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Residency Experience Treating Patients With Buprenorphine Boosts Prescribing Down the Road
The United States has a dearth of physicians who are trained to offer medication treatment with buprenorphine to patients with opioid use disorder (OUD). One community-based family medicine residency program in Massachusetts has shown that integrating patients treated with buprenorphine directly into resident training can help increase the number of graduates prescribing buprenorphine. Layla Cavitt, M.D., of the Tufts University School of Medicine Lawrence Family Medicine Residency and colleaguesoutlined the program ’s steps and success in theJournal of Substance Abuse Treatment.In 2011, the Lawrence residency program in...
Source: Psychiatr News - September 17, 2021 Category: Psychiatry Tags: buprenorphine DEA family medicine Journal of Substance Abuse Treatment Medication treatment opioid use disorder OUD residency X-waiver Source Type: research

White House Announces Proposal to Raise Cap on Buprenorphine Prescribing
Today, President Obama is announcing a host of public and private sector initiatives addressing the nation’s opioid epidemic, including a proposal to increase the current patient limit for qualified physicians who prescribe buprenorphine to treat opioid use disorders from 100 to 200 patients.Additionally, more than 60 medical schools are announcing that, beginning in fall 2016, they will require their students to take some form of prescriber education, in line with the newly released Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain, to graduate.The proposals met with prelimina...
Source: Psychiatr News - March 29, 2016 Category: Psychiatry Tags: buprenorphine Frances Levin John Renner M.D. opioid epidemic President Obama White House Source Type: research

Addiction Treatment Has it ALL WRONG
Today on SuboxForum members discussed how long they have been treated with buprenorphine medications.  Most agreed that buprenorphine turned their lives around, and most are afraid they will eventually be pushed off the medication.  Most buprenorphine patients described a reprieve from a horrible illness when they discovered buprenorphine.  But most have new fears that they never anticipated– that their physician will die or retire, that politicians will place arbitrary limits on buprenorphine treatment, or that insurers will limit coverage for the medication that saved there lives. I joined the discussion with th...
Source: Suboxone Talk Zone - April 30, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine recovery Suboxone Suboxone Forum addiction counseling character defects heroin addiction Vivitrol Source Type: blogs

Let’s Put Opioids For Treating Addiction On Equal Footing With Prescribing Opioids For Pain
Hidden beneath our discussions about the opiate epidemic is the harm created by the contradictory, asymmetric approach taken by medical leadership and policymakers towards how physicians prescribe opiates for pain versus how they treat opiate addiction with medications, specifically buprenorphine. The imbalance is transparent. Based on 2012 data, nearly all 1 million physicians could prescribe prescription opiates. This resulted in over 259 million prescriptions being written for opioid painkillers in the United States, enough for each adult to have at least one prescription. That same year, less than 23,000 physicians cou...
Source: Health Affairs Blog - May 10, 2016 Category: Health Management Authors: Krisda Chaiyachati and Jeffrey Hom Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Featured Health Professionals Medicaid and CHIP Public Health Quality Buprenorphine Drug Enforcement Administration medication-assisted treatment Opioid Addiction Source Type: blogs

Preliminary survey of office-based opioid treatment practices and attitudes among psychiatrists never receiving buprenorphine training to those who received training during residency.
CONCLUSIONS: Completion of buprenorphine training during residency may be a factor in shaping future attitudes towards OBOT and buprenorphine prescribing practices. Further research is needed to clarify the impact of buprenorphine training during residency. SCIENTIFIC SIGNIFICANCE: Buprenorphine training during residency training may be a contributing factor in shaping future physician attitudes towards office-based opioid treatment and buprenorphine prescribing practices. (Am J Addict 2014;XX:XX-XX). PMID: 25065457 [PubMed - as supplied by publisher]
Source: American Journal on Addictions - July 25, 2014 Category: Addiction Authors: Suzuki J, Connery HS, Ellison TV, Renner JA Tags: Am J Addict Source Type: research

Buprenorphine Provision by Early Career Family Physicians.
Abstract Buprenorphine can be used in primary care to treat opioid use disorder, but many family physicians feel unprepared to care for patients with opioid addiction. We sought to describe preparedness to provide and current provision of buprenorphine treatment by early career family physicians using data from the 2016 National Family Medicine Graduate Survey. Of 1,979 respondents, 10.0% reported preparedness to provide buprenorphine treatment, and 7.0% reported current buprenorphine provision. Residency preparation to provide buprenorphine treatment was most highly associated with current provision (odds ratio =...
Source: Annals of Family Medicine - September 1, 2018 Category: Primary Care Authors: Tong ST, Hochheimer CJ, Peterson LE, Krist AH Tags: Ann Fam Med Source Type: research

Maternity Care and Buprenorphine Prescribing in New Family Physicians.
Abstract The American Board of Family Medicine routinely surveys its Diplomates in each national graduating cohort 3 years out of training. These data were used to characterize early career family physicians whose services include management of pregnancy and prescribing buprenorphine. A total of 261 (5.1%) respondents both provide maternity care and prescribe buprenorphine. Family physicians who care for pregnant women and also prescribe buprenorphine represented 50.4% of all buprenorphine prescribers. The family physicians in this group were trained in a small number of residency programs, with only 15 programs p...
Source: Annals of Family Medicine - February 29, 2020 Category: Primary Care Authors: Louis JS, Eden AR, Morgan ZJ, Barreto TW, Peterson LE, Phillips RL Tags: Ann Fam Med Source Type: research

Evaluation of Resident Physicians’ Knowledge of and Attitudes Towards Prescribing Buprenorphine for Patients With Opioid Use Disorder
Objective: To determine internal medicine (IM) residents’ knowledge of, attitudes towards, and barriers to prescribing buprenorphine for opioid use disorder (OUD). Methods: We conducted a cross-sectional study of IM residents across all 35 Accreditation Council for Graduate Medical Education (ACGME) accredited Florida IM residency programs. We used an online survey to collect information about resident demographics, substance use curriculums, career interests, content knowledge about diagnosing and managing OUD, and attitudes about and barriers to prescribing buprenorphine for OUD. We used Chi-square test to e...
Source: Journal of Addiction Medicine - May 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Early-Career and Graduating Physicians More Likely to Prescribe Buprenorphine
Using data from 2016 to 2018, we demonstrate a sharp increase in graduating family medicine residents and early-career family physicians who intend to or actually prescribe buprenorphine with no change in mid-to-late-career physicians. Family physicians are responding to the opioid crisis but, growing the family medicine workforce to treat opioid-use disorder will require a larger response from mid-to-late-career physicians.
Source: Journal of the American Board of Family Medicine - January 5, 2020 Category: Primary Care Authors: Peterson, L. E., Morgan, Z. J., Eden, A. R. Tags: Policy Brief Source Type: research

Social interaction matters to job search over the long haul
Discussion focuses on implications for theory and practice and the role of co-rumination for unemployed people during job search.PMID:36684465 | PMC:PMC9838532 | DOI:10.1007/s12144-022-04123-6
Source: Current Psychology - January 23, 2023 Category: Psychiatry & Psychology Authors: Aristides I Ferreira Rosa Rodrigues Helena Carvalho Donald Truxillo Source Type: research