ERIC ED350944: Policy Report of the Physician Consortium on Substance Abuse Education.

38 Pages·1991·0.87 MB·English

by  ERIC

DOCUMENT RESUME
HE 025 922
ED 350 944
Lewis, David C.; Faggett, Walter L.
AUTHOR
Policy Report of the Physician Consortium on
TITLE
Substance Abuse Education.
Health Resources and Services Administration
INSTITUTION
(DHHS /PHS), Rockville, MD. Bureau of Health
Professions.
HRSA-P-DM-91-3
REPORT NO
PUB DATE
91
NOTE
38p.
Reports
General (140)
PUB TYPE
1701/PCO2 Plus Postage.
EDRS PRICE
Adolescents; Alcohol Abuse; Children; *Continuing
DESCRIPTORS
Education; Drug Abuse; *Educational Needs; Ethnic
Groups; Graduate Medical Education; Health Programs;
*Health Promotion; Higher Education; *Medical
Education; Minority Groups; National Surveys;
Physicians; Professional Education; *Substance Abuse;
*Undergraduate Study
Primary Prevention
IDENTIFIERS
ABSTRACT
This report contains the recommendations of the
Physician Consortium for significantly improving medical education
and training to enhance the physician's role in early identification,
treatment, and prevention of substance abuse. In addition, the
consortium subcommittees report on their examination of substance
abuse treatment needs of ethnic and racial minority groups and on the
unique training needs that are especially germane to the care of
adolescents and children. Recommendations address the need for
changes in undergraduate medical education, graduate medical
education, and continuing medical education; they also focus special
attention on the concerns of adolescents and children and the
multicultural issues in substance abuse education and training of
physicians. The report concludes with background information on the
problems of substance abuse in general and cn certain specific
substances--cocaine, marijuana, alcohol and tobacco products--in
particular. Contains 32 references.
(GLR)
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Reproductions supplied by EDRS are the best that can be made
from the original document.
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The views expressed in this document are solely those of the Physician Consortium
on
Substance Abuse Education and do not necessarily represent the views of the
Health Resources and Services Administration nor of the United States Government.
lr
13 o IL:CY REF
OF THE PHYSICIAN CONSORTIUM
ON SUBSTANCE ABUSE EDUCATION
David C. Lewis, M.D., Chairperson
Walter L. Faggett, M.D., Vice Chairperson
Supported by the
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Bureau of Health Professions
Division of Medicine
Staffed by the
Special Projects and Data Analysis Branch
Special Projects Section
U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Publication No. HRSA-P-DM-91-3
iii
DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Health Resources and
Bureau of Health Professions
Services Administration
Rockville MD 20857
Robert G. Harmon, M.D.
Administrator
Health Resources and Services Administration
Dear Dr. Harmon:
I am pleased to submit to you the Policy Report of the Physician
Consortium on Substance Abuse Education.
This document contains
the recommendations of the Physician Consortium for significantly
improving medical education and training to enhance the physician's
role in early identification, treatment and prevention of substance
These recommendations address the need for changes in
abuse.
undergraduate medical education, graduate medical education, and
continuing medical Education; they also focus special attention on
the concerns of adolescents and children and the multicultural
issues in substance abuse
iucation and training of physicians.
The Bureau of Health Professions' Division of Medicine has served
Physician
the
Consortium's
as
facilitator
and
organizer,
secretariat in producing this report.
Through this effort the
public and private sectors have worked together effectively to
bring to the attention of medical educators the changes needed in
medical education to improve medical care related to substance
importance
recognizes
The Bureau
abuse. the
health
of
professionals in the struggle to ameliorate Lne suffering and lower
costs associated with the health problems
stemming
the
from
As the recommendations of this report become
substance abuse.
implemented across medical education and physicians incorporate
this new knowledge and skill in their practice, physicians will
become ever more important in diagnosing, treating and preventing
the health problems brought about through substance abuse in our
society.
Policy Report
With
submission
Physician
the
the
the
of
of
Consortium on Substance Abuse Education, the Physician Consortium
brings to a successful conclusion its first major task.
