A Laboratory Session to Prepare Pharmacy Students to Manage the Opioid Crisis Situation

Am J Pharm Educ. 2019 Sep;83(7):6988. doi: 10.5688/ajpe6988.

Abstract

Objective. To educate third-year pharmacy students about the role of pharmacists in the opioid crisis and measure their knowledge, confidence, and attitudes towards opioids and opioid overdose. Methods. All third-year students (n=130) enrolled in a Doctor of Pharmacy (PharmD) degree program participated in opioid overdose and naloxone education and training followed by a three-part laboratory session that included mock naloxone counseling, case-based discussion of the Prescription Drug Monitoring Program (PDMP), and equianalgesic opioid dose conversion scenarios. A pre- and post-assessment focused on the individual's clinical knowledge, confidence, and attitudes about opioid overdose management and naloxone use was administered before and after the laboratory session to evaluate the student's baseline understanding and experience compared to learning gains from the session. An evaluation of the laboratory session was also conducted. Results. Upon completion, 99% percent of students rated the opioid laboratory as excellent (59%) or good (40%). Students believed the laboratory was stimulating (93%), relevant to pharmacy practice (96%), and contributed to their professional development (97%), and that the information provided was at an appropriate level (98%). Knowledge-based assessments improved in the areas of PDMP timely reporting, differentiating between naloxone devices, and naloxone administration technique. Student attitudes toward managing opioid overdoses improved on a majority of items. The majority of students agreed they had enough information to help them manage an opioid overdose (88.5%) and denied the need for additional training (61.5%). Conclusion. An active-learning laboratory helped to improve pharmacy students' knowledge, confidence, and attitudes with regard to opioids and the use of naloxone to treat a patient who has overdosed.

Keywords: PDMP; active-learning; laboratory; naloxone training; opioids.

MeSH terms

  • Drug Overdose / prevention & control
  • Education, Pharmacy / methods*
  • Educational Measurement
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Naloxone / administration & dosage
  • Narcotic Antagonists / administration & dosage
  • Opioid Epidemic
  • Opioid-Related Disorders / complications
  • Opioid-Related Disorders / epidemiology
  • Pharmaceutical Services / organization & administration*
  • Pharmacists / organization & administration*
  • Professional Role
  • Students, Pharmacy / psychology*

Substances

  • Narcotic Antagonists
  • Naloxone