Treatment of Opioid Use Disorder - Madison, WI - Thursday, September 30, 2021

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Treatment of Opioid Use Disorder Blended Course

Host: University of Wisconsin Family Medicine Residency
Thursday, September 30, 2021 | 1:30pm - 6:00pm CT
Online Portion Due: Thursday, September 29, 2021
Blended Course

Overview

This 8-hour, blended course (4-hour on-demand, 4-hour live) provides required education to qualify for the waiver to prescribe buprenorphine in an office-based setting and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD).  

This blended course combines 4 hours of online learning followed by 4 hours of live learning. The live portion of the course builds off content delivered in the online portion. Course faculty are expecting learners to complete the online portion before attending the live portion. You must complete both portions to receive credit for the course. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.

The target audience for this introductory activity includes: 

  • Physicians who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.
  • Clinicians and healthcare team members working with providers who prescribe buprenorphine in office-based treatment of opioid use disorders.

This activity addresses the following ACGME Competencies: Patient Care and Medical Knowledge.

Learning Objectives

Upon completion, learners will be able to:

  1. Identify, assess and diagnose patients with opioid use disorder while considering severity, chronicity, individual characteristics, and psychiatric and medical comorbidities
  2. Develop an individualized, patient-centered treatment plan including negotiating treatment goals by evaluating appropriate medication- and psychosocial-based treatment options
  3. Monitor progress and modify treatment plan based on patient needs and progress toward treatment goals
  4. Implement best practices for office systems including team-based care to support treatment with medications for opioid use disorder
  5. Examine misconceptions, stigma, and complexities (bioethical, social, clinical, public health) associated with opioid use disorder and the use of medications to treat opioid use disorder

Registration Rates

ASAM Learner TypeRate
ASAM Member$0
Non-Member$0
Associate Member$0
Resident Member*$0
Student Member*$0

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM e-Learning Center refund requests must be made in writing to Education@ASAM.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Deadline: 09/29/2021

Course Instructions

  1. Click on the Contents tab to begin the on-demand modules.
  2. Click Complete Evaluation - On-Demand to provide valuable activity feedback from the on-demand portion of the course. Scroll down on all questions as there may be answer options that expand past the size of the window. 
  3. Click on the Contents tab to attend the virtual-live session.
  4. Click Complete Evaluation - Live to provide valuable activity feedback from the live portion of the course. Scroll down on all questions as there may be answer options that expand past the size of the window. 
  5. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM e-Learning Center, clicking Dashboard, and clicking Transcript/Achievements.

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Randall Brown

MD, PhD, DFASAM

Dr. Brown is on the Board of Directors of The Addiction Medicine Foundation and is President-Elect of the Addiction Medicine Fellowship Directors Association. He is Board Certified in Family Medicine and Addiction Medicine. He has been heavily involved in fellowship development at the program for which he was the founding Director at the University of Wisconsin School of Medicine and Public Health, as well as at the national level. He serves as a consulting physician in addiction medicine at UW Hospital (where he is the Director of the Center for Addictive Disorders), William S. Middleton Memorial Veterans Hospital, the UW Hospital HIV/AIDS Clinic, and at Access Community Health Centers (a network of Federally Qualified Health Centers). Dr. Brown is also the Director of the UW SMPH fourth-year Clinical Addiction Elective and the Medical Director of the Overdose Prevention Program of the AIDS Resource Center of Wisconsin. Dr. Brown holds a Ph.D. in Population Health Sciences from the University of Wisconsin.

Disclosures- None

Laurel Rabson

M.D.

Laurel Rabson is an internal medicine MD in the VA Interprofessional Advanced Fellowship in Addiction Medicine at the William S Middleton Memorial VA in Madison, WI. She earned her BS in microbiology at Cornell University and her MD at the State University of New York, Stony Brook. She completed her internal medicine residency at the University of Wisconsin Hospital and Clinics in Madison, WI. She spent the next 24 years in general internal medicine practice at the Dean Medical Center in Madison, specializing in the complex medical management of geriatric patients. As she began to see more patients with substance use disorders, she decided to pursue further training in addiction medicine thru the VA Fellowship. Her clinical interests are in increasing recognition and treatment of substance use disorders within the primary care setting and increasing the use of medications for the treatment of alcohol use disorder. She is involved in expanding education on SUDs for medical trainees and medical teams, to promote improved care for patients with SUDs as they interact with the medical system.

Disclosures- None

Dean Krahn

MD, MS

Dean Krahn is a graduate of the University of Wisconsin with a degree in Psychology and of the UW School of Medicine and Public Health.  After an internship in Neurology at the Medical College of Wisconsin, he completed a Psychiatry residency and a research fellowship at the University of Minnesota.  He subsequently held faculty positions at the University of Michigan, University of North Dakota, and the University of Wisconsin.  He was awarded NIH, VA, and pharmaceutical grants and published in the areas of clinical eating disorders; the relationship of eating disorders and substance abuse; the interacting neurobiologic mechanisms of preferences for food and substances of abuse; and, later, on integrated care models as well as on approaches to managing and improving large systems of mental health care.  He served as Chief of VA-Madison MH Services for 22 years and led the MH services of VISN 12 of VHA for over a decade.  In 2014-15, he served as the Deputy Director of MH Operations for VHA nationally.  He founded the Addiction Psychiatry fellowship at UW in 2007. He also served as the Chair of the Committee on Maintenance of Certification for AAAP in the recent past.  

No relevant disclosures

CME, CE, CEU and Other Credit Types

ACCME Accredited with Commendation

ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement
The American Society of Addiction Medicine designates this enduring activity for a maximum of 4 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Society of Addiction Medicine designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NAADAC, the Association for Addiction Professionals
This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.

