Opioid-Prescribing Practices in Plastic Surgery: A Juxtaposition of Attendings and Trainees

  title={Opioid-Prescribing Practices in Plastic Surgery: A Juxtaposition of Attendings and Trainees},
  author={Walter J Joseph and Nicholas G. Cuccolo and Ian Chow and Elizabeth A. Moroni and Emily H. Beers},
  journal={Aesthetic Plastic Surgery},
Background The rates of opioid abuse and overdose in America have risen in parallel with the rates of opioid prescribing by physicians. As such, we sought to examine the prescribing practices among plastic surgery attendings and trainees to determine the need for more thorough education. Methods A survey was distributed to all ACGME-accredited plastic surgery residency programs and included questions regarding opioid-prescribing practices and self-rated ability pertaining to opioid management… 
3 Citations
Discharge Opioid Prescribing Patterns in an Academic Orthopaedic Setting: Level of Training and Subspecialty Patterns
Significant variability in opioid prescribing practices according to provider level of training and subspecialty is demonstrated, which may help reduce national guidelines for opioids prescribing practices and educational programs.
Are US Plastic Surgery Residents Equipped to Face the Opioid Epidemic? A National Survey
There is an unmet need for practical and comprehensive training regarding safe opioid prescribing among plastic surgery trainees and “Informal training,” defined as the “learn as you go” method, was found to be more common than formal training and considerably more valuable according to trainees.


Opioid contract use is associated with physician training level and practice specialty.
The results showed that opioid contract use was significantly associated with resident status, primary care specialty, participant estimation of alcohol and illicit drug abuse by patients, and the participant's assessment of the risks in general of prescribing controlled drugs.
Wide Variation and Overprescription of Opioids After Elective Surgery
The majority of patients were overprescribed opioids, and significant variations in opioid prescribing practices were seen within each procedure and between the 3 medical centers.
Opioid Prescribing and Consumption Patterns following Outpatient Plastic Surgery Procedures
Plastic surgeons are prescribing almost double the amount of opioids consumed by patients after outpatient plastic surgery procedures, and the results of this study may help guide prescribing practices.
Is It Painful to Manage Chronic Pain? A Cross-Sectional Study of Physicians In-Training in a University Program.
Following a focused educational training, residents' knowledge and confidence in prescription of opioids improved, demonstrating the need to include management of CNCP with opioids into their curriculum.
Improving Residents' Safe Opioid Prescribing for Chronic Pain Using an Objective Structured Clinical Examination.
Safe opioid prescribing education that includes a lecture immediately followed by an OSCE had an impact on residents' confidence and self-reported practices greater than those for delayed OSCE or lecture only groups.
Training internal medicine residents to manage chronic pain and prescription opioid misuse.
A brief training can improve residents' self-reported knowledge and confidence in managing patients with chronic pain and safe opioid prescribing practices and how this change in confidence affects patient care requires further study.
A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines.
It is found that patients are being prescribed approximately 3 times greater opioid medications than needed following upper-extremity surgical procedures, and surgeons should consider customizing their opioid prescriptions on the basis of anatomic location and procedure type to prescribe the optimal amount of opioids while avoiding dissemination of excess opioids.
Adherence to prescription opioid monitoring guidelines among residents and attending physicians in the primary care setting.
With some variability, residents and attending physicians were only partly compliant with national guidelines, and residents were more likely to manage patients with a higher likelihood of opioid misuse.
Resident Decision Making: Opioids in the Outpatient Setting.
It is asked why residents may be more likely to prescribe opioids for pain, and recommendations for educational interventions to address this are provided.