AASP News

Medical Studentsí Comfort With Pregnant Women With Substance-Use Disorders: A Randomized Educational Study

November 1, 2012

Brittany Albright, M.D., M.P.H.; Betty Skipper, Ph.D.; Shawne Riley, B.A.; Peggy Wilhelm, R.N.; William F. Rayburn, M.D., M.B.A.
Academic Psychiatry 2012;36:457-460.10.1176/appi.ap.11070134

Abstract

Objective: The study objective was to determine whether medical students' attendance at a rehabilitation residence for pregnant women with substance-use disorders yielded changes in their attitudes and comfort levels in providing care to this population.

Methods: This randomized educational trial involved 96 consecutive medical students during their obstetrics and gynecology clerkship. In addition to attending a half-day prenatal clinic designed for women with substance-use disorders, every student was randomly assigned either to attend (Study group) or not to attend (Control group) a rehabilitation residence for pregnant women with substance-use disorders. The primary objective was to measure differences in responses to a confidential 12-question survey addressing comfort levels and attitudes, at the beginning and end of the clerkship.

Results: Survey responses revealed improvements in students' comfort levels and attitudes toward pregnant women with substance-use disorders by attending the clinic alone or the clinic and residence. Those who attended the residence reported becoming more comfortable in talking with patients about adverse effects from substance abuse, more understanding of "street" terms, and stronger belief that patients will disclose their substance use to providers. Residents expressed more openly their hardships and barriers while trying to set therapeutic goals.

Conclusions: Medical students became more comfortable and insightful about pregnant women with substance-use disorders after attending a rehabilitation residence in addition to a prenatal clinic dedicated to this population.

(see article on Academic Psychiatry)

WASP 2016

World Association for Social Psychiatry

XXII World Congress - New Delhi, India

APA Annual Meeting - Atlanta, May 14-18

APA annual meeting 2016

AASP-sponsored Presentations
[all held at Georgia World Congress Center]

Saturday, May 14th
3:30-5:00 – Workshop - Bldg B, Room B310
Diversity Experiences in Residency Training
Chair: Beverly Fauman, MD
Aida Mihajlovic, MD,
Jacob Sperber, MD

Sunday, May 15th
10:00-11:30 – Forum – Bldg B, Room B206
Abraham L. Halpern Humanitarian Award Forum
Abortion: What’s Happening and Why It
Matters to Women, Society, and Psychiatry
Chair: Kenneth Thompson, MD
Nada Stotland, MD (Awardee)
Helen Hermann, MD
Maria Oquendo, MD

Tuesday, May 17th
9:00-12:00 – Symposium – Bldg A, A402-403
Social Trauma (joint AASP-WASP presentation)
Chairs: Sheila Judge, MD
& Roy Kallivayalil, MD
Thomas Jamison-Craig, MBBS, PhD
Driss Moussaoui, MD
Vivian Pender, MD
Andres Pumariega, MD
Kenneth Thompson, MD

2:00-5:00 – Symposium – Bldg A, A410
Undocumented and Refugee Children
Arriving at U.S. Borders: Mental Health
Issues and Treatment Interventions
Chair: Eugenio Rothe, MD
William Arroyo, MD,
Juan Carlos Gomez, Esq
Andres Pumariega, MD
Pedro Ruiz, MD

Presentations of Interest by AASP Members
Saturday, May 14th
1:30-3:00 – Workshop
Mental Health and the Case
For Single Payer Post-ACA
Chairs: Leslie Gise, MD
and Steven Sharfstein, MD

Sunday, May 15th
8:00-11:00 – Symposium – Bldg B, Rm B401
Forgiveness, Trauma, and Psychiatry:
The Clinical Relevance from Diverse Faith
Perspectives in the Wake of the Charleston
Church Tragedy
Kevin Brown,
Deborah Deas, MD, MPH
R. Rao Gogineni, MD
H. Steven Moffic, MD
Driss Moussaoui, MD
John Peteet, MD
Shridhar Sharma, MD

Monday, May 16th
11:00-12:30 – Workshop – Bldg B, Rm B315
Achieving Health Equity: Psychiatry, Public
Policy & the Elimination of Childhood Poverty
Chairs: Kenneth Thompson, MD
and Steven Adelsheim, MD

11:00-12:30 – Workshop
International Medical Graduates: Reflections
On Cross-Cultural Training and Learning
Chairs: Tanuja Gandhi, MD
and Rama Rao Gogineni, MD

1:30-3:00 – Forum
The Financing of Psychiatric Care:
Past, Present, and Future
Chair: Steven Sharfstein, MD