Evidence map›Paper›PMID 31367866›Full record

ArticleJournal of general internal medicine2019

Teaching Safe Opioid Prescribing During the Opioid Epidemic: Results of the 2018 Clerkship Directors in Internal Medicine Survey.

Mim Ari, Michael Kisielewski, Nora Y Osman, Karen Szauter, Clifford D Packer, Amber T Pincavage

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Caring for Patients with Opioid Use Disorder: A Near-Peer Workshop for Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2026
    Article
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

6 authors.

Mim AriDepartment of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA. mari2@medicine.bsd.uchicago.edu.ORCID http://orcid.org/0000-0001-8410-4090
Michael KisielewskiAlliance for Academic Internal Medicine, Alexandria, VA, USA.
Nora Y OsmanDepartment of Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA.
Karen SzauterDepartment of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Clifford D PackerDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Amber T PincavageDepartment of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEducating medical trainees across the continuum is essential to a multifaceted strategy for addressing the opioid epidemic.

objectiveTo assess the current state of internal medicine clerkship content on safe opioid prescribing and opioid use disorder, and barriers to curriculum implementation.

designNational Annual (2018) Clerkship Directors in Internal Medicine (CDIM) cross-sectional survey.

participantsOne hundred thirty-four clerkship directors at all Liaison Committee of Medical Education accredited US medical schools with CDIM membership as of October 1, 2018. MAIN MEASURES: The survey section on safe opioid prescribing and opioid use disorder education in the internal medicine clerkship addressed assessment of current curricula, perceived importance of curricula, barriers to implementation, and plans to start or expand curricula. Descriptive statistics were used to summarize responses, and Pearson's chi-square and Fisher's exact tests for statistical comparisons. KEY

resultsThe survey response rate was 82% (110/134). Overall 54.1% of responding institutions reported covering one or more topics related to safe opioid prescribing or opioid use disorder in the internal medicine clerkship. A preponderance of clerkship directors (range 51-86%) reported that various opioid-related topics were important to cover in the internal medicine clerkship. Safe opioid prescribing topics were covered more frequently than topics related specifically to opioid use disorder. The main barriers identified included time (80.9%) and lack of faculty expertise (65.5%).

conclusionsClerkship directors agreed that incorporating safe opioid prescribing and opioid use disorder topics in the internal medicine clerkship is important, despite wide variation in current curricula. Addressing curricular time constraints and lack of faculty expertise in internal medicine clerkships will be key to successfully integrating content to address the opioid epidemic.

Indexed as

Opioid EpidemicAnalgesics, OpioidClinical ClerkshipDrug PrescriptionsFemaleHumansInternal MedicineMalePhysician ExecutivesSurveys and QuestionnairesUnited StatesAnalgesics, Opioidchronic paininternal medicine clerkshipopioidundergraduate medical education

Identifiers

PMID31367866
PMCPMC6854155

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Registered trials

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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.