sorority, and residence hall residents were compared on drinking rates and patterns drinking-related problems, family history of alcohol problems, alcohol outcome expectancies, and high school drinking patterns. Results indicated residence in a fraternity was related to move frequent alcohol consumption and greater negative consequences even after accounting for family history, expectancies, and high school drinking rates. Family history of alcohol problems was only related to negative consequences for men. Only high school drinking rates were related to amount of alcohol consumed per occasion, for both men and women. Fraternity residence was found to be related to more negative consequences even after accounting for current drinking habits. However sorority residence was found to moderate the relationship between current drinking and negative consequences. Both high and low drinkers in sororities indicated similar rates of alcohol-related negative consequences, whereas high frequency female drinkers in the residence hall sample reported significantly more problems. C1 Univ Washington, Dept Psychol, Seattle, WA 98195 USA. RP Larimer, ME (reprint author), Univ Washington, Dept Psychol, Box 351525, Seattle, WA 98195 USA. FU NIAAA NIH HHS [5 R37 AA05591] NR 54 TC 53 Z9 53 U1 0 U2 1 PU ELSEVIER SCIENCE INC PI NEW YORK PA 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010 USA SN 0899-3289 J9 J SUBST ABUSE JI J. SUBST. ABUSE PY 2000 VL 11 IS 1 BP 53 EP 68 DI 10.1016/S0899-3289(99)00020-6 PG 16 WC Substance Abuse SC Substance Abuse GA 298ZA UT WOS:000086170300006 PM 10756514 DA 2018-05-26 ER PT J AU Haas, C AF Haas, C TI Medical numismatics. The medal of the Society Against Tobacco Abuse recalls the 1888 contest and the Prize awarded to Maurice de Fleury, a resident of the Paris Teaching Hospital. SO SEMAINE DES HOPITAUX LA French DT Article C1 Hop Laennec, Serv Med Interne, F-75340 Paris 07, France. RP Haas, C (reprint author), Hop Laennec, Serv Med Interne, 42 Rue Sevres, F-75340 Paris 07, France. NR 2 TC 0 Z9 0 U1 0 U2 0 PU EXPANSION SCI FRANCAISE PI PARIS PA 31 BLVD LATOUR MAUBOURG, 75007 PARIS, FRANCE SN 0037-1777 J9 SEM HOP PARIS JI Sem. Hop. PD DEC 9 PY 1999 VL 75 IS 35-36 BP 1451 EP 1452 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 273PW UT WOS:000084716900033 DA 2018-05-26 ER PT J AU Knight, JR Palacios, J Shannon, M AF Knight, JR Palacios, J Shannon, M TI Prevalence of alcohol problems among pediatric residents SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article; Proceedings Paper CT Ambulatory-Pediatric-Association Annual Meeting CY MAY 03, 1999 CL SAN FRANCISCO, CALIFORNIA SP Ambulat Pediatr Assoc ID PHYSICIAN SUBSTANCE USE; SCREENING-TEST MAST; STUDENTS; VALIDITY; DRINKING AB Objective: To measure the prevalence of alcohol-related problems among pediatric trainees. Methods: An alcoholism screening test was administered anonymously to participants at a mandatory substance abuse education and prevention program. Setting: A large urban pediatric residency training program. Subjects: One hundred fifteen pediatric residents attended the program during 3 consecutive years (1996-1998). Eighty-five (74%) screening tests were returned and 81 (70%) were analyzed. Main Outcome Measure: The 25-item Michigan Alcoholism Screening Test (MAST). Differential MAST cutpoints have been established to "suggest" or "indicate" a lifetime diagnosis of alcoholism. Results: Twelve residents (15%) had scores suggestive and 6 (7%) indicative of alcoholism. Twenty-eight (35%) admitted to having alcohol-associated amnesia (blackouts), 13 (16%) to "feeling bad" about their drinking, 9 (11%) to drinking before noon, 6 (7%) to getting into fights when drunk, and 2 (2%) to alcohol-related marital problems. However, only 1 (1%) had gone to anyone for help and none admitted to alcohol-related problems at work. Conclusions: These screening data suggest that alcohol abuse and related problems exist among pediatric trainees at troubling rates. While more than one third of the trainees had experienced a serious consequence from heavy drinking, only 1 had gone for help and problems were not apparent at work. Greater emphasis should be placed on alcohol prevention and early intervention programs as a routine part of pediatric training. C1 Childrens Hosp, Div Gen Pediat, Boston, MA 02115 USA. Childrens Hosp, Physician Hlth Comm, Boston, MA 02115 USA. Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA. Childrens Hosp, Program Clin Toxicol, Boston, MA 02115 USA. Harvard Med Sch, Dept Pediat, Boston, MA USA. Harvard Med Sch, Div Addict, Boston, MA USA. RP Knight, JR (reprint author), Childrens Hosp, Div Gen Pediat, 300 Longwood Ave, Boston, MA 02115 USA. FU PHS HHS [MCJ259360] NR 20 TC 13 Z9 13 U1 1 U2 2 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD NOV PY 1999 VL 153 IS 11 BP 1181 EP 1183 DI 10.1001/archpedi.153.11.1181 PG 3 WC Pediatrics SC Pediatrics GA 252HN UT WOS:000083496200012 PM 10555722 OA gold DA 2018-05-26 ER PT J AU Krishel, S Richards, CF AF Krishel, S Richards, CF TI Alcohol and substance abuse training for emergency medicine residents: A survey of US programs SO ACADEMIC EMERGENCY MEDICINE LA English DT Article DE substance abuse; alcohol abuse; resident training; emergency medicine residents C1 Univ Calif San Diego, Dept Emergency Med, Med Ctr, San Diego, CA 92103 USA. Brigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA. RP Krishel, S (reprint author), Univ Calif San Diego, Dept Emergency Med, Med Ctr, San Diego, CA 92103 USA. NR 12 TC 7 Z9 7 U1 0 U2 1 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1069-6563 J9 ACAD EMERG MED JI Acad. Emerg. Med. PD SEP PY 1999 VL 6 IS 9 BP 964 EP 966 DI 10.1111/j.1553-2712.1999.tb01250.x PG 3 WC Emergency Medicine SC Emergency Medicine GA 233VD UT WOS:000082447200020 PM 10490263 OA gold DA 2018-05-26 ER PT J AU Ferry, LH Grissino, LM Runfola, PS AF Ferry, LH Grissino, LM Runfola, PS TI Tobacco dependence curricula in US undergraduate medical education SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Article ID SMOKING-CESSATION; UNITED-STATES; STUDENTS; PHYSICIANS; QUIT AB Context Tobacco use is the leading preventable cause of death in the United States. And yet only 21% of practicing physicians claim they received adequate training to help their patients stop smoking. Objective To assess the content and extent of tobacco education and intervention skills in US medical schools' curricula. Design A survey with 13 multiple-response items on tobacco education, Survey questions were based on the recommendations of the Agency for Health Care Policy and Research and the National Cancer Institute Expert Panel, The Liaison Committee on Medical Education included 4 of these items in a modified form on the 1997 annual questionnaire. Setting One hundred twenty-six US medical schools. Participants Surveys were obtained from 122 associate deans for medical education (98.6%), Main Outcome Measures Curriculum content in basic science and clinical science, elective or required clinical experience, hours of instruction, and resource materials, Results Inclusion of all 6 tobacco curricula content areas recommended by the National Cancer Institute and the Agency for Health Care Policy and Research was higher in basic science (63/115 [54.8%]) than in clinical science (5/115 [4.4%]). Most medical schools (83/120 [69.2%]) did not require clinical training in smoking cessation techniques, while 23.5% (27/115) offered additional experience as an elective course, Thirty-one percent (32/102) of schools averaged less than 1 hour of instruction per year in smoking cessation techniques during the 4 years of medical school. A minority of schools reported 3 or more hours of clinical smoking cessation instruction in the third (14.7%) and fourth (4.9%) years. Conclusions A majority of US medical school graduates are not adequately trained to treat nicotine dependence. The major deficit is the lack of smoking cessation instruction and evaluation in the clinical years. A model core tobacco curricula that meets national recommendations should be developed and implemented in all US medical schools. C1 Loma Linda Univ, Sch Med, Dept Prevent Med, Loma Linda, CA 92350 USA. Loma Linda Univ, Sch Publ Hlth, Loma Linda, CA 92350 USA. RP Ferry, LH (reprint author), Loma Linda Univ, Sch Med, Dept Prevent Med, Nichol Hall,Room 1516, Loma Linda, CA 92350 USA. NR 19 TC 149 Z9 151 U1 0 U2 2 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD SEP 1 PY 1999 VL 282 IS 9 BP 825 EP 829 DI 10.1001/jama.282.9.825 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA 230VK UT WOS:000082272200006 PM 10478687 OA gold DA 2018-05-26 ER PT J AU O'Hare, T Sherrer, MV AF O'Hare, T Sherrer, MV TI Campus substance abuse policies in action: The role of the resident hall staff SO JOURNAL OF ALCOHOL AND DRUG EDUCATION LA English DT Article ID COLLEGE-STUDENTS; DRINKING; VIOLENCE; ALCOHOL; PERSPECTIVES; CONSEQUENCES; PREVENTION AB Resident hall staff (RHS) are on the front lines implementing university substance abuse policies. In the current survey of 87 RHS, frequency data and factor analysis were employed to summarize the following. RHS reported estimates of student substance abuse and related problems, their level of knowledge about these drugs, frequency of problems experienced by students and interventions employed the degree of confidence in dealing with specific problem and utilizing specific intervention skills. The correlations among these factors were examined, and oneway ANOVA were conducted to determine whether background questions concerning their role as RHS varied with student problems and interventions, Qualitative responses about their role and suggestions for improving university policies were also summarized. RHS see their role as a combination of counselor and enforcer, see substance abuse problems as essentially learned behavior, and lean toward a harm reduction approach to intervention. These role factors vary significantly with how they deal with student problems. implications for evaluating university substance abuse policies are discussed. C1 Boston Coll GSSW, Boston, MA 02167 USA. RP O'Hare, T (reprint author), Boston Coll GSSW, 202 McGuinn Hall, Boston, MA 02167 USA. NR 17 TC 2 Z9 2 U1 0 U2 1 PU AMER ALCOHOL DRUG INFORMATION FOUNDATION PI LANSING PA 1120 EAST OAKLAND P O BOX 10212, LANSING, MI 48901 USA SN 0090-1482 J9 J ALCOHOL DRUG EDUC JI J. Alcohol Drug Educ. PD FAL PY 1999 VL 45 IS 1 BP 13 EP 31 PG 19 WC Substance Abuse SC Substance Abuse GA 340XD UT WOS:000088560800002 DA 2018-05-26 ER PT J AU Fleming, MF Manwell, LB Kraus, M Isaacson, JH Kahn, R Stauffacher, EA AF