We talked to 787 people receiving methadone for opioid use disorder in Vancouver, Canada. Our new study followed them as they switched from methadone (1mg/mL) to Methadose (10mg/mL). We asked whether their drinking has changed after the switch – between 2013 and 2015. 16% said they drank too much at least once in the last six months. Those who drank too much were not more likely to do so after the shift to Methadose. The Substance Use& Misuse journal has published the study this week. Persons on methadone for opioid use disorder may report going through opioid withdrawal and increasing their illicit opioid use when switched to Methadose. We need to understand impacts of these changes on other forms of drug use. Careful and planned information about upcoming changes may help people cope with the potential risks better.
When is the best time to teach medical students about substance related disorders? In a new commentary published online in Annals of Internal Medicine, we bring Audrey’s story and call for better addiction medicine education for physicians.
For over 20 years, the first year medical students have had 20 hours of teaching on the theme Addiction Medicine and Inter-collegial Responsibility (AMIR) which has been both highly rated by medical students and has improved their OSCE test scores for motivational interviewing. In the first session of the course, Audrey and other volunteer guest speakers with lived experience tell their stories.
|CREDIT: Hal Mayforth|
In the third year post doctorate, I wrote a lot about these topics: How doctors sweat to discover traditions of the first nations; What to look for in mentoring? Finding the Evidence for Talking Therapies; My First Week in the Addiction Research Paradise; How to go about getting a postdoc position?; How mentoring can help transitions in academia; The best time for writing; Postdoctoral Fellowship Awards for Irish researchers; How to addess a Training Gap through Addiction Research Education for Medical Students; Mobility is part of research job description;ion; How attractive are you for postgraduate students? How to build research leaders and supervisors; ; The Annual Symposium of the Society for the Study of Addiction 2013; Re-entry shock; Saying bye slowly makes parting easier; .
This was difficult. At times, I honestly have not been honest. I’ll keep at it.
The pilot trial is finished. First, we wrote down our plan, a cook book for making this trial. Second, we developed and pilot tested a workshop which was later used as part of the experimental intervention. The controls received the intervention with a delay. Third, we measured the status at baselineto set up our starting point. Watch this space for more about the trial results.
My junior colleagues from the pilot trial helped me to learn how to be a better team player.
I had the honour to co-supervise a group of three gifted postdocs and several medical students. Two of them moved for work or study to UK. I’m grateful for the learning that workingwith them brought me.
At the time when I wrote that, I realised that I took on too much. In the past year, life and family brought new challenges and I needed to split my time between them. Integrating my scientist and artist careers was another chance to learn the balancing act.