TY - JOUR
KW - Clinical Clerkship
KW - Curriculum
KW - Education
KW - Education, Medical
KW - Harm Reduction
KW - Health Knowledge, Attitudes, Practice
KW - Mandatory Programs
KW - Naloxone/therapeutic use
KW - Opiate Overdose/prevention & control/psychology
KW - Opioid-Related Disorders/prevention & control/psychology
KW - Medical Education
KW - naloxone
KW - opioid-related disorders
AU - B. J. Oldfield
AU - J. M. Tetrault
AU - K. M. Wilkins
AU - E. J. Edelman
AU - N. A. Capurso
A1 - 
AB - Background: Opioid overdose deaths constitute a public health crisis in the United States. Strategies for reducing opioid-related harm are underutilized due in part to clinicians' low knowledge about harm reduction theory and limited preparedness to prescribe naloxone. Educational interventions are needed to improve knowledge and attitudes about, and preparedness to address, opioid overdoses among medical students. Methods: Informed by the Department of Veterans Affairs' Overdose Education and Naloxone Distribution (OEND) program and narrative medicine, we developed and led a mandatory workshop on harm reduction for clerkship medical students. Using validated scales, we assessed students' knowledge and attitudes about, and preparedness to address, opioid overdoses before the workshop and 6 weeks after. Results: Of 75 participating students from February through December 2017, 55 (73%) completed pre-workshop and 38 (51%) completed both pre- and post-workshop surveys. At baseline, 40 (73%) encountered patients with perceived at-risk opioid use in the previous 6 weeks, but only 11 (20%) recalled their teams prescribing naloxone for overdose prevention. Among those completing both surveys, knowledge about and preparedness to prevent overdose showed large improvement (Cohen's d = 0.85, P < .001; Cohen's d = 1.24, P < .001, respectively) and attitudes showed moderate improvement (Cohen's d = 0.32, P = .04). Discussion: Educational interventions grounded in harm reduction theory can increase students' knowledge and attitudes about, and preparedness to address, opioid overdoses.
AD - Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.; National Clinician Scholars Program, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Psychiatry, VA Connecticut Healthcare System, West Haven, Connecticut, USA.; Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.; Department of Psychiatry, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
BT - Substance abuse
C5 - Education & Workforce; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1080/08897077.2019.1621241
IS - 1
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - Background: Opioid overdose deaths constitute a public health crisis in the United States. Strategies for reducing opioid-related harm are underutilized due in part to clinicians' low knowledge about harm reduction theory and limited preparedness to prescribe naloxone. Educational interventions are needed to improve knowledge and attitudes about, and preparedness to address, opioid overdoses among medical students. Methods: Informed by the Department of Veterans Affairs' Overdose Education and Naloxone Distribution (OEND) program and narrative medicine, we developed and led a mandatory workshop on harm reduction for clerkship medical students. Using validated scales, we assessed students' knowledge and attitudes about, and preparedness to address, opioid overdoses before the workshop and 6 weeks after. Results: Of 75 participating students from February through December 2017, 55 (73%) completed pre-workshop and 38 (51%) completed both pre- and post-workshop surveys. At baseline, 40 (73%) encountered patients with perceived at-risk opioid use in the previous 6 weeks, but only 11 (20%) recalled their teams prescribing naloxone for overdose prevention. Among those completing both surveys, knowledge about and preparedness to prevent overdose showed large improvement (Cohen's d = 0.85, P < .001; Cohen's d = 1.24, P < .001, respectively) and attitudes showed moderate improvement (Cohen's d = 0.32, P = .04). Discussion: Educational interventions grounded in harm reduction theory can increase students' knowledge and attitudes about, and preparedness to address, opioid overdoses.
PP - United States
PY - 2020
SN - 1547-0164; 0889-7077
SP - 29
EP - 34
EP - 
T1 - Opioid overdose prevention education for medical students: Adopting harm reduction into mandatory clerkship curricula
T2 - Substance abuse
TI - Opioid overdose prevention education for medical students: Adopting harm reduction into mandatory clerkship curricula
U1 - Education & Workforce; Opioids & Substance Use
U2 - 31211657
U3 - 10.1080/08897077.2019.1621241
VL - 41
VO - 1547-0164; 0889-7077
Y1 - 2020
ER -