Fleming, MF Manwell, LB Kraus, M Isaacson, JH Kahn, R Stauffacher, EA TI Who teaches residents about the prevention and treatment of substance use disorders? A national survey SO JOURNAL OF FAMILY PRACTICE LA English DT Article DE faculty; schools; medical; substance use disorders ID MEDICAL-EDUCATION; ABUSE; FACULTY AB BACKGROUND. Studies indicate that physicians are poorly prepared to identify and treat tobacco, alcohol, and drug use disorders. Several faculty development programs have been created to increase the number of residency teaching faculty with expertise in this area. There is limited information, however, on those who currently teach residents about these problems and whether there is a need for additional faculty development programs. METHODS. We conducted a e-stage national survey of faculty who teach residents about substance use problems. First, residency directors from 7 specialties (family medicine, psychiatry, internal medicine, pediatrics, obstetrics and gynecology, emergency medicine, and osteopathy) responded to a mailed questionnaire asking them to identify faculty who leach residents about substance use disorders. Second, those identified were contacted and asked to participate in a telephone interview. RESULTS. Of 1293 faculty identified by the residency directors, 769 participated in a research interview. Most of these teachers were full-time physician faculty, men, white, and based in departments of family medicine or psychiatry. Teaching was primarily conducted in hospitals, general outpatient clinics, and classrooms rather than alcohol and drug treatment programs. Less than 10% of the faculty performed clinical work in alcohol and drug treatment programs, and only 19% were certified addiction specialists. The respondents reported a definite need for additional development programs for themselves and other residency reaching faculty. CONCLUSIONS. We suggest a modest increase in the number of faculty who teach residents about substance abuse disorders, and the creation of additional faculty development programs. C1 Univ Wisconsin, Sch Med, Madison, WI USA. Yale Univ, Sch Med, New Haven, CT USA. Cleveland Clin Fdn, Cleveland, OH 44106 USA. US Hlth Resources & Serv Adm, Div Med, Rockville, MD 20857 USA. RP Fleming, MF (reprint author), 777 S Mills St, Madison, WI 53715 USA. FU NHLBI NIH HHS [103HR970104P000-000, 103HR960593P000-000] NR 20 TC 28 Z9 28 U1 0 U2 4 PU DOWDEN PUBLISHING CORP PI MONTVALE PA 110 SUMMIT AVE, MONTVALE, NJ 07645-1712 USA SN 0094-3509 J9 J FAM PRACTICE JI J. Fam. Pract. PD SEP PY 1999 VL 48 IS 9 BP 725 EP 729 PG 7 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA 314VA UT WOS:000087077200012 PM 10498080 DA 2018-05-26 ER PT J AU Stiefelhagen, P AF Stiefelhagen, P TI Progress and continuing education in medicine - Part Two: Depressive disorders, prenatal medical treatments, autoimmune diseases, drug therapy SO INTERNIST LA German DT Article C1 DRK Krankenhaus Westerwald, Innere Abt, D-57627 Hachenburg, Germany. RP Stiefelhagen, P (reprint author), DRK Krankenhaus Westerwald, Innere Abt, D-57627 Hachenburg, Germany. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER VERLAG PI NEW YORK PA 175 FIFTH AVE, NEW YORK, NY 10010 USA SN 0020-9554 J9 INTERNIST JI Internist PD JUN PY 1999 VL 40 IS 6 BP 686 EP 691 DI 10.1007/s001080050390 PG 6 WC Medicine, General & Internal SC General & Internal Medicine GA 207CK UT WOS:000080917700020 DA 2018-05-26 ER PT J AU Lewis, DC AF Lewis, DC TI Access to narcotic addiction treatment and medical care: Prospects for the expansion of methadone maintenance treatment SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article ID OPIOID DEPENDENCE; BUPRENORPHINE TREATMENT; HARM REDUCTION; DRUG; POLICY; TRIAL AB Methadone maintenance treatment (MMT) for opioid addiction is safe and effective but underutilized because of inaccessibility, under-financing and the stigma generally attached to maintenance therapies. In addition, cumbersome regulation of methadone prescription and treatment impedes the delivery of care and retards expansion of methadone maintenance into office practice settings. Exaggeration of the problem of methadone diversion further hinders development of MMT. Despite obstacles, methadone maintenance has been successfully expanded and er;tended into primary care settings abroad. Initial trials in the U.S, have shown that methadone maintenance in physician office-based settings yields positive results with some advantages over care in large methadone clinics. Alternatives to methadone, such as buprenorphine, are also being explored in primary care settings. With implementation of the NIH Consensus Statement on Effective Medical Treatment of Heroin Addiction, including training of primary carl physicians, methadone maintenance treatment could reach many more patients, achieve higher success rates, and substantially reduce the deleterious effects of opioid addiction in the U.S. C1 Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USA. RP Lewis, DC (reprint author), Brown Univ, Ctr Alcohol & Addict Studies, Box G-BH, Providence, RI 02912 USA. NR 79 TC 37 Z9 41 U1 0 U2 1 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 1999 VL 18 IS 2 BP 5 EP 21 DI 10.1300/J069v18n02_02 PG 17 WC Substance Abuse SC Substance Abuse GA 189VR UT WOS:000079927300002 PM 10334372 DA 2018-05-26 ER PT J AU Daudt, AW Alberg, AJ Prola, JC Fialho, L Petracco, A Wilhelms, A Weiss, A Estery, C AF Daudt, AW Alberg, AJ Prola, JC Fialho, L Petracco, A Wilhelms, A Weiss, A Estery, C TI A first step incorporating smoking education into a Brazilian medical school curriculum: Results of a survey to assess the cigarette smoking knowledge, attitudes, behaviour, and clinical practices of medical students SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article ID TOBACCO AB Smoking-related illnesses are the leading causes of morbidity and mortality in Brazil. Despite a smoking prevalence of approximately 40%, there is limited national effort to reduce tobacco use in Brazil by means of public education and training of health care professionals to promote smoking education. In particular, the need far information about tobacco warrants increased emphasis in undergraduate medical education. An educational program on nicotine addiction during medical school could facilitate the incorporation of smoking cessation interventions into routine medical practice. As a preliminary step toward implementing a tobacco education and intervention program, this study was designed to assess knowledge and attitudes about smoking among Brazilian medical students. Five hundred thirteen (N = 513) medical students from the Federal University of Rio Grande db Sul, the southernmost state of Brazil, completed a self-reported questionnaire during the 1995-1996 academic school year. Most students recognize the adverse health effects of smoking and the importance of their professional role in promoting smoking cessation. In contradiction, however, few medical students currently provide their patients who smoke with even minimal intervention. This discrepancy supports the idea that training in nicotine addiction and smoking cessation techniques will help medical students to develop the skills and confidence needed to successfully intervene with their current and future patients. C1 Univ Fed Rio Grande Sul, Oncol Serv, Hosp Clin Porto Alegre, BR-90035003 Porto Alegre, RS, Brazil. Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Epidemiol, Baltimore, MD 21218 USA. RP Daudt, AW (reprint author), Univ Fed Rio Grande Sul, Oncol Serv, Hosp Clin Porto Alegre, Ramiro Barcelos 2350 PA RS, BR-90035003 Porto Alegre, RS, Brazil. NR 20 TC 9 Z9 12 U1 0 U2 0 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 1999 VL 18 IS 1 BP 19 EP 29 DI 10.1300/J069v18n01_03 PG 11 WC Substance Abuse SC Substance Abuse GA 190QT UT WOS:000079976500003 PM 10234560 DA 2018-05-26 ER PT J AU Levin, FR Owen, P Stinchfield, R Rabinowitz, E Pace, N AF Levin, FR Owen, P Stinchfield, R Rabinowitz, E Pace, N TI Use of standardized patients to evaluate the physicians in residence program: A substance abuse training approach SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article ID SCHOOL-OF-MEDICINE; ALCOHOL-ABUSE; DIAGNOSIS; RECOGNITION; PERFORMANCE; PREVALENCE; KNOWLEDGE; ATTITUDES; DISORDERS; STUDENTS AB The purpose of this study was to evaluate the efficacy of the Physician in Residence (PIR) program at the Hazelden Residential Program of New York City as a substance abuse training approach using standardized patients (SP) and self-report ratings. Using an objective rating scale, two experienced drug counselors evaluated four videotaped interviews carried out by housestaff pre- and post-enrollment in the PIR program. in addition, housestaff completed self-report ratings regarding their knowledge, attitudes, and skills of substance abuse. Of the 23 housestaff who completed both pre- and post-PIR program videotape sessions, significant improvements were noted in both observer and self-reported ratings. Overall, self-report ratings showed a greater percent improvement than the counselor ratings. The PIR program may be an efficacious approach to teach substance abuse clinical skills to housestaff. C1 Columbia Univ, New York State Psychiat Inst, Dept Psychiat, New York, NY USA. Hazelden Fdn, Hazelden Fellowship Club, New York, NY USA. Univ Minnesota, Dept Psychiat, Minneapolis, MN 55455 USA. RP Levin, FR (reprint author), 1051 Riverside Dr,Unit 66, New York, NY 10032 USA. FU NIDA NIH HHS [DA00214-01A1] NR 28 TC 13 Z9 13 U1 0 U2 1 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 USA SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 1999 VL 18 IS 2 BP 39 EP 50 DI 10.1300/J069v18n02_04 PG 12 WC Substance Abuse SC Substance Abuse GA 189VR UT WOS:000079927300004 PM 10334374 DA 2018-05-26 ER PT J AU Compton, P Darakjian, J Miotto, K AF Compton, P Darakjian, J Miotto, K TI Screening for addiction in patients with chronic pain and "problematic" substance use: Evaluation of a pilot assessment tool SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT LA English DT Article DE addiction; chronic pain; assessment ID LOW-BACK-PAIN; OPIOID THERAPY AB Assessing for the presence of addiction in the chronic pain patient receiving chronic opioid analgesia is a challenging clinical task. This paper presents a recently developed screening tool for addictive disease in chronic pain patients, and pilot efficacy data describing its ability to do so. In a small sample of patients (n = 52) referred from a multidisciplinary pain center for "problematic" medication use, responses to the screening questionnaire were compared