Career Development Member Resources-Leveraging ACGME

Video Transcription

Video Summary

The presentation described how UIC and Cook County built addiction medicine rotations for internal medicine residents to meet new ACGME requirements and improve care for patients with substance use disorders. The speakers emphasized that addiction training is urgently needed because there are far too few addiction-trained physicians relative to the number of people affected by substance use disorder.  <br /><br />They outlined both ambulatory and hybrid rotation models, including low-barrier bridge clinics, methadone treatment sites, residential recovery programs, virtual mutual support meetings, recovery coach encounters, and street medicine/harm reduction work through a mobile van. Residents also complete readings, podcasts, self-reflection, and workshops on stigma and harm reduction.  <br /><br />A major theme was balancing hands-on clinical learning with trauma-informed, patient-centered care. The presenters discussed challenges such as logistics, paperwork, safety concerns in community settings, limited community resources, and the need to avoid burdening outreach teams or patients. They also highlighted the importance of strong community partnerships and proper resident preparation.  <br /><br />Early evaluation data suggest the rotation increases residents’ knowledge, confidence, and empathy, reduces stigma, improves understanding of treatment options, and inspires some trainees to pursue addiction medicine fellowship.

Keywords

addiction medicine

internal medicine residents

substance use disorder

ACGME requirements

harm reduction

trauma-informed care

bridge clinics

methadone treatment

resident training