All-Ohio Medical School Opioid Use Disorder Collaborative Curriculum

Two simulation-based training sessions provide an opportunity for medical students to recognize and treat opioid withdrawal and overdose. Students will apply knowledge acquired in other portions of the curriculum in these standardized patient scenarios. An inter-professional structure is encouraged as is an approach that considers the multifaceted approach to OUD in the acute setting.

Instructional Strategy: Simulation, Two 1-hour sessions

Learning Objectives

1. Recognize opioid overdose toxidrome and opiate withdrawal syndrome.
2. Perform life support maneuvers in the setting of respiratory and hemodynamic depression.
3. Delineate and recognize complex factors associated with opiate overdose and withdrawal.
4. Employ appropriate medications to treat opiate overdose and withdrawal.
5. Employ appropriate interdisciplinary support to initiate treatment for patients after opiate overdose / withdrawal.

Author: Thomas Noeller, MD

School: Case Western Reserve University, MetroHealth Medical Center

• Boyer EW. Management of opioid analgesic overdose. N Engl J Med. 2012 Jul 12;367(2):146-55. doi: 10.1056/NEJMra1202561. Review. PubMed PMID: 22784117; PubMed Central PMCID: PMC3739053. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739053/pdf/nihms469110.pdf
• Herring AA, Perrone J, Nelson LS. Managing Opioid Withdrawal in the Emergency Department With Buprenorphine. Ann Emerg Med. 2019 May;73(5):481-487. doi: 10.1016/j.annemergmed.2018.11.032. Epub 2019 Jan 5. Review. PubMed PMID: 30616926 Full text: https://www.annemergmed.com/article/S0196-0644(18)31482-3/pdf
• Kosten TR, Baxter LE. Review article: Effective management of opioid withdrawal symptoms: A gateway to opioid dependence treatment. Am J Addict. 2019 Feb;28(2):55-62. doi: 10.1111/ajad.12862. Epub 2019 Jan 31. Review. PubMed PMID: 30701615; PubMed Central PMCID: PMC6590307. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590307/pdf/AJAD-28-55.pdf