Enhancement of Medical Student Attitudes in the Treatment of Patients with Substance Use Disorders: a Follow-up Study

  • Joao P. De AquinoEmail author
  • David T. Moore
  • Kirsten Wilkins
  • Brian Fuehrlein
Feature: Letter to the Editor

To the Editor:

Substance use disorders (SUD), one of the costliest public health problems in the USA [1], are characterized by denial and rationalization, which may generate strong countertransference among clinicians. Attitudes towards patients with SUD may be also influenced by clinicians’ adverse personal experiences involving family or friends with addiction. Clinicians’ confidence and role legitimacy are associated with better standards of screening and treatment practices for patients with SUD [2]. Conversely, negative attitudes towards patients with SUD may impact the quality of care provided [3]. Hence, effective treatment approaches require a specific set of attitudes from clinicians. In disproportion to these clinical challenges, the training in addiction in some medical schools focuses largely on transmitting scientific knowledge, and comparably less attention is given to attitudes central to effective prevention and treatment [4]. Given that medical students train under...


Funding Information

JPD received support from the National Institute of Health Grant No. R25 MH071584.

Compliance with Ethical Standards

The Human Subjects Committee at Yale University School of Medicine, New Haven, CT, reviewed and provided exemption for this study. The survey used in this study was completed anonymously by the students, and the results were not viewed until the end of the study. Survey questions had no questions that could identify any particular individual based on his or her responses.

Ethical Considerations

In addition to the information contained in the manuscript, in “methods,” consent was obtained prior to the survey.


On behalf of all authors, the corresponding author reports no conflict of interest.


  1. 1.
    Cartwright WS. Economic costs of drug abuse: financial, cost of illness, and services. J Subst Abus Treat. 2008;34(2):224–33.CrossRefGoogle Scholar
  2. 2.
    Geller G, Levine M, Mamon JA. Knowledge, Attitudes, and reported. JAMA. 1989;261:3115–20.CrossRefGoogle Scholar
  3. 3.
    Kulesza M, Hunter SB, Shearer AL, Booth M. Relationship between provider stigma and predictors of staff turnover among addiction treatment providers. Alcohol Treat Q. 2017;35(1):63–70.CrossRefGoogle Scholar
  4. 4.
    Ayu AP, El-Guebaly N, Schellekens A, De Jong C, Welle-Strand G, Small W, et al. Core addiction medicine competencies for doctors: an international consultation on training. Subst Abus. 2017;38(4):483–7.CrossRefGoogle Scholar
  5. 5.
    Feeley RJ; Moore DT; Wilkins K; Fuehrlein B. A focused addiction curriculum and its impact on student knowledge, attitudes, and confidence in the treatment of patients with substance use. Academic Psychiatry. 2018;42(2):304–8.Google Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  • Joao P. De Aquino
    • 1
    Email author
  • David T. Moore
    • 1
  • Kirsten Wilkins
    • 1
  • Brian Fuehrlein
    • 1
  1. 1.Yale University School of MedicineNew HavenUSA

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