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A 4-Year Curriculum on Substance Use Disorders for Psychiatry Residents

Received June 11, 2007; revised October 15 and November 19, 2007; accepted December 12, 2007. Dr. Iannucci is affiliated with the Department of Psychiatry at Berkshire Medical Center in Pittsfield, Mass.; Dr. Sanders is affiliated with the Department of Psychiatry at Massachusetts General Hospital and McLean Hospital in Belmont, Mass.; Dr. Greenfield is affiliated with the Alcohol and Drug Abuse Treatment Program at McLean Hospital in Belmont; Drs. Sanders and Greenfield are also affiliated with the Department of Psychiatry at Harvard Medical School in Boston. Address correspondence to Shelly F. Greenfield, M.D, M.P.H., McLean Hospital/Harvard, 115 Mill St., Belmont, MA 02478; sgreenfield{at}mclean.harvard.edu (e-mail).

OBJECTIVE: The authors describe an addiction psychiatry curriculum integrated in a general psychiatry training program to demonstrate comprehensive and practical approaches to educating general psychiatric residents on the recognition and treatment of substance use disorders. METHODS: The Massachusetts General Hospital/McLean Hospital adult psychiatric residency training program provides training in addiction psychiatry in multiple treatment settings during the 4 years of residency. Addiction specialists, nonspecialty psychiatrists, and residents and fellows provide training. RESULTS: Adult psychiatric residencies can provide comprehensive addiction psychiatry training that spans multiple treatment settings and postgraduate years by training general staff psychiatrists, senior residents, and fellows to assist core addiction faculty in providing addiction psychiatry education. CONCLUSION: Substance use disorders are common among patients presenting to general psychiatry treatment settings, and thus it is important that all psychiatric residents be well trained in the screening, diagnosis, and treatment of outpatients with these problems.

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