Evaluating a Video-Based Addiction Curriculum at a Safety Net Academic Medical Center.

IF 2.8 3区医学 Q2 SUBSTANCE ABUSE Substance abuse Pub Date : 2023-07-01 Epub Date: 2023-09-20 DOI:10.1177/08897077231195995

Alyssa F Peterkin, Marielle Baldwin, Lindsay Demers, Katherine Gergen Barnett

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Abstract

Background: Since 2019, the United States (US) has witnessed an unprecedented increase in drug overdose and alcohol-related deaths. Despite this rise in morbidity and mortality, treatment rates for substance use disorder remain inadequate. Insufficient training in addiction along with a dearth of addiction providers are key barriers to addressing the current addiction epidemic. Addiction-related clinical experiences can improve trainee knowledge, yet they remain dependent on practice sites and residency training environments. Asynchronous learning, in the form of video-based modules, may serve as a complement to formal, scheduled lectures and clinical experiences.

Objectives: To evaluate the educational impact of a video-based addiction curriculum in 2 residency programs at a large safety net academic medical center with a high volume of patients with substance use disorders.

Methods: Family Medicine (FM) and Internal Medicine (IM) residency interns (PGY1s) (n = 60) had access to 28 minutes of video content related to opioid use disorder (OUD) and alcohol use disorder (AUD) during the first 2 months of their residency training. Interns were asked to complete voluntary and anonymized pre- and post-surveys in Qualtrics that included knowledge and confidence-based questions about the management of OUD and AUD, in addition to questions about prior exposure to and future interests in addiction training and practice. Data were analyzed with non-parametric sign tests.

Results: Twenty-eight interns completed both OUD pre- and post-surveys, and 24 interns completed all AUD survey questions. There was a statistically significant increase in the number of interns who reported increased knowledge of and confidence around diagnosis, management, and ability to provide evidence-based treatment recommendations for both OUD and AUD.

Conclusions: Brief addiction focused video-modules can improve confidence and knowledge in managing OUD and AUD among medical trainees.

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在安全网学术医疗中心评估基于视频的成瘾课程。

背景：自2019年以来，美国药物过量和酒精相关死亡人数空前增加。尽管发病率和死亡率有所上升，但药物使用障碍的治疗率仍然不足。成瘾方面的培训不足以及成瘾提供者的缺乏是解决当前成瘾流行病的关键障碍。成瘾相关的临床经验可以提高受训人员的知识，但他们仍然依赖于实习场所和实习培训环境。异步学习，以基于视频的模块的形式，可以作为正式、预定讲座和临床经验的补充。目的：评估基于视频的成瘾课程在一个大型安全网学术医疗中心的两个住院项目中的教育影响，该中心有大量的药物使用障碍患者。方法：家庭医学（FM）和内科学（IM）实习医师（PGY1s）（n = 60）可以访问28 前2分钟与阿片类药物使用障碍（OUD）和酒精使用障碍（AUD）相关的视频内容分钟数为期数月的实习培训。实习生被要求在Qualtrics中完成自愿和匿名的前后调查，其中包括关于OUD和AUD管理的知识和信心问题，以及关于先前接触成瘾培训和实践以及未来对成瘾培训和练习的兴趣的问题。数据采用非参数符号检验进行分析。结果：28名实习生同时完成了OUD前后调查，24名实习生完成了所有AUD调查问题。据统计，实习生的数量显著增加，他们对诊断、管理以及为强迫症和AUD提供循证治疗建议的能力有了更多的了解和信心。结论：简短的成瘾视频模块可以提高医学实习生在管理强迫症和AU方面的信心和知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Substance abuse SUBSTANCE ABUSE-

CiteScore

5.90

自引率

2.90%

发文量

审稿时长

>12 weeks

期刊介绍： Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.