The impact of medical school education on the opioid overdose crisis with concurrent training in naloxone administration and MAT

Waskel, E. N.; Antonio, Shaun Craig; Irio, G.; Campbell, Jason L.; Kramer, James

doi:10.1080/10550887.2020.1762030

Cited by 6 publications

(9 citation statements)

References 2 publications

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“…Until recently, much of this education came from required trainings (e.g., PCSS) and did not occur until residency. Widespread efforts of medical students have highlighted a desire for increased earlier education on these topics and many UME institutions began incorporating required waiver trainings 28,30,41 . Modifications to DATA‐2000 waiver requirements and removal of the waiver provide an opportunity for medical schools to reorganize this training 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Widespread efforts of medical students have highlighted a desire for increased earlier education on these topics and many UME institutions began incorporating required waiver trainings. 28,30,41 Modifications to DATA-2000 waiver requirements and removal of the waiver provide an opportunity for medical schools to reorganize this training. 7 Results from this study can guide such efforts.…”

Section: Total Indicating This Reason Total Indicating This As Primar...mentioning

confidence: 99%

“…Although initial data suggest that incorporating MOUD waiver training into UME is desired by students and increases knowledge regarding OUD treatment, 28–31 it is important to recognize this training was developed for physicians, not medical students. Most medical students believe training in these topics should occur during UME; however, with the shift in legislation allowing physicians to prescribe buprenorphine without a waiver, it is the optimal time to consider how best to incorporate training regarding MOUD into UME to ensure future physicians have sufficient knowledge to treat patients with SUD.…”

Section: Introductionmentioning

confidence: 99%

“…Goals of providing this training are to educate students about MOUD and to ensure they are ready and able to prescribe buprenorphine upon graduation. [24][25][26][27] Although initial data suggest that incorporating MOUD waiver training into UME is desired by students and increases knowledge regarding OUD treatment, [28][29][30][31]…”

Section: Introductionmentioning

confidence: 99%

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Optimizing buprenorphine training during undergraduate medical education: Medical student feedback and attitudes

et al. 2023

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Background and Objectives: Strong evidence supports efficacy of medications for opioid use disorder (MOUD), but stringent prescribing policies impair access. Many physicians report discomfort prescribing MOUD due to inadequate knowledge. Most medical students believe MOUD training should occur during undergraduate medical education (UME). As legislation surrounding buprenorphine prescribing shifts, it is timely to consider how best to incorporate MOUD training into UME. Methods: At the start of 3rd year, all students (n = 290) received a survey regarding experiences working with people with OUDs, and beliefs and knowledge regarding harm reduction and treatment. During orientation, students completed an 8-h online MOUD training. Afterwards, students completed another survey, including questions about training perceptions. Results: One-third of students (32.8%) completed MOUD training and both surveys. Before training, 60.0% had not heard of the waiver, but 82.1% endorsed interest in prescribing buprenorphine. Despite mixed feelings about training content and delivery, 79.1% believed future classes should receive it. Most thought it should be integrated longitudinally throughout the curriculum rather than as separate online training. Conclusion and Scientific Significance: Medical students want more MOUD education throughout their training; however, the 8-h online training may be lessthan-optimal. As this training is no longer required to prescribe buprenorphine, there is an opportunity to modify the content presented. There is an urgent need for physicians with the knowledge and willingness to treat patients with OUD. Introducing integrated training about MOUD should help future physicians feel confident in their knowledge to treat patients and comfortable applying for the waiver.

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Section: Discussionmentioning

confidence: 99%

Section: Total Indicating This Reason Total Indicating This As Primar...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Optimizing buprenorphine training during undergraduate medical education: Medical student feedback and attitudes

et al. 2023

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“…Medication-assisted treatment has successfully been implemented in medical schools in both the third and fourth years (Lien et al, 2021; Waskel et al, 2020; Zerbo et al, 2020). Both Lien et al and Zerbo et al reported that students increased their recognition of MAT after training and felt more comfortable conducting MAT after licensing and receipt of DATA waivers.…”

Section: Introductionmentioning

confidence: 99%

Medication-assisted treatment 24-hr waiver training for opioid use disorder: Lessons learned

Oh,

Oetjen,

Beran

et al. 2023

J Am Assoc Nurse Pract

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This study reports our experience in implementing and evaluating medication-assisted treatment (MAT) training. MAT training includes immersion into practice and integration of treatment for opioid use disorder (OUD). During 2019-2021, MAT training was offered to students in Master of Science in Nursing and Doctor of Nursing Practice programs. Feedback on our training program was obtained through required Substance Abuse and Mental Health Services surveys and focus groups after training sessions to assess the quality of training, materials, instruction, and impact and usefulness of training. In addition, after completion of training, surveys were emailed to those who graduated in 2020 and 2021. Surveys included demographic questions and qualitative responses to assess MAT training quality, clinical application time, and how comfortable graduates felt regarding their knowledge, skills, and attitude toward treatment. Integrating training modules from the beginning of the nursing program over several semesters facilitating students with multiple exposures to training materials and offering clinical experiences solidified students' knowledge into practice. Most students were satisfied with the training and felt the training was effective in integrating new knowledge related to MAT. More importantly, it improved students' negative attitudes toward people with OUD and students' desire to pursue being an OUD MAT provider after graduation. The continued assessment and curriculum development of MAT training in nursing programs is crucial in fighting the opioid overdose epidemic. This expansion in interested MAT providers may contribute to improving access for underserved patients seeking MAT treatment with an increase in available providers.

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An Institutional Curriculum for Opioid Prescribing Education: Outcomes From 2017 to 2022

Beaulieu-Jones,

Berrigan,

Robinson

et al. 2024

Journal of Surgical Research

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The impact of medical school education on the opioid overdose crisis with concurrent training in naloxone administration and MAT

Cited by 6 publications

References 2 publications

Optimizing buprenorphine training during undergraduate medical education: Medical student feedback and attitudes

Optimizing buprenorphine training during undergraduate medical education: Medical student feedback and attitudes

Medication-assisted treatment 24-hr waiver training for opioid use disorder: Lessons learned

An Institutional Curriculum for Opioid Prescribing Education: Outcomes From 2017 to 2022

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