{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:10:31Z","timestamp":1777875031012,"version":"3.51.4"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"},{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Problem<\/jats:title>\n                    <jats:p>Substance use disorders (SUDs) are widespread, yet few individuals receive treatment. Internal medicine (IM) residents need clinical training on how to provide SUD treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>In 2023, the authors used a structured approach to develop an addiction clinic integrated into the University of Cincinnati IM resident primary care practice to provide SUD treatment. A formative logic model with output measures to evaluate the short-term outcome of the first 15 weeks of clinic was used. Output measures included no-show rates, number of patient visits, and primary SUD diagnosis. Short-term outcomes of residents\u2019 experiences were evaluated using a retrospective pre-post survey and the McNemar paired test to assess their confidence in performing addiction-related clinical tasks before vs after their rotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Eighteen learners were sent a survey from December 2023 to March 2024, with 11 responding (61%). Short-term outcomes included resident-reported confidence as moderate, quite, or extremely confident in the listed tasks before vs after their clinic experiences: making an SUD diagnosis (4 [36%] vs. 10 [91%], P = .03), interpreting urine drug screen results (4 [36%] vs. 10 [91%], P = .03), starting buprenorphine for opioid use disorder (OUD) (1 [9%] vs. 8 [73%], P = .02), titrating buprenorphine for OUD (0 [0%] vs. 8 [73%], P = .01), starting medications for alcohol use disorder (4 [36%] vs. 7 [64%], P = .36), and harm reduction counseling (4 [36%] vs. 9 [82%], P = .06). In the first 15 weeks of this clinic, there were 73 patient visits. Primary SUD diagnoses were OUD (37 [51%]), alcohol use disorder (18 [25%]), other (7 [9%]), stimulant use disorder (6 [8%]), and nicotine (5 [7%]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Next Steps<\/jats:title>\n                    <jats:p>Next steps include further evaluation of the clinic rotation\u2019s impact on resident clinical behaviors, attitudes on SUD, and patient SUD outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/acamed\/wvaf097","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T02:22:05Z","timestamp":1770862925000},"page":"516-521","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Development of an addiction medicine clinic integrated into an internal medicine ambulatory practice"],"prefix":"10.1093","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4209-1311","authenticated-orcid":false,"given":"Michael C","family":"Binder","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Cincinnati College of Medicine , Cincinnati, OH,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6986-2042","authenticated-orcid":false,"given":"Marisa B","family":"Brizzi","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, University of Cincinnati Medical Center , Cincinnati, OH,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8327-8002","authenticated-orcid":false,"given":"Sally A","family":"Santen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Cincinnati College of Medicine , Cincinnati, OH,","place":["United 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