Enhanced Skills Program: Addiction Medicine_Inpatient Addiction (SJHC) Rotation Goals and Objectives
By the end of the rotation, the Addiction Medicine resident will be able to:
- Understand the epidemiology of co-occurring medical and substance use conditions.
- Demonstrate an understanding of the differential diagnosis of medical symptoms in the setting of ongoing substance use, including the effects of substance use to mimic medical conditions.
- Know the effects of the substance use on the medical condition and its treatment, as well as the impact of medical conditions on the treatment of the substance use condition.
- Perform a physical examination to evaluate the patient’s general health status with special attention to physical manifestations of substance use disorders, including intoxication and withdrawal.
- Integrate multiple sources of data into a diagnostic assessment.
- Complete a comprehensive addiction assessment, and make a complete diagnosis of all substance use disorders present, and note pertinent negatives in medically/surgically/obstetrically hospitalized patients or in the Emergency Department.
Clinical Judgement and Management
- Medically manage complications from alcohol withdrawal including alcohol withdrawal seizures and Delerium Tremens where indicated
- Make informed post-treatment referrals for patients with a variety of substance use disorders and complicated co-occurring disorders (addiction, psychiatric, and medical problems).
- Demonstrate competence in induction onto buprenorphine and methadone during an inpatient encounter.
- Demonstrate the ability to develop a basic plan for the patient that incorporates the input of the patient
- Discuss the patient's beliefs, concerns, illness experience and specifically focuses on the patient's expectations in terms of pain relief and improved function
- Actively seek out and acts upon both positive and negative feedback from colleagues, other health care workers and patients and their families
- Work well with other team members to prevent misunderstanding, manage difference and resolve conflict
- Provide effective direction and coaching to junior learners.
- Demonstrate thoughtful and responsible use of resources in the provision of patient care, allowing for comprehensive and necessary evaluation while avoiding unnecessary interventions.
- Effectively leads or contributes to the health care team; delegates and distributes tasks fairly; uses time wisely
- Demonstrate understanding of the importance of the use of medical interpreters when indicated
- Advocate effectively for the biopsychosocial needs of patients and their families within the health care system and community
- Critically appraise medical information by asking relevant questions and determining which information is reliable. Successfully integrates information from a variety of sources.
- Demonstrate an awareness of personal limitations, seeking advice when necessary. Accepts advice graciously.
- Demonstrate a commitment to carrying out professional responsibilities and adherence to ethical principles.
- Demonstrate compassion, integrity, and respect for others.
- Appropriately report patients to the Ministry of Transportation where indicated and informs patients of same.