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Teaching Exchange

‘Dopesick’; why a critical view of the literature may save your patient’s life

Pages 295-299 | Received 11 Jun 2023, Accepted 31 Jul 2023, Published online: 30 Aug 2023
 

ABSTRACT

Introduction

Teaching critical literature appraisal is challenging. Providing a compelling clinical context using ‘cinemeduation’ stimulates interest in the topic.

Methods

After watching the first episode of the mini-series ‘Dopesick’, where the scope, timeline and extent of the problem of opioid abuse are clearly seen, abstracts of the period literature strongly supporting the use of Oxycontin for use in chronic pain are shown. All were published in highly ranked medical journals. A simple paper evaluation structure is suggested. It is PPICOREAD which stands for the following questions: Who Paid for the study? What was the Population studied? What was the Intervention given in the study? What was the Control group used? What was the Outcome and was it of clinical significance to you? Was the trial Registered? Was there an Educational element for you? Was there anything Applicable to your practice? What was the Duration of the trial? Is this duration sufficient to reassure you that the trial is relevant to your practice?

Results

The very poor quality and dishonest nature of the conclusions of these papers are quickly and easily uncovered in a supervised workshop. The causes for these clear discrepancies are discussed. The devastating consequences are described.

Acknowledgments

Dr Maureen (Mo) Noctor, my scheme directing colleague, for introducing me to the concept of ‘cinemeducation’ and showing the first part of ‘Dopesick’ as a personal development exercise in GP training.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/14739879.2023.2243880

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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