The ASAM Pain & Addiction: Common Threads XIX 2018 (8 CME)

OVERVIEW
The ASAM Pain & Addiction: Common Threads Course is one of ASAM’s longest running and most popular courses. This course is designed to develop learners’ clinical skills and improve treatment of patients who fall somewhere in the gray area around pain and addiction. This course is designed for those in the addiction medicine field who already have some experience with pain and addiction.  

This year’s course will address some of the most common barriers and challenges standing in the way of effective treatment and provide learners with skills or resources to immediately use in their practices. Presenters will address challenges such as appropriately assessing, diagnosing or treating patients (particularly those with psychiatric co-morbidities). Inaccurate diagnosis or referral can hinder treatment progress and impact patient trust in their health care providers. Presenters will also address complex, challenging patient cases such as patients on high doses of opioids or sedatives, patients with nicotine dependence, special patient populations, and many others. Lastly, presenters will review components of strong integrated practice settings and provide resources for learners to use in their own clinical practices. Many presentations will have a non-didactive component allowing participants to either self-reflect, review challenging cases, or engage with the presenters.

LEARNING OBJECTIVES

Upon completion, participants should be able to: 
1. Distinguish between physiological dependence, substance use disorder, misuse, tolerance, and nonadherence in the context of pain.
2. Use physical exams, functional assessments, screening tools, collateral information, and other tools in a clinical setting.
3. Describe the interaction between pain, pain medication, addiction, and the patient’s emotional or psychological state. 
4. Make appropriate treatment decisions for patients with pain, addiction, and psychiatric comorbidities.
5. Explain the impacts of nicotine on pain treatment and develop methods for addressing nicotine use with patients.
6. Manage the complex treatment needs of pregnant populations with pain and/or addiction.
7. Direct or implement the medical management of withdrawal from opioids and other drugs.
8. Evaluate the recent literature on benefits and limitations medication assisted treatment.
9. Assess various practice models and create a plan for developing an integrated pain and addiction practice.

  • Evaluation and Certificate - Pain & Addiction Course 2018

    Contains 2 Component(s), Medical Credits Offered

    CME Evaluation for the ASAM Pain & Addiction Course 2018

    Complete the course evaluation first and then claim credits. Attendees should claim only the credit commensurate with the extent of their participation in the activity.

  • Expert Use of Terminology in the Treatment of Addiction and Pain (1 CME)

    Contains 4 Component(s), Medical Credits Offered Recorded On: 04/12/2018

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning the importance of appropriate terminology from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (1 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn about commonly misused terminology and stigmatizing language. Terminology matters and affects how patients, other providers, and the public perceive pain & addiction treatment. 

    R. Corey Waller

    MD, MS, DFASAM

    R. Corey Waller, MD, MS, FACEP, DFASAM, is an addiction, pain and emergency medicine specialist. Dr. Waller earned his bachelor's degree in biology and his master's degree in neuromolecular biology at Southwest Texas State University in San Marcos, Texas. He earned his medical degree at University of Texas Medical School in San Antonio. Dr. Waller completed his emergency medicine residency at Thomas Jefferson University in Philadelphia. He is board certified and fellowship trained in addiction medicine.

    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 Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Performing a Skillful Physical Exam in A Patient with Pain (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning to perform a skillful physical exam from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn general principals for examining patients with pain, common pain behaviors, how to examine the region of pain, pain exam inconsistencies, and signs suggestive of addiction.

    Michael F. Weaver

    MD, DFASAM

    Dr. Michael Weaver is Professor of Psychiatry and Medical Director of the Center for Neurobehavioral Research on Addiction at The University of Texas McGovern Medical School at Houston. He completed a Residency in Internal Medicine and a Clinical Research Fellowship in Addiction Medicine at Virginia Commonwealth University. He is involved in patient care, medical education, and research. Dr. Weaver has multiple publications in the field of addiction medicine. He treats patients at the Innovations Addiction Treatment Clinic at the Texas Medical Center in Houston, which provides medication-assisted treatment. He is the Sub-Board Chair for Addiction Medicine for the American Board of Preventive Medicine.  He is a member of the ASAM Publications Council and on the Editorial Board for the Journal of Addiction Medicine.

