McDuff D R, Tommasello A C, Hoffman K J, Johnson J L
Division of alcohol and drug abuse, University of Maryland School of Medicine, USA.
Md Med J. 1995 Jun;44(6):453-9.
Physicians and other health care providers have multiple opportunities in the course of a typical practice year to identify and treat individuals who abuse alcohol and other drugs. Although substance abuse is very common in clinical practice, providers routinely fail to intervene in a timely fashion due to negative attitudes, incomplete knowledge, and poorly developed practice skills. Over the past ten years, addictions training of licensed health care providers nationally and in Maryland has improved significantly. This article describes recent national training trends and current educational programs statewide for medical students, physicians in residency and fellowship programs, and licensed providers in dentistry, nursing, pharmacy, psychology, and social work. Several strategies for improving professional training in addictions in the future are discussed and the importance of shifting to an interprofessional training model is emphasized.
在一个典型的执业年度中,医生和其他医疗保健提供者有多次机会识别和治疗酗酒及滥用其他药物的个体。尽管药物滥用在临床实践中非常普遍,但由于态度消极、知识不完整以及实践技能发展不足,医疗提供者常常未能及时进行干预。在过去十年中,全国以及马里兰州有执照的医疗保健提供者的成瘾培训有了显著改善。本文描述了近期全国的培训趋势以及全州范围内针对医学生、住院医师和专科培训医师项目中的医生,以及牙科、护理、药学、心理学和社会工作领域有执照的医疗提供者的当前教育项目。文中讨论了未来改善成瘾专业培训的几种策略,并强调了转向跨专业培训模式的重要性。