I want to
thank personally each member of this group for contributing to this
the Bureau of Health
the Director of
important effort.
As
Professions, I look forward to facilitating the continuing work of
the Physician Consortium as it moves forward with its agenda to
improve medical education in substance abuse.
Mullan, M.D.
hug
Fi
cto
Di
stant Surgeon General
As
Enclosure
i v
ACKNOWLEDGEMENT
The preparation of this Policy Report of the
Education, the following professional staff mem-
bers should be cited for their special contributions:
Physician Consortium on Substance Abuse
Edu-
cation was assisted greatly by staff in the
Dona L. Harris, Ph.D., Scholar-in-Residence, Divi-
Health Resources and Services Administration.
sion of Medicine, Bureau of Health Professions;
The Physician Consortium on Substance Abuse
and professional staff of the Alcohol, Drug Abuse,
and Mental Health Administration:
Education was supported by the Division of Medi-
Jo Brady,
cine and staffed by the Special Projects Section of
Chief, Training and Evaluation Branch, Office of
the Special Projects and Data Analysis Branch.
Substance Abuse and Prevention; Frances Cotter,
Marilyn H. Gaston, M.D., Director, Division of
M.P.H., Chief, Health Professions Education Pro-
gram, National Institute on Alcohol Abuse and
Medicine, Bureau of Health Professions, served as
Alcoholism; and Dorynne Czechowicz, M.D.,
Executive Secretary to the Consortium, and subse-
Assistant Director for Medical and Professional
quently Janet B. Horan, M.P.H., R.N., C., served as
the Acting Executive Secretary. Brenda E. Selser
Affairs, National Institute on Drug Abuse. Robert
and Robert M. Politzer, M.S., Sc.D., served as
Petersen, Ph.D., provided technical and editorial
Program Staff Liaisons to the Consortium. Ruth
assistance in the earlier draft report.
H. Carlsen Kahn, D.N.Sc.,Health Manpower Edu-
Particular acknowledgement is given to the fine
cation Specialist, Special Projects Section, Special
administrative support provided by John Heyob,
Projects and Data Analysis Branch, and Carol
Deputy Director, Division of Medicine, and to the
Gleich, Ph.D., Chief, Special Projects and Data
excellent secretarial assistance provided by Penny
Analysis Branch, performed the final editorial work
King, Branch Secretary, Special Projects and Data
on the report.
Analysis Branch, and Sandy Weaver, Section Sec-
Although the Consortium chairperson, vice
retary, Special Projects Section.
chairperson, subcommittee chairpersons, and
For further information regarding this Policy
members accept all responsibility for this Policy
Report of the Physician Consortium on Substance Abuse
Report of the Physician Consortium on Substance Abuse
Education, please contact:
Ruth H. Carlsen Kahn, D.N.Sc.
Special Projects Section
Division of Medicine, BHPr
Parklawn Building
Fishers Lane, Room
5600
4C-25
Rockville, Maryland
20857
Telephone (301)
443-6785
V
PREFACE
the past. After a brief didactic introduc-
he momentum for including substance
tion to the problems of drug abuse in the
abuse education within the mainstream of
basic pharmacology course, most students
mc:dical education has increased steadily over
receive only accidental and sporadic rein-
the past five years. Virtually every national medi-
forcement in their clinical years. The Con-
cal professional society now has a task force or
ference postulated that the treatment
working group dealing with the issue. AMERSA,
andprevention of drug abuse should be
the national medical faculty organization for phy-
taught systematically so that students can
sicians and other health professional devoted to
learn to approach the issue of drug abuse
substance abuse education, has doubled its mem-
just as they learn to approach the prob-
bership and tripled its national conference atten-
lems of cardiovascular disease, cancer and
dance over the last five years. Federal initiatives
mental illness." From Medical Education
by Health Resources and Services Administration
and Drug Abuse: Report of a Macy Confer-
and ADAMHA (NIAAA, NIDA, OTI, and OSAP)
have added to the momentum by supporting de-
ence.
velopment of new medical school curricula, fac-
The Annenberg Center Conference did have an
ulty development, and training opportunities for
impact. Its report, "Consensus Statement from the
primary care physicians.
