Jonathan Goodman can recall most of the lectures he's attended at the Stanford University School of Medicine. He can recite detailed instructions given more than a year ago about how to conduct a physical.
But at the end of his second year, the 27-year-old M.D.-Ph.D. student could not remember any class dedicated to addiction medicine. Then he recalled skipping class months earlier. Reviewing his syllabus, he realized he had missed the sole lecture dedicated to that topic.
“I wasn't tested on it,” Goodman says, with a note of surprise.
Americans are overdosing on opioids such as heroin and prescribed painkillers at epidemic rates, and the nation's doctors appear to be inadequately prepared to help.
The problem begins in medical school.