Impact of an Educational Intervention on the Opioid Knowledge and Prescribing Behaviors of Resident Physicians

1. Please choose your present stage of coaching: 2. Do you maintain a DEA License? 3. How glad are you together with your present stage of opioid-prescribing coaching? 4. When did you obtain your opioid-prescribing coaching? (Choose all that apply) 5. What are the three commonest chief complaints for adults within the ED that have been discharged with opioids? (choose three)  6. Which three states have the best proportion of opioid-related deaths per capita:  (circle 3 states) 7. In 2017, what number of drug overdose deaths have been as a result of opioids?   8. In 2017, what number of deaths have been a results of heroin overdose?   9. Practically half of all opioid associated overdoses are as a result of legitimate prescription opioids.  10. What’s the PDMP?  11. How typically ought to the PDMP be referenced? 12. For an grownup affected person that presents to the emergency room with acute ache, in line with present PA state pointers, what’s the most period (days) for which an opioid prescription needs to be given?  13. When prescribing opioids to a minor, in line with present PA state pointers, the supplier ought to:   14. For an grownup presenting with noncancer ache, what needs to be the primary plan of action previous to formulating a ache management plan?  (circle just one) 15. For an grownup presenting to the ED with acute low again ache, I might sometimes prescribe: (circle just one) 16. A 25-year-old feminine presents to the workplace with an acute episodic migraine In keeping with the American Headache Society 2015 Pointers, what therapy has Stage A proof? 17. A 30-year-old male who actively makes use of IV heroin presents to the ED for a localized pores and skin an infection. After a number of hours, he begins to complain of tension and GI upset. You think opioid withdrawal and calculate his Medical Opiate Withdrawal Rating (COWS), which at 30 is rated “reasonably extreme”. How would you deal with his present withdrawal signs? 18. For sufferers experiencing delicate ache, I initially prescribe (circle one) 19. For sufferers experiencing reasonable ache, I initially prescribe (circle one) 20. For sufferers experiencing extreme ache, I initially prescribe  (circle just one) 21. Opioids are efficient in ache administration.  22. Each affected person that presents to the ED with ache ought to obtain opioids. 23. I really feel comfy in my data of non-opioid ache administration.  24. If I believe somebody is abusing medicine, I cannot prescribe them short-acting opioids.   25. Affected person gender might have an effect on my judgement of a affected person’s ache depth 26. Affected person race might have an effect on my judgement of a affected person’s ache depth 27. If a affected person presents to the ED repeatedly asking for extra ache medicine, this might be as a result of a missed analysis of the underlying ache supply.  28. I ask my sufferers concerning the severity of their ache. 29. I embrace patient-reported ache ranges in my notes. PGY2 No Impartial Medical College, Residency Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 25,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Prolonged-release oxycodone NSAIDs NSAIDs Opioid Agree Disagree Agree Agree Agree Agree Undecided Agree Undecided PGY2 No Impartial By no means obtained any formal coaching Headache, Belly ache, Again ache California, New York, Pennsylvania 75,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Brief performing opioids Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs NSAID Agree Strongly disagree Agree Agree Disagree Disagree Agree Strongly agree Strongly agree PGY2 No Very glad Medical College, Residency, Private studying Headache, Belly ache, Again ache New York, Pennsylvania, West Virginia 25,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs NSAID Disagree Strongly disagree Strongly agree Agree Agree Agree Agree Strongly disagree Strongly disagree PGY1 No Impartial Residency Dental ache, Urolithiasis Alabama, Pennsylvania, West Virginia 45,000 45,000 FALSE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Disagree Strongly disagree Agree Disagree Disagree Agree Agree Agree PGY3 No Unhappy Residency, Private studying Dental ache, Urolithiasis, Again ache Alabama, Kentucky, West Virginia 45,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol Tylenol Opioid Agree Strongly disagree Undecided Disagree Disagree Disagree Agree Agree Undecided PGY1 No Unhappy Medical College, Residency Dental ache, Urolithiasis, Again ache Kentucky, South Carolina, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 14 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol Tylenol Opioid Agree Undecided Undecided Disagree Agree Strongly agree Agree Agree Agree PGY3 No Impartial Medical College, Residency, Private studying Dental ache, Belly ache, Again ache Alabama, Kentucky, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Codeine/acetaminophen 25/400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Disagree Agree Undecided Agree Agree Agree Agree Undecided PGY2 No Glad Medical College, Residency, Private studying Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 45,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Naratriptan 2.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Strongly disagree Agree Agree Disagree Disagree Agree Agree Agree PGY3 No Glad Residency Dental ache, Urolithiasis, Again ache Alabama, Kentucky, West Virginia 25,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Naratriptan 2.