Conference-Alcohol, Drugs, and Primary Care
Physician Education: Issues, Roles, Responsibili-
This report and the work of the Physicians
ties," presaged a whole series of private and public
Consortium on Substance Abuse Education are
initiatives to develop and introduce competency-
part of the momentum. It is an historic event in
based training into substance abuse medical edu-
that it is the first time that representatives of so
cation.
many national professional societies have con-
vened and achieved a published consensus on this
There has been general agreement for years
subject.
about what needs to be done in medical education
about substance abuse, but the level of accom-
This work, however, is not without precedent.
plishment has fallen far short of the need. This
Both the Macy Foundation Report of 1972 and the
report of the Physician Consortium on Substance
Annenberg Center Conference of 1985 were its
Abuse Education is a working document, designed
The Macy Conference, about the
forerunners.
to make things happen. While its recommenda-
same size as the Consortium, was made up of
tions are neither original nor difficult to achieve,
thirty leaders in academic medicine, rather than
the measure of its success will be the action that it
representatives of national organizations. While
in a year, we plan to seek feedback from
stirs.
its advice received practically no notice a t the time,
national professional societies, residency review
it is still timely advice and quite consistent with
committees, medical boards, medical schools,
current thinking.
regulatory bodies, and government programs to
"The absence in most teaching hospitals
assess the implementation of the Report's recom-
of specialized clinical facilities for treating
mendations. We hope that the report will be
drug abusers leaves the same gap in the
useful to the organization and individuals who are
training of today's medical students as in
ready to move ahead with us.
David C. Lewis, M.D.
Chairperson
vi
PHYSICIAN CONSORTIUM
ON SUBSTANCE ABUSE EDUCATION
CHAIRPERSON
Elected by the Physician Consortium
David C. Lewis, M.D.
VICE CHAIRPERSON
Elected by the Physician Consortium
Walter L. Faggett, M.D.
EXECUTIVE SECRETARY
Director, Division of Medicine
Marilyn H. Gaston, M.D. - 1989-1990
Marc L. Rivo, M.D.
1991 - Present
vii
ORGANIZATIONS REPRESENTED
American College of Emergency Physicians (ACEP)
Accreditation Council for Graduate Medical Education
P.O. Box 619911
(ACGME)
Dallas, Texas 75261
515 North State Street
[phone]
Chicagc Illinois 60610
H. Arnold Muller, M.D.
(312) 464-:.7)00
John Gienapp, Ph.D.
American College of Obstetrics and Gynecology (ACOG)
409 12th Street, S.W.
Ambulatory Pediatric Association (APA)
Washington, D.C. 20024
6728 Old McLean Village Drive
[phone]
McLean, Virginia 22101
Constance Bohon, M.D.
[phone]
William Bithoney, M.D.
American College of Physicians (ACP)
Independence Mall West
American Academy of Child and Adolescent Psychiatry
6th Street at Race
(AACAP)
Philadelphia, Pennsylvania 19106-1572
3615 Wisconsin Avenue, N.W.
[phone]
Washington, D.C. 20016
Michele Cyr, M.D.
[phone]
Peter Cohen, M.D.
American Medical Association (AMA)
515 North State Street
American Academy of Family Physicians (AAFP)
Ch:ago, Illinois 60610
8880 Ward Parkway
[phone]
Kansas City, Missouri 64114
John J. Ambre, M.D., Ph. D. (Current Representative)
[phone]
Bonnie B. Wilford (Former Representative)
Neil H. Brooks, M.D. (Current Representative)
Roger B. Rodriguez, M.D. (Former Representative)
American Medical Student Association (AMSA)
1890 Preston White Drive
American Academy of Pediatrics (AAP)
Reston, Virginia 22091
P.O. Box 927
[phone]
Elk Grove Village, lllirois 60009
Joan Hedgecock
[phone]
S. Kenneth Schonberg, M.D.
American Osteopathic Association (AOA)
142 East Ontario Street
American Academy of Psychiatrists
Chicago, Illinois 60611-2864
in Alcoholism and Addiction (AAPAA)
[phone]
P.O. Box 376
Eugene Oliveri, D.O.
