Buprenorphine Inductions: Options and Innovations

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    • Non-Member - $39
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    • Student - $19
    • Associate - $19
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Buprenorphine Inductions: Options and Innovations

Recorded: Thursday, March 31, 2022 - Sunday, April 3, 2022
On-Demand Session

Overview

This 1-hour, on-demand session from the ASAM 53rd Annual Conference reviews the challenges of initiating buprenorphine for people who have been using fentanyl and presents an overview of low and high dose induction approaches.

The presence of fentanyl and fentanyl analogues (F/FA) in the US drug supply has contributed to dramatic increases in overdose deaths, as well as new challenges in Medications for Opioid Use Disorder (MOUD) care. This interactive workshop will include a review of the challenges of initiating buprenorphine for people who have been using fentanyl intentionally or unintentionally. This session will include an overview of innovative induction protocols used across the United States. Additionally, this session will examine two different protocols developed in an inpatient withdrawal management program, outcomes of these protocols in the inpatient and ambulatory settings with measures of treatment completion, successful ambulatory inductions, and patient experience. Challenges of buprenorphine maintenance in patients who have used fentanyl, including consideration of higher doses and other modifications of standard MOUD care will be discussed. After this workshop, participants will have a thorough understanding of the pharmacodynamics of fentanyl and buprenorphine and options to improve success of MOUD care for patients using fentanyl.

The target audience for this Intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, students, and counselors.

This session addresses the following ACGME Competencies: Medical Knowledge.

Learning Objectives

Upon completion, learners will be able to:

  1. Explain the pharmacodynamics of buprenorphine, fentanyl and fentanyl analogs
  2. Understand how these unique characteristics impact MOUD induction, maintenance and overdose and how induction protocols can be adjusted to improve patient comfort and success in competing induction.
  3. Implement a new induction protocol, tested in inpatient withdrawal management and ambulatory care, that uses a combination of micro and macro dosing and adjunctive meds for successful transition from fentanyl to buprenorphine.

Course Instructions

  1. Click on the Contents tab to watch the on-demand recording.
  2. Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 2 out of 3 questions correctly.
  3. 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.
  4. 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.

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Registration Rates

Rate DescriptionRate
ASAM Member$29
Non-Member$39
Associate Member$19
Resident Member*$19
Student Member*$19

*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: 05/01/2025

Eowyn Rieke

MD, MPH

Eowyn Rieke MD MPH is a family doctor, addictions medicine specialist and medical leader. She has worked for over 20 years in health care for homeless and other marginalized groups. She is dedicated to person-centered trauma-informed care that supports the dignity and self-determination of her clients, working collaboratively with them towards their goals related to substance use and other aspects of their lives.

Eowyn has devote the last 5 years of her career to expanding integrated care across health discipines and low-barrier access to buprenorphine, first as the Services Director of Central City Concern's Blackburn Center, and currently as the Medical Director for Outpatient Services at Fora Health in Portland, Oregon. At Fora Health she is developing programs to provide medications for OUD to Latinx patients and rural residents of Oregon, as well as improving transitions of care from withdrawal management and residential programs to outpatient medical services.

Eowyn is vice-president of the Oregon chapter of the American Society of Addiction Medicine and is a member of the Oregon Measure 110 Oversight and Accountability Council. She has served as chair of the National Health Care for the Homeless's Clinciian Steering Committee and on the NHCHC Board of Directors.

Eowyn earned her MD degree from Brown University's Warren Alpert Medical School and her Masters in Public Health from Harvard University. Eowyn loves to spend time where there are more trees than people, especially with her daughter, partner, and rascally dog Huckleberry Finn.

David Lawrence

MD, FASAM

David Lawrence, MD, FASAM, is an internist, addiction medicine physician, and medical educator at the VA Greater Los Angeles Health Care System and medical director at the VA Downtown Los Angeles Substance Use Disorder Clinic. He is passionate about eliminating barriers to accessing evidence-based addiction care and harm reduction services.

Jennifer Hartley

PhD, MD, MSOM

Jennifer Hartley PhD, MD, MSOM is Director of Innovation & Special Projects at Fora Health Treatment & Recovery in Portland, OR. She is a family physician, acupuncturist, and addiction specialist with interests in complex withdrawal management, patient education, and customizing care to meet each individual's needs in the context of their unique life story.

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 material for a maximum of 1 AMA PRA Category 1 Credits™. 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 53rd Annual Conference has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: Allergy and Immunology, Anesthesiology, Colon and Rectal Surgery, Family Medicine, Medical Genetics and Genomics, Nuclear Medicine, Physical Medicine and Rehabilitation, Plastic Surgery, Preventive Medicine, Psychiatry and Neurology, Radiology, Thoracic Surgery, Urology

American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1 credit 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 1 MOC point 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 1 Medical Knowledge MOC point 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) Tmoc credit requirements.

Royal College of Physicians and Surgeons of Canada (RCPSC)
Royal College Fellows can use participation in Accredited Continuing Medical Education to earn Section 3 Credits.


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 mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees and Presenters. 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
View On-Demand Recording
Open to view video.
Open to view video. Video is approximately 1 hour long. Recorded between 03/31/22 - 04/03/22.
Complete Post Test
3 Questions  |  10 attempts  |  2/3 points to pass
3 Questions  |  10 attempts  |  2/3 points to pass This post test has 3 questions and requires 2 out of 3 to pass the quiz.
Complete Evaluation
19 Questions
19 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Claim Credits & Certificate
Up to 1.00 medical credits available  |  Certificate available
Up to 1.00 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in the activity.