The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Integrating Addiction Medicine Into Graduate Medical Education in Primary Care: The Time Has Come

Patrick G. O'Connor, MD, MPH; Julie G. Nyquist, PhD; and A. Thomas McLellan, PhD
[+] Article, Author, and Disclosure Information

From Yale University School of Medicine, New Haven, Connecticut; Keck School of Medicine, University of Southern California, Los Angeles, California; and The White House Office of National Drug Control Policy, Washington, DC.

Acknowledgment: The authors thank Garrett O'Connor, MD, president of the Betty Ford Institute and conference director, and Gail B. Jara, executive director of The Medical Education and Research Foundation for the Treatment of Alcoholism and Drug Dependencies and conference planning coordinator, for their thoughtful suggestions on this paper.

Grant Support: The Betty Ford Institute and the Norlien Foundation provided funding for this article and the conference that generated the recommendations.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-1885.

Requests for Single Reprints: Patrick G. O'Connor, MD, MPH, Yale School of Medicine, PO Box 208093, New Haven, CT 06520-8093; e-mail, patrick.oconnor@yale.edu.

Current Author Addresses: Dr. O'Connor: Yale School of Medicine, PO Box 208093, New Haven, CT 06520-8093.

Dr. Nyquist: Keck School of Medicine, University of Southern California, 210 Keith Administration Building (KAM-210), 1975 Zonal Avenue, Los Angeles, CA 90033.

Dr. McLellan: 623 South 9th Street, Philadelphia, PA 19147.

Author Contributions: Conception and design: P.G. O'Connor, T. McLellan.

Analysis and interpretation of the data: P.G. O'Connor.

Drafting of the article: P.G. O'Connor, J.G. Nyquist, T. McLellan.

Critical revision of the article for important intellectual content: P.G. O'Connor, J.G. Nyquist, T. McLellan.

Final approval of the article: P.G. O'Connor, J.G. Nyquist, T. McLellan.

Provision of study materials or patients:

Statistical expertise:

Obtaining of funding: T. McLellan.

Administrative, technical, or logistic support:

Collection and assembly of data:

Ann Intern Med. 2011;154(1):56-59. doi:10.7326/0003-4819-154-1-201101040-00008
Text Size: A A A

Substance use disorders create an enormous burden of medical, behavioral, and social problems and pose a major and costly public health challenge. Despite the high prevalence of substance use and its consequences, physicians often do not recognize these conditions and, as a result, provide inadequate patient care. At the center of this failure is insufficient training for physicians about substance use disorders.

To address this deficit, the Betty Ford Institute convened a meeting of experts who developed the following 5 recommendations focused on improving training in substance abuse in primary care residency programs in internal medicine and family medicine: 1) integrating substance abuse competencies into training, 2) assigning substance abuse teaching the same priority as teaching about other chronic diseases, 3) enhancing faculty development, 4) creating addiction medicine divisions or programs in academic medical centers, and 5) making substance abuse screening and management routine care in new models of primary care practice. This enhanced primary care residency training should represent a major step forward in improving patient care.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.