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PSHP 2026 Residency Conference has ended
Tuesday May 19, 2026 10:50am - 11:10am EDT

Purpose:  The purpose of this project is to evaluate the current treatment practices in the critical care units for complex withdrawal and organize formal education surrounding a high priority clinical topic.

Methods: The study will use a newly implemented protocol in the medical intensive care unit and pharmacy resident education to screen current treatment practices and assess gaps in knowledge. An anonymous survey was developed and consisted of questions regarding experience treating complex withdrawal and self-reported confidence in the management in clinical practice. Data will be collected including the attendees professional practice setting. The education and the survey will be presented to the appropriate departments and afterwards survey results will be used to assess changes in knowledge and confidence with future adherence to the implemented protocol. The primary endpoint is the improvement in healthcare professional knowledge regarding the management of complex withdrawal, measured by completed survey results. Secondary endpoint includes change in confidence pre and post-educational sessions.  
 
Results: Approximately ~75 healthcare professionals were given formal education, and a total of 40 were able to complete the survey due to access at time of presentation. Self-reported confidence in the treatment of opioid with suspected adulterant withdrawal increased from 42% to 78% after education was given. Two clinical questions regarding the presentation of medetomidine withdrawal were asked and 30% and 63% of responders were “not confident” in their answer choices. When asked to report confidence in using the presented material 78% and 96% of responders were confident in applying the material to clinical practice. Even though not every participant was able to take the pre- and post-surveys the reminders for close monitoring and proactive care has reinforced different specialties their importance in managing complex withdrawal. 
 
Conclusion: Implementation of a standardized complex withdrawal management protocol, along with educational sessions was found to improve self-reported confidence and knowledge in managing complex withdrawal. Ongoing monitoring of protocol use and interdisciplinary support to promote long-term adherence to the newly implanted protocol. Future evaluation may include clinical outcomes, such as length of hospital stay, length of intensive care unit stay and incidence of withdrawal-related complications 

Moderators Speakers
avatar for Erin Torrance

Erin Torrance

PGY1, Philadelphia VA, Corporal Michael J. Crescenz VA Medical Center
Current PGY-1 pharmacy resident at the Philadelphia VA, who graduated from Temple University's School of Pharmacy May 2025. Interests include pain management, addiction medicine and substance use disorder. Plans to stay at the Philadelphia VA to complete the PGY-2 in pain management... Read More →
Tuesday May 19, 2026 10:50am - 11:10am EDT
Broad Hub WEST

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