between patients who met combined diagnostic criteria for a substance use disorder and those who did not, as assessed by a trained addiction medicine specialist. Responses of addicted patients significantly differed from those of nonaddicted patients on multiple screening items, with the two groups easily differentiated by total questionnaire score. Further, three key screening indicators were identified as excellent predictors for the presence of addictive disease in this sample of chronic pain patients. (C) U.S. Cancer Pain Relief Committee, 1998. C1 Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90024 USA. Univ Calif Los Angeles, Dept Psychiat & Behav Sci, Los Angeles, CA 90024 USA. RP Compton, P (reprint author), Univ Calif Los Angeles, Sch Nursing, Factor Bldg 4-246,Box 956918, Los Angeles, CA 90024 USA. NR 21 TC 183 Z9 187 U1 0 U2 1 PU ELSEVIER SCIENCE INC PI NEW YORK PA 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010 USA SN 0885-3924 J9 J PAIN SYMPTOM MANAG JI J. Pain Symptom Manage. PD DEC PY 1998 VL 16 IS 6 BP 355 EP 363 DI 10.1016/S0885-3924(98)00110-9 PG 9 WC Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology SC Health Care Sciences & Services; General & Internal Medicine; Neurosciences & Neurology GA 152BF UT WOS:000077755000003 PM 9879160 DA 2018-05-26 ER PT J AU Peteet, JR Brenner, S Curtiss, D Ferrigno, M Kauffman, J AF Peteet, JR Brenner, S Curtiss, D Ferrigno, M Kauffman, J TI A stage of change approach to addiction in the medical setting SO GENERAL HOSPITAL PSYCHIATRY LA English DT Article ID SUBSTANCE AB Despite recent advances in its understanding and treatment, addiction remains a difficult challenge for clinicians within medical settings such as the general hospital. The use of single, traditional paradigms (disciplinary, therapeutic, educational, or libertarian) for approaching addiction-related problems have often failed to embrace the complexity of the patients' motivation to change. Prochaska and DiClemente's [7] stage of change model offers a realistic, practical, and broadly applicable means by which clinicians can facilitate behavioral change from the stage of denial (precontemplation) through that of sustained recovery (maintenance). Clinicians can help addicted individuals to move from precontemplation to contemplation by enhancing their ambivalence; from contemplation to preparation by considering their history of change; from preparation to action by flexibly intervening based on this understanding; and from action to maintenance by evaluating the outcomes of these interventions. A stage of change model is also useful in understanding the process of change in clinicians' own approaches to patients with substance use disorders. (C) 1998 Elsevier Science Inc. C1 Brigham & Womens Hosp, Boston, MA 02115 USA. RP Peteet, JR (reprint author), Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA. NR 13 TC 7 Z9 8 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010 USA SN 0163-8343 J9 GEN HOSP PSYCHIAT JI Gen. Hosp. Psych. PD SEP PY 1998 VL 20 IS 5 BP 267 EP 273 DI 10.1016/S0163-8343(98)00033-4 PG 7 WC Psychiatry SC Psychiatry GA 123ZA UT WOS:000076154500001 PM 9788026 DA 2018-05-26 ER PT J AU Emans, SJ Bravender, T Knight, J Frazer, C Luoni, M Berkowitz, C Armstrong, E Goodman, E AF Emans, SJ Bravender, T Knight, J Frazer, C Luoni, M Berkowitz, C Armstrong, E Goodman, E TI Adolescent medicine training in pediatric residency programs: Are we doing a good job? SO PEDIATRICS LA English DT Article; Proceedings Paper CT Meeting of the Society-on-Adolescent-Medicine CY MAR 06, 1998 CL ATLANTA, GEORGIA SP Soc Adolescent Med DE pediatric residency training; adolescent medicine; medical education; clinical preventive services; pelvic examinations ID TASK-FORCE REPORT; SKILLS; CARE; EDUCATION; ATTITUDES; ROTATION AB Objectives. To determine how pediatric residency programs are responding to the new challenges of teaching adolescent medicine (AM) to residents by assessing whether manpower is adequate for training, whether AM curricula and skills are adequately covered by training programs, what types of teaching methodologies are used to train residents in AM, and the needs for new curricular materials to teach AM. Design. A 3-part 92-item survey mailed to all US pediatric residency training programs. Setting. Pediatric residency programs. Participants. Residency program directors and directors of AM training. Main Outcome Measures. AM divisional structure, clinical sites of training, presence of a block rotation, and faculty of pediatric training programs; training materials used and desired in AM; perceived adequacy of coverage of various AM topics; competency of residents in performing pelvic examinations in sexually active teens; and manpower needs. Results. A total of 155/211 (73.5%) of programs completed the program director and the AM parts of the survey. Ninety-six percent of programs (size range, 5-120 residents) had an AM block rotation and 90% required the AM block; those without a block rotation were more likely to be larger programs. Only 39% of programs felt that the number of AM faculty was adequate for teaching residents. Almost half of the programs reported lack of time, faculty, and curricula to teach content in substance abuse. Besides physicians, AM teachers included nurse practitioners (28%), psychologists (25%), and social workers (19%). Topics most often cited as adequately covered included sexually transmitted diseases (81.9%), confidentiality (79.4%), puberty (77.0%), contraception (76.1%), and menstrual problems (73.5%). Topics least often cited as adequately covered included psychological testing (16.1%), violence in relationships (20.0%), violence and weapon-carrying (29.7%), and sports medicine (29.7%). Fifty-eight percent of 137 respondents thought that all or nearly all of their residents were competent in performing pelvic examinations by the end of training; there was no difference between perceived competence and the residents' use of procedure books. Seventy-four percent used a specific curriculum for teaching AM; materials included chapters/articles (85%), lecture outlines (76.1%), slides (41.9%), videos (35.5%), written ease studies (24.5%), computerized cases (6.5%), and CD-ROMs (3.2%). Fifty-two percent used Bright Futures, 48% used the Guidelines for Adolescent Preventive Services, and 14% used the Guide to Clinical Preventive Services for teaching clinical preventive services. Programs that used Bright Futures were more likely to feel that preventive services were adequately covered in their programs than those who did not (78% vs 57%). A majority of programs desired more learner-centered materials. Conclusions. Although almost all pediatric programs are now providing AM rotations, there is significant variability in adequacy of training across multiple topics important for resident education. Programs desire more learner-centered materials and more faculty to provide comprehensive resident education in AM. C1 Childrens Hosp, Div Adolescent Young Adult Med, Boston, MA 02115 USA. Childrens Hosp, Div Gen Pediat, Boston, MA 02115 USA. Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA. Harbor UCLA Med Ctr, Torrance, CA 90509 USA. Harvard Univ, Sch Med, Off Educ Dev, Boston, MA USA. RP Emans, SJ (reprint author), Childrens Hosp, Div Adolescent Young Adult Med, 300 Longwood Ave, Boston, MA 02115 USA. OI Emans, S. Jean/0000-0002-4535-7850 FU PHS HHS [MCJ 259368] NR 32 TC 47 Z9 48 U1 0 U2 0 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD SEP PY 1998 VL 102 IS 3 BP 588 EP 595 DI 10.1542/peds.102.3.588 PG 8 WC Pediatrics SC Pediatrics GA 117EB UT WOS:000075766800021 PM 9738181 DA 2018-05-26 ER PT J AU Mitka, M AF Mitka, M TI "Teachable moments" provide a means for physicians to lower alcohol abuse SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Article NR 0 TC 34 Z9 34 U1 0 U2 2 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD JUN 10 PY 1998 VL 279 IS 22 BP 1767 EP 1768 DI 10.1001/jama.279.22.1767 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA ZR635 UT WOS:000073998500002 PM 9628694 DA 2018-05-26 ER PT J AU Robb, N AF Robb, N TI Teaching on addiction issues lacking in medical school, specialists told SO CANADIAN MEDICAL ASSOCIATION JOURNAL LA English DT News Item AB DURING THE 1997 ANNUAI SCIENTIFIC MEETING of the Canadian Society of Addiction Medicine, a medical student complained that medical schools do not provide enough education on addiction-related issues. April Boyd said most students want the information because they think they will face these issues when they enter practice. NR 0 TC 4 Z9 4 U1 0 U2 0 PU CANADIAN MEDICAL ASSOCIATION PI OTTAWA PA 1867 ALTA VISTA DR, OTTAWA, ONTARIO K1G 3Y6, CANADA SN 0820-3946 J9 CAN MED ASSOC J JI Can. Med. Assoc. J. PD MAR 10 PY 1998 VL 158 IS 5 BP 640 EP 641 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA ZB655 UT WOS:000072494300036 PM 9526484 DA 2018-05-26 ER PT J AU Boscarino, JA AF Boscarino, JA TI Diseases among men 20 years after exposure to severe stress: Implications for clinical research and medical care SO PSYCHOSOMATIC MEDICINE LA English DT Article DE posttraumatic stress disorder; neuroendocrine system; psychosomatic disorders; psychological distress; disease pathogenesis; immune system ID DIAGNOSTIC INTERVIEW SCHEDULE; URINARY CORTISOL EXCRETION; VIETNAM COMBAT VETERANS; POSTTRAUMATIC-STRESS; SOCIOECONOMIC-STATUS; DISORDER; WAR; HEALTH; BRAIN; EXPERIENCE AB Objective: Epidemiologic studies have linked exposure to severe environmental stress, such as natural disasters and combat operations, to the onset of specific psychiatric disorders. Some research also suggests that these exposures may be associated with the onset of chronic diseases as well. However, these chronic disease outcome studies often have been obscured by bias and confounding. Method: The medical histories of 1399 male Vietnam veterans approximately 20 years after combat exposure (mean years = 17) were analyzed by lifetime posttraumatic stress disorder (PTSD) status (Lifetime PTSD = 332 cases). These men were included in a national, random in-person study of United States Army veterans of the Vietnam War (study completion rate = 65%). Results: After controlling for preservice, in-service, and postservice factors (including intelligence, race, region of birth, enlistment status, volunteer status, Army marital status, Army medical profile, hypochondriasis, age, smoking history, substance abuse, education, and income), associations were found for reported circulatory [odds ratio (OR) = 1.62, p = .007], digestive (OR = 1.47, p = .036), musculoskeletal (OR = 1.78, p = .008), endocrine-nutritional-metabolic (OR = 1.58, p = .10), nervous system (OR = 2.47, p < .001), respiratory (OR = 1.54, p = .042), and nonsexually transmitted infectious diseases (OR = 2.14, p < .004) after military service. Conclusion: Although this study has some limitations, it suggests that there is a direct Link between severe stress exposures and a broad spectrum of human diseases. In the future, medical researchers and clinicians should focus more on the medical consequences of exposure to severe environmental stress and seek to better integrate psychobiologic models of disease pathogenesis. RP Boscarino, JA (reprint author), CATHOLIC HLTH INITIAT SE REG,DEPT OUTCOMES RES,POB 34037,LOUISVILLE,KY 40232, USA. FU NIMH NIH HHS [MH-19105] NR 79 TC 240 Z9 243 U1 1 U2 24 PU WILLIAMS & WILKINS PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 SN 0033-3174 J9 PSYCHOSOM MED JI Psychosom. Med. PD NOV-DEC PY 1997 VL 59 IS 6 BP 605 EP 614 DI 10.1097/00006842-199711000-00008 PG 10 WC Psychiatry; Psychology; Psychology, Multidisciplinary SC Psychiatry; Psychology GA YH872 UT WOS:A1997YH87200008 PM 9407579 DA 2018-05-26 ER PT J AU Miller, NS Wesson, DR AF Miller, NS Wesson, DR TI Integration of addiction medicine: Education, treatment and research SO JOURNAL OF PSYCHOACTIVE DRUGS LA English DT Editorial Material C1 MPI TREATMENT SERV,OAKLAND,CA. UNIV CALIF SAN FRANCISCO,MED CTR,DEPT PSYCHIAT,SAN FRANCISCO,CA 94143. RP Miller, NS (reprint author), UNIV ILLINOIS,DEPT PSYCHIAT,DIV ADDICT TREATMENT PROGRAMS,CHICAGO,IL 60612, USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU HAIGHT-ASHBURY PUBL PI SAN FRANCISCO PA 409 CLAYTON ST, SAN FRANCISCO, CA 94117 SN 0279-1072 J9 J PSYCHOACTIVE DRUGS JI J. Psychoact. Drugs PD JUL-SEP PY 1997 VL 29 IS 3 BP 231 EP 232 PG 2 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA XZ874 UT WOS:A1997XZ87400001 DA 2018-05-26 ER PT J AU Klamen, DL Miller, NS AF Klamen, DL Miller, NS TI Integration in education for addiction medicine SO JOURNAL OF PSYCHOACTIVE DRUGS LA English DT Article DE addiction; medical education; physician role ID ALCOHOLISM SCREENING-TEST; PRIMARY CARE POPULATION; CAGE QUESTIONNAIRE; PROBLEM DRINKERS; SUBSTANCE-ABUSE; COCAINE USE; PREVALENCE; CONSUMPTION; RECOGNITION; CURRICULUM AB Addiction to alcohol and other drugs is a serious public health problem that is one of the most common disorders seen in medical practice. Although it is an extremely common disorder, it is poorly diagnosed and treated by physicians. In order to begin to develop an integrated approach to education and addiction, one must define the many roles of the physician working with addicted patients. Training about addictions must begin early in the medical student's career, and continue in a vertically integrated way throughout medical school. The notion of addiction as a disease process must be introduced and integrated into course materials in the preclinical years. Careful attention must be paid to the development of positive views toward working with addicted patients, and students must be indoctrinated early with the idea that physicians have a responsibility to diagnose and manage addicted patients. Students should be given multiple opportunities to learn and use screening interviews for addiction in preclinical interviewing courses, and while on the clerkships. Residency education and continuing medical education in addictions are also important, so that faculty may become good role models for students in this critical area. RP Klamen, DL (reprint author), UNIV ILLINOIS,DEPT PSYCHIAT,DIV ADDICT TREATMENT PROGRAMS MC 913,912 S WOOD ST,CHICAGO,IL 60612, USA. NR 26 TC 13 Z9 13 U1 0 U2 2 PU HAIGHT-ASHBURY PUBL PI SAN FRANCISCO PA 409 CLAYTON ST, SAN FRANCISCO, CA 94117 SN 0279-1072 J9 J PSYCHOACTIVE DRUGS JI J. Psychoact. Drugs PD JUL-SEP PY 1997 VL 29 IS 3 BP 263 EP 268 PG 6 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA XZ874 UT WOS:A1997XZ87400006 PM 9339858 DA 2018-05-26 ER PT J AU Sandlow, LJ DosSantos, SR AF Sandlow, LJ DosSantos, SR TI Addiction medicine and continuing medical education SO JOURNAL OF PSYCHOACTIVE DRUGS LA English DT Article DE addiction medicine; continuing medical education; educational programs ID DRUG-ABUSE; GENERAL-PRACTITIONERS; ALCOHOL-PROBLEMS; SUBSTANCE-ABUSE; UNITED-STATES; PRIMARY CARE; SCHOOLS; KNOWLEDGE; DEPENDENCE; STRATEGIES AB Addictive disorders are one of the most common problems encountered by primary care physicians. In the last decades there has been a significant effort by organizations, universities, and private foundations to increase the teaching of alcohol and drug abuse issues to medical students, residents and practitioners. Still, up to now, the subject has not been presented appropriately at either the undergraduate or graduate medical education level and the majority of physicians in practice have not been adequately instructed in addiction medicine. This article reviews the literature on addictive disorders and medical education, exploring issues concerning continuing medical education (CME) in particular. The authors discuss the problems relative to this subject and the educational techniques and methods most appropriate to changing attitudes and behaviors of physicians. They also design an approach to a CME program on addictive disorders for primary care physicians that incorporates multiple teaching/learning methodologies. C1 UNIV FED RIO DE JANEIRO,MARTAGAO GESTEIRA PEDIAT INST,RIO JANEIRO,BRAZIL. RP Sandlow, LJ (reprint author), UNIV ILLINOIS,DEPT MED EDUC MC 591,808 WOOD ST,ROOM 986,CHICAGO,IL 60612, USA. NR 68 TC 8 Z9 8 U1 0 U2 1 PU HAIGHT-ASHBURY PUBL PI SAN FRANCISCO PA 409 CLAYTON ST, SAN FRANCISCO, CA 94117 SN 0279-1072 J9 J PSYCHOACTIVE DRUGS JI J. Psychoact. Drugs PD JUL-SEP PY 1997 VL 29 IS 3 BP 275 EP 284 PG 10 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA XZ874 UT WOS:A1997XZ87400008 PM 9339860 DA 2018-05-26 ER PT J AU Irving, MA Evans, S Watson, L AF Irving, MA Evans, S Watson, L TI British Agencies for Adoption and Fostering in Scotland - Scottish Medical Advisers' Survey SO PUBLIC HEALTH LA English DT Article DE child adoption; child fostering; Scottish Medical Advisers survey; medical services; Children Act; Scotland ID HEALTH; CHILDREN; CARE AB Children in local authority care (The survey was conducted before the term 'in care' was replaced by 'looked after' on The Children (Scotland) Act coming into force in October 1996) come from backgrounds of high incidence of mental illness, substance abuse and learning difficulties and have often suffered from neglect and/or abuse. They have a high incidence of medical problems affecting both physical and mental health. The Committee of the Scottish Section of the Medical Group of British Agencies for Adoption and Fostering (BAAF) were concerned about the provision and coordination of medical services for children in local authority care. The aim of the survey was to identify the current and evolving practice among medical advisers across Scotland. Questionnaires were returned from 40 Medical Advisers representing each of the local authorities in Scotland. The responses highlighted a variation in the implementation of practice in clinical services provided to children in care and by whom. It confirmed that difficulties in follow-up did exist and revealed widespread confusion surrounding co-ordination of medical services, absence of procedures and ignorance of legal requirements. The study confirms that involved medical practitioners need to have a pro-active role in co-operating closely with social work colleagues to provide a well co-ordinated service of medical supervision providing a comprehensive assessment of health care needs as part of the overall child care plan. RP Irving, MA (reprint author), CRICHTON ROYAL HOSP,CRICHTON HALL,BANKEND RD,DUMFRIES DG1 4TG,SCOTLAND. NR 11 TC 1 Z9 1 U1 0 U2 4 PU STOCKTON PRESS PI BASINGSTOKE PA HOUNDMILLS, BASINGSTOKE, HAMPSHIRE, ENGLAND RG21 6XS SN 0033-3506 J9 PUBLIC HEALTH JI Public Health PD JUL PY 1997 VL 111 IS 4 BP 225 EP 229 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA XM750 UT WOS:A1997XM75000007 PM 9242035 DA 2018-05-26 ER PT J AU Croen, LG Woesner, M Herman, M Reichgott, M AF Croen, LG Woesner, M Herman, M Reichgott, M TI A longitudinal study of substance use and abuse in a single class of medical students SO ACADEMIC MEDICINE LA English DT Article ID PHYSICIANS; ALCOHOL; SCHOOL; DRINKING AB Purpose. A longitudinal study to ascertain the attitudes toward, and habits of, substance use among a single class of medical students. Method. A single class from a northeastern medical school was surveyed in both its first year (February 1991, 176 students) and its third year (May 1993, 170 students). The students were asked to report how frequently during the prior year they had used drugs or alcohol, and whether their use of each substance had increased, decreased, or remained the same since entering medical school; to identify any family members with histories of alcohol or drug problems; and to report any incidence during the prior year of ten behaviors associated with substance dependence. The students were also asked to indicate their agreement or disagreement with 11 attitudinal statements. Additional attitudinal items asked the students to identify three major deterrents to the abuse of drugs and alcohol, and what they had done if they had become aware of a classmate with a drug or alcohol problem. Chi-square analysis and two-tailed t-tests were used to compare data from the two surveys. Results. The response rates in the first and second surveys were 96.9% and 81.8%, respectively. Use of licit and illicit substances was comparable to that of chronological peers and prior national studies of medical trainees. Most of the students admitted to using alcohol at least once in the prior year (91.8% and 95%, respectively). In both years marijuana was the illicit drug used most often. Although there was a slight increase over time in the use of benzodiazepines (2.4% to 5.8%) and a decrease in the use of marijuana (29.4% to 21.7%), these changes were not significant. Few of the students in their third year reported using any substance other than alcohol more than once a month. In general, a greater percentage of the students reported a decrease rather than an increase in the use of a substance since entering medical school; the primary exception was for wine. As they progressed in their training, the students became less concerned about the effect of substance use on their performance and more likely to be embarrassed about admitting to an addiction. Although in each year a few of the students appeared to be