Recovering Through the End: Managing Addiction in Hospice and Palliative Care (1.5 CME)

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(1.5 CME) In this conference recording from the 2019 Annual Conference, you will learn:

Individuals with opioid use disorder and other addictions have a high mortality rate, not only from causes directly related to their use, but also from heart disease, cancer, and COPD, among other illnesses.   Patients with addiction who develop advanced cancer and other serious diseases may be less able to participate in treatments for their addiction, and often develop pain that prompts opioid prescribing.  However, with medical advances, the “dying” phase has become longer. Patients with serious illness may live months and years longer than they might have 20 to 30 years ago.  The combination of unlimited opioid prescribing and decreased participation in addiction treatment as individuals get sicker often creates chaos among patients and families and distress for medical providers. This session, led by a physician who is board certified in both hospice and palliative medicine and addiction medicine, will review the epidemiology of substance use disorder among patients with serious illness, and describe existing models of care for individuals with serious illness, including palliative care and hospice.  Through clinical cases, we will discuss the rationale for continuing addiction treatment in patients with serious illness, and we will learn of models for collaborating with hospice and palliative medicine providers in the care of this population.   



Learning Objectives:

1.) Upon completion, participants will be able to describe the importance of addressing addiction in individuals with serious illness.  
2.) Upon completion, participants will be able to describe services provided by hospice and palliative care in the United States.
3.) Upon completion, participants will be able to collaborate with hospice and palliative medicine care providers in the care of individuals with addiction and serious illness.  



Julie Childers

MD

Julie Childers, MD, is a board certified physician in hospice and palliative medicine and a medical educator at the University of Pittsburgh.      In 2010, while continuing to practice in inpatient palliative medicine, she founded an outpatient opioid use disorder clinic, where she continues to see patients one half day a week.    In 2018, she became board certified in Addiction Medicine through the American Board of Preventative Medicine. She is a member of the Motivational Interviewing Network of Trainers and has developed MI curricula for medical students, residents, fellows, and practicing physicians.  She is regularly asked to speak nationally and locally to palliative care professionals on managing pain in patients with opioid use disorder and addiction.  Her research interests include the overlap between pain and addiction, particularly in individuals with serious illness who are receiving palliative care.    

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 1.5 AMA PRA Category 1 Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABPM Maintenance of Certification (MOC)

The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1.5 LLSA credits towards ABPM MOC Part II requirements.

ABAM Transitional Maintenance of Certification (tMOC)

This course has been approved by the American Board of Addiction Medicine (ABAM). Physicians enrolled in the ABAM Transitional Maintenance of Certification Program (tMOC) can apply a maximum of 1.5 AMA PRA Category 1 Credit(s)™ for completing this course.

ABIM Maintenance of Certification (MOC)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 1.5 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 credit.

Key:

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Session Recording
Open to view video.
Open to view video. This session was recorded on 4/6/19 in Orlando, FL
CME Quiz
3 Questions  |  10 attempts  |  2/3 points to pass
3 Questions  |  10 attempts  |  2/3 points to pass Complete the quiz to claim CME.
CME Evaluation
15 Questions
15 Questions Please complete the evaluation to claim CME.
CME Credit and Certificate
Up to 1.50 medical credits available  |  Certificate available
Up to 1.50 medical credits available  |  Certificate available 1.5 AMA PRA Category 1 Credits