Resident, Department of Oral and Maxillofacial Surgery, Boston University School of Dental Medicine & Boston Medical Center, Boston, MA, USA.
Assistant Professor, Department of Health Policy and Health Services Research, Boston University School of Dental Medicine, Boston, MA, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Mar;129(3):184-191. doi: 10.1016/j.oooo.2019.08.015. Epub 2019 Sep 3.
The aim of this study was to report on the opioid prescribing patterns of oral and maxillofacial surgery residents for routine office-based procedures.
A survey was sent to current resident members of the American Association of Oral and Maxillofacial Surgeons (AAOMS). The survey asked questions related to the quantity and duration of opioids prescribed and if such factors as type of procedure, education, and prior opioid abuse by patients influenced prescription behavior.
There was a positive relationship between the prescribing culture of residency and prescribing pattern (P value < .001). Concerns about factors that promote addiction were negatively associated with prescribing patterns (P value < .02). Prescribing culture and concerns about factors promoting addiction together explained 10% of the total variation. Residents receiving instruction on the risks of narcotic were less likely to prescribe opioids.
Creating a culture in residency programs aimed at reducing factors that promote addiction may be the best method to reduce overprescription of opioids during training.
本研究旨在报告口腔颌面外科住院医师在常规门诊手术中开具阿片类药物的模式。
向美国口腔颌面外科医师协会（AAOMS）的现任住院医师成员发送了一份调查问卷。调查问卷询问了与开具的阿片类药物数量和持续时间相关的问题，以及手术类型、教育程度和患者先前阿片类药物滥用等因素是否影响处方行为。
住院医师的处方文化与处方模式呈正相关（P 值<.001）。对促进成瘾因素的担忧与处方模式呈负相关（P 值<.02）。处方文化和对促进成瘾因素的担忧共同解释了总变异的 10%。接受过关于麻醉风险的教育的住院医师不太可能开具阿片类药物。
在住院医师培训项目中营造旨在减少促进成瘾因素的文化氛围，可能是减少培训期间阿片类药物过度处方的最佳方法。
