ASAM Practice Pearls: Advanced Buprenorphine

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Advanced Buprenorphine Case-Based Podcast Series

Created February 2025
Podcast Series

Overview

This is a four-episode podcast series focused on improving hospital and clinic-based buprenorphine treatment for OUD. These episodes provide expert insights, practical strategies, and real-world approaches to overcoming common challenges. Listeners will gain a deeper awareness of the specific challenges in buprenorphine prescribing, ultimately improving their clinical practices.

The target audience for this Introductory level series includes healthcare providers seeking flexible, on-the-go learning opportunities. 

This series addresses the following ACGME Competencies: Patient Care and Procedural Skills, Practice-based Learning and Improvement, and Medical Knowledge.

  • Podcast 1: Overcoming Barriers to MOUD at Discharge: Ensuring Continuity of Care from Skilled Nursing Facilities

Dr. Stephen Holt is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Shawn Cohen. They explore key challenges and solutions in ensuring continuity of care for patients receiving medication for opioid use disorder (MOUD) during discharge from skilled nursing facilities. 

  • Podcast 2: Creating Realistic Follow-Up Plans for Unstable Patients

Dr. Shawn Cohen is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Stephen Holt. Together, they explore effective strategies for managing unstable patients and creating realistic follow-up plans that prioritize patient engagement and continuity of care.

  • Podcast 3: Balancing Patient Confidentiality and Legal Obligations 

Dr. Stephen Holt and Dr. Shawn Cohen welcome addiction medicine expert Dr. Catherine Trimbur. They explore the delicate balance between protecting patient confidentiality and fulfilling legal responsibilities when responding to requests from parole officers, child welfare agencies, and other external entities.

  • Podcast 4: Managing In-Hospital Substance Use

Dr. Carolyn Chan and Dr. Shawn Cohen welcome addiction medicine expert Dr. Marlene Martin. With extensive experience in helping care teams navigate the complexities of in-hospital substance use, Dr. Martin provides insights on how hospital-based providers can effectively address these challenges with confidence and compassion.

Learning Objectives

Upon completion, learners will be able to:

  1. Identify barriers to MOUD access at hospital discharge to skilled nursing facilities and apply advocacy and care coordination strategies to ensure continuity of care.
  2. Develop patient-centered follow-up plans for patients with OUD by addressing barriers, building therapeutic alliances, and applying harm reduction principles to improve engagement and retention.
  3. Apply ethical and legal principles to balance patient confidentiality with legal obligations when treating patients with SUD involved in the criminal justice or child welfare systems.
  4. Implement evidence-based, patient-centered strategies for in-hospital substance use by prioritizing harm reduction, compassionate care, and multidisciplinary collaboration to improve patient safety and treatment outcomes.

Where to Listen:

Listen to these informative podcasts on opioid prescribing and patient-centered pain management via your favorite platform:

                                                                                              Apple   
Podbean   
Spotify

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 eLearning 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 eLearning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Open: 02/24/2025 - 01/24/2028

Close Access Date: 02/25/2028 

Acknowledgement

This content has been made available in part by an unrestricted educational grant from Indivior. No input or influence from Indivior was included in the development of the educational content. As an ACCME Provider, ASAM follows the ACCME Standards for Integrity and Independence for Accredited Continuing Education stating that owners and employees of ineligible companies are excluded from participating as planners or faculty, and must not be allowed to influence or control any aspect of the planning, delivery, or evaluation of accredited continuing education.

Instructions

  1. Click on the Contents tab to begin this activity.
  2. Listen to all three podcasts.
  3. Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 9 out of 12 questions correctly.
  4. Click Complete Evaluation to provide valuable activity feedback. 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 eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.

Need Assistance?

For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please check the FAQ page or e-mail Education@ASAM.org

ASAM is proud to offer eSSENTIAL Accessibility to ensure our website is accessible and functional for all our learners while providing free assistive technology for people with the widest possible range of abilities.

Stephen Holt, MD, MS, FACP, FASAM

Associate Professor of Medicine (General Medicine); Associate Program Director, Ambulatory Education

Yale School of Medicine

Dr. Holt has been an attending physician at Yale-New Haven Hospital since 2008 and is an Associate Professor of Medicine at Yale School of Medicine. He is the Director of the Yale Addiction Recovery Clinic and the Associate Program Director for Yale's Primary Care Internal Medicine Residency Program.  He is board-certified in Addiction Medicine and Internal Medicine.  He has published and lectures frequently on a variety of addiction medicine topics, and has won numerous teaching awards at the local, regional, and national level.

No relevant financial disclosures.

Shawn Cohen, MD

Addiction Medicine Doctor

Yale New Haven Hospital

Dr. Shawn Cohen is an addiction medicine doctor at Yale New Haven Hospital. He provides care on a hospital-based addiction consult service and is interested in lowering barriers to MOUD, improving the care of patients experiencing alcohol withdrawal, and making the hospital a more person-centered and less stigmatizing place for people who use substances. 

No relevant financial disclosures. 

Carolyn Chan, MD, MHS

Program Director

University of Cincinnati Medical Center

Dr. Carolyn Chan is board-certified in both internal and addiction medicine. She completed her IM residency at UH Hospitals Cleveland Medical Center, followed by an addiction medicine and medical education fellowship at Yale. She provides care in both inpatient and outpatient addiction medicine settings. Currently, she is the Program Director of the University of Cincinnati Addiction Medicine Fellowship and is committed to educating all health professionals on how to provide evidence-based care to individuals with substance use disorders. 

