Alcohol and Drug Abuse

127 Pages·2008·2.67 MB·English

Doman RESUME
ED 192 216
CG 014 672
AUTHOR
Galanter, Marc. Ed.
TITLE
Alcohol and Drug Abuse in Medical Education.
INSTITUTION
State univ. of New York, Brooklyn., Downstate Medical
Center.: Yeshiva univ.. Bronx, N.Y. Albert Einstein
Coll. of Medicine.
PONS AGENCY
National Inst. on Drug Abuse (DBZW/PHS), Rockville,
Md.
REPORT NO
ADM-79 -891
PUP EATS
SO
GRANT
TO1-DA-00083: T01-CA-00197
NOTE
128p.
AVAILABLE Pint
superintendent of Documents, O.S. Government Printing
Office, Washington, DC 20402
EDES PRICE
mF01/FC06 Plus Postage.
DESCRIPTORS
*Alcohol Education: *Drug Abuse: *Drug Education:
Higher Education: *Medical Education: medical School
Faculty; Medical Services; *Physician Patient
Relationship: Physicians: *social Responsibility:
State cf the Art Reviews
ABSTRACT
This book presents the state of the art of American
medical education in alcohol and drug abuse,
and is the culmination
of a four-year collaborative effort among the medical
school faculty,
of the Career Teacher Program in Alcohol and Drug
Abuse. The first
part contains reports, curricula, and
survey data prepared for the
medical education community, focusing
on drug abuse and alcoholism
teaching in medical/osteopathic schools, i
course on alcoholism for
physicians, the Career Teacher Program and
Resource Handbook, and the
role of substance abuse attitudes in_treatment.
The second part is
--
the proceedings of the National
Conference on Medical Education and
Drug Abuse, November 1977. The conference sessions
address issues
such as:
the physician's role in substance abuse treatment;
(1)
(2)
physicians' use of drugs and alcohol:
(3) drug abuse questions on the
National Board Examinations: and (4)
an overview of the Career
Teacher Program activities. (Author/HLM)
* *s * * * * * * * * * * * * * * ** ***************** * * * * *
* * * * * * * * * * * * * * * * * * * * * * * * *0
Reproductions supplied by EDRS are the best that
can be made
from the original document.
***************************************************************1
-gl
.
National Institute on Drug Abuse
National Institute on Alcohol Abuse and Alcoholism
Alcohol and
Drug Abuse
in Medical
Educati
n
o
US OilIAMTMErav OF HEAtroc
ADUCATION A WELFARE
NATIONAL INSTITUTE OF
AM AT ION
THIS 00CUMINT HAS BEEN Reeao
Outt0 IXACttY AS elECEIvED FROM
THE IIIRS411400 CiaGANItAssolv °atom,-
vIEW OR opiAloAL
A flA16 IT POINTS
STATED 00 NOT NECEssAaeLv
SENT 00itittas NATIONAL INSTITUTE OF
SOUCAT411A1 POSstIoN cla POLICY
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
Public Health Service
Alcohol, Drug Abuse, and Mental Health Administration
2
2 t,
4
Association for Medical Education
and Research in Substance Abuse
EXECUTIVE COMMITTEE
MARC GALANYER, M.D.
JOSEPH WESTERMEYER. M.D., Ph.D.
President
Secretary-Treasurer
JOHN E, FRYER, M.D.
ROBERT MILLMAN. M.D.
Vice President
JOHN N. CHAPPEL. M.D.
SIDNEY H. SCHNOLL, M.D., Ph.D.
JOHN SEVERINGHAUS. M.D.
Career Teachers in Alcohol
and Drug Abuse
GEARY ALFORD, Ph.D.
RONALD S. KRUG, Ph.D.
RUDY ARREDONDO. Ed.D.
LEON KU HS, M.D.
ROLAND M. ATKINSON, M.D.
JOSEPH LEVIN, Ed.D.
JOSEPH M. BENFORADO, M.D.
JEROME LEVY, Ph.D.
KARIN MACK. M.D.
KENNETH BLUM, Ph.D.
LOUIS pozzErn, M.D.
MARVIN MATTHEWS. M.D.
ROBERT MILLMAN, M.D.
ALAN BROWN, M.D.
JOHN N. CHAPPEL M.D.
JOHN MORGAN, M.D.
THOMAS J, CROWLEY, M.D.
JAMES O'BRIEN, Ph.D., M.D.
