An Opioid Overdose Curriculum for Medical Residents: Impact on Naloxone Prescribing, Knowledge, and Attitudes

Taylor, Jessica; Rapoport, Alison B; Rowley, Christopher F; Mukamal, Kenneth J.; Stead, Wendy

doi:10.1080/08897077.2018.1439800

Cited by 20 publications

(17 citation statements)

References 21 publications

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“…[54][55][56] Dedicated training regarding SUD screening, diagnosis, and treatment during residencies could better prepare PCPs to care for PWID. [57][58][59] Hospital campaigns to train front-line staff and reduce providers' stigmatizing language in favor of person-first language may also help reduce the stigma experienced by PWID. 60,61 Primary care for PWID is important because it provides a potential "one-stop shop" for addressing complex healthcare needs.…”

Section: Discussionmentioning

confidence: 99%

“Health Is on the Back Burner:” Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“Health Is on the Back Burner:” Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs

et al. 2020

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“…Our pilot of a naloxone didactic and skills session for primary care learners demonstrated substantial improvements in the domains of knowledge, self-efficacy, and attitudes. Prior studies have reported several barriers to practicing physicians incorporating naloxone into care of patients with substance use disorders including knowledge gaps in use and proper administration with those who have never received naloxone training 28. Given that the ACGME currently does not specifically require any education or curricular activities regarding opioid use disorder treatment, our training model provides a unique opportunity to address a critical gap in knowledge and skills for primary care providers who will encounter this epidemic in many dimensions in practice.…”

Section: Discussionmentioning

confidence: 99%

“…The pilot results of our training model demonstrated improvement in comfort levels administering four different methods of naloxone. Exposure to training, as suggested by others, in addition to personal experiences with patients and/or family members can impact necessary changes in behaviors and attitudes toward providing access to naloxone for patients who would benefit most 28,29…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an interprofessional naloxone didactic and skills session with medical residents and physician assistant learners

Hargraves¹,

White²,

Mauger³

et al. 2019

Pharm Pract (Granada)

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Background:The CDC has reported 399,230 opioid-related deaths from 1999-2017. In 2018, the US surgeon general issued a public health advisory, advising all Americans to carry naloxone. Studies show that enhanced naloxone access directly reduces death from opioid overdose. Despite this, health care professional learners report low knowledge and confidence surrounding naloxone. Therefore, it becomes critical that medical education programs incorporate didactic and experiential sessions improving knowledge, skills and attitudes regarding harm reduction through naloxone.Objectives:1. Describe the components and evaluation of a replicable and adaptable naloxone didactic and skills session model for medical providers; 2. Report the results of the evaluation from a pilot session with family medicine residents and physician assistant students; and 3. Share the session toolkit, including evaluation surveys and list of materials used.Methods:In July 2017, a literature search was completed for naloxone skill training examining best practices on instruction and evaluation. A training session for family medicine residents and physician assistant learners was designed and led by University of Cincinnati College of Medicine and College of Pharmacy faculty. The same faculty designed a pre and post session evaluation form through internal review on elements targeting naloxone knowledge, attitude, and self-efficacy.Results:The training session included one hour for a didactic and one hour for small group live skills demonstration in four methods of naloxone administration (syringe and ampule, nasal atomizer, branded nasal spray and auto injector). Forty-eight participants showed statistically significant (p<0.05) improvement in knowledge (67.5% to 95.9%), attitudes (71.2% to 91.2%), and self-efficacy (62.1% to 97.8%) from pre to post assessment. Forty-four of 48 participants agreed that the pace of the training was appropriate and that the information will be of use in their respective primary care practices. Supply costs for the session were USD 1,200, with the majority being reusable on subsequent trainings.Conclusions:Our study of a naloxone didactic and skills session for primary care trainees demonstrated significant improvements in knowledge, self-efficacy, and attitudes. It provides an adaptable and efficient model for delivery of knowledge and skills in naloxone administration training. The pilot data suggest that the training was efficacious.

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“…A search of MedEdPORTAL using the keyword naloxone identified three unique publications: One includes naloxone training within a larger multiday substance use disorder training session for students, 11 another discusses an adverse event for pulmonary edema after naloxone administration, 12 and the third addresses indications for naloxone for inpatient opioid reversal. 13 While there is literature on the importance of naloxone training for medical trainees, 14 our curriculum is unique in that it is a standalone brief workshop whose primary focus is on naloxone education for health care providers. Even though the initial curriculum was developed for residents and fellows, it is generalizable to the medical community at large.…”

Section: Introductionmentioning

confidence: 99%

Rapid Naloxone Administration Workshop for Health Care Providers at an Academic Medical Center

et al. 2020

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Introduction: Opioid overdose is a growing problem in the US. Often, residents are first responders to community and in-hospital opioid overdoses, and so, hands-on naloxone administration education is necessary. While residents get a brief algorithm on suspected opioid overdose during their mandatory American Heart Association basic life support training, there is a lack of hands-on standardized curricula on how to administer this lifesaving medication. Methods: To fill this gap, we developed a hands-on workshop for medical trainees on how to respond to an opioid overdose. Trainees who completed our workshop left with a first-responder naloxone kit using the Massachusetts statewide open prescription. All attendees were asked to take a voluntary pre-and posttraining survey. Results: A total of 80 trainees from a variety of specialties and training levels participated in this workshop. We were able to successfully link the pre-and postdata of 29 participants. Trainees were assessed on comfort in administering naloxone as a first responder and in teaching patients how to administer naloxone (via a 5-point Likert scale) and on percentage of time they prescribed naloxone to high-risk patient populations. We saw statistically significant increases in comfort in using naloxone and comfort in teaching patients to administer naloxone. Discussion: This innovative curriculum provides an adaptable, short, and effective workshop with hands-on practice for medical trainees at a variety of training levels. The workshop can efficiently train future health care professionals how to approach an opioid overdose.

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An Opioid Overdose Curriculum for Medical Residents: Impact on Naloxone Prescribing, Knowledge, and Attitudes

Abstract: A brief curricular intervention improved resident knowledge and attitudes regarding intranasal naloxone for opioid overdose reversal and significantly increased prescribing rates.

Cited by 20 publications

References 21 publications

“Health Is on the Back Burner:” Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs

“Health Is on the Back Burner:” Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs

Evaluation of an interprofessional naloxone didactic and skills session with medical residents and physician assistant learners

Rapid Naloxone Administration Workshop for Health Care Providers at an Academic Medical Center

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