Resolution: S-20-12: NALOXONE TRAINING REQUIREMENT AT COMS

[Valerie Lile]

1  WHEREAS, the Centers for Disease Control and Prevention (CDC) reported a statistically significant
2  increases in drug overdose death rates from 2016-2017 in nearly half of all states¹; and

3  WHEREAS, opioids caused 47,600 deaths in 2017, accounting for over two-thirds of all deaths due to
4  drug overdose and eclipsing deaths from non-opioid drugs¹; and

5  WHEREAS, of the twenty-four states with statistically significant increases in drug overdose deaths, 19
6  have at least one osteopathic medical school that all share in the mission of providing care in medically
7  underserved areas²; and

8  WHEREAS, The Comprehensive Addiction and Recovery Act of 2016 marked the most
9  comprehensive effort undertaken by the federal government to address the opioid epidemic and
10 authorized over $181 million annually towards opioid addiction prevention, treatment, recovery, law
11 enforcement, criminal justice reform, and overdose reversal^3,4,5; and

12 WHEREAS, in September 2019, the United States Department of Health and Human Services and the
13 CDC issued joint recommendations for the expansion of both education and access to naloxone for
14 reversing Opioid Overdose, including working with communities and the general public for expanded
15 access⁶; and

16 WHEREAS, opioid overdose prevention programs and organizations receive numerous reports of
17 successful overdose reversals from the administration of naloxone by trained bystanders who are not
18 healthcare professionals⁷; and

19 WHEREAS, academic institutions, including medical schools and universities at both the
20 undergraduate and graduate level, have voluntarily implemented opioid overdose response education
21 programs and distributed naloxone kits to students^8,9,10,11; and

22 WHEREAS, in 2019, the American Heart Association, in collaboration with the American Medical
23 Association, integrated Naloxone Training into the Basic Life Support (BLS) Certification Program
24 curriculum^12,13,14,15; and

26  increasing education and training members of the general public in the usage of naloxone; and
27  WHEREAS, SOMA enacted S-19-02 creating an Overdose Prevention Task Force to coordinate
28  SOMA chapters at each osteopathic medical school to research their respective state laws and policies
29  on distributing naloxone to the general public and training them in its usage; and

30  WHEREAS, osteopathic medical students are in a unique position, with our philosophy, medical
31  education, and moral responsibility, to create positive change in our community and act as role models
32  for other healthcare students and professionals; now, therefore be it

1  RESOLVED, that SOMA advocate to the Commission on Osteopathic College Accreditation to
2  require osteopathic medical schools to educate students in overdose response education and train them
3  in naloxone usage, in compliance with BLS standards; and be it further

4  RESOLVED, that SOMA collaborate with the Council of Osteopathic Student Government
5  Presidents (COSGP) to encourage all osteopathic medical schools to implement training programs for
6  medical students in overdose response education and naloxone usage in compliance with BLS
7 standards.

Relevant Existing Policies:

SOMA Policy: F-17-09, S-19-2
Policy of Other Organizations Named in the Resolved Statements (AOA/AMA/etc): AMA D130.961

