[PMID]: | 28114925 |
[Au] Autor: | Klimas J; McNeil R; Ahamad K; Mead A; Rieb L; Cullen W; Wood E; Small W |
[Ad] Endereço: | British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. |
[Ti] Título: | Two birds with one stone: experiences of combining clinical and research training in addiction medicine. |
[So] Source: | BMC Med Educ;17(1):22, 2017 Jan 23. |
[Is] ISSN: | 1472-6920 |
[Cp] País de publicação: | England |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Despite a large evidence-base upon which to base clinical practice, most health systems have not combined the training of healthcare providers in addiction medicine and research. As such, addiction care is often lacking, or not based on evidence or best practices. We undertook a qualitative study to assess the experiences of physicians who completed a clinician-scientist training programme in addiction medicine within a hospital setting. METHODS: We interviewed physicians from the St. Paul's Hospital Goldcorp Addiction Medicine Fellowship and learners from the hospital's academic Addiction Medicine Consult Team in Vancouver, Canada (N = 26). They included psychiatrists, internal medicine and family medicine physicians, faculty, mentors, medical students and residents. All received both addiction medicine and research training. Drawing on Kirkpatrick's model of evaluating training programmes, we analysed the interviews thematically using qualitative data analysis software (Nvivo 10). RESULTS: We identified five themes relating to learning experience that were influential: (i) attitude, (ii) knowledge, (iii) skill, (iv) behaviour and (v) patient outcome. The presence of a supportive learning environment, flexibility in time lines, highly structured rotations, and clear guidance regarding development of research products facilitated clinician-scientist training. Competing priorities, including clinical and family responsibilities, hindered training. CONCLUSIONS: Combined training in addiction medicine and research is feasible and acceptable for current doctors and physicians in training. However, there are important barriers to overcome and improved understanding of the experience of addiction physicians in the clinician-scientist track is required to improve curricula and research productivity. |
[Mh] Termos MeSH primário: |
Comportamento Aditivo/terapia Pesquisa Biomédica/educação Neurociência Cognitiva/educação Educação Médica Pesquisadores/educação Estudantes de Medicina Transtornos Relacionados ao Uso de Substâncias/terapia
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[Mh] Termos MeSH secundário: |
Atitude do Pessoal de Saúde Canadá Competência Clínica/normas Currículo Educação Médica/organização & administração Avaliação Educacional Bolsas de Estudo/organização & administração Bolsas de Estudo/normas Necessidades e Demandas de Serviços de Saúde Seres Humanos Mentores Papel do Médico Avaliação de Programas e Projetos de Saúde Pesquisa Qualitativa Especialização
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Em] Mês de entrada: | 1703 |
[Cu] Atualização por classe: | 170321 |
[Lr] Data última revisão:
| 170321 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170125 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1186/s12909-017-0862-y |
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