Increasing Access to Medications for Opioid Use Disorder in Primary Care: Removing the Training Requirement May Not Be Enough

Holly Ann Russell; Mechelle Sanders; Jessica K. V. Meyer; Elizabeth Loomis; Teraisa Mullaney; Kevin Fiscella

doi:10.3122/jabfm.2021.06.210209

Research ArticleHealth Policy

Increasing Access to Medications for Opioid Use Disorder in Primary Care: Removing the Training Requirement May Not Be Enough

Holly Ann Russell, Mechelle Sanders, Jessica K. V. Meyer, Elizabeth Loomis, Teraisa Mullaney and Kevin Fiscella

The Journal of the American Board of Family Medicine November 2021, 34 (6) 1212-1215; DOI: https://doi.org/10.3122/jabfm.2021.06.210209

Holly Ann Russell

From the Department of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY (HAR); Department of Family Medicine, United Memorial Medical Center, Batavia, NY (EL); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (MS, KF); University of Rochester School of Medicine and Dentistry, Rochester, NY (TM, JKVM).

MD, MS

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Mechelle Sanders

PhD

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Jessica K. V. Meyer

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Elizabeth Loomis

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Teraisa Mullaney

MS, PhD(c)

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Kevin Fiscella

MD, MPH

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Table 1.

Attending Physician Participants

	Participated
		%
Total	101	100%
MD	86	85%
MD, MPH	3	3%
DO	12	12%
Medically underserved^*	38	38%
Rural^*	22	22%
Specialty
FM	24	24%
IM	23	23%
OB/GYN	19	19%
EM	17	17%
EM/FM	1	1%
PSY	8	8%
MED/PED	5	5%
SUR	2	2%
ANT	1	1%
PED	1	1%
Waiver
Yes	27	27%
Applied	3	3%
Plans to Apply	4	4%
Maybe	1	1%
No	13	13%
Took course for knowledge	1	1%
Moving out of NY	1	1%
Unknown/no response	39	39%

↵* Not all participants reported.

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Table 2.

Attending Physician Participants Who Applied for Buprenorphine “x-Waiver”

	Waiver^{^†}
		% of Waiver (n = 30)	% of Participating (n Variable)
Total	30	100%	30%
MD	26	87%	30%
MD, MPH	1	3%	33%
DO	3	10%	25%
Medically underserved^*	13	43%	34%
Rural^*	6	20%	27%
Currently prescribing^{^‡}	7	23%	NA
Specialty
FM	9	30%	38%
IM	7	23%	30%
OB/GYN	4	13%	21%
EM	5	17%	29%
EM/FM	0	0%	0%
PSY	1	3%	13%
MED/PED	3	10%	60%
SUR	0	0%	0%
ANT	0	0%	0%

↵* Not all participants reported.
↵† Waiver = yes/applied.
↵‡ As of last contact 12 months from training.

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The Journal of the American Board of Family Medicine

Vol. 34, Issue 6

November/December 2021

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Increasing Access to Medications for Opioid Use Disorder in Primary Care: Removing the Training Requirement May Not Be Enough

Holly Ann Russell, Mechelle Sanders, Jessica K. V. Meyer, Elizabeth Loomis, Teraisa Mullaney, Kevin Fiscella

The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1212-1215; DOI: 10.3122/jabfm.2021.06.210209

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Increasing Access to Medications for Opioid Use Disorder in Primary Care: Removing the Training Requirement May Not Be Enough

Holly Ann Russell, Mechelle Sanders, Jessica K. V. Meyer, Elizabeth Loomis, Teraisa Mullaney, Kevin Fiscella

The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1212-1215; DOI: 10.3122/jabfm.2021.06.210209

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