L’AFMC et la Palix Foundation ont formé un partenariat pour financer et appuyer l’élaboration d’une série d’outils de cyberapprentissage sur les premières étapes du développement cérébral et biologique et les dépendances aux fins de l’éducation médicale prédoctorale. Cette série de ressources inclut des patients virtuels, des notions de base (cybermanuel) et une série de balados. Parmi les sujets couverts, on peut mentionner les concepts fondamentaux du développement dans la petite enfance.
En 2010, l’Association des facultés de médecine du Canada, forte d’un financement de la Palix Foundation, a procédé à une analyse contextuelle des ressources pédagogiques relatives au matériel prédoctoral.
Veuillez noter que ces ressources sont disponibles en anglais seulement.
Les Notions de l’AFMC sur l’approche biopsychosociale aux dépendances mettent l’accent sur les concepts de base de l’aspect scientifique fondamental et social des dépendances, notamment les concepts-clés, le volet scientifique et la recherche. Elles traitent également de la médecine spécialisée sur les dépendances, y compris la pratique réflexive, les principes de base de la gestion clinique et les éléments des soins et des traitements de qualité.
Destiné aux étudiants en médecine et à leurs enseignants, ce cybermanuel sera également utile aux résidents en médecine, aux étudiants des autres professions de la santé et aux professionnels de la santé intéressés à parfaire leurs connaissances sur les dépendances. Les concepts discutés dans le cybermanuel sont liés aux objectifs de l’examen d’aptitude du Conseil médical du Canada.
Vous pouvez lire le cybermanuel à partir du début, ou passer au chapitre qui vous intéresse. En plus de présenter des concepts de base sur les dépendances, chaque chapitre renferme du texte supplémentaire comprenant les définitions de termes qui peuvent être nouveaux pour les lecteurs. Des encadrés réservés aux bollés ou aux passionnés, renferment du matériel qui intéressera les lecteurs dotés d’un esprit curieux ainsi que des liens vers des ressources documentaires supplémentaires. Plusieurs chapitres comprennent des études de cas ou des liens vers des patients interactifs. Nous avons inclus un glossaire de définitions pour référence rapide.
Révision:
Dre Nancy Brager – Département de psychiatrie et Département de médecine interne, Université de Calgary
Dr Peter Butt – Département de médecine familiale, Université de la Saskatchewan Nicole Sherren, Palix Foundation, directrice scientifique et agente de programme
Instance de parrainage:
Palix Foundation
[Disponible en anglais seulement]:
Miriam
Interact with Miriam and her family as a series of five individual cases. If you complete all, you will get a better understanding of addiction beyond being a disorder that affects individuals to one that impacts families and vice versa.
Start a case: Miriam Age 15 | Ethel | Dudley | Miriam Age 42 | Ashley
Marilyn
Assess your clinical reasoning skills and expand your understanding of process and substance addictions. You will meet Jake, a 15-year-old boy, in a state of psychosis who was brought in to the Emergency Department by his parents; Marilyn, a 74-year-old woman who presents to her family doctor’s office after a fall at home; and a 32 year old male who comes to his family doctor with marital problems.
Start a case: Female, 74 | Female, 45 | Female, 35 | Male, 9 | Male, 15 | Male, 32 | Male, 48 | Male, 60
You can access these cases all together ici.
Acknowledgements
Produced by:
Marcus Law, MD MBA MEd CCFP Faculty of Medicine, University of Toronto
Peter Selby, MBBS CCFP FCFP DipABAM Chief of Addiction,
CAMH Reviewed by:
UofT/CAMH Virtual Patient Advisory Committee*
Developed by:
Association des facultés de médecine du Canada
Sponsored by: Palix Foundation
Advisory Committee
Dr. William Greene
Assistant Professor, Division of Addiction Medicine, Department of Psychiatry, University of Florida
Dr. Francine Lemire
Executive Director and CEO, College of Family Physicians of Canada
Steve Pennell
Manager, Health Education Technology and Learning, Health Sciences Information & Media Service (HSIMS), Faculty of Medicine, Memorial University of Newfoundland
Dr. Jorge Perez-Parada
Assistant Professor; Undergraduate Medical Education Director (Clinical), University of Alberta
Nicole Sherren
Scientific Director & Program Officer, Norlien Foundation
Lindy VanRiper
Psychiatry Resident, University of Alberta
Irving Gold
Vice President, Government Relations and External Affairs, Association of Faculties of Medicine of Canada
Catherine Peirce
Project Manager, e-Learning, Association of Faculties of Medicine of Canada
Medical Careers
A game for workaholic medical students. Students must successfully balance money, reputation and health, according to the winning strategy that each player defines at the outset of the game. Have fun and explore some of the concepts from Early Brain & Biological Development around process addictions and maladaptive behaviours.
