Academic Psychiatry

, Volume 43, Issue 5, pp 499–502 | Cite as

Primary Care Residents Delivering Care: Integration of Office-Based Opioid Treatment into an Internal Medicine Residency Curriculum

  • Halle G. SobelEmail author
  • Michael Goedde
  • Sanchit Maruti
  • Emily Hadley-Strout
  • Elizabeth Wahlberg
  • Amanda G. Kennedy
In Brief Report

The impact of the opioid crisis is staggering with more than 115 deaths resulting from overdose daily in the USA [1]. The economic toll in the USA is estimated at $78.5 billion dollars a year on expenses including healthcare, lost productivity, addiction treatment, and corrections resources [2]. Medication-Assisted Treatment (MAT) is instrumental in providing a pathway to recovery for patients with opioid use disorder, and office-based opioid treatment (OBOT) is a component of MAT that allows primary care physicians to care for patients with substance use disorder by prescribing buprenorphine-naloxone [3, 4]. OBOT has expanded access to patients by allowing primary care physicians to treat patients with this condition [5]. Despite the advances of OBOT, many primary care physicians have not integrated this care into their clinical practice [6] and internal medicine residency programs have not kept pace with training learners to care for this growing patient population. Prior work has...



Kathryn Huggett PhD, Director of the Teaching Academy at The Larner College of Medicine at The University of Vermont. Dr. Huggett led the focus group to ascertain the residents’ experiences with the curriculum.

Leigh Ann Holterman PhD, Director of Curricular Evaluation and Assessment at The Larner College of Medicine at The University of Vermont. Dr. Holterman summarized the pre- and post-survey data which was discussed in the “Results” section of the manuscript.


Funded in part by the Frymoyer Grant through the University Of Vermont Teaching Academy.

Sanchit Maruti MD—Dr. Maruti received personal fees from The New England Addiction Technology Transfer Center, Buprenorphine Waiver Training, WISER Systems LLC (Equity Stake), Providers Clinical Support System Consultation for Buprenorphine Training.

Compliance with Ethical Standards


On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  • Halle G. Sobel
    • 1
    • 2
    Email author
  • Michael Goedde
    • 3
  • Sanchit Maruti
    • 3
  • Emily Hadley-Strout
    • 1
    • 2
  • Elizabeth Wahlberg
    • 1
    • 2
  • Amanda G. Kennedy
    • 4
  1. 1.Larner College of Medicine and the Department of General Internal Medicine & GeriatricsUniversity of VermontBurlingtonUSA
  2. 2.Burlington Adult Primary CareBurlingtonUSA
  3. 3.Larner College of Medicine and the Department of PsychiatryUniversity of VermontBurlingtonUSA
  4. 4.Larner College of Medicine and the Department of Medicine Quality ProgramUniversity of VermontBurlingtonUSA

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