Addiction Psychiatry in PGY-3: use of the intensive outpatient treatment setting to train senior residents [poster] Conference Poster uri icon
Overview
abstract
  • ACGME Program Requirements mandate that residents complete a one-month experience focused on substance abuse and dependence, including dual-diagnosis. Although notable efforts have been described designed to integrate addiction training throughout the residency years (Ianucci, et al, 2009), interest in Addiction Psychiatry has not increased markedly, and physician attitudes to patients who abuse substances remain negative. One contributing reason, identified in a national survey of general psychiatry residents (Renner, et al, 2009), may be perceived over-exposure to patients in acute and detoxification settings early in training, and an under-exposure to long-term outcomes of treatment in outpatient settings. This abstract describes an effort to train residents in Addiction Psychiatry in a recovery-oriented outpatient setting. Residents were surveyed before (at start of academic year) and after (approximately 1 month following completion) the rotation regarding their attitudes and expectations toward the treatment of patients with chemical dependency. Narrative evaluations were also obtained from non-MD counseling staff regarding resident role and performance as well. Resident responses indicated trends toward greater confidence in their ability to identify and manage addictive disorders with co-morbid psychiatric conditions. Treatment center staff appreciated having easier access to psychiatric services for dual-diagnosis clients. Frequently addressed problems included depression, adjustment concerns, insomnia, and anxiety. Psychosis and cognitive disorders were less frequently seen in this population.

  • publication date
  • 2013
  • Research
    keywords
  • Attitude
  • Mental Disorders
  • Residency
  • Substance Abuse