Background: The American Board of Medical Specialties recognized addiction medicine (ADM) as a subspecialty in 2016, which was timely given the recent rise in substance use disorder (SUD). The impact of this dual board opportunity on Family Medicine has not been described. Our study enumerates and characterizes physicians dually certified in Family Medicine and ADM. Methods: We linked American Board of Medical Specialties data from March 2020 on physicians dually boarded in Family Medicine and ADM to responses on demographic and scope of practice questions in the American Board of Family Medicine (ABFM) National Graduate Survey and Family Medicine Certification Examination Registration Questionnaire. Results: Of current ABFM Diplomates, 0.53% (492/93,269) are also boarded in ADM. Based on survey responses from a subset of dually certified physicians, those who are dually certified are more likely to practice in federally qualified health centers and to hold a faculty position. Dually certified physicians are more likely to provide HIV/AIDS and hepatitis C management and are as likely as non-dually certified physicians to provide newborn care, obstetric deliveries, inpatient adult medicine care, and intensive care. Discussion: While only a small proportion of family physicians carry dual ADM board certification, those that do disproportionately serve vulnerable populations while retaining broad scope of care. Further work is needed to examine whether SUD treatment access could be addressed by implementing models that support dually certified physicians in consultative and educational efforts that would amplify their impact across the primary care workforce.

中文翻译：

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有和没有成瘾医学委员会认证的家庭医生的实践模式

背景：美国医学专业委员会于 2016 年将成瘾医学 (ADM) 认定为一个亚专业，鉴于最近物质使用障碍 (SUD) 的上升，这是及时的。尚未描述这种双板机会对家庭医学的影响。我们的研究列举并描述了获得家庭医学和 ADM 双重认证的医生。方法：我们将 2020 年 3 月美国医学专业委员会关于家庭医学和 ADM 双重注册的医生的数据与美国家庭医学委员会 (ABFM) 全国研究生调查和家庭医学认证考试注册中对人口统计和实践问题的回答联系起来问卷。结果：在当前的 ABFM 外交官中，0.53% (492/93,269) 也登上了 ADM。根据来自双重认证医生子集的调查回复，获得双重认证的医生更有可能在联邦合格的医疗中心执业并担任教职。双重认证的医生更有可能提供 HIV/AIDS 和丙型肝炎管理，并且与非双重认证的医生一样有可能提供新生儿护理、产科分娩、住院成人医学护理和重症监护。讨论：虽然只有一小部分家庭医生拥有双重 ADM 委员会认证，但那些确实为弱势群体提供了不成比例的服务，同时保留了广泛的护理范围。