Try a new search

Format these results:

Searched for:

person:hr512

in-biosketch:yes

Total Results:

4


DELIVERS - Developing Educational Learning In Various EldeR Sites

Rau, Megan E; Reich, Hadas
PMID: 30873624
ISSN: 1365-2923
CID: 4167212

Block of addiction medicine (BAM!): An intensive resident curriculum improves comfort with substance use disorders [Meeting Abstract]

Reich, H; Hanley, K; Altshuler, L
Needs and Objectives: There is an increasing need for resident education on substance use disorders (SUDs). The purpose of our curriculum was to improve residents' knowledge, skills, and attitudes on treating patients with SUDs. Setting and Participants: First and second year residents from NYU's Primary Care, Internal Medicine program participated in the Block of Addiction Medicine (BAM!) curriculum. Clinical settings included buprenorphine/methadone clinics and outpatient treatment programs in a large, urban safety net hospital system. Description: BAMis an intensive two week curriculum focused on SUDs. To improve residents' knowledge, we included didactic sessions on substances, including alcohol, opiates, and tobacco. Sessions covered epidemiology, biology, and treatment, including pharmacologic options, with all residents receiving buprenorphine prescribing waiver training. BAMwas delivered by an interdisciplinary faculty that included addiction medicine specialists, department of health officials, and general practitioners, nurses, and social workers who have worked extensively with patients with SUDs. Workshops built skills including screening, brief interventions, and referral to treatment (SBIRT) and motivational interviewing. Residents attended buprenorphine/methadone clinics, outpatient treatment programs, and 12-step (AA/NA) meetings. Residents shared lunch in a non-clinical setting with patients in recovery to understand their perspectives on living with addiction. Evaluation: Residents' attitudes and self-perceived efficacy in treating SUDs were surveyed. Pre and post data was obtained on 15 of 16 participants. Using the medical condition regard scale (MCRS), an 11 item questionnaire on biases/emotions/expectations for treating patients with SUD, we found a statistically significant improvement in the composite score, from 44.46 to 47.0 (p=0.026). Of 15 residents, 11 reported improved ability to effectively screen for SUD, 10 reported improved comfort in screening patients for SUD, 12 reported improved knowledge in using medically assisted treatment (MAT), and 14 reported improved ability to effectively treat patients with MAT (all p<.001 in Wilcoxon signed rank test). Qualitative feedback showed residents felt this curriculum was an essential part of their education; one participant commented: "this is a course that should be offered to every medical care provider." Discussion/Reflection/Lessons Learned: BAMincluded a varied curriculum delivered by inter-professional faculty. Residents reported improved comfort in treating patients with SUDs and demonstrated a significant improvement on the MCRS in their already positive attitudes towards treating this patient population. Qualitative feedback indicated that residents enjoyed BAMand found it important to their training. Given the increasing need for providers who are able to effectively treat SUDs, courses such as BAMare an effective and essential part of residency. Further studies are needed to assess if the changes in residents' attitudes persist and whether we influenced practice
EMBASE:629004434
ISSN: 1525-1497
CID: 4052572

QUALITATIVE AND QUANTITATIVE EVALUATION OF A RESIDENT-RUN HOME VISIT PROGRAM [Meeting Abstract]

Reich, Hadas; Tanenbaum, Jessica; Knudsen, Janine; Creighton, Susan L.; Zabar, Sondra; Hanley, Kathleen
ISI:000442641401168
ISSN: 0884-8734
CID: 4449802

ANYONE HOME? CREATING AN URBAN, RESIDENT-RUN HOME VISIT CONSULT PROGRAM [Meeting Abstract]

Reich, Hadas; Tanenbaum, Jessica; Knudsen, Janine; Creighton, Susan L.; Zabar, Sondra; Hanley, Kathleen
ISI:000442641404111
ISSN: 0884-8734
CID: 4449892