Medical Student Training on Buprenorphine and Opioid Dependence

医学生关于丁丙诺啡和阿片类药物依赖的培训

• 批准号: 7160587
• 负责人: Bradley Tanner
• 金额: $ 11.21万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7160587
• 关键词: attitude; buprenorphine; clinical research; curriculum; experience; health; learning; physicians; schools; substance abuse related disorder; training

DESCRIPTION (provided by applicant): We propose to develop a suite of Internet based modules to provide education and skills training to medical students on the topic of buprenorphine treatment and opioid addiction. Opioid dependence is a growing problem in the United States involving both use of legal medications for non-medical uses and illegal drug use. Over 2.4 million Americans are using prescription opioids for non-medical uses, and 400,000 Americans used heroin last year. Although only part of the problem, heroin use is associated with significant medical issues such HIV, and Hepatitis B and C. Currently, these topics are not part of the standard medical school curriculum. However, opioid dependence and treatment with buprenorphine are topics well suited to teaching medical students since explanation of these topics leads to discussion of the role of practicing physicians in substance abuse treatment, raises complicated multi-disciplinary treatment issues, involves understanding complex biological and social basis of addictions, and leads to the discussion of how new treatments are developed and moved into practice. We will complete creation of a suite of six lessons for medical students. Each lesson will utilize a clinical case scenario approach, which will include straightforward clinical scenarios involving patients with issues related to opioid dependence. The modules will include the following information: 1) the scope of the problem with opioid dependence and other substance abuse, 2) the role of the practicing physician in substance abuse treatment, 3) pharmacology of opioids, 4) detection, diagnosis and assessment of opioid dependence, 5) psychiatric and other common comorbidities with substance abuse, and 6) how novel treatments are developed and implemented in practice ('bench to bedside' issues). We will evaluate the suite of modules' effect on attitudes toward substance abuse patients, clinical practice, self-efficacy, and knowledge. A randomized study will compare subjects using the buprenorphine modules to subjects using modules on a topic that does not contain substance abuse information. Clinical practice changes will be measured using interviews with simulated patients who are trained to bring up issues related to opioid use or treatment. After the value of the courses has been scientifically demonstrated, we will work with medical schools throughout the United States that are interested in adding the modules to their curriculum. If successful, the training will expand the capabilities of medical students and prepare them for the challenges they will face as practicing physicians.

描述(由申请人提供)：我们建议开发一套基于互联网的模块，为医学生提供关于丁丙诺啡治疗和阿片成瘾主题的教育和技能培训。阿片类药物依赖在美国是一个日益严重的问题，涉及将合法药物用于非医疗用途和非法药物使用。超过240万美国人将处方阿片类药物用于非医疗用途，去年有40万美国人使用海洛因。虽然这只是问题的一部分，但海洛因的使用与艾滋病毒、乙肝和丙型肝炎等重大医疗问题有关。目前，这些主题不是标准医学院课程的一部分。然而，阿片类药物依赖和丁丙诺啡治疗是非常适合医学生教学的主题，因为对这些主题的解释导致了对执业医生在药物滥用治疗中的作用的讨论，提出了复杂的多学科治疗问题，涉及到了解成瘾的复杂生物学和社会基础，并导致了关于如何开发新的治疗方法并将其付诸实践的讨论。我们将为医科学生完成一套六节课的制作。每一课都将利用临床病例情景方法，其中将包括涉及与阿片类药物依赖有关问题的患者的直接临床情景。这些单元将包括以下信息：1)阿片依赖和其他药物滥用问题的范围，2)执业医生在药物滥用治疗中的作用，3)阿片类药物的药理学，4)阿片依赖的检测、诊断和评估，5)精神病和其他常见的药物滥用共病，以及6)如何开发和在实践中实施新的治疗方法(“从床到床”问题)。我们将评估这套模块对药物滥用患者的态度、临床实践、自我效能和知识的影响。一项随机研究将比较使用丁丙诺啡模块的受试者和使用不包含药物滥用信息的主题的模块的受试者。临床实践的变化将通过采访模拟患者来衡量，这些患者接受了提出与阿片类药物使用或治疗有关的问题的培训。在这些课程的价值得到科学证明后，我们将与美国各地有兴趣将这些模块添加到课程中的医学院合作。如果成功，培训将扩大医学生的能力，并为他们作为执业医生面临的挑战做好准备。