Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Am J Surg. 2019 Feb;217(2):228-232. doi: 10.1016/j.amjsurg.2018.08.007. Epub 2018 Aug 25.
Surgical residents are frequently responsible for prescribing postoperative analgesia, yet the vast majority are never formally educated on the subject.
A resident-led educational presentation on postoperative analgesia prescribing was provided to incoming surgical interns at a tertiary academic center. Pre- and post-surveys assessed comfort in prescribing postoperative analgesia. Following the educational intervention, opioid prescriptions during the interns' first two months were compared to that of the prior year's interns.
Education was provided to 31 interns. Prior to the session, few interns felt comfortable prescribing opioids (20%) or non-opioid analgesia (32%). After the session, 96% felt more comfortable prescribing opioids and 91% more comfortable prescribing multi-modal analgesia. Interns who received education prescribed an average of 127.8 Morphine Milligram Equivalents (MME) per prescription, compared to 208.5 MME by the prior year's interns (p < 0.01).
Education on postoperative analgesia targeting interns can be effective in preparing trainees in effective and judicious analgesic prescribing.
外科住院医师经常负责开具术后镇痛医嘱，但绝大多数人从未接受过该主题的正规教育。
在一家三级学术中心，为新入职的外科住院医师提供了由住院医师主导的术后镇痛处方教学课程。在课程前后进行了关于开具术后镇痛医嘱的舒适度调查。在教育干预后，比较了住院医师前两个月的阿片类药物处方与前一年住院医师的处方。
共有 31 名住院医师接受了教育。在课程之前，很少有住院医师对开具阿片类药物（20%）或非阿片类镇痛药（32%）感到舒适。课后，96%的住院医师对开具阿片类药物更有信心，91%的住院医师对开具多模式镇痛更有信心。接受教育的住院医师平均每张处方开具 127.8 吗啡毫克当量（MME），而前一年的住院医师开具 208.5 MME（p<0.01）。
针对住院医师的术后镇痛教育可有效培训住院医师进行有效和明智的镇痛药物处方。
