Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, 11490, Taiwan.
Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 80756, Taiwan.
BMC Med Educ. 2024 Sep 27;24(1):1045. doi: 10.1186/s12909-024-06043-4.
While the opioid crisis has been a significant concern in North America, Taiwan has not encountered a similar crisis. This study investigated medical students' perceptions of opioid therapy for chronic pain management in Taiwan.
A cross-sectional questionnaire survey was conducted among third- and fourth-year medical students who had completed an 18-hour pain medicine curriculum, in comparison with those who did not take the course in Mar 2022 and May 2023. The survey assessed their knowledge, attitude, and perceptions of the opioid crisis in the United States and Taiwan.
In total, 135 (88.2%) of 153 senior medical students who had completed the curriculum responded to the survey. They exhibited a better understanding of opioids (P < 0.001) and held a more negative attitude toward opioid use (P = 0.011) compared with 105 students who did not take the course. Additionally, out of 240 respondents, 177 (73.8%) acknowledged the ongoing opioid crisis in the United States, while only 70 (29.2%) disagreed with the notion of an ongoing opioid crisis in Taiwan. Furthermore, 90% of all students expressed agreement with the need for further education on chronic pain management after graduation.
Among senior medical students in Taiwan, those who completed an elective pain medicine curriculum demonstrated enhanced knowledge of opioids, a more cautious attitude toward opioid use, and a willingness to receive further education on chronic pain management. Over 70% of students remained uncertain or incorrectly believed that there was an opioid crisis in Taiwan.
尽管阿片类药物危机一直是北美的一个重大关注点,但台湾并未遭遇类似的危机。本研究旨在探讨台湾医学生对阿片类药物治疗慢性疼痛管理的看法。
2022 年 3 月和 2023 年 5 月,我们对已完成 18 小时疼痛医学课程的三、四年级医学生和未修读该课程的学生进行了一项横断面问卷调查,以调查他们对美国和台湾阿片类药物危机的认知、态度和看法。
共有 153 名完成课程的高年级医学生(88.2%)对调查做出了回应。与未修读该课程的 105 名学生相比,他们对阿片类药物的了解更好(P<0.001),对阿片类药物使用的态度更为消极(P=0.011)。此外,在 240 名受访者中,177 名(73.8%)人承认美国目前存在阿片类药物危机,而只有 70 名(29.2%)人不同意台湾目前存在阿片类药物危机的说法。此外,所有学生中有 90%表示同意毕业后需要进一步接受慢性疼痛管理教育。
在台湾的高年级医学生中,完成选修疼痛医学课程的学生对阿片类药物的了解有所增加,对阿片类药物使用的态度更为谨慎,并且愿意接受慢性疼痛管理方面的进一步教育。超过 70%的学生仍然不确定或错误地认为台湾存在阿片类药物危机。