Purpose: Evaluate (1) the feasibility, (2) acceptability and (3) effectiveness of a novel substance use disorder (SUD) curriculum for
OBGYN PGY-1s to improve SUD clinical skills.
Background: Amidst the opioid crisis, we need to better integrate SUD education across specialties. However, there is no consensus regarding how to provide SUD education to OBGYN trainees.
Methods: Two PGY-1 cohorts completed a 3-session SUD curriculum based on CREOG objectives consisting of readings, didactics and clinical experiences. PGY-1s (n=6 each cohort) completed skills self-assessments before session 1 and after session 3 (n=12) using an adapted Zwisch Rating Scale (range 0-5). A subset (n=4; COVID-19 limited data collection) completed a 6-session expanded curriculum followed by skill assessments and semi-structured interviews. Zwisch scores were compared between time points using paired t-tests. Interviews were transcribed and analyzed using the “editing” style approach.
Results: All PGY-1s (12/12) completed the 3-session SUD curriculum. Clinical skill self-assessments improved significantly in all areas [SUD Screening (2.33 (1.15) vs 3.58 (0.67), p = < 0.01); Counseling (1.79 (0.84) vs 3.58(0.51), p= < .01; Referring (1.96(0.75) vs 3.58(0.75), p=< .01; Motivational Interviewing (1.92 (1.16) vs 3.25 (0.75), p=< .01)] with further non-significant improvements between sessions 3 and 6. Qualitative data revealed high acceptability; all curriculum components were viewed positively (n=41 theme frequency count), and feedback was provided (e.g., desire for more patient exposures, n=31).
Discussions: This curriculum provides a potential approach that is innovative, feasible, acceptable and effective to meet the growing need for training providers in the care of women with SUD across the lifespan.
Topics: CREOG & APGO Annual Meeting, 2021, Resident, Faculty, Clerkship Director, Residency Director, Patient Care, Medical Knowledge, Professionalism, GME, Assessment, Independent Study, General Ob-Gyn,
Caitlin Martin, MD, MPH, Virginia Commonwealth University; Hendrée Jones, PhD; Bhushan Thakkar, PT,MS ; Lauren Cox, MD; Elisabeth Johnson, FNP, PhD; AnnaMarie Connolly, MD
