Original Contribution  |   December 2019
Influence of Future Prescribers’ Personal and Clinical Experiences With Opioids on Plans to Treat Patients With Opioid Use Disorder
Author Notes
  • From the Departments of Medicine (Student Doctor Mort) and Family Medicine (Drs Díaz and Beverly) at the Heritage College of Osteopathic Medicine, the Graduate College in the Translational Biomedical Sciences Program (Student Doctor Mort), the School of Nursing in the College of Health Sciences and Professions (Drs Miller and Henderson), and the Diabetes Institute (Dr Beverly), all at Ohio University in Athens; and from the Physician Assistant Practice Program in the College of Health Sciences and Professions at Ohio University in Dublin (Ms Bowlby).  
  • Disclaimer: Dr Beverly, a JAOA associate editor, was not involved in the review of or decision to publish this study.  
  • Financial Disclosures: None reported.  
  • Support: Ohio University Heritage College of Osteopathic Medicine Translational Biomedical Sciences Program.  
  •  *Address correspondence to Elizabeth A. Beverly, PhD, Department of Family Medicine, Ohio University Heritage College of Osteopathic Medicine, 35 W Green Dr, Athens, OH 45701. Email: beverle1@ohio.edu
     
Article Information
Addiction Medicine / Pain Management/Palliative Care / Opioids
Original Contribution   |   December 2019
Influence of Future Prescribers’ Personal and Clinical Experiences With Opioids on Plans to Treat Patients With Opioid Use Disorder
The Journal of the American Osteopathic Association, December 2019, Vol. 119, 780-792. doi:https://doi.org/10.7556/jaoa.2019.131
The Journal of the American Osteopathic Association, December 2019, Vol. 119, 780-792. doi:https://doi.org/10.7556/jaoa.2019.131
Abstract

Context: Recreational use of opioids is a growing problem in the United States, particularly in the Midwest. Educators have called for inclusion of pain- and opioid-specific courses in health professional school curricula, yet more research is needed to address future prescribers’ beliefs, experiences, and postgraduate plans related to opioids.

Objective: To examine health professional students’ perceived severity of the opioid crisis and opioid-related beliefs, experiences, and postgraduate plans.

Methods: Using a descriptive, cross-sectional design, researchers evaluated health professional students from 3 academic programs (nurse practitioner [NP], physician assistant [PA], and doctor of osteopathic medicine [DO]) using a 25-item survey that assessed perceived opioid crisis severity and opioid-related beliefs, experiences, and postgraduate plans. Demographics of respondents were assessed using descriptive statistics and frequencies. Responses were compared between academic programs with 1-way analysis of variance or Kruskal-Wallis tests, and relationships between students’ experiences and postgraduate plans were assessed.

Results: A total of 491 students (mean [SD] age, 27.2 [5.4] years; 62.7% female; 68.2% DO students) participated in the survey (response rate, 40.4%). The opioid crisis was perceived to be severely impacting the health care system (mean [SD] score, 79.7 [16.8] out of 100), and most respondents (415 [84.5%]) reported that opioid use affected their communities. Clinical experience varied by program, with NP students (75 [81.5%]) reporting the most experience treating acute overdose. Most respondents (317 [64.6%]) agreed that their postgraduate practice would involve caring for patients addicted to opioids; however, only 232 students (47.3%) felt confident in their ability to treat patients with addiction. Experiences managing acute overdose and handling drug-seeking behavior were positively associated with a belief that postgraduate work would involve working with patients with addiction (U=38,275.5, Z=5.92, P<.001; U=25,346.0, Z=4.94, P<.001) and confidence in treating patients with opioid addictions (U=36,806.5, Z=4.96, P<.001; U=23,765.5, Z=3.66, P<.001).

Conclusion: Although health professional students had similar beliefs and perceptions regarding the opioid crisis, there were notable differences between academic programs. Students with clinical opioid experiences were more likely to plan on working with patients addicted to opioids and be confident in treating these patients. Thus, the inclusion of experiential learning in the medical curricula may be beneficial for both students and their future patients.

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