An Interdisciplinary Approach to Improve Medical Resident Perceptions of Chronic Pain Management and Primary Care as a Career

Author(s): Trinkley Katy E*, Van Matre Amanda G, Nelson Jennifer A, Nikels Michelle S, Chacko Karen, Lewis Carmen, Lam Mindy H and Kroehl Miranda

An interdisciplinary approach to improve medical resident perceptions of chronic pain management and primary care as a career. Aim: Describe an experiential, interdisciplinary educational model to improve medical resident perceptions of chronic nonmalignant pain (CNMP) and primary care as a career. Settings and Design: A descriptive study was carried out in a primary care clinic setting. Methods and Materials: An educational CNMP clinic was integrated into medicine residents’ continuity clinic, and included clinical pharmacy. Residents were surveyed to evaluate changes in perception of CNMP and primary care and compared to a control group. Changes in resident prescribing and early refill requests were evaluated. Statistical Analysis used: Cronbach’s alpha coefficient, Two-sample t-tests, and Linear regression. Results: 88% of residents completed the pre and post survey. There were no differences in change in resident perceptions compared to control. Confidence was higher for more senior residents (p<0.05), attitudes were associated with perception of primary care (p<0.001) and there were incremental changes in resident prescribing for 38 patients and early refill requests. Conclusion: The CNMP clinic is a feasible model for others to implement. Resident attitudes towards managing CNMP are associated with perception of primary care as a career.


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