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Titolo:
Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders
Autore:
Miller, NS; Sheppard, LM; Colenda, CC; Magen, J;
Indirizzi:
Michigan State Univ, Coll Human Med, Dept Psychiat, E Lansing, MI 48824 USA Michigan State Univ E Lansing MI USA 48824 chiat, E Lansing, MI 48824 USA
Titolo Testata:
ACADEMIC MEDICINE
fascicolo: 5, volume: 76, anno: 2001,
pagine: 410 - 418
SICI:
1040-2446(200105)76:5<410:WPAUTT>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBSTANCE-ABUSE; MEDICAL-STUDENTS; UNITED-STATES; EDUCATION; ADDICTION; SCHOOLS; CURRICULUM; INTEGRATION; CARE; KNOWLEDGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Miller, NS Michigan State Univ, Coll Human Med, Dept Psychiat, A-227 E FeeHall, E Lansing, MI 48824 USA Michigan State Univ A-227 E Fee Hall E Lansing MI USA 48824 USA
Citazione:
N.S. Miller et al., "Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders", ACAD MED, 76(5), 2001, pp. 410-418

Abstract

Most primary care physician do not feel competent to treat alcohol- and drug-related disorders. Physicians generally do not like to work with patients with these dis orders and do not find treating them rewarding. Despite large numbers of such patients, tile diagnosis and treatment of alcohol- and drug-related disorders are generally considered peripheral to or outside medical matters and ultimately outside medical education. There is substantial evidence that physicians fail even to identify: a large percentage of patients with these disorders. Essential role models are lacking for future physicians to develop the attitudes and training they need to adequately approach addiction as a treatable medical illness. Faculty development programs in addictive disorders areneeded to overcome the stigma, poor attitudes, and deficient skill among physicians who provide education and leadership for medical students and residents. The lack of parity with other medical disorders gives reimbursementand education for addiction disorders low priority. Medical students and physicians can also be consumers and patients with addiction problems. Theirattitudes and abilities to learn about alcohol- and drug related disordersare impaired without interventions. Curricula lack sufficient instruction and experiences in addiction medicine throughout all years of medical education. Programs that have successfully changed students' attitudes and skills for treatment of addicted patients continue to he exceptional and limitedin focus rather than the general practice in U.S. medical schools. The authors review the findings of the literature on these problems, discuss the barriers to educational reform. and propose recommendations for developing an effective medical school curriculum about alcohol- and drug-related disorders.

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Documento generato il 20/01/20 alle ore 10:20:36