Original Publication
Open Access

A Faculty Development Workshop for Primary Care Preceptors: Helping Your Residents Care for Patients Requesting Opioids for Chronic Pain

Published: March 16, 2011 | 10.15766/mep_2374-8265.8396

Included in this publication:

  • A Faculty Development Workshop.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: The Director of the National Institute on Drug Abuse (NIDA) has described the abuse of prescription medications, particularly opioid analgesics, as a growing public health concern and has called for further research to develop safe and effective pain management strategies and medications with less potential for abuse. This faculty development workshop is designed to address this growing problem by educating faculty preceptors in resident physicians’ programs using an unfolding case that represents a typical resident presentation of a patient case in the primary care setting. It provides an overview of diagnosis, treatment, and management of patients who are at risk for prescription drug abuse. In addition, it focuses on effective communication and interpersonal skills and explores physician biases and emotional responses to patients seeking medication for chronic pain. Methods: The module consists of a 1.5- to 2-hour session for preceptors of primary care resident physicians that uses discussion, problem-solving, and role-playing. The primary teaching points are embedded in the facilitator’s guide. Results: Sixteen Harvard Medical School faculty members participated in our pilot faculty development workshop on October 29, 2008 at the Harvard Faculty Club. The workshop received excellent ratings (high or very high) by most participants in all categories of responses. Specific feedback included praise for the case-based, group discussion/role-play format. Discussion: Establishing a trusting doctor-patient relationship will help in trying to better diagnose the problem and help the patient, but this relationship is unlikely to develop if the resident perceives this new information as a personal affront rather than the behavior of a patient who may have a serious addiction problem. The resident’s anger may interfere with the care of the patient. The resident should come to understand that addiction is a chronic, relapsing brain disease that should be treated as a disease rather than a moral failing; this approach should help reinforce the idea that the resident should not take the patient’s behavior personally.


Educational Objectives

By the end of the module, the learner will be able to:

  1. Review basic terminology, epidemiology, and management strategies when considering the use of opioids for patients who are at risk for prescription drug abuse.
  2. Understand effective communication and interpersonal skills in caring for patients at risk for prescription drug abuse and teach them to the resident physicians.
  3. Explore personal biases and emotional responses toward patients seeking opioids for chronic pain, and help residents do the same.

Author Information

  • Elizabeth Gaufberg, MD, MPH: Harvard Medical School
  • Henrietta Robin Barnes, MD: Cambridge Health Alliance/Harvard Medical School
  • Mark Albanese, MD: Cambridge Health Alliance/Harvard Medical School
  • Pieter Cohen, MD: Harvard Medical School

Disclosures
None to report.

Funding/Support
None to report.



Citation

Gaufberg E, Barnes H, Albanese M, Cohen P. A faculty development workshop for primary care preceptors: helping your residents care for patients requesting opioids for chronic pain. MedEdPORTAL. 2011;7:8396. https://doi.org/10.15766/mep_2374-8265.8396