Addiction Medicine Training Fellowships in North America: A Recent Assessment of Progress and Needs. Issue 4 (July 2020)
- Record Type:
- Journal Article
- Title:
- Addiction Medicine Training Fellowships in North America: A Recent Assessment of Progress and Needs. Issue 4 (July 2020)
- Main Title:
- Addiction Medicine Training Fellowships in North America
- Authors:
- Derefinko, Karen J.
Brown, Randall
Danzo, Andrew
Foster, Susan
Brennan, Timothy
Hand, Sarah
Kunz, Kevin - Abstract:
- Abstract : Objectives: Although unhealthy substance use and addiction contribute to 1 in 4 deaths and are estimated to cost the US more than $740 billion annually, fewer than 12 hours of physician education over the 7 years of medical school and primary residency training specifically address alcohol and other drug-related issues. Addiction Medicine was formally recognized as a medical subspecialty in 2016 to address the need for physicians trained in prevention, treatment, and management of substance use. This study examines the characteristics of the Addiction Medicine fellowships in operation during this critical period in the subspecialty's development to identify needs and potential. Methods: This study is a cross-sectional survey of Addiction Medicine Fellowship Directors from 46 fellowships accredited as of 2017 (43 in the United States and 3 in Canada). The response rate was 100%. Results: Directors estimated significant growth in available fellowship slots between 2016 to 2017 and 2017 to 2018 ( F = 49.584, P < .001). The majority of Directors reported that demand for their graduates was high (79.5%). Fellow training in screening, brief intervention, and referral to treatment spanned many substances and age groups, although fewer programs focused on nicotine and on adolescent populations. Notably, most directors reported that graduates completed waiver training to prescribe buprenorphine-naloxone (77.5%) and gained clinical experience in an opioid treatmentAbstract : Objectives: Although unhealthy substance use and addiction contribute to 1 in 4 deaths and are estimated to cost the US more than $740 billion annually, fewer than 12 hours of physician education over the 7 years of medical school and primary residency training specifically address alcohol and other drug-related issues. Addiction Medicine was formally recognized as a medical subspecialty in 2016 to address the need for physicians trained in prevention, treatment, and management of substance use. This study examines the characteristics of the Addiction Medicine fellowships in operation during this critical period in the subspecialty's development to identify needs and potential. Methods: This study is a cross-sectional survey of Addiction Medicine Fellowship Directors from 46 fellowships accredited as of 2017 (43 in the United States and 3 in Canada). The response rate was 100%. Results: Directors estimated significant growth in available fellowship slots between 2016 to 2017 and 2017 to 2018 ( F = 49.584, P < .001). The majority of Directors reported that demand for their graduates was high (79.5%). Fellow training in screening, brief intervention, and referral to treatment spanned many substances and age groups, although fewer programs focused on nicotine and on adolescent populations. Notably, most directors reported that graduates completed waiver training to prescribe buprenorphine-naloxone (77.5%) and gained clinical experience in an opioid treatment setting (89.1%). Funding was the #1 need among 56.8% of Directors. Conclusions: Despite significant growth in Addiction Medicine fellowships over the past 6 years, meeting future workforce demands for Addiction Medicine specialists depends on access to funding to support fellowships. … (more)
- Is Part Of:
- Journal of addiction medicine. Volume 14:Issue 4(2020)
- Journal:
- Journal of addiction medicine
- Issue:
- Volume 14:Issue 4(2020)
- Issue Display:
- Volume 14, Issue 4 (2020)
- Year:
- 2020
- Volume:
- 14
- Issue:
- 4
- Issue Sort Value:
- 2020-0014-0004-0000
- Page Start:
- Page End:
- Publication Date:
- 2020-07
- Subjects:
- Addiction Medicine -- fellowship training -- opioids -- SBIRT -- substance use disorder
Substance abuse -- Periodicals
Substance abuse -- Treatment -- Periodicals
Substance-Related Disorders -- Periodicals
616.86005 - Journal URLs:
- http://ejournals.ebsco.com/direct.asp?JournalID=713122 ↗
http://www.journaladdictionmedicine.com ↗
http://journals.lww.com/pages/default.aspx ↗ - DOI:
- 10.1097/ADM.0000000000000595 ↗
- Languages:
- English
- ISSNs:
- 1932-0620
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4918.933950
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 19157.xml