DONALD I. DAVIS, M.D.
PAUL PASCAROSA, M.D.
DAVID EILAND, M.D.
ROBERT), RHODES, Ph.D.
JACK M, ROGERS, M.D.
WILLIAM E. FLYNN, M.D.
II
ROSETt, M.D.
JOHN E. FRYER, M.D. HENRY
MARC GALANTIR, M.D.
KENNETH S. RUSSELL, Ed.D.
JULES GOLDEN, M.D.
JOHN SEVERINGHAUS, M.D.
SIDNEY H. SCHNOLL M.D.
JOHN S. GRIFFIN, Jr.. M.D.
ALYCE C. GULLATTEE M.D.
CLAUDIO TORO, M, D,
JAMES HALIKAS, M.D.
GEORGE S. TYNER. M.D.
ANDREW K. S. HO, Ph.D. LUCAS S. VAN ORDEN, M.D., Ph.D.
JOSEPH WESTERMEYER, M.D., Ph.D.
GEORGE JACKSON, M.D.
KIM A. KEELEY, M.D.
CHARLES L. WHITFIELD, M.D.
KENNETH WILLIAMS. M.D.
Career Teacher Centers
BAYLOR COLLEGE OF MEDICINE
STATE UNIVERSITY OF NEW YORK
Downstate Medical Center
0
BENJAMIN KISS1N, M, D,
JOSEPH SCHOOLAR. M.D., P".D.
Director
Director
ALEX POKORNY, M.D.
JOEL SOLOMON, M.D.
Program Coordinator
Program Codirector
CHARLES BUCHWALD. Ph.D.
Program Administrator
3
Alcohol and
Drug Abuse
in Medical
Education
Marc Galante,. M.D.
Editor
Department of Psychiatry
Albert Einstein College of Medicine
The Medical Career Tischer Program of
The National institute on Drug Abuse end
The National Institute on Alcohol Abuse end Alcoholism
and
The Association for Medical Education and Research
in Substance Abuse
National Institute on Drug Abuse
National institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane
Rockville, Maryland 20857
The U.S. Oovernment does not endorse, favor,
or disparage any specific
product or commodity. Trade or proprietary
names appearing in this
publication are used only because they
are considered essential in the con-
text of the studies reported herein.
This publication was written under grants 1101 DA
00083 to the State
University of New York, Downstate Medical Center, Brooklyn,
N.Y., and
1101 DA 00197 to the Albert Einstein College of Medicine, Yeshiva
Uniyersky, Bronx, N.Y.
5
DREW Publication No. (ADM) 79-891
Printed 1980
Per Isla by tha leperlataadene of Doemasata, 13.8, Clevanteene Printing
Moe
Waa Marton. D.C. 80108
Editorial Board
Charles Buchwald, Ph.D.
Downstate Medical Center
State University of New York
John N. Chappel, M.D.
University of Nevada
Thomas J. Crowley, M.D.
University of Colorado
Donald I. Davis, M.D.
George Washington University
John B. Griffin, Jr., M.D.
Emory University
George Jackson, M.D.
Mount Sinai School of Medicine
Alex Pokorny, M.D.
Baylor College of Medicine
Sidney H. Schnoll, M.D., Ph.D.
Eagleville Hospital
John Severinghaus, M.D.
Columbia University
Joel Solomon, M.D.
Downstate Medical Center
State University of
New
York
6
iii
Foreword
A systematic and intensive study of medical education in alcohol and drug abuse is relatively
new. As national awareness of the medical problems resulting from alcoholism and drug abuse
has grown during thiPut decade, medical educators, practicing physicians, treatment pro-
gram staffs, clients in treatment, and others have drawn attention to the need for training
physicians to recognize, diagnose, treat, and properly manage patients with substance abuse
problems. With the establishment of the National Institute on Alcohol Abuse and Alcoholism
and the National Institute on Drug Abuse, a career teacher program was developed. The
purposes of the program have been to educate medical school faculty for a teaching career in
drug abuse and alcoholism and to develop medical school curriculums in the field. A significant
indication of the growing interest in medical education in substance abuse has been the
formation, by career teachers and colleagues from their medical schools, of the Association for
Medical Education and Research In Substance Abuse (AMERS A). This volume is the first of a
series of publications in which career teachers and members of AMERS A will collaborate. It is
offered to the medical educator in the hope that it will be a valuable resource In considering
some of the issues involved in preparing physicians to treat drug or alcohol patients and their
families.
