Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students

Introduction In light of the opioid overdose epidemic in the US and the necessity of developing training to conduct difficult conversations around opioid dependence, three case-based videos were created to demonstrate providers using motivational interviewing (MI) with patients who have opioid use d...

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Autores principales:	John G. Spangler, Catherine N. Shull, Carol A. Hildebrandt, Keli Beck Jones, Andrew L. Brewer, Mark P. Knudson, Gail S. Marion, Julienne K. Kirk
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Addiction Curriculum Drug Dependence Opioid Use Disorder Medical Learners Medication Assisted Treatment Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/611f03523a5b400891d226909f059682
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spelling	oai:doaj.org-article:611f03523a5b400891d226909f0596822021-11-19T15:08:35ZOpioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students10.15766/mep_2374-8265.110122374-8265https://doaj.org/article/611f03523a5b400891d226909f0596822020-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11012https://doaj.org/toc/2374-8265Introduction In light of the opioid overdose epidemic in the US and the necessity of developing training to conduct difficult conversations around opioid dependence, three case-based videos were created to demonstrate providers using motivational interviewing (MI) with patients who have opioid use disorder (OUD). These vignettes displayed a primary care provider interacting with a patient seeking opioids. Methods Learners—including third-year medical and physician assistant (PA) students, and family medicine residents—viewed three videos set in a family medicine clinic and assessed clinician use of MI when interacting with patients with OUD. The patients were at different levels of acknowledging their need to change their opioid use behaviors and/or pursue treatment. Learners rated each video with an MI rating scale, and a facilitator debriefed strengths, weaknesses, and omissions regarding MI. Results Medical and PA students, and resident family physicians provided 572 ratings. Analysis of variance of mean percent incorrect was lower in residents than in all groups combined, but failed to reach statistical significance (47% + 12.0 vs 53% + 15.0, p = .43). Discussion These case-based videos with MI ratings afforded students and residents the opportunity to assess clinician use of MI techniques with patients with OUD. The MI rating scale had clinical significance (residents scored +5 points and had more training) despite lacking statistical significance. These scenarios allowed learners to recognize how to use MI when having a difficult conversation with patients who misuse opioids. We envision individual use or use for group discussion.John G. SpanglerCatherine N. ShullCarol A. HildebrandtKeli Beck JonesAndrew L. BrewerMark P. KnudsonGail S. MarionJulienne K. KirkAssociation of American Medical CollegesarticleAddictionCurriculumDrug DependenceOpioid Use DisorderMedical LearnersMedication Assisted TreatmentMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Addiction Curriculum Drug Dependence Opioid Use Disorder Medical Learners Medication Assisted Treatment Medicine (General) R5-920 Education L
spellingShingle	Addiction Curriculum Drug Dependence Opioid Use Disorder Medical Learners Medication Assisted Treatment Medicine (General) R5-920 Education L John G. Spangler Catherine N. Shull Carol A. Hildebrandt Keli Beck Jones Andrew L. Brewer Mark P. Knudson Gail S. Marion Julienne K. Kirk Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
description	Introduction In light of the opioid overdose epidemic in the US and the necessity of developing training to conduct difficult conversations around opioid dependence, three case-based videos were created to demonstrate providers using motivational interviewing (MI) with patients who have opioid use disorder (OUD). These vignettes displayed a primary care provider interacting with a patient seeking opioids. Methods Learners—including third-year medical and physician assistant (PA) students, and family medicine residents—viewed three videos set in a family medicine clinic and assessed clinician use of MI when interacting with patients with OUD. The patients were at different levels of acknowledging their need to change their opioid use behaviors and/or pursue treatment. Learners rated each video with an MI rating scale, and a facilitator debriefed strengths, weaknesses, and omissions regarding MI. Results Medical and PA students, and resident family physicians provided 572 ratings. Analysis of variance of mean percent incorrect was lower in residents than in all groups combined, but failed to reach statistical significance (47% + 12.0 vs 53% + 15.0, p = .43). Discussion These case-based videos with MI ratings afforded students and residents the opportunity to assess clinician use of MI techniques with patients with OUD. The MI rating scale had clinical significance (residents scored +5 points and had more training) despite lacking statistical significance. These scenarios allowed learners to recognize how to use MI when having a difficult conversation with patients who misuse opioids. We envision individual use or use for group discussion.
format	article
author	John G. Spangler Catherine N. Shull Carol A. Hildebrandt Keli Beck Jones Andrew L. Brewer Mark P. Knudson Gail S. Marion Julienne K. Kirk
author_facet	John G. Spangler Catherine N. Shull Carol A. Hildebrandt Keli Beck Jones Andrew L. Brewer Mark P. Knudson Gail S. Marion Julienne K. Kirk
author_sort	John G. Spangler
title	Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
title_short	Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
title_full	Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
title_fullStr	Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
title_full_unstemmed	Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students
title_sort	opioid use disorder and assessment of patient interactions among family medicine residents, medical students, and physician assistant students
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/611f03523a5b400891d226909f059682
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Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students

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