نوع مقاله : مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

2 عضو هیات علمی، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

3 عضو هیات علمی، گروه فارماکولوژی و فیزیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

4 عضو هیات علمی، گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

چکیده

پدیده اعتیاد معضلی جهانی است. پزشکان عمومی به عنوان خط اول ارائه خدمات سلامت بیشترین تماس را با افراد معتاد دارند. با این وجود نقایص موجود در برنامه درسی آموزشی نیاز یک پزشک عمومی در حیطه اعتیاد را برآورده نمی کند. لذا مطالعه حاضر با هدف تعیین دانش، توانمندی و نیازسنجی پزشکان و دانشجویان در حیطه اعتیاد صورت گرفت. مطالعه حاضر از نوع توصیفی بود که در سال 1398 در دانشگاه علوم پزشکی شهرکرد انجام گرفت. گروه هدف کارورزان پزشکی و پزشکان شاغل در مراکز ارائه خدمات سلامت بودند که پرسشنامه خودارزیابی دانش، توانمندی و نیازسنجی آموزشی در حیطه اعتیاد را تکمیل نمودند. نتایج نشان داد اکثر شرکت کنندگان در مطالعه، آگاهی و توانمندی خود در حیطه اعتیاد را در حد متوسط و ضعیف می دانستند. نیازسنجی آموزشی نشان داد اکثر پزشکان عمومی، ضرورت آموزش مباحث حیطه اعتیاد در دوره پزشکی عمومی  را در حد زیاد می دانند.  بیش از 40 درصد پزشکان مواجهه بالایی با بیمار مبتلا به سوء مصرف مواد داشتند و نحوه  برخورد با این بیماران مهمترین نیاز آموزشی از دیدگاه آنها بود.  بیشترین روش کسب اطلاعات در حیطه اعتیاد استفاده از تجارب اساتید بیان شد. با توجه به نقش غیر قابل انکار پزشکان عمومی در عرصه مدیریت اعتیاد و با توجه به نتایج نیازسنجی ، اصلاح برنامه درسی آموزشی پزشکی عمومی متناسب با نیاز ذینفعان ضرورت دارد.

کلیدواژه‌ها

عنوان مقاله [English]

Assessing the knowledge, ability and educational needs assessment of medical students and graduates with respect to addiction knowledge: A step towards enhancing the general medical education curriculum in Iran

نویسندگان [English]

  • Elham Zarean 1
  • Masoumeh Moezzi 2
  • Elham Saghaei 3
  • Saeed Mardani 4
  • Fariba Fathollahi-Dehkordi 2

1 Faculty member, Department of Psychiatry, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

2 Faculty member, Department of Community Medicine, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

3 Faculty member, Department of Physiology and Pharmacology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

4 Faculty member, Department of Internal Medicine, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord. Iran

چکیده [English]

Addiction is global problem, and general practitioners, as the first line of providing health services, have the most contact with addicted people. However, the needs of a general practitioner in relation to addiction are not met due to deficiencies in the educational curriculum. Therefore, the present study was conducted to determine the knowledge, ability and needs assessment of physicians and students with respect to addiction. This was a descriptive study conducted in Shahrekord University of Medical Sciences in 2019. The study population included medical interns and physicians working in health service centers who completed a self-assessment questionnaire of knowledge, ability and educational needs assessment with respect to addiction. The results showed that most of the participants in the study considered their knowledge and ability in the field of addiction to be moderate and poor. Educational needs assessment showed that most general practitioners admitted the strong urge to teach addiction topics in general medicine courses. More than 40 percent of the practitioners had a high exposure to patients with substance abuse, and the most important educational need from their point of view was how to deal with these patients. The most common way to obtain information in the field of addiction was to use the experiences of professors. Due to the undeniable role of general practitioners in addiction management and according to the results of needs assessment, it is necessary to modify the general medical education curriculum in accordance with the needs of the stakeholders.

