Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel
Hansel E Tookes1, Jasmine Tomita-Barber2, Sabrina Taldone3
1Associate Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of Medicine.
Summary
Medical students improved their skills in treating opioid use disorder (OUD) through a clerkship module. The training enhanced their documentation abilities and understanding of patient-centered care for OUD.
Area of Science:
- Medical Education
- Public Health
- Addiction Medicine
Background:
- The overdose crisis highlights the need for physician training in opioid use disorder (OUD) management.
- Current medical education often lacks comprehensive training in OUD treatment, including motivational interviewing, harm reduction, and nonstigmatizing language.
Purpose of the Study:
- To assess the impact of a medicine clerkship module on students' skills in treating patients with OUD.
- To evaluate improvements in motivational interviewing, harm reduction knowledge, and use of nonstigmatizing language.
Main Methods:
- A small-group, case-based activity and patient panel were implemented in a medicine clerkship.
- Clinical documentation skills were assessed using a standardized patient with OUD and a grading rubric.
- Student reflections and pre/post-test scores were used for evaluation.
Main Results:
- Students reported satisfaction with the patient panel and exposure to patients with OUD.
- Key themes from reflections included patient humanity, diverse recovery paths, and nonstigmatizing language.
- Mean clinical documentation scores significantly increased from 10.1 to 11.3 (p < .001).
Conclusions:
- The clerkship module offers a feasible and effective educational experience for medical students.
- The multifaceted approach significantly improved students' immediate evaluation skills for patients with OUD.
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