Curriculum

Basic Addiction Medicine Curriculum
Dr. Marc Galanter

1. Exposure in the clinical context to:
a) patients with substance-related disorders in a community, out-patient setting
b) hospitalized medical and surgical patients with substance-induced disorders and
substance use disorders
c) psychiatric patients -- inpatient or outpatient -- with concurrent substance use disorders,
specifically - Substance Abuse and Substance Dependence, including alcohol, tobacco
and other drugs
d) families of above patients suffering from adjustment disorders

2. Laboratory assessments
a) biochemical indicators of chronic alcohol/drug use and their complications
b) questionnaire assessments, such as the MAST, AUDIT and CAGE-AID

3. Knowledge of the evaluation and treatment of abuse of each of these categories of agents:
a) depressants like alcohol, benzodiazepines, barbiturates
b) opioids
c) cocaine and stimulants
d) marijuana and hallucinogens
e) inhalants like organic solvents, glue

4. Pharmacology of the aforementioned psychoactive/mood-altering substances

5. Types of treatment
a) detoxification
b) medical complications of substance use disorders (including intravenous drug use and its
related transmission of infectious diseases like Hepatitis B, C and AIDS)
c) rehabilitation models based on 12-step programs and other psycho-social-spiritual,
behavioural approaches
d) counselling, individual psychotherapy and group psychotherapy

Specific Knowledge and Skills
The field of Addiction Medicine requires knowledge of pharmacology, psychiatry, general medicine,
and psychology, as well as an understanding of the interaction of these disciplines. In order to insure
that the trainee is well-versed in these areas, training programs must include both hands-on
experience in clinical situations as well as classroom and seminar sessions.

1. Recognition of the signs and symptoms of the use of all of the major categories of
drugs/psychoactive (mood-altering) substances, including sedatives (alcohol, benzodiazepines,
barbiturates), stimulants (cocaine, amphetamine, tobacco), opioids , hallucinogens
(marijuana, LSD, PCP) and inhalants (organic solvents, glue)

2. Recognition of the signs of abuse and dependence on these categories of drugs/substances.

3. Recognition of the signs of withdrawal from these major categories of drugs and knowledge
and experience with the range of options for treatment of the withdrawal syndrome
and its complications.

4. Recognition of the signs and symptoms of overdose and medical and psychiatric sequelae
of these major categories of drugs and knowledge of the proper treatment of overdose.

5. Recognition of the signs and symptoms of the social, psychological and spiritual problems
accompanying the chronic use, abuse and dependence related to the major categories of drugs.

6. Diagnosis of the medical sequelae of addiction, including hepatic, central nervous system,
infectious, and HIV illness.

7. Recognition and understanding of the special problems of drug/substance use,
abuse and dependence during pregnancy and of the babies born to these mothers.

8. Recognition, education and appropriate treatment related to process addiction like
gambling, sex and love, internet, work, shopping etc.

9. Recognition, education and appropriate treatment of adjustment disorders and/or
other concurrent illness in individuals and their family members.

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