کلیدواژه‌ها [English]

  • Needs assessment
  • Knowledge
  • Empowerment
  • Medical education curriculum
  • Addiction
Abedini S, Kamalzade H, Javadi.R 2018 A Survey on the of Medical Graduates' Achievements in theCapabilities Approved by the General Medical Education Council of Bandar Abbas University of Medical Sciences in 2014. Journal of Development Strategies in Medical Education. Vol.5. No. 2, Pp 33-47. [In Persian] 
Armaos R, Tsiboukli A 2019. Medical students’ training needs and attitudes on substance abuse: implications for medical education in Greece, Drugs: Education, Prevention and Policy. Vol.26. No.2, Pp. 508-516.
Ayu, A. P, Schellekens A. F. A, Iskandar S, et al 2015. Effectiveness and organization of addiction medicine training across the globe. European Addiction Research. Vol.21, Pp.223–239.
Basu D, Sarkar S, Mattoo SK 2013. Psychiatric Comorbidity in Patients With Substance Use Disorders Attending an Addiction Treatment Center in India Over 11 Years: Case for a Specialized “Dual Diagnosis Clinic”. Journal of Dual Diagnosis.Vol. 9,No.1,Pp.23-9.
Cape G, Hannah A, Sellman D 2006. A longitudinal evaluation of medical student knowledge, skills and attitudes to alcohol and drugs. Addiction (Abingdon, England). Vol.101, No.6, Pp.841-9.
Crome IB, Shaikh N 2004. Undergraduate medical school education in substance misuse in Britain iii: can medical students drive change? Drugs: Education, Prevention and Policy. Vol.11, No.6, Pp.483-503.
Crome IB 1999. The Trouble with Training: substance misuse education in British medical schools revisited. What are the issues? Drugs: Education, Prevention and Policy. Vol 6, No 1, Pp.111-23.
De Jong C, Luycks L, Delicat JW 2011. The master in addiction medicine program in the Netherlands. Subst Abus. Vol. 32, Pp. 108–114.
Eisenberg S 2001. Psychiatric comorbidity in the addictions treatment setting: Assessment, diagnosis, and treatment. Psychiatric Rehabilitation Skills. Vol. 5, No. 1, Pp.108-30.
Jarahi L, Sahafian Sh 2017. Priorities and Need Assessment Study in Mashhad Medical Students. Future of Medical Education Journal.Vol. 7, No. 2, Pp. 12-16.
Faghihy Maraghi A, Yamani N, Motaghi P, et al 2014. Needs Assessment of Continuing Medical Education for General Physicians: The Musculoskeletal Signs and Diseases. Iranian Journal of Medical Education. Vol. 14, No. 8, Pp. 668-677. [In Persian] 
Farahzadi H, Rahmanighasbeh M, Sarafigouhar E 2016. The effects of environmental psychology and psychotherapy on the design of an addiction treatment center. Second International Conference on Research in Science and Engineering.
Fleming MF, Manwell LB, Kraus M, et al 1999. Who teaches residents about the prevention and treatment of substance use disorders? A national survey. The Journal of family practice. Vol. 48, No. 9, Pp.725-9.
Frost-Pineda K, VanSusteren T, and Gold MS 2004. Are physicians and medical students prepared to educate patients about alcohol consumption? J Addict Dis. Vol. 23, Pp. 1–13.
Gilchrist G, Moskalewicz J, Slezakova S, et al 2011. Staff regard towards working with substance users: a European multi-centre study. Addiction (Abingdon, England). Vol. 106, No. 6, Pp. 114-25.
Kamerow DB, Pincus HA, Macdonald DL 1986. Alcohol Abuse, Other Drug Abuse, and Mental Disorders in Medical Practice: Prevalence, Costs, Recognition, and Treatment. JAMA.  Vol. 255, No. 15, Pp. 2054–2057.
Miller NS, Sheppard LM, Colenda CC, et al 2001.Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Academic medicine: journal of the Association of American Medical Colleges. Vol. 76, No. 5, Pp. 410-8.
Modiri F, Alavinia M, Labaf-Ghasemi R, et al 2012. Educational needs assessment of general practitioners working in the health and treatment departments of the Ministry of Health, Treatment and Medical Education from their point of view. Medicine and cultivation. Vol. 2, Pp. 40-44.
Pinxten WJ, De Jong C, Hidayat T, et al 2011. Developing a competence-based addiction medicine curriculum in Indonesia: the training needs assessment. Subst Abus. Vol. 32, Pp. 101–107.
Polydorou S, Gunderson EW, Levin FR  2008. Training physicians to treat substance use disorders. Curr Psychiatry Rep. Vol. 10, No. 5, Pp. 399-404.
Rajabalipour MR, Shafian H, Iranpour A 2019. A Study of Courses Related to Drug Abuse Prevention in Medical Sciences Curriculum in Iran. Studes in Development of Medical Education. Vol. 16, No. 1, Pp. 1-7.
Strobel L, Schneider NK, Krampe H, et al 2012. German medical students lack knowledge of how to treat smoking and problem drinking. Addiction. Vol. 107, Pp.1878-1882.