Primary Care Training and Education in Addiction Medicine Fellowship: expanding the addiction medicine workforce

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Argitaratua izan da:BMC Medical Education vol. 25 (2025), p. 1-12
Egile nagusia: Welsh, Justine W
Beste egile batzuk: Masoumirad, Mandana, Delisi, Stephen, Garcia, Careesa, Rivera, Jessica, McCord, Elizabeth, Stehli, Annamarie, Neikrug, Ariel B, Maruti, Sanchit, Marcovitz, David E, Salisbury-Afshar, Elizabeth, DeMoss, Dustin, Gagliardi, Jane P, McCarron, Robert
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Springer Nature B.V.
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Sarrera elektronikoa:Citation/Abstract
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07494-z  |2 doi 
035 |a 3227643018 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Welsh, Justine W 
245 1 |a Primary Care Training and Education in Addiction Medicine Fellowship: expanding the addiction medicine workforce 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundPrimary care providers (PCPs) are well-suited to identify candidates for substance use disorder (SUD) treatment and to provide patients with necessary longitudinal services and support. However, training for PCPs on how to diagnose and treat SUD is often lacking. The Primary Care Training and Education in Addiction Medicine (PC-TEAM) program is a one-year in-person and virtual hybrid program that provides more than 50 h of training and focuses on SUD-specific content.MethodsThis article describes the PC-TEAM training program and presents baseline and post-fellowship data on enrolled fellows (n = 88) to evaluate program effectiveness including changes in participant attitudes, knowledge, and comfort level in treating substance use in the primary care setting. Area Deprivation Index (ADI) scores were calculated by practice location of fellows to determine disadvantage across census tract groups.ResultsLarge effect sizes in fellows’ comfort levels were observed in caring for patients with SUDs and employing motivational interviewing for SUD (Cohen’s \(d\) = 1.1, 0.78, and 0.91, respectively). The knowledge exam indicated significant improvement across all measures from pre- to post-fellowship. Nearly one in three providers (28.4%) practiced in areas with the highest ADI score of 10 and 50% in areas with an ADI score of 8 or higher.ConclusionTNT Fellows experienced an increased overall knowledge and level of comfort in delivering treatment to individuals with SUDs. Fellows typically worked in underserved areas serving vulnerable populations. The PC-TEAM training program provides the opportunity to further develop skills related to evidence-based screening, assessment, and treatment of SUDs. 
651 4 |a United States--US 
651 4 |a California 
653 |a Pain management 
653 |a Curricula 
653 |a Mortality 
653 |a Intervention 
653 |a Mental disorders 
653 |a Neurosciences 
653 |a Attitude surveys 
653 |a Substance use disorder 
653 |a Physicians 
653 |a Narcotics 
653 |a Psychiatry 
653 |a Medicine 
653 |a Drug use 
653 |a Mental health 
653 |a Preventable deaths 
653 |a Education 
653 |a Substance abuse treatment 
653 |a Scholarships & fellowships 
653 |a Public speaking 
653 |a Clinical competence 
653 |a Patients 
653 |a Drug overdose 
653 |a Addictions 
653 |a Primary care 
653 |a Addictive behaviors 
653 |a Access to Health Care 
653 |a Alumni 
653 |a Attrition (Research Studies) 
653 |a Lecture Method 
653 |a Interviews 
653 |a Program Descriptions 
653 |a Program Development 
653 |a Instructional Effectiveness 
653 |a Fellowships 
653 |a Cost Effectiveness 
653 |a Educational Strategies 
653 |a Graduate Medical Education 
653 |a Pain 
653 |a Medical Education 
653 |a Weighted Scores 
653 |a Death 
653 |a Program Attitudes 
653 |a Substance Abuse 
700 1 |a Masoumirad, Mandana 
700 1 |a Delisi, Stephen 
700 1 |a Garcia, Careesa 
700 1 |a Rivera, Jessica 
700 1 |a McCord, Elizabeth 
700 1 |a Stehli, Annamarie 
700 1 |a Neikrug, Ariel B 
700 1 |a Maruti, Sanchit 
700 1 |a Marcovitz, David E 
700 1 |a Salisbury-Afshar, Elizabeth 
700 1 |a DeMoss, Dustin 
700 1 |a Gagliardi, Jane P 
700 1 |a McCarron, Robert 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-12 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3227643018/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3227643018/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3227643018/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch