Ketamine to Facilitate Transition from Fentanyl to Buprenorphine: Theory and Application
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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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Ketamine to Facilitate Transition from Fentanyl to Buprenorphine: Theory and Application
Recorded: Thursday, April 13, 2023 to Sunday, April 16, 2023
On-Demand Session
Overview
This 75-minute on-demand session from the ASAM 54th Annual Conference addresses the use of ketamine to treat and/or prevent buprenorphine-precipitated opioid withdrawal in the emergency department and outpatient settings.
Patients using fentanyl may be apprehensive about starting buprenorphine treatment due to risk of severe buprenorphine-precipitated opioid withdrawal (BPOW). Ketamine is an inexpensive medication with a long safety record as an FDA-approved anesthetic, and is used routinely to treat BPOW in the Emergency Department of Highland Hospital in Oakland, California. This session will describe use of ketamine to prevent and treat BPOW in the ambulatory setting, and is intended to motivate participants to implement it in their clinical setting.
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
This session addresses the following IOM Competencies:Provide patient-centered care
Learning Objectives
Upon completion, learners will be able to:
- Describe the historical use of ketamine in anesthesia and off-label applications
- Discuss the strategies and observations of clinical providers offering ketamine to treat and/or prevent buprenorphine-precipitated opioid withdrawal in the emergency department and outpatient settings
- List potential barriers to implementation of a program to provide ketamine to treat and/or prevent buprenorphine-precipitated opioid withdrawal, and potential strategies to overcome those barriers
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 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: 05/15/2026
Session Instructions
- Click on the Contents tab to watch the on-demand recording.
- Click Complete Post Test to answer multiple choice questions. Participants 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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Dr. Lucinda A. Grande, MD
Medical Director, Olympia Bupe Clinic at Capital Recovery Center
Lucinda Grande, MD is a founder and the Medical Director of the Olympia Bupe Clinic at Capital Recovery Center which opened in Olympia, Washington in January 2019. She is also a partner at Pioneer Family Practice in Lacey, Washington, where she practices primary care with a special interest in treatment of opioid use disorder and chronic pain. Her medical degree is from the University of Washington School of Medicine in Seattle. She completed her family medicine residency at St. Peter Family Medicine in Olympia, Washington. She advocates to improve access to opioid treatment medication in high needs populations including those in correctional institutions and hospitals, and also for patients who depend on prescribed opioid medications to manage chronic pain. Dr. Grande is a Clinical Assistant Professor in the University of Washington Department of Family Medicine. Her clinical research addresses the low-barrier model of buprenorphine access and the use of buprenorphine and sublingual ketamine for treatment of chronic pain. The Olympia Bupe Clinic is a recipient of a State Opioid Response grant from the Washington State Health Care Authority and is a Medicaid Transformation Demonstration partner of the Cascade Pacific Action Alliance.
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Tom Hutch, MD
Medical Director
We Care Daily Clinics
Tom Hutch, MD, FASAM is the medical director of We Care Daily Clinics, an opioid treatment program in Auburn, Washington, with mobile medication units serving Seattle and the Puget Sound region. He completed his medical training in Family Medicine at Swedish Medical Center – First Hill in Seattle, where he then taught residents as a faculty physician before working to address systemic causes of behavioral health disorders and addiction in community health centers and as a county jail physician with Public Health – Seattle & King County. Dr. Hutch is a clinical instructor in the University of Washington Department of Family Medicine and works with the Washington Health Care Authority to expand hepatitis C treatment access.
Andrew Herring, MD
Medical Director, Substance Use Disorder Program
Highland Hospital—Alameda Health System
Andrew is an Attending Emergency Physician and Associate Director of Research at Highland Hospital-Alameda Health System in Oakland, as well as Medical Director of the hospital’s substance use disorder treatment program and Attending Physician at its interdisciplinary pain medicine program. His current research focuses on emergency department treatment of opioid use disorders and pain management. Andrew is an assistant clinical professor at the University of California, San Francisco. He conducted health policy research as a Fulbright Scholar in Central America. He is board-certified in emergency medicine, addiction medicine, and pain medicine. Andrew graduated from Harvard Medical School and completed residency in emergency medicine at Highland Hospital.
CME, CE, CEU and Other Credit Types
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 1.25 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 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-20-330-1224.
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 / Continuing Certification Program
American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for 1.25 credits 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 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 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 1.25 Medical Knowledge MOC points 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) for Tmoc as credits towards ABAM LLSA Part II 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/CE 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 Presenters have disclosed relevant financial relationship information. The ASAM CE 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.
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