FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2033733478> ?p ?o ?g. }

• W2033733478 abstract "The misuse of prescription opioids in the USA is undeniably a substantial problem. The causes of this “prescription opioid epidemic” are multifactorial, with numerous opinions existing on how the country can best curtail the problem. While sectors of the healthcare administration have deified the goal of complete pain alleviation, healthcare providers are conflicted with the feeling that they are too often prescribing addictive medications to control pain [1]. Public health advocates publicize the dangers of prescription opioids and advocate minimizing prescription medication abuse, while pain specialists worry that these are cumbersome checks that hinder patients from receiving the medication they need [2]. As the medical community’s views on prescription opioids are not in agreement, it is not surprising that healthcare providers in training are being taught conflicting information on the use of prescription opioids.A recent study in the Journal of Pain found that over 20 % of US allopathic medical schools do not offer educational sessions dedicated to pain or pain medication [3]. In those schools where pain education was offered, the topics most commonly taught were focused on the systems-based clinical presentation of pain (e.g., abdominal pain or back pain) and the neuroscience of pain. Substance abuse and addiction ranked as 26th on the list of 30 topics, with less than 20 % of these schools providing instruction on the addictive potential of pain medication. This is particularly alarming when it has previously been shown that, after alcohol, opioids are the second most commonly abused substance among healthcare professionals [4]. While the Journal of Pain paper appropriately argues that medical school education on the physiology and management of pain is inadequate, even more upsetting is an apparent avoidance of education on the dark sides of opioids—their drug-specific toxicities and their addictive potential.As medical students advance through their clinical training, these educational deficiencies are not necessarily compensated for in graduate medical education. Studies have shown that residents and fellows are also uncomfortable treating patients in pain and feel undereducated in the management of pain. In one study, 59 % of respondents rated their medical school education on pain management as “fair” or “poor,” and 36 % said the same about their residency education [5]. This is understandable when the literature on pain management education for physicians-in-training appears so contradictory and, oftentimes, agenda-driven. While one publication describes educating resident physicians on “the evidence refuting the routine use of pain scales” and how to “identify red flags…in patients with aberrant drug-related behavior,” another grades resident performance on an “opiophobia” score that takes points off for reserving opioids for severe pain or identifying concerns with addiction [6, 7]. One feature that appears to be common, however, is a relative avoidance of graduate medical education on the risk–benefit of various opioid medications and the management of overdose.Drug toxicity education, however, does appear to be expanding for post-training practicing physicians. One approach is in the form of Risk Evaluation and Mitigation Strategies (REMS) which are policies mandated by the US Food and Drug Administration for use with drugs that are considered to have significant risk of adverse outcomes [8]. REMS currently exist for extended release and long-acting opioids, transmucosal immediate-release fentanyl products, and buprenorphine-containing products. The focus is on prescriber education as well as methods “to assure safe use.” However, the concern exists that these assurances, such as certification requirements for physicians, would only divert prescribing patterns away from the use of medications on a REMS list without necessarily assisting physicians in making a more educated or cautious choice of pain medication. Hopefully, enhanced physician awareness with this more wide-reaching toxicity education, in conjunction with data provided by state prescription drug monitoring programs, could screen for abuse and help identify patterns of use that put patients at risk for toxicity.Unlike recent major public health threats in the USA, such as obesity and tobacco abuse, the medical community still has no unified stance on the prescription opioid problem. It is clear that trainees are receiving inadequate or conflicting information on the use of prescription opioids. More expansive and innovative methods of educating medical professionals, such as REMS and prescription monitoring programs, improve awareness and help identify at-risk individuals, but a void in medical education still exists. This is where we, as medical toxicologists, can provide the greatest influence.One of the most important responsibilities of the medical toxicology community is to ensure continued education to healthcare providers, patients, and policymakers on the risks and benefits of all drugs, including opioids. From the epidemiologic monitoring capabilities of the poison centers, to the expert advice toxicologists provide with respect to drug delivery forms, toxic combination products, drug interactions, and drug-specific toxicities, toxicologists have the resources and expertise to play an important role in subduing the prescription opioid epidemic. As medical toxicologists, we are trained teachers, and it is at every stage in medical education that I would propose our specialty could make the greatest influence on the opioid epidemic in the USA." @default.
• W2033733478 created "2016-06-24" @default.
• W2033733478 creator A5016573491 @default.
• W2033733478 date "2012-12-01" @default.
• W2033733478 modified "2023-09-23" @default.
• W2033733478 title "Toxicology Fellow’s Perspective: Filling a Void in Medical Education Regarding Opioids" @default.
• W2033733478 cites W2003226539 @default.
• W2033733478 cites W2036102281 @default.
• W2033733478 cites W2039857756 @default.
• W2033733478 cites W2091841992 @default.
• W2033733478 cites W2096252179 @default.
• W2033733478 cites W2135656200 @default.
• W2033733478 cites W2158010236 @default.
• W2033733478 doi "https://doi.org/10.1007/s13181-012-0271-x" @default.
