Peterkin Alyssa F, Baldwin Marielle, Demers Lindsay, Gergen Barnett Katherine
Section of General Internal Medicine, Department of Medicine, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Department of Family Medicine, Grayken Center for Addiction, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Subst Abus. 2023 Jul;44(3):241-248. doi: 10.1177/08897077231195995. Epub 2023 Sep 20.
Since 2019, the United States (US) has witnessed an unprecedented increase in drug overdose and alcohol-related deaths. Despite this rise in morbidity and mortality, treatment rates for substance use disorder remain inadequate. Insufficient training in addiction along with a dearth of addiction providers are key barriers to addressing the current addiction epidemic. Addiction-related clinical experiences can improve trainee knowledge, yet they remain dependent on practice sites and residency training environments. Asynchronous learning, in the form of video-based modules, may serve as a complement to formal, scheduled lectures and clinical experiences.
To evaluate the educational impact of a video-based addiction curriculum in 2 residency programs at a large safety net academic medical center with a high volume of patients with substance use disorders.
Family Medicine (FM) and Internal Medicine (IM) residency interns (PGY1s) (n = 60) had access to 28 minutes of video content related to opioid use disorder (OUD) and alcohol use disorder (AUD) during the first 2 months of their residency training. Interns were asked to complete voluntary and anonymized pre- and post-surveys in Qualtrics that included knowledge and confidence-based questions about the management of OUD and AUD, in addition to questions about prior exposure to and future interests in addiction training and practice. Data were analyzed with non-parametric sign tests.
Twenty-eight interns completed both OUD pre- and post-surveys, and 24 interns completed all AUD survey questions. There was a statistically significant increase in the number of interns who reported increased knowledge of and confidence around diagnosis, management, and ability to provide evidence-based treatment recommendations for both OUD and AUD.
Brief addiction focused video-modules can improve confidence and knowledge in managing OUD and AUD among medical trainees.
自2019年以来，美国药物过量和酒精相关死亡人数空前增加。尽管发病率和死亡率有所上升，但物质使用障碍的治疗率仍然不足。成瘾方面的培训不足以及成瘾治疗提供者的匮乏是应对当前成瘾流行的关键障碍。与成瘾相关的临床经验可以提高实习生的知识水平，但它们仍然依赖于实习地点和住院医师培训环境。以视频模块形式的异步学习可以作为正式的定期讲座和临床经验的补充。
评估在一家拥有大量物质使用障碍患者的大型安全网学术医疗中心的两个住院医师项目中，基于视频的成瘾课程的教育影响。
家庭医学（FM）和内科（IM）住院医师实习生（PGY1）（n = 60）在住院医师培训的前两个月可以访问28分钟与阿片类药物使用障碍（OUD）和酒精使用障碍（AUD）相关的视频内容。实习生被要求在Qualtrics中完成自愿且匿名的前后调查，其中包括关于OUD和AUD管理的基于知识和信心的问题，以及关于先前接触成瘾培训和实践的问题以及未来兴趣。数据采用非参数符号检验进行分析。
28名实习生完成了OUD的前后调查，24名实习生完成了所有AUD调查问题。报告对OUD和AUD的诊断、管理以及提供循证治疗建议的能力方面知识增加且信心增强的实习生人数有统计学显著增加。
简短的聚焦成瘾的视频模块可以提高医学实习生对OUD和AUD管理的信心和知识水平。
