UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.
Addict Behav. 2018 Nov;86:61-65. doi: 10.1016/j.addbeh.2017.11.028. Epub 2017 Nov 22.
Opiate use disorder is a common condition in healthcare services in Ireland, where over 200 opiate overdose deaths occur annually. There is limited addiction medicine education at undergraduate level and medical graduates may not be adequately prepared to diagnose and manage opioid use disorders and emergency drug overdose presentations. Therefore, we examined final-year medical students' learning experiences and attitudes toward opioid use disorder, overdose and community naloxone provision as an emerging overdose treatment.
We administered an anonymous paper-based survey to 243 undergraduate medical students undertaking their final professional completion module prior to graduation from University College Dublin, Ireland. Results were compared with parallel surveys of General Practitioners (GPs) and GP trainees.
A total of 197 (82.1%) completed the survey. Just under half were male, and most were aged under 25 (63.3%) and of Irish nationality (76.7%). The students felt moderately prepared to recognise opioid use disorder, but felt less prepared to manage other aspects of its care. Most had taken a history from a patient with an opioid use disorder (82.8%), and a third had witnessed at least one opioid overdose. Although 10.3% had seen naloxone administered, most had never administered naloxone themselves (98.5%). Half supported wider naloxone availability; this was lower than support rates among GPs (63.6%) and GP trainees (66.1%).
Our findings suggest an unmet learning need in undergraduate training on opioid use disorder, with potential consequences for patient care.
在爱尔兰的医疗保健服务中，阿片类药物使用障碍是一种常见病症，每年有超过 200 例阿片类药物过量死亡。本科阶段的成瘾医学教育有限，医学毕业生可能无法充分准备诊断和管理阿片类药物使用障碍和紧急药物过量表现。因此，我们研究了最后一年的医学生对阿片类药物使用障碍、过量用药和社区纳洛酮供应的学习经验和态度，因为后者是一种新兴的过量治疗方法。
我们向爱尔兰都柏林大学学院的 243 名即将毕业的本科医学生发放了一份匿名纸质调查问卷，以了解他们对阿片类药物使用障碍、过量用药和社区纳洛酮供应的学习经验和态度。我们将调查结果与全科医生（GPs）和全科医生培训生的调查结果进行了比较。
共有 197 人（82.1%）完成了调查。将近一半是男性，大多数年龄在 25 岁以下（63.3%），且具有爱尔兰国籍（76.7%）。学生们认为自己对识别阿片类药物使用障碍有一定的准备，但对管理该疾病的其他方面则准备不足。大多数学生都曾为阿片类药物使用障碍患者提供过病史（82.8%），且三分之一的学生曾目睹过至少一次阿片类药物过量。尽管 10.3%的学生见过纳洛酮的使用，但大多数学生自己从未使用过纳洛酮（98.5%）。有一半的学生支持更广泛地提供纳洛酮；这一比例低于全科医生（63.6%）和全科医生培训生（66.1%）的支持率。
我们的研究结果表明，本科阶段的阿片类药物使用障碍培训存在学习需求未得到满足的情况，这可能对患者的治疗产生影响。
