Cargando…
Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors
BACKGROUND: Although progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based practices in addiction medicine into physician training which has impeded...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606021/ https://www.ncbi.nlm.nih.gov/pubmed/28927448 http://dx.doi.org/10.1186/s13722-017-0086-9 |
_version_ | 1783265085541580800 |
---|---|
author | Klimas, J. Small, W. Ahamad, K. Cullen, W. Mead, A. Rieb, L. Wood, E. McNeil, R. |
author_facet | Klimas, J. Small, W. Ahamad, K. Cullen, W. Mead, A. Rieb, L. Wood, E. McNeil, R. |
author_sort | Klimas, J. |
collection | PubMed |
description | BACKGROUND: Although progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based practices in addiction medicine into physician training which has impeded addiction treatment and care. Recently, a number of training initiatives have emerged internationally, including the addiction medicine fellowships in Vancouver, Canada. This study was undertaken to examine barriers and facilitators of implementing addiction medicine fellowships. METHODS: We interviewed trainees and faculty from clinical and research training programmes in addiction medicine at St Paul’s Hospital in Vancouver, Canada (N = 26) about barriers and facilitators to implementation of physician training in addiction medicine. We included medical students, residents, fellows and supervising physicians from a variety of specialities. We analysed interview transcripts thematically by using NVivo software. RESULTS: We identified six domains relating to training implementation: (1) organisational, (2) structural, (3) teacher, (4) learner, (5) patient and (6) community related variables either hindered or fostered addiction medicine education, depending on context. Human resources, variety of rotations, peer support and mentoring fostered implementation of addiction training. Money, time and space limitations hindered implementation. Participant accounts underscored how faculty and staff facilitated the implementation of both the clinical and the research training. CONCLUSIONS: Implementation of addiction medicine fellowships appears feasible, although a number of barriers exist. Research into factors within the local/practice environment that shape delivery of education to ensure consistent and quality education scale-up is a priority. |
format | Online Article Text |
id | pubmed-5606021 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56060212017-09-20 Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors Klimas, J. Small, W. Ahamad, K. Cullen, W. Mead, A. Rieb, L. Wood, E. McNeil, R. Addict Sci Clin Pract Research BACKGROUND: Although progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based practices in addiction medicine into physician training which has impeded addiction treatment and care. Recently, a number of training initiatives have emerged internationally, including the addiction medicine fellowships in Vancouver, Canada. This study was undertaken to examine barriers and facilitators of implementing addiction medicine fellowships. METHODS: We interviewed trainees and faculty from clinical and research training programmes in addiction medicine at St Paul’s Hospital in Vancouver, Canada (N = 26) about barriers and facilitators to implementation of physician training in addiction medicine. We included medical students, residents, fellows and supervising physicians from a variety of specialities. We analysed interview transcripts thematically by using NVivo software. RESULTS: We identified six domains relating to training implementation: (1) organisational, (2) structural, (3) teacher, (4) learner, (5) patient and (6) community related variables either hindered or fostered addiction medicine education, depending on context. Human resources, variety of rotations, peer support and mentoring fostered implementation of addiction training. Money, time and space limitations hindered implementation. Participant accounts underscored how faculty and staff facilitated the implementation of both the clinical and the research training. CONCLUSIONS: Implementation of addiction medicine fellowships appears feasible, although a number of barriers exist. Research into factors within the local/practice environment that shape delivery of education to ensure consistent and quality education scale-up is a priority. BioMed Central 2017-09-20 2017 /pmc/articles/PMC5606021/ /pubmed/28927448 http://dx.doi.org/10.1186/s13722-017-0086-9 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Klimas, J. Small, W. Ahamad, K. Cullen, W. Mead, A. Rieb, L. Wood, E. McNeil, R. Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title | Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title_full | Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title_fullStr | Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title_full_unstemmed | Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title_short | Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
title_sort | barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606021/ https://www.ncbi.nlm.nih.gov/pubmed/28927448 http://dx.doi.org/10.1186/s13722-017-0086-9 |
work_keys_str_mv | AT klimasj barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT smallw barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT ahamadk barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT cullenw barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT meada barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT riebl barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT woode barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors AT mcneilr barriersandfacilitatorstoimplementingaddictionmedicinefellowshipsaqualitativestudywithfellowsmedicalstudentsresidentsandpreceptors |