Singh Rohanit, Pushkin Gary W
An orthopedic surgeon and the immediate past president of MedChi, the Maryland State Medical Society.
AMA J Ethics. 2019 Aug 1;21(8):E636-641. doi: 10.1001/amajethics.2019.636.
Opioid overprescribing is a key contributor to the current crisis. Changing how ethics is taught in connection with opioid prescribing is one area for improvement. In US medical schools, current training in ethics and opioid prescribing is variable, incorporating a diverse range of concepts, teaching modes, assessment strategies, and faculty experience. This article recommends integrating clinical case-based teaching and longitudinal application, comprehensive assessment, and additional training in ethical deliberation about opioid prescribing to better prepare physicians to responsibly prescribe and manage opioid-based phases of patients' pain care.
阿片类药物过度处方是当前危机的一个关键因素。改变与阿片类药物处方相关的伦理教学方式是一个有待改进的领域。在美国医学院校中，目前关于伦理和阿片类药物处方的培训参差不齐，涵盖了各种各样的概念、教学模式、评估策略以及教师经验。本文建议整合基于临床案例的教学和纵向应用、全面评估以及关于阿片类药物处方伦理审议的额外培训，以便更好地让医生为负责任地开具和管理患者疼痛治疗中基于阿片类药物的阶段做好准备。
