Muzyk Andrew J, Tew Chris, Thomas-Fannin Allie, Dayal Sanjai, Maeda Reina, Schramm-Sapyta Nicole, Andolsek Kathryn M, Holmer Shelley
A.J. Muzyk is associate professor, Department of Pharmacy Practice, Campbell University College of Pharmacy and Health Sciences, Buies Creek, North Carolina, and adjunct assistant professor, Department of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina. C. Tew is a licensed addiction specialist, Department of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina. A. Thomas-Fannin is a psychiatrist, Department of Psychiatry, Good Samaritan Hospital, Vincennes, Indiana. S. Dayal is a fourth-year psychiatry resident, Department of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina. R. Maeda is a geriatric psychiatry fellow, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington. N. Schramm-Sapyta is assistant professor, Duke Institute of Brain Sciences, Duke University, Durham, North Carolina. K.M. Andolsek is professor, Department of Community and Family Medicine, Duke University School of Medicine, Durham, North Carolina. S. Holmer is assistant professor, Department of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina.
Acad Med. 2017 Dec;92(12):1704-1708. doi: 10.1097/ACM.0000000000001766.
Substance use disorders (SUDs) affect millions of Americans. Nevertheless, there is insufficient health care resource allocation for these patients. One reason may be the lack of education and training about SUDs in health professions programs.
The authors developed a required, interprofessional SUDs course for health professions students completing a one-month psychiatry clerkship within the Duke University Health System starting in November 2015. Students participated in six 1-hour class sessions led by an interdisciplinary faculty. Sessions focused on core areas in SUDs education and used either a lecture with discussion or a small-group team-based learning format. Students completed one motivational interview, attended a 12-step recovery meeting, and wrote a reflection paper. On the first and last day of the clerkship, students measured their attitudes toward individuals with SUDs using the Substance Abuse Attitude Scale (SAAS) and toward interprofessionalism using the Interprofessional Attitudes Scale (IPAS).
Seventy-one students participated in the course from November 2015 to May 2016. Fifty-nine (83%) students had paired pre- and postcourse SAAS and IPAS data. On the SAAS, students showed significant improvement in their median total score and nonmoralizing, treatment optimism, and treatment intervention scores. On the IPAS, students showed significant improvement in their median score on the teamwork, roles, and responsibilities domain.
The authors will continue to assess the course. Starting in academic year 2016-2017, the course will include four additional elements, and beginning in July 2016, accelerated bachelor of science in nursing students will participate in the course.
物质使用障碍(SUDs)影响着数百万美国人。然而,针对这些患者的医疗保健资源分配不足。一个原因可能是卫生专业项目中缺乏关于物质使用障碍的教育和培训。
作者为2015年11月起在杜克大学卫生系统完成为期一个月精神病学实习的卫生专业学生开发了一门必修的跨专业物质使用障碍课程。学生们参加了由跨学科教员主持的六次1小时课程。课程聚焦于物质使用障碍教育的核心领域,采用讲座讨论或基于小组团队学习的形式。学生们完成了一次动机访谈,参加了一次12步康复会议,并撰写了一篇反思论文。在实习的第一天和最后一天,学生们使用物质滥用态度量表(SAAS)测量他们对患有物质使用障碍者的态度,并使用跨专业态度量表(IPAS)测量他们对跨专业合作的态度。
2015年11月至2016年5月,71名学生参加了该课程。59名(83%)学生有配对的课程前后SAAS和IPAS数据。在SAAS上,学生们在中位数总分、非道德化、治疗乐观主义和治疗干预得分方面有显著提高。在IPAS上,学生们在团队合作、角色和职责领域的中位数得分有显著提高。
作者将继续评估该课程。从2016 - 2017学年开始,该课程将增加四个额外元素,并且从2016年7月开始,护理学理学学士加速课程的学生将参加该课程。