OFFICE OF NATIONAL DRUG CONTROL POLICY Leadership Conference on Medical Education in Substance Abuse “Let us bring to all Americans who struggle with…addiction this message of hope: The miracle of recovery is possible, and it could be you.” President George W. Bush, State of the Union Address, January 20, 2003 Washington, DC December 1-2, 2004 CONFERENCE AGENDA OFFICE OF NATIONAL DRUG CONTROL POLICY LEADERSHIP CONFERENCE ON MEDICAL EDUCATION IN SUBSTANCE ABUSE Washington, DC, December 1-2, 2004 WEDNESDAY, DECEMBER 1, 2004 THURSDAY, DECEMBER 2, 2004 continued 6:00 - 9:00 PM 9:20 - 9:40 am Health Professions Education: 5:00 pm Registration opens (Hotel Mezzanine) The View from NIAAA Ting-Kai Li, M.D. 6:00 pm Dinner Meeting (Consulate Room, Director, National Institute on Mezzanine Level) Alcohol Abuse and Alcoholism 6:00 - 6:10 pm Welcome and Acknowledgments 9:40 - 10:00 am Questions and Discussion Addison D. “Tad” Davis IV (Dr. Volkow & Dr. Li) Acting Deputy Director for Demand Reduction Office of National Drug 10:00 - 10:10 am Overview of the Day and Introduction Control Policy of the Small Group Chairs Mr. Davis & Mrs. Wilford 6:10 - 7:00 pm Dinner (generously sponsored by The Robert Wood Johnson Foundation) 10:15 - 10:30 am Break 7:00 - 7:10 pm Introduction of the Panelists (Mr. Davis) 10:30 - 12:00 pm Small Groups Meet — Session 1 Group 1 (Undergraduate Medical Education) 7:10 - 8:00 pm Panel Discussion Dr. Bertha K. Madras, Group 2 (Graduate Medical Education) Dr. Sheldon Miller, Dr. Mark L. Kraus Group 3 (Continuing Medical Education) 8:00 - 8:30 pm Questions and Discussion 12:00 - 12:50 pm Working Lunch 8:30 - 9:00 pm Overview of Thursday’s Activities and 12:50 - 1:10 pm Health Professions Education: Adjourn for the Evening The View from NHTSA Mr. Davis & Jeffrey Runge, M.D. Bonnie B. Wilford, Administrator, National Highway Conference Facilitator Traffic Safety Administration 1:10 - 1:15 pm Overview of the Afternoon THURSDAY, DECEMBER 2, 2004 Mr. Davis & Mrs. Wilford 8:00 AM - 5:00 PM 1:15 - 1:30 pm Break 8:00 - 8:30 am Registration and Continental Breakfast 1:30 - 3:00 pm Small Groups Meet — Session 2 8:30 - 9:00 am Introduction of Director Walters 3:00 - 3:15 pm Break Mr. Davis 3:15 - 3:35 pm Health Professions Education: Address and Charge to the Conferees The View from the Surgeon General John P. Walters Vice Admiral Richard H. Carmona, Director, Office of National Drug M.D., M.P.H. Control Policy Surgeon General of the United States 9:00 - 9:20 am Health Professions Education: The View 3:35 - 4:30 pm Small Group Discussion Summaries from NIDA Nora D. Volkow, M.D. 4:30 - 5:00 pm Planning for the Future Director, National Institute Mr. Davis & Mrs. Wilford on Drug Abuse 5:00 pm Conference Adjourns LEADERSHIP CONFERENCE ON MEDICAL EDUCATION IN SUBSTANCE ABUSE PREFACE AND ACKNOWLEDGEMENTS Conference Chair Addison D. Davis IV, Assistant Deputy Director for Demand Reduction, Office of National Drug Control Policy, welcomed the conferees: ADDISON D. “TAD” DAVIS IV, tremendous supporter of this effort. I’d also like to recognize CONFERENCE CHAIR Dr. Westley Clark, who directs the Center for Substance Abuse Treatment, and Beverly Watts Davis, who is Director of the n behalf of ONDCP’s Director, Center for Substance Abuse Prevention. And then finally, my Mr. John Walters, it is my predecessor — but more importantly, my mentor and friend, Odistinct privilege and honor to Dr. Andrea Barthwell, who has been a driving force in the welcome each and every one of you. effort that we are about to undertake. I want to thank her for We meet as leaders of private sector organizations and Federal being here, but more importantly, for her energy and cour- agencies to discuss ways to enhance the training of physicians age and dedication to the field, which has really set an example in the prevention, diagnosis, and management of drug and for all of us. alcohol problems and related medical disorders. Indeed, the con- Some time ago, Dr. Barthwell was approached by Dr. Mark ference represents a new level of engagement between govern- Kraus, Dr. Bud Isaacson, Dr. Jonathan Ritvo, and Dr. Petros ment and the medical community on this important issue. Levounis with the idea for this conference. I want to express A key component of expanding the Nation’s treatment my gratitude to them, and to the other members of the Expert capacity lies in engaging health professionals — particularly Panel as well. physicians — in the identification, counseling, referral, and I want to express our appreciation to The Robert Wood Johnson ongoing medical management of persons with substance use Foundation, which has been involved