Start the case: Medical Careers
Street Drug Guide
Reference the Street Drug Guide for information that is not easily available from traditional medical sites. The reference tool includes a set of short cases on how to engage with patients on their use of street drugs. There is also a personal web notebook to complement the guide.
Start the case: Street Drug Guide
Harriet
The Harriet case offers students an opportunity to learn about issues of addiction and mental health within an emergency room setting. This case is broken into three main sections – sad, bad and mad Harriet. The learner is encouraged to investigate, explore, ask questions, and make decisions based on realistic clinical encounters with the patient, members of the patient’s family, and caregiver team.
Start the case: Harriet
Polly
The patient is a 45 year old female nurse, Polly, who is on longterm disability following a back injury at work. Her previous GP has retired and she has come to the office seeking a new primary care physician. There are limited records from the previous GPs office. Her chief medical concern is her chronic low back pain.
Start the case: Polly
Acknowledgements
Produced by:
David Topps, MD CCFP FCFP
TIDE, University of Calgary
Developed by:
Association des facultés de médecine du Canada
Sponsored by:
Palix Foundation
Reviewed by:
TIDE Virtual Patient Advisory Committee**
*UofT/CAMH Virtual Patient Advisory Committee
Dr. William Greene, Assistant Professor, Division of Addiction Medicine, Department of Psychiatry, University of Florida Dr. Marcus Law, Educational Technology, University of Toronto Dr. Francine Lemire, Associate Executive Director and Director of Professional Affairs, College of Family Physicians of Canada Steve Pennell, Manager, Health Education Technology and Learning, Health Sciences Information & Media Service (HSIMS), Faculty of Medicine, Memorial University of Newfoundland Dr. Jorge Perez-Parada, Assistant Professor; Undergraduate Medical Education Director (Clinical), University of Alberta Lindy VanRiper, Psychiatry Resident, University of Alberta Dr. Peter Selby, Clinical Director, Addictions Program, CAMH Nicole Sherren, Scientific Director & Program Officer, Palix Foundation Irving Gold, Vice President, Government Relations and External Affairs, Association of Faculties of Medicine of Canada Matthew Raegale, Project Manager, e-Learning, Association of Faculties of Medicine of Canada
**TIDE Virtual Patient Advisory Committee:
Dr. Dave Campbell, MD Graduate, University of Calgary Dr. Jean Clinton, Associate Clinical Professor, Department of Psychiatry and Behavioural Neurosciences, Associate, Department of Family Medicine, McMaster University John Costa, Information Technology Unit, University of Saskatchewan Dr. Aravind Ganesh, MD Graduate, University of Calgary Dr. David Topps, Faculty, University of Calgary Dr. Bryan Kolb, Faculty, Canadian Centre for Behavioural Neuroscience, University of Lethbridge Nicole Sherren, Scientific Director & Program Officer, Palix Foundation Irving Gold, Vice President, Government Relations and External Affairs, Association of Faculties of Medicine of Canada Catherine Peirce, Project Manager, e-Learning, Association of Faculties of Medicine of Canada
The Association of Faculties of Medicine of Canada (AFMC) developed the virtual patient cases as part of the Addiction e-Learning for Undergraduate Medical Education (UME). The virtual patients include a set of self-directed, interactive cases designed to highlight intergenerational issues related to addiction. There is a point-of-care reference tool with streetwise phrases and virtual patient cases for group based study with teaching guides. These virtual patient cases were developed by e-learning, clinician educators and addictions experts from across Canada and the United States with sponsorship from the Palix Foundation.
L’AFMC, de concert avec des éducateurs médicaux et des spécialistes des dépendances, a élaboré une série d’outils de cyberapprentissage sur les dépendances et leurs racines dans les premières étapes du développement cérébral et biologique. La série comprend des balados, 18 cas de patients virtuels et ce cybermanuel sur l’approche biopsychosociale aux dépendances.
