{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:00:55Z","timestamp":1784041255608,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,17]],"date-time":"2024-03-17T00:00:00Z","timestamp":1710633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp;amp; Addiction Journal"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Shared medical appointments (SMAs) are a novel modality for treating patients with similar conditions, together, by a team of interdisciplinary providers. SMAs benefit patients with substance use disorder (SUD), but no research has focused on the feasibility of implementation of SMAs in a teaching clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Primary care residents rotated in a half-day ambulatory addiction clinic for 4\u2009weeks where a third-year resident co-facilitated 4 SMAs. Confidence, knowledge, and attitudes about SUD care were assessed using web-based surveys at weeks 0, 4, and 8. Pre- and post-intervention scores were compared using a t test for paired samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ten residents were included in the analyses. Using a 10-point Likert scale, confidence in SUD knowledge (7.0-8.3, P\u2009=\u2009.003), confidence in counseling patients with SUD (7.1-8.2, P\u2009=\u2009.023), and confidence in facilitating an SMA (5.7-8.3, P\u2009=\u2009.007) showed statistically significant increases from baseline following exposure to the SMAs. Confidence that counseling and other treatments will make a difference for patients with illicit drug use increased (7.1-8.0, P\u2009=\u2009.142), but did not differ statistically. Furthermore, on a 4-point Likert scale, understanding of behavioral therapies for treating and preventing the relapse of SUD (2.9-3.2, P\u2009=\u2009.180) showed a similar increase. Attitudes toward patients with SUD (42.4-42.1, P\u2009=\u2009.303) and physician empathy (119.3-119.2, P\u2009=\u2009.963) did not change from pre- to post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>SMAs are a feasible training tool in the education of primary care residents on an addiction medicine rotation. Residents develop confidence co-facilitating SMAs after 4\u2009weeks. Overall, exposure to SMAs during residency can provide an opportunity to increase confidence in treating patients with SUD, as well as provide a training modality that may shift the way residents interact with patients receiving SUD treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342241233363","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T01:51:56Z","timestamp":1710726716000},"page":"466-472","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Shared Medical Appointment: A Novel Model for Incorporating Group Visits Into Residency Training for Substance Use Disorders"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4177-1859","authenticated-orcid":false,"given":"Dana A.","family":"Cavallo","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasleen K.","family":"Salwan","sequence":"additional","affiliation":[{"name":"Internal Medicine and Addiction Medicine, Montgomery Family Medicine Associates, Silver Spring, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Doernberg","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette M.","family":"Tetrault","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R.","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,17]]},"reference":[{"key":"bibr1-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897070209511516"},{"key":"bibr2-29767342241233363","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-1-201101040-00008"},{"key":"bibr3-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181b8e82e"},{"key":"bibr4-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2014.998400"},{"key":"bibr5-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2017.1356792"},{"key":"bibr6-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000071"},{"key":"bibr7-29767342241233363","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2015.05.150017"},{"key":"bibr8-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4034"},{"key":"bibr9-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2015.1129021"},{"key":"bibr10-29767342241233363","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.71.5.369"},{"key":"bibr11-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2064-z"},{"key":"bibr12-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.06.005"},{"key":"bibr13-29767342241233363","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.18m02382"},{"key":"bibr14-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201700076"},{"key":"bibr15-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1007\/s40429-019-00271-1"},{"key":"bibr16-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-008-0064-8"},{"key":"bibr17-29767342241233363","doi-asserted-by":"publisher","DOI":"10.7556\/jaoa.2016.131"},{"key":"bibr18-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12406"},{"key":"bibr19-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181b17b3f"},{"key":"bibr20-29767342241233363","volume-title":"Motivational Interviewing in Health Care: Helping Patients Change Behavior","author":"Rollnick S","year":"2008"},{"key":"bibr21-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2017.1296055"},{"issue":"8","key":"bibr22-29767342241233363","first-page":"635","volume":"49","author":"Zubatsky M","year":"2017","journal-title":"Fam Med"},{"issue":"3","key":"bibr23-29767342241233363","first-page":"31","volume":"106","author":"Brown AT","year":"2013","journal-title":"Tenn Med"},{"key":"bibr24-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2013.797540"},{"key":"bibr25-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000000506"},{"key":"bibr26-29767342241233363","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1985.46.48"},{"key":"bibr27-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1080\/105504901750160466"},{"key":"bibr28-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.9.1563"},{"key":"bibr29-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4779-z"},{"key":"bibr30-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.07.026"},{"key":"bibr31-29767342241233363","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-021-02674-z"}],"container-title":["Substance Use &amp;amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241233363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342241233363","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342241233363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:49:26Z","timestamp":1777600166000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342241233363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,17]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/29767342241233363"],"URL":"https:\/\/doi.org\/10.1177\/29767342241233363","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,17]]}}}