References

1. Drug overdose deaths. (2019). Atlanta, GA: Centers for Disease Control and Prevention. Retrieved on March 8, 2020, from https://www.cdc.gov/drugoverdose/data/statedeaths.html
2. 1 in 4 U.S. medical students attends an osteopathic medical school. (2020). (). Chicago, IL: American Osteopathic Association. Retrieved on March 8, 2020, from https://osteopathic.org/about/affiliated-organizations/osteopathic-medical-schools/
3. The comprehensive addiction and recovery act (CARA). (2016). Community Anti-Drug Coalitions of America. Retrieved on March 8, 2020, from https://www.cadca.org/comprehensive-addiction-and-recovery-act-cara
4. Comprehensive addiction and recovery act of 2015, H.R.953, 114th CongressCong. (2015). Retrieved on March 8, 2020, from https://www.congress.gov/bill/114th-congress/house-bill/953
5. Comprehensive addiction and recovery act of 2016, S.524, 114th CongressCong. (2016). Retrieved on March 8, 2020, from https://www.congress.gov/bill/114th-congress/senate-bill/524/
6. HHS and CDC recommendations to expand the use of Naloxone—A life-saving, yet underutilized drug for reversing opioid overdose. (2019). Centers for Disease Control and Prevention. Retrieved on March 8, 2020, from https://emergency.cdc.gov/coca/calls/2019/callinfo_091719.asp
7. Wheeler, E., Jones, T. S., Gilbert, M. K., & Davidson, P. J. (2015). Opioid overdose prevention programs providing naloxone to laypersons – united states, 2014. Morbidity and Mortality Weekly Report, 64(23), 631-635. Retrieved on March 8, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584734/
8. Shrijay, P. (2019, October 7). Columbia trains students to administer life-saving naloxone with state-funded kits. Columbia Spectator Retrieved on March 8, 2020, from https://www.columbiaspectator.com/news/2019/10/07/columbia-trains-students-to-administer-life-saving-naloxone-as-part-of-jed-partnership/
9. The Ohio State University Wexner Medical Center. (2020). Ohio state addresses opioid epidemic with naloxone access, training. Retrieved on March 8, 2020, from https://wexnermedical.osu.edu/healthy-community/naloxone-training
10. University of California San Francisco. (2020). The seekers who are learning to help doctors curb opioid deaths. Retrieved on March 8, 2020, from https://campaign.ucsf.edu/stories/learning-help-doctors-curb-opioid-deaths
11. Steiner, A. (2019, October 21). By offering naloxone training, U of M med school hopes to destigmatize addiction for future physicians. Minnpost Retrieved on March 8, 2020, from https://www.minnpost.com/mental-health-addiction/2019/10/by-offering-naloxone-training-u-of-m-med-school-hopes-to-destigmatize-addiction-for-future-physicians/
12. American Medical Association. (2019). Implementing naloxone training into the basic life support (BLS) certification program D-130.961. Presented at the 2019 Annual Meeting of the American Medical Association, Chicago, IL. (2019) Retrieved on March 8, 2020, from https://www.ama-assn.org/system/files/2020-01/a19-resolutions.pdf
13. American Medical Association. (2019, June 11). AMA strengthens its policies promoting naloxone access and education. Retrieved on March 8, 2020, from https://www.ama-assn.org/press-center/press-releases/ama-strengthens-its-policies-promoting-naloxone-access-and-education
14. Jack, H. E., Warren, K. E., Sundaram, S., Gheihman, G., Weems, J., Raja, A. S., & Miller, E. S. (2018). Making naloxone rescue part of basic life support training for medical students. Academic Emergency Medicine Education & Training, 2(2), 174-177. doi:https://doi.org/10.1002/aet2.10095
15. American Heart Association. (2018). Naloxone in CPR/AED training and public access to defibrillation. (). Dallas, TX: Retrieved on March 8, 2020, from https://www.heart.org/-/media/files/about-us/policy-research/policy-positions/cpr-and-aed/naloxone-position-statement.pdf?la=en&hash=F1096023E19BB1E091ECAF7DB2FA885550F9B437
16. American Association of Colleges of Osteopathic Medicine.What is osteopathic medicine? Retrieved on March 8, 2020, from https://www.aacom.org/become-a-doctor/about-osteopathic-medicine

 

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Submitted by:

Abbey Santanello, OMS II — Touro College of Osteopathic Medicine – New York
Jennifer Lee, OMS III — Touro College of Osteopathic Medicine – Middletown

Action Taken: [  ]
Date: [  ]
Effective Time Period: [  ]

[Shaun Antonio<br>BCOM]

The OPTF is in support of this resolution. We are currently working from the bottom-up to have students advocate for individual schools for Narcan training as well as trying to secure a meeting with the Deans to discus Narcan and MAT. Having work done with COCA making an accreditation requirement would be an effective addition for SOMA to advocate the issue from the top-down. Please let us know if there is anything that we can help with.

[Reshma Pinnamaneni<br>AZCOM]

Hello,

My name is Reshma Pinnamaneni and I am a rising OMS-II at AZCOM. I fully support this resolution and I believe that it will be a great way to tackle the opioid epidemic head on.

Thank you,
Reshma

[Author]

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