Table 1 Core competencies of the addiction medicine Women’s Health fellowship track
From: Developing a Women’s Health track within addiction medicine fellowship: reflections and inspirations
ACGME competency domain | Women’s Health track competencies |
|---|---|
Patient Care | Provide trauma-informed, gender-responsive care to meet the needs of women who use drugs, including reproductive health, sexual health, and mental health needs |
Medical Knowledge | Have the biomedical and clinical knowledge to care for women who use drugs, including knowledge on substance use disorder treatment for pregnant and parenting persons, contraceptive counseling, prevention of HIV, intimate partner violence, and sex work |
Practice-based Learning and Improvement | Develop clinical expertise in caring for women with SUD through direct practice and guided practice improvement using clinical resources, including primary and secondary literature, professional conferences, and clinical guidelines |
Interpersonal and Communication Skills | Counsel patients and their families on issues related to women’s health and addiction using a trauma-informed approach Collaborate in team-based models of care with other health care professionals, including psychiatry, obstetrics, and pediatrics providers |
Professionalism | Demonstrate a commitment to carrying out professional responsibilities and adherence to ethical principles with sensitivity to a diverse and vulnerable patient population and dedication to promoting equity in patient care and professional activities Appreciate and ask about dimensions of identity that affect patients’ substance use and treatment experiences, including sex, gender identity, sexual orientation, race, class, immigration status, and religion Proactively work to reduce stigma against people who use drugs on an individual and institutional basis, with special attention to discrimination faced by women who use drugs |
Systems-based practice | Identify and utilize systems of care for women who use drugs, including family-based addiction treatment programs and community-based harm reduction, housing, and other social service organizations that serve women Demonstrate an understanding of systems that disproportionately impact people who use drugs, including the child welfare, criminal-legal, mental health treatment, homelessness and housing systems Identify structural racism in addiction treatment and strategies to combat racism and promote equity in their practice and institution |