Title | Evaluation of a combined online and in person training in the use of buprenorphine. |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Gunderson, Erik W., David A. Fiellin, Frances R. Levin, Lynn E. Sullivan, and Herbert D. Kleber |
Journal | Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse |
Volume | 27 |
Issue | 3 |
Pagination | 39-45 |
Date Published | 2006 Sep |
ISSN | 0889-7077 |
Keywords | Adult, Buprenorphine, Computer-Assisted Instruction, Curriculum, Drug Prescriptions, Education, Medical, Fellowships and Scholarships, Female, Health Knowledge, Attitudes, Practice, Humans, Inservice Training, Internet, Internship and Residency, Male, Narcotics, Opioid-Related Disorders |
Abstract | To evaluate buprenorphine training methodology, we surveyed physicians who had completed a combined online and in person buprenorphine curriculum. Of 53/70 (76%) survey respondents, 57% were psychiatrists and 40% generalists. On a scale of 1 (very poor) to 7 (superlative), the overall training rated a mean of 5.8. The online course (5.0) rated lower than in person training components (p < .001) except for material that addressed the logistics of office practice. The in person patient interview received the highest rating (mean 6.3, p < .001). The 67% of physicians who intended to prescribe buprenorphine after the training were more likely than hesitant physicians to agree that the course provided enough information (p < .05) and that telephone access to experienced providers would improve their confidence (p < .05). Physicians hesitant to prescribe cited lack of experience as the main barrier (41%), with 24% concerned about induction difficulty and reimbursement. Overall, physicians preferred in person instruction and may benefit from additional experiential training and support after curriculum participation. |
DOI | 10.1111/j.1521-0391.2011.00207.x |
Alternate Journal | Subst Abus |