title: Creating change agents: a national substance abuse education project.
abstract: OBJECTIVE
  This study evaluated the effects of a national interdisciplinary faculty development program, Project MAINSTREAM, on creating curriculum enhancement in health professional education.
  
  
  METHODS
  Thirty-nine faculty completed a two-year, part-time fellowship program featuring interdisciplinary collaboration, mentoring, training meetings, and Internet-based instructional materials. The main vehicle for curricular change was a required collaborative education project to develop trainees' core competencies in substance abuse prevention services.
  
  
  RESULTS
  Fellows used a variety of approaches to implement 123 curricula and provide 66,995 hours of training to 10,170 trainees. Ninety percent of the training hours occurred in required courses, a potential indication of sustainability. Fellows indicated that a majority of the offerings would be sustained beyond the fellowship.
  
  
  CONCLUSIONS
  Project MAINSTREAM shows promise as a model for achieving durable curriculum change in response to the public health crisis associated with a workforce untrained to deliver substance abuse services.
authors.affiliation: Association for Medical Education and Research in Substance Abuse, Providence, RI 02908, USA.
authors.forename: Marianne T
authors.initials: MT
authors.lastname: Marcus
authors.forename: Richard L
authors.initials: RL
authors.lastname: Brown
authors.forename: S Lala A
authors.initials: SL
authors.lastname: Straussner
authors.forename: Eugene
authors.initials: E
authors.lastname: Schoener
authors.forename: Rebecca
authors.initials: R
authors.lastname: Henry
authors.forename: Antonnette V
authors.initials: AV
authors.lastname: Graham
authors.forename: Theresa
authors.initials: T
authors.lastname: Madden
authors.forename: Laura A
authors.initials: LA
authors.lastname: Saunders
mesh_terms: D002983:Clinical Competence; D003194:Computer-Assisted Instruction; D003299:Cooperative Behavior; D003479:Curriculum; D004493:Education; D004501:Education, Medical; D005180:Faculty, Medical; D005257:Fellowships and Scholarships; D006801:Humans; D020407:Internet; D007400:Interprofessional Relations; D008611:Mentors; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000534:rehabilitation*; D014481:United States