Le cybermanuel a été conçu pour fournir aux étudiants en médecine du premier cycle et à leurs enseignants les ressources qui aident à constituer leurs connaissances fondamentales du domaine, notamment une nouvelle recherche qui a changé la manière dont nous envisageons les sources et les facteurs des dépendances. Tous ceux qui ont collaboré à l’élaboration de ces Notions espèrent que les apprenants et les éducateurs, en plus d’apprécier les aspects liés aux sciences fondamentales et sociales de la médecine axée sur les dépendances, trouveront également utile la section sur la pratique clinique. On y explique pourquoi tous les médecins devraient s’investir dans le domaine de la médecine axée sur les dépendances. On encourage ainsi les étudiants en médecine à lutter contre les préjugés et la stigmatisation associés aux dépendances et on leur offre les principes fondamentaux de la gestion clinique, notamment l’anamnèse, le dépistage, la détection et l’examen physique. Le cybermanuel traite des troubles concomitants et du traitement ainsi que du continuum des soins pour les personnes touchées et leurs familles. On y trouve de l’information sur les interventions pharmacologiques, le modèle de gestion de la maladie chronique et le rétablissement.
Le portail a été créé à la suite de deux analyses contextuelles liées aux programmes d’études et aux ressources sur les dépendances dans le domaine de l’éducation médicale prédoctorale au Canada qui ont été mandatées par la Palix Foundation. Exécutées en 2009 et en 2010, ces analyses ont révélé le peu de contenu sur les dépendances dans le programme d’études. Elles ont aussi découvert l’écart entre les connaissances découlant des activités de recherche nouvelles et émergentes sur les dépendances et les programmes d’études existants.
Au moment de l’étude, les activités identifiées dans le cadre du programme d’études étaient souvent limitées aux dépendances associées à la consommation de substances (alcool, tabac, etc.). La formation et les renseignements sur les dépendances comportementales sont extrêmement limités, la dépendance au jeu étant plus susceptible d’être soulevée que toute autre dépendance comportementale ou liée aux processus, comme les dépendances à la nourriture, au sexe, à l’internet, aux jeux vidéos ou au travail. En outre, les procédés développementaux sous-jacents présents dans l’ontologie de la dépendance, comme les stratégies de prévention, le dépistage, le traitement exhaustif et le contrôle des cas, n’ont pas été abordés de façon importante dans les programmes d’éducation médicale prédoctorale. En conséquence, la Palix Foundation, en partenariat avec l’Association des facultés de médecine du Canada (AFMC), a lancé le projet de développement des ressources de cyberapprentissage sur les dépendances pour l’éducation médicale.
Les objectifs du projet consistaient à :
Auteurs
George Koob, PhD Mark Gold, MD Mahdi Razafsha, MD Benjamin Srivastava, MD Robin Gibb, MD Nicole Letourneau, PhD Judy Cameron, PhD Ruth Lanius, MD, PhD Mischa Tursich, PhD Doris Payer, PhD Glenda MacQueen, MD, PhD Thomas McLellan, PhD Peter Butt, MD David Topps, MD Sonya Lee, MD Nancy Brager, MD Peter Selby, MD Nadia Minian, PhD Hillary Connolly, CAMH Dennis Pusch, PhD Keith Dobson, PhD Laurie Zawertailo, PhD Anna Ivanova, BSc, MA, MPH Derek Puddester, MD, PhD Ralph Earle, PhD Amy Hesler, RN, LMFT Brenda Garrett, RN, MC, LPC Nicole Burma, PhD candidate Erik Fraunberger, MSc candidate Heather Leduc-Pessah, PhD candidate
Équipe chargée du projet
Matt Raegele, AMFC, Project Coordinator Brenda Du Plessis, AFMC, Web Developer Irving Gold, AFMC, Former VP – Government Relations and External Affairs Barbie Shore, AFMC, Former Project Manager Catherine Peirce, AFMC, Former Project Manager
Révision stylistique
Eva Radford
Supplementary resources for each of the episodes in a podcast series on early brain and biological development and addiction.
