Jenna L McCauley1, Stephanie Reyes2, Cyril Meyerowitz3, Valeria V Gordan4, D Brad Rindal5, Gregg H Gilbert6, Renata S Leite7, Roger B Fillingim8, Kathleen T Brady1,9. 1. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA. 2. Department of Periodontics, University of Texas Health Science Center, San Antonio, Texas, USA. 3. Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA. 4. Department of Restorative Dental Sciences, University of Florida, Gainesville, Florida, USA. 5. HealthPartners Institute, Bloomington, Minnesota, USA. 6. Department of Clinical & Community Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA. 7. Department of Stomatology, Medical University of South Carolina, Charleston, South Carolina, USA. 8. Department of Community Dentistry and Behavioral Sciences, University of Florida, Gainesville, Florida, USA. 9. Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA.
Abstract
Background: The purpose of this study was to describe dentists' training experiences relevant to pain management, addiction, and prescription opioid drug diversion and examine associations between these training experiences and dentists' opioid prescribing practices. Methods: A Web-based, cross-sectional survey was conducted among practicing dentist members of the National Dental Practice-Based Research Network (PBRN; N = 822). The survey assessed pain management prescribing practices and training experiences related to pain management and assessment for addiction and drug diversion. Survey data were linked with National Dental PBRN Enrollment Questionnaire data regarding practitioner demographics and practice characteristics. Results: The majority of dentists (67%) reported prior training in pain management; however, a minority of dentists reported prior training regarding identification and assessment of drug abuse or addiction (48%) or identification of prescription drug diversion (25%). The majority of training experiences across all topics occurred through continuing dental education participation. Dental school training relevant to pain management, addiction, and identification of drug diversion was more prevalent among more recent dental school graduates. Training experiences were associated with prescribing practices. Conclusions: Results suggest that across multiple levels of training, many dentists are not receiving training specific to addiction assessment and identification of drug diversion. Such training is associated with greater consistency of risk mitigation implementation in practice.
Background: The purpose of this study was to describe dentists' training experiences relevant to pain management, addiction, and prescription opioid drug diversion and examine associations between these training experiences and dentists' opioid prescribing practices. Methods: A Web-based, cross-sectional survey was conducted among practicing dentist members of the National Dental Practice-Based Research Network (PBRN; N = 822). The survey assessed pain management prescribing practices and training experiences related to pain management and assessment for addiction and drug diversion. Survey data were linked with National Dental PBRN Enrollment Questionnaire data regarding practitioner demographics and practice characteristics. Results: The majority of dentists (67%) reported prior training in pain management; however, a minority of dentists reported prior training regarding identification and assessment of drug abuse or addiction (48%) or identification of prescription drug diversion (25%). The majority of training experiences across all topics occurred through continuing dental education participation. Dental school training relevant to pain management, addiction, and identification of drug diversion was more prevalent among more recent dental school graduates. Training experiences were associated with prescribing practices. Conclusions: Results suggest that across multiple levels of training, many dentists are not receiving training specific to addiction assessment and identification of drug diversion. Such training is associated with greater consistency of risk mitigation implementation in practice.
Authors: Tim J Heaven; Valeria V Gordan; Mark S Litaker; Jeffrey L Fellows; D Brad Rindal; Gregg H Gilbert Journal: J Dent Date: 2015-05-18 Impact factor: 4.379
Authors: Richard C Denisco; George A Kenna; Michael G O'Neil; Ronald J Kulich; Paul A Moore; William T Kane; Noshir R Mehta; Elliot V Hersh; Nathaniel P Katz Journal: J Am Dent Assoc Date: 2011-07 Impact factor: 3.634
Authors: Jenna L McCauley; Renata S Leite; Valeria V Gordan; Roger B Fillingim; Gregg H Gilbert; Cyril Meyerowitz; David Cochran; D Brad Rindal; Kathleen T Brady Journal: J Am Dent Assoc Date: 2018-03-15 Impact factor: 3.634
Authors: Valeria V Gordan; Cynthia W Garvan; Marc W Heft; Jeffrey L Fellows; Vibeke Qvist; D Brad Rindal; Gregg H Gilbert Journal: Gen Dent Date: 2009 Nov-Dec