Greenbelt, Maryland 20770
.301) 220-0951
American Pediatric Society, Incorporated (APS)
Sheldon I. Miller, M.D.
6728 Old McLean Village Drive
McLean, Virginia 22101
American Board of Family Practice (ABFP)
[phone]
2228 Young Drive
Catherine DeAngelis, M.D.
Le;:ington, Kentucky 40505
[phone]
American Psychiatric Association (APA)
Raymond Anderson, M.D.
1400 K Street, N.W.
Washington, D.C. 20005
American Board of Medical Specialties (ABMS)
[phone]
One Rotary Center, Suite 805
Sheldon I. Miller, M.D.
Evanston, Illinois 60201
[phone]
American Society of Addiction Medicine (ASAM)
Donald Langsley, M.D.
5225 Wisconsin Avenue, N.W., Suite 409
Washington, D.C. 20016
American Board of Pediatrics (ABP)
[phone]
Ill Silver Cedar Court
James Callahan, D.P.A.
Chapel Hill, North Carolina 27514
Emanuel M. Steindler
[phone]
Catherine DeAngtlis, M.D.
Association for Medical Education
National Board of Medical Examiners (NBME)
and Research in Substance Abuse (AMERSA)
3930 Chestnut Street
Brown University Box G
Philadelphia, Pennsylvania 19104
Providence, Rhode Island 02912
[phone]
[phone]
Robert L. Voile, M.D.
David C. Lewis, M.D.
National Medical Association (NMA)
Association of American Medical Colleges (AAMC)
1012 10th Street, N.W.
1 DuPont Circle, N.W., Suite 200
Washington, D.C. 20001
Washington, D.C. 20036
[phone]
Walter L. Faggett, M.D.
[phone]
Lcis Bergeisen (Current Representative)
Gretchen C. Chumley (Former Representative)
Society of Adolescent Medicine (SAM)
10727 White Oak Avenue, Suite 101
Association of American Indian Physicians (AAIP)
Granada Hills, California 91344
10015 South Pennsylvan'a, Building D
[phone]
Oklahoma City, Oklahoma 73159
S. Kenneth Schonberg, M.D.
[phone]
Philip Smith, M.D.
Society of General Internal Medicine (SGIM)
700 13th Street, N.W., Suite 250
Charles R. Drew University of Medicine and Science
Washington, D.C. 20005
1621 East 120th Street
[phone]
Los Angeles, California 90059
JudyAnn Bigby, M.D.
[phone]
Lewis M. King, M.D.
Student National Medical Association (SNMA)
1012 10th Street, N.W.
InterAmerican College of Physicians and Surgeons (ICPS)
Washington, D.C. 20001
299 Madison Avenue
[phone]
New York, New York 10017
Daniel LaRoche
[phone]
Rene F. Rodriguez, M.D.
The Society of Teachers of Family Medicine (STFM)
8880 Ward Parkway P.O. Box 88729
Medical College of Virginia Hospital
Kansas City, Missouri 64114
Virginia Commonwealth University
[phone]
Box 109, MCV Station Richmond, Virginia 23298-0001
James Finch, M.D.
[phone]
Sidney H. Schnoll, M.D., Ph.D.
Meharry Medical College
1005 David B. Todd Boulevard,
Box A7 Nashville, Tennessee 37208
[phone]
Lloyd C. Elam, M.D.
Morehouse School of Medicine
720 Westview Drive S.W.
Atlanta, Georgia 30310
[phone]
Omowale Amuleru-Marshail, Ph.D.
National Association of Medical Minority Educators, Inc.
(NAMME)
Michigan State University
A-236 East Fee Hall
East Lansing, Michigan 48824
[phone]
Wanda Lipscomb, Ph.D.