• Can Fam Physician · Apr 2012

    Prescription opioid use and misuse: piloting an educational strategy for rural primary care physicians.

    • Anita Srivastava, Meldon Kahan, and Ashifa Jiwa.
    • Department of Family and Community Medicine, University of Toronto. mail anita_srivastava@camh.net
    • Can Fam Physician. 2012 Apr 1;58(4):e210-6.

    ObjectiveTo evaluate the feasibility and effectiveness of a multifaceted educational intervention to improve the opioid prescribing practices of rural family physicians in a remote First Nations community.DesignProspective cohort study.SettingSioux Lookout, Ont.ParticipantsFamily physicians.InterventionsEighteen family physicians participated in a 1-year study of a series of educational interventions on safe opioid prescribing. Interventions included a main workshop with a lecture and interactive case discussions, an online chat room, video case conferencing, and consultant support.Main Outcome MeasuresResponses to questionnaires at baseline and after 1 year on knowledge, attitudes, and practices related to opioid prescribing.ResultsThe main workshop was feasible and was well received by primary care physicians in remote communities. At 1 year, physicians were less concerned about getting patients addicted to opioids and more comfortable with opioid dosing.ConclusionMultifaceted education and consultant support might play an important role in improving family physician comfort with opioid prescribing, and could improve the treatment of chronic pain while minimizing the risk of addiction.

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