Substance Abuse Research Education and Training (SARET) Program and Curricula Evaluation AMERSA 2015 Kathleen Hanley, MD; Sewit Bereket, MPH; Frederick More, DDS; Madeline Naegle, PhD, CNS-PMH, BC, FAAN; Ellen Tuchman, PhD; Marc Gourevitch, MD, MPH

SARET: An Inter-professional Partnership Medicine, Nursing, Dentistry & Social Work Goal: activate students’ interest in future careers in substance abuse research Two components: – Web based modular curriculum – Summer and year long research mentorships Evaluation: – Module dissemination – Early career outcomes of participants

SARET Modules Exploring SA Research Personal Impact Epidemiology Neurobiology Screening Treatment Truncali, A., A. L. Kalet, C. Gillespie, F. More, M. Naegle, J. D. Lee, L. Huben, D. Kerr and M. N. Gourevitch. "Engaging Health Professional Students in Substance Abuse Research: Development and Early Evaluation of the Saret Program." J Addict Med 6, no. 3 (2012):

Disseminate SARET web-based curriculum to other health professional schools Phase 1 – Early Partner schools identified: Albert Einstein College of Medicine, Georgetown University School of Medicine, Indiana University School of Dentistry, University of Michigan School of Dentistry, University of Buffalo School of Social Work – pilot dissemination completed during academic year Dissemination

Early Partner Module Completions Institution ModulesCoursesCompletions Georgetown (M) Personal Impact, Neurobiology Central Nervous System II771 Einstein (M) All Addiction Medicine elective: Medical Students, Palliative Care Fellows, Family Medicine Residents 11 Indiana (D) Treatment, Neurobiology OSCEs involving Addictions585 Michigan (D) Personal Impact, Screening Providing Care for Patients with Alcohol Dependence/ Abuse Issues 272 Buffalo (SW) Personal Impact, Neurobiology Dual Disorders: Assessment and Intervention with Clients with Chemical Dependence and Mental Disorders 237 TOTALS 1876

AMERSA American Psychiatric Nurses Association (APNA) Coalition on Physician Education in Substance Use Disorders (COPE) Eastern Nursing Research Society (ENRS) Society of General Internal Medicine (SGIM) Association of American Medical Colleges (AAMC) National Association of Social Workers (NASW) American Dental Education Association (ADEA) Society for Social Work Research (SSWR) American Society of Addiction Medicine (ASAM)

CODCONSOMSSWEP*Other Exploring SAR Personal Impact Epidemiology Screening Neurobiology Treatment TOTALS SARET Module Completions * Early Partner Schools

– Neurobiology module developed as iBook 133 downloads to date (April 30 – Oct 22) iBook Version

Summer Mentored Research

Demographics: summer & year-long mentees ApplicantsParticipants Gender68% Female66% Female Ethnicity11% Hispanic/Latino/a8% Hispanic/Latino/a Race 26% Asian 7% Black/African-American 7% Multi-Racial 65% White 24% Asian 11% Black/African- American 11% Multi-Racial 55% White DentalMedicineNursingSocial Work Summer Year-long 2411

Long-Term Follow-Up Survey Distributed this fall via to summer and year-long fellowship cohorts (n = 65) 13-question survey quantitative and qualitative data Assessed: – past and current involvement in SAR and research generally – attitudes about inter-professional collaboration – attitudes about treatment and diagnosis of SUDs – impact of SARET on career

RESULTS Response Rate: 53/65 (82%) - 57% still in training, including all medicine participants

RESULTS SARET participation increased self-reported: – Interest in SA research (96%; 50/52) – Knowledge about SA (100%; 52/52) – Inter-professional appreciation (96%; 50/52) – Communication skills with professionals outside their field (90%; 47/52)

RESULTS: Qualitative Main impact of SARET on career: “Increased appreciation for substance abuse research and the need for further study as it pertains to population and public health.” “Increased awareness of substance use disorders in patients.” “inspired me to conduct substance abuse research” “Learning the process of writing a paper and getting it published.” “…offered me a setting outside the hospital (to) collaborate with various health-care professionals which has certainly enhanced my approach to inter-disciplinary care.”

RESULTS: Qualitative Main impact of SARET outside of career: “increased sensitivity and empathy for those with SRDs and greater understanding of associated interpersonal sequelae” “Respect for the experience of addiction, decreased stigma towards substance dependence and treatment, more able to empathize with those battling addiction.” “I believe I am a much more critical consumer of research…” “Increased my comfort level with seeking out multi-disciplinary projects.”

RESULTS: Career Outcomes 46% (24/52) report being somewhat or very involved in research 29% (15/51) report involvement in substance abuse related research

RESULTS: Scholarly Activities Publications/Presentations: - 40 articles - 3 book chapters - 6 manuscripts submitted/under review - 48 oral/ poster presentations Research Funding: - 6 participants have received funding

Cohort of students who chose this experience Self-reported survey data Limitations

Curricular integration of modules feasible - National utilization increasing Mentored research experience perceived as influential - Dissemination of mentorship model less straightforward Conclusions

All 6 modules and the iBook now freely available for use Exploring strategies for disseminating mentorship paradigm Next steps

Thank you Funded by NIDA Grant R25 DA022461