at risk for substance dependence (8.9% and 3.5%, respectively), no student came to the attention of the administration because of problems related to substance use. While most. of the students were unaware of any classmate who had a problem, half of those who were aware had done nothing, and the balance had rarely sought assistance from the faculty or administration. Conclusion. Although there was no evidence that substance use was a major problem, a few of the students appeared to be at risk for drug or alcohol dependence. Appropriate intervention, support, and referral systems should be identified for the few who may be at risk, and increased educational efforts are needed to help all students address this issue with their peers and, ultimately, with their patients. C1 YESHIVA UNIV ALBERT EINSTEIN COLL MED, OFF EDUC RES & EVALUAT, BRONX, NY 10461 USA. YESHIVA UNIV ALBERT EINSTEIN COLL MED, DEPT PSYCHIAT, BRONX, NY 10461 USA. YESHIVA UNIV ALBERT EINSTEIN COLL MED, DEPT FAMILY MED, BRONX, NY 10461 USA. YESHIVA UNIV ALBERT EINSTEIN COLL MED, DEPT MED, BRONX, NY 10461 USA. RP Croen, LG (reprint author), YESHIVA UNIV ALBERT EINSTEIN COLL MED, DEPT EPIDEMIOL & SOCIAL MED, 1300 MORRIS PK AVE, BRONX, NY 10461 USA. NR 20 TC 39 Z9 39 U1 0 U2 6 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-2446 EI 1938-808X J9 ACAD MED JI Acad. Med. PD MAY PY 1997 VL 72 IS 5 BP 376 EP 381 DI 10.1097/00001888-199705000-00017 PG 6 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA WZ791 UT WOS:A1997WZ79100020 PM 9159584 OA gold DA 2018-05-26 ER PT J AU Tipton, CM AF Tipton, CM TI Sports medicine: A century of progress SO JOURNAL OF NUTRITION LA English DT Article; Proceedings Paper CT Symposium on Nutrition and Physical Performance: A Century of Progress and Tribute to the Modern Olympic Movement at Experimental Biology 96 CY APR 15, 1996 CL WASHINGTON, DC SP Amer Soc Nutr Sci, Mars, Inc DE doping; performance; training principles; women and competition AB According to the International Olympic Committee, it is the responsibility of the sports medicine profession to care for the health and welfare of Olympic athletes, treat and prevent injuries, conduct medical examinations, evaluate performance capacity, provide nutritional advice, prescribe and supervise training programs, and to monitor substance use. Implicit in these functions is to assist Olympic athletes in achieving the objectives of the Olympic Motto (Citius, Altius, Fortius), which is to become faster, higher, and stronger. During the past Olympiads, athletic performance has increased, as indicated by times for the men's marathon (-28%) or by the distance covered in the women's javelin throw (+80%). However, the fulfillment of these responsibilities was a slow and protracted process, as demonstrated by the facts that medical examinations were not required until 1920, that 28 years elapsed before an official team physician was appointed, and that women had to wait until 1984 before sanction was given to compete in the marathon race. Doping was not defined until 1964, and monitoring of substance abuse did not materialize until after 1972. Although individuals have prepared for athletic competition since the ancient Olympics, the scientific foundations for various training prescriptions were not firmly established until the 1960s and 1970s. It was speculated that performance records will continue to improve in the next century because more scientific sports medicine information would be available and because such information would be better disseminated to athletes. RP Tipton, CM (reprint author), UNIV ARIZONA,DEPT PHYSIOL,TUCSON,AZ 85271, USA. NR 59 TC 6 Z9 6 U1 1 U2 4 PU AMER INST NUTRITION PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814 SN 0022-3166 J9 J NUTR JI J. Nutr. PD MAY PY 1997 VL 127 SU 5 BP S878 EP S885 PG 8 WC Nutrition & Dietetics SC Nutrition & Dietetics GA WZ923 UT WOS:A1997WZ92300021 PM 9164256 DA 2018-05-26 ER PT J AU Katz, JL AF Katz, JL TI Training in substance abuse: Still a stepchild in psychiatry residencies? SO JOURNAL OF SUBSTANCE ABUSE TREATMENT LA English DT Editorial Material RP Katz, JL (reprint author), N SHORE UNIV HOSP,MANHASSET,NY 11030, USA. NR 4 TC 2 Z9 2 U1 0 U2 0 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD, ENGLAND OX5 1GB SN 0740-5472 J9 J SUBST ABUSE TREAT JI J. Subst. Abus. Treat. PD MAR-APR PY 1997 VL 14 IS 2 BP 197 EP 198 DI 10.1016/S0740-5472(97)00118-9 PG 2 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA XN904 UT WOS:A1997XN90400012 PM 9258865 DA 2018-05-26 ER PT B AU Stimmel, B Colliver, JA Cohen, DS Smith, L Swartz, MH AF Stimmel, B Colliver, JA Cohen, DS Smith, L Swartz, MH BE Scherpbier, AJJ VanderVleuten, CPM Rethans, JJ VanderSteeg, AFW TI Using SPs for teaching and assessing clinical skills for encounters with patients with problems of substance abuse, pain control, and AIDS SO ADVANCES IN MEDICAL EDUCATION LA English DT Proceedings Paper CT 7th Ottawa International Conference on Medical Education and Assessment CY JUN 25-28, 1996 CL MAASTRICHT, NETHERLANDS AB The ability of house staff to assess standardized patients (SP) presenting in pain or with substance abuse problems, as compared to general medical problems, was studied with 24 recent graduates of U.S. medical schools (USMGs) and 65 recent graduates of international medical schools (IMGs). Their performance was compared with that of 12 physician or nurse practitioners utilizing four Sp cases. The reliability of all four cases was quite good. The IMGs were found to perform significantly less well than the USMGs in all al eas except the poststation encounter: However, within each group the performance on the SP cases of pain control and substance abuse was considerably less than that seen in the general medical cases, suggesting that education of residents in these areas is lacking. C1 Mt Sinai Sch Med, New York, NY 10029 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU SPRINGER PI DORDRECHT PA PO BOX 17, 3300 AA DORDRECHT, NETHERLANDS BN 0-7923-4149-X PY 1997 BP 722 EP 724 PG 3 WC Education & Educational Research SC Education & Educational Research GA BL38B UT WOS:000075331500218 DA 2018-05-26 ER PT J AU [Anonymous] AF [Anonymous] TI Medical curriculum will include addiction, abuse SO CANADIAN MEDICAL ASSOCIATION JOURNAL LA English DT News Item NR 0 TC 0 Z9 0 U1 0 U2 0 PU CANADIAN MEDICAL ASSOCIATION PI OTTAWA PA 1867 ALTA VISTA DR, OTTAWA ON K1G 3Y6, CANADA SN 0820-3946 J9 CAN MED ASSOC J JI Can. Med. Assoc. J. PD JAN 1 PY 1997 VL 156 IS 1 BP 13 EP 13 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA WB773 UT WOS:A1997WB77300013 DA 2018-05-26 ER PT J AU Roche, AM Stubbs, JM SansonFisher, RW Saunders, JB AF Roche, AM Stubbs, JM SansonFisher, RW Saunders, JB TI A controlled trial of educational strategies to teach medical students brief intervention skills for alcohol problems SO PREVENTIVE MEDICINE LA English DT Article ID GENERAL-PRACTITIONERS; SUBSTANCE-ABUSE; DIAGNOSIS; KNOWLEDGE; ATTITUDES; RESIDENTS; FEEDBACK; SMOKING; DRUG AB Objectives. Comparatively little is known about the most effective educational strategies to train medical students to successfully intervene in their patients' alcohol problems. The relative effectiveness of two educational programs to teach medical students brief intervention skills for managing alcohol problems was examined. Methods. Teaching took place over 3 hr and was either the traditional didactic teaching program on the principles and practice of brief and early intervention or an interactive program involving a shortened lecture, clinical practice, and small group feedback on clinical performance. Students were assessed on a 10-min videotaped encounter with a simulated patient before and after teaching according to how they addressed alcohol-related issues and on their general interactional skills. Results. Performance on alcohol-related issues and interactional skills were significantly improved after teaching, although still poor in terms of clinical performance. A between-groups comparison on pre/postteaching difference scores indicated interactive training was no more effect-ive than traditional didactic lectures in developing the knowledge and skills needed for a brief alcohol intervention. Conclusion. The need for more detailed teaching sessions on sensitive areas such as alcohol use is indicated. (C) 1997 Academic Press. C1 UNIV SYDNEY,DEPT PSYCHIAT,SYDNEY,NSW 2006,AUSTRALIA. UNIV NEWCASTLE,FAC MED & HLTH SCI,DISCIPLINE BEHAV SCI RELAT MED,NEWCASTLE,NSW 2308,AUSTRALIA. OI Sanson-Fisher, Rob/0000-0001-6022-2949 NR 51 TC 31 Z9 31 U1 0 U2 1 PU ACADEMIC PRESS INC JNL-COMP SUBSCRIPTIONS PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 SN 0091-7435 J9 PREV MED JI Prev. Med. PD JAN-FEB PY 1997 VL 26 IS 1 BP 78 EP 85 DI 10.1006/pmed.1996.9990 PG 8 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA WD868 UT WOS:A1997WD86800011 PM 9010901 DA 2018-05-26 ER PT J AU Murray, M Fleming, M AF Murray, M Fleming, M TI Prevention and treatment of alcohol-related problems: An international medical education model SO ACADEMIC MEDICINE LA English DT Article ID COLLABORATIVE PROJECT; CONSUMPTION; IDENTIFICATION; INTERVENTION; DRINKING AB Alcohol abuse and alcoholism are among the world's most pressing public health concerns. Research has shown that while primary care physicians are in a good position to screen for alcohol-use disorders and to aid in treating these problems, they tend to identify only a small percentage of patients with such disorders and they rarely intervene with these persons. This situation is probably attributable to the fact that medical students worldwide are taught very little about alcohol-related problems. Clearly there is an urgent need to educate the world's doctors about preventing, diagnosing, and treating alcohol abuse and addiction. In this paper, the authors describe a model international program for educating physicians about alcohol-related problems that was developed by the National Institute on Alcohol Abuse and,alcoholism (NIAAA) in cooperation with the Center for Addiction Research and Education (CARE) at the University of Wisconsin-Madison. They describe the components of the initiative's ''trainer-development'' approach and critical issues in implementing the program in other countries. Finally, they discuss how the program was successfully implemented in Poland and describe the NIAAA's plans for introducing the model in several other countries. C1 UNIV WISCONSIN,MADISON,WI. POLISH MINIST HLTH PREVENT ALCOHOL RELATED PROBLE,WARSAW,POLAND. RP Murray, M (reprint author), NIAAA,INT RES & TRAINING PROGRAM,6000 EXECUT BLVD,BETHESDA,MD 20892, USA. NR 26 