P133: A novel addictions curriculum for emergency medicine residents release_owh6fqu34jhq5dl3bwvuz2dv2a

by B. Bérczi, K. Chan

Published in CJEM: Canadian Journal of Emergency Medical Care by Cambridge University Press (CUP).

2020   Volume 22, Issue S1, S112-S112

Abstract

<jats:bold>Innovation Concept:</jats:bold> In the era of the current opioid crisis, addiction medicine is becoming a core competency of patient care. Despite the prevalence of addiction-related presentations, there is a paucity of formal education on the topic in emergency medicine; with time and lack of qualified staff cited as barriers to implementation. We aimed to correct this gap in education through the curriculum design of an addictions elective that can be easily implemented by Emergency Medicine Program Directors across Canada. <jats:bold>Methods:</jats:bold> Learning objectives were developed based on expert consensus and the list of entrustable professional activities (EPAs) mandated by the Royal College. A local needs assessment was conducted to identify existing addictions curriculum and identify opportunities for improvement. <jats:bold>Curriculum, Tool, or Material:</jats:bold> A one-month block addictions selective was developed specifically for emergency medicine residents. Elements of this curriculum included a suggested schedule, a list of supplemental resources, and an evaluation tool to track EPAs. A pre and post survey was created for distribution to all participants to track knowledge acquisition and to collect feedback on the education intervention. In the 2019-2020 academic year, 4 residents participated in this selective and multiple have expressed interest for the future. <jats:bold>Conclusion:</jats:bold> In Ontario alone, the rate of opioid-related deaths has quadrupled and has escalated to a rate of 2 deaths every day. Alcohol and other substance use is commonly a chief concern, catalyst, or comorbidity for patient presentations in the emergency department. Our selective curriculum seeks to address a gap for emergency medicine residents. Ongoing program evaluation will take place to continue to optimize this learning experience.
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