Addictions Training in General Psychiatry Training Programs: Current Gaps and Barriers
Addictions Training in General Psychiatry Training Programs: Current Gaps and Barriers
复制标题
DOI：
10.1007/s40596-018-0950-2
复制
发表时间：
2018-10-01
影响因子：
2.5
通讯作者：
DeJong, Sandra M.
中科院分区：
文献类型：
--
作者：
Schwartz, Ann C.;Frank, Amber;DeJong, Sandra M.
本文的主要目的是回顾2017年对精神病学培训项目主任的调查结果，以确定当前普通成人精神病学项目中成瘾培训的差距和障碍。方法美国精神病学住院医师培训主任协会（AADPRT）成瘾问题工作组成立于2017年，旨在确定哪些项目需要改善精神病学住院医师项目中的成瘾培训，并确定满足这些需求的方法。通过AADPRT Listserv (n=200)，我们开发了一份包含23个项目的保密匿名在线调查，并将其分发给AADPRT成员，这些成员都是普通精神病学项目主任。结果85个项目（42%）回应了调查。项目报告说，成瘾训练通常在普通精神病学机构而不是专业机构进行。课程内容和临床经验在不同的项目之间差异很大。缺乏受过成瘾训练的教员被认为是提供更全面培训的一个障碍。结论虽然教师缺乏对成瘾的高级培训可能是一个限制因素，但通过教师发展活动和在全国范围内传播示范课程来发展专业知识有助于改善国家成瘾培训。未来的目标包括制定一项改善成瘾培训的战略计划，包括概述一种跨培训的发展方法，以获得适用于成瘾评估和治疗的基于里程碑的能力。
ObjectiveThe primary purpose of this article is to review the findings of a 2017 survey of psychiatry training program directors to identify current gaps and barriers in addictions training in general adult psychiatry programs.MethodsThe American Association of Directors of Psychiatric Residency Training (AADPRT) Taskforce on Addictions was created in 2017 with the aim of determining what programs need to improve addictions training in psychiatry residency programs and identifying ways to meet these needs. A 23-item confidential, anonymous online survey was developed and disseminated to AADPRT members who were general psychiatry program directors using the AADPRT Listserv (n=200).ResultsEighty-five programs (42%) responded to the survey. Programs reported that addictions training often takes place in general psychiatry settings rather than specialty settings. Curriculum content and clinical experiences varied substantially between programs. The lack of addictions-trained faculty members was identified as an impediment to providing more comprehensive training.ConclusionWhile a lack of advanced training in addictions among faculty may be a limiting factor, developing expertise through faculty development activities and nationally disseminating model curricula can help improve national addictions training. Future goals include development of a strategic plan for improving addictions training, including an outline of a developmental approach across training to the acquisition of milestones-based competencies that apply to addictions assessment and treatment.