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Addressing the Opioid Crisis: Medication-Assisted Therapy Waiver Training for Students.
Sae Byul Ma1,2,3,4,5, Corinne T Feldman1,2,3,4,5, Mitzi D'Aquila1,2,3,4,5
1Sae Byul (Sarah) Ma, PharmD , is interim associate program director, a clinical assistant professor, and director of research and scholarship for the Division of Physician Assistant Studies, Department of Family Medicine, Keck School of Medicine at the University of Southern California in Alhambra, California.
Online medication-assisted therapy (MAT) waiver training is feasible and effective for physician assistant students. However, students desire more preparation and flexibility, with some questioning its relevance to future practice.
Area of Science:
- Medical Education
- Substance Use Disorder Treatment
- Physician Assistant Studies
Background:
- Physician assistant (PA) graduates require training to manage patients with substance use disorders.
- Medication-assisted therapy (MAT) enables PAs to prescribe buprenorphine, a key treatment.
- The feasibility and effectiveness of online MAT waiver training during PA school are not well-established.
Purpose of the Study:
- To examine the impact of online MAT waiver training on PA student knowledge and attitudes.
- To assess the perceived value and effectiveness of the training among PA students.
Main Methods:
- A 15-question survey was administered to PA students post-training during clinical rotations.
- Students self-reported pre/post changes in awareness, knowledge, interest, comfort, and confidence using Likert scales.
- Data were analyzed using the Wilcoxon signed rank test, descriptive statistics, and thematic analysis of narrative responses.
Main Results:
- Significant pre-to-post score improvements were observed in knowledge, comfort, awareness, and confidence (p < .05).
- Students reported satisfaction with training quality (mean 3.82) and recommended it (3.98).
- A majority preferred more time (82%) and earlier integration (46%), with some ambivalence regarding practice relevance.
Conclusions:
- Online MAT waiver training is a feasible and effective method for educating PA students.
- Students expressed a need for better preparation and flexible training platforms.
- Optimizing curriculum integration and faculty support is crucial for enhancing perceived relevance.
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