Training Internal Medicine Residents to Manage Chronic Pain and Prescription Opioid Misuse

Ruff, Allison; Alford, Daniel P.; Butler, Robert S.; Isaacson, J. Harry

doi:10.1080/08897077.2017.1296526

Cited by 20 publications

(11 citation statements)

References 27 publications

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“…For example, Ruff and colleagues examined an intervention to train internal medicine trainees on how to manage chronic pain and prescription opioid misuse. 16 As they relate, internal medicine residents often lack the preparation to manage complex patients who are on chronic opioids for chronic pain. They examined an educational intervention for internal medicine residents within a busy training program.…”

Section: Introductionmentioning

confidence: 99%

From Education to Practice: Addressing Opioid Misuse through Health Care Provider Training: A Special Issue of Substance Abuse Journal

Gordon

Harding

2017

Substance Abuse

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Opioid misuse may be ignored by providers who are unwilling or not confident in engaging the complex nature of substance use disorders among their patient populations. Addiction is a complex disease, and although providers often are comfortable in identifying, assessing, and treating the complex diseases of their patients, basic knowledge and skills of identification, assessment, and treatment expertise involving opioids for pain, addressing opioid misuse, and treatment of opioid use disorder are lacking. Initiatives to improve knowledge of opioid use, misuse, and opioid use disorder among health care providers are emerging. In this issue of the Substance Abuse journal, we examine the science and evidence base of educational interventions and public initiatives addressing opioid use and addiction. These initiatives include naloxone rescue awareness and programs, community-based training initiatives, and system or public health approaches to improve student, trainee, and clinician education/training revolving around opioid misuse and opioid use disorder. We call on stakeholders to fund more research to investigate and implement the proven means to educate undergraduate students, graduate trainees, and clinicians regarding pain and addiction. We also recognize the 2016 peer reviewers of our journal who have performed meritorious, volunteer service to advance the science of addiction.

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Section: Introductionmentioning

confidence: 99%

From Education to Practice: Addressing Opioid Misuse through Health Care Provider Training: A Special Issue of Substance Abuse Journal

Gordon

Harding

2017

Substance Abuse

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“…Examples of prior successful CR Teaching Projects include a resident workshop on mutual help recovery programs (e.g., Alcoholics Anonymous), including visiting a meeting, 24 and intensive resident workshops in addiction medicine. 25,26 During CRIT all CRs met one-on-one with CRIT core faculty at least three times to develop their Teaching Project plan. CRs who co-trained with a mentor were instructed to attend all Teaching Project CRIT core faculty meetings with their mentor and meet with their mentor during unscheduled times to facilitate Teaching Project development.…”

Section: Methodsmentioning

confidence: 99%

Promoting Addiction Medicine Teaching through Functional Mentoring by Co-Training Generalist Chief Residents with Faculty Mentors

et al. 2018

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“…The intervention included lectures covering chronic pain, prescription opioid misuse, opioid use disorders, communication skills, and the monitoring of opioid discontinuation of opioid treatment when necessary. There were statistically significant increases in residents' reported confidence about treating patients with CNCP, their ability to identify CNCP patients who have developed an opioid use disorder, and their ability to monitor for changes in the benefit vs. harm of the prescription drugs …”

Section: Moving Educational Interventions “Upstream”mentioning

confidence: 99%

Changing Prescribing Behavior in the United States: Moving Upstream in Opioid Prescription Education

Wiese

Piercey

Clark

2018

Clin Pharma and Therapeutics

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In the US, deaths from prescription opioids have quadrupled since 1999, prompting authorities to declare an "opioid abuse" crisis. Rising overdose deaths were attributed to trends in the overprescription of opioids, specifically the strength and duration of the initial prescription. We describe educational interventions designed to control healthcare professionals' (HCPs) opioid prescribing in the wake of this crisis. A review of relevant programs for practicing providers, medical residents, and medical students reveals a focus on educational interventions that we describe, borrowing from sociologist John McKinlay's metaphor for public health interventions, as "downstream." These downstream interventions concentrate on regulating and educating practicing HCPs rather than transforming the training environment for medical students and residents. We draw on theories of behavior change to call for the development of complementary "upstream" educational programs for future practitioners that focus on structural and psychosocial factors and may contribute to more sustainable behavior change outcomes.

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Training Internal Medicine Residents to Manage Chronic Pain and Prescription Opioid Misuse

Abstract: A brief training can improve residents' self-reported knowledge and confidence in managing patients with chronic pain and safe opioid prescribing practices. How this change in confidence affects patient care requires further study.

Cited by 20 publications

References 27 publications

From Education to Practice: Addressing Opioid Misuse through Health Care Provider Training: A Special Issue of Substance Abuse Journal

From Education to Practice: Addressing Opioid Misuse through Health Care Provider Training: A Special Issue of Substance Abuse Journal

Promoting Addiction Medicine Teaching through Functional Mentoring by Co-Training Generalist Chief Residents with Faculty Mentors

Changing Prescribing Behavior in the United States: Moving Upstream in Opioid Prescription Education

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