From the Herbert Wertheim College of Medicine, Florida International University, Miami Florida.
South Med J. 2020 Sep;113(9):447-450. doi: 10.14423/SMJ.0000000000001136.
Physicians frequently treat patients struggling with addiction, including alcohol abuse. The Society of Teachers of Family Medicine's National Clerkship Curriculum lists necessary learning for all future physicians and includes several core objectives related to identifying community resources, the role of support groups in treating patients, and identifying and managing substance abuse.
During the family medicine clerkship at the Florida International University Herbert Wertheim College of Medicine, students learn about resources for treating alcohol abuse by attending a 12-step Alcoholics Anonymous (AA) meeting and answering brief reflective questions about the experience. For the 2018-2019 academic year, students completed an anonymous, optional, computer-based, pre-/postactivity survey to assess the students' perceived impact of attending an AA meeting.
After the AA meeting, there was an increase in the percentage of students who agreed or strongly agreed that AA meetings are a useful resource. Students perceived that they would be likely to refer a patient with alcohol abuse to AA in the future, were confident in their ability to explain AA to a patient, were knowledgeable about community resources for patients with alcohol addiction, and were confident in their ability to assess patients for alcohol abuse.
Attendance at a single AA meeting increased students' awareness of community resources, including AA, for patients who abuse or misuse alcohol. Because students also reported increased perceived self-confidence regarding explaining AA to patients and assessing patients for alcohol addiction, attendance at an AA meeting has the potential to affect future patient care.
医生经常治疗有药物滥用问题的患者,包括酗酒。家庭医学教师学会的国家实习课程列出了所有未来医生的必要学习内容,包括几个与识别社区资源、支持团体在治疗患者中的作用以及识别和管理药物滥用相关的核心目标。
在佛罗里达国际大学赫伯特·沃西姆医学院的家庭医学实习中,学生通过参加 12 步酗酒者匿名互助会(AA)会议并回答关于该体验的简短反思性问题,了解治疗酗酒的资源。在 2018-2019 学年,学生完成了一项匿名、可选的基于计算机的、活动前后的调查,以评估学生对参加 AA 会议的看法。
参加 AA 会议后,同意或强烈同意 AA 会议是有用资源的学生比例有所增加。学生认为他们将来可能会将有酗酒问题的患者转介给 AA,对向患者解释 AA 有信心,了解社区对酗酒患者的资源,并且对评估患者的酗酒问题有信心。
参加一次 AA 会议提高了学生对包括 AA 在内的社区资源的认识,这些资源适用于滥用或误用酒精的患者。由于学生还报告说,在向患者解释 AA 和评估患者酗酒问题方面的自我信心有所提高,因此参加 AA 会议有可能影响未来的患者护理。