Department of Medicine, The Robert Larner, MD College of Medicine, University of Vermont, Burlington, VT, USA.
Office of Medical Education, The Robert Larner, MD College of Medicine, University of Vermont, Burlington, VT, USA.
Subst Abus. 2021;42(2):236-243. doi: 10.1080/08897077.2021.1903653. Epub 2021 Apr 6.
Medications for opioid use disorder (MOUD) significantly reduce morbidity and mortality from opioid use disorder (OUD). To prescribe MOUD, physicians must obtain a DEA waiver through requirements outlined in the Drug Addiction Treatment Act of 2000 (DATA 2000). We developed an Addiction Medicine curriculum that features DATA 2000 waiver training at the Robert Larner, MD College of Medicine (LCOM). All third-year medical students completed a virtual DATA 2000 waiver training at the commencement of clinical clerkships. We conducted a curriculum needs assessment followed by pre- and post-training surveys to evaluate MOUD pharmacology knowledge and best prescribing practices. Of LCOM students surveyed, 77.6% reported interest in being waivered to prescribed MOUD for OUD treatment. Third-year medical students demonstrated increases in both MOUD Pharmacology Knowledge from 64.2% to 84.8% (chi-squared = 40.8; < .001) and MOUD Best Prescribing Practices from 55.9% to 75.2% (chi-squared = 29.9; < .001). Surveys showed the majority of students felt waiver training was relevant to their future practice. An online DATA 2000 waiver training format effectively improved student knowledge of MOUD. This curriculum exposed medical students to DATA 2000 waiver training, MOUD pharmacology and best practices, and increased the number of future physicians eligible to treat OUD using MOUD.
治疗阿片类药物使用障碍（MOUD）的药物可显著降低阿片类药物使用障碍（OUD）的发病率和死亡率。为了开具 MOUD，医生必须通过 2000 年《药物滥用治疗法》（DATA 2000）规定的要求获得 DEA 豁免。我们在罗伯特·拉纳医学博士学院（LCOM）开发了一门成瘾医学课程，其中包括 DATA 2000 豁免培训。所有三年级医学生在临床实习开始时都完成了虚拟的 DATA 2000 豁免培训。我们进行了课程需求评估，然后进行了培训前和培训后的调查，以评估 MOUD 药理学知识和最佳处方实践。在所调查的 LCOM 学生中，77.6%的人表示有兴趣获得处方 MOUD 治疗 OUD 的豁免。三年级医学生在 MOUD 药理学知识方面的得分从 64.2%提高到 84.8%（卡方=40.8；<0.001），在 MOUD 最佳处方实践方面的得分从 55.9%提高到 75.2%（卡方=29.9；<0.001）。调查显示，大多数学生认为豁免培训与他们未来的实践相关。在线 DATA 2000 豁免培训模式有效地提高了学生对 MOUD 的知识。该课程使医学生接触到 DATA 2000 豁免培训、MOUD 药理学和最佳实践，并增加了未来有资格使用 MOUD 治疗 OUD 的医生人数。
