Original Article

Attending an Alcoholics Anonymous Meeting: A Pilot Study of an Experiential Learning Activity on the Family Medicine Clerkship

Authors: Marquita Samuels, MBA, Sarah E. Stumbar, MD, MPH, Suzanne Minor, MD

Abstract

Objectives: Physicians frequently treat patients struggling with addiction, including alcohol abuse. The Society of Teachers of Family Medicine’s National Clerkship Curriculum lists necessary learning for all future physicians and includes several core objectives related to identifying community resources, the role of support groups in treating patients, and identifying and managing substance abuse.

Methods: During the family medicine clerkship at the Florida International University Herbert Wertheim College of Medicine, students learn about resources for treating alcohol abuse by attending a 12-step Alcoholics Anonymous (AA) meeting and answering brief reflective questions about the experience. For the 2018–2019 academic year, students completed an anonymous, optional, computer-based, pre-/postactivity survey to assess the students’ perceived impact of attending an AA meeting.

Results: After the AA meeting, there was an increase in the percentage of students who agreed or strongly agreed that AA meetings are a useful resource. Students perceived that they would be likely to refer a patient with alcohol abuse to AA in the future, were confident in their ability to explain AA to a patient, were knowledgeable about community resources for patients with alcohol addiction, and were confident in their ability to assess patients for alcohol abuse.

Conclusions: Attendance at a single AA meeting increased students’ awareness of community resources, including AA, for patients who abuse or misuse alcohol. Because students also reported increased perceived self-confidence regarding explaining AA to patients and assessing patients for alcohol addiction, attendance at an AA meeting has the potential to affect future patient care.

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References

1. Society of Teachers of Family Medicine. National Clerkship Curriculum,2nd edition, 2018. https://www.stfm.org/media/1828/ncc_2018edition.pdf. Accessed August 13, 2019. 2. Koponen J, Pyörälä E, Isotalus P. Comparing three experiential learning methods and their effect on medical students’ attitudes to learning communication skills. Med Teach 2012;34:e198–e207. 3. Alcoholics Anonymous. What is A.A.? https://www.aa.org/pages/en_US/what-is-aa. Accessed July 29, 2019. 4. Ferri M, Amato L, Davoli M. Alcoholics Anonymous and other 12-step programmes for alcohol dependence. Cochrane Database Syst Rev 2006;CD005032. 5. Vaillant GE. Alcoholics Anonymous: cult or cure? Aust N Z J Psychiatry 2005;39:431–436. 6. Humphreys K, Blodgett JC, Wagner TH. Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials. Alcohol Clin Exp Res 2014;38:2688–2694. 7. Kastenholz KJ, Agarwal G. A qualitative analysis of medical students’  reflection on attending an Alcoholics Anonymous meeting: insights for future addiction curricula. Acad Psychiatry 2015;40:468–474. 8. Fazzio L, Galanter M, Dermatis H, et al. Evaluation of medical student attitudes toward Alcoholics Anonymous. Subst Abus 2003;24:175–185. 9. Lindsay DL, Hagle H, Lincoln P, et al. Exploring medical students’ conceptions of substance use: a follow-up evaluation. Subst Abus 2017;38:464–467. 10. Feeley RJ, Moore DT, Wilkins K, et al. A focused addiction curriculum and its impact on student knowledge, attitudes, and confidence in the treatment of patients with substance use. Acad Psychiatry 2018;42:304–308.