Skip to main content

Table 1 Core Competencies in Substance Abuse for Family Medicine Residents (adapted from Project MAINSTREAM) [74]

From: Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum

Residents will:
1 Perform age, gender and culturally appropriate unhealthy substance use screening
2 Effectively assess patients with unhealthy substance use
3 Provide brief interventions to patients with unhealthy substance use
4 Demonstrate effective counseling methods to help prevent unhealthy substance use
5 Refer patients with substance use disorders to treatment settings that provide pharmacotherapy and/or psychosocial counseling for relapse prevention
6 Recognize, treat, or refer co-morbid medical and psychiatric conditions in patients with substance use conditions
7 Refer patients with substance use disorders to appropriate treatment and supportive services
8 Be aware of the ethical and legal issues around physician impairment from substance use and of resources for referring potential impaired colleagues, including employee assistance programs, hospital based committees, and state physician health programs and licensure boards
9 Identify the legal and ethical issues involved in the care of patients with unhealthy substance use
10 Provide pharmacologic withdrawal to patients with substance dependence
11 Provide or refer for treatment for relapse prevention in patients with substance use disorders, both pharmacotherapy and psychosocial counseling