The impact of a curriculum on postoperative opioid prescribing for novice surgical trainees
The impact of a curriculum on postoperative opioid prescribing for novice surgical trainees
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DOI：
10.1016/j.amjsurg.2018.08.007
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发表时间：
2019-02-01
影响因子：
3
通讯作者：
Pei, Kevin Y.
中科院分区：
文献类型：
--
作者：
Chiu, Alexander S.;Ahle, Samantha L.;Pei, Kevin Y.
Background: Surgical residents are frequently responsible for prescribing postoperative analgesia, yet the vast majority are never formally educated on the subject.Methods: A resident-led educational presentation on postoperative analgesia prescribing was provided to incoming surgical interns at a tertiary academic center. Pre- and post-surveys assessed comfort in prescribing postoperative analgesia. Following the educational intervention, opioid prescriptions during the interns' first two months were compared to that of the prior year's interns.Results: Education was provided to 31 interns. Prior to the session, few interns felt comfortable prescribing opioids (20%) or non-opioid analgesia (32%). After the session, 96% felt more comfortable prescribing opioids and 91% more comfortable prescribing multi-modal analgesia. Interns who received education prescribed an average of 127.8 Morphine Milligram Equivalents (MME) per prescription, compared to 208.5 MME by the prior year's interns (p < 0.01).Conclusion: Education on postoperative analgesia targeting interns can be effective in preparing trainees in effective and judicious analgesic prescribing. (C) 2018 Elsevier Inc. All rights reserved.