California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1222

California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205

California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1222

Continuing Education Credits (CEUs)
Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

American Board of Medical Specialties (ABMS)
Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, The ASAM Treatment of Opioid Use Disorder Course: Includes Waiver Qualifying Requirements has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: Anesthesiology, Family Medicine, Physical Medicine and Rehabilitation, Preventive Medicine, Psychiatry and Neurology, Radiology

American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 8 LLSA credits towards ABPM MOC Part II requirements.

American Board of Anesthesiology (ABA)
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology TM (MOCA®) program, known as MOCA 2.0®.

American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn a maximum of 8 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 8 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.

American Board of Surgery (ABS)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit

American Board of Psychiatry and Neurology (ABPN)
Successful completion of this CME activity can be used to satisfy the American Board of Psychiatry and Neurology’s (ABPN) CME requirement for Maintenance of Certification program.

American Board of Addiction Medicine (ABAM)
Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) for Tmoc as credits towards ABAM LLSA Part II requirements.

Disclosure Information

In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME activities. These policies include resolving all possible conflicts of interest for the Planning Committees, CME Committee, MEC, and Faculty. All activity Planning Committee members and Faculty have disclosed relevant financial relationship information. The ASAM CME Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.

Key:

Complete
Failed
Available
Locked
Complete Pre-Course Survey
2 Questions
2 Questions Please answer the following
Complete Course Overview
Begin self-paced component package.
Begin self-paced component package. This activity will take 1 hour to complete. This activity was last reviewed and updated in February 2021.
Complete Module 1 - Identifying, Assessing, and Diagnosing Patients with Opioid Use Disorder
Begin self-paced component package.
Begin self-paced component package. This activity will take 1 hour to complete. This activity was last reviewed and updated in February 2021.
Complete Module 2 - Determining Treatment Plan for Patients with Opioid Use Disorder
Begin self-paced component package.
Begin self-paced component package. This activity will take 1 hour to complete. This activity was last reviewed and updated in February 2021.
Complete Module 3 - Harm Reduction and Stigma
Begin self-paced component package.
Begin self-paced component package. This activity will take 1 hour to complete. This activity was last reviewed and updated in February 2021.
Complete Evaluation - On-Demand
16 Questions
16 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Attend Virtual-Live Course - Thursday, September 30, 2021
09/30/2021 at 2:30 PM (EDT)  |  270 minutes
09/30/2021 at 2:30 PM (EDT)  |  270 minutes Learners may join 15 minutes prior to start time. Audio is via computer speakers/headphones. There is no option to join via telephone. Meeting number/Access code: 120 452 6129 Password: 12345 Join by phone: +1-415-655-0001 US Toll
Complete Evaluation - Live
16 Questions
16 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Claim Credit & Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available Participants should claim only the credits commensurate with the extent of their participation in the activity.

How to Apply for a Waiver

Physicians

SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

Other Approved Prescribers

Apply

NPs and PAs may upload copies of their training certificates on the Waiver Notification Form. NPs and PAs who have completed the 24 hours of required training may seek to obtain a DATA 2000 waiver for up to 30 patients by completing the Waiver Notification Form. Effective February 27, 2017, SAMHSA will only accept electronic submissions of the NOI.

These waiver applications are forwarded to the Drug Enforcement Administration (DEA), which will assign the NP or PA a special identification number. DEA regulations require this number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with the NP’s or PA’s regular DEA registration number.

SAMHSA shall review waiver applications within 45 days of receipt. If approved, NPs and PAs will receive a letter via email that confirms their waiver and includes their prescribing identification number. 

Qualify

To qualify for a waiver to treat patients with Opioid Use Disorder, NPs and PAs must:

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain
  • Complete no less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD
  • If required by state law, supervision or working in collaboration with a qualifying physician to prescribe medications for the treatment of OUD may be required.

Please ensure that your state regulations allow you to prescribe buprenorphine and other medications to treat OUD before you apply for the waiver.  Some states may have overriding state legislation that will prevent NPs from prescribing these medications even if Federal law allows it.

Overview of Legislation

Physicians

The Drug Abuse Treatment Act of 2000 (DATA 2000) specifies training is necessary for physicians to obtain a waiver to engage in office‐based treatment of opioid use disorders using drugs approved by the FDA on Schedules III, IV, and V. This course addresses those requirements using a curriculum approved by CSAT/SAMHSA and ASAM, who is one of the national organizations named in the DATA 2000 legislation as eligible to prepare and administer these courses.

Nurse Practitioners & Physician Assistants

On July 22, 2016, President Obama signed the Comprehensive Addiction and Recovery Act (CARA) into law. CARA authorizes qualified NPs and PAs to become waivered to prescribe buprenorphine in office-based settings for patients with Opioid Use Disorder (OUD) for a five-year period expiring in October 2021.    

To qualify, NPs and PAs must: 

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain  
  • Complete not less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD  
  • If required by state law, be supervised or work in collaboration with a qualifying physician to prescribe medications for the treatment of OUD

HHS' announcement on November 16, 2016, enables NPs and PAs to immediately begin taking the 24 hours of required training. For the full HHS announcement, click here.

NPs and PAs can begin the training immediately by taking the 8-hour buprenorphine course ASAM currently offers or that other stakeholders offer (see below for more information). The remaining 16 hours will have to be completed with one training provider. ASAM is developing multiple 16-hour training course options and formats, including collaborations with:

The ASAM Treatment of Opioid Use Disorder Course has been made available in part by an unrestricted educational grant from Indivior Inc.