Occupation | |
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Names | Addictionist/Addictionologist, [1] [2]
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Occupation type | Specialty |
Activity sectors | Medicine |
Description | |
Education required |
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Fields of employment | Hospitals, Clinics |
This article needs more reliable medical references for verification or relies too heavily on primary sources .(March 2017) |
Addiction medicine is a medical subspecialty that deals with the diagnosis, prevention, evaluation, treatment, and recovery of persons with addiction, of those with substance-related and addictive disorders, and of people who show unhealthy use of substances including alcohol, nicotine, prescription medicine and other illicit and licit drugs. [3] The medical subspecialty often crosses over into other areas, since various aspects of addiction fall within the fields of public health, psychology, social work, mental health counseling, psychiatry, and internal medicine, among others. Incorporated within the specialty are the processes of detoxification, rehabilitation, harm reduction, abstinence-based treatment, individual and group therapies, oversight of halfway houses, treatment of withdrawal-related symptoms, acute intervention, and long term therapies designed to reduce likelihood of relapse. Some specialists, primarily those who also have expertise in family medicine or internal medicine, also provide treatment for disease states commonly associated with substance use, such as hepatitis and HIV infection.
Physicians specializing in the field are in general agreement concerning applicability of treatment to those with addiction to drugs, such as alcohol and heroin, and often also to gambling, which has similar characteristics and has been well-described in the scientific literature. There is less agreement concerning definition or treatment of other so-called addictive behavior such as sexual addiction and internet addiction, such behaviors not being marked generally by physiologic tolerance or withdrawal.
Doctors focusing on addiction medicine are medical specialists who focus on addictive disease and have had special study and training focusing on the prevention and treatment of such diseases. There are two routes to specialization in the addiction field: one via a psychiatric pathway and one via other fields of medicine. The American Society of Addiction Medicine notes that approximately 40% of its members are psychiatrists (MD/DO) while the remainder have received primary medical training in other fields. [4] [ failed verification ]
In March 2016, the American Board of Medical Specialties (ABMS) announced recognition of the field of addiction medicine as a new medical subspecialty. [5] In several countries around the world, specialist bodies have been set up to ensure high quality practice in addiction medicine. For example, within the United States, there are two accepted specialty examinations. [6] One is a Board Certification in Addiction Psychiatry from the American Board of Psychiatry and Neurology. [7] The other is a Board Certification in Addiction Medicine from the American Board of Preventive Medicine. The latter approach is available to all physicians with primary Board certification, while the former is available only to board-certified psychiatrists.
Doctors of Osteopathic Medicine may also seek board certification via the American Osteopathic Association (AOA). The Doctor of Osteopathic Medicine must have a primary board certification in Neurology & Psychiatry, Internal Medicine, or Family Practice [8] from the American Osteopathic Association and complete an AOA approved addiction medicine fellowship. Successful completion of a board examination administered via the AOA will grant a certificate of added qualification (CAQ) in addiction medicine.
Within Australia, addiction medicine specialists are certified via the Chapter of Addiction Medicine, which is part of the Royal Australasian College of Physicians. They may alternatively be a member of the Section of Addiction Psychiatry, Royal Australian & New Zealand College of Psychiatrists.
The International Society of Addiction Medicine also can provide certification of expertise.
Neurology is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the spinal cord and the peripheral nerves. Neurological practice relies heavily on the field of neuroscience, the scientific study of the nervous system.
A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly mental issues. Sometimes a psychiatrist works within a multi-disciplinary team, which may comprise clinical psychologists, social workers, occupational therapists, and nursing staff. Psychiatrists have broad training in a biopsychosocial approach to the assessment and management of mental illness.
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (paediatrics), cancer (oncology), laboratory medicine (pathology), or primary care. After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a specialist.
The American Board of Psychiatry and Neurology, Inc. (ABPN) is a not-for-profit corporation that was founded in 1934 following conferences of committees appointed by the American Psychiatric Association, the American Neurological Association, and the then "Section on Nervous and Mental Diseases" of the American Medical Association. This action was taken as a method of identifying qualified specialists in psychiatry and neurology. The ABPN is one of 24 member boards of the American Board of Medical Specialties.
The American Board of Medical Specialties (ABMS) is a non-profit organization established in 1933 which represents 24 broad areas of specialty medicine. ABMS is the largest and most widely recognized physician-led specialty certification organization in the United States. The other certification organizations in the United States are the American Board of Physician Specialties and American Osteopathic Association Bureau of Osteopathic Specialists.
Adolescent medicine, also known as adolescent and young adult medicine, is a medical subspecialty that focuses on care of patients who are in the adolescent period of development. This period begins at puberty and lasts until growth has stopped, at which time adulthood begins. Typically, patients in this age range will be in the last years of middle school up until college graduation. In developed nations, the psychosocial period of adolescence is extended both by an earlier start, as the onset of puberty begins earlier, and a later end, as patients require more years of education or training before they reach economic independence from their parents.
Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. From the middle of the 20th century, research has provided increasing knowledge of, and answered many questions about, sleep–wake functioning. The rapidly evolving field has become a recognized medical subspecialty in some countries. Dental sleep medicine also qualifies for board certification in some countries. Properly organized, minimum 12-month, postgraduate training programs are still being defined in the United States. In some countries, the sleep researchers and the physicians who treat patients may be the same people.