No relevant financial disclosures.

Marlene Martin, MD

Associate Professor of Clinical Medicine, Director of Addiction Care Team

UCSF and San Francisco General Hospital

Dr. Marlene Martin is an Associate Professor at UCSF and hospitalist at San Francisco General Hospital. She is the founding director of the Addiction Care Team, which provides compassionate, evidence-based care for hospitalized people with substance use disorders. As Director of Addiction Initiatives for the Latinx Center of Excellence, she co-leads PEDAL, a Spanish-language addiction training program for community health workers, aiming to improve care for Latine individuals with substance use disorders. Her work focuses on health equity, harm reduction, and innovative care models. 

No relevant financial disclosures.

Martha Catherine Trimbur, MD, MPH

Assistant Professor of Medicine

Brown University

Dr. Catherine Trimbur, triple board-certified in internal medicine, addiction medicine, and palliative care, is an assistant professor at Brown University’s Warren Alpert Medical School. She leads Brown’s Transitions Clinic, providing comprehensive care for formerly incarcerated individuals with serious illnesses and substance use disorders. Dr. Trimbur also offers pain management and palliative care at the Rhode Island Adult Correctional Institute. Committed to medical education, she has developed a curriculum to help residents enhance empathy and reduce stigma in marginalized patient care. She serves on several university and hospital committees related to primary care and health equity. 

No relevant financial disclosures.

Accreditation & Credits

Joint Accreditation Statement
image

In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credits Available
  • Physicians: 2 Credits


  • Certified Counselors: NBCC Contact Hours Not Offered
    image American Society of Addiction Medicine has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7062. Programs that do not qualify for NBCC credit are clearly identified. American Society of Addiction Medicine is solely responsible for all aspects of the programs.

Maintenance of Certification (MOC)/Continuing Certification Program (CCP)

This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABP, ABIM, and ABS. By completing the online credit application and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

  • ABIM MOC Points: 2 Medical Knowledge | 2 Patient Safety
  • ABP MOC: 2 Lifelong Learning & Self-Assessment
  • ABS Continuing Certification: 2 Accredited CME
  • ABA MOCA 2.0®*: 2 Lifelong Learning | 2 Patient Safety
    MOCA 2.0® is a trademark of the American board of Anesthesiology®.
    This activity contributes to the CME requirement for Part II: Lifelong Learning and Self-Assessment of the American board of Anesthesiology's (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, https://www.theaba.org/, for a list of all MOCA 2.0 requirements.

Additionally, this activity has been designed to satisfy the requirements of the following primary physician board certification requirements. Please confirm with your individual Board.

  • American Board of Addiction Medicine (ABAM)
  • American Board of Preventative Medicine (ABPM)
  • American Board of Psychiatry and Neurology (ABPN)
  • Royal College of Physicians and Surgeons of Canada (RCPSC)
Certificates for other professions

All participants may request a certificate of participation upon completion of the activity and an online evaluation confirming their participation. Learners are strongly advised to contact their professional licensing board or professional association to confirm this certificate will be accepted as evidence supporting continuing education requirements.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

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-20-330-0227.

Disclosure Information

In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education.

The complete list of disclosures and designation statements are linked below.

Key:

Complete
Failed
Available
Locked
Podcast Episode 1 - Overcoming Barriers to MOUD at Discharge: Ensuring Continuity of Care from Skilled Nursing Facilities
Open to listen to or download MP3 audio.  |  28 minutes
Open to listen to or download MP3 audio.  |  28 minutes Dr. Stephen Holt is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Shawn Cohen. They explore key challenges and solutions in ensuring continuity of care for patients receiving medication for opioid use disorder (MOUD) during discharge from skilled nursing facilities.
Podcast Episode 2 - Creating Realistic Follow-Up Plans for Unstable Patients
Open to listen to or download MP3 audio.  |  29 minutes
Open to listen to or download MP3 audio.  |  29 minutes Dr. Shawn Cohen is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Stephen Holt. Together, they explore effective strategies for managing unstable patients and creating realistic follow-up plans that prioritize patient engagement and continuity of care.
Podcast Episode 3 - Balancing Patient Confidentiality and Legal Obligations
Open to listen to or download MP3 audio.  |  37 minutes
Open to listen to or download MP3 audio.  |  37 minutes Dr. Stephen Holt and Dr. Shawn Cohen welcome addiction medicine expert Dr. Catherine Trimbur. They explore the delicate balance between protecting patient confidentiality and fulfilling legal responsibilities when responding to requests from parole officers, child welfare agencies, and other external entities.
Podcast Episode 4 - Managing In-Hospital Substance Use
Open to listen to or download MP3 audio.  |  31 minutes
Open to listen to or download MP3 audio.  |  31 minutes Dr. Carolyn Chan and Dr. Shawn Cohen welcome addiction medicine expert Dr. Marlene Martin. With extensive experience in helping care teams navigate the complexities of in-hospital substance use, Dr. Martin provides insights on how hospital-based providers can effectively address these challenges with confidence and compassion.
Complete Post Test
12 Questions  |  10 attempts  |  9/12 points to pass
12 Questions  |  10 attempts  |  9/12 points to pass This post-test has 12 questions and requires 9 out of 12 to pass the quiz.
Complete Course Evaluation
14 Questions
14 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Claim Credits & Certificate
Up to 2.00 medical credits available  |  Certificate available
Up to 2.00 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in the activity.
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