Impact of Stigma on Clinician Training for Opioid Use Disorder Care: A Qualitative Study in a Primary Care Learning Collaborative

Positive Reviews:

1. The study by Molinaro et al. provides an insightful exploration of family physicians' experiences with patients facing social inequities. The qualitative approach allows for a rich understanding of the complexities involved, offering a nuanced perspective on the challenges and successes in providing care that addresses social factors. The use of personal narratives enhances the human connection in healthcare, shedding light on the unique position of family physicians.

2. Given the explicit link between Canadians' health outcomes and social inequities, the study's focus on the Canadian context is highly relevant. It contributes to the literature by examining how family medicine, with its longitudinal knowledge of patients, can play a crucial role in addressing health disparities. The study's findings may inform healthcare policies and practices in Canada.

3 The study on stigma's impact on clinician training for opioid use disorder (OUD) care, led by Klusaritz et al., employs a qualitative approach to gather insights from key stakeholders. By identifying barriers and facilitators to successful program implementation, the study provides evidence-based strategies to address OUD-related stigma in training programs. The focus on multiple domains of stigma adds depth to the analysis.

Negative Reviews:

1.Molinaro et al.'s study, while rich in its exploration of family physicians' experiences, may face challenges in generalizability. The unique dynamics of physician-patient relationships and healthcare systems could vary across different cultural and regional contexts, limiting the broader applicability of the findings.

2. The study by Klusaritz et al. provides valuable insights into the impact of stigma on training for opioid use disorder care. However, a more comprehensive exploration of solutions and strategies to overcome stigma in training programs could enhance the practical implications of the study. Offering actionable recommendations for addressing stigma would strengthen the impact of the research.

3. Klusaritz et al.'s study relies on key stakeholders' perspectives, which might introduce bias based on their roles and positions. A more diverse range of perspectives, including those of patients and frontline clinicians, could provide a more comprehensive understanding of the challenges and potential solutions in opioid use disorder training programs.