TC 9 Z9 14 U1 0 U2 0 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 SN 1040-2446 J9 ACAD MED JI Acad. Med. PD NOV PY 1996 VL 71 IS 11 BP 1204 EP 1210 DI 10.1097/00001888-199611000-00017 PG 7 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA VT717 UT WOS:A1996VT71700020 PM 9217509 DA 2018-05-26 ER PT J AU AlHaqwi, AI AF AlHaqwi, AI TI Primary health care physician's awareness of substance abuse and abuse behavior SO SAUDI MEDICAL JOURNAL LA English DT Article DE substance abuse; questionnaire; PHC centers ID ALCOHOLISM; RECOGNITION; DIAGNOSIS AB Objectives: To assess knowledge and attitude of Primary Health Care (PHC) physicians about commonly abused drugs in the community and to assess their ability to detect abuse and abuse behavior. Design: Cross-sectional descriptive study. Setting: Twenty-five PHC centers in Riyadh City, Saudi Arabia. Subjects: One hundred and forty physicians from randomly selected PHC Centers. These physicians participated by filling out a self administered questionnaire. Main Outcome Measures: Knowledge of main features of substance abuse, reported cases of substance abuse, and attitudes of PHC physicians towards managing this problem. Results: Sixty-nine percent of PHC physicians are of the opinion that substance abuse is a common and expanding problem. Most participating physicians think that substance abuse is a problem of young males. Although most PHC physicians have a satisfactory factual knowledge about features of dependence, only 23% of them have actually seen a substance abuser in the last 12 months in their practice; giving a prevalence rate of one per 1000. Male physicians in the age group under 30 years and more than 50 years, and those having postgraduate qualifications, were more able to detect abuse behavior. Most commonly reported substances of abuse were: alcohol, amphetamines, volatile substances and heroin. Most of the participating physicians underestimated the role of the PHC system in the management of substance abuse. Conclusion: Training and further studies are required to improve prevention and early treatment. C1 KING SAUD UNIV HOSP,FAC MED,DEPT FAMILY,RIYADH,SAUDI ARABIA. NR 12 TC 0 Z9 0 U1 1 U2 2 PU SAUDI MED J DEPT OF EXP PATH PI LONDON PA ST BARTHOLOMEW'S HOSP, LONDON, UNITED KINGDOM EC1A 7BE SN 0379-5284 J9 SAUDI MED J JI Saudi Med. J. PD NOV-DEC PY 1996 VL 17 IS 6 BP 699 EP 703 PG 5 WC Medicine, General & Internal SC General & Internal Medicine GA WF632 UT WOS:A1996WF63200003 OA gold DA 2018-05-26 ER PT J AU Anglin, TM Naylor, KE Kaplan, DW AF Anglin, TM Naylor, KE Kaplan, DW TI Comprehensive school-based health care: High school students' use of medical, mental health, and substance abuse services SO PEDIATRICS LA English DT Article DE school-based clinics; school-based health cure; adolescent health services; adolescent primary care; adolescent mental health services; adolescent substance abuse services ID PSYCHIATRIC-DISORDERS; ADOLESCENT HEALTH; IMPROVING ACCESS; CHILDREN; PSYCHOTHERAPY; PREVALENCE; PATTERNS; COMORBIDITY; CLINICS; PSYCHOPATHOLOGY AB Objectives. To explore adolescent students' use of school-based health and medical care and mental health and substance abuse counseling services and to compare adolescents' patterns of use of medical, mental health, and substance abuse services located in school-based and traditional settings. Design. Retrospective analysis of computer-stored, standardized data for all student visits during a 4-year period. Setting. Three high school-based student health centers. Subjects. A total of 3818 adolescent students who used services provided by the school-based health centers (SBHCs). Outcome Measures. Frequencies of student visits to medical providers and mental health and substance abuse counselors and frequencies of diagnostic assignments. Results. During a 38-month period, 3818 students attending senior high school made a total of 27 886 visits to three SBHCs. They represented 63% of students enrolled in the SBHCs and approximately 42% of the total school population. There were no significant demographic differences between students attending the SBHCs and the overall student body. However, compared with students who were enrolled in the SBHCs but did not use them, users were more likely to be female and Hispanic. Ninety-four percent of students using the services had visits with medical providers; 25% had visits with mental health counselors; and 8% of students had visits with substance abuse counselors. The fetal annual mean number of student visits was 4.7, and the annual mean numbers of visits for students who used the following services were: medical, 3.3; mental health, 5.8; and substance abuse, 6.8, An average of 1.4 diagnoses were made per visit. The most common major diagnostic categories were emotional problems (29% of all diagnoses), health supervision (13%), respiratory problems (11%), reproductive health problems (11%), and substance abuse problems (8%). Almost one fourth of the students had contact with more than one of the three categories of service provider. Visit frequency increased significantly for students who used two categories of provider (13 to 15 mean total visits compared with 4 to 5 mean total. visits for students who used just one category of provider) and escalated to a mean of 32 total visits if all three categories of service were used. Conclusions. Adolescents attending SBHCs had higher rates of visits for health and medical fare than adolescents using traditional sources of medical fare. The proportions of student users of SBHC mental health and substance abuse counseling services were commensurate with the estimated prevalences of these problems in this country's adolescent population. In addition, the mean numbers of visits to mental health counselors in SBHCs compared favorably with adolescent visit rates for mental health services in other settings. Too little information is available about adolescent use of substance abuse services in non-school-based settings to make similar comparisons. In summary, adolescent users of SBHCs seemed to have higher use of medical, mental health, and probably substance abuse counseling services than did adolescents in the general population. These findings are consistent with the interpretation that SBHCs do enhance adolescents' access to care for medical, mental health, and substance abuse problems. C1 UNIV COLORADO,SCH MED,DEPT PEDIAT,DENVER,CO 80202. RP Anglin, TM (reprint author), CHILDRENS HOSP,SECT ADOLESCENT MED,B-025,1056 E 19TH AVE,DENVER,CO 80218, USA. NR 89 TC 88 Z9 88 U1 1 U2 12 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD, ELK GROVE VILLAGE, IL 60007-1098 SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR PY 1996 VL 97 IS 3 BP 318 EP 330 PG 13 WC Pediatrics SC Pediatrics GA TY580 UT WOS:A1996TY58000006 PM 8604264 DA 2018-05-26 ER PT J AU Bunch, WH Storr, CL Hughes, PH Baldwin, DC AF Bunch, WH Storr, CL Hughes, PH Baldwin, DC TI Substance use by surgical residents and students entering surgery SO JOURNAL OF SURGICAL RESEARCH LA English DT Article ID MEDICAL-SCHOOLS; UNITED-STATES; PHYSICIANS; SPECIALTY; STRESSES AB We studied the use of alcohol, tobacco, and nine unprescribed or illegal substances by surgical residents and medical students accepted into surgical programs, With the exception of alcohol, surgical residents had less lifetime experience and used less than other residents or nonmedical college graduates. Students entering surgery had used these substances more frequently and were more likely to be using them regularly than were residents, Residency directors need to be aware of the change in attitude and use patterns of present residents as compared with those of the past. (C) 1996 Academic Press, Inc. C1 JOHNS HOPKINS UNIV,BALTIMORE,MD 21218. CHURCH DIVIN SCH PACIFIC,BALTIMORE,MD 21218. UNIV S FLORIDA,TAMPA,FL 33620. AMER MED ASSOC,CHICAGO,IL 60610. FU NIDA NIH HHS [R01 DA04877] NR 14 TC 5 Z9 5 U1 1 U2 2 PU ACADEMIC PRESS INC JNL-COMP SUBSCRIPTIONS PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 SN 0022-4804 J9 J SURG RES JI J. Surg. Res. PD FEB 15 PY 1996 VL 61 IS 1 BP 108 EP 112 DI 10.1006/jsre.1996.0089 PG 5 WC Surgery SC Surgery GA TX617 UT WOS:A1996TX61700019 PM 8769951 DA 2018-05-26 ER PT J AU Goldfarb, LM Galanter, M McDowell, D Lifshutz, H Dermatis, H AF Goldfarb, LM Galanter, M McDowell, D Lifshutz, H Dermatis, H TI Medical student and patient attitudes toward religion and spirituality in the recovery process SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE LA English DT Article ID SUBSTANCE-ABUSE; EDUCATION AB This study compares the views on spirituality of dually diagnosed patients (diagnosed with both substance abuse and general psychiatric disorders) and medical students in order to investigate their respective orientations toward spirituality and their views of the importance of spirituality in the treatment of addiction. We administered a modified version of Feagin's ''Orientation to Life and God Scale'' to assess religious and spiritual orientation in both the patients and students. A second series of items was developed and administered in order to compare the patients' and students' perceptions of the relative importance of a religious and spiritual orientation in substance abuse treatment. A third series of items was also given to compare the nature of religious and health-related services on the inpatient unit that patients and students most wanted to see improved. We found that the medical students responsible for treating substance abuse are significantly less religiously and spiritually oriented than the patients they treat, and that the students do not indicate that spirituality is an important component in the care of these patients. It may be clinically relevant to train medical students in the potential importance of spirituality in addiction treatment so that they can incorporate spirituality into the treatment of addictions. C1 NYU,MED CTR,DEPT PSYCHIAT,DIV ALCOHOLISM & DRUG ABUSE,NEW YORK,NY 10016. NR 20 TC 41 Z9 41 U1 0 U2 4 PU MARCEL DEKKER INC PI NEW YORK PA 270 MADISON AVE, NEW YORK, NY 10016 SN 0095-2990 J9 AM J DRUG ALCOHOL AB JI Am. J. Drug Alcohol Abuse PY 1996 VL 22 IS 4 BP 549 EP 561 DI 10.3109/00952999609001680 PG 13 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA VQ680 UT WOS:A1996VQ68000007 PM 8911592 DA 2018-05-26 ER PT J AU Walsh, RA AF Walsh, RA TI Medical education about alcohol: Review of its role and effectiveness SO ALCOHOL AND ALCOHOLISM LA English DT Review ID SUBSTANCE-ABUSE EDUCATION; DOCTORS HELPING SMOKERS; SMOKING CESSATION; DRUG-ABUSE; GENERAL-PRACTITIONERS; RANDOMIZED TRIAL; PRIMARY-CARE; TRAINING