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面向未来跨专业医疗服务提供者的物质使用障碍培训研讨会

Substance Use Disorder Training Workshop for Future Interprofessional Health Care Providers.

作者信息

Monteiro Kristina, Dumenco Luba, Collins Sally, Bratberg Jeffrey, MacDonnell Celia, Jacobson Anita, Dollase Richard, George Paul

机构信息

Assistant Director of Assessment and Evaluation, Office of Medical Education, The Warren Alpert Medical School of Brown University.

Assistant Dean of Medical Education, Office of Medical Education, The Warren Alpert Medical School of Brown University.

出版信息

MedEdPORTAL. 2017 May 5;13:10576. doi: 10.15766/mep_2374-8265.10576.

DOI:10.15766/mep_2374-8265.10576
PMID:30800778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6338165/
Abstract

INTRODUCTION

Rates of substance use disorders, including opioid misuse, continue to rise despite national initiatives. Because of this, health professional schools from Rhode Island joined together to design and implement a single-day interprofessional education workshop on substance use disorder training.

METHODS

This workshop consists of four sessions. The first is a patient panel featuring both patients recovering from substance use disorders and their health care providers. Next is a naloxone administration training session. This is followed by a standardized patient session featuring an individual who requires nonopioid options for chronic pain treatment and in which health professional students work together to take a history, perform a physical examination, and develop a treatment plan. Finally, the last session is a complex paper-based case study focusing on a homeless individual with diverse medical problems requiring multifaceted care.

RESULTS

A total of 540 students from a variety of health care professions participated in the workshop. Students were asked to evaluate each component of the workshop, as well as the workshop overall, on a 6-point Likert scale (1 = 6 = ). Students rated the overall workshop at 76% (4.54 out of 6), and the sessions received ratings ranging from 67% (4.01 out of 6 for the case study) to 83% (4.96 out of 6 for the patient/provider panel).

DISCUSSION

This curriculum can be adapted and implemented at other medical schools to provide opportunities for future health care professionals to learn how to work effectively in interprofessional teams to manage substance use disorders.

摘要

引言

尽管有国家层面的举措,但包括阿片类药物滥用在内的物质使用障碍发生率仍在持续上升。因此,罗德岛的健康职业学校联合起来,设计并开展了一次关于物质使用障碍培训的单日跨专业教育研讨会。

方法

本次研讨会包括四个环节。第一个环节是患者小组讨论,参与人员包括从物质使用障碍中康复的患者及其医疗服务提供者。接下来是纳洛酮给药培训环节。随后是标准化患者环节,有一位需要非阿片类药物治疗慢性疼痛的患者,健康职业专业的学生们共同参与,进行病史采集、体格检查并制定治疗方案。最后一个环节是基于纸质材料的复杂案例研究,聚焦于一位患有多种医疗问题且需要多方面护理的无家可归者。

结果

共有来自各种医疗保健专业的540名学生参加了此次研讨会。学生们被要求使用6分量表(1 = 6 = )对研讨会的每个环节以及整个研讨会进行评价。学生们对整个研讨会的评价为76%(6分制下得4.54分),各个环节的评分从67%(案例研究在6分制下得4.01分)到83%(患者/提供者小组讨论在6分制下得4.96分)不等。

讨论

该课程可以在其他医学院校进行调整和实施,为未来的医疗保健专业人员提供机会,学习如何在跨专业团队中有效协作,以管理物质使用障碍。

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本文引用的文献

1
An interprofessional education workshop to develop health professional student opioid misuse knowledge, attitudes, and skills.一个跨专业教育工作坊,旨在培养健康专业学生对阿片类药物滥用的知识、态度和技能。
J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2S):S113-S117. doi: 10.1016/j.japh.2016.12.069. Epub 2017 Jan 31.
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Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014.药物和阿片类药物过量死亡人数增加 - 美国,2000-2014 年。
MMWR Morb Mortal Wkly Rep. 2016 Jan 1;64(50-51):1378-82. doi: 10.15585/mmwr.mm6450a3.
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Development of Opioid Overdose Knowledge (OOKS) and Attitudes (OOAS) Scales for take-home naloxone training evaluation.开发用于评估家庭用纳洛酮培训的阿片类药物过量知识(OOKS)和态度(OOAS)量表。
Drug Alcohol Depend. 2013 Sep 1;132(1-2):383-6. doi: 10.1016/j.drugalcdep.2013.02.007. Epub 2013 Feb 28.