Yale University

Training HIV physicians to prescribe buprenorphine for opioid dependence.

TitleTraining HIV physicians to prescribe buprenorphine for opioid dependence.
Publication TypeJournal Article
Year of Publication2006
AuthorsSullivan, Lynn E., Jeanette Tetrault, Deepa Bangalore, and David A. Fiellin
JournalSubstance abuse : official publication of the Association for Medical Education and Research in Substance Abuse
Volume27
Issue3
Pagination13-8
Date Published2006 Sep
ISSN0889-7077
KeywordsAdult, Aged, Antiretroviral Therapy, Highly Active, Buprenorphine, Comorbidity, Cross-Sectional Studies, Curriculum, Drug Interactions, Drug Prescriptions, Female, HIV Infections, Humans, Inservice Training, Male, Middle Aged, Narcotics, New York, Opioid-Related Disorders, Specialization
AbstractFew HIV physicians are trained to provide buprenorphine treatment. We conducted a cross-sectional survey to assess the impact of an eight-hour course on the treatment of opioid dependence on HIV physicians' preparedness to prescribe buprenorphine. 113 of 257 trained physicians (44%) provided HIV care. Post-course, the majority of both HIV physicians and non-HIV physicians (66% vs. 67%, P = .8) planned to pursue a registration to prescribe buprenorphine. The most common reason for not planning to do so was lack of experience (9% vs. 15%, P = .19). 52 of the 113 (46%) HIV physicians had concerns about prescribing buprenorphine. 30 of the 52 (58%) indicated that interactions between buprenorphine and HAART was their primary concern. Following training, most physicians feel prepared and plan to obtain a registration to prescribe buprenorphine. HIV physicians' concerns regarding interactions between buprenorphine and HAART need to be addressed in future training efforts.
DOI10.1111/j.1521-0391.2011.00207.x
Alternate JournalSubst Abus

External Links