Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel
Introduction The overdose crisis remains a critical public health problem, creating an urgent need to train physicians in the treatment and management of opioid use disorder (OUD). Our medicine clerkship module aimed to close this gap by training and assessing students’ motivational interviewing ski...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2022-05-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11248 |
| _version_ | 1818549972755283968 |
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| author | Hansel E. Tookes Jasmine Tomita-Barber Sabrina Taldone Morgan Shane Matthew R. Imm Henri Ford Joan St. Onge David W. Forrest Tyler S. Bartholomew David P. Serota |
| author_facet | Hansel E. Tookes Jasmine Tomita-Barber Sabrina Taldone Morgan Shane Matthew R. Imm Henri Ford Joan St. Onge David W. Forrest Tyler S. Bartholomew David P. Serota |
| author_sort | Hansel E. Tookes |
| collection | DOAJ |
| description | Introduction The overdose crisis remains a critical public health problem, creating an urgent need to train physicians in the treatment and management of opioid use disorder (OUD). Our medicine clerkship module aimed to close this gap by training and assessing students’ motivational interviewing skills, harm reduction knowledge, and use of nonstigmatizing language in the treatment of patients with OUD. Methods We evaluated the impact of a small-group, case-based activity and patient panel on the clinical documentation skills of students in a medicine clerkship. Clinical documentation was based on an observed structured clinical examination of a standardized patient with OUD and was evaluated using a grading rubric that followed the module learning objectives. Students also submitted reflections on the curriculum. Results Qualitative responses (n = 40) from students evaluating the small-group activity and patient panel exercise revealed overall student satisfaction with the patient panel and exposure to patients living with OUD. Three themes emerged from student reflections: (1) humanity, (2) different paths to recovery, and (3) using nonstigmatizing language. For the quantitative test, students’ (n = 39) mean clinical documentation scores before and after the small-group activity and patient panel increased from 10.1 to 11.3 out of 13.5 possible points. There was a significant difference between mean pretest and posttest scores (p < .001). Discussion The medicine clerkship provided an acceptable and feasible opportunity for implementing a multifaceted educational experience for students with significant immediate impact on their evaluation of patients with OUD. |
| first_indexed | 2024-12-12T08:40:15Z |
| format | Article |
| id | doaj.art-04e7eedbec9b45e3b1273dfebfacc97d |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-12T08:40:15Z |
| publishDate | 2022-05-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-04e7eedbec9b45e3b1273dfebfacc97d2022-12-22T00:30:49ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652022-05-011810.15766/mep_2374-8265.11248Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient PanelHansel E. Tookes0Jasmine Tomita-Barber1Sabrina Taldone2Morgan Shane3Matthew R. Imm4Henri Ford5Joan St. Onge6David W. Forrest7Tyler S. Bartholomew8David P. Serota9Associate Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineFirst-Year Resident, Department of Medicine, University of Miami Leonard M. Miller School of MedicineAssistant Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineAssistant Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineAssistant Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineDean and Chief Academic Officer, University of Miami Leonard M. Miller School of MedicineProfessor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineResearch Associate Professor, Department of Public Health Sciences, University of Miami Leonard M. Miller School of MedicineResearch Assistant Professor, Department of Public Health Sciences, University of Miami Leonard M. Miller School of MedicineAssistant Professor of Clinical Medicine, Department of Medicine, University of Miami Leonard M. Miller School of MedicineIntroduction The overdose crisis remains a critical public health problem, creating an urgent need to train physicians in the treatment and management of opioid use disorder (OUD). Our medicine clerkship module aimed to close this gap by training and assessing students’ motivational interviewing skills, harm reduction knowledge, and use of nonstigmatizing language in the treatment of patients with OUD. Methods We evaluated the impact of a small-group, case-based activity and patient panel on the clinical documentation skills of students in a medicine clerkship. Clinical documentation was based on an observed structured clinical examination of a standardized patient with OUD and was evaluated using a grading rubric that followed the module learning objectives. Students also submitted reflections on the curriculum. Results Qualitative responses (n = 40) from students evaluating the small-group activity and patient panel exercise revealed overall student satisfaction with the patient panel and exposure to patients living with OUD. Three themes emerged from student reflections: (1) humanity, (2) different paths to recovery, and (3) using nonstigmatizing language. For the quantitative test, students’ (n = 39) mean clinical documentation scores before and after the small-group activity and patient panel increased from 10.1 to 11.3 out of 13.5 possible points. There was a significant difference between mean pretest and posttest scores (p < .001). Discussion The medicine clerkship provided an acceptable and feasible opportunity for implementing a multifaceted educational experience for students with significant immediate impact on their evaluation of patients with OUD.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11248Substance Abuse/AddictionClinical Skills Assessment/OSCEsStandardized PatientOpioidsAddictionPain |
| spellingShingle | Hansel E. Tookes Jasmine Tomita-Barber Sabrina Taldone Morgan Shane Matthew R. Imm Henri Ford Joan St. Onge David W. Forrest Tyler S. Bartholomew David P. Serota Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel MedEdPORTAL Substance Abuse/Addiction Clinical Skills Assessment/OSCEs Standardized Patient Opioids Addiction Pain |
| title | Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel |
| title_full | Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel |
| title_fullStr | Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel |
| title_full_unstemmed | Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel |
| title_short | Opioid Use Disorder Curriculum: Medicine Clerkship Standardized Patient Case, Small-Group Activity, and Patient Panel |
| title_sort | opioid use disorder curriculum medicine clerkship standardized patient case small group activity and patient panel |
| topic | Substance Abuse/Addiction Clinical Skills Assessment/OSCEs Standardized Patient Opioids Addiction Pain |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11248 |
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