Tuesday, May 14, 2024
5/14/2024
The opioid epidemic has escalated during the Covid-19 pandemic, with a sharp rise in fatal and nonfatal opioid overdoses particularly among non-Hispanic Black individuals. The TEACH UP Program proposes to implement enhanced training in the care of patients with opioid use disorder (OUD) by developing a pipeline of students (future clinicians) as well as residents and faculty better prepared to guide and mentor this care. First, we propose mandatory DATA waiver training to medical students (MS) and select nurse practitioner (NP) students supplemented by practical experiences during clinical training to increase the numbers of future clinicians prepared to "TEACH UP" and equitably offer buprenorphine for patients with opioid use disorder (OUD). This will be accomplished by implementing an 8-hour Provider's Clinical Support System (PCSS) DATA waiver training into the core curriculum for all first year MS (150/year) and NP students (20/year) beginning in Project Year 1, providing corresponding clinical experiences in Years 2 and 3, and providing DATA waiver training to select 4th year MD students during a pre-IM residency "boot camp" training (40MS/year) and an optional harm reduction elective. Second, we will require DATA waiver training for all residents in Internal Medicine (IM) (70/year), Emergency Medicine (EM) (13/year) and Family Medicine (FM) (9/year) at our two Penn Medicine teaching hospitals (302 trained/year). Third, we will offer training to faculty physicians and advanced practice providers (APPs) to improve their readiness to supervise students and trainees who will "TEACH UP" with their new knowledge and support increased buprenorphine prescribing. In partnership with PCSS, we will deliver a hybrid DATA waiver training (four hours live taught by Perelman School of Medicine (PSOM) DATA waivered faculty/ four hours virtual) supplemented with 4 hours of experience with clinicians (physicians and APPs) providing buprenorphine in outpatient settings. We will develop a pathway for tracking faculty DATA waiver credentialing to assist in buprenorphine prescribing and to identify those who can serve as preceptors for MS/NP student experiences. Fourth, we will develop an institutional list-serve and website to disseminate resources including DATA waiver trainings (at least 4/year) and other related OUD events (didactics, speaker series and experiences). The number of IM, FM and EM faculty clinicians with DATA waiver training and prescribing will increase with TEACH UP and following implementation of report cards and other peer comparison tools. To measure outcomes of "TEACH UP", we will collect numbers of students, (NP and MS) and trainees (IM, FM and EM) who have fulfilled the DATA waiver requirements as well as the number of new faculty and APPs with DATA waivers. We will also track institutional buprenorphine administration and prescribing rates including patient demographic information to assess our goals of enhancing equitable OUD care. We anticipate at least 800 individuals will be trained over the lifetime of the project.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
