Get waivered remote: Nationwide, remote DEA-x waiver course in response to COVID-19

Author:

Martin Alister1,Raber Joshua P.2ORCID,Shayer Desiree3,Lai Deborah4,Goodcoff Adam5,Kannikal Jasmine6,Raja Ali S.1,He Shuhan17

Affiliation:

1. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA

2. Dr Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA

3. Massachusetts General Hospital, Boston, MA, USA

4. Division of Psychology and Language Sciences, University College London, London, UK

5. Department of Emergency Medicine, University of Illinois – Chicago, Chicago, IL, USA

6. Brigham and Women's Hospital, Boston, MA, USA

7. Digital Growth Strategy, Strategic Alliance Initiative, Center for Innovation in Digital HealthCare, Massachusetts General Hospital, Boston, MA, USA

Abstract

Problem As of 2020, less than 5% of physicians in the United States have a drug enforcement administration-X waiver to prescribe buprenorphine. The coronavirus-2019 pandemic restricted in-person gatherings, including traditional drug enforcement administration-X waiver courses. As a result, in-person conferences have needed to adopt remote formats. Many programs identified a gap between educational delivery and the faculty skills required to deliver content remotely. Approach To address the need for high-quality remote learning, Get Waivered designed and implemented a novel experience for clinicians, called Get Waivered Remote. An educational session was live-streamed via Zoom™. To foster interactivity, like in-person didactic conferences, participants were polled to facilitate discussion among presenters, learners, and facilitators during the broadcast Outcomes The RE-AIM framework was used for evaluation. Our program had a Reach encompassing 814 users that participated during the live-streamed event; Effectiveness with 73.79% reporting being somewhat familiar or very familiar with the practice of opioid dependency treatment with approved buprenorphine medications; Adoption with 95.15% reporting a favorable experience and 92.23% reporting it was similar or more enjoyable than their usual teaching; Implementation with 450 messages sent by 281 users to engage with presenters and other learners via Zoom chat in real time. Next steps Get Waivered Remote provides a proof-of-concept that a broadcast with a concurrent, interactive remote learning platform is feasible, low cost, and simple to execute. Further study is required to assess the ability of our group to maintain this innovation and also to measure its impact on the treatment of opioid use disorder.

Funder

Foundation for Opioid Response Efforts

Publisher

SAGE Publications

Subject

Health Information Management,Computer Science Applications,Health Informatics,Health Policy

Reference15 articles.

1. Ferguson N, Laydon D, Nedjati Gilani G, et al. Report 9: Impact of non-pharmaceutical interventions (NPIs) to reduce COVID19 mortality and healthcare demand. Imperial College London, 16 March 2020.

2. Rethinking Residency Conferences in the Era of COVID‐19

3. An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19

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