Edens Ellen Lockard, Gafni Inbal, Encandela John
Yale School of Medicine, New Haven, CT, USA.
Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Acad Psychiatry. 2016 Jun;40(3):489-93. doi: 10.1007/s40596-015-0412-z. Epub 2015 Dec 1.
Addiction psychiatrists are increasingly asked to address chronic pain in patients with addiction. Because of historic "divisions of labor" between physicians who manage pain and addiction psychiatrists who manage addiction, limited guidance exists for preparing addiction psychiatry trainees to address this comorbidity.
A 1-h focus group composed of five geographically well-distributed addiction psychiatry fellowship directors/faculty was conducted to explore existing curricula, identify themes, and build consensus regarding educational goals for addiction psychiatry fellows in the area of chronic pain management.
Discussion resulted in five broad categories of themes involving perceptions of the importance of chronic pain training for addiction psychiatrists; barriers to curriculum development (one notably being that the addiction psychiatrist's role in managing chronic pain is poorly articulated); facilitators to such development; and potential curricular content and roles of addiction psychiatrists in relation to chronic pain training.
Educators in addiction psychiatry should clarify their role in the management of chronic pain and prioritize training in this area.
成瘾精神科医生越来越多地被要求处理成瘾患者的慢性疼痛问题。由于管理疼痛的医生与管理成瘾问题的成瘾精神科医生之间存在传统的“分工”，为成瘾精神科实习生处理这种共病情况提供的指导有限。
开展了一个由五名分布在不同地理位置的成瘾精神科住院医师培训项目主任/教员组成的1小时焦点小组，以探讨现有课程，确定主题，并就成瘾精神科住院医师在慢性疼痛管理领域的教育目标达成共识。
讨论产生了五大类主题，涉及对成瘾精神科医生进行慢性疼痛培训重要性的看法；课程开发的障碍（其中一个特别突出的是成瘾精神科医生在管理慢性疼痛方面的作用表述不清）；此类开发的促进因素；以及成瘾精神科医生在慢性疼痛培训方面的潜在课程内容和作用。
成瘾精神科教育工作者应明确他们在慢性疼痛管理中的作用，并将该领域的培训作为优先事项。
