TY - JOUR
KW - Adult
KW - Aged
KW - Buprenorphine/therapeutic use
KW - Female
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Inservice Training/organization & administration
KW - Internal Medicine/education/organization & administration
KW - Internship and Residency/organization & administration
KW - Male
KW - Middle Aged
KW - Narcotic Antagonists/therapeutic use
KW - Opiate Substitution Treatment/methods
KW - Opioid-Related Disorders/drug therapy
KW - Retrospective Studies
KW - buprenorphine
KW - Education, Medical, Graduate
KW - Office based opioid treatment
KW - Opioid-related disorder
KW - primary care
AU - J. D. Pytell
AU - M. E. Buresh
AU - R. Graddy
A1 - 
AB - BACKGROUND: The integration of opioid use disorder (OUD) care and competencies in graduate medical education training is needed. Previous research shows improvements in knowledge, attitudes, and practices after exposure to OUD care. Few studies report outcomes for patients with OUD in resident physician continuity practices. METHODS: A novel internal office-based opioid treatment (OBOT) program was initiated in a resident continuity clinic. Surveys of resident and staff knowledge and attitudes of OBOT were administered at baseline and 4 months. A retrospective chart review of the 15-month OBOT clinic obtained patient characteristics and outcomes. RESULTS: Twelve patients with OUD were seen in the OBOT clinic. Seven patients (58%) were retained in care at the end of the study period for a range of 9-15 months. Eight patients demonstrated a good clinical response. Surveys of residents and staff at 4 months were unchanged from baseline showing persistent lack of comfort in caring for patients with OUD. CONCLUSIONS: OBOT can be successfully integrated into resident continuity practices with positive patient outcomes. Improvement in resident and staff attitudes toward OBOT were not observed and likely require direct and frequent exposure to OUD care to increase acceptance.
AD - Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD, 21224, USA. jpytell1@jhmi.edu.; Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD, 21224, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd Floor, Baltimore, MD, 21224, USA.
BT - Addiction science & clinical practice
C5 - Education & Workforce; Opioids & Substance Use
CP - 1
DO - 10.1186/s13722-019-0175-z
IS - 1
JF - Addiction science & clinical practice
LA - eng
M1 - Journal Article
N2 - BACKGROUND: The integration of opioid use disorder (OUD) care and competencies in graduate medical education training is needed. Previous research shows improvements in knowledge, attitudes, and practices after exposure to OUD care. Few studies report outcomes for patients with OUD in resident physician continuity practices. METHODS: A novel internal office-based opioid treatment (OBOT) program was initiated in a resident continuity clinic. Surveys of resident and staff knowledge and attitudes of OBOT were administered at baseline and 4 months. A retrospective chart review of the 15-month OBOT clinic obtained patient characteristics and outcomes. RESULTS: Twelve patients with OUD were seen in the OBOT clinic. Seven patients (58%) were retained in care at the end of the study period for a range of 9-15 months. Eight patients demonstrated a good clinical response. Surveys of residents and staff at 4 months were unchanged from baseline showing persistent lack of comfort in caring for patients with OUD. CONCLUSIONS: OBOT can be successfully integrated into resident continuity practices with positive patient outcomes. Improvement in resident and staff attitudes toward OBOT were not observed and likely require direct and frequent exposure to OUD care to increase acceptance.
PY - 2019
SN - 1940-0640; 1940-0632; 1940-0632
SP - 019
EP - z
EP - 46+
T1 - Outcomes of a novel office-based opioid treatment program in an internal medicine resident continuity practice
T2 - Addiction science & clinical practice
TI - Outcomes of a novel office-based opioid treatment program in an internal medicine resident continuity practice
U1 - Education & Workforce; Opioids & Substance Use
U2 - 31856915
U3 - 10.1186/s13722-019-0175-z
VL - 14
VO - 1940-0640; 1940-0632; 1940-0632
Y1 - 2019
Y2 - Dec 19
ER -