Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Department of Surgery, University of Florida Jacksonville, Jacksonville, FL, USA.
Am Surg. 2023 Dec;89(12):5619-5625. doi: 10.1177/00031348231162699. Epub 2023 Mar 14.
In many academic centers, opioid prescribing is managed primarily by residents with little or no formal opioid education. The present study evaluates intern knowledge and comfort with appropriate opioid prescribing 7 months after an organized opioid education effort.
A repeat knowledge and attitude survey was sent to surgical interns who had completed an initial opioid education training session 7 months before the study. Results were compared to post-education assessment results in the same cohort.
16 general surgery and podiatric surgery interns at a single academic medical center.
The mean percentage of correct answers on follow-up was 67.6% identical to the average post-session score of 67.6%. Interns reported comfort with opioid prescribing increased to a mean score of 5.9 (out of 10) on follow-up compared to post-session score of 5.19.
Surgical interns have significant gaps in knowledge for optimal prescribing and management of opioid prescriptions. Targeted education demonstrates significant and lasting improvement in opioid assessment scores, but there remains room for improvement.
在许多学术中心，阿片类药物的处方主要由接受过很少或没有正规阿片类药物教育的住院医师管理。本研究评估了在有组织的阿片类药物教育活动 7 个月后，住院医师对适当阿片类药物处方的知识和舒适度。
对已完成初始阿片类药物教育培训课程 7 个月的外科住院医师进行了重复的知识和态度调查。结果与同一队列的教育后评估结果进行了比较。
在一个学术医疗中心的 16 名普通外科和足病外科住院医师。
随访时正确答案的平均百分比为 67.6%，与课程结束时的平均分数 67.6%相同。与课程结束时的 5.19 相比，住院医师报告在随访时对阿片类药物处方的舒适度增加到平均 5.9（满分 10 分）。
外科住院医师在最佳处方和管理阿片类药物处方方面存在显著的知识差距。有针对性的教育确实可以显著提高阿片类药物评估分数，但仍有改进的空间。
