Postoperative surgical trainee opioid prescribing practices (POST OPP): an institutional study.
Kevin R Olsen1, David J Hall2, Juan C Mira2
1Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida.
The Journal of Surgical Research
|June 26, 2018
Summary
Surgical residents often lack formal opioid prescribing education, leading to varied prescribing habits and potential over-prescription. This highlights the need for structured training in pain management for resident physicians.
Area of Science:
- Medical Education
- Surgical Training
- Pain Management
Background:
- Rising opioid overdose deaths necessitate scrutiny of physician prescribing practices.
- Resident physicians frequently lack formal education in effective opioid prescribing and postoperative pain management.
- Data on the effectiveness and feasibility of formal training for surgical residency programs are scarce.
Purpose of the Study:
- To assess surgical residents' knowledge of pain management.
- To evaluate opioid prescribing practices among surgical residents.
- To identify the need for formal education in opioid prescribing.
Main Methods:
- A survey was administered to resident physicians post-Institutional Review Board approval.
- Participants had completed at least one surgical rotation.
- The survey assessed pain management knowledge and opioid prescribing behaviors.
Main Results:
- Most residents reported no formal instruction in opioid prescribing during medical school or residency.
- Nearly all respondents were aware of opioid side effects and felt confident in their pharmacokinetic/pharmacodynamic knowledge.
- 47% admitted to prescribing more opioids than necessary post-surgery, with significant variability in prescribed morphine milligram equivalents.
Conclusions:
- Significant variability exists in surgical trainees' opioid prescribing and pain management attitudes.
- Formal education in pain management and effective opioid prescribing is potentially beneficial.
- Further research is needed to assess surgical trainees' knowledge and perceptions to develop targeted educational programs.
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