Evidence map›Paper›PMID 29179909›Full record

ArticleAmerican journal of surgery2018

Surgical interns: Preparedness for opioid prescribing before and after a training intervention.

Michael J Nooromid, Neel A Mansukhani, Benjamin W Deschner, Simon Moradian, Nabil Issa, Karen J Ho, Jonah J Stulberg

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Adaptive interventions for opioid prescription management and consumption monitoring.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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  16. Fighting Back: Institutional Strategies to Combat the Opioid Epidemic: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Michael J NooromidDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Michael.Nooromid@northwestern.edu.
Neel A MansukhaniDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Neel.Mansukhani@northwestern.edu.
Benjamin W DeschnerDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Benjamin.Deschner@northwestern.edu.
Simon MoradianDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Simon.Moradian@northwestern.edu.
Nabil IssaDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Nabil.Issa@nm.org.
Karen J HoDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Kho1@nm.org.
Jonah J StulbergDepartment of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Jonah.Stulberg@nm.org.
Northwestern University · US

Funding

Vascular Surgery Scientist Training ProgramT32HL094293 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ESKANDARI, MARK K · 2009 to 2023
$4.0M
NHLBI NIH HHS T32 HL094293
6 · The paper itself

Abstract

introductionExposure to pain management curriculum in medical school is currently variable. This paper reports on formal prescribing education, self-perceived prescribing readiness, and prescribing practices among incoming surgical residents before and after a pain management training session.

methodsPre-residency survey of thirty surgical interns at a single urban medical center, followed by a repeat survey after an educational session on prescription writing and opioid abuse.

resultsThirty-three percent of respondents had formal education on prescription writing in medical school. Median subjective preparedness to write an opioid prescription was 1.5 (range 1-10) on a 1-10 Likert scale. Ranges of morphine milligram equivalents (MME) prescribed varied from 420-2700 MME for 8 mock surgical scenarios. Post-training, median subjective preparedness increased to 3.5 (range 1-6) and prescription accuracy (the inclusion of a medication, dose, frequency, and duration) improved from 75% to 97% (p < 0.001). Overall, 90% of interns found the training session useful.

conclusionMost surgical interns were not trained in prescribing narcotics in medical school. Improved pain management curriculum is necessary to assure safe and consistent opioid prescriptions.

Indexed as

Clinical CompetencePain ManagementPractice Patterns, Physicians'Analgesics, OpioidCurriculumDrug PrescriptionsFollow-Up StudiesGeneral SurgeryHumansInternship and ResidencyOpioid-Related DisordersPainSurveys and QuestionnairesUnited StatesAnalgesics, Opioid

Identifiers

PMID29179909
PMCPMC5801131
OpenAlexW2769558872

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.