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，为医学生提供丁丙诺啡治疗和阿片类药物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，涉及将法律的药物用于非医疗用途和非法药物使用。超过240万美国人正在使用非医疗用途的处方阿片类药物，去年有40万美国人使用海洛因。虽然只是问题的一部分，但海洛因的使用与艾滋病毒、乙型肝炎B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教医学生的主题，因为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，涉及理解成瘾的复杂生物学和社会基础，并导致了对新治疗方法的讨论。我们将为医学生完成一套六节课的课程。每节课将采用临床案例情景方法，其中包括涉及阿片类药物依赖相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）阿片类药物依赖和其他物质滥用问题的范围，2）执业医生在物质滥用治疗中的作用，3）阿片类药物的药理学，4）阿片类药物依赖的检测，诊断和评估，5）精神病和其他常见的药物滥用共病，以及6）如何在实践中开发和实施新的治疗（“从实验室到床边”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与使用不含药物滥用信息主题模块的受试者。临床实践的变化将通过与模拟患者的访谈来衡量，这些患者接受过培训，可以提出与阿片类药物使用或治疗相关的问题。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。如果成功的话，培训将扩大医学生的能力，并为他们作为执业医生所面临的挑战做好准备。