How Academic Medicine Can Help Confront the Opioid Crisis
Abstract
The United States is in the midst of a devastating overdose and addiction crisis involving opioids as well as other drugs. Yet, despite the existence of effective treatments for opioid use disorder, only a minority of people who need treatment for this or other substance use disorders receive it. Besides the terrible human and economic costs of overdose deaths and the other health consequences of addiction, untreated substance use has wide-ranging impacts across health care. Academic medicine can help address this crisis by increasing the preparedness of the current and future clinical workforce to detect and treat substance misuse and addiction through increased attention to these topics in medical and nursing schools and in residency programs. In this commentary, the authors explore the barriers to treatment for substance misuse and addiction and the role of academic medicine in improving treatment outcomes through training, clinical care, health service delivery, and research.
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Most addiction clinicians receive little training in pain management, and most pain experts receive limited training about SUDs.
“Since most addiction cli nicians receive little training in pain management, and most pain experts receive limited training about SUDs 297 , a team approach helps ensure that patients receive appropriate pain treatment while minimizing risk of opioid use disorder.”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [297]
Cites
The Association of American Medical Colleges
ZAPFFE, F. C. (1938) · Academic Medicine · doi:10.1097/00001888-193801000-00007 · Cited by 5,527 · see citing works
Medication-Assisted Therapies — Tackling the Opioid-Overdose Epidemic
Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014) · New England Journal of Medicine · doi:10.1056/nejmp1402780 · Cited by 1,014 · see citing works
Self-citationWang, Q. Q., Kaelber, D. C., Xu, R., & Volkow, N. D. (2021) · Molecular Psychiatry · doi:10.1038/s41380-020-00880-7 · Cited by 634 · see citing works
Self-citationStructural Racism, Social Risk Factors, and Covid-19 — A Dangerous Convergence for Black Americans
Egede, L. E., & Walker, R. J. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2023616 · Cited by 555 · see citing works
The economic burden of opioid use disorder and fatal opioid overdose in the United States, 2017
Florence, C., Luo, F., & Rice, K. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108350 · Cited by 511 · see citing works
Medications for Opioid Use Disorder Save Lives
Mancher, M., & Leshner, A. (2019) · National Academies Press eBooks · doi:10.17226/25310 · Cited by 473 · see citing works
McNeely, J., Kumar, P. C., Rieckmann, T., Sedlander, E., Farkas, S., Chollak, C., Kannry, J. L., Vega, A., Waite, E. A., Peccoralo, L. A., et al. (2018) · Addiction Science & Clinical Practice · doi:10.1186/s13722-018-0110-8 · Cited by 303 · see citing works
United States Medical Licensing Examination
Holmstrom, A. L. (2017) · Springer eBooks · doi:10.1007/978-3-319-67594-7_4 · Cited by 260 · see citing works
National Survey of Substance Abuse Treatment Services (N-SSATS), 2000
United States Department Of Health And Human Services. Substance Abuse And Mental Health Services Administration. Office Of Applied Studies (2002) · ICPSR Data Holdings · doi:10.3886/icpsr03436.v4 · Cited by 211 · see citing works
Wakeman, S. E., Kanter, G. P., & Donelan, K. (2016) · Substance Abuse · doi:10.1080/08897077.2016.1187240 · Cited by 173 · see citing works
Blood, A. D., Farnan, J. M., & Fitz-William, W. (2020) · Academic Medicine · doi:10.1097/acm.0000000000003484 · Cited by 59 · see citing works
Ghitza, U. E., Ghitza, U. E., Sparenborg, S., & Tai, B. (2011) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s23030 · Cited by 41 · see citing works
Park, Y., Ryan, M. H., Santen, S. A., et al. (2019) · Family Medicine · doi:10.22454/fammed.2019.358223 · Cited by 7 · see citing works
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Volkow, N. D., & Blanco, C. (2023) · World psychiatry · doi:10.1002/wps.21073 · Cited by 503 · see citing works
Self-citation
- Authors
- Volkow, N. D., McLellan, T., & Blanco, C.
- Affiliations
- National Institute on Drug Abuse (US)
- Treatment Research Institute (US)
- Corresponding author
- Volkow, Nora D
- ORCID
- Volkow, Nora D
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-08-03
- Volume
- 97
- Issue
- 2
- Pages
- 171-174
- ISSN
- 1040-2446 (ISSN-L)
- 1938-808X
- OpenAlex
- W3191924492
- Cited by
- 5
- References
- 13
- Citations by year
- 2023: 4 · 2022: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- opioid epidemic, opioid use disorder, addiction treatment, barriers to treatment, medical education, nursing education, residency training, health care delivery, addiction research
- MeSH terms
- Opioid Epidemic, Internship and Residency, Medicine, Opioid-Related Disorders, United States, Drug Overdose
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