Creating change agents: A national substance abuse education project

Marianne T. Marcus, Richard L. Brown, S. Lala A. Straussner, Eugene Schoener, Rebecca Henry, Antonnette V. Graham, Theresa Madden, Laura A. Saunders

Research output: Contribution to journalArticlepeer-review


Objective: This study evaluated the effects of a national interdisciplinary faculty development program, Project MAINSTREAM, on creating curriculum enhancement in health professional education. Method: Thirty-nine faculty completed a two-year, part-time fellowship program featuring interdisciplinary collaboration, mentoring, training meetings, and Internet-based instructional materials. The main vehicle for curricular change was a required collaborative education project to develop trainees' core competencies in substance abuse prevention services. Results: Fellows used a variety of approaches to implement 123 curricula and provide 66,995 hours of training to 10,170 trainees. Ninety percent of the training hours occurred in required courses, a potential indication of sustainability. Fellows indicated that a majority of the offerings would be sustained beyond the fellowship. Conclusion: Project MAINSTREAM shows promise as a model for achieving durable curriculum change in response to the public health crisis associated with a workforce untrained to deliver substance abuse services.

Original languageEnglish (US)
Pages (from-to)5-15
Number of pages11
JournalSubstance Abuse
Issue number3-4
StatePublished - Jun 22 2006


  • Curriculum change
  • Faculty development
  • Health professional education
  • Project MAINSTREAM
  • Substance abuse education

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health


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