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Alignment Between Resident Medical Condition Regard Scale Scores and Desire to Treat Patients With Opioid Use
Jocelyn Wu1, Rory Aufderheide, Travis Campbell
1From the Department of Obstetrics/Gynecology, University of New Mexico, Albuquerque, NM (JW, YMK); Department of Family & Community Medicine, University of New Mexico, Albuquerque, NM (RA); Department of Psychiatry, University of New Mexico, Albuquerque, NM (TC, OM, DS); University of New Mexico Clinical & Translational Science Center, Albuquerque, NM (OM).
Objectives:
To (1) evaluate attitudes of resident physicians towards patients with opioid use disorder (OUD) and (2) identify characteristics associated with residents' desire to treat patients with OUD.
Methods:
We administered the validated medical condition regard scale (MCRS), a question regarding desire to treat patients with OUD, and a demographic questionnaire to residents in multiple specialties at the University of New Mexico (family medicine, psychiatry, emergency medicine, internal medicine, anesthesiology, general surgery, obstetrics/gynecology).
Results:
One hundred sixty-three of 307 residents (53%) responded to the survey; 146 provided complete responses to the "desire" and MCRS questions. Response rates, MCRS, and desire to care for patients with OUD varied between specialties ( P < 0.001); family medicine had highest MCRS and desire to care scores; surgery, anesthesiology had low scores. MCRS and resident "desire" scores were highly correlated on univariate analysis ( r = 0.73, P < 0.001); resident demographics were not. On logistic regression, resident desire to care for OUD increased with MCRS scores ( P < 0.001). The predicated probability of desire to care for OUD was ≥80% with MCRS >57; MCRS classification skill on receiver operator curve analysis was excellent (area under curve = 0.81 [95% confidence interval 0.74, 0.88], and specialty-adjusted MCRS area under curve = 0.85 [95% confidence interval 0.79, 0.91]).
Conclusions:
High resident regard for patients with OUD on MCRS was directly related to resident's desire to provide OUD care. MCRS may offer a tool to alter or individualize OUD education, potentially influencing the OUD workforce of the future.
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