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Chapter 47. Medical Education

Erik W. Gunderson, M.D.; Frances R. Levin, M.D.; Petros Levounis, M.D.
DOI: 10.1176/appi.books.9781585623440.358830

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Excerpt

During the past five decades, there has been an increasing awareness of the need for improvement in substance abuse education for medical students, residents, and practicing physicians. In 1956, the annual report of the American Medical Association emphasized that alcoholism is an illness and should be regarded within the purview of medical practice. This set the stage for a series of "milestones" outlined by Lewis (1990) that included a federally funded Career Teacher Program in 1971, the establishment of several specialty organizations (e.g., the American Society of Addiction Medicine [ASAM], initially known as the American Medical Society on Alcoholism; the Association for Medical Education and Research in Substance Abuse; and the American Academy of Addiction Psychiatry [AAAP]), and the development of fellowships in alcoholism and substance abuse (Galanter and Burns 1993).

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TABLE 47–1. Broad classification of curricular content based on Liaison Committee on Medical Education (LCME) competency domains
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TABLE 47–2. Recommendations to effect curricular change
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TABLE 47–3. Recommended physician competencies for managing substance use disorders
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TABLE 47–4. Observations about effective educational strategies
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There is a tremendous need to expand medical education about substance use.

Competency domains are available to help guide curriculum development.

A growing literature supports various training approaches, which may facilitate integration into different educational settings.

Even brief, skills-based curricula can improve physician knowledge, attitudes, and practices regarding substance use management.

Efforts to train medical practitioners should be implemented broadly throughout all levels of training, from student to practicing physician.

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Medical education about the management of substance abuse has been a shortcoming based on studies of educational programming in medical schools. Which of the following statements regarding the work of Geller et al. (1989) is true?
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Which of the following was a result of the survey conducted by the National Center on Addiction and Substance Abuse at Columbia University (2000)?
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What of the following statements regarding finding of the study by Park et al. (2005) is true?
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