← Resources

Case study Opioid education

Practicing opioid care with Jeremy

How clinicians approached screening, treatment, and patient concerns in Pri-Med’s virtual-patient activity.

Pri-Med
Pri-Med + XuronDecember 1, 2025–January 5, 2026
Get the full case study
A clinician practices with Jeremy Thompson, the virtual patient in the opioid education activity.
Xuron virtual-patient practice.
Read the full story
completed learner sessions
390
encounter tasks
5
CME / CE credits
0.5

The approach

Work through an opioid care consultation.

The challenge

Conversations about opioid use disorder involve more than recalling guidance. Learners need to ask sensitive questions, recognize concerns, discuss options, and work toward a plan with the patient.

The activity

Part four of Pri-Med’s Safe and Effective Pain Care curriculum paired short educational content with an open-ended virtual-patient encounter, pre/post assessment, and task-level feedback.

Meet Jeremy Thompson — virtual patient

Inside the encounter

Meet Jeremy Thompson.

Jeremy is a 34-year-old warehouse supervisor returning for chronic back pain. He reports that his medication no longer lasts the whole month, opening a conversation about symptoms, medication use, and next steps.

Build rapport

Listen to Jeremy’s concern and gather his history.

Screen and assess

Practice screening and diagnostic reasoning within the scenario.

Discuss treatment

Use motivational interviewing to explore options and readiness.

Plan for safety

Discuss follow-up and harm reduction, then review feedback on the encounter.

Results & insights

What the assessments and conversations showed

Correct responses increased on each of the three knowledge items. Performance during the conversation offered a separate view of the tasks learners found easier or more challenging.

Explore the full report

Correct responses before and after

Item-level results across 390 completed learner sessions.

Before activityAfter activity

Recognizing the screening tool
Before: 49.4%
After: 95.6%
Recognizing diagnostic criteria
Before: 53.6%
After: 84.9%
Selecting the next clinical step
Before: 72.1%
After: 91.6%

These are whole-activity pre/post results. Differences are percentage points; the contribution of simulation alone was not isolated.

Performance across the encounter

Reported mean task scores on a five-point scale.

Rapport and history
Score: 3.3 / 5
Screening
Score: 3.3 / 5
Diagnostic assessment
Score: 4.5 / 5
Brief intervention and MOUD discussion
Score: 2.7 / 5
Treatment planning and harm reduction
Score: 2 / 5

Task-level simulation scores from the report. A high score on one task does not establish overall clinical readiness.

Source: full evaluation report

Explore the emotional cue

Learners often identified concerns without exploring them deeply. Acknowledging the impact of pain can help make the exchange more relational.

Give screening a clear context

The analysis identified abrupt transitions and imprecise screening questions as opportunities for improvement.

Carry the conversation through

Planning and harm reduction were harder than diagnostic assessment, highlighting the importance of what happens after recognition.

Study context

How to read
these results

How it was evaluated

The report covers 390 completed learner sessions from December 1, 2025 through January 5, 2026, with pre/post assessments and task-level feedback.

Measures included knowledge, self-reported confidence, simulated performance, learner value, written comments, and intended future actions. This cohort is separate from the June 2026 participation figures elsewhere on this site.

What this evaluation can tell us

This is an evaluation of a combined educational activity. It does not isolate a simulation-only effect or establish patient-level outcomes.

Intentions to change practice are self-reported. They should not be interpreted as verified treatment decisions or follow-through.

The REMS-aligned activity was supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.

The full case study

Read the full evaluation

The full report includes the study design, participant context, detailed measures, and findings.

Download case study PDF report

Your next activity

What would your program
need to demonstrate?

Discuss an evaluation