UCLA Training Program on Addiction Medicine in Primary Care

描述（由申请人提供）：本申请旨在建立一个研究培训计划的主题成瘾医学在初级保健在加州大学洛杉矶分校。理由既反映了该计划的重要性，也反映了该领域的最新发展。首先，初级保健患者中非常普遍的精神活性物质的问题使用和滥用是一种“慢性疾病”。“初级保健医生经常在“医疗之家”的背景下管理慢性病，因此，代表了一个重要的机会，以减少个人，财政和社会影响的成瘾使用医疗管理成瘾问题的初级保健。第二，在过去十年中，有四种药物已经上市，用于治疗阿片类药物、酒精和尼古丁依赖。在描述这些新的和标准的成瘾药物如何最佳地整合到初级保健中以改善生活质量和减少患者痛苦的证据方面存在重大差距。该培训计划的目标是为医生和行为培训生提供研究，学术培训和指导的专业发展，以过渡到独立资助的临床研究人员在初级保健成瘾医学主题的新兴研究领域。该应用程序汇集了加州大学洛杉矶分校的14名临床研究导师，他们的专业知识涵盖了生命周期，包括家庭医学，儿科，普通内科和老年医学。该计划包括一名计划主任，他在初级和专科护理环境中对成瘾医学进行了广泛的临床研究，一名副主任在对代表性不足的人群进行研究方面具有出色的经验，以及一个执行委员会，该委员会提供指导和监督，由高级教师导师和一名代表组成。描述了一个持续评估受训者进展和指导质量的计划，并附有纠正措施程序，以解决进展中出现的缺陷。报告介绍了一项积极的受训人员征聘计划，包括一项征聘和留住少数族裔调查员的计划。 公共卫生相关性：这一针对医生和博士后学者的培训计划将为下一代医疗保健提供者在检测，护理和治疗药物滥用问题患者方面做好准备。在这个国家，药物使用、滥用和依赖的高流行率和巨大的健康和社会成本证明有必要在初级保健环境中解决药物滥用问题。

DESCRIPTION (provided by applicant): This application seeks to establish a research training program on the topic of addiction medicine in primary care at UCLA. The rationale reflects both the significance of the program and recent developments in the field. First, problem use and abuse of psychoactive substances, which is highly prevalent among primary care patients, is one type of "chronic disease." Primary care physicians frequently manage chronic diseases within the context of the "medical home" and as such, represent an important opportunity to reduce personal, fiscal and social impacts of addiction using medical management of addiction problems in primary care. Secondly, four medications have been brought on market for treating opioid, alcohol and nicotine seven dependence over the past decade. There is a significant gap in the evidence describing how these new and standard addiction medications can be optimally integrated into primary care to improve quality of life and to reduce suffering for those afflicted. The goal of this training program is to provide physician and behavioral trainees with the research, academic training and mentored professional development to transition into independently funded clinical researchers in the emerging area of research on the topic of addiction medicine in primary care. The application brings together 14 faculty clinical research mentors at UCLA whose expertise covers the lifespan and includes family medicine, pediatrics, general internal medicine and geriatrics. The program includes a Program Director who has conducted extensive clinical research on addiction medicine in primary and specialty care settings, an Associate Director with outstanding experience in conducting research on under-represented populations and an Executive Committee that provides guidance and oversight that is comprised of senior faculty mentors and a fellow representative. A plan for providing continual evaluation of trainee progress and mentorship quality is described, complete with procedures for corrective action to address deficiencies in progress, should these arise. An energetic plan for the recruitment of trainees is described, including a plan for recruitment and retention of minority investigators. PUBLIC HEALTH RELEVANCE: This training program for physicians and postdoctoral scholars will prepare the next generation of health care providers in detecting, caring for and treating patients with substance abuse problems. The high prevalence and the significant health and social costs of drug use, abuse and dependence in this country justify the need for substance abuse to be addressed in primary care settings.