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OB/GYN Resident Education on Opioid Use Disorder in Pregnancy: A Residency Program Director Survey
To assess training in opioid use disorder (OUD) and medication for addiction treatment (MAT) among OB/GYN residency programs.Background:
Given increasing rates of OUD in pregnancy, the Council on Resident Education in Obstetrics and Gynecology (CREOG) recommends resident education in perinatal substance use. Obstetric providers who provide MAT fill a critical gap in care for pregnant women.Methods:
We conducted a cross-sectional survey of a representative sample of 100 of the 282 U.S. OB/GYN residency program directors to evaluate resident exposure to OUD and MAT education. We compared availability of OUD/MAT education and resident experience in managing OUD/MAT among programs with and without OUD treatment clinicsResults:
Of 33 respondents, 100% reported clinical exposure of trainees to OUD in pregnancy. 82% of program directors felt OUD was a problem amongst patients and 42% reported having a clinic specializing in OUD in pregnancy. Compared with programs without OUD clinics, programs with OUD clinics more frequently offered targeted didactics in MAT (100% vs 63%, P=.01), reported resident comfort in MAT counseling (93% vs 32%, P< .01), and had trainees who planned to prescribe MAT following residency (71% vs 21%, P< .01). The most frequently noted reasons for offering OUD/ MAT education were patient needs, faculty interest and resident interest. The main barriers to OUD/MAT education were lack of faculty expertise, time, curriculum and funding.
Increasing resident exposure to OUD/MAT education and OUD treatment clinics may increase the number of OB/GYN residency graduates who prescribe MAT in pregnancy, thus improving access to care for this patient population.
CREOG & APGO Annual Meeting, 2021, Student, Resident, Faculty, Residency Director, Patient Care, Medical Knowledge, GME, Public Health,