• W2033733478 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3550257" @default.
• W2033733478 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22986801" @default.
• W2033733478 hasPublicationYear "2012" @default.
• W2033733478 type Work @default.
• W2033733478 sameAs 2033733478 @default.
• W2033733478 citedByCount "0" @default.
• W2033733478 crossrefType "journal-article" @default.
• W2033733478 hasAuthorship W2033733478A5016573491 @default.
• W2033733478 hasBestOaLocation W20337334781 @default.
• W2033733478 hasConcept C118552586 @default.
• W2033733478 hasConcept C122980154 @default.
• W2033733478 hasConcept C126322002 @default.
• W2033733478 hasConcept C142724271 @default.
• W2033733478 hasConcept C15744967 @default.
• W2033733478 hasConcept C159110408 @default.
• W2033733478 hasConcept C160735492 @default.
• W2033733478 hasConcept C162324750 @default.
• W2033733478 hasConcept C170493617 @default.
• W2033733478 hasConcept C204787440 @default.
• W2033733478 hasConcept C2426938 @default.
• W2033733478 hasConcept C2779418921 @default.
• W2033733478 hasConcept C2779978724 @default.
• W2033733478 hasConcept C2781063702 @default.
• W2033733478 hasConcept C2911204551 @default.
• W2033733478 hasConcept C40010229 @default.
• W2033733478 hasConcept C48856860 @default.
• W2033733478 hasConcept C50522688 @default.
• W2033733478 hasConcept C512399662 @default.
• W2033733478 hasConcept C558461103 @default.
• W2033733478 hasConcept C71924100 @default.
• W2033733478 hasConcept C77805123 @default.
• W2033733478 hasConceptScore W2033733478C118552586 @default.
• W2033733478 hasConceptScore W2033733478C122980154 @default.
• W2033733478 hasConceptScore W2033733478C126322002 @default.
• W2033733478 hasConceptScore W2033733478C142724271 @default.
• W2033733478 hasConceptScore W2033733478C15744967 @default.
• W2033733478 hasConceptScore W2033733478C159110408 @default.
• W2033733478 hasConceptScore W2033733478C160735492 @default.
• W2033733478 hasConceptScore W2033733478C162324750 @default.
• W2033733478 hasConceptScore W2033733478C170493617 @default.
• W2033733478 hasConceptScore W2033733478C204787440 @default.
• W2033733478 hasConceptScore W2033733478C2426938 @default.
• W2033733478 hasConceptScore W2033733478C2779418921 @default.
• W2033733478 hasConceptScore W2033733478C2779978724 @default.
• W2033733478 hasConceptScore W2033733478C2781063702 @default.
• W2033733478 hasConceptScore W2033733478C2911204551 @default.
• W2033733478 hasConceptScore W2033733478C40010229 @default.
• W2033733478 hasConceptScore W2033733478C48856860 @default.
• W2033733478 hasConceptScore W2033733478C50522688 @default.
• W2033733478 hasConceptScore W2033733478C512399662 @default.
• W2033733478 hasConceptScore W2033733478C558461103 @default.
• W2033733478 hasConceptScore W2033733478C71924100 @default.
• W2033733478 hasConceptScore W2033733478C77805123 @default.
• W2033733478 hasLocation W20337334781 @default.
• W2033733478 hasLocation W20337334782 @default.
• W2033733478 hasLocation W20337334783 @default.
• W2033733478 hasLocation W20337334784 @default.
• W2033733478 hasOpenAccess W2033733478 @default.
• W2033733478 hasPrimaryLocation W20337334781 @default.
• W2033733478 hasRelatedWork W106728985 @default.
• W2033733478 hasRelatedWork W1470307601 @default.
• W2033733478 hasRelatedWork W1499446264 @default.
• W2033733478 hasRelatedWork W1575812206 @default.
• W2033733478 hasRelatedWork W165452660 @default.
• W2033733478 hasRelatedWork W1879285421 @default.
• W2033733478 hasRelatedWork W2003226539 @default.
• W2033733478 hasRelatedWork W2019056224 @default.
• W2033733478 hasRelatedWork W2019670301 @default.
• W2033733478 hasRelatedWork W2102114871 @default.
• W2033733478 hasRelatedWork W2125115558 @default.
• W2033733478 hasRelatedWork W2139687413 @default.
• W2033733478 hasRelatedWork W2158627025 @default.
• W2033733478 hasRelatedWork W2162980151 @default.
• W2033733478 hasRelatedWork W2304979503 @default.
• W2033733478 hasRelatedWork W2404888512 @default.
• W2033733478 hasRelatedWork W2794892158 @default.
• W2033733478 hasRelatedWork W2890552478 @default.
• W2033733478 hasRelatedWork W2904360817 @default.
• W2033733478 hasRelatedWork W2945352544 @default.
• W2033733478 isParatext "false" @default.
• W2033733478 isRetracted "false" @default.
• W2033733478 magId "2033733478" @default.
• W2033733478 workType "article" @default.