Overview:
The Substance Use Disorder Rotation is a two-week required rotation in the HSM curriculum or an elective rotation in any other curricula. This is an experiential rotation, occurring in multiple sites in the community, which is supplemented with readings and the longitudinal Behavioral Science curriculum. The rotation is supervised by the Behavioral Science Director.
Goals:
The Substance Use Disorder curriculum experiences will provide the Family Medicine resident:
* training in the knowledge and skills in the area of addictions and substance abuse pertinent to the practice of Family Medicine
* training in the care of patients with addictions/substance abuse in a variety of settings
* experience in the providing and coordinating care of the patient with addictions/substance abuse
* a positive experience in the care of patients with addictions/substance abuse that encourages the participation in continuity of care of patients with these issues in their practice
Objectives:
At the completion of this rotation, the resident will have demonstrated to the satisfaction of the supervising faculty:
* medical knowledge in addictions/substance abuse pertinent to the practice of Family Medicine, including the appropriate evaluation and treatment of addictions/substance abuse (MK)
* the ability to perform an adequate interview, history and exam on the addictions/substance abuse patient, including assessment of risk factors, screening tests and readiness to change (ICS,PC)
* the ability to work cooperatively and coordinate the care of patients with lay resource persons/organizations and other health professionals as part of a treatment team in a variety of settings, including emergency, inpatient, outpatient and long term management (PC)
* ability to develop an initial and ongoing medication plan, including over-the-counter and prescription medications, for current and recovering addictions/substance abuse patients (PC)
* a compassionate, objective and respectful approach to patients with addictions/substance abuse and ability to respond to the needs of the patients and their families with sensitivity to culture, age, gender and disabilities (P, ICS)
Implementation:
This rotation utilizes multiple training experiences in a variety of community settings and is augmented by readings, noon conference didactics, patient care in the FMC and the hospital and the Behavioral Science curriculum.
Experiential based learning components:
Residents are scheduled to spend time with professionals in the area of addictions/substance abuse assessment, referral and treatment. This time is spent in both one-to-one learning and observation of interactions with patients/clients of the agency or organization. Residents are also required to attend at least one Alcoholics Anonymous open meeting. Residents have multiple opportunities in supervised patient care, both in the FMC and the hospital, when addiction/substance abuse is part of the diagnosis and treatment plan.
The program administrator assists the resident in scheduling time with the various sites and professionals. The resident must continue to meet the usual residency obligations to his/her Family Medicine Center population, including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital and rounding in the nursing home. The resident is expected to attend noon conferences and abide by duty-hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete and return the evaluation form provided by the program.
Readings:
At the beginning of the rotation, the resident is given a copy of selected readings on topics such as addiction screening, stage of change and detoxification.
Evaluation:
The Behavioral Science Director will complete an evaluation form at the end of the rotation assessing the resident’s success in meeting the objectives as outlined in this curriculum.
