Pain management practices by internal medicine residentsg-a comparison before and after educational and institutional interventions

Emma Scott, Uma Borate, Stephen Heitner, Mark H. Chaitowitz, William Tester, Glenn Eiger

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

We aimed to improve internal medicine residents' deficiencies in pain management and evaluate the effectiveness of our intervention, which included an interactive conference series, e-mail vignettes, and didactic sessions. An anonymous survey was administered at the beginning and at the end of an academic year, before and after the intervention, respectively. We analyzed 65 preintervention and 63 postintervention surveys. Self-perception of competency in pain management increased from 40% to 60% (P =.02). Perception of adequacy of training increased from 38.5% to 55.6% (P =.05). Opioid conversion skills improved by 25% (P =.02). Overall, knowledge did not change significantly, except in the subgroup of residents who had completed the oncology rotation from 0.60 to 0.72 (P =.003). ''Opiophobia'' improved by 20% (P =.05). Documentation of pain improved (rank correlation = 21; P =.02). We concluded that educational and institutional interventions administered over an academic year improved pain management skills and documentation and reduced ''opiophobia'' among residents.

Original languageEnglish (US)
Pages (from-to)431-439
Number of pages9
JournalAmerican Journal of Hospice and Palliative Medicine
Volume25
Issue number6
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Pain Management
Internal Medicine
Documentation
Postal Service
Self Concept
Opioid Analgesics
Pain
Surveys and Questionnaires

Keywords

  • Hospital standards
  • Opioid conversion
  • Opiophobia
  • Pain management
  • Resident education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pain management practices by internal medicine residentsg-a comparison before and after educational and institutional interventions. / Scott, Emma; Borate, Uma; Heitner, Stephen; Chaitowitz, Mark H.; Tester, William; Eiger, Glenn.

In: American Journal of Hospice and Palliative Medicine, Vol. 25, No. 6, 12.2009, p. 431-439.

Research output: Contribution to journalArticle

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