National Coverage of Adolescent Opioid Overdose Prevention Content in Pediatrics Clerkships.

PURPOSE: Amidst rising fentanyl-related adolescent overdose deaths, pediatricians' confidence in addressing opioid overdose risk and opioid use disorder is lacking, possibly due to inadequate training. Teaching opioid overdose prevention in the Pediatrics clerkship can address knowledge gaps and raise awareness of this public health emergency; however, it is necessary to assess its current coverage.

METHODS

A cross-sectional web-based survey was administered to Pediatrics clerkship directors of U.S. allopathic and osteopathic medical schools in April 2024.

RESULTS

Eighty-five of 189 schools responded (45%). Less than two-thirds (54 of 85) cover any related content, and none teach all essential areas, highlighting opportunities for curricular expansion. While topics like screening for opioid use and medications for opioid use disorder are occasionally addressed (41.2%, 9.4%), using the HEADSS (Home, Education, Activities, Drugs, Suicidality, Sex) assessment to address critical aspects like naloxone and fentanyl test kits remain largely untaught (4.8%, 3.7%).

DISCUSSION: These findings underscore the need for curricular tools to enhance opioid overdose prevention education in Pediatrics clerkships.