title: Prescription opioid use and misuse: piloting an educational strategy for rural primary care physicians.
abstract: OBJECTIVE
  To evaluate the feasibility and effectiveness of a multifaceted educational intervention to improve the opioid prescribing practices of rural family physicians in a remote First Nations community.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Sioux Lookout, Ont.
  
  
  METHODS
  Family physicians.
  
  
  METHODS
  Eighteen family physicians participated in a 1-year study of a series of educational interventions on safe opioid prescribing. Interventions included a main workshop with a lecture and interactive case discussions, an online chat room, video case conferencing, and consultant support.
  
  
  METHODS
  Responses to questionnaires at baseline and after 1 year on knowledge, attitudes, and practices related to opioid prescribing.
  
  
  RESULTS
  The main workshop was feasible and was well received by primary care physicians in remote communities. At 1 year, physicians were less concerned about getting patients addicted to opioids and more comfortable with opioid dosing.
  
  
  CONCLUSIONS
  Multifaceted education and consultant support might play an important role in improving family physician comfort with opioid prescribing, and could improve the treatment of chronic pain while minimizing the risk of addiction.
authors.affiliation: Department of Family and Community Medicine, University of Toronto. mail anita_srivastava@camh.net
authors.forename: Anita
authors.initials: A
authors.lastname: Srivastava
authors.forename: Meldon
authors.initials: M
authors.lastname: Kahan
authors.forename: Ashifa
authors.initials: A
authors.lastname: Jiwa
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy*; D002983:Clinical Competence; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control; D007198:Indians, North American; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family / Q000193:education*; D010865:Pilot Projects; D010818:Practice Patterns, Physicians'; D011446:Prospective Studies; D012424:Rural Population; D019966:Substance-Related Disorders / Q000175:diagnosis*; D011795:Surveys and Questionnaires
chemical_list: D000701:Analgesics, Opioid