Evaluation and Treatment of Opioid Use Disorders in Remote Areas with Telemedicine

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ASAM Virtual 2021

Evaluation and Treatment of Opioid Use Disorders in Remote Areas with Telemedicine

Recorded: Thursday, April 22, 2021 - Saturday, April 24, 2021
On-Demand Session

Overview

This 1-hour on-demand session from ASAM Virtual 2021 addresses the expansion of telemedicine in remote areas and the challenges and solutions experienced in serving remote veteran and American Indian patients with opioid use disorders.

 The epidemic of COVID-19 has brought many challenges to the evaluation and treatment of opioid use disorders and chronic pain syndrome. Rural communities have experienced an exacerbation of provider and pain treatment shortfalls, complicating the provision of services and maintaining engagement. Telemedicine expansion has provided opportunities and new challenges in the evaluation, treatment and documentation of opioid use disorder treatment. We will emphasize challenges and solutions experienced in serving remote veteran and American Indian patients with opioid use disorders. The strict adherence to the CDC 2016 Guidelines for Opioid Use in Chronic Pain has been associated with a 60% decrease in prescribed opioids yet the Veteran's Administration have observed increases in overdose deaths and suicides in patients who have had their opioids terminated.

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: Patient Care, Practice-Based Improvement, Interpersonal Skills, Systems Based Practice.

Learning Objectives

Upon completion, learners will be able to:

  1. To recognize clinical challenges in COVID related settings for diagnosis and treatment of Opioid Use Disorders (OUD)
  2. To discuss the clinical challenges that COVID has brought to patients burdened with Opioid Use Disorders and the clinical staff providing services
  3. To implement Medications used for Addiction Treatment (MAT) via telemedicine with the new rules of engagement

Fees

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: 04/30/2024

Course Instructions

  1. Click the "Contents" tab and select "View On-Demand Recording".  After viewing the entire video, return to the Contents tab.
  2. Click "Complete Post Test" to answer quiz questions. You will have 10 attempts and must get at least 2 out of 3 questions correct. After completing the quiz, return to the Contents tab. 
  3. Click "Complete Evaluation" to answer evaluation questions. Scroll down on all questions, there are answers that expand past the size of the window. 
  4. Click the button “Claim 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. If you ever lose your certificate, you can come back to the ASAM e-Learning Center and view it on your transcript (found in the Dashboard).

Need Assistance?

If you have are experiencing any log in issues, cannot access a course, need assistance claiming credit, or have other questions or concerns, please e-mail Education@asam.org for assistance.

For learners who may have difficulty typing, moving a mouse or reading, Essential Accessibility is an application available for use to assist.

Anthony H. Dekker

DO

Anthony H. Dekker, DO is an addiction and pain specialist in the Gallup Indian Medical Center, Indian Health Service. He was previously at the Northern Arizona VA Healthcare System(2015-2020) and with the DoD at the Fort Belvoir Community Hospital (2010-2015) specializing in Addiction Medicine. Born and raised in Western Michigan he graduated from Hope College in Holland Michigan. He completed his Osteopathic education at Michigan State University in 1978. He completed his internship and family medicine residency at the Chicago College of Osteopathic Medicine and an Adolescent and Young Adult Medicine fellowship at Rush-Presbyterian-St Lukes Medical Center in Chicago. As a Public Health Service Scholar he served Chicago's South Side for fourteen years. He was Professor and Chair of Family Medicine at the Kansas City University of Medicine and Biosciences and Clinical Associate Professor at the University of Kansas Medical Center and the University of Missouri-Kansas City (Childrens Mercy Hospital) during his four years in Kansas City. Dr. Dekker is board certified in Family Practice and Osteopathic Manipulative Treatment, Adolescent and Young Adult Medicine, Addiction Medicine and Pain Medicine. He is a Fellow in numerous professional societies. As a member of the healthcare team at the Gallup Indian Medical Center, he is dedicated to the Mission of providing the highest quality care to American Indians. His areas of expertise include addiction medicine, chronic pain syndromes, Palliative Care, infomatics, high risk youth, domestic violence and behavioral health. He has been the Chief Clinical Consultant in Addiction Medicine and Chronic Pain for the Indian Health Service, US Public Health Service and has served on several national panels addressing substance abuse and chronic pain in America. Currently he is a clinical professor at the ATSU-SOM and the Burrell School of Osteopathic Medicine.

Patricia A. Roe

PsyD, PMHNP-BC

Patricia Anne Roe, Psy.D. PMHNP-BC, LISAC is dedicated to improving the quality of life and mental health of her community, patients and their families.  Dr. Roe is a licensed psychologist in the states of Arizona, Missouri, Illinois and Michigan. She earned her Doctorate in Clinical Psychology in 1990 from the APA-accredited program at the Chicago School of Professional Psychology. Her diagnostic practicum was at the Institute of Juvenile Research, University of Illinois and her therapeutic practicum was at the Family Institute, Northwestern University.  Her APA approved internship was at the Michael Reese Hospital and Medical Center in Child and Family Clinical Psychology.  Dr Roe also completed her BSN and MSN at the University of Michigan.  She is a board certified (ANCC) Child and Family Psychiatric Nurse Practitioner. Dr. Roe’s clinical experience in the mental health field includes a fifteen years as a USPHS scholar on the Southside of Chicago emphasizing care of children and families victims of trauma.  She has served in the Indian Health Service for twelve years and in the Department of Defense as he lead psychologist on the inpatient psychiatric unit at the Fort Belvoir Community Hospital for active duty and dependents. 

Dr. Roe conducts various evaluations including psychological, substance use disorders, and risk assessments. Dr. Roe conducts general psychological evaluations privately and for Family Court. She volunteers in the care of spouses and partners of veterans and members of American Indian tribes.

She has training and experience related to victims of trauma, including military sexual abuse and victimology, general psychological evaluations, families, adolescents and children with behavior problems, and various therapeutic interventions such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, End of Life care, and substance related issues. 

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.

American Academy of Physician Assistants
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credits. Approval is valid from 5/26/2021 to 5/26/2022. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-202755.

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 Virtual.2021 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.

CME Committee, Program Planning Committee, and Faculty 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, 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.

To view all disclosures click here. 

Key:

Complete
Failed
Available
Locked
View On-Demand Recording
Open to view video.
Open to view video. Video is approximately 60 minutes long. Recorded on 4/22/2021.
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 test.
Complete Evaluation
15 Questions
15 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.