Medical Student Education on Alcohol Abuse and Dependence

描述(由申请者提供)：酒精使用障碍在美国仍然是一个日益严重的问题。53%的美国人经常饮酒(SAMHSA，2006)。其中约6%的吸毒者符合酒精滥用或依赖的标准(SAMHSA，2005)；占美国人口的3%。目前，酒精使用障碍在许多医学院只有表面上的覆盖。未来的医生可能缺乏必要的知识和技能来有效地筛查、评估和干预酒精使用障碍患者。解决方案：我们提出了一套基于互联网的模块，为医学生提供关于酒精滥用和依赖的主题的教育和技能培训。我们将教育医学生了解酒精使用障碍患者的背景、适当的评估和治疗选择。每个模块将包含一门以问题为基础的学习方法开发的课程。这些单元将利用许多医学院今天正在采用的方法，提供面试和评估方面的宝贵技能培训。最终产品将包括面向医科学生的六个单独模块。每个模块将利用临床病例情景方法，其中将包括涉及与酗酒或依赖有关问题的患者的直接临床情景。这些单元将包括以下主题领域：1)酒精滥用和依赖问题的范围，2)执业医生在治疗中的作用，3)酒精使用障碍的适当检测、诊断和评估，4)精神病和其他常见的共病，5)酒精的药理学(和治疗选择)，以及6)如何开发和实施新的治疗方法。方法：在第一阶段项目期间，我们将开发六个模块中的一个，并与医学院学生一起评估该模块。在第二阶段，我们将评估整个课程对药物滥用患者的态度、临床实践、自我效能和知识的影响。一项随机研究将比较使用酒精模块的受试者和未接受干预的受试者。临床实践的改变将通过与标准化患者的访谈来衡量。对我们产品的满意度也将进行评估。商业化：我们将与医学院合作，将这些模块添加到他们的课程中。我们已经通过其他临床工具的产品与13所医学院建立了合作关系，并有信心创造出一种将被医学院和个人学生购买的产品。我们的三名顾问还直接参与医学院的课程审查，并将指导产品的方向和营销。好处：我们最终的产品将扩大医学生的能力，并为他们作为执业医生面临的挑战做好准备。在完成我们的单元后，医学生将能够有效地采访、评估并为酒精使用障碍患者提供适当的治疗。学到的技能也可以更广泛地应用于治疗所有有药物滥用问题的患者。

DESCRIPTION (provided by applicant): Alcohol use disorders continue to be a growing problem in the United States. Fifty-three percent of Americans consume alcohol on a regular basis (SAMHSA, 2006). Approximately 6 percent of those users meet the criteria for alcohol abuse or dependence (SAMHSA, 2005); 3 percent of the U.S. population. Currently, alcohol use disorders are only covered superficially in many medical schools. Future physicians may lack the necessary knowledge and skills to effectively screen, assess, and intervene with patients with alcohol use disorders. SOLUTION: We propose a suite of Internet based modules to provide education and skills training to medical students on the topic of alcohol abuse and dependence. We will educate medical students on the background, proper assessment, and treatment options for patients with alcohol use disorders. Each module will contain a course developed with a problem-based learning approach. These modules will provide valued skills training in interviewing and assessment utilizing an approach that many medical schools are adapting today. The final product will include six individual modules for medical students. Each module will utilize a clinical case scenario approach, which will include straightforward clinical scenarios involving patients with issues related to alcohol abuse or dependence. The modules will include the following subject areas: 1) the scope of the alcohol abuse and dependence problem, 2) the role of the practicing physician in treatment, 3) proper detection, diagnosis and assessment of alcohol use disorders, 4) psychiatric and other common co-morbidities, 5) pharmacology of alcohol (and treatment options), and 6) how novel treatments are developed and implemented. APPROACH: During the Phase I project period, we will develop one of the six modules and evaluate the module with medical school students. In Phase II, we will evaluate the entire curriculum's effect on attitudes toward substance abuse patients, clinical practice, self-efficacy, and knowledge. A randomized study will compare subjects using the alcohol modules to subjects exposed to no intervention. Clinical practice changes will be measured using interviews with standardized patients. Satisfaction with our product will also be assessed. COMMERCIALIZATION: We will work with medical schools to add the modules to their curriculum. We have already developed relationships with 13 medical schools via other Clinical Tools' products and feel confident that we can create a product that will be purchased by medical schools and individual students. Three of our consultants are also directly involved in medical school curriculum review, and will guide the direction and marketing of the product. BENEFITS: Our finalized product will expand the capabilities of medical students and prepare them for the challenges they will face as practicing physicians. Upon completion of our modules, medical students will be able to effectively interview, assess, and provide proper treatment to patients with alcohol use disorders. The skills learned can also be more broadly applied to the treatment of all patients with substance abuse problems.