Recommendations for a New Curriculum in Pain Medicine for Medical Students: Toward a Career Distinguished by Competence and Compassion

Murinson, Beth B.; Gordin, Vitaly; Flynn, Susie; Driver, Larry C.; Gallagher, Rollin M.; Grabois, Martin; Are, Madhuri; Argoff, Charles E.; Bajwa, Zahid H.; Bačkonja, Miroslav; Bloodworth, Donna; Fishman, Scott M.; Guarino, Alcides Wagner Serpa; Harned, Michael E.; Markman, John D.; Michna, Edward; Wallace, Mark

doi:10.1111/pme.12051

Cited by 54 publications

(64 citation statements)

References 17 publications

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“…Murinson et al . defined 27 learning objectives for general pain medicine, based on a survey among pain specialists 69. Other areas for which specific prescribing competencies have been described are diabetes care ( n = 1) 70, drug misuse ( n = 1) 71, psychotherapy ( n = 1) 72 and pharmacogenomics ( n = 1) 73.…”

Section: Resultsmentioning

confidence: 99%

Do final‐year medical students have sufficient prescribing competencies? A systematic literature review

Brinkman

Tichelaar

Graaf

et al. 2018

Brit J Clinical Pharma

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AimsPrescribing errors are an important cause of patient safety incidents and are frequently caused by junior doctors. This might be because the prescribing competence of final‐year medical students is poor as a result of inadequate clinical pharmacology and therapeutic (CPT) education. We reviewed the literature to investigate which prescribing competencies medical students should have acquired in order to prescribe safely and effectively, and whether these have been attained by the time they graduate.MethodsPubMed, EMBASE and ERIC databases were searched from the earliest dates up to and including January 2017, using the terms ‘prescribing’, ‘competence’ and ‘medical students’ in combination. Articles describing or evaluating essential prescribing competencies of final‐year medical students were included.ResultsTwenty‐five articles describing, and 47 articles evaluating, the prescribing competencies of final‐year students were included. Although there seems to be some agreement, we found no clear consensus among CPT teachers on which prescribing competencies medical students should have when they graduate. Studies showed that students had a general lack of preparedness, self‐confidence, knowledge and skills, specifically regarding general and antimicrobial prescribing and pharmacovigilance. However, the results should be interpreted with caution, given the heterogeneity and methodological weaknesses of the included studies.ConclusionsThere is considerable evidence that final‐year students have insufficient competencies to prescribe safely and effectively, although there is a need for a greater consensus among CPT teachers on the required competencies. Changes in undergraduate CPT education are urgently required in order to improve the prescribing of future doctors.

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Section: Resultsmentioning

confidence: 99%

Do final‐year medical students have sufficient prescribing competencies? A systematic literature review

Brinkman

Tichelaar

Graaf

et al. 2018

Brit J Clinical Pharma

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“…Parallel to the need for better clinical analgesic deployment data, better information about the educational processes are needed. While there are a handful of studies regarding pain curriculum in medical education generally, there are currently no sufficient studies exploring knowledge gaps in EM residencies in particular (26,40,41). Data regarding existing gaps should be obtained from stakeholders (i.e., residency program directors and residents), either through traditional means, such as surveys or conference calls, or more novel means, such as crowdsourcing from Twitter or other electronic venues.…”

Section: Needs and Future Direction For Development Of A Residency Pamentioning

confidence: 99%

“…Recognizing the need for improved pain teaching in medical schools, a group of pain physicians created recommendations for a new curriculum using consensus methodology (26). The group created a list of topics that should be covered in medical school (Table 1).…”

Section: Em Pain Management Curriculum Contentmentioning

confidence: 99%

Consensus-Based Recommendations for an Emergency Medicine Pain Management Curriculum

Poon

Nelson

Hoppe

et al. 2016

The Journal of Emergency Medicine

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“…22 and 25 Our topics were similar to those of Mezei and Murinson 22 and highlighted in the IOM report on Pain 1 : basic concepts and science of pain, pain assessment, and pain management. Our criteria for the development of the survey were similar to Murinson et al 25 and based on the following: consultation of pain experts, completion of preliminary testing, and incorporation of IASP pain curriculum guidelines.…”

Section: Survey Instrumentmentioning

confidence: 99%

The Current State of Physical Therapy Pain Curricula in the United States: A Faculty Survey

Bement

Sluka

2015

The Journal of Pain

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Insufficient pain education is problematic across the health care spectrum. Recent educational advancements have been made to combat the deficits in pain education to ensure that health care professionals are proficient in assessing and managing pain. The purpose of this survey was to determine the extent of pain education in current Doctorate of Physical Therapy schools in the United States, including how pain is incorporated into the curriculum, the amount of time spent teaching about pain, and the resources used to teach about pain. The survey consisted of 10 questions in the following subject areas: basic science mechanisms and concepts about pain, pain assessment, pain management, and adequacy of pain curriculum.NOT THE PUBLISHED VERSION; this is the author's final, peer-reviewed manuscript. The published version may be accessed by following the link in the citation at the bottom of the page. Pain, Vol 16, No. 2 (2015, February): pg. 144-152. DOI. This article is © Elsevier and permission has been granted for this version to appear in e-Publications@Marquette. Elsevier does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Elsevier. Journal of 2The overall response was 77% (167/216) for the first series of responses of the survey (Question 1), whereas 62% completed the entire survey (Questions 2-10). The average contact hours teaching about pain was 31 ± 1.8 (mean ± standard error of the mean) with a range of 5 to 115 hours. The majority of schools that responded covered the science of pain, assessment, and management. Less than 50% of respondents were aware of the Institute of Medicine report on pain or the International Association for the Study of Pain guidelines for physical therapy pain education. Only 61% of respondents believed that their students received adequate education in pain management. Thus, this survey demonstrated how pain education is incorporated into physical therapy schools and highlighted areas for improvement such as awareness of recent educational advancements.Perspective: This article demonstrates how pain education is incorporated into physical therapy curricula within accredited programs. Understanding the current structure of pain education in health professional curriculum can serve as a basis to determine if recent publications of guidelines and competencies impact education.Key words: Pain; physical therapy; education More than 100 million adults in America suffer from chronic pain, costing over $600 billion per year in health care expenditures and lost wages. 13 and 17 An inadequate understanding and management of pain is rapidly becoming a public health problem. Mismanagement of acute pain can delay healing, resulting in long-lasting changes to the peripheral and central nervous systems and consequently chronic pain. 6 Likewise, insufficient knowledge of chronic pain mechanisms and management can further create major human and economic costs for patients, families, and society. 12 In 2010...

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Recommendations for a New Curriculum in Pain Medicine for Medical Students: Toward a Career Distinguished by Competence and Compassion

Cited by 54 publications

References 17 publications

Do final‐year medical students have sufficient prescribing competencies? A systematic literature review

Do final‐year medical students have sufficient prescribing competencies? A systematic literature review

Consensus-Based Recommendations for an Emergency Medicine Pain Management Curriculum

The Current State of Physical Therapy Pain Curricula in the United States: A Faculty Survey

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