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OB/GYN Resident Education on Opioid Use Disorder in Pregnancy: A Residency Program Director Survey

Purpose: 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 clinics

Results: 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.

Topics: CREOG & APGO Annual Meeting, 2021, Student, Resident, Faculty, Residency Director, Patient Care, Medical Knowledge, GME, Public Health,

General Information

Student,Resident,Faculty,Residency Director,
Patient Care,Medical Knowledge,
Public Health,
Clinical Focus

Author Information

Megan Lawlor, MD, Saint Louis University School of Medicine; Sarah Kennedy, MD; Laura Vricella, MD; Jaye Shyken, MD

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