TY - JOUR
AU - M. C. Binder
AU - M. B. Brizzi
AU - S. A. Santen
AU - C. A. Chan
A1 - 
AB - PROBLEM: Substance use disorders (SUDs) are widespread, yet few individuals receive treatment. Internal medicine (IM) residents need clinical training on how to provide SUD treatment. APPROACH: In 2023, the authors used a structured approach to develop an addiction clinic integrated into the University of Cincinnati IM resident primary care practice to provide SUD treatment. A formative logic model with output measures to evaluate the short-term outcome of the first 15 weeks of clinic was used. Output measures included no-show rates, number of patient visits, and primary SUD diagnosis. Short-term outcomes of residents' experiences were evaluated using a retrospective pre-post survey and the McNemar paired test to assess their confidence in performing addiction-related clinical tasks before vs after their rotation. OUTCOMES: Eighteen learners were sent a survey from December 2023 to March 2024, with 11 responding (61%). Short-term outcomes included resident-reported confidence as moderate, quite, or extremely confident in the listed tasks before vs after their clinic experiences: making an SUD diagnosis (4 [36%] vs. 10 [91%], P = .03), interpreting urine drug screen results (4 [36%] vs. 10 [91%], P = .03), starting buprenorphine for opioid use disorder (OUD) (1 [9%] vs. 8 [73%], P = .02), titrating buprenorphine for OUD (0 [0%] vs. 8 [73%], P = .01), starting medications for alcohol use disorder (4 [36%] vs. 7 [64%], P = .36), and harm reduction counseling (4 [36%] vs. 9 [82%], P = .06). In the first 15 weeks of this clinic, there were 73 patient visits. Primary SUD diagnoses were OUD (37 [51%]), alcohol use disorder (18 [25%]), other (7 [9%]), stimulant use disorder (6 [8%]), and nicotine (5 [7%]). NEXT STEPS: Next steps include further evaluation of the clinic rotation's impact on resident clinical behaviors, attitudes on SUD, and patient SUD outcomes.
AD - Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United States.; Department of Pharmacy, University of Cincinnati Medical Center, Cincinnati, OH, United States.; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United States.; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
AN - 41672750
BT - Acad Med
C5 - Education & Workforce; Opioids & Substance Use
CP - 5
DA - 05/2026
DO - 10.1093/acamed/wvaf097
DP - NLM
IS - 5
JF - Acad Med
LA - eng
N2 - PROBLEM: Substance use disorders (SUDs) are widespread, yet few individuals receive treatment. Internal medicine (IM) residents need clinical training on how to provide SUD treatment. APPROACH: In 2023, the authors used a structured approach to develop an addiction clinic integrated into the University of Cincinnati IM resident primary care practice to provide SUD treatment. A formative logic model with output measures to evaluate the short-term outcome of the first 15 weeks of clinic was used. Output measures included no-show rates, number of patient visits, and primary SUD diagnosis. Short-term outcomes of residents' experiences were evaluated using a retrospective pre-post survey and the McNemar paired test to assess their confidence in performing addiction-related clinical tasks before vs after their rotation. OUTCOMES: Eighteen learners were sent a survey from December 2023 to March 2024, with 11 responding (61%). Short-term outcomes included resident-reported confidence as moderate, quite, or extremely confident in the listed tasks before vs after their clinic experiences: making an SUD diagnosis (4 [36%] vs. 10 [91%], P = .03), interpreting urine drug screen results (4 [36%] vs. 10 [91%], P = .03), starting buprenorphine for opioid use disorder (OUD) (1 [9%] vs. 8 [73%], P = .02), titrating buprenorphine for OUD (0 [0%] vs. 8 [73%], P = .01), starting medications for alcohol use disorder (4 [36%] vs. 7 [64%], P = .36), and harm reduction counseling (4 [36%] vs. 9 [82%], P = .06). In the first 15 weeks of this clinic, there were 73 patient visits. Primary SUD diagnoses were OUD (37 [51%]), alcohol use disorder (18 [25%]), other (7 [9%]), stimulant use disorder (6 [8%]), and nicotine (5 [7%]). NEXT STEPS: Next steps include further evaluation of the clinic rotation's impact on resident clinical behaviors, attitudes on SUD, and patient SUD outcomes.
PY - 2026
SN - 1040-2446
SP - 516
EP - 521+
ST - Development of an addiction medicine clinic integrated into an internal medicine ambulatory practice
T1 - Development of an addiction medicine clinic integrated into an internal medicine ambulatory practice
T2 - Acad Med
TI - Development of an addiction medicine clinic integrated into an internal medicine ambulatory practice
U1 - Education & Workforce; Opioids & Substance Use
U3 - 10.1093/acamed/wvaf097
VL - 101
VO - 1040-2446
Y1 - 2026
ER -