The ACAAM Virtual Learning Series is a three-part series offering content to ACAAM members covering topics related to teaching, education, curriculum development, leadership and administrative development, as well as competencies (including cultural humility, healthcare equity, AR-DEI, and lifelong learning).
There is no cost to ACAAM members to attend. ACAAM members are invited to register in advance. All sessions are held from 3-4 pm ET.
Save-the-Dates
- September 28, 2023
- January 11, 2024
- April 18, 2024
Sessions
September 28 Providing Addiction Care for the Unstably Housed Patient: Teaching Belonging & Connection
People experiencing homelessness (PEH) have increased rates of polysubstance use and more than 12x the risk of overdose compared to the general population (Fine, 2022). Being homeless makes it difficult to meet basic biological needs, and emergency shelters often utilize congregate living arrangements that can be challenging for people seeking recovery. The Housing First approach has been effective at providing PEH with rapid housing that can stabilize medical conditions without increasing substance use (Baxter, 2019). However, housing is only one step towards improved health, and an addiction treatment gap persists along the continuum of unsheltered homelessness to stable housing. Addiction medicine fellowship curricula must prepare the addiction workforce for the complex care needs of people with lived experience of homelessness (PLEH) to combat the escalating rates of homelessness and associated overdoses. This session will frame curricular topics, such as trust-building practices and harm reduction approaches, that can be used to teach trainees how to engage PLEH in addiction treatment. Videos of PLEH will be used to demonstrate the barriers that patients face in getting addiction care, and case-based discussions will model how to create an addiction care plan for someone who is unstably housed. This session will ensure every addiction medicine provider is prepared to teach belonging & connection to trainees in caring for patients with lived experience of homelessness.
Session Objectives:
- Recognize the drivers of substance use among people experiencing homelessness or people housed in congregate settings.
- Formulate an addiction care plan for a patient experiencing homelessness or unstable housing.
- Teach trainees or staff strategies to engage people with lived experience of homelessness in addiction care that enhances belonging & connection.
January 11 Leveraging ACGME Requirements to Create a Community-Based Addiction Medicine Rotation to Educate and Mentor Internists in Harm Reduction
It is estimated that only 3,000 physicians are trained in addiction, compared to 21 million Americans who suffer from substance use disorders. Starting July 2022, the Accreditation Council for Graduate Medical Education (ACGME) required internal medicine (IM) programs to provide structured clinical experiences in addiction medicine. As addiction medicine specialists in neighboring urban institutions, we partnered to create a 2 week community-based rotation designed to expose internists-in-training to the principles of harm reduction and the importance of patient-centered care in substance use disorders. Residents were assigned a mixture of clinic-based activities including time in a methadone clinic and substance use treatment programs, mobile outreach to unhoused communities, harm reduction services, and group therapy. In keeping with traditional values in addiction medicine, all sites were multi-disciplinary and included recovery coaches, harm reduction specialists, pharmacists, care coordinators, social workers, and mental health workers with expertise in caring for those with substance use disorders, as well as leaders with lived experience. Presenters will discuss the importance of building relationships with community organizations, and teaching residents about the communities they serve. The rotation emphasizes a harm reduction philosophy and reducing stigma for patients with substance use disorders, a philosophy which is often at odds with mainstream medicine. Presenters will also discuss managing culture clashes, the difficulties of balancing learner needs and community partnerships, and promoting culture change through education.
Session Objectives:
- Develop an approach to creating a community-based curriculum in harm reduction and substance use treatment.
- Collectively strategize how to use ACGME requirements and other institutional objectives to foster culture-change and effective patient-centered care for those with substance use disorders.
- Analyze challenges in the creation of a community-based addiction medicine curriculum and brainstorm solutions as a group.
April 18 How to Start Your Own Inpatient Addiction Medicine Consult Service
During this session, the speakers will provide a tool kit on how to start your own inpatient addiction medicine consult service. They will discuss:
- consult questions they commonly answer and services they provide
- hours they provide consults and the urgency in which they see consults
- how they provide value to hospital system in terms of reducing 30-day readmissions and mortality rates
- how they incorporate residents, fellows, social workers, toxicologist and pharmacist to staff this service
- how they navigate the intersection of opioid use disorder and pain, and
- how this service supports DEI values
Session Objectives:
- Identify the need for an addiction medicine consult service at your institution.
- Articulate how this service adds value to the hospital system and improves patient care for this vulnerable patient population.
- Use the framework provided from this seminar to start your own addiction medicine consult service.
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