Jeanne Trimble
James F. Callahan
Assistant Chief
Deputy Chief
Paining Branch
Manpower and Training Branch
Division of Resource Development
Division of Resource Development
National Institute on Alcohol Abuse and
National Institute on Drug Abuse
Alcoholism
y L.
7
v
.
CONTENTS
FOREWORD
v
INTRODUCTION: A PERSPECTIVE ON ALCOHOL AND DRUG ABUSE
IN MEDICAL EDUCATION
Mare Ga/anter
1
THE STATE OF THE ART
1. DRUG ABUSE AND ALCOHOLISM TEACHING IN U.S. MEDICAL AND
OSTEOPATHIC SCHOOLS. 1975-77
Alex Pokorny, Patsy Putnam, and John E. Fryer
7
2. MEDICAL EDUCATION IN ALCOHOL AND DRUG ABUSE:
THE CAREER TEACHER PROGRAM
Mare Ga/anter
20
CURRICULUM MATERIAL
3. PHYSICIAN EDUCATION IN SUBSTANCE ABUSE:
CURRICULUM OBJECTIVES
Donald ! Davis
27
4, A COURSE ON ALCOHOLISM FOR PRIMARY CARE PHYSICIANS
George Jackson
34
S. THE CAREER TEACHER RESOURCE HANDBOOK
40
Charles Buchwald
EVALUATION TECHNIQUES
6. SUBSTANCE ABUSE ATTITUDES: THEIR ROLE AND ASSESSMENT IN
MEDICAL EDUCATION AND TREATMENT
49
John N. Chappel and Ronald S. Krug
EVALUATION OF KNOWLEDGE IN SUBSTANCE ABUSE
7,
Alex Pokorny, Ronald S. Krug, David Smith, John B. Griffin,
58
and Kenneth S. Russell
mu
8
.
J u
PROCEEDINGS OF THE NATIONAL CONFERENCE
ON MEDICAL EDUCATION IN ALCOHOL AND DRUG ABUSE
Jointly sponsored by the Association for Medical Education
and Research in Substance Abuse and the Career Teacher
Program in Alcohol and Drug Abuse (A DAMHA)
November 5-6. 1977. Washington. D.C.
OPENING REMARKS
Marc Galante
75
KEYNOTE ADDRESS
Ernest Noble
77
DEBATING THE ISSUES I: THE ROLE OF THE
PHYSICIAN IN SUBSTANCE ABUSE TREATMENT
Frank Seixas. Moderator
83
SHOULD ALL PHYSICIANS BE 'TRAINED
TO TREAT ALCOHOL AND DRUG ABUSE?
Favor: Benjamin gissin
In
85
Against: E.
Mansell Paulson
88
DEBATING THE ISSUES 2: PHYSICIANS' USE OF ALCOHOL AND DRUGS:
IMPLICATIONS FOR MEDICAL EDUCATION
Moderator
Sidney Cohen.
93
HAS MEDICAL EDUCATION FOCUSED TOO MUCH ON THE ADVERSE
CONSEQUENCES OF THE NONMEDICAL. USE OF PSYCHOACTIVE AGENTS?
In Favor:
Norman Zinberg
95
Against:
LeClair Bissell
97
AMERICAN MEDICAL EDUCATION IN ALCOHOL
AND DRUG ABUSE: THE STATE OF THE ART
REPORT ON A NATIONAL SURVEY
Results of the Survey
Alex Pokorny
105
Report on the She
Visits
.
John E. Fryer
109
THE NATIONAL BOARD EXAMINATIONS
SUBSTANCE ABUSE QUESTIONS
ON THE NATIONAL BOARDS
Introduction
John B. Griffin
113
Report on Substance Abuse Questions on the National Boards
David Smith
114
9
viii
EDUCATIONAL ACTIVITIES OF THE CAREER TEACHERS
Joseph Schoo lar, Moderator
119
A DEAN'S PERSPECTIVE
George S. Tyner
121
DATA ON STUDENT ATTITUDES
John N. Choppel
123
CURRENT FINDINGS ON STUDENT ATTITUDES
Ronald S. Krug
123
OLD DOGS AND NEW TRICKS
John E. Fryer
125
BIOBEHAVIORAL STUDIES IN SUBSTANCE ABUSE
Thomas J. Crowley
128
AA AND THE PHYSICIAN
Kenneth Williams
130
Ix 10
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