TRAINING IN ADOLESCENT SUBSTANCE USE AND OPIOID MISUSE IN US PEDIATRIC RESIDENCY PROGRAMS: A NATIONAL SURVEY

Purpose: Nine of every 10 people with addiction first used substances before age 18, and opioid overdose deaths among adolescents have risen nearly threefold since 1999. However, recent data on training in substance use and opioid misuse in pediatric residency programs are lacking. We sought to desc...

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Bibliographic Details
Published in:Journal of adolescent health 2020-02, Vol.66 (2S), p.S10
Main Authors: Allen, Emily B, Michelson, Catherine D, O'Donnell, Katherine A, Bagley, Sarah M, Earlywine, Joel, Hadland, Scott
Format: Article
Language:English
Subjects:
Addictions
Adolescents
Brief interventions
Buprenorphine
Curricula
Drug abuse
Drug overdose
Drug use
Epidemiology
Experts
Health surveys
Internet
Medical schools
Medical screening
Morbidity
Naloxone
Naltrexone
Narcotics
Opioids
Pediatricians
Pediatrics
Polls & surveys
Reversal
Review boards
Rotation
Substance abuse treatment
Substance use disorder
Teaching
Topics
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Summary:Purpose: Nine of every 10 people with addiction first used substances before age 18, and opioid overdose deaths among adolescents have risen nearly threefold since 1999. However, recent data on training in substance use and opioid misuse in pediatric residency programs are lacking. We sought to describe the educational landscape of training on substance use and opioid misuse in US pediatric residency programs. Methods: An electronic survey was distributed to pediatric associate program directors (APDs) from all 201 US pediatric residency programs through the Association of Pediatric Program Directors listserv. The survey assessed ( 1) whether programs are providing formal training in su5stance use and opioid misuse; (2) the content and format of training; and (3) interest in a shared curriculum. Surveys were completed by one APD from each program, or if the APD preferred, by a chief resident or rotation director with better knowledge of the educational content offered. D~scriptive statistics were used to summarize results. Data collection is ongoing; here we report preliminary data from respondents to date (n=91; 45.3% of all pediatric residency programs). The study was approved by the Boston University School of Medicine Institutional Review Board. Results: Among programs surveyed, 77 (84.6%) reported having a curriculum on adolescent substance use. Topics covered included screening (94.8%), brief interventions (77.9%), and treatment (50.6%). Overall, 74 (81.3%) programs reported teaching about adolescent opioid misuse. Among these 74 programs, topics covered included: epidemiology of opioid misuse and related harms (72.9%), screening for opioid misuse (72.5%), use of medications such as buprenorphine or naltrexone to treat opioid use disorder (29. 7%), emergence of high-potency opioids including fentanyl (25.7%), and how to prescribe the overdose reversal agent naloxone (21.6%). Among all residency programs, 23 (25.3%) reported that the buprenorphine waiver course was available to pediatric residents in their health system while 49 (53.9%) were unsure if the course was available. Twelve (11.4%) programs had ~ 1 resident who had completed buprenorphine waiver training. Overall, 71.8% of APDs reported that their residents cared for adolescents with opioid use disorder "sometimes" or "frequently", and 96.7% believed training about opioid misuse was "important" or "very important". However, only 11.0% rated their overall education on opioid misuse as "good"
ISSN:1054-139X
1879-1972