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Bhad R, Achab S, Rafei P, Kathiresan P, Ardabili HM, Butner J, Orsolini L, Melby K, Farokhnia M, Narasimha VL, Ridley K, Tolomeo S, Kanabar M, Matanje B, Grandinetti P, Potenza M, Ekhtiari H, Baldacchino A. An online global survey and follow-up expert groups on the scope and needs related to training, research, and mentorship among early-career addiction medicine professionals. Glob Ment Health (Camb) 2023; 10:e44. [PMID: 37854423 PMCID: PMC10579666 DOI: 10.1017/gmh.2023.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 06/10/2023] [Accepted: 07/03/2023] [Indexed: 10/20/2023] Open
Abstract
Addiction medicine is a rapidly growing field with many young professionals seeking careers in this field. However, early-career professionals (ECPs) face challenges such as a lack of competency-based training due to a shortage of trainers, limited resources, limited mentorship opportunities, and establishment of suitable research areas. The International Society of Addiction Medicine (ISAM) New Professionals Exploration, Training & Education (NExT) committee, a global platform for early-career addiction medicine professionals (ECAMPs), conducted a two-phase online survey using a modified Delphi-based approach among ECAMPs across 56 countries to assess the need for standardized training, research opportunities, and mentorship. A total of 110 respondents participated in Phase I (online key informant survey), and 28 respondents participated in Phase II (online expert group discussions on three themes identified in Phase I). The survey found that there is a lack of standardized training, structured mentorship programs, research funding, and research opportunities in addiction medicine for ECAMPs. There is a need for standardized training programs, improving research opportunities, and effective mentorship programs to promote the next generation of addiction medicine professionals and further development in the entire field. The efforts of ISAM NExT are well-received and give a template of how this gap can be addressed.
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Affiliation(s)
- Roshan Bhad
- Department of Psychiatry & National Drug Dependence Treatment Centre (NDDTC), All India Institute of Medical Sciences (AIIMS), New Delhi, India
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
| | - Sophia Achab
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Psychological and Sociological Research Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Parnian Rafei
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran
| | - Preethy Kathiresan
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India
| | - Hossein Mohaddes Ardabili
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Psychiatry and Behavioural Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Jenna Butner
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Yale School of Medicine, New Haven, CT, USA
| | - Laura Orsolini
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, School of Medicine and Surgery, Polytechnic University of Marche, Ancona, Italy
| | - Katrine Melby
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Clinical Pharmacology, St. Olav University Hospital, Trondheim, Norway
| | - Mehdi Farokhnia
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- National Institute on Drug Abuse, National Institutes of Health (NIH), Baltimore, MD, USA
- National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health (NIH), Baltimore, MD, USA
| | - Venkata Lakshmi Narasimha
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Deoghar, India
| | - Kelly Ridley
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- The Rural Clinical School of Western Australia, University of Western Australia, Albany, WA, Australia
| | - Serenella Tolomeo
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Institute of High Performance Computing, Agency for Science, Technology and Research (A-STAR), Singapore, Singapore
- Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Mitika Kanabar
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Southern California Permanente Medical Group, Pasadena, CA, USA
| | - Beatrice Matanje
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Lighthouse Trust, Lilongwe, Malawi
| | - Paolo Grandinetti
- Network of Early Career Professionals working in the area of Addiction Medicine (NECPAM) Seligenstadt, Germany
| | | | | | - Hamed Ekhtiari
- Laureate Institute for Brain Research, Tulsa, OK, USA
- Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA
| | - Alexander Baldacchino
- Division of Population and Behavioural Science, Medical School, University of St Andrews, St Andrews, UK
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Lewis V, Baldwin CD, Morahan PS, Thorndyke LE, Gusic ME. Leadership Development Projects: Bidirectional Impact on Faculty and Institutions. THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 2021; 41:75-81. [PMID: 33433127 DOI: 10.1097/ceh.0000000000000329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION The Hedwig von Ameringen Executive Leadership in Academic Medicine program (ELAM) is a national professional development program for women that includes institutional action projects (IAPs). Although benefits of ELAM participation are well documented, the value of the IAPs has not been specifically evaluated. We explored the experience of ELAM Fellows and leaders from one institution to elucidate how institutional factors influence project implementation and outcomes. METHODS Fellows and deans participated in semistructured interviews. We analyzed the transcripts qualitatively to develop themes and describe factors that influenced IAP implementation and outcomes. We used the New World Kirkpatrick Model, an updated version of the widely used Kirkpatrick model of educational program evaluation, as a framework to elucidate how participants applied their leadership learning through project work, and to analyze early results of projects that indicated institutional impact. RESULTS Project work had bidirectional impact on the fellows in the program and on the institution itself. Project enablers included: focusing projects on institutional priorities, obtaining sustainable support, and navigating institutional complexity. Leading indicators of institutional outcomes included contributions to institutional leadership and culture, and mutual enhancement of the reputation of the fellow and of the institution. DISCUSSION By examining enablers and barriers for institutionally based projects conducted in a national leadership development program, we identified the drivers that facilitated application of leadership learning. Leading indicators of project outcomes reflected bidirectional impact on fellows and the institution, demonstrating outcomes at the highest levels of the New World Kirkpatrick Model.
