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Published on: February 19, 2021
A buprenorphine education and training program for primary care residents: implementation and evaluation
Hillary V Kunins1, Nancy L Sohler, Angela Giovanniello
1Albert Einstein College of Medicine/Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
Substance Abuse
|July 13, 2013
Summary
The BupEd program effectively trained primary care residents in buprenorphine treatment for opioid dependence. This training is feasible and prepares physicians to manage patients with opioid use disorder, showing similar patient retention rates to attending physicians.
Area of Science:
- Medical Education
- Addiction Medicine
- Primary Care
Background:
- Substance use disorders are prevalent, yet resident training is often insufficient.
- Opioid abuse and dependence are increasing, highlighting the need for effective treatment strategies.
- Medication-assisted treatment, including buprenorphine, is crucial for managing opioid use disorder.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of the BupEd education and training program for primary care residents.
- To assess residents' ability to provide buprenorphine treatment during and after residency.
- To compare patient treatment retention rates between residents and attending physicians.
Main Methods:
- 71 primary care residents participated in the BupEd program, which included didactics, motivational interviewing, case conferences, and supervised clinical experience.
- Residents received training in buprenorphine treatment for opioid-dependent patients.
- Outcomes assessed included residents' provision of buprenorphine treatment and patient retention rates.
Main Results:
- Most residents (84.5%) served as covering providers and many (66.2%) as primary providers for buprenorphine-treated patients.
- Post-residency, 27.5% of graduates obtained a buprenorphine waiver and 17.5% prescribed it.
- Patient retention at 90 days was similar for those treated by residents (63.6%) versus attending physicians (67.9%).
Conclusions:
- The BupEd program is a feasible model for training primary care residents in buprenorphine treatment.
- Supervised clinical experience within the program prepares residents to manage opioid-dependent patients.
- This training can improve physician capacity to address the opioid crisis.
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