Developing and validating an opioid overdose prevention and response curriculum for undergraduate medical education.
Developing and validating an opioid overdose prevention and response curriculum for undergraduate medical education.
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DOI：
10.1080/08897077.2021.1941515
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发表时间：
2022
期刊：
影响因子：
3.5
通讯作者：
Waineo E
中科院分区：
文献类型：
--
作者：
Moses TE;Moreno JL;Greenwald MK;Waineo E
随着药物过量和物质使用障碍（SUD）的增加，医学院开始在本科医学教育（UME）中纳入更多关于SUD和减少危害的内容。初步数据表明，这些补充可能会提高医学生的知识和对SUD患者的态度，但是，没有标准的课程。该项目采用六步法UME课程开发，以确定美国一所大型单校区医学院关于SUD和阿片类药物过量的需求和目标。我们首先为一小群医学生开发并提供了一个试点课程。试点结果和更大规模的调查导致对一年级学生实施一小时的阿片类药物过量预防和反应（OOPR）培训。使用基线和培训后调查对阿片类药物过量和SUD患者的知识和态度进行跟踪培训的效果。需求评估表明了培训的愿望和需要。试点研究（N=66）导致有关阿片类药物过量的知识显着提高; 100%的学生喜欢培训，并认为其他人应该接受它。更大的复制研究调查了所有新生（N=266），以衡量这些主题的初步知识和经验。结果促使加强了OOPR培训课程，向一半的一年级学生提供了这一课程。培训后调查结果重复了试点研究的结果。大多数（95.2%）学生喜欢培训，98.4%的学生认为所有学生都应该接受培训。在UME中提供关于SUD和减少危害的全面课程至关重要。虽然许多学校正在实施培训，但没有标准课程。我们概述了OOPR的低资源培训干预。我们的研究结果确定了这些UME课程的关键特征。这种方法为学校提供了一个可复制的模板，以寻求制定简短的教育干预措施，并确定在SUD和减少危害的课程的基本内容。
As rates of overdose and substance use disorders (SUDs) increase, medical schools are starting to incorporate more content on SUDs and harm reduction in undergraduate medical education (UME). Initial data suggest these additions may improve medical student knowledge and attitudes toward patients with SUDs; however, there is no standard curriculum. This project uses a six-step approach to UME curricular development to identify needs and goals regarding SUDs and opioid overdose at a large single-campus medical school in the United States. We first developed and delivered a pilot curriculum to a small group of medical students. Pilot results and a larger survey led to implementing a one-hour Opioid Overdose Prevention and Response (OOPR) Training for first-year students. Effects of training were tracked using baseline and post-training surveys examining knowledge and attitudes toward opioid overdose and patients with SUDs. Needs assessment indicated desire and need for training. The pilot study (N=66) resulted in significantly improved knowledge regarding opioid overdose; 100% of students enjoyed training and believed others should receive it. The larger replication study surveyed all incoming students (N=266) to gauge initial knowledge and experiences with these topics. Results prompted enhancement of the OOPR Training curriculum, which was delivered to half of the first-year class. Post-training survey results replicated the pilot study findings. The majority (95.2%) of students enjoyed training and 98.4% believed all students should receive it. Delivering a thorough curriculum on SUDs and harm reduction in UME is critical. Although many schools are implementing training, there is no standard curriculum. We outline a low-resource training intervention for OOPR. Our findings identified key features to include in these UME curricula. This approach provides a replicable template for schools seeking to develop brief educational interventions and identify essential content for curricula in SUDs and harm reduction.
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影响因子：
3.5
作者：
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通讯作者：
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