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Training Initiatives on Substance Use Disorders in Residency

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With the increased recognition that graduating residents should have certain core competencies in managing substance use disorders, guidelines have been developed to help guide training of primary care house staff and other physicians (Table 47–3). These competencies are simply meant to provide a basic framework and may need to be modified according to the type of residency program. For example, pediatric residency programs should include competency in the recognition of possible risk factors and assessment of adolescents for alcohol and drug abuse. Although most child and adolescent psychiatry residency program directors in the United States report having a diverse substance abuse training experience for their house staff (Waldbaum et al. 2005), calls for improvement in addiction training among psychiatrists continue, particularly regarding the need to improve long-term management skills and treatment of comorbid substance use and psychiatric disorders (Renner et al. 2005).

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Table Reference Number
TABLE 47–3. Recommended physician competencies for managing substance use disorders

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