Evaluation of opioid prescribing preferences among surgical residents and faculty
| Autor: | Gretchen M. Ahrendt, Ethan Cumbler, Richard D. Schulick, Kathryn L. Colborn, Kristin E. Rojas, Victoria Huynh, Nicole Christian, Sarah E. Tevis |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty MEDLINE 030230 surgery Drug Prescriptions Opioid prescribing 03 medical and health sciences 0302 clinical medicine medicine Humans Practice Patterns Physicians' Medical prescription Retrospective Studies Pain Postoperative business.industry Electronic medical record Internship and Residency Common procedures Faculty Analgesics Opioid Prescription opioid General Surgery 030220 oncology & carcinogenesis Family medicine Actual practice Female Surgery business Oxycodone medicine.drug |
| Zdroj: | Surgery. 170:1066-1073 |
| ISSN: | 0039-6060 |
| Popis: | Background Residents report that faculty preference is a significant driver of opioid prescribing practices. This study compared opioid prescribing preferences of surgical residents and faculty against published guidelines and actual practice and assessed perceptions in communication and transparency around these practices. Methods Surgical residents and faculty were surveyed to evaluate the number of oxycodone tablets prescribed for common procedures. Quantities were compared between residents, faculty, Opioid Prescribing Engagement Network guidelines, and actual opioids prescribed. Frequency with which faculty communicate prescribing preferences and the desire for feedback and transparency in prescription practices were assessed. Results Fifty-six (72%) residents and 57 (59%) faculty completed the survey. Overall, faculty preferred a median number of tablets greater than recommended by Opioid Prescribing Engagement Network in 5 procedures, while residents did so in 9 of 14 procedures. On average, across all operations, faculty reported prescribing practices compliant with Opioid Prescribing Engagement Network 56.1% of the time, whereas residents did so 47.6% of the time (P = .40). Interestingly, opioids actually prescribed were significantly less than recommended in 7 procedures. Among faculty, 62% reported often or always specifying prescription preferences to residents, while only 9% of residents noted that faculty often did so. Residents (80%) and faculty (75%) were amenable to seeing regular reports of personal opioid prescription practices, and 74% and 65% were amenable to seeing practices compared with peers. Only 34% of residents and 44% of faculty wanted prescription practices made public. Conclusion There is a disconnect between opioid prescribing preferences and practice among surgical residents and faculty. Increased transparency through individualized reports and education regarding Opioid Prescribing Engagement Network guidelines with incorporation into the electronic medical record as practice advisories may reduce prescription variability. |
| Databáze: | OpenAIRE |
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