TY - JOUR
KW - Adult
KW - Buprenorphine/therapeutic use
KW - Education, Medical, Graduate/methods
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Internship and Residency
KW - Male
KW - Medication Adherence
KW - Middle Aged
KW - Narcotic Antagonists/therapeutic use
KW - Opioid-Related Disorders/drug therapy
KW - Practice Patterns, Physicians'
KW - Primary Health Care
KW - Program Evaluation
AU - H. V. Kunins
AU - N. L. Sohler
AU - A. Giovanniello
AU - D. Thompson
AU - C. O. Cunningham
A1 - 
AB - BACKGROUND: Although substance use disorders are highly prevalent, resident preparation to care for patients with these disorders is frequently insufficient. With increasing rates of opioid abuse and dependence, and the availability of medication-assisted treatment, one strategy to improve resident skills is to incorporate buprenorphine treatment into training settings. METHODS: In this study, esidency faculty delivered the BupEd education and training program to 71 primary care residents. BupEd included (1) a didactic session on buprenorphine, (2) an interactive motivational interviewing session, (3) monthly case conferences, and (4) supervised clinical experience providing buprenorphine treatment. To evaluate BupEd, the authors assessed (1) residents' provision of buprenorphine treatment during residency, (2) residents' provision of buprenorphine treatment after residency, and (3) treatment retention among patients treated by resident versus attending physicians. RESULTS: Of 71 residents, most served as a covering or primary provider to at least 1 buprenorphine-treated patient (84.5 and 66.2%, respectively). Of 40 graduates, 27.5% obtained a buprenorphine waiver and 17.5% prescribed buprenorphine. Treatment retention was similar between patients cared for by resident PCPs versus attending PCPs (90-day retention: 63.6% [n = 35] vs. 67.9% [n = 152]; P = .55). CONCLUSION: These results show that BupEd is feasible, provides residents with supervised clinical experience in treating opioid-dependent patients, and can serve as a model to prepare primary care physicians to care for patients with opioid dependence.
BT - Substance abuse
C5 - Opioids & Substance Use; Education & Workforce
CP - 3
CY - United States
DO - 10.1080/08897077.2012.752777
IS - 3
JF - Substance abuse
N2 - BACKGROUND: Although substance use disorders are highly prevalent, resident preparation to care for patients with these disorders is frequently insufficient. With increasing rates of opioid abuse and dependence, and the availability of medication-assisted treatment, one strategy to improve resident skills is to incorporate buprenorphine treatment into training settings. METHODS: In this study, esidency faculty delivered the BupEd education and training program to 71 primary care residents. BupEd included (1) a didactic session on buprenorphine, (2) an interactive motivational interviewing session, (3) monthly case conferences, and (4) supervised clinical experience providing buprenorphine treatment. To evaluate BupEd, the authors assessed (1) residents' provision of buprenorphine treatment during residency, (2) residents' provision of buprenorphine treatment after residency, and (3) treatment retention among patients treated by resident versus attending physicians. RESULTS: Of 71 residents, most served as a covering or primary provider to at least 1 buprenorphine-treated patient (84.5 and 66.2%, respectively). Of 40 graduates, 27.5% obtained a buprenorphine waiver and 17.5% prescribed buprenorphine. Treatment retention was similar between patients cared for by resident PCPs versus attending PCPs (90-day retention: 63.6% [n = 35] vs. 67.9% [n = 152]; P = .55). CONCLUSION: These results show that BupEd is feasible, provides residents with supervised clinical experience in treating opioid-dependent patients, and can serve as a model to prepare primary care physicians to care for patients with opioid dependence.
PP - United States
PY - 2013
SN - 1547-0164; 0889-7077
SP - 242
EP - 247
EP - 
T1 - A buprenorphine education and training program for primary care residents: Implementation and evaluation
T2 - Substance abuse
TI - A buprenorphine education and training program for primary care residents: Implementation and evaluation
U1 - Opioids & Substance Use; Education & Workforce
U2 - 23844954
U3 - 10.1080/08897077.2012.752777
VL - 34
VO - 1547-0164; 0889-7077
Y1 - 2013
ER -