This is the first episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
The Neuro-Developmental Pathway Origins of Addiction is the first in a series of podcasts on early brain and biological development and its connection to addiction. As such, it introduces the themes that will be addressed throughout the series, including adverse childhood experiences; brain architecture; the neuro-developmental origins of addiction; and the prevention, intervention and treatment of addiction. The podcast provides a definition of addiction, which includes substance and process addictions, and begins to explore the impact of adverse childhood experiences on the reward system of the brain.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 1: The Neuro-Developmental Pathway Origins of Addiction – Study Guide
Podcast 1: The Neuro-Developmental Pathway Origins of Addiction
Second episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 2, Brain Architecture and Development, highlights how the brain develops; the effect of early experiences and stress on brain development; how brain architecture regulates biological systems responsible for complex human behaviours; and how social interactions help guide development of the brain.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 2: Brain Architecture and Development – Study Guide
Third episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 3, Early Experiences and Gene Expression, highlights the concept of epigenetics and how genes are expressed through interaction with different environments. The podcast describes the long-term effects of epigenetics, and looks at how early negative experiences harm brain architecture whereas positive interactive relationships (or serve and return experiences) build resilience over time.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 3: Early Experiences and Gene Expression – Study Guide
Podcast 3: Early Experiences and Gene Expression
Fourth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 4, Building Cognitive, Emotional and Social Capacities, highlights the importance of building a solid foundation of cognitive, emotional and social skills early in a child’s life; the negative effects of such skills not being developed effectively; and how the serve and return interactions between a caregiver and child are the cornerstone for resilient cognitive, emotional and social capabilities.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 4: Building Cognitive, Emotional and Social Capacities – Study Guide
Podcast 4: Building Cognitive, Emotional and Social Capacities
Fifth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 5, Positive, Tolerable and Toxic Stress, identifies the three types of stress that individuals encounter daily; describes how the body’s allostatic response to situations of toxic stress creates the allostatic load; and identifies the sources and long-term effects of toxic stress on a person’s body and life.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 5: Positive, Tolerable and Toxic Stress – Study Guide
Sixth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 6, Brain Plasticity and Behavioural Change, describes brain plasticity; its importance in the development of brain structure and processes; and its influence on behaviours. It highlights pre- and postnatal factors that influence the pruning process and brain plasticity during the early developmental years, and how the ability to change brain architecture and behaviours decreases over time.
The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 6: Brain Plasticity and Behavioural Change – Study Guide
Seventh episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 7, Intervention and Treatment in Children’s Mental Health, highlights the importance of level, supportive environments during childhood development; examines the negative consequences of maltreatment (such as post-traumatic stress disorder, depression and addiction), which can continue throughout life; and identifies treatment options involving healthcare professionals, parents and children exposed to toxic stress.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 7: Intervention and Treatment in Children’s Mental Health – Study Guide
Podcast 7: Intervention and Treatment in Children’s Mental Health
Eighth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 8, Different Kinds of Addiction, offers a definition of addiction. It highlights the neurobiology and behaviour patterns common to both substance and process addiction. The podcast also addresses concurrent addiction and the consequences of associated interactions.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 8: Different Kinds of Addiction – Study Guide
Ninth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 9, Prevention, Intervention and Treatment of Addiction, highlights the fact that addiction is a chronic, relapsing brain disease and that, if its treatment is to achieve lasting success, it must be comprehensive and address the individual as a whole. The podcast describes the chronic disease management model of care and explains how a number of its principles can be applied in effective addiction intervention. It also describes the design and characteristics of a successful Physician Health Program.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 9: Prevention, Intervention and Treatment of Addiction – Study Guide
Podcast 9: Prevention, Intervention and Treatment of Addiction
Tenth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 10, Early Trauma in Addiction, highlights the link between childhood trauma and addictions and describes the many ways in which trauma can manifest in an individual. The podcast illustrates how traumatic events can lead to a sensitized nervous system, and how exposure to trauma damages the limbic system, resulting in altered memory and emotional memory.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 10: Early Trauma in Addiction – Study Guide
This is the eleventh episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 11, Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response, highlights the principles of the chronic disease management model of care, and examines the successes of Primary Care Networks and how their design and principles apply to addiction treatment.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 11: Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response
This is the twelfth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 12, Quality Improvement Strategies and Evaluation for Addiction Treatment Programs, highlights the differences between effectiveness, performance and quality in addiction treatment. The podcast describes the significance of understanding which elements of a program need to be measured and how to measure them in the evaluation process. It also addresses the importance of creating a solid link between expectations and evaluation, in order to produce practical outcomes for a program.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 12: Quality Improvement Strategies and Evaluation for Addiction Treatment Programs – YouTube
This is the thirteenth episode in a podcast series on Early Brain Development and Addiction for Undergraduate Medical Education.
Podcast 13, Process Improvement in Healthcare Programs to Support Addiction Treatment, identifies the five principles of business process improvement and how these principles can be adopted to enhance addiction treatment programs.
This podcast series is based on lectures from the Alberta Family Wellness Initiative, a knowledge mobilization initiative designed to translate scientific research into policy and practice. The podcasts were developed by the Association of Faculties of Medicine of Canada with guidance from a project advisory committee, and produced by Hugh Kellam and Colla MacDonald at the University of Ottawa. Narration was done by Hugh Kellam. This project was sponsored by the Palix Foundation.
Podcast 13: Process Improvements in Healthcare Programs to Support Addiction Treatment – Study Guide
Podcast 13: Process Improvements in Healthcare Programs to Support Addiction Treatment – YouTube
YouTube play list: Early Brain and Biological Development and Addiction, UME
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