PHYSICIANS; FACULTY-DEVELOPMENT; RESIDENCY PROGRAMS AB Many reports have described inadequate responses by doctors to problems associated with alcohol misuse. Low levels of medical knowledge and inappropriate attitudes continue to be documented in the alcohol area. However, in recent years, greater emphasis has been placed on the need to improve doctors' skills in relation to alcohol problem detection and intervention. Experiential teaching approaches have been recommended and strategies which incorporate feedback methods offer considerable promise. In the United Kingdom and Canada, there has been no centrally funded approach to improve alcohol medical education. In contrast, federally funded initiatives in the United States of America and Australia have been associated with impressive increases in alcohol-related teaching hours and elective opportunities. Despite the substantial effort invested in achieving these curriculum gains, there is a dearth of research demonstrating impacts on medical behaviours or evaluating the cost-effectiveness of different educational strategies. Evidence from trials in smoking cessation training indicate that well-designed programmes can alter doctor behaviours in relation to substance abuse. If the alcohol medical education field is to progress, there is an urgent need for the development and evaluation of programmes which are better designed and are more informed by theory. RP Walsh, RA (reprint author), UNIV NEWCASTLE,FAC MED & HLTH SCI,DISCIPLINE BEHAV SCI RELAT MED,LOCKED BAG 10,WALLSEND 2287,AUSTRIA. NR 125 TC 21 Z9 23 U1 0 U2 2 PU OXFORD UNIV PRESS UNITED KINGDOM PI OXFORD PA WALTON ST JOURNALS DEPT, OXFORD, ENGLAND OX2 6DP SN 0735-0414 J9 ALCOHOL ALCOHOLISM JI Alcohol Alcohol. PD NOV PY 1995 VL 30 IS 6 BP 689 EP 702 PG 14 WC Substance Abuse SC Substance Abuse GA TR367 UT WOS:A1995TR36700001 PM 8679008 DA 2018-05-26 ER PT J AU RABAKWAGENER, J DAVIS, RE AF RABAKWAGENER, J DAVIS, RE TI ANALYSIS OF SUBSTANCE USE AND ABUSE INSTRUCTION IN US PHYSICIAN ASSISTANT EDUCATIONAL-PROGRAMS SO JOURNAL OF ALCOHOL AND DRUG EDUCATION LA English DT Article AB Mid-level practitioners, such as Physician Assistants, are projected as playing an integral role in health care delivery under the new proposed plans for health care reform. To investigate their education in the area of substance abuse education, a questionnaire survey was mailed to department chairs of the 59 accredited Physician Assistant programs in the U.S. A total of 50 programs returned usable responses. The questionnaire investigated the degree to which a broad-based curriculum was offered, including content ranging from pharmacology to multicultural aspects, and from legal to ethical perspectives. In addition, teaching methodologies were explored. The results indicate that substance use and abuse education is offered by most programs, however the majority of the lime is spent on general biomedical concepts and treatment modes and outcomes and less on developing skills in multi-population care. In addition, teaching strategies were dominated by a traditional, didactic approach. Recommendations for broadening the content and methodology of education in alcohol and substance use and abuse are incorporated. C1 UNIV NEBRASKA,MED CTR,PHYSICIAN ASSISTANT PROGRAM,OMAHA,NE 68182. RP RABAKWAGENER, J (reprint author), UNIV NEBRASKA,SCH HLTH PHYS EDUC & RECREAT,OMAHA,NE 68182, USA. NR 13 TC 0 Z9 0 U1 0 U2 0 PU AMER ALCOHOL DRUG INFORMATION FOUNDATION PI LANSING PA 1120 EAST OAKLAND P O BOX 10212, LANSING, MI 48901 SN 0090-1482 J9 J ALCOHOL DRUG EDUC JI J. Alcohol Drug Educ. PD SPR PY 1995 VL 40 IS 3 BP 99 EP 108 PG 10 WC Substance Abuse SC Substance Abuse GA RQ588 UT WOS:A1995RQ58800010 DA 2018-05-26 ER PT J AU ELGUEBALY, N LOCKYER, JM DROUGHT, J PARBOOSINGH, J JUSCHKA, BB WESTON, WA CHANG, S AF ELGUEBALY, N LOCKYER, JM DROUGHT, J PARBOOSINGH, J JUSCHKA, BB WESTON, WA CHANG, S TI DETERMINING PRIORITIES FOR FAMILY PHYSICIAN EDUCATION IN SUBSTANCE-ABUSE BY THE USE OF A SURVEY SO JOURNAL OF ADDICTIVE DISEASES LA English DT Article ID ALCOHOL; PREVALENCE; CARE AB As the initial stage in developing a curriculum to assist family physicians to diagnose and manage alcohol abuse in their practices, questionnaires were mailed to a selected group of family physicians. A total of 117 physicians (34%) completed the questionnaire. The majority of physicians (70.1%) reported that fewer than 10% of their caseload experienced alcohol-related problems. Most physicians (59.3%) did not use any of the standard diagnostic instruments but reported that screening and detection was the most challenging alcohol-related problem along with patient management. The questionnaire identified a number of areas that could be used in the development of educational strategies to increase the expertise of primary care physicians in the diagnosis and management of alcohol-related problems. C1 UNIV CALGARY,OFF CONTINUING MED EDUC,CALGARY,AB T2N 4N1,CANADA. UNIV OTTAWA,OTTAWA,ON,CANADA. UNIV CALGARY,DEPT PSYCHIAT,CALGARY,AB,CANADA. UNIV CALGARY,DEPT FAMILY MED,CALGARY,AB,CANADA. NR 11 TC 5 Z9 5 U1 0 U2 1 PU HAWORTH PRESS INC PI BINGHAMTON PA 10 ALICE ST, BINGHAMTON, NY 13904-1580 SN 1055-0887 J9 J ADDICT DIS JI J. Addict. Dis. PY 1995 VL 14 IS 2 BP 23 EP 31 DI 10.1300/J069v14n02_03 PG 9 WC Substance Abuse SC Substance Abuse GA RT835 UT WOS:A1995RT83500003 PM 8541357 DA 2018-05-26 ER PT J AU TOWNES, PN HARKLEY, AL AF TOWNES, PN HARKLEY, AL TI ALCOHOL SCREENING PRACTICES OF PRIMARY-CARE PHYSICIANS IN EASTERN NORTH-CAROLINA SO ALCOHOL LA English DT Article; Proceedings Paper CT NOBEL Symposium on Treatment of Alcoholism as a Chronic Disorder CY OCT 28-29, 1993 CL GREENVILLE, NC DE SURVEY; PRIMARY CARE PHYSICIANS; ALCOHOLISM SCREENING PRACTICES AB In our study, 616 primary care physicians of eastern North Carolina were surveyed for screening practices for detection of alcoholism in their patient population. We defined primary care as Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics and Psychiatry. We defined eastern North Carolina as the 29 counties that Pitt County Memorial Hospital serves. In our survey we found that eastern North Carolina is medically underserved as well as having less resources for referral and consultation. In response to the questionnaire, we found that most physicians agreed on some numerical value for drinks per day, social drinks, and drinks per week while pregnant. Values for drinks per week and weekend binges generally reflected significant tolerance for heavy drinking behavior. We also found that physicians of the same specialty commonly agreed on answers but when compared to other specialties they differed. Physicians preferred personal and clinical screening methods to questionnaires such as CAGE. Most physicians did not prescribe Antabuse but did suggest to their patients to cut down on drinking. Physicians felt that their patients needed more education and support from the community as well as intervention at an early age. We conclude that physicians should receive more education concerning alcoholism and substance abuse. C1 E CAROLINA UNIV,SCH MED,DEPT PSYCHIAT,GREENVILLE,NC 27858. NR 5 TC 10 Z9 10 U1 0 U2 0 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD, ENGLAND OX5 1GB SN 0741-8329 J9 ALCOHOL JI Alcohol PD NOV-DEC PY 1994 VL 11 IS 6 BP 489 EP 492 DI 10.1016/0741-8329(94)90073-6 PG 4 WC Substance Abuse; Pharmacology & Pharmacy; Toxicology SC Substance Abuse; Pharmacology & Pharmacy; Toxicology GA PU784 UT WOS:A1994PU78400013 PM 7865149 DA 2018-05-26 ER PT J AU SCHNOLL, SH FINCH, J AF SCHNOLL, SH FINCH, J TI MEDICAL-EDUCATION FOR PAIN AND ADDICTION - MAKING PROGRESS TOWARD ANSWERING A NEED SO JOURNAL OF LAW MEDICINE & ETHICS LA English DT Article C1 VIRGINIA COMMONWEALTH UNIV,DEPT PSYCHIAT,RICHMOND,VA. VIRGINIA COMMONWEALTH UNIV,DIV SUBSTANCE ABUSE MED,RICHMOND,VA. N CAROLINA GOVERNORS INST ALCOHOL & SUBST ABUSE,RES TRIANGLE PK,NC. DURHAM CTY SUBST ABUSE SERV,RES TRIANGLE PK,NC. RP SCHNOLL, SH (reprint author), VIRGINIA COMMONWEALTH UNIV,DEPT INTERNAL MED,RICHMOND,VA, USA. NR 10 TC 13 Z9 15 U1 0 U2 0 PU AMER SOC LAW MEDICINE ETHICS PI BOSTON PA 765 COMMONWEALTH AVE, 16TH FL, BOSTON, MA 02215 SN 0277-8459 J9 J LAW MED ETHICS JI J. Law Med. Ethics PD FAL PY 1994 VL 22 IS 3 BP 252 EP 256 DI 10.1111/j.1748-720X.1994.tb01303.x PG 5 WC Ethics; Law; Medical Ethics; Medicine, Legal SC Social Sciences - Other Topics; Government & Law; Medical Ethics; Legal Medicine GA QA211 UT WOS:A1994QA21100009 PM 7749481 DA 2018-05-26 ER PT J AU GOLDSMITH, RJ MILLER, NS AF GOLDSMITH, RJ MILLER, NS TI TRAINING PSYCHIATRIC-RESIDENTS IN THE ADDICTIONS SO PSYCHIATRIC ANNALS LA English DT Article ID ATTITUDES C1 UNIV CINCINNATI,COLL MED,DEPT PSYCHIAT,CINCINNATI,OH 45221. UNIV ILLINOIS,DEPT PSYCHIAT,CHICAGO,IL 60680. NR 14 TC 2 Z9 2 U1 0 U2 4 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 SN 0048-5713 J9 PSYCHIAT ANN JI Psychiatr. Ann. PD AUG PY 1994 VL 24 IS 8 BP 432 EP 439 DI 10.3928/0048-5713-19940801-13 PG 8 WC Psychiatry SC Psychiatry GA PC892 UT WOS:A1994PC89200009 DA 2018-05-26 ER PT J AU FLEMING, M BARRY, K DAVIS, A KROPP, S KAHN, R RIVO, M AF FLEMING, M BARRY, K DAVIS, A KROPP, S KAHN, R RIVO, M TI MEDICAL-EDUCATION ABOUT SUBSTANCE-ABUSE - CHANGES IN CURRICULUM AND FACULTY BETWEEN 1976 AND 1992 SO ACADEMIC MEDICINE LA English DT Article ID DRUG-ABUSE; ALCOHOLISM; SCHOOLS AB Purpose. To examine changes in substance abuse education in U.S. medical schools between 1976 and 1992. Methods. In 1991-92 the authors conducted a 16-year follow-up survey of six clinical departments in each of the 126 U.S. medical schools. Two previous surveys by scholars and surveys conducted by the Liaison Committee on Medical Education, Association of American Medical Colleges, and the National Center for Medical Fellowships in the Addictions provided baseline data for comparison. The statistical methods used in the comparisons were paired t-tests, one-way analyses of variance, and tests of differences between proportions. Results. Significant increases were found in the numbers of required and elective curriculum units for medical students between 1986-87 and 1991-92. The number of medical schools requiring courses in substance abuse treatment increased from five to eight between 1986-87 and 1991-92. For residents, there were significant increases in the numbers of curriculum units for residents in family medicine and pediatrics. The average number of faculty in the 116 medical schools that reported units on substance abuse was 4.1. There were 45 fellowships in addiction medicine identified in 1991-92, with a total of 61 fellows in training. Conclusion. While the findings