The American Academy of Addiction Psychiatry (AAAP), has been awarded a three year grant in partnership with the American Osteopathic Academy of Addiction Medicine (AOAAM) and the American Psychiatric Association (APA), by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration, to provide training in office based treatment of opioid use disorders for practicing physicians and physicians-in-training nationwide. This project is known as the Physicians’ Clinical Support System – Buprenorphine (PCSS-B) because at present only buprenorphine is a scheduled medicine FDA approved for office-based treatment of opioid use disorders. The PCSS-B project provides the 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.
The program is recommended for physicians in primary care, pain management, psychiatric, HIV and addiction medicine however, other professionals (non-physicians, NPs, PA-Cs) are also invited but will not be able to be eligible for the waiver. At this time, only M.D.s or D.O.s are eligible to prescribe.
The PCSS-B is a collaboration among the AAAP, the AOAAM and the APA. Each of these three organizations are authorized by the Drug Addiction Treatment Act of 2000 (DATA 2000) to provide training leading to waiver eligibility for physicians who want to offer offi ce-based treatment of opioid use disorders using buprenorphine in their practices. Since 2001, AAAP, AOAAM, and APA have trained over 10,000 physicians who have received a waiver that allows them to engage in office-based treatment of opioid use disorders.
Opioid dependence is epidemic in the United States, with increasing numbers addicted to heroin and burgeoning abuse of prescription opioid analgesics. Buprenorphine, the most recent addition to the pharmacotherapies available to treat opioid dependence, is novel among the opioid pharmacotherapies because of its partial agonist properties. It has been placed on Schedule III and is available by prescription from a physician’s office-based practice.
While we have made progress in training physicians, the gap in providing effective treatment of opioid use disorders continues to widen, moving beyond heroin addicted individuals to a much larger and diverse segment of the population. This increase is predominantly due to an alarming increase in addiction to prescription opioid analgesic medications.
In 2009, 7 million Americans age 12 and older had taken a prescription pain reliever, tranquilizer, stimulant, or sedative for nonmedical purposes at least once in the year prior to being surveyed. In 2009, 180,000 Americans age 12 and older had abused heroin at least once in the year prior to being surveyed. While not all of these individuals will go on to become addicted to opioids, a significant percentage of them will. The National Institute on Drug Abuse estimated that 23% of those who try heroin will go on to become addicted to the drug. It is also estimated that 1.9 million misusers of prescription opioid analgesic medications meet diagnostic criteria for an opioid use disorder and need treatment.
Recognizing the impact of this addiction, as well as learning how to treat opioid use disorders, is an important step in combating this ever growing medical problem.
In an effort to provide training in a way that is more flexible for both practicing physicians and physicians-in-training, AAAP sponsored the creation of the Half and Half course. The first half of the course is 3.75 hours of CD-based training. This CD contains training on substance abuse treatment, opioids, and the use of buprenorphine in the treatment of opioid use disorders from office-based practices. An examination on the CD must be printed and successfully completed as part of the process to obtain a waiver for prescribing buprenorphine.
The other half of the course is a face-to-face, classroom-style training with small groups in a 4.25 hour training. The training focuses on specifics of treating patients with opioid use disorders in office-based settings and clinical vignettes to help trainees think through “real life” experiences in opioid use disorders treatment.
The combined CD and face-to-face training will provide the required 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid disorders. If you have any questions about the Half and Half course please contact PCSS-B at firstname.lastname@example.org or 888-5PCSSB-4U.
Overview: Opioid Dependence Treatment with Buprenorphine/Naloxone
Clinical Use of Buprenorphine
Overview of Clinical Tools
Materials will be mailed to you.
Staff Psychiatrist, Director of Addictive Disorder Services, Iowa City Veterans Affairs Health Care System, Clinical Associate Professor of Psychiatry, University of Iowa Carver College of Medicine
AOA: This activity has been planned and implemented in accordance with the essential areas and policies of the American Osteopathic Association (AOA). Des Moines University is accredited by the AOA and approves this activity for a maximum of 4.0 hours of AOA Category 2-A CME credits.
AAFP: This course has been reviewed and is acceptable for up to 4.0 credits by the American Academy of Family Physicians (AAFP). AOAAM will distribute certificates of attendance according to the mandatory sign-in/out documentation conducted at face-to-face session on May 4th. Physicians should claim only the credit commensurate with the extents of their participation in the activity.
IBON: Des Moines University Continuing Medical Education (provider #112) is approved by the Iowa Board of Nursing as an accredited provider. This program has been reviewed and approved for 4.8 continuing education contact hours.
Other: Attendees will be given a certificate of participation for a maximum 4.0 continuing education hours.
Funding for this training was made possible (in part) by contract #1H79T1022022 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services or Des Moines University; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government or Des Moines University.
Hot Topics in Buprenorphine Treatment is a PCSS-B sponsored webinar series that addresses a variety of clinical topics, as well as emerging legislative, regulatory, and practice management issues. Scheduled on the second Tuesday of each month from noon to 1 p.m. Eastern, the sessions feature national clinical experts, researchers, and government officials. Hot Topics is designed as an ongoing educational experience for physicians who have completed buprenorphine training, but all interested physicians and clinicians are invited to participate. Information and scheduling can be accessed at www.pcssb.org. Recordings of past webinars can also be accessed through the site.
Lara Renucci AOAAM PCSS-B Data Manager P.O. Box 3278 Oak Brook, IL 60523 708-572-8006 email@example.com www.pcssb.org
For all other questions, please contact:
Des Moines University Continuing Medical Education 3200 Grand Avenue Des Moines, IA 50312 515-271-1596 firstname.lastname@example.org www.dmu.edu/cme
Professionals – $50
DMU students and residents – $0