Yorkgitis Brian K, Raygor Desiree, Bryant Elizabeth, Brat Gabriel, Smink Douglas S, Crandall Marie
Division of Acute Care Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
Division of Acute Care Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
J Surg Res. 2018 Jul;227:194-197. doi: 10.1016/j.jss.2018.02.036. Epub 2018 Mar 20.
Opioid misuse is a public health crisis that stems in part from overprescribing by health-care providers. Surgical residents are commonly responsible for prescribing opioids at patient discharge, and residency program directors (PDs) are charged with their residents' education. Because each hospital and state has different opioid prescribing policies, we sought to assess PDs' knowledge about local controlled substance prescribing polices.
A survey was emailed to surgery PDs that included questions regarding residency characteristics and knowledge of state regulations.
A total of 247 PDs were emailed with 110 (44.5%) completed responses. One hundred and four (94.5%) allow residents to prescribe outpatient opioids; one was unsure. Sixty-three (57.3%) respondents correctly answered if their state required opioid prescribing education for full licensure. Twenty-two (20.0%) were unsure if their state required opioid prescribing education for licensure. Sixty-four (58.2%) respondents answered correctly if a prescription monitor programs use is required in their state. Twenty-nine (26.4%) were unsure if a state prescription monitor programs existed. Seventy-six (69.1%) PDs answered correctly about their state's requirement for an additional registration to prescribe controlled substances; 10 (9.1%) did not know if this was required. Twenty-nine (27.9%) programs require residents to obtain individual drug enforcement agency registration; 5 (4.8%) were unsure if this was required.
Most programs allow residents to prescribe outpatient opioids. However, this survey demonstrated a considerable gap in PDs' knowledge about controlled substance regulations. Because they oversee surgical residents' education, PDs should be versed about their local policies in this matter.
阿片类药物滥用是一场公共卫生危机，部分原因是医疗保健提供者的过度处方。外科住院医师通常负责在患者出院时开具阿片类药物，住院医师培训项目主任（PDs）负责其住院医师的教育。由于每家医院和每个州都有不同的阿片类药物处方政策，我们试图评估PDs对当地受控物质处方政策的了解情况。
通过电子邮件向外科PDs发送了一份调查问卷，其中包括有关住院医师培训特点和州法规知识的问题。
共向247名PDs发送了电子邮件，收到110份（44.5%）完整回复。104名（94.5%）允许住院医师开具门诊阿片类药物处方；1人不确定。63名（57.3%）受访者正确回答了他们所在州是否要求进行阿片类药物处方教育以获得完全执照。22名（20.0%）不确定他们所在州是否要求进行阿片类药物处方教育以获得执照。64名（58.2%）受访者正确回答了他们所在州是否要求使用处方监测程序。29名（26.4%）不确定所在州是否存在处方监测程序。76名（69.1%）PDs正确回答了他们所在州对开具受控物质处方进行额外注册的要求；10名（9.1%）不知道是否需要这样做。29个（27.9%）项目要求住院医师获得个人药品执法机构注册；5名（4.8%）不确定是否需要这样做。
大多数项目允许住院医师开具门诊阿片类药物处方。然而，这项调查表明，PDs在受控物质法规知识方面存在相当大的差距。由于他们负责监督外科住院医师的教育，PDs应该熟悉当地在这方面的政策。
