Extended-Release Buprenorphine: Pearls, Protocols and Possibilities from 3000 Injections

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Extended-Release Buprenorphine: Pearls, Protocols and Possibilities from 3000 Injections

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 describes advantages and barriers to utilizing extended-release buprenorphine rather than sublingual formulations in patients with opioid use disorder.

Utilizing extended-release buprenorphine can have advantages over sublingual, such as improved adherence and less diversion. Some providers may be hesitant to use extended-release buprenorphine due to lack of training or comfort with the process. This session provides a reivew of the unique pharmacologic properties of extended-release buprenorphine, logistical issues obtaining the medication, administration tips, common patient concerns such as getting ?too much? or ?too little? medication, injection site complications, utilizing blood levels, and limited sublingual buprenorphine supplementation. Additionally, discussion will include novel dosing protocols, use in specific populations, weaning, and social/logistical challenges that may arise with using extended-release buprenorphine.

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 and Procedural Skills, Medical Knowledge, System Based Practice.

Learning Objectives

Upon completion, learners will be able to:

  1. List the unique pharmacologic properties of extended-release buprenorphine
  2. Manage common patient concerns such as getting ?too much? or ?too little? medication, and injection site complications
  3. Apply "tricks of the trade", including utilizing blood levels, appropriate limited sublingual buprenorphine supplementation, and novel dosing protocols

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

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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Lee Radosh

MD, FAAFP

Lee Radosh, MD, FAAFP, is the Medical Director of Reading Hospital’s Center of Excellence for Opioid Use Disorder, and practices Addiction Medicine in Tower Health Medical Group in Reading, Pennsylvania. He earned a BA in communications from the University of Pennsylvania, then his MD at the Temple University School of Medicine. He completed a family medicine residency at Lancaster General Hospital in Pennsylvania, and a faculty development fellowship at Michigan State University. He became faculty at the Reading Hospital Family Medicine Residency in 2000 and served as program director from 2011 until 2017. He is credentialed through the National Institute of Program Director Development and is a Fellow of the American Academy of Family Physicians. From 2017-2019, while serving as part-time family medicine faculty, he completed the Caron Treatment Centers Addiction Medicine Fellowship in Wernersville, Pennsylvania, and in 2019 joined the section of Addiction Medicine at Reading Hospital of Tower Health System.

Dr. Radosh holds clinical appointments at several medical schools including Penn State University (Hershey), Jefferson, Drexel and Temple. He is faculty of the Caron Treatment Centers Fellowship. He has presented at numerous local, state and national conferences on such topics as quality improvement, patient centered medical home, chronic pain, addictions and chronic opioid management. In addition to educating professionals, he speaks before lay audiences and has extensive media experience and appearances. Dr. Radosh is also active on hospital, state and regional task forces, committees and collaboratives. He had embraced the full scope of family medicine, from delivering babies to inpatient medicine, but now focuses on addiction medicine and chronic pain, including clinical, teaching, research and administrative responsibilities. Dr. Radosh is board-certified in Family Medicine and Addiction Medicine.

His most important roles, however, are as husband to Jodi, a university professor, and as father to two teenage daughters.

Sahithi Gosala

MD, FASAM

Sahithi Gosala, M.D, FASAM, is a board certified physician in internal medicine and addiction medicine working for Reading Hospital. She received her undergraduate degree from Drexel University and is a graduate of Drexel University College of Medicine. She completed her internal medicine residency training at Penn State Health Milton S. Hershey Medical Center. Dr. Gosala graduated from an addiction medicine fellowship at Caron Treatment Centers in 2018. She has been with Tower Health Medical Group as a full-time addiction medicine physician since October 2018. She sees patients in a variety of settings – both inpatient and outpatient. There is a 24/7 addiction medicine consult service at Reading Hospital which sees patients with any substance use disorder. She regularly works with residents, fellows, and other physicians to educate them on MAT.

William Santoro

MD

Since 2014 William Santoro, MD has been Chief, Section of Addiction Medicine, Reading Hospital Department of Family & Community Medicine, Tower Health System. He did his Family Medicine Internship and Residency at the Reading Hospital and Medical Center, West Reading, PA. In 1989 he became ASAM certified and in 2009 he became a Diplomate of the American Board of Addiction Medicine.

Dr. Santoro had been the Medical Director at Reading Hospital Drug and Alcohol Program for the Center of Mental Health from 1988 until its closing in 2020. He has served as the Medical Director to New Directions Treatment Services, a methadone maintenance program since 1999. He was the Associate Medical Director at the Caron Foundation from 1994 until 2002. He has served as a faculty to the Caron Fellowship since its inception and is on the faculty of the Drexel School of Medicine.

Dr. Santoro received the Berks County Medical Society Community Service Award in 1997; the Jasper G. Chen See Medical Professional Award for work in Addiction in 1997; the William J. Schofield III Award for work in Addiction in 2006; the Jacob Albright Award for Community Service in 2012; the Counsel on Chemical Abuse Professional Service Award in 2015; and the William Alexander Service Award in 2017.

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
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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.