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

  • Multidimensional Analysis: Pain, Addiction and Psychological Comorbidity (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning to identify psychological dimensions of your patient's pain for from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn how to identify psychological dimensions of your patient's pain. Learners will also review the uses and limitations of screening tools, assessments, PDMPs, and urine drug testing in an effort to better understand your patient.

    Penelope Ziegler

    MD, DFASAM

    Penelope P. Ziegler, M.D., DFASAM is Medical Director Emerita of Professionals Resource Network, Inc. (PRN), Florida’s program for healthcare practitioners with substance use disorders, psychiatric illness and other potentially impairing conditions. She served as Medical Director and CEO of this program from July, 2013 through her retirement in February, 2017.  Previously she directed state healthcare professionals advocacy and monitoring programs in Virginia and Pennsylvania, and has been medical director of several addiction treatment programs. Currently she is the volunteer Medical Director of Nassau Alcohol Crime Drug Abatement Coalition (NACDAC) (Nassau County, Florida’s community coalition engaged in addressing the opioid epidemic). Dr. Ziegler is Board-certified in General and Addiction Psychiatry and in Addiction Medicine.  She is a Distinguished Life Fellow of the American Psychiatric Association. She serves on the Boards of Directors of the Federation of State Physician Health Programs and the Florida Society of Addiction Medicine.

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

  • Multidimensional Treatment: Pain, Addiction and Psychological Comorbidity (1 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning to treat psychological dimensions of your patient's pain for from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (1 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn how to treat psychological dimensions of your patient's pain. Pain is a primal and essential warning system that has a complex interrelationship with mood and substance use disorders. People with pain, addiction, and mental health issues benefit from an integrated bio-psycho-social-spiritual approach for effective treatment. In this session, treatment challenges will be reviewed, including opioid-induced hyperalgesia, withdrawal-associated injury site pain and autonomic hyper-arousal with pain, addiction, and anxiety states. This talk will outline a range of treatments for these complex patients through case examples and literature review. Pharmacological and non-pharmacological therapies will be reviewed including the following: Pain medications (e.g. NSAIDs, TCAs, SNRIs, neuromodulators, opioids, cannabinoids); sleep medications (e.g. TCAs, antipsychotics, melatonin, prazosin); modalities (e.g. acupuncture, massage, physiotherapy, prolotherapy); behavioural therapies (e.g. CBT, pain education, Seeking Safety); and popularized offshoots of spiritual traditions such as mindfulness meditation and 12-step for pain. Building rapport with patients to engage in an office based practice , or a multidisciplinary clinic will be addressed. Finally , the importance of practitioner self-care will be emphasized.

    Learning Objectives:

    1. List common goals when treating people with pain, addiction and mood disorders
    2. Evaluate the contribution of pain sensitivity induced by substance use and withdrawal to the overall presentation of pain, anxiety and addictive behavior
    3. Describe to your patients with addiction and mood issues a range of pharmacologic and non-pharmacological treatment options for pain  

