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AFMC Addiction e-Learning for Undergraduate Medical Education (UME)

Matthew Raegele's picture

Community for the exchange of ideas and resources related to addictions

Mission Statement: 

This community was created to provide faculty and students with an opportunity to share pedagogical resources on addiction and collaborate on the development new pedagogical tools.

Addiction e-Learning for Undergraduate Medical Education

AFMC and the Palix Foundation have partnered to provide funding and support for the development of a suite of e-learning tools on early brain and biological development and addictions for undergraduate medical education. The suite of resources includes virtual patients, a primer (e-textbook), and podcast series. Topics that are addressed include core concepts of early child development, epigenetics, intervention and treatment strategies, and system responses to addiction.

Background Information In 2010 an environmental scan of pedagogical resources on undergraduate materials on addiction was conducted by the Association of Faculties of Medicine of Canada with funding from the Palix Foundation.

AFMC Addictions e-Learning for UME - PodcastsAFMC Addictions e-Learning for UME - Virtual PatientsAFMC Addictions e-Learning for UME - e-Textbook Priimer

 

Virtual Patients - Addiction e-Learning for Undergraduate Medical Education

Brenda Du Plessis's picture

Miriam
Miriam imageInteract 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 here.

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: The Association of Faculties of Medicine of Canada

Sponsored by: Palix Foundation


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

Seven short virtual cases
Seven short virtual patient cases related to street drugs on topics such as delirium, troubled students, deteriorating mental state, prenatal issues, anger and substance issue, vomiting.
Start a case:
Adam | Alice | Ann | Beth | Bruce | Joan | Vince

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: The Association of Faculties of Medicine of 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. 

Podcast Series: Early Brain and Biological Development and Addiction, UME

Brenda Du Plessis's picture

Supplementary resources for each of the episodes in a podcast series on early brain and biological development and addiction.

INTRODUCTION

Podcast 1: The Neuro-Developmental Pathway Origins of Addiction

CORE CONCEPTS OF EARLY CHILD DEVELOPMENT

Podcast 2: Brain Architecture and Development

Podcast 3: Early Experiences and Gene Expression

Podcast 4: Building Cognitive, Emotional and Social Capacities

Podcast 5: Positive, Tolerable and Toxic Stress

Podcast 6: Brain Plasticity and Behavioural Change

Podcast 7: Intervention and Treatment in Children's Mental Health

ADDICTION

Podcast 8: Different Kinds of Addiction

Podcast 9: Prevention, Intervention and Treatment of Addiction

Podcast 10: Early Trauma in Addiction

Podcast 11: Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response

Podcast 12: Quality Improvement Strategies and Evaluation for Addiction Treatment Programs

Podcast 13. Process Improvements in Healthcare Programs to Support Addiction Treatment

Complete podcasts on YouTube Addiction e-Learning videos.

 

ABOUT THE PODCAST SERIES

The podcast series has been designed to offer an introduction to the subject of early brain and biological development and its connection to addiction. The podcast series includes a set of episodes on core concepts of early childhood development which illustrate how childhood experiences shape brain development to either provide a strong foundation for lifelong health and wellbeing or confer vulnerability to disease. The early childhood development episodes also address interventions and treatments that help ensure children have the best possible start in life. The podcast series also includes a set of episodes that  focus on the neurodevelopmental origins of addiction. These podcasts provide a definition of addiction as a brain disorder, and describes effective strategies to help prevent, intervene, and treat addiction. The goal of the podcast series is to give you both the background knowledge on brain development and addiction, and the reflective skills to apply this knowledge to your practice.

In 10 to 15 minutes, each podcast links specific medical learning objectives with emerging research. To help illustrate the key concepts, several podcasts follow the story of Dr. Ray Baker, a physician who has struggled with addiction.

The Association of Faculties of Medicine of Canada (AFMC) created the podcast series as part of the Addiction e-Learning for Undergraduate Medical Education (UME). The 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 lectures have been repurposed, with permission, for undergraduate medical education.

Developed by:
The Association of Faculties of Medicine of Canada

Produced by:
Hugh Kellam, PhD Candidate, Instructional Designer, University of Ottawa
Colla MacDonald, PhD, Project Manager and Education Expert, University of Ottawa

Sponsored by:
Palix Foundation

Advisory Committee:
Niloofer Baria, MD, CCFP, Addiction Medicine Program Committee, College of Family Physicians of Canada
Nancy Brager, MD, FRCPC, Associate Professor, University of Calgary
Peter Butt, MD, CCFP, FCFP, Addiction Medicine Program Committee, College of Family Physicians of Canada
Gary Hnatko, MD, FRCPC, FCPA, Professor, University of Alberta
Lucie Rochefort, MD, MSc, CCMF, FCMF, Addiction Medicine Program Committee, College of Family Physicians of Canada
Nicole Sherren, PhD, Scientific Director and Program Officer, Palix Foundation
Pamela Weatherbee, Medical Student, University of Calgary
Jonathan White, MD, PhD, FRCSC, MSc, Assistant Professor, University of Alberta

Podcast 13: Process Improvements in Healthcare Programs to Support Addiction Treatment

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 11: Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 10: Early Trauma in Addiction

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 8: Different Kinds of Addiction

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 7: Intervention and Treatment in Children's Mental Health

Brenda Du Plessis's picture

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.

All rights reserved.

Pages

No content created, or restricted content maybe in force.

No content created, or restricted content maybe in force.

No questions have been added to this group.

Podcast 13: Process Improvements in Healthcare Programs to Support Addiction Treatment

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 11: Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 10: Early Trauma in Addiction

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 8: Different Kinds of Addiction

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 7: Intervention and Treatment in Children's Mental Health

Brenda Du Plessis's picture

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.

All rights reserved.

