Opioid Use Disorder Curriculum: Preclerkship Pharmacology Case-Based Learning Session.
Opioid Use Disorder Curriculum: Preclerkship Pharmacology Case-Based Learning Session.
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DOI：
10.15766/mep_2374-8265.11255
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发表时间：
2022
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在COVID-19大流行的第一年，超过93，000名美国人因可预防的过量用药而丧生。阿片类药物使用障碍（OUD）的药物已被证明可以降低OUD的死亡率，但未得到充分利用。通过这种基于案例的学习练习，一年级医学生将生理学和药理学原理应用于OUD的诊断和治疗。教师促进了1小时的大型小组案例学习（CBL）会议的案例讨论。主持人在讨论案件时使用PowerPoint幻灯片来说明图表。为了评估学生的CBL学习目标，管理三个药理学考试问题;学生还评估了CBL在满足三个Likert量表问题的教育目标方面的有效性，并通过开放式反馈。一年级医学生（n = 200）完成了CBL。考试题目的平均分是91%。学生同意或强烈同意CBL是学习药理学原理的有效方法（69%），它加强了药理学基础知识（70%），并表明药理学基础知识在临床医学的真实的世界中是多么重要（86%）。对CBL的定性反馈通常是积极的，包括对小组设置和药理学临床实践的实际应用的满意度。这个CBL练习包含了让学生做好准备对抗现代阿片类药物流行病的关键内容。该练习为学习者提供了一个回顾基本药效学和药代动力学原理的机会，以便为临床见习及其他工作做好准备。
During the first year of the COVID-19 pandemic, over 93,000 Americans lost their lives to a preventable overdose. Medications for opioid use disorder (OUD) have been shown to decrease mortality in OUD but are underutilized. Through this case-based learning exercise, first-year medical students applied physiologic and pharmacologic principles to the diagnosis and treatment of OUD. Faculty facilitated a case discussion over a 1-hour large-group case-based learning (CBL) session. Facilitators utilized PowerPoint slides to illustrate graphs and figures while discussing the case. To evaluate students on the CBL learning objectives, three pharmacology exam questions were administered; students also evaluated the CBL's effectiveness in meeting educational objectives on three Likert-scale questions and via open-ended feedback. First-year medical students (n = 200) completed the CBL. The mean score on the exam questions was 91%. Students agreed or strongly agreed that the CBL was an effective way to learn pharmacology principles (69%), that it reinforced pharmacologic fundamentals (70%), and that it showed how pharmacology fundamentals were important in the real world of clinical medicine (86%). Qualitative feedback on the CBL was generally positive, including satisfaction with the small-group setting and practical applications of pharmacology to clinical practice. This CBL exercise contains content critical for preparing students to combat the modern opioid epidemic. The exercise provides an opportunity for learners to review fundamental pharmacodynamic and pharmacokinetic principles so as to ready them for clinical clerkships and beyond.