    Launette Marie Rieb

    MD, MSc, CCFP, FCFP, DABAM, FASAM

    Dr. Launette Rieb is a Clinical Associate Professor in the Department of Family Practice at the University of British Columbia (UBC), Canada. She is a Family Physician and diplomat of The American Board of Addiction Medicine. She did her graduate work in the area of pain physiology. She completed a postgraduate UBC Clinical Scholar's Program in 2015 and a NIDA sponsored Canadian Addiction Medicine Research Fellowship in 2016 resulting in publication on a newly described opioid pain phenomenon - withdrawal-associated injury-site pain (WISP). She has also published on fentanyl and heroin overdose deaths in BC, as well as on addiction in a variety of marginalized populations. Dr. Rieb is the Medical Director of a multidisciplinary team at OrionHealth (Vancouver Pain Clinic), and works as a consultant for the Rapid Access Addictions Clinic at St. Paul’s Hospital in Vancouver. In addition, she does addiction medicine consultations for The Orchard Recovery Centre, on Bowen Island. Dr. Rieb has taught addiction medicine in the undergraduate and postgraduate medical programs at UBC, and at national and international conferences for 24 years. Dr. Rieb was the co-creator and initial Physician Director of the St. Paul’s Hospital Goldcorp Addiction Medicine Fellowship (now the BC Centre on Substance Use Addiction Medicine Fellowship). She is a member of the Canadian Society of Addiction Medicine’s Education Committee and the College of Family Physician of Canada's Competency Creation Working Group for the Certificate of Added Competency in Addiction Medicine. Dr. Rieb is the past recipient of a UBC Faculty of Medicine Post Graduate Teaching Award. 

    Mel Pohl

    MD, DFASAM

    Mel Pohl, MD, DFASAM is a Board Certified Family Practitioner. He is the Medical Director of Las Vegas Recovery Center (LVRC). Dr. Pohl was a major force in developing LVRCs Chronic Pain Recovery Program. He is certified by the American Board of Addiction Medicine (ABAM), and a Fellow of the American Society of Addiction Medicine (ASAM). Dr. Pohl is a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Nevada School of Medicine. He is a nationally known public speaker and co-author of Pain Recovery: How to Find Balance and Reduce Suffering from Chronic Pain (Central Recovery Press, 2009); Pain Recovery for Families: How to Find Balance When Someone Elses Chronic Pain Becomes Your Problem Too (Central Recovery Press, 2010). Dr. Pohl is the author of A Day without Pain (Central Recovery Press, 2008), which won a silver medal from Independent Publisher Book Award in May 2009. His new book writtten with Kathy Ketcham is The Pain Antidote: The Proven Program to Help You Stop Suffering From Chronic Pain, Avoid Addiction to Painkillers - and Reclaim Your Life (DeCapo). Las Vegas Recovery Center- Salary- Medical Director

    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 Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Pain, Addiction and Nicotine Dependence: Science and Impact (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning the impact of nicotine on chronic pain treatment from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn about the pharmacodynamics of nicotine. Presenters will also address common questions providers have about nicotine such as:

    1. Is nicotine and tobacco dependence associated with chronic pain?
    2. Does smoking alleviate pain in patients with acute or chronic pain? 
    3. Can patients with chronic pain quit smoking? Should smoking cessation be encouraged in chronic pain patients? What strategies may be effective?
    4. Is there a future role for nicotine or a nicotine congener in the treatment of chronic pain? 

    R. Corey Waller

    MD, MS, DFASAM

    R. Corey Waller, MD, MS, FACEP, DFASAM, is an addiction, pain and emergency medicine specialist. Dr. Waller earned his bachelor's degree in biology and his master's degree in neuromolecular biology at Southwest Texas State University in San Marcos, Texas. He earned his medical degree at University of Texas Medical School in San Antonio. Dr. Waller completed his emergency medicine residency at Thomas Jefferson University in Philadelphia. He is board certified and fellowship trained in addiction medicine.

    Terry A. Rustin

    MD, FASAM

    Dr. Rustin provides telemedicine consultations in psychiatry and addiction treatment with JSA Health, and serves as a consultant to industry in developing smoking cessation programs. He served on the faculty of the University of Texas Health Science Center-Houston for more than 20 years, teaching addictions and the clinical assessment of patients to medical and nursing students and psychiatric residents, retiring in 2010. Dr. Rustin has a special interest in nicotine dependence, and has developed a treatment program for nicotine dependence based on addiction-recovery principles. He has written a series of books for clients describing this recovery process, and a companion volume for treatment professionals to assist them in developing such programs. He has also produced a pair of videos on nicotine dependence to supplement these materials. He designed and is currently managing a smoking cessation program for the 25,000 employees of a cruise line company. In 1991, Dr. Rustin directed the transition of the addiction treatment program at the Harris County Psychiatric Center to a smoke-free program. This program successfully integrated the treatment of nicotine dependence into the context of addiction treatment, and has served as a model for programs across the nation. Dr. Rustin shares this experience by providing consultations and training sessions for hospitals and treatment programs planning to go smokefree and to incorporate nicotine dependence treatment into their programs. Dr. Rustin served as Texas Chairman for ASAM for four years; he directed the Review Course in Addiction Medicine from 1988 through 1993 and the Society's 1995 and 1996 National Conference on Nicotine Dependence. He is certified by ABIM, ASAM and by the American Board of Examiners in Psychodrama, Sociometry and Group Psychotherapy. He is a ASAM Fellow and has been listed in “The Best Doctors in America” in Addiction Medicine each year since 1996.

