Do internal medicine residents find pain medication agreements useful?

The Clinical Journal of Pain
Mark J FaganMichael D Stein

Abstract

Little is known about whether internal medicine residents find pain management agreements (PMAs) useful or whether PMA use is associated with more positive attitudes toward patients with chronic noncancer pain (CNCP). We surveyed all internal medicine residents at Rhode Island Hospital regarding whether they found PMAs useful, what percentage of their patients taking chronic opioids had a signed PMA, and their attitudes toward and experiences with managing CNCP. Survey response rate was 89% (110/124). Ninety percent of respondents reported finding PMAs useful. A majority of respondents reported that PMAs were at least somewhat helpful for reducing multiple prescribers (76%), reducing requests for early refills (67%), reducing calls and pages from patients (57%), making it easier to discuss potential problems associated with chronic opioid use (73%), and making it easier to identify patients who are abusing pain medications (66%). Residents who reported greater use of PMAs reported a greater sense of preparation (r=0.20, P=0.04), greater confidence (r=0.18, P=0.06), and a greater sense of reward (r=0.24, P=0.02) for managing CNCP. In a multivariate analysis, PMA use was significantly associated with greater sense of preparation ...Continue Reading

References

Jan 1, 1994·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·B B WilfordD Warren
Apr 1, 1996·Journal of Pain and Symptom Management·R K Portenoy
Aug 10, 1999·Journal of Pain and Symptom Management·S M FishmanD Borsook
Feb 7, 2001·JAMA : the Journal of the American Medical Association·D E JoransonJ L Dahl
Apr 4, 2002·Journal of General Internal Medicine·M Carrington ReidPatrick G O'Connor
Nov 30, 2002·Journal of Pain and Symptom Management·Scott M FishmanBarth L Wilsey
Nov 14, 2003·The New England Journal of Medicine·Jane C Ballantyne, Jianren Mao
Apr 28, 2004·Journal of General Internal Medicine·Don R BarnettJohn F Wilson
May 26, 2004·Pain·Michael Von Korff, Richard A Deyo
May 26, 2004·Pain·Margaret A Caudill-SlosbergSteven Woloshin
May 29, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Jonathan D DarerGerard Anderson
Sep 1, 2004·The Journal of Pain : Official Journal of the American Pain Society·Russell K PortenoyGregory Haas

❮ Previous
Next ❯

Citations

Nov 26, 2010·The American Journal of Bioethics : AJOB·Evan Anderson, Scott Burris
Dec 19, 2012·Journal of Opioid Management·Aaron D FoxJoanna L Starrels
Apr 10, 2014·Journal of Opioid Management·Joanna L StarrelsChinazo O Cunningham
Aug 1, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Maya VijayaraghavanMargot B Kushel
Oct 12, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R Douglas BrucePeter Selwyn

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse
Erik W GundersonFrances R Levin
Journal of Pain and Symptom Management
N J AdamsE A Stauffacher
© 2021 Meta ULC. All rights reserved