title: Impact of a brief addiction medicine training experience on knowledge self-assessment among medical learners.
abstract: Implementation of evidence-based approaches to the treatment of various substance use disorders is needed to tackle the existing epidemic of substance use and related harms. Most clinicians, however, lack knowledge and practical experience with these approaches. Given this deficit, the authors examined the impact of an inpatient elective in addiction medicine amongst medical trainees on addiction-related knowledge and medical management.
  
  
  
  Trainees who completed an elective with a hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, from May 2015 to May 2016, completed a 9-item self-evaluation scale before and immediately after the elective.
  
  
  
  A total of 48 participants completed both pre and post AMCT elective surveys. On average, participants were 28 years old (interquartile range [IQR] = 27-29) and contributed 20 days (IQR = 13-27) of clinical service. Knowledge of addiction medicine increased significantly post elective (mean difference [MD] = 8.63, standard deviation [SD] = 18.44; P = .002). The most and the least improved areas of knowledge were relapse prevention and substance use screening, respectively.
  
  
  
  Completion of a clinical elective with a hospital-based AMCT appears to improve medical trainees' addiction-related knowledge. Further evaluation and expansion of addiction medicine education is warranted to develop the next generation of skilled addiction care providers.
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada.|d School of Medicine , University College Dublin, Coombe Healthcare Centre , Dolphins Barn , Dublin , Ireland.
authors.forename: Jan
authors.initials: J
authors.lastname: Klimas
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada.
authors.forename: Keith
authors.initials: K
authors.lastname: Ahamad
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada.
authors.forename: Christoper
authors.initials: C
authors.lastname: Fairgrieve
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: McLean
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada.
authors.forename: Annabel
authors.initials: A
authors.lastname: Mead
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada.
authors.forename: Seonaid
authors.initials: S
authors.lastname: Nolan
authors.affiliation: a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.|c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada.
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
mesh_terms: D000073316:Addiction Medicine / Q000193:education*; D000328:Adult; D004502:Education, Medical, Continuing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D012647:Self-Assessment
keywords: Medical education; program evaluation; prospective studies; substance-related disorders