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

  • Special Populations for the Pain and Addiction Expert: Pregnant Women (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning the unique treatment concerns for pregnant with pain and/or addiction from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn about the unique treatment concerns for pregnant with pain and/or addiction. Presenters will discuss clinical challenges such as: tapering/withdrawal during pregnancy, efficacy and safety of MAT, management of labor/delivery/postpartum pain, and neonatal abstinence syndrome.

    Carl Christensen

    MD, PhD, FACOG, CRMO, ABAM

    Associate Professor, Psychiatry and OB Gyn, Wayne State University SOM (RET'D); Medical Director, Addiction Medicine Services, Detroit Med Center, Past President, Mich Society of Addiction Medicine.

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

  • Complexities of Medication Toxicity: Diffusing Extreme Opiate and Sedative Dependency In Medically Unstable Patients (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning biopsychosocial treatment approaches for medically complex patients on extremely high doses of opioids or sedatives from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn how to safely treat medically complex patients on extremely high doses of opioids or sedatives. This practical, case-based session will discuss: identifying treatment priorities, addressing medical and psychiatric issues, and creating a biopsychosocial treatment approach.

    William Jacobs

    MD

    William S. Jacobs, M.D, Associate Professor, Medical College of Georgia. is a national clinical expert, triple board certified in Anesthesiology, Pain Medicine, and Addiction Medicine physician. A Magna Cum Laude University of Georgia undergraduate and graduate of the Medical College of Georgia, Dr. Jacobs did his Anesthesiology Residency at the University of Alabama-Birmingham. He had a 13 year career as a private practitioner in anesthesiology and pain management before matriculating to UF for his Addiction Medicine Fellowship.

    Dr. Jacobs has been a national expert, testifying on Capitol Hill on MDMA and prescription misuse and abuse. He was a medical and scientific Consultant to the US Senate as well as the Department of Labor. Dr Jacobs has also testified and consulted for the DEA on safe prescribing of narcotic drugs and the model of ideal treatment programs. Dr. Jacobs has been the Medical Director of non-profit, profit, and academic chemical dependency and dual diagnosis programs. After his promotion to Associate Professor, he left academia and started NexStep Integrated Pain Care Inc., a model outpatient program for the treatment of patients with both chronic pain and addiction disorders. He returned to the University of Florida full time as Associate Professor in Psychiatry and Addiction Medicine: Co-Chief of Pain Medicine in 2012.

    Dr. Jacobs is the author of peer reviewed scientific papers, abstracts, textbook chapters including the ASAM and APA definitive substance use volumes, and practice guidelines including highly cited studies on mitigating opioid abuse in chronic pain treatment, physician recovery, naltrexone, urine drug testing, and body mass index and alcohol use.

    Dr Jacobs has returned home to Georgia to become the first Chief of Addiction Medicine at The Medical College of Georgia He is also Medical Director of The Bluff Plantation as well as Chief Medical Officer for Georgia Detox & Recovery.

