Department of Psychiatry, University of Nebraska Medical Center, Omaha, NE, USA.
Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
J Gen Intern Med. 2023 Jul;38(9):2194-2197. doi: 10.1007/s11606-023-08194-4. Epub 2023 Apr 10.
Addiction Consult Services (ACS) deliver evidence-based care for patients with substance use disorder (SUD) during the course of general hospital admissions. Stigma toward patients with SUD is a known phenomenon and is part of the "hidden curriculum" that permeates medical training and healthcare settings. ACS have the potential to rewrite the hidden curriculum around SUD and to teach medical students and other trainees how to compassionately care for this patient population. Here, the authors explore the role of stigma within the hidden curriculum of medical training and outline how ACS can successfully contribute to combatting this stigma. The authors highlight two institutions' approaches to educational initiatives that incorporate health professional trainees into ACS. The authors end by providing a vision of how expansion of ACS can promote interdisciplinary learning for healthcare providers amidst the changing landscape of SUD treatment in the USA.
成瘾咨询服务 (ACS) 在综合医院住院期间为物质使用障碍 (SUD) 患者提供循证护理。对 SUD 患者的污名化是一个已知现象,是贯穿医学培训和医疗保健环境的“隐性课程”的一部分。ACS 有可能重写 SUD 周围的隐性课程,并教导医学生和其他受训者如何同情地照顾这一患者群体。在这里,作者探讨了污名在医学培训隐性课程中的作用,并概述了 ACS 如何成功地有助于消除这种污名。作者强调了两所机构的教育举措方法,即将卫生专业受训者纳入 ACS。作者最后提供了一个愿景,即 ACS 的扩展如何在 SUD 治疗在美国不断变化的背景下促进医疗保健提供者的跨学科学习。