Geriatric psychiatry, also known as geropsychiatry, psychogeriatrics or psychiatry of old age, is a branch of medicine and a subspecialty of psychiatry dealing with the study, prevention, and treatment of neurodegenerative, cognitive impairment, and mental disorders in people of old age. Geriatric psychiatry as a subspecialty has significant overlap with the specialties of geriatric medicine, behavioural neurology, neuropsychiatry, neurology, and general psychiatry. Geriatric psychiatry has become an official subspecialty of psychiatry with a defined curriculum of study and core competencies.
Established in 1939, the American Osteopathic Association's (AOA) Bureau of Osteopathic Specialists (BOS) is the supervisory body for the AOA's 16 Specialty Certifying Boards in the United States. The BOS establishes and enforces policy for board certification through the AOA Specialty Certifying Boards and maintains high standards for certification through the development and implementation of educational and professional standards used to evaluate and certify osteopathic and non-osteopathic physician.
The American Osteopathic Board of Emergency Medicine (AOBEM) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine who specialize in the medical and surgical treatment of acutely ill patients with advanced cardiac life support, trauma, and the management of other life-threatening medical issues. The AOBEM is one of 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA).
Addiction psychiatry is a medical subspecialty within psychiatry that focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addiction. This may include disorders involving legal and illegal drugs, gambling, sex, food, and other impulse control disorders. Addiction psychiatrists are substance use disorder experts. Growing amounts of scientific knowledge, such as the health effects and treatments for substance use disorders, have led to advancements in the field of addiction psychiatry. These advancements in understanding the neurobiology of rewarding behavior, along with federal funding, has allowed for ample opportunity for research in the discipline of addiction psychiatry. Addiction psychiatry is an expanding field, and currently there is a high demand for substance use disorder experts in both the private and public sector.
In 2006, hospice and palliative medicine was officially recognized by the American Board of Medical Specialties, and is co-sponsored by the American Boards of
The American Osteopathic Board of Preventive Medicine (AOBPM) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in aiding patients in the prevention of injury or disease. The board is one of 18 physician medical specialty boards of the American Osteopathic Association Bureau of Osteopathic Specialists of the American Osteopathic Association (AOA). The AOBPM was established in 1982 by approval by the Board of Trustees of the American Osteopathic Association. The AOBPM provides board certification for eligible physicians. Additionally, along with fellows of the American Board of Preventive Medicine, fellows of the American Osteopathic Board of Preventive Medicine are eligible to become fellows of the Undersea and Hyperbaric Medical Society. As of December 2011, 176 osteopathic physicians held active membership with the AOBPM.
The American Osteopathic Board of Neurology and Psychiatry (AOBNP) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in disorders of the nervous system (neurologists) and to qualified Doctors of Osteopathic Medicine and physicians who specialize in the diagnosis and treatment of mental disorders (psychiatrists).
The American Osteopathic Board of Family Physicians (AOBFP) is an organization that provides board certification to qualified osteopathic physicians (D.O.) who specialize in delivering comprehensive primary care for patients of all ages, genders, and addressing all parts of the body. The board is one 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1972. As of April 2012, 6,344 osteopathic family physicians held active certification with the AOBFP.
The American Osteopathic Board of Internal Medicine (AOBIM) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in the prevention, diagnosis, and treatment of disease in adults (internists). The board is one of 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1942. As of December 2011, 3,072 osteopathic internal medical physicians held active certification with the AOBIM.
The American Osteopathic Board of Surgery (AOBS) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in the use of surgery to aid in the diagnosis and treatment of disease (surgeons). The board is one 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA). As of 2011, 1,279 osteopathic physicians held active certification with the AOBS. The AOBS is one of two certifying boards for surgeons in the United States; the other certifying board is the American Board of Surgery of the American Board of Medical Specialties. Fellows of the AOBS are eligible for full membership in major U.S. surgical societies such as the American College of Surgeons (ACS) and the Society of Thoracic Surgeons. Board certified surgeons of the AOBS are also eligible for membership in the American Society for Metabolic & Bariatric Surgery.
The American Osteopathic Board of Anesthesiology (AOBA) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in the administration of anesthetic agents and perioperative medicine (anesthesiologists). The board is one of 16 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1956.
The American Osteopathic Board of Nuclear Medicine (AOBNM) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in the use of radioactive substances in the diagnosis and treatment of disease. The board is one 18 medical specialty certifying boards approved by the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) of the American Osteopathic Association, and was established in 1974. As of December 2011, 32 osteopathic nuclear medicine physicians held active certification with the AOBNM.
The American Osteopathic Board of Pediatrics (AOBP) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in the diagnosis and treatment of medical diseases in infants, children, and adolescents (pediatricians). The board is one 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1940. Certification in pediatrics has grown to over 1,000 diplomates over the last decade. It was reported in 2011, 477 osteopathic pediatricians held active certification with the AOBP. With single accreditation in place both osteopathic and allopathic residency training candidates are eligible to examine for certification with the American Osteopathic Board of Pediatrics.