in this field for many, many disorders. From screening for addiction, to emerging modali- years, for their generous grant in support of the conference. ties of treatment, to the prevention of prescription drug Finally, I want to thank you, the conferees. I know that all of diversion and abuse, the need for more comprehensive you have enormously crowded schedules, so thank you for medical education on substance use disorders is clear. being here. Thank you for what you have done, and for what We look to you — the leaders of organized medicine, medical you will do. I look forward to the results of this meeting and education, and licensure and accreditation — to counsel and to our ongoing relationship. If we do our job, we will help advise us on the most effective ways to reach out to physicians extend your efforts to save many more lives. and training institutions. Because the need is so compelling, Now I’m going to ask Bonnie Wilford, our conference facili- and the work already accomplished so important, I am tator, to explain what we’ll be doing over the next two days. confident that this conference will help us achieve a major Any organization needs someone to keep everyone on track, step forward toward our goal. and that’s her task. I think she’s done an excellent job in getting I want to conclude by thanking many of you who helped to us here this evening and preparing this fine program for us. bring this meeting together. On behalf of all my colleagues, I Bonnie served for 10 years with the American Medical Asso- want to thank all of our Federal agency partners: you have ciation as Director of the Department of Substance Abuse always helped us whenever we asked. Particular thanks go to and was the first woman to direct the AMA’s Division of Clini- Mr. Charles Curie, Administrator of the Substance Abuse and cal Science. We’re delighted to have her to guide us through Mental Health Services Administration, who has been a the conference activities. WASHINGTON, DC • DECEMBER 1-2, 2004 1 PREFACE AND ACKNOWLEDGEMENTS BONNIE B. WILFORD convergence of leadership. So I’m optimistic about our ONFERENCE ACILITATOR C F chances to effect real change. s I stand here, I’ll admit that I am forced to adopt a Now to the specifics. First, you may be wondering exactly new paradigm. In the past, I’ve used what I call the why you’ve been invited to be here. There were two categories A“file cabinet test” to measure how far the addiction of invitations: Some of you are here because you are change field has come. When I joined the AMA in 1981, my first agents in the organizations you represent. You’re the folks assignment was to prepare a little handbook on substance designated by your organizations to help us understand what abuse for primary care physicians. The sum total of the the world looks like from the perspective of internal medicine, research that we gathered for that book filled barely two draw- or the licensing boards, or the accreditation agencies. Others ers of a file cabinet. of you are experts on medical education or substance abuse. You are here because you have deep experience in creating More recently, I have been privileged to collaborate on a text- the kinds of educational ventures we want to encourage. book of addiction medicine that’s published by the American Society of Addiction Medicine. The textbook itself is 1,600 We’ve tried to organize your time at the conference so as to pages, and it could have been longer. The editors of the next maximize the opportunities for you to talk to each other and edition, two of whom are with us at this conference, will to our Federal partners, who are here not because they have struggle to keep the fourth edition to less than 2,000 pages. to be, but because they share our enthusiasm and commit- The volume of knowledge in the addiction field is exploding, ment to change. Your discussions in the working groups which is why it’s so exciting. The documents that chronicle tomorrow are at the heart of your mission here. There are our understanding of the causes and manifestations and groups for undergraduate, graduate, and continuing educa- management of substance use disorders now fill entire librar- tion, as well as a group for the representatives of the Federal ies. So the results of the file cabinet test are among the most agencies. In the morning, you will talk and listen to each other, encouraging indicators I’ve seen. and you will explore how the world looks from your multiple vantage points. In the afternoon, you will be asked to devise But now I have a new paradigm, which I’ll call the “genera- specific strategies to move us forward from this meeting.