    Mark A. Weiner

    MD, DFASAM

    Dr. Weiner received his undergraduate degree (B.S. Psychology) at the University of Michigan, Ann Arbor. He earned his medical degree at Cornell University Medical College in New York City. He completed his internship and residency in Internal Medicine at Northwestern University McGaw Medical Campus in Chicago, Illinois. He is Board Certified in Internal Medicine and Addiction Medicine. Since 2008, Dr. Weiner has worked at Pain Recovery Solutions in Ann Arbor, Michigan practicing full time Addiction Medicine and Pain Medicine. He is the Section Head of Addiction Medicine at Saint Joseph Mercy Hospital - Ann Arbor. He has participated in planning the ASAM preconfernece, Common Threads: Pain and Addiction, since 2011 and is the current vice chair. He also is a member of the ASAM Annual Meeting planning committee since 2014 and is an editor on the up-and-coming ASAM Pain and Addiction Handbook.

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

  • Current Evidence on Medication-Assisted Treatment Models (.75 CME)

    Contains 3 Component(s), Medical Credits Offered

    Earn .75 AMA PRA Category 1 Credit(s)™ while learning risks and benefits of MAT models from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (.75 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn about the recent studies around the efficacy of MAT and how to apply recent scientific findings into practice.

    Laura Morgan

    PharmD, MEd, BCPS

    Laura Morgan is currently Associate Professor in the Department of Pharmacotherapy and Outcomes Science at Virginia Commonwealth University/Medical College of Virginia. She works as a clinical pharmacist in the Supportive Care Clinic of Massey Cancer Center. She previously worked for 9 years in the Primary Care Pain Clinic in the MCV Physicians Internal Medicine clinic. She has co-authored publications related to using opioid risk screening tools and prescription monitoring programs in practice and unintentional prescription opioid overdose. 

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

  • Bringing This All Together: What A Functional Addiction and Pain Practice Can Look Like (1.5 CME)

    Contains 5 Component(s), Medical Credits Offered Recorded On: 04/12/2018

    Earn 1.5 AMA PRA Category 1 Credit(s)™ while learning how to create a functional integrated practice from this conference recording from The ASAM Pain & Addiction: Common Threads XIX Course.

    (1.5 CME) In this conference recording from the 2018 Pain & Addiction: Common Threads Course, you will learn how to create a functional integrated pain and addiction practice. This session also includes questions and answers with the audience.

    Mark A. Weiner

    MD, DFASAM

    Dr. Weiner received his undergraduate degree (B.S. Psychology) at the University of Michigan, Ann Arbor. He earned his medical degree at Cornell University Medical College in New York City. He completed his internship and residency in Internal Medicine at Northwestern University McGaw Medical Campus in Chicago, Illinois. He is Board Certified in Internal Medicine and Addiction Medicine. Since 2008, Dr. Weiner has worked at Pain Recovery Solutions in Ann Arbor, Michigan practicing full time Addiction Medicine and Pain Medicine. He is the Section Head of Addiction Medicine at Saint Joseph Mercy Hospital - Ann Arbor. He has participated in planning the ASAM preconfernece, Common Threads: Pain and Addiction, since 2011 and is the current vice chair. He also is a member of the ASAM Annual Meeting planning committee since 2014 and is an editor on the up-and-coming ASAM Pain and Addiction Handbook.

    William Jacobs

    MD

    William S. Jacobs, M.D, Associate Professor, Medical College of Georgia. is a national clinical expert, triple board certified in Anesthesiology, Pain Medicine, and Addiction Medicine physician. A Magna Cum Laude University of Georgia undergraduate and graduate of the Medical College of Georgia, Dr. Jacobs did his Anesthesiology Residency at the University of Alabama-Birmingham. He had a 13 year career as a private practitioner in anesthesiology and pain management before matriculating to UF for his Addiction Medicine Fellowship.

    Dr. Jacobs has been a national expert, testifying on Capitol Hill on MDMA and prescription misuse and abuse. He was a medical and scientific Consultant to the US Senate as well as the Department of Labor. Dr Jacobs has also testified and consulted for the DEA on safe prescribing of narcotic drugs and the model of ideal treatment programs. Dr. Jacobs has been the Medical Director of non-profit, profit, and academic chemical dependency and dual diagnosis programs. After his promotion to Associate Professor, he left academia and started NexStep Integrated Pain Care Inc., a model outpatient program for the treatment of patients with both chronic pain and addiction disorders. He returned to the University of Florida full time as Associate Professor in Psychiatry and Addiction Medicine: Co-Chief of Pain Medicine in 2012.

