Enhancing Access with Direct to Inject Buprenorphine: Evidence and Implementation
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- Non-Member - $39
- Regular Member - $29
- Retired - $29
- Early Career Physician - $29
- Resident - $19
- Student - $19
- Associate - $19
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- Emeritus Member - $29
- Provisional Member - $29
- Fellow Member - $29
- Honorary Member - $29
- CRT Member - $29
Enhancing Access with Direct to Inject Buprenorphine: Evidence and Implementation
Recorded: Thursday, April 23, 2026 to Sunday, April 26, 2026
On-Demand Session
Overview
This 75-minute on-demand session from the ASAM 57th Annual Conference addresses direct-to-inject extended-release buprenorphine implementation, covering evidence, diverse healthcare settings, and practice-specific planning strategies.
Explore the latest evidence and practical implementation strategies for Direct-to-Inject extended-release buprenorphine, an innovative approach that eliminates traditional barriers to treatment initiation. This presentation synthesizes emerging research from emergency departments, inpatient settings, community clinics, and street medicine while providing actionable guidance for clinicians seeking to expand access to medications for opioid use disorder in their practice environments. Attendees will gain concrete knowledge to inform program development and clinical decision-making.
The target audience for this Intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, and students.
This session addresses the following ACGME Competencies: Medical Knowledge, Practice-based Learning and Improvement.
This session addresses the following IPEC Competencies: Roles and Responsibilities, Teams and Teamwork.
Learning Objectives
Upon completion, learners will be able to:
- Describe the current evidence supporting Direct-to-Inject extended-release buprenorphine including safety profile, patient outcomes, and treatment retention data.
- Compare implementation models for DTI buprenorphine across diverse healthcare settings including emergency departments, inpatient units, community clinics, and street medicine programs.
- Formulate an implementation approach for DTI buprenorphine appropriate to their specific practice setting and patient population.
Registration Rates
| Rate Description | Rate |
| 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 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 e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Registration Open: 05/25/2026 - 04/25/2029
User Access Closed: 05/25/2029
Course Instructions
- Click on the Contents tab to watch the on-demand recording.
- Click Complete Post Test to answer multiple choice questions. You will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
- 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.
- 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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Josh Luftig, PA-C
Co-founder, Director
Bridge | CA Bridge | Alameda Health System | Highland Hospital
Josh Luftig, PA-C, has over 20 years of experience in Emergency Medicine, is a co-founder of CA Bridge, and serves as Director of Harm Reduction and National Implementation Leader. He is a nationally recognized expert in hospital and ED-based addiction treatment (MAT), naloxone distribution, and harm reduction, and is a regular speaker at local and national conferences.
Josh is a co-creator of the CA Bridge Model for EDs and hospitals: rapid initiation of evidence-based addiction treatment paired with peer navigation. Since the program's launch in 2018, Josh has co-led a 67-fold program expansion, growing from a 4-hospital pilot to over 270 hospitals as of 2023, covering the majority of hospitals in California; and now expanding to 11 additional states.
He co-established one of the nation’s largest ED-based MAT initiation programs at Highland Hospital in Oakland, CA, and co-developed a novel high-dose rapid buprenorphine induction protocol that was published in JAMA and widely adopted as a standard for EDs. He also created one of the first high-volume, low-threshold ED-based naloxone distribution programs, resulting in a 65-fold increase in the naloxone provisioning rate. Under his leadership, the statewide naloxone program saw a 162-fold expansion, from just one hospital in 2019 to 199 hospitals in 2023. As of Q4 2023, this initiative has provided 200,120 naloxone kits to EDs for free distribution, making it the largest ED-based distribution project in the country.
Arianna Sampson, PA-C
Lead APP, Director, CA Bridge, USACS
Arianna is an Emergency Department PA with more than 20 years of clinical experience. She is an ED PA Lead for US Acute Care Solutions at Marshall Medical Center in Placerville, California. She has been involved in developing programs to initiate high quality, evidence based treatment for addiction in the ED and hospital setting since 2017. She is currently serving as Director for California Bridge Program. She is passionate about creating and innovating the ED and hospital as an open door for patients with Substance Use Disorders to receive life saving treatment.
Andrew Herring
MD
Dr. Andrew Herring graduated from Harvard Medical School and completed his residency in emergency medicine at Highland Hospital—Alameda Health System (AHS) in Oakland, CA where he continues as an attending emergency physician and Director of Research. He is the AHS Medical Director of Substance Use Disorder Treatment and the past Medical Director of the AHS Functional Restoration Pain Clinic. Dr Herring has led national efforts to transform hospital-based care for substance use disorders and his work has been featured in local and national press including the New York Times, Los Angeles Times, and National Public Radio. Dr. Herring co-founded and is a PI at CA BRIDGE, one of largest state-level efforts to promote access to medication for opioid use disorder in the hospital settings. Dr. Herring’s research has been funded by the National Institutes of Health (NIH), the Patient-Centered Outcomes Research Institute (PCORI) and has been published in numerous journals including JAMA Open and Annals of Emergency Medicine; his work focuses on treatment of substance use disorders and pain management. He is a lead investigator for NIDA funded studies. Dr. Herring is board-certified in Emergency Medicine, Addiction Medicine, and Pain Medicine and is a Volunteer Assistant Clinical Professor at the University of California, San Francisco.
No relevant financial relationships
Accreditation & Credit Designation Statements
Joint Accreditation Statement
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.
Physicians
The American Society of Addiction Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity awards 1.25 Nursing contact hours.
Pharmacology Hours
This activity has 0.75 hour(s) that satisfy the requirements for NP and PA Pharmacology Hours.
PAs
ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1.25 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.25 AAPA Category 1 CME credits. Approval is valid until 05/25/2029. PAs should only claim credit commensurate with the extent of their participation.
Social Workers
As a Jointly Accredited Organization, ASAM is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.
IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credits for learning and change.
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.
Other Professions - Continuing Education Credits (CEUs)
Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.
Maintenance of Certification (MOC) or Continuing Certification Programs (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, ABIM, ABP and ABS. By completing the online credit claim and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.
American Board of Anesthesiology (ABA)
This activity offers up to 1.25 CME credits, of which 1.25 credits contribute the patient safety CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.
Maintenance of Certification in Anesthesiology® and MOCA® are registered certification marks of the American Board of Anesthesiology®
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 1.25 Medical Knowledge MOC points and patient safety MOC credit 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 credit.
American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
American Board of Preventive Medicine (ABPM)
This activity has been designed to satisfy the Lifelong Professional Development requirements of The American Board of Preventive Medicine’s Continuing Certification (CCP) requirements. These credits are not reported directly to ABPM. Please save your certificate for your records.
American Board of Psychiatry and Neurology (ABPN)
This activity has been designed to satisfy the CME requirements of the American Board of Psychiatry and Neurology’s Continuing Certification (CC) requirements. These credits are not reported directly to ABPN. Please save your certificate for your records.
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 requirement 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.
Royal College of Physicians and Surgeons of Canada (RCPSC)
The Royal College of Physicians and Surgeons of Canada will recognize activities registered for CME for MOC as meeting the requirements for Royal College MOC Program Section 3 (Self-Assessment Programs) credits. Visit CME that Counts for Royal College MOC for more information.
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. Click here to view the full disclosure listing.
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