Ronnie Swift, MD
Professor of Clinical Psychiatry & Associate Chair, Department of Psychiatry, Chief of Psychiatry and Associate Medical Director
New York Medical College School of Medicine and New York City Health and Hospitals, Metropolitan
Patient pain management has been in the forefront recently, and as opiate use expanded an unintended consequence was increased misuse. Post-doctoral residency is the last step in formal education before becoming an independent dental professional, and provides trainees an opportunity to develop their methodology, mind set and professional approach especially related to opioid use in dental practice.
The program will train dental residents to recognize opioid abusers; review opioid pharmacology and principles of addiction and physical dependence; address pain management in patients with opioid use disorder; and discuss referrals for substance abuse therapy and protocols for pain management to prevent future opioid abuse.
Dental, medical and health professionals created a curriculum which includes: clinical pharmacology, emergency medicine, screening and psychiatry referrals, use of prescription drug monitoring programs (PDMPs), systems thinking and population health. Goals are to improve practices and attitudes toward pain management including how to identify and care for patients with substance use disorder.
Pre-test surveys were administered to residents at the first session. The same survey will be administered upon completion of the program to assess changes in knowledge relevant to program objectives.
In 2018 the ADA changed its policies regarding limits and dosage and duration of opioid prescriptions, use of regional PDMPs, and ongoing continuing education. This training program supports the new policy.