Sun Alexander, Holmes Randolph, Greenberg Ilana, Reilly Jo Marie
Keck School of Medicine of USC, Los Angeles, CA, USA.
PIH Health Whittier Hospital, Whittier, CA, USA.
J Addict Dis. 2023 Oct-Dec;41(4):282-288. doi: 10.1080/10550887.2022.2109922. Epub 2022 Aug 19.
Substance use is a public health crisis that requires improved education on substance use disorders (SUDs) in medical school curriculum to ensure that the future generation of physicians is prepared to care for this growing patient population.
This study evaluates how the implementation of an online and in-person addiction medicine course impacted medical students' knowledge on SUD and caring for patients with SUD.
86 third-year and fourth-year medical students participated in either an online or in-person elective course on addiction medicine. Students learned about SUDs through various modalities, such as online SUD modules, clinical encounters, movies, books, participation in support group meetings and learning evidence-based tools to screen or treat patients. To assess the impact of the course curriculum on students' knowledge in treating SUDs, a pre and post survey was administered and analyzed.
After completing the SUD course, students showed significant improvement ( < 0.01) in caring for SUD patients. Specifically, they improved in the areas of: assessing a patient with SUD, comfort and knowledge in using motivational interviewing to affect behavior change in a patient with a SUD, and knowledge of community resources related to SUD. Students also showed a significant improvement ( < 0.01) in the number of unique SUDs (such as opioids or alcohol) they felt knowledgeable about and in the number of treatment modalities for unique SUDs.
Implementation of an addiction medicine course that utilizes various teaching modalities can significantly improve medical students' fundamental knowledge on SUD.
物质使用是一场公共卫生危机，需要在医学院课程中加强对物质使用障碍（SUDs）的教育，以确保未来一代医生有能力照顾这一不断增长的患者群体。
本研究评估线上线下相结合的成瘾医学课程的实施对医学生关于SUD的知识以及照顾SUD患者能力的影响。
86名三、四年级医学生参加了线上或线下的成瘾医学选修课程。学生通过多种方式学习SUDs，如线上SUD模块、临床见习、电影、书籍、参加支持小组会议以及学习基于证据的筛查或治疗患者的工具。为评估课程对学生治疗SUD知识的影响，进行了前后测并分析。
完成SUD课程后，学生在照顾SUD患者方面有显著改善（<0.01）。具体而言，他们在以下方面有所提高：评估SUD患者、运用动机性访谈影响SUD患者行为改变的舒适度和知识，以及与SUD相关的社区资源知识。学生对他们所了解的独特SUD（如阿片类药物或酒精）数量以及独特SUD的治疗方式数量也有显著改善（<0.01）。
实施利用多种教学方式的成瘾医学课程可显著提高医学生关于SUD的基础知识。