    Dr. Jacobs is the author of peer reviewed scientific papers, abstracts, textbook chapters including the ASAM and APA definitive substance use volumes, and practice guidelines including highly cited studies on mitigating opioid abuse in chronic pain treatment, physician recovery, naltrexone, urine drug testing, and body mass index and alcohol use.

    Dr Jacobs has returned home to Georgia to become the first Chief of Addiction Medicine at The Medical College of Georgia He is also Medical Director of The Bluff Plantation as well as Chief Medical Officer for Georgia Detox & Recovery.

    R. Corey Waller

    MD, MS, DFASAM

    R. Corey Waller, MD, MS, FACEP, DFASAM, is an addiction, pain and emergency medicine specialist. Dr. Waller earned his bachelor's degree in biology and his master's degree in neuromolecular biology at Southwest Texas State University in San Marcos, Texas. He earned his medical degree at University of Texas Medical School in San Antonio. Dr. Waller completed his emergency medicine residency at Thomas Jefferson University in Philadelphia. He is board certified and fellowship trained in addiction medicine.

    Michael Sprintz

    DO, DFASAM

    Michael Sprintz, D.O. received his medical degree from Midwestern University-Chicago College of Osteopathic Medicine in 1997 and went on to a residency in Anesthesiology at Johns Hopkins Hospital. He left Hopkins to do post-doctoral research in biomedical nanotechnology before returning to complete his anesthesia training at University of South Florida. Dr. Sprintz completed a Pain Medicine Fellowship at MD Anderson Cancer Center in 2012 and is triple-board-certified in Anesthesiology, Addiction Medicine, and Pain Medicine. Dr. Sprintz is the Past-President of the Texas Society of Addiction Medicine, as well as the CEO of iLumHealth, a software company developing world-class products to prevent abuse and diversion of prescription drugs, educate providers, and employ rational solutions that save lives and create value. In addition, Dr. Sprintz is the Founder and Chief Medical Officer of the Sprintz Center for Pain and Dependency, an ultra-specialized outpatient center for the comprehensive treatment of chronic pain, dependency and addiction, located in The Woodlands, TX.

    Mel Pohl

    MD, DFASAM

    Mel Pohl, MD, DFASAM is a Board Certified Family Practitioner. He is the Medical Director of Las Vegas Recovery Center (LVRC). Dr. Pohl was a major force in developing LVRCs Chronic Pain Recovery Program. He is certified by the American Board of Addiction Medicine (ABAM), and a Fellow of the American Society of Addiction Medicine (ASAM). Dr. Pohl is a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Nevada School of Medicine. He is a nationally known public speaker and co-author of Pain Recovery: How to Find Balance and Reduce Suffering from Chronic Pain (Central Recovery Press, 2009); Pain Recovery for Families: How to Find Balance When Someone Elses Chronic Pain Becomes Your Problem Too (Central Recovery Press, 2010). Dr. Pohl is the author of A Day without Pain (Central Recovery Press, 2008), which won a silver medal from Independent Publisher Book Award in May 2009. His new book writtten with Kathy Ketcham is The Pain Antidote: The Proven Program to Help You Stop Suffering From Chronic Pain, Avoid Addiction to Painkillers - and Reclaim Your Life (DeCapo). Las Vegas Recovery Center- Salary- Medical Director

