More family doctors should be trained to help drug-addicted patients: B.C. study

Train family doctors to help addicts: study

More family doctors should be trained to help drug-addicted patients: B.C. study

VANCOUVER — A study by the British Columbia Centre for Excellence in HIV/AIDS is calling for more doctors across Canada to be formally trained to diagnose and treat patients addicted to drugs.

Dr. Evan Wood, co-author of the study published in the current edition of the Journal of Addiction Medicine, said there’s a greater awareness that for many people, addiction is a chronic disease that must be treated with evidence-based medicine, the same as heart disease or any other condition.

“We’re just sort of learning and trying to unpack the mystery that some people will go into long-term recovery and never go back, whereas for other people it ends up being a fatal disease and they can never put it down. In many cases it’s because people haven’t accessed good treatment.”

Statistics from the BC Coroners Service show there were 371 drug overdose deaths between January and June of this year, about 60 per cent of which were tied to fentanyl, a powerful pain killer.

Wood said the prevalence of addiction means treatment must be integrated in the primary care setting where family doctors are trained to help patients who may need further care from specially trained physicians.

There are about 25 addiction-care providers in British Columbia based on their accreditation with the American Board of Addiction Medicine, the study said. There is no formal system of accreditation in Canada.

Wood, who is accredited through the American board, said one-year fellowship programs in addiction medicine are offered in Calgary, Montreal, Toronto and Vancouver.

“British Columbia is ahead in that our addiction medicine training program is the largest in North America,” Wood said.

He said 13 doctors took part this year in the fellowship program at St. Paul’s Hospital in Vancouver, where addictions training is also offered to nurses and social workers who visit detox centres, recovery programs and primary-care clinics where drugs are prescribed as part of addiction care.

“We’re really trying to look at what are the structural reasons that addiction care has really behind in terms of what’s available for patients and families and really trying to address some of those structural barriers head on.”

The need for specially trained health-care providers is even more dire in rural and remote areas, he said, adding opioid addiction needs to be treated in the primary-care setting in all areas because too many patients are ending up in emergency departments and leaving without referrals elsewhere for follow-up care.

Jennifer Woodside, whose 21-year-old son Dylan Bassler died in April 2014 from an overdose of counterfeit oxycontin laced with fentanyl, said family doctors may be the first health professionals to whom patients disclose their addictive behaviour so extra education that enables physicians to screen and manage people could benefit those who may not seek further help.

“They really haven’t been trained in that area,” said Woodside, who co-founded a group called Moms United and Mandated to Saving the lives of Drug Users, or mumsDU, to advocate for increased awareness about the dangers of drugs such as fentanyl.

Dr. Francine Lemire, executive director and CEO of the College of Family Physicians of Canada, said she supports the study’s recommendations to invest in addiction training at medical schools, along with continuing medical education for health professionals dealing with the issue.

“If we are serious about the extent and depth of this societal problem, early screening, diagnosis and treatment are key,” Lemire said in a statement.

Lemire said the college will recognize physicians who acquire enhanced skills with a certificate of added  competence and anticipated the review process to be completed over the next 12 to 18 months.

— Follow @CamilleBains1 on Twitter.

Camille Bains, The Canadian Press

Just Posted

Lakes District Hospital and Health Centre opened in February 2015. (Priyanka Ketkar photo/Lakes District News)
Lack of maternity program, still a problem in Burns Lake

Community members continue to shuttle to far away locations

The adult Cooper’s Hawk was spotted in Burns Lake last month. (Priyanka Ketkar photo/Lakes District News)
What to do when you see a bird band or a banded bird?

Here are some answers this Cooper’s Hawk in Burns Lake lead us to

The chamber recently got a picnic bench made and will be adding a few more to the collection for visitors and Burns Lakers to enjoy. (Priyanka Ketkar photo/Lakes District News)
Burns Lake’s community market gets the official farmer’s market status

The Burns Lake and District Chamber of Commerce’s community market is now… Continue reading

DLES' Le Trois Petits Cochons presentation. (Submitted/Lakes District News)
French play at Decker Lake Elementary School

On May 25, Grade 4-5 students of the Decker Lake Elementary School… Continue reading

Canadian Prime Minister Justin Trudeau participates in a plenary session at the G7 Summit in Carbis Bay, England on Friday June 11, 2021. THE CANADIAN PRESS/Adrian Wyld
Canada donating 13M surplus COVID-19 vaccine doses to poor countries

Trudeau says the government will pay for 87 million shots to be distributed to poor countries

Kelowna-Lake Country MLA Norm Letnick, assistant deputy speaker at the B.C. legislature, presides over committee discussions. The legislature is completing its delayed spring session this week, with most MLAs participating by video conference. (Hansard TV)
B.C.’s daily COVID-19 infections dip below 100 over weekend

Only 68 new cases recorded Monday, four additional deaths

The BC Ferries website went down for a short while Monday morning following a provincial announcement that recreational travel between health authorities can resume Tuesday. (Black Press Media file photo)
BC Ferries’ website crashes in wake of provincial reopening announcement

Website back up now, recreational travel between health regions to resume as of Tuesday

The Kamloops Indian Residential School is photographed using a drone in Kamloops, B.C., Monday, June, 14, 2021. The remains of 215 children were discovered buried near the former school earlier this month. THE CANADIAN PRESS/Jonathan Hayward
Communities grapple with what to do with former residential and day schools

Some tear them down as a tool to help healing, others repurpose them as tools for moving forward

FILE – Provincial health officer Dr. Bonnie Henry talks about B.C.’s plan to restart the province during a press conference at Legislature in Victoria, Tuesday, May 25, 2021. THE CANADIAN PRESS/Chad Hipolito
B.C. watching U.K.’s COVID struggles but don’t think province will see similar pitfalls

Studies show that one dose of vaccine is only 33 per cent effective in preventing B.1.617.2 spread

RCMP Const. Shelby Patton is shown in this undated handout photo. RCMP say that Patton was hit by an allegedly stolen truck that he had pulled over on Saturday morning in Wolseley, east of Regina. THE CANADIAN PRESS/HO, RCMP
Pair charged in Saskatchewan Mountie’s death make first court appearance

Const. Shelby Patton was hit by an allegedly stolen truck that he had pulled over Saturday morning

David and Collet Stephan leave for a break during an appeal hearing in Calgary on Thursday, March 9, 2017. THE CANADIAN PRESS/Todd Korol
Appeal Court rejects stay for Alberta couple facing third trial in son’s death

Pair accused in their earlier trials of not seeking medical attention for their son sooner

Highway notices like this come down effective June 14. Public health restrictions on non-essential travel and commercial operation have hit local businesses in every corner of B.C. (B.C. government)
Province-wide travel back on in B.C.’s COVID-19 restart plan

Gathering changes include up to 50 people for outdoor events

Calgary Stampeders’ Jerome Messam leaps over a tackle during second half CFL western semifinal football action in Calgary, Sunday, Nov. 15, 2015.THE CANADIAN PRESS/Jeff McIntosh
CFL football will be played this summer in Canada

Governors vote unanimously in favour to start the ‘21 campaign on Aug. 5

Most Read