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Comparative Study
. 2009 Jan;24(1):40-7.
doi: 10.1007/s11606-008-0819-2. Epub 2008 Oct 21.

Promoting substance use education among generalist physicians: an evaluation of the Chief Resident Immersion Training (CRIT) program

Daniel P Alford  1 , Carly Bridden, Angela H Jackson, Richard Saitz, Maryann Amodeo, Henrietta N Barnes, Jeffrey H Samet
Affiliations
Comparative Study

Promoting substance use education among generalist physicians: an evaluation of the Chief Resident Immersion Training (CRIT) program

Daniel P Alford et al. J Gen Intern Med. 2009 Jan.

Abstract

Background: Education about substance use (SU) disorders remains inadequate in medical training.

Objective: To describe the Chief Resident Immersion Training (CRIT) program in addiction medicine and to evaluate its impact on chief resident (CR) physicians' substance use knowledge, skills, clinical practice, and teaching.

Design: A controlled educational study of CRIT programs (2003, 2004, and 2005) for incoming CRs in generalist disciplines. Intervention CRs were trained to diagnose, manage, and teach about SU. The control CRs sought but did not receive the intervention.

Participants: Eighty-six CR applicants to the CRIT program.

Measurements: Baseline and 6-month questionnaires assessing substance use knowledge, skills, clinical practice, and teaching. Outcomes were compared within groups from baseline to follow-up and between groups at follow-up.

Results: The intervention (n = 64) and control (n = 22) CRs were similar demographically. At 6-month follow-up, the intervention CRs reported a significant increase in SU knowledge, confidence, and preparedness to diagnose, manage, and teach and an increase in SU clinical and teaching practices compared to their baseline and control CRs.

Conclusions: This intensive training for chief residents (CRs) improved knowledge, confidence, and preparedness to diagnose, manage, and teach about substance use (SU), affecting both the CRs' SU clinical and teaching practices. The CRIT program was an effective model for dissemination of SU knowledge and skills to educators in a key position to share this training with a broader audience of medical trainees. This model holds potential to address other high priority medical, yet under-addressed, content areas as well.

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Figures

Figure 1
Figure 1
Changes in chief resident’s preparedness to teach substance use compared to other chronic conditions at baseline and 6-month follow-up by group {n = 86 [64 intervention (I), 22 control (C)] at baseline, and n = 83 [64 intervention (I), 19 control (C)] at 6-month follow-up}. *p < 0.05, comparing baseline to follow-up within group; †p < 0.05, comparing intervention to control group at 6-month follow-up. I = Intervention, C = Control.
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