Serota David P, Tookes Hansel E, Tomita-Barber Jasmine, Bartholomew Tyler S, Forrest David W, St Onge Joan, Ford Henri, Taldone Sabrina
Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
J Med Educ Curric Dev. 2023 Jun 15;10:23821205231180172. doi: 10.1177/23821205231180172. eCollection 2023 Jan-Dec.
Based on increasing drug overdose deaths and a shortage of healthcare professionals trained in the management of opioid use disorder (OUD), it is imperative to improve health professional education in addiction medicine. This small group learning exercise and patient panel was designed to provide first year medical students with insights into the lives of people with OUD-through a lens of harm reduction-and to connect biomedical knowledge to the core values and professional themes of their doctoring courses.
Facilitators were assigned to each small group of 8 students for the harm reduction-centered Long and Winding Road small group case exercise. This was followed by a patient panel of 2 to 3 persons with OUD. The small group was conducted with first-year medical students as a virtual training session due to the COVID-19 pandemic. Students completed pre- and post-session surveys about agreement with statements pertaining to the learning objectives.
The small group and patient panel were delivered over 8 sessions and attended by all first-year medical students (N = 201). Survey response rate was 67%. Post-session, there was significantly greater agreement with knowledge on all learning objectives compared to pre-session. Two relevant multiple-choice questions on the medical student final exam were answered correctly by 79% and 98% of students.
Centering on people with lived experience, we completed small groups and patient panels to introduce concepts of OUD and harm reduction to first year medical students. Pre- and post-session surveys showed short-term achievement of the learning objectives.
鉴于药物过量致死人数不断增加,且缺乏接受过阿片类物质使用障碍(OUD)管理培训的医疗专业人员,改善成瘾医学方面的卫生专业教育势在必行。这项小组学习活动和患者小组旨在通过减少伤害的视角,让一年级医学生深入了解患有OUD的人群的生活,并将生物医学知识与他们的医疗课程的核心价值观和专业主题联系起来。
为以减少伤害为中心的“漫长而曲折的道路”小组案例练习,为每组8名学生分配了 facilitator。随后是由2至3名患有OUD的人员组成的患者小组。由于COVID-19大流行,该小组活动以虚拟培训课程的形式面向一年级医学生开展。学生们完成了会前和会后关于对与学习目标相关陈述的认同度的调查。
小组活动和患者小组通过8次课程进行,所有一年级医学生(N = 201)都参加了。调查回复率为67%。会后,与会前相比,学生们对所有学习目标的知识认同度显著提高。在医学生期末考试中的两道相关多项选择题,分别有79%和98%的学生回答正确。
以有实际生活经历的人为中心,我们完成了小组活动和患者小组,向一年级医学生介绍了OUD和减少伤害的概念。会前和会后调查显示学习目标在短期内得以实现。