一个基于案例的课程关于布普伦诺芬治疗阿片类药物使用障碍在内科住院医生的治疗
Minaliza Shahlapour1, Alyssa F Peterkin2, Jessica L Taylor2
1Department of Adult Medicine, East Boston Neighborhood Health Center, East Boston, MA, USA.
一个90分钟的布普伦诺芬课程显著提高了内科医生对处方药的信心和知识,用于阿片类药物使用障碍 (MOUD). 培训提高了住院人员在住院和门诊环境中为患者启动布普伦诺芬的能力.
科学领域:
- 医学教育 医学教育
- 成 药物 药物 药物 药物
- 内部医学培训培训 内部医学培训
背景情况:
- 取消X豁免要求增加了对全科医生的需求,要求他们为阿片类药物使用障碍 (OUD) 开处方布普伦诺芬.
- 临床医生的教育不足仍然是对OUD (MOUD) 处方药物的重大障碍.
研究的目的:
- 评估一个新的MOUD课程对内科 (IM) 住院医生的态度,舒适度和对布普伦诺芬的知识的影响.
- 在住院和门诊环境中评估布普伦诺啡的处方能力.
主要方法:
- 一个90分钟的,以案例为基础的课程,关于启动亚舌布伦诺芬 (传统和低剂量) 交付给46名第二年IM居民.
- 会议前后的调查评估了态度,舒适度和知识的变化.
- 威尔科克森签署了等级测试,分析了调查数据.
主要成果:
- 84.4%的居民参与;完成了39次评估.
- 居民对启动布普伦诺芬药物的感知重要性显著增加 (P < .001).
- 住院人士报告说,在讨论MOUD,启动布普伦诺芬 (住院/门诊) 和确定低剂量启动的患者方面,他们的信心更高 (P < .001).
- 知识分数显著提高,从1.55/4提高到3.33/4 (P<.001).
结论:
- 短暂的90分钟的布普伦诺芬培训有效地改善了IM居民的态度,感知能力和知识.
- 该课程成功地准备了在不同临床环境中为OUD患者开布伦诺芬的住院医生.
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