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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
An evaluation of an inpatient opioid use disorder consult service elective for medical trainees
Molly Perri1, George Weyer1, John P Murray1
1Department of Medicine, University of Chicago, Chicago, IL, USA.
Background:
As the opioid epidemic continues to progress, identifying clinical opportunities to train the healthcare workforce is key. Integrating trainees into an existing Opioid Use Disorder (OUD) consult service presents an opportunity to meet this need.
Methods:
From 7/2021 to 6/2023, 34 trainees (24 residents/fellows, 10 medical students) completed a 2-week OUD consult service elective. A post-elective survey assessed 4 domains: success meeting learning objectives, preparedness to manage inpatient OUD, clinical exposure to consult scenarios, and attitudes towards people who use drugs (PWUD).
Results:
Twenty-five rotators completed the survey (74% response rate). After the elective, most agreed they had adequate training in OUD (80%) and felt prepared to diagnose (96%) and treat (92%) OUD. Learning objectives were met, clinical exposure was "just right" (91%), and rotators generally had positive attitudes towards PWUD.
Conclusions:
An OUD consult service elective experience was associated with trainee confidence in managing OUD and little stigma toward PWUD.
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