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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