A cross-sectional evaluation of opioid dispensing competencies in final-year Pharm-D students: a multicenter study from
\nPunjab, Pakistan

Background: The opioid crisis continues to be a public health concern worldwide due to the high rates of misuse and associated mortality. Opioid dispensing competencies are critical for pharmacy graduates to promote the rational use of opioids.
\nPurpose: To evaluate the opioids dispensing competencies among the final year Pharm-D students in Punjab, Pakistan.
\nDesign: A multicenter cross-sectional study.
\nMethods: A validated survey was used to evaluate 11 competencies related to opioid use from the final year Pharm-D students from diversely located accredited institutes. On a summative scale, correct response to each survey item was worth a score/point.Descriptive statistics was used for categorical variables while independent t-test computed group differences.
\nResults: A total of n = 661 final year Pharm-D students from 28 institutes (8 public and 20 private) completed the survey with an overall response rate of 78.5%. Comparatively, the students who had either completed a community or hospital internship, or studying in the educational institutions located in the provincial capital demonstrated a significant higher competency score. There was no significant difference in the overall mean competency scores based on gender or system of assessment used in the Pharm-D degree programs. Among eleven opioid competencies, students received the lowest scores for “opioid overdose management”, “opioid monitoring” and “therapeutic uses of opioids”.
\nConclusion: Pharm-D students in Pakistan require additional training and skills on many of the opioids related competencies to ensure patient’s safety in healthcare settings. There is a need to revise the curriculum and teaching methodologies to improve the competencies of Pharm-D students in opioid dispensing.