Which skills are associated with residents' sense of preparedness to manage chronic pain?

摘要: Objective: To identify gaps in residents’ confidence and knowledge managing chronic nonmalignant pain (CNMP) to explore whether specific skills or was associated with global preparedness manage CNMP. Design: Cross-sectional web-based survey. Setting participants: Internal medicine residents Bronx, NY. Main outcome measures: The authors assessed the following: 1) within following four content areas: physical examination, diagnosis, treatment, safer opioid prescribing; 2) pain-related on a 16-item scale; 3) CNMP (agreement with, “I feel prepared CNMP”). Gaps were which fewer than 50 percent reported confidence. items answered correctly. Using logistic regression, examined preparedness. Results: Of 145 residents, 92 (63 percent) responded. included diagnosing fibromyalgia, performing corticosteroid injections, using medication agreements. pharmacotherapy for neuropathic interpreting urine drug test results. Twenty-four (26 felt globally Confidence agreements (adjusted odds ratio [AOR], 5.99; 95% interval [CI], 2.02-17.75), prescribing long-acting opioids (AOR, 5.85; CI, 2.00-17.18), injection of knee 5.76; 1.16-28.60]) strongly Conclusions: Few internal Our findings suggest that educational interventions improve should target complex syndromes (eg, fibromyalgia pain), practices, alternatives analgesics.