Article Commentary: Medicine, with a Focus on Physician Assistants: Addressing Substance use in the 21st Century

Mattingly, Jill

doi:10.1080/08897077.2019.1686727

Cited by 4 publications

(4 citation statements)

References 39 publications

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“…Recently, there have been advocacy that health professions should do more to address substance use and evolve their discipline specific competencies regarding substance use, misuse, and addiction. 45 – 50 We believe that the physical therapy profession should also do the same. We recommend that all physical therapists receive opioid-related training.…”

Section: Discussionmentioning

confidence: 95%

Article Commentary: Physical Therapists Should Play a Greater Role in Managing Patients with Opioid use and Opioid Misuse

et al. 2021

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The U.S. opioid crisis necessitates that health care providers of all types work collaboratively to manage patients taking prescription opioid medications and manage those who may be misusing prescription opioids. Musculoskeletal conditions are the most common diagnoses associated with an opioid prescription. Physical therapists commonly manage patients with musculoskeletal conditions and chronic pain. Some patients who attend physical therapy for pain management take prescription opioid medications for pain and some of these patients may be misusing prescription opioids. Physical therapists who manage patients with musculoskeletal conditions are well-positioned to help address the opioid crisis. Historically, physical therapists have not been adequately engaged in efforts to manage persons with co-occurring musculoskeletal pain and opioid misuse or OUD. The American Physical Therapy Association (APTA) has emphasized physical therapy over the use of prescription opioids for the management of painful conditions. The APTA, however, does not highlight the important role that physical therapists could play in monitoring opioid use among patients receiving treatment for pain, nor the role that physical therapists should play in screening for opioid misuse. Such screening could facilitate referral of patients suspected misuse to an appropriate provider for formal assessment and treatment. This commentary presents simulated musculoskeletal patient presentations depicting 2 common opioid use states; chronic opioid use and opioid misuse. The cases highlight and interactions that physical therapists could have with these patients and actions that the physical therapist could take when working inter-disciplinarily. Recommendations are provided that aim to increase physical therapists’ knowledge and skills related to managing patients taking prescription opioid medications for pain.

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Section: Discussionmentioning

confidence: 95%

Article Commentary: Physical Therapists Should Play a Greater Role in Managing Patients with Opioid use and Opioid Misuse

et al. 2021

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“…The results of these database searches indicate a need for a unified interprofessional approach to SUD education [ 24 ]. Additionally, several discipline specific reports have suggested concerted effort needs in dental [ 1 , 32 ], pharmacy [ 26 ], medicine [ 33 ] and PA [ 20 , 38 ] training in these areas. In fact, several authors have suggested that interprofessional education, patient engagement, and OUD should be considered standards in SUD education [ 23 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

HealthCare educational differences in pain management, adverse childhood experiences and their relationship to substance use disorder education

Ojeda

Chen

Miracle

et al. 2022

Subst Abuse Treat Prev Policy

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Background In order to assist the State of Ohio in the United States in addressing the opioid epidemic, the Ohio Attorney General appointed experts in a variety of academic disciplines to the Scientific Committee on Opioid Prevention and Education (SCOPE). The focus of SCOPE is the application of scientific principles in the development of prevention and educational strategies for reducing substance use disorder (SUD). One area of focus for SCOPE was SUD education of healthcare professionals. The objective of the present was to identify the content and extent to which future healthcare professionals are trained in pain management, SUD, and adverse childhood experiences (ACEs). Methods In December of 2019, a survey was distributed to 49 healthcare professional schools in Ohio that included the following disciplines: medicine, pharmacy, advanced practice registered nurse (APRN), physician assistant, dentistry, and optometry. The survey included four domains: initial screening of patients, training in SUD, training in care for patients at high risk for SUD, and education in evaluating patients for ACEs. Descriptive statistics were calculated. Results Thirty one of the forty-nine schools completed the survey. Most disciplines indicated that some form of basic training in the principles of SUD were taught in their core curriculum. The training on ethical issues surrounding SUD were not as widely covered (range 0-62.5%). Medicine, APRN, physician assistant, and pharmacy schools had a “moderate” to “great” extent of pharmacologic therapy curriculum integration. Other pain management strategies were “somewhat” to “moderately” integrated. There were variations seen in training on risk of medication misuse based on various contributors to health. At least 67.7% of medicine, APRN, physician assistant, and pharmacy programs included motivational interviewing training. The extent to which schools integrated education regarding ACEs into their curriculum varied from 0 to 66.7%. Conclusions The study finding suggests a need for a unified, consistent, and expanded training requirement in the foundations of pain management, SUD, and ACEs in professional healthcare education.

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“…In 2019, the Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) led efforts to develop substance use–related core competencies for the 21st century across disciplines 14 . Each discipline documented competencies reflective of the KSA for newly licensed entry-level and advanced practice nurses, 15 , 16 pharmacists, 17 physicians, 18 physician assistants, 19 and social workers 20 . The competencies for the pharmacists, physicians, physician assistants, and social workers were organized in accord with KSA.…”

Section: Introductionmentioning

confidence: 99%

Substance Use–Related Continuing Education Course Objectives: Alignment with Professional Competencies

et al. 2022

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Background: Novel educational efforts are needed to prepare the current and future interprofessional health care workforce to address the range of substance use–related health problems. A 6-module massive open online course (MOOC) was developed to provide education to health professionals of various disciplines on the fundamentals of substance use–related treatment. The purpose of this project was to match course objectives to substance use–related competencies for 5 disciplines: nurses, pharmacists, physicians, physician assistants (PA), and social workers. Methods: Content expert raters within each discipline determined what Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) core competencies were matched to each objective for the 6 modules of the MOOC. The number of objectives across the 6 modules was summated. Results: All nursing and social work competencies were mapped to the course objectives. For physicians, PAs, and pharmacists, the proportions of knowledge-based competencies that mapped to the course objective were 58%, 76%, and 80%, respectively, and proportions of skill-based competencies that mapped to the course objective were 88%, 83%, and 75%, respectively. For those 3 groups, 100% of attitude-based competencies mapped to the course objective. Conclusions: The competency-based mapping with the MOOC objectives supports the interprofessional design of the course and discipline-specific competencies needed to promote the best outcomes for patients.

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Article Commentary: Medicine, with a Focus on Physician Assistants: Addressing Substance use in the 21st Century

Cited by 4 publications

References 39 publications

Article Commentary: Physical Therapists Should Play a Greater Role in Managing Patients with Opioid use and Opioid Misuse

Article Commentary: Physical Therapists Should Play a Greater Role in Managing Patients with Opioid use and Opioid Misuse

HealthCare educational differences in pain management, adverse childhood experiences and their relationship to substance use disorder education

Substance Use–Related Continuing Education Course Objectives: Alignment with Professional Competencies

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