Podcast 6: Brain Plasticity and Behavioural Change

Brenda Du Plessis's picture

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.

All rights reserved.

Pages

Canadian-based e-Learning Resources on addictions

Catherine Peirce's picture
  • Addictions Program Concurrent Disorders Online Curriculum, Concurrent Disorders Podcasts, and Accredited Spotlight Series, www.addictioncentre.ca; Alberta Health Services.
  • Introduction to Addiction, and Problem Gambling: Mental Health and Addiction 101 Series http://www.camh.net/mha101/; Centre for Addiction and Mental Health.
  • Substance Use Disorders: Physician Wellness Initiative, www.ephysicianhealth.com; Dr. Paul Farnan, Medical Director, HealthQuest Occupational Health Corporation, Derrek Puddester, Faculty of Medicine, University of Ottawa.
  • The Brain from Top to Bottom, http://thebrain.mcgill.ca/flash/index_d.html; Sponsored by the Canadian Institute of Neurosciences, Mental Health and Addiction and Canadian Institutes of Health Research.
  • The Training Enhancement in Applied Cessation Counseling and Health (TEACH) Project (an accredited course for health professionals but not available online – long wait lists); http://www.teachproject.ca/about.htm (general website); Center for Addiction and Mental Health (camH).
  • Tobacco and Public Health from Theory to Practice, http://tobaccocourse.otru.org/; Ontario Tobacco Research Unit.
  • Addiction Curriculum - http://camac.machealth.ca/ ; Centre for Addiction and Mental Health (CAMH) & the Division of e-Learning Innovation at the Michael G. DeGroote School of Medicine at  McMaster University

Virtual Patients

Catherine Peirce's picture

Podcast Series: Early Brain and Biological Development and Addiction, UME

Brenda Du Plessis's picture

Supplementary resources for each of the episodes in a podcast series on early brain and biological development and addiction.

INTRODUCTION

Podcast 1: The Neuro-Developmental Pathway Origins of Addiction

CORE CONCEPTS OF EARLY CHILD DEVELOPMENT

Podcast 2: Brain Architecture and Development

Podcast 3: Early Experiences and Gene Expression

Podcast 4: Building Cognitive, Emotional and Social Capacities

Podcast 5: Positive, Tolerable and Toxic Stress

Podcast 6: Brain Plasticity and Behavioural Change

Podcast 7: Intervention and Treatment in Children's Mental Health

ADDICTION

Podcast 8: Different Kinds of Addiction

Podcast 9: Prevention, Intervention and Treatment of Addiction

Podcast 10: Early Trauma in Addiction

Podcast 11: Chronic Disease Management Model of Addiction Treatment: A Healthcare System Response

Podcast 12: Quality Improvement Strategies and Evaluation for Addiction Treatment Programs

Podcast 13. Process Improvements in Healthcare Programs to Support Addiction Treatment

Complete podcasts on YouTube Addiction e-Learning videos.

 

ABOUT THE PODCAST SERIES

The podcast series has been designed to offer an introduction to the subject of early brain and biological development and its connection to addiction. The podcast series includes a set of episodes on core concepts of early childhood development which illustrate how childhood experiences shape brain development to either provide a strong foundation for lifelong health and wellbeing or confer vulnerability to disease. The early childhood development episodes also address interventions and treatments that help ensure children have the best possible start in life. The podcast series also includes a set of episodes that  focus on the neurodevelopmental origins of addiction. These podcasts provide a definition of addiction as a brain disorder, and describes effective strategies to help prevent, intervene, and treat addiction. The goal of the podcast series is to give you both the background knowledge on brain development and addiction, and the reflective skills to apply this knowledge to your practice.

In 10 to 15 minutes, each podcast links specific medical learning objectives with emerging research. To help illustrate the key concepts, several podcasts follow the story of Dr. Ray Baker, a physician who has struggled with addiction.

The Association of Faculties of Medicine of Canada (AFMC) created the podcast series as part of the Addiction e-Learning for Undergraduate Medical Education (UME). The 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 lectures have been repurposed, with permission, for undergraduate medical education.

Developed by:
The Association of Faculties of Medicine of Canada

Produced by:
Hugh Kellam, PhD Candidate, Instructional Designer, University of Ottawa
Colla MacDonald, PhD, Project Manager and Education Expert, University of Ottawa

Sponsored by:
Palix Foundation

Advisory Committee:
Niloofer Baria, MD, CCFP, Addiction Medicine Program Committee, College of Family Physicians of Canada
Nancy Brager, MD, FRCPC, Associate Professor, University of Calgary
Peter Butt, MD, CCFP, FCFP, Addiction Medicine Program Committee, College of Family Physicians of Canada
Gary Hnatko, MD, FRCPC, FCPA, Professor, University of Alberta
Lucie Rochefort, MD, MSc, CCMF, FCMF, Addiction Medicine Program Committee, College of Family Physicians of Canada
Nicole Sherren, PhD, Scientific Director and Program Officer, Palix Foundation
Pamela Weatherbee, Medical Student, University of Calgary
Jonathan White, MD, PhD, FRCSC, MSc, Assistant Professor, University of Alberta

Virtual Patients - Addiction e-Learning for Undergraduate Medical Education

Brenda Du Plessis's picture

Miriam
Miriam imageInteract 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 here.

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: The Association of Faculties of Medicine of Canada

Sponsored by: Palix Foundation


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

Seven short virtual cases
Seven short virtual patient cases related to street drugs on topics such as delirium, troubled students, deteriorating mental state, prenatal issues, anger and substance issue, vomiting.
Start a case:
Adam | Alice | Ann | Beth | Bruce | Joan | Vince

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: The Association of Faculties of Medicine of 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. 

No content created, or restricted content maybe in force.