Enhanced Skills Program: Addiction Medicine Family Medicine Longitudinal Experience Rotation Goals and Objectives

Medical Expert

By the end of the rotation, the Addiction Medicine resident will be able to:

Knowledge

Demonstrate knowledge of prevention, including the risk, presence, and impact of substance use and related disorders.
Demonstrate knowledge of substance use risk assessment and prevention, and substance use consequences in diverse populations, including women, neonates, children, adolescents, families, the elderly, injury and trauma, health care professionals, employees, and persons involved in the criminal justice system.
Describe community resources available to clients with substance use disorders in the community.

Medical Assessment

Apply screening tools including the Alcohol Use Disorders Identification Test (AUDIT), the Michigan Alcoholism Screening Test (MAST), the CAGE as well as brief interventions including motivational interviewing.
Triage appropriate candidates for outpatient alcohol withdrawal management and understand when inpatient management is necessary.

Clinical Judgment and Management

Screen and initiate treatment for clients with tobacco use disorder.
Manage clients with concurrent mental health and /or medical complications of substance use on an outpatient basis.

By the end of the rotation, the Addiction Medicine resident will be able to:

Demonstrate knowledge of community health, occupational health and the broader environmental determinants of health and disease, and particularly as these relate to substance use and misuse, including homicide, suicide, motor vehicle crashes, violence (including domestic injury), and behavioural complications.
Demonstrate knowledge of the socio-cultural influences that might affect alcohol and other drug use in communities.
Understand risk and protective factors that contribute to the initiation, maintenance and escalation of alcohol, tobacco, and other drug use in children and youth.
Appropriately assess the role of the family, environment and community in prevention and treatment.

By the end of the rotation, the Addiction Medicine resident will be able to:

Act as a resource to other family physicians and trainees within the primary care practice for the management of clients with substance use disorders.
Provide effective direction and coaching to junior learners.
Demonstrate an understanding of the principles of practice management.

By the end of the rotation, the Addiction Medicine resident will be able to:

Demonstrate a willingness to work well with other team members to prevent misunderstanding, manage difference and resolve conflict
Consistently communicate clearly and respectfully in a timely manner with other health care professionals, including physician colleagues, involved in the care of the patient
Accept, consider and respect the opinions of other team members, while contributing specialty-specific expertise

By the end of the rotation, the Addiction Medicine resident will be able to:

Demonstrate an understanding of the principles of adult learning and helps others learn by providing guidance, teaching and by giving constructive feedback.
Pursue self-directed learning and demonstrates the spirit of continuous improvement

By the end of the rotation, the Addiction Medicine resident will be able to:

Independently coordinate and complete clear, timely and comprehensive documentation
Develop a comprehensive or complex plan for the patient that incorporates the input of the patient
Communicate effectively with patients and families. Uses voice, body language, translators to good effect.

By the end of the rotation, the Addiction Medicine resident will be able to:

Maintain appropriate boundaries with patients and their families
Demonstrate insight into his/her limitations and is responsive to constructive feedback
Demonstrate knowledge of the ethical principles surrounding reporting to the ministry of transportation