Early-Career and Graduating Physicians More Likely to Prescribe Buprenorphine

Peterson, Lars E.; Morgan, Zachary; Eden, Aimee R.

doi:10.3122/jabfm.2020.01.190230

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…Results from this survey suggest that current primary care trainee physicians, who have trained during this historically devastating overdose crisis, are more inclined than primary care attending physicians to view OUD medications as effective and to express interest in working with this population and prescribing buprenorphine to treat OUD (McGinty et al, 2020). This aligns with data showing that a growing proportion of trainee physicians in family medicine are obtaining buprenorphine waivers (Peterson et al, 2020).…”

Section: Discussionsupporting

confidence: 56%

Comparing perspectives on medication treatment for opioid use disorder between national samples of primary care trainee physicians and attending physicians

Kennedy-Hendricks

Barry

Bachhuber

et al. 2020

Drug and Alcohol Dependence

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Section: Discussionsupporting

confidence: 56%

Comparing perspectives on medication treatment for opioid use disorder between national samples of primary care trainee physicians and attending physicians

Kennedy-Hendricks

Barry

Bachhuber

et al. 2020

Drug and Alcohol Dependence

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“…Studies have shown that early-career family physicians are leading this charge. 11 While some have advocated for requiring DATA 2000 waiver training during residency, it is not currently an ACGME requirement. [12][13] The American Academy of Family Physicians recommended curriculum guidelines for substance use disorders include treating patients with buprenorphine; however, they do not call for residents to obtain their waivers to prescribe it.…”

Section: Discussionmentioning

confidence: 99%

The Impact on Future Prescribing Patterns of Opioid Use Disorder (OUD) Education and Waiver Provision During Residency

et al. 2020

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Background: Family medicine residency programs vary in the extent of training offered on opioid use disorder (OUD) in their curricula. The purpose of this study was to determine the impact of OUD education and buprenorphine waiver provision on postresidency buprenorphine prescribing patterns. Methods: Three North Carolina family medicine residency programs differed in the extent to which they taught OUD, including buprenorphine waiver provision. Program A required OUD education and assisted residents in obtaining a waiver; Program B offered OUD education and did not assist with obtaining a waiver; and Program C did not offer OUD education. In November 2019, graduates from these 3 programs were surveyed regarding the extent to which they engaged in treatment of OUD. Descriptive statistics were used to characterize the survey participants and their responses. Results: Of the 62 graduates invited to participate, 49 (79.0%) responded. Across the 3 programs, the percentage of graduates with a waiver varied significantly (P < .0001): Program A (84.2%), Program B (33.3%), and Program C (0.0%). Of those who were not waivered, Program B had a larger percentage that desired to prescribe buprenorphine products (70.0%) as compared with Program C (9.1%) (P = .009). Conclusions: Family medicine residency graduates from programs with more integrated OUD education were more likely to obtain and use a waiver to prescribe buprenorphine-containing medications postgraduation.

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“…9 Furthermore, only 28.6% of family medicine residencies reported having a dedicated addiction medicine (ADM) curricula with a lack of faculty expertise listed as the top reason why many programs did not offer training in ADM. 10 Studies have also shown that few family physicians feel prepared to prescribe or are currently prescribing buprenorphine, which is the predominant medication used in office-based settings for opioid use disorder. [11][12][13][14] With a goal of increasing the workforce to address SUD, ADM became an American Board of Medical Specialties (ABMS)-recognized subspecialty in 2016 under the American Board of Preventive Medicine. 15,16 Any physician with an ABMS-recognized primary board certification is eligible to apply with appropriate fellowship training or, before 2025, sufficient addiction-focused practice experience.…”

Section: Introductionmentioning

confidence: 99%

Practice Patterns of Family Physicians With and Without Addiction Medicine Board Certification

et al. 2021

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Background: The American Board of Medical Specialties recognized addiction medicine (ADM) as a subspecialty in 2016, which was timely given the recent rise in substance use disorder (SUD). The impact of this dual board opportunity on Family Medicine has not been described. Our study enumerates and characterizes physicians dually certified in Family Medicine and ADM.Methods: We linked American Board of Medical Specialties data from March 2020 on physicians dually boarded in Family Medicine and ADM to responses on demographic and scope of practice questions in the American Board of Family Medicine (ABFM) National Graduate Survey and Family Medicine Certification Examination Registration Questionnaire.Results: Of current ABFM Diplomates, 0.53% (492/93,269) are also boarded in ADM. Based on survey responses from a subset of dually certified physicians, those who are dually certified are more likely to practice in federally qualified health centers and to hold a faculty position. Dually certified physicians are more likely to provide HIV/AIDS and hepatitis C management and are as likely as non-dually certified physicians to provide newborn care, obstetric deliveries, inpatient adult medicine care, and intensive care.Discussion: While only a small proportion of family physicians carry dual ADM board certification, those that do disproportionately serve vulnerable populations while retaining broad scope of care. Further work is needed to examine whether SUD treatment access could be addressed by implementing models that support dually certified physicians in consultative and educational efforts that would amplify their impact across the primary care workforce.

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Early-Career and Graduating Physicians More Likely to Prescribe Buprenorphine

Cited by 6 publications

References 7 publications

Comparing perspectives on medication treatment for opioid use disorder between national samples of primary care trainee physicians and attending physicians

Comparing perspectives on medication treatment for opioid use disorder between national samples of primary care trainee physicians and attending physicians

The Impact on Future Prescribing Patterns of Opioid Use Disorder (OUD) Education and Waiver Provision During Residency

Practice Patterns of Family Physicians With and Without Addiction Medicine Board Certification

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