confirm positive changes, the amount of curricula time and the number of faculty having expertise in substance abuse education do not compare well with the amounts of time and numbers of faculty involved in clinical problems of similar prevalence, such as cancer and heart disease. C1 CASE WESTERN RESERVE UNIV,SCH MED,DEPT FAMILY MED,CLEVELAND,OH 44106. US BUR HLTH PROFESS,DIV MED,ROCKVILLE,MD. RP FLEMING, M (reprint author), UNIV WISCONSIN,DEPT FAMILY MED,OFF ALCOHOL & ADDICT STUDIES,777 S MILLS,MADISON,WI 53715, USA. NR 21 TC 46 Z9 46 U1 0 U2 0 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 SN 1040-2446 J9 ACAD MED JI Acad. Med. PD MAY PY 1994 VL 69 IS 5 BP 362 EP 369 DI 10.1097/00001888-199405000-00009 PG 8 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA NM045 UT WOS:A1994NM04500014 PM 8166918 OA gold DA 2018-05-26 ER PT J AU DUBE, CE LEWIS, DC AF DUBE, CE LEWIS, DC TI MEDICAL-EDUCATION IN ALCOHOL AND OTHER DRUGS - CURRICULUM-DEVELOPMENT FOR PRIMARY-CARE SO ALCOHOL HEALTH & RESEARCH WORLD LA English DT Article AB Over the past two decades, physician education about alcohol and other drug abuse has progressed from teaching guides to full-blown curricula that focus on teaching medical students skills that are critical to the successful diagnosis and treatment of alcohol abuse. Despite these advances in teaching materials and techniques, integration of substance abuse curricula into primary care medical education has been slow at best. RP DUBE, CE (reprint author), BROWN UNIV,CTR ALCOHOL & ADDICT STUDIES,PROVIDENCE,RI 02912, USA. NR 16 TC 2 Z9 2 U1 0 U2 1 PU NATL INST ALCOHOL ABUSE ALCOHOLISM PI ROCKVILLE PA 6000 EXECUTIVE BLVD, ROCKVILLE, MD 20892-7003 SN 0090-838X J9 ALCOHOL HEALTH RES W JI Alcohol Health Res. World PY 1994 VL 18 IS 2 BP 146 EP 153 PG 8 WC Substance Abuse SC Substance Abuse GA QA079 UT WOS:A1994QA07900010 DA 2018-05-26 ER PT J AU BAPTISTA, T NOVOA, D HERNANDEZ, R AF BAPTISTA, T NOVOA, D HERNANDEZ, R TI SUBSTANCE USE AMONG VENEZUELAN MEDICAL AND PHARMACY STUDENTS SO DRUG AND ALCOHOL DEPENDENCE LA English DT Article DE SUBSTANCE USE; MEDICAL AND PHARMACY STUDENTS; VENEZUELA; DIAGNOSTIC INTERVIEW SCHEDULE ID DRUG-USE; PHYSICIANS AB The frequency of substance use disorders and non-pathological use of drugs was assessed in a cohort of undergraduate medical (N = 1013) and pharmacy students (N = 426) from the University of the Andes (Merida, Venezuela). The survey was conducted using a self-administered Spanish version of the Diagnostic Interview Schedule (DIS-III-A). It was found that the lifetime frequency of substance use disorders was significantly higher in medical than in pharmacy students, but this difference disappeared when the sex was controlled. Substance use disorders were more common in single males and most cases were observed in subjects in their intermediate academic semesters. It was also found that the frequency of non-pathological use of drugs was higher in medical than in pharmacy students and in men than in women. The frequency of substance use disorders in our sample was smaller than that reported in American surveys of substance misuse among medical and pharmacy students. However, because of methodological differences these comparisons are questionable. Our results suggest that Venezuelan medical students are not at an unusually high risk of substance misuse when compared with pharmacy students whose reputedly low levels of substance use are often contrasted with those of the medical profession. C1 UNIV LOS ANDES,FAC MED,INTERNAL MED UNIT,MERIDA 5101,VENEZUELA. RP BAPTISTA, T (reprint author), UNIV LOS ANDES,FAC MED,DEPT HUMAN PHYSIOL,POB 93,MERIDA 5101,VENEZUELA. NR 25 TC 2 Z9 2 U1 0 U2 0 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0376-8716 J9 DRUG ALCOHOL DEPEN JI Drug Alcohol Depend. PD JAN PY 1994 VL 34 IS 2 BP 121 EP 127 DI 10.1016/0376-8716(94)90132-5 PG 7 WC Substance Abuse; Psychiatry SC Substance Abuse; Psychiatry GA MY752 UT WOS:A1994MY75200005 PM 8026299 DA 2018-05-26 ER PT J AU CHAPPEL, JN AF CHAPPEL, JN TI TRAINING OF RESIDENTS AND MEDICAL-STUDENTS IN THE DIAGNOSIS AND TREATMENT OF DUAL DIAGNOSIS PATIENTS SO JOURNAL OF PSYCHOACTIVE DRUGS LA English DT Article DE ADDICTION; DUAL DIAGNOSIS; MENTAL DISORDERS; PSYCHIATRY ID SUBSTANCE-ABUSE; DRUG-ABUSE; ALCOHOLISM; PSYCHOPATHOLOGY; ATTITUDES; DISORDERS AB Treatment of dual diagnosis patients requires simultaneous treatment of the addictive and the mental disorders. Available data suggest that this does not happen often. In a survey of several psychiatric services, the unit chiefs reported that dual diagnoses were underreported, no plans were present for combined treatment, families were infrequently involved, and few referrals were made for combined treatment. There is a need for competent, experienced clinician teachers who have had positive experience with the treatment of dual disorders. The training of addiction and mental health professionals must include cooperation, understanding, and respect for each other. Cross-training is needed in chemotherapy, psychotherapy, abstinence from alcohol and other addictive drugs, 12-Step programs, spiritual issues, and milieu therapy. Negative attitudes and ignorance must be overcome for this training to take place. Faculty Fellow training programs have provided a beginning in this direction, but have so far involved few professional schools. Some examples of training with regard to referrals, prescribing, and psychotherapy are given. The importance of supervised clinical experience in treating dual diagnosis patients is emphasized. The provision of this experience provides a challenge to specialists in addiction medicine and addiction psychiatry. C1 W HILLS HOSP,ALCOHOL & DRUG TREATMENT PROGRAMS,RENO,NV. RP CHAPPEL, JN (reprint author), UNIV NEVADA,SCH MED 354,DEPT PSYCHIAT & BEHAV SCI,RENO,NV 89557, USA. NR 29 TC 8 Z9 8 U1 0 U2 4 PU HAIGHT-ASHBURY PUBL PI SAN FRANCISCO PA 409 CLAYTON ST, SAN FRANCISCO, CA 94117 SN 0279-1072 J9 J PSYCHOACTIVE DRUGS JI J. Psychoact. Drugs PD OCT-DEC PY 1993 VL 25 IS 4 BP 293 EP 300 DI 10.1080/02791072.1993.10472286 PG 8 WC Psychology, Clinical; Substance Abuse SC Psychology; Substance Abuse GA MP009 UT WOS:A1993MP00900002 PM 8126601 DA 2018-05-26 ER PT J AU JONES, D AF JONES, D TI SUPPORT PROGRAMS HELP MEDICAL-STUDENTS STOP ADDICTION BEFORE IT STARTS SO CANADIAN MEDICAL ASSOCIATION JOURNAL LA English DT Editorial Material NR 0 TC 0 Z9 0 U1 0 U2 0 PU CANADIAN MEDICAL ASSOCIATION PI OTTAWA PA 1867 ALTA VISTA DR, OTTAWA ON K1G 3Y6, CANADA SN 0820-3946 J9 CAN MED ASSOC J JI Can. Med. Assoc. J. PD JUL 1 PY 1993 VL 149 IS 1 BP 80 EP 81 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA LK632 UT WOS:A1993LK63200032 PM 8319158 DA 2018-05-26 ER PT J AU FLAHERTY, JA RICHMAN, JA AF FLAHERTY, JA RICHMAN, JA TI SUBSTANCE USE AND ADDICTION AMONG MEDICAL-STUDENTS, RESIDENTS, AND PHYSICIANS SO PSYCHIATRIC CLINICS OF NORTH AMERICA LA English DT Article ID UNITED-STATES; PATTERNS; DRINKING; SCHOOLS RP FLAHERTY, JA (reprint author), UNIV ILLINOIS,COLL MED,DEPT PSYCHIAT,MC-913,912 S WOOD ST,CHICAGO,IL 60612, USA. FU NIAAA NIH HHS [R01AA07311] NR 29 TC 100 Z9 103 U1 1 U2 6 PU W B SAUNDERS CO PI PHILADELPHIA PA INDEPENDENCE SQUARE WEST CURTIS CENTER, STE 300, PHILADELPHIA, PA 19106-3399 SN 0193-953X J9 PSYCHIAT CLIN N AM JI Psychiatr. Clin. North Amer. PD MAR PY 1993 VL 16 IS 1 BP 189 EP 197 PG 9 WC Psychiatry SC Psychiatry GA KZ893 UT WOS:A1993KZ89300018 PM 8456044 DA 2018-05-26 ER PT J AU BROWN, RL EDWARDS, JA ROUNDS, LA AF BROWN, RL EDWARDS, JA ROUNDS, LA TI MEDICAL-STUDENTS DECISIONS TO REPORT CLASSMATES IMPAIRED BY ALCOHOL OR OTHER DRUG-ABUSE SO ACADEMIC MEDICINE LA English DT Note RP BROWN, RL (reprint author), UNIV WISCONSIN,SCH MED,DEPT FAMILY MED & PRACTICE,777 S MILLS ST,MADISON,WI 53715, USA. NR 2 TC 3 Z9 3 U1 0 U2 0 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 SN 1040-2446 J9 ACAD MED JI Acad. Med. PD DEC PY 1992 VL 67 IS 12 BP 866 EP 866 DI 10.1097/00001888-199212000-00019 PG 1 WC Education, Scientific Disciplines; Health Care Sciences & Services SC Education & Educational Research; Health Care Sciences & Services GA KC303 UT WOS:A1992KC30300021 PM 1457029 OA gold DA 2018-05-26 ER PT J AU CHAPMAN, MJ AF CHAPMAN, MJ TI MEDICAL-EDUCATION AND SUBSTANCE-ABUSE SO JOURNAL OF THE ROYAL SOCIETY OF MEDICINE LA English DT Letter RP CHAPMAN, MJ (reprint author), TOXICOLOGISTE CONSEIL,BP 19,F-69881 JONAGE,FRANCE. NR 1 TC 0 Z9 0 U1 0 U2 0 PU ROYAL SOC MEDICINE SERVICES LTD PI LONDON PA 1 WIMPOLE STREET, LONDON, ENGLAND W1M 8AE SN 0141-0768 J9 J ROY SOC MED JI J. R. Soc. Med. PD DEC PY 1992 VL 85 IS 12 BP 774 EP 774 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA KA952 UT WOS:A1992KA95200031 PM 20894844 DA 2018-05-26 ER PT J AU SUSMAN, J SITORIUS, M SCHNEIDER, M GILBERT, C AF SUSMAN, J SITORIUS, M SCHNEIDER, M GILBERT, C TI EFFECT OF A SUBSTANCE-ABUSE CURRICULUM ON THE RECOGNITION OF ALCOHOLISM BY FAMILY MEDICINE RESIDENTS SO JOURNAL OF ALCOHOL AND DRUG EDUCATION LA English DT Article ID AREA AB This study prospectively evaluated the identification of alcohol abusers by family practice residents in 278 family medicine inpatients. A certified alcohol counselor (CAC) administered a standardized interview, the Michigan Alcoholism Screening Test (MAST) and the CAGE test. Retrospective chart review was used to assess resident history taking and identification of alcoholism. Residents took an alcohol-use history in 74% of patients. Taking an alcohol history was significantly more likely if the patient had an alcohol-related admission diagnosis. The CAC identified 37.8% of the patients as alcohol abusers and there was a high correlation among the interview diagnosis, the MAST and the CAGE. Overall, residents correctly identified 38.8% of current or past alcohol abusers and 94.8% of the non-alcoholics when compared to the CAC interview. Correct resident diagnosis was unrelated to demographic factors, alcohol-related admission diagnosis or years of alcohol abuse. At the beginning of the third study year, we instituted a comprehensive substance abuse curriculum. Despite statistically significant gains in knowledge, resident history taking and correct assessment of alcohol status did not improve. RP SUSMAN, J (reprint author), UNIV NEBRASKA,MED CTR,DEPT FAMILY PRACTICE,600 S 42ND ST,OMAHA,NE 68198, USA. NR 18 TC 2 Z9 2 U1 0 U2 0 PU AMER ALCOHOL DRUG INFORMATION FOUNDATION PI LANSING PA 1120 EAST OAKLAND P O BOX 10212, LANSING, MI 48901 SN 0090-1482 J9 J ALCOHOL DRUG EDUC JI J. Alcohol Drug Educ. PD FAL PY 1992 VL 38 IS 1 BP 98 EP 105 PG 8 WC Substance Abuse SC Substance Abuse GA JR974 UT WOS:A1992JR97400010 DA 2018-05-26 ER EF