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs NSAID Undecided Strongly disagree Agree Agree Disagree Disagree Agree Disagree Undecided PGY3 No Glad Private studying Dental ache, Urolithiasis, Again ache Delaware, Pennsylvania, West Virginia 75,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Disagree Agree Strongly agree Strongly disagree Strongly disagree Agree Strongly agree Agree PGY2 No Very glad Medical College, Residency Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 45,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Naratriptan 2.5 mg Oral morphine NSAIDs NSAIDs NSAID Strongly agree Strongly disagree Agree Strongly disagree Strongly agree Strongly agree Strongly agree Strongly disagree Strongly disagree PGY2 No Unhappy Medical College, Residency Again ache California, New York, Pennsylvania 25,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs NSAID Strongly agree Disagree Strongly agree Strongly agree Strongly disagree Strongly disagree Agree Strongly agree Agree PGY3 No Glad Medical College, Residency Urolithiasis Kentucky, Pennsylvania, West Virginia 45,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Strongly disagree Agree Agree Strongly disagree Strongly disagree Agree Strongly agree Agree PGY3 No Impartial Medical College, Residency Dental ache, Urolithiasis, Again ache Alabama, Pennsylvania, South Carolina 45,000 15,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. No restrict The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs NSAID Disagree Strongly disagree Undecided Strongly agree Strongly disagree Strongly disagree Agree Agree Undecided PGY1 No Glad Medical College, Residency, Private studying Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Naratriptan 2.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Strongly agree Strongly disagree Agree Undecided Strongly disagree Strongly disagree Agree Strongly agree Strongly agree PGY1 No Very unhappy Private studying Dental ache, Belly ache, Urolithiasis California, Pennsylvania, West Virginia 45,000 75,000 FALSE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Prolonged-released schedule II merchandise Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Oral morphine Tylenol Tylenol Tylenol Agree Strongly disagree Disagree Disagree Agree Agree Undecided Strongly agree Agree PGY2 No Impartial Residency Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 25,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 1 day The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs NSAID Agree Disagree Undecided Strongly agree Undecided Undecided Agree Agree Agree PGY1 No Impartial Medical College Dental ache, Belly ache, Again ache Alabama, Pennsylvania, West Virginia 45,000 25,000 FALSE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Strongly disagree Agree Agree Strongly disagree Strongly disagree Agree Agree Agree PGY1 No Impartial Residency Again ache New York, Delaware, Pennsylvania 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol Tylenol Tylenol Strongly agree Strongly disagree Strongly agree Strongly agree Strongly disagree Strongly disagree Disagree Strongly agree Strongly agree PGY1 No Glad Medical College, Residency, Private studying Dental ache, Belly ache, Urolithiasis Delaware, Pennsylvania, West Virginia 75,000 75,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Strongly disagree Agree Agree Disagree Disagree Agree Agree Agree PGY3 No Impartial Residency Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 25,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines 31-40 tablets of 5mg Oxycodone + NSAID Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Disagree Undecided Disagree Strongly disagree Strongly disagree Agree Agree Undecided PGY1 No Impartial By no means obtained any formal coaching Belly ache, Urolithiasis, Again ache Alabama, Kentucky, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 7 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Strongly disagree Agree Agree Strongly disagree Strongly disagree Agree Strongly agree Strongly agree PGY3 No Glad Medical College, Residency, Private studying Belly ache, Urolithiasis, Again ache Delaware, Pennsylvania, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Celecoxib 400 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Strongly disagree Agree Agree Disagree Disagree Agree Agree Agree PGY3 No Very glad Residency Dental ache, Belly ache, Again ache California, Pennsylvania, South Carolina 75,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Solely non-opioid ache medicines Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Agree Disagree Agree Agree Strongly disagree Strongly disagree Agree Undecided Agree PGY2 No Impartial Medical College, Residency Dental ache, Urolithiasis, Again ache Delaware, Pennsylvania, West Virginia 75,000 45,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. No restrict The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy NSAIDs NSAIDs Opioid Agree Strongly disagree Agree Strongly agree Agree Agree Strongly agree Strongly agree Agree PGY3 No Glad Medical College, Residency, Private studying Dental ache, Urolithiasis, Again ache Kentucky, Pennsylvania, West Virginia 45,000 25,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol NSAIDs Opioid Strongly agree Strongly disagree Strongly agree Strongly agree Agree Agree Agree Agree Agree PGY3 No Very glad Medical College, Residency Urolithiasis     75,000 TRUE Prescription Drug Monitoring Program Anytime an opioid prescription is given. 3 days The entire above Seek the advice of the state monitoring program (PDMP) Solely non-opioid ache medicines Chlorpromazine IV 12.5 mg Buprenorphine-naloxone to bridge him to outpatient therapy Tylenol Tylenol Tylenol Strongly agree Strongly disagree Strongly agree Strongly disagree Strongly disagree Strongly disagree Agree Agree Agree