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Narayan, Shawna; Brath, Hana; Di Marco, Danielle; Maclure, Malcolm; McCracken, Rita; Klimas, Jan

Taylor & Francis

Purpose: As deaths from the illicit drug poisoning crisis continue to rise in Canada, increasing the number of healthcare professionals qualified to effectively prescribe opioids could be beneficial. The willingness of family medicine residents to undertake structured training in prescribing opioids for Opioid Agonist Treatment (OAT) and pain management have not been well described. Materials and methods: Family medicine residents (n=20) in British Columbia, Canada, were asked about their experience with and willingness to enroll in OAT training. Informed by the Consolidated Framework for Implementation Research, data were analyzed thematically using NVivo software. Results: Four themes were identified: (1) challenges to training implementation, (2) feelings and attitudes on prescribing practices, (3) helpful learning spaces and places of substance use training, and (4) recommendations for implementing training. Preparedness, exposure, and supportive learning environments for substance use education increased willingness to pursue OAT accreditation, while ineffective learning experiences, mixed feelings about opioid prescribing, and lack of protected time were the most common reasons for unwillingness. Conclusion: Protected time and a range of clinical experiences appear to facilitate residents’ willingness to complete OAT and opioid training. Implementation strategies to enhance the uptake of OAT accreditation in family medicine residency must be prioritized.

Article; Postprint

eng

Vancouver : University of British Columbia Library

10.14288/1.0434249

Medicine, Faculty of; Non UBC; Anesthesiology, Pharmacology and Therapeutics, Department of; Family Practice, Department of

10.1080/14739879.2023.2204310

Faculty; Researcher; Graduate

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