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Table 1 Unhealthy substance use curricular modules, corresponding ACGME competencies and suggested internal medicine residency clinical venues

From: Internal medicine residency training for unhealthy alcohol and other drug use: recommendations for curriculum design

Modules ACGME Competencies Suggested Clinical Venue Time
1) Addiction and the brain: principles of addiction Medical knowledge;
Patient care
All patient care activities, especially continuity clinic experiences;
inpatient medicine;
emergency department
45-60 minute lecture
2) Complications and comorbidities of unhealthy substance use Medical knowledge;
Patient care;
Systems-based practice
Medical consultation rotations; inpatient medicine; emergency department; intensive care unit rotations 45-60 minute case-based lecture
3) Screening and assessment of unhealthy substance use Practice-based learning; Continuity clinic;
inpatient medicine;
subspecialty electives;
emergency department
45-60 minute interactive lecture and 45-60 minute skills practice session
4) Effective methods of counseling patients including brief intervention Patient care
Medical knowledge;
Interpersonal and communication skills;
Systems-based practice
Continuity clinic; inpatient medicine; emergency department 45-60 minute interactive lecture and 45-90 minute skills practice (1-2 sessions)
5) Substance abuse treatment including pharmacotherapy Systems-based practice;
Medical knowledge;
Patient care
Intensive care units, medical wards, continuity clinics, emergency department 60-90 minute lecture
6) Substance-specific inpatient and outpatient management Medical knowledge;
Patient care;
Practice-based learning;
Systems-based practice;
Interpersonal and communication skills
Continuity clinic; inpatient medicine; emergency department 60 minute case-based lecture
7) Prescription drug abuse Professionalism;
Interpersonal and communication skills;
System-based practice;
Practice-based learning; Patient care;
Medical knowledge
Continuity clinic;
emergency department
60 minute case-based lecture
8) Legal and ethical considerations for patients and physicians Professionalism;
Systems-based practice;
Practice-based learning;
Medical knowledge
All patient care activities; continuity clinic; inpatient medicine; emergency department 60 minute lecture