title: Impact of a brief training on medical resident screening for alcohol misuse and illicit drug use.
abstract: Educational initiatives are needed to improve primary care substance use screening. This study assesses the impact on 24 medical residents of a 2.5-day curriculum combining experiential and manual-based training on screening for alcohol misuse and illicit drug use. A retrospective chart review of new primary care outpatients demonstrated that nearly all were asked about current alcohol use before and after curriculum participation. Adherence to national screening guidelines on quantification of alcohol consumption modestly improved (p < .05), as did inquiry about current illicit drug use (p < .05). Continued efforts are needed to enhance educational initiatives for primary care physicians.
authors.affiliation: Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA. eg2009@columbia.edu
authors.forename: Erik W
authors.initials: EW
authors.lastname: Gunderson
authors.forename: Frances R
authors.initials: FR
authors.lastname: Levin
authors.forename: Patricia
authors.initials: P
authors.lastname: Owen
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003479:Curriculum; D005240:Feasibility Studies; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D013287:Illicit Drugs; D007318:Inservice Training; D007396:Internship and Residency; D008297:Male; D008370:Manuals as Topic; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009518:New York; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology
chemical_list: D013287:Illicit Drugs