Table 1.
An example of the addiction medicine consultation service’s (AMCS) teaching curriculum at St Paul’s Hospital (Vancouver, Canada).
| Week 1 | ||||
|---|---|---|---|---|
| Monday | Tuesday | Wednesday | Thursday | Friday |
| 7:30–8:30: Orientation for new trainees only Conducted by fellow on service if ≥ 2 new trainees that week aIf < 2 trainees orientation is self‐directed for the new trainees and the group starts at 8:30 8:30–9:00: Extended handover Monday mornings, including all patients admitted over weekend and any complex discharge planning issues for the week. We ask that the staff from the weekend be present or call in to give handover 12:00–1:00: Social work teaching: community resources |
8:30–8:45: Handover 8:45–9:00: Fellow picks an interesting case to present 12:00–1:00: Journal club (see restructuring notes below) aAddiction grand rounds replaces journal club when it is happening |
7:30–8:30: Addiction Fellow teaching: DSM‐5 Diagnosis of Substance Use Disorders and Screening, Brief Intervention, and Referral to Treatment (SBIRT) 8:30–8:45: Handover 8:45–9:00: Fellow picks an interesting case to present 12:00–1:00: Trainees can attend other hospital rounds |
8:30–8:45: Handover 8:45–9:00: Fellow picks an interesting case to present 12:00–1:00: Nursing teaching: physician‐nurse collaboration for substance use assessments |
8:30–8:45: Handover 8:45–9:00: Fellow picks an interesting case to present 12:00–1:00: AMCS staff teaching |
| Week 2 | ||||
| Monday | Tuesday | Wednesday | Thursday | Friday |
| 7:30–8:30: Orientation for new trainees only 8:30–9:00: Extended handover 12:00–1:00: Social work teaching: complex behaviour management |
8:30–9:00: Handover and morning rounds 12:00–1:00: Journal club aGrand rounds replaces journal club when it is happening |
7:30–8:30: Addiction Medicine Fellow teaching: pain management in the setting of substance use disorders 8:30–9:00: Handover and morning rounds 12:00–1:00: Trainees can attend other hospital rounds |
8:30–9:00: Handover and morning rounds 12:00–1:00: Nursing teaching: harm reduction in acute care |
8:30–9:00: Handover and morning rounds 12:00–1:00: AMCS staff teaching |
| Week 3 | ||||
| Monday | Tuesday | Wednesday | Thursday | Friday |
| 7:30–8:30: Orientation for new trainees only 8:30–9:00: Extended handover 12:00–1:00: Social work teaching: trauma‐informed care |
8:30–9:00: Handover and morning rounds 12:00–1:00: Journal club (see restructuring notes below) aGrand rounds replaces journal club when it is happening |
7:30–8:30: Addiction Medicine Fellow Teaching: Management of alcohol and benzodiazepine withdrawal 8:30–9:00: Handover and morning rounds 12:00–1:00: Trainees can attend other hospital rounds |
8:30–9:00: Handover and morning rounds 12:00–1:00: Nursing teaching: take‐home naloxone |
8:30–9:00: Handover and morning rounds 12:00–1:00: AMCS staff teaching |
| Week 4 | ||||
| Monday | Tuesday | Wednesday | Thursday | Friday |
| 7:30–8:30: Orientation for new trainees only 8:30–9:00: Extended handover 12:00–1:00: Social work teaching: ecological approach to working with clients |
8:30–9:00: Handover and morning rounds 12:00–1:00: Journal club (see restructuring notes below) aGrand rounds replaces journal club when it is happening |
7:30–8:30: Addiction Medicine Fellow teaching: opioid agonist therapies for the clinical management of opioid use disorders 8:30–9:00: Handover and morning rounds 12:00–1:00: Trainees can attend other hospital rounds |
8:30–9:00: Handover and morning rounds 12:00–1:00: Nursing teaching: relational practice |
8:00–8:45: Morbidity and mortality rounds 8:45–9:00: Handover 12:00–1:00: AMCS staff teaching |