    Launette Marie Rieb

    MD, MSc, CCFP, FCFP, DABAM, FASAM

    Dr. Launette Rieb is a Clinical Associate Professor in the Department of Family Practice at the University of British Columbia (UBC), Canada. She is a Family Physician and diplomat of The American Board of Addiction Medicine. She did her graduate work in the area of pain physiology. She completed a postgraduate UBC Clinical Scholar's Program in 2015 and a NIDA sponsored Canadian Addiction Medicine Research Fellowship in 2016 resulting in publication on a newly described opioid pain phenomenon - withdrawal-associated injury-site pain (WISP). She has also published on fentanyl and heroin overdose deaths in BC, as well as on addiction in a variety of marginalized populations. Dr. Rieb is the Medical Director of a multidisciplinary team at OrionHealth (Vancouver Pain Clinic), and works as a consultant for the Rapid Access Addictions Clinic at St. Paul’s Hospital in Vancouver. In addition, she does addiction medicine consultations for The Orchard Recovery Centre, on Bowen Island. Dr. Rieb has taught addiction medicine in the undergraduate and postgraduate medical programs at UBC, and at national and international conferences for 24 years. Dr. Rieb was the co-creator and initial Physician Director of the St. Paul’s Hospital Goldcorp Addiction Medicine Fellowship (now the BC Centre on Substance Use Addiction Medicine Fellowship). She is a member of the Canadian Society of Addiction Medicine’s Education Committee and the College of Family Physician of Canada's Competency Creation Working Group for the Certificate of Added Competency in Addiction Medicine. Dr. Rieb is the past recipient of a UBC Faculty of Medicine Post Graduate Teaching Award. 

    Terry A. Rustin

    MD, FASAM

    Dr. Rustin provides telemedicine consultations in psychiatry and addiction treatment with JSA Health, and serves as a consultant to industry in developing smoking cessation programs. He served on the faculty of the University of Texas Health Science Center-Houston for more than 20 years, teaching addictions and the clinical assessment of patients to medical and nursing students and psychiatric residents, retiring in 2010. Dr. Rustin has a special interest in nicotine dependence, and has developed a treatment program for nicotine dependence based on addiction-recovery principles. He has written a series of books for clients describing this recovery process, and a companion volume for treatment professionals to assist them in developing such programs. He has also produced a pair of videos on nicotine dependence to supplement these materials. He designed and is currently managing a smoking cessation program for the 25,000 employees of a cruise line company. In 1991, Dr. Rustin directed the transition of the addiction treatment program at the Harris County Psychiatric Center to a smoke-free program. This program successfully integrated the treatment of nicotine dependence into the context of addiction treatment, and has served as a model for programs across the nation. Dr. Rustin shares this experience by providing consultations and training sessions for hospitals and treatment programs planning to go smokefree and to incorporate nicotine dependence treatment into their programs. Dr. Rustin served as Texas Chairman for ASAM for four years; he directed the Review Course in Addiction Medicine from 1988 through 1993 and the Society's 1995 and 1996 National Conference on Nicotine Dependence. He is certified by ABIM, ASAM and by the American Board of Examiners in Psychodrama, Sociometry and Group Psychotherapy. He is a ASAM Fellow and has been listed in “The Best Doctors in America” in Addiction Medicine each year since 1996.

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

This course is aimed toward addiction medicine specialists who treat patients with chronic pain and/or substance use disorders. Healthcare providers from other specialties who are interested in treating patients with chronic pain and addiction are also encouraged to attend.

Upon completion, participants should be able to:

  1. Distinguish between physiological dependence, substance use disorder, misuse, tolerance, and nonadherence in the context of pain.
  2. Use physical exams, functional assessments, screening tools, collateral information, and other tools in a clinical setting.
  3. Describe the interaction between pain, pain medication, addiction, and the patient’s emotional or psychological state.
  4. Make appropriate treatment decisions for patients with pain, addiction, and psychiatric comorbidities.
  5. Explain the impacts of nicotine on pain treatment and develop methods for addressing nicotine use with patients.
  6. Manage the complex treatment needs of pregnant populations with pain and/or addiction.
  7. Direct or implement the medical management of withdrawal from opioids and other drugs.
  8. Evaluate the recent literature on benefits and limitations medication assisted treatment.
  9. Assess various practice models and create a plan for developing an integrated pain and addiction practice.

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 8 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 8 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 AMA PRA Category 1 Credit(s)™ for completing this course.