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Affiliation(s)
- Vivian Lewis
- Dr. Vivian Lewis: Professor Emerita of Obstetrics and Gynecology and University Director of Ombuds Programming and Development, University of Rochester, Rochester, NY. Dr. Constance D. Baldwin: Professor of Pediatrics, University of Rochester Medical Center, Rochester, NY. Dr. Page S. Morahan: Professor Emerita, and Founding Director, Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program for Women, Drexel University College of Medicine, Philadelphia, PA. Dr. Luanne E. Thorndyke: Professor of Clinical Medicine, Department of Medicine and Executive Vice Dean, Keck School of Medicine, University of Southern California, Los Angeles, CA. Dr. Maryellen E. Gusic: Senior Advisor for Educational Affairs and Professor of Medical Education and Pediatrics, Center for Medical Education Research and Scholarly Innovation, Office of Medical Education and Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA
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John RS, Salas-Wright CP, Amodeo M, Chassler D, Alford DP. Faculty education in addiction training (FEAT): Evaluating an online training program for multidisciplinary health professions educators. Subst Abus 2020; 41:292-296. [PMID: 32697174 DOI: 10.1080/08897077.2020.1783739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: Many health professionals lack adequate training needed to effectively address alcohol and other drug (AOD)-related problems. Building upon our previously successful in-person faculty training programs, we designed and pilot tested the brief online Faculty Education in Addiction Training (FEAT) Program for social work and internal medicine residency faculty. The present study examines baseline and post-FEAT Program AOD knowledge and teaching confidence and preparedness among faculty participants. Methods: The FEAT Program curriculum included didactic videos, online engagement with content experts, recommended readings, and a live virtual classroom experience. Participants completed self-assessments of knowledge and teaching confidence and preparedness pre- and post-FEAT program. Results: In this pilot test, thirty faculty completed the FEAT program: 15 social work and 15 internal medical residency program faculty. Both groups showed significant improvement (p < 0.001) in overall AOD-related knowledge with medium-to-large effects (Cohen's d = 1.83 [social work], 0.72 [medicine]). Both groups showed significant increases in teaching confidence (p < 0.001) for all items with large effects (Cohen's d values range from 1.08 to 1.92) and significant increases and large effects for all teaching preparedness items for social work (at least p < 0.01 | Cohen's d range = 1.03-1.56) and internal medical residency faculty (p < 0.001 | Cohen's d range = 1.08-1.69). Conclusions: Multidisciplinary health professions educators' AOD knowledge and teaching confidence and preparedness can be improved by participation in a brief online program designed to circumvent the logistical and fiscal challenges presented by in-person programs.
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Affiliation(s)
- Rachel Sonia John
- School of Social Work, Boston University, Boston, Massachusettes, USA
| | | | - Maryann Amodeo
- School of Social Work, Boston University, Boston, Massachusettes, USA
| | - Deborah Chassler
- School of Social Work, Boston University, Boston, Massachusettes, USA
| | - Daniel P Alford
- School of Medicine and Boston Medical Center, Boston University, Boston, Massachusettes, USA
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Pytell JD, Buresh ME, Graddy R. Outcomes of a novel office-based opioid treatment program in an internal medicine resident continuity practice. Addict Sci Clin Pract 2019; 14:46. [PMID: 31856915 PMCID: PMC6921403 DOI: 10.1186/s13722-019-0175-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 12/11/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The integration of opioid use disorder (OUD) care and competencies in graduate medical education training is needed. Previous research shows improvements in knowledge, attitudes, and practices after exposure to OUD care. Few studies report outcomes for patients with OUD in resident physician continuity practices. METHODS A novel internal office-based opioid treatment (OBOT) program was initiated in a resident continuity clinic. Surveys of resident and staff knowledge and attitudes of OBOT were administered at baseline and 4 months. A retrospective chart review of the 15-month OBOT clinic obtained patient characteristics and outcomes. RESULTS Twelve patients with OUD were seen in the OBOT clinic. Seven patients (58%) were retained in care at the end of the study period for a range of 9-15 months. Eight patients demonstrated a good clinical response. Surveys of residents and staff at 4 months were unchanged from baseline showing persistent lack of comfort in caring for patients with OUD. CONCLUSIONS OBOT can be successfully integrated into resident continuity practices with positive patient outcomes. Improvement in resident and staff attitudes toward OBOT were not observed and likely require direct and frequent exposure to OUD care to increase acceptance.
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Affiliation(s)
- Jarratt D. Pytell
- Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD 21224 USA
| | - Megan E. Buresh
- Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD 21224 USA
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA
| | - Ryan Graddy
- Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD 21224 USA
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