Hot Takes: Smoking Practices and Emerging Risks Amid Stimulants, Fentanyl, and Torches
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Register
- Non-Member - $39
- Regular Member - $29
- Retired - $29
- Early Career Physician - $29
- Resident - $19
- Student - $19
- Associate - $19
- ASAM Staff - Free!
- International Member - $29
- Emeritus Member - $29
- Provisional Member - $29
- Fellow Member - $29
- Honorary Member - $29
- CRT Member - $29
Hot Takes: Smoking Practices and Emerging Risks Amid Stimulants, Fentanyl, and Torches
Recorded: Thursday, April 23, 2026 to Sunday, April 26, 2026
On-Demand Session
Overview
This 60-minute on-demand session from the ASAM 57th Annual Conference addresses drug smoking practices and health risks, including safe handling techniques and harm reduction interventions for clinical settings.
As smoking surpasses injection as the most common route of fatal overdose, clinicians and community providers should understand the emerging risks and harm reduction needs of people who smoke drugs. This interactive workshop explores evolving smoking practices, related health harms, and effective risk mitigation strategies. Participants will engage in hands-on demonstrations and discussions led by clinicians, researchers, and people with lived experience to inform safer smoking interventions and improve care across diverse settings.
The target audience for this Introductory level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, and students.
This session addresses the following ACGME Competencies: Patient Care and Procedural Skills, Medical Knowledge, Interpersonal and Communication Skills.
This session addresses the following IPEC Competencies: Roles and Responsibilities, Communication.
Learning Objectives
Upon completion, learners will be able to:
- Describe current trends in drug smoking practices and associated health risks, including burns, pulmonary disease, and overdose.
- Demonstrate safe handling techniques for smoking devices (e.g. dabbers, pipes) and heat sources (e.g. torches), and apply communication strategies for engaging clients who smoke drugs.
- Identify evidence-based harm reduction interventions and opportunities to integrate safer smoking practices into clinical and community programs.
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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Honora Englander
MD
Dr. Honora Englander is an Associate Professor of Medicine at in the Division of Hospital Medicine. She completed her BA in Biology at Williams College and her medical degree at University of Massachusetts Medical School. She completed her internship and residency at OHSU in 2006, and joined the faculty at OHSU in 2007. Dr Englander is the co-founder and Director of the nationally recognized Care Transitions Innovation – or C-TRAIN –a hospital-to-home improvement program for uninsured and publicly insured adults at OHSU and that she has spread to three area hospitals through a $17.3M grant from the Center for Medicare and Medicaid Innovations. Her work leading C-TRAIN served as a springboard for healthcare transformation, and led to the development of the Improving Addiction Care Team (IMPACT) at OHSU. IMPACT includes an inpatient addiction medicine consult service and rapid-access pathways to community addiction care. Dr Englander has published her work in JAMA, Annals of Internal Medicine, Journal of Hospital Medicine, and Journal of General Internal Medicine. She sees patients and teaches on the OHSU Medicine wards and at Central City Concern's Old Town Clinic. She is Board Certified in Internal Medicine and Addiction Medicine.
Elizabeth M. Salisbury-Afshar
MD, MPH, FAAFP, FACPM, DFASAM
Elizabeth Salisbury-Afshar, MD, MPH, is a Professor at the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin. She specializes in family medicine, preventive medicine/public health, and addiction medicine. She is core faculty for the Addiction Medicine Fellowship, providing inpatient and outpatient care at a low barrier walk-in clinic for people who use substances. Dr. Salisbury-Afshar focuses on expanding access to evidence-based addiction treatment and harm reduction services.
Previously, she served as Medical Director at Behavioral Health Systems Baltimore and the Chicago Department of Public Health, and as Director at the Center for Addiction Research and Effective Solutions at the American Institutes for Research. She also served as Medical Director at Heartland Alliance Health, a Chicago-based provider for the homeless.
No relevant financial disclosures.
James Duffy
Founding Director
Smoke Works
William Eger, PhD(c), MPH
PhD Candidate
UC San Diego
Alexander Y. Walley, MD, MSc
Professor of Medicine at Boston University Chobanian & Avedisian School of Medicine, HIV primary care physician and addiction specialist at Boston Medical Center
Alexander Y. Walley, M.D., M.Sc., (he/him/his) is Professor of Medicine at Boston University Chobanian & Avedisian School of Medicine and HIV primary care physician and addiction specialist at Boston Medical Center whose research is focused on overdose prevention. He is the director of the Clinical Addiction Research and Education Unit. He is past president of the American College of Academic Addiction Medicine. He was a founding director of the Grayken Addiction Medicine Fellowship Program at Boston Medical Center from 2011-2022. With colleagues, he founded Boston Medical Center’s inpatient addiction consult service and walk-in substance use care bridge clinic. He serves as the medical director for the Massachusetts Department of Public Health’s Bureau of Substance Addiction Services, the Overdose Prevention Program, and the SafeSpot Overdose Prevention Hotline.
No relevant financial disclosures.
Michael Incze, MD, MSEd
Associate Professor
University of Utah
Kayla Houston, BS
Alcohol and Other Drug Outreach Worker
Father Joe's Villages
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 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 Nursing contact hours.
PAs
ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1 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 general continuing education credits.
IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1 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 CME credits, of which 1 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 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 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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