Treatment Programs (OMTP)

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1 Sponsored by: Continuing Medical Education Program best practices for Opiate Maintenance Treatment Programs (OMTP) Avoid Abuse, Limit Liability May 8-11, 2012 December 4-7, 2012 Case Western Reserve University Cleveland, Ohio

2 BEST PRACTICES FOR Opiate Maintenance Treatment Programs (OMTP) Avoid Abuse, Limit Liability Who Should Attend? This special intensive course is designed for OMTP or Buprenorphine certified physicians or Program Managers who seek to enhance their ability to effectively, efficiently and safely provide Opiate Maintenance Treatment (OMT), while minimizing abuse and limiting liability. Statement of Need Addiction treatment providers who prescribe controlled drugs in the treatment of addictive disease, whether a licensed OMT provider or a certified buprenorphine prescriber, are faced with the unique clinical challenge of providing daily doses of addictive medications to patients with addictive disease. 1. There are challenging clinical issues involved: stabilization v. maintenance doses, treating opiate addicted patients who have concomitant chronic intractable pain, treating opiate addicted patients with co-morbid depressive or anxiety disorders or sleep disturbances, and management of opiate medication side-effects are a few examples. 2. There are unique ethical issues involved: patient safety v. minimization of disruption to patient daily life and the obligation to the individual patient v. the obligation to the community well being. 3. There are unique Patient-Doctor and Patient-Treatment Program issues: staff splitting by patients, appropriately supervising toxicology testing while maintaining dignity, confidentiality concerns yet need to have data from other providers regarding patient stability, and issues about dose adjustment and take-home privileges. Participant Learning Objectives After attending this course, participants will be able to: Describe the pharmacologic profiles of benzodiazepines, opiates and other controlled drugs, and drug-drug interactions Identify the diagnostic criteria for anxiety disorder, chronic pain, insomnia, depression, and management strategies within an OMTP Employ techniques relating to minimizing the diversion of controlled substances with regards to OMTP Discuss case management strategies for the above diagnoses in opiate maintenance patients Discuss risk management and best practice guidelines for OMTP quality improvement initiatives Educational Design and Methodology The course uses lectures, participative discussions, case studies, a personal case-based reflective essay, and simulation to create an intensive learning environment for a small group of physicians. Each registrant will complete a pre-test prior to the course and a posttest at the end of the course. Participants will only receive credit for the sessions attended.

3 A g e n d a Tuesday 8:00-9:00 am Course Outline and Prescription Drug Abuse Overview 9:00-10:00 am Benzodiazepine Pharmacology 10:00-10:15 am Break 10:15-11:30 am Chemical Dependence Overview 11:30-11:45 am Break to get lunch 11:45-12:45 pm Lunch Session: Benzodiazepine Withdrawal 12:45-2:00 pm Insomnia Physiology and Diagnosis Case Presentations 2:00-3:00 pm Diagnosis and Treatment of Mood and Anxiety Disorders 3:00-3:15 pm Break 3:15-4:30 pm Diagnosis and Treatment of Mood and Anxiety Disorders (continued) Wednesday 8:00-9:30 am Psychological Approaches to Chronic Pain 9:30-10:15 am Overview of Opioid Maintenance Therapy 10:15-10:30 am Break 10:30-11:45 am Overview of Opioid Maintenance Therapy Continued 11:45-12:00 pm Break to get lunch 12:00-1:15 pm Lunch Session: Legal Issues Perspective of the State Medical Bo ard 1:15-2:15 pm Use of Opiates in Chronic Pain 2:15-2:30 pm Break 2:30-3:30 pm Narcotic Pharmacology 3:30-4:00 pm Chemical Dependence Screening 4:00-5:00 pm Chemical Dependence Screening Skill Session Thursday 8:00-9:00 am Management of Narcotic Withdrawal 9:00-10:00 am Methadone Pharmacology 10:00-10:15 am Break 10:15-11:45 am Legal Issues: Perspective of Risk Management 11:45-12:00 pm Break to get lunch 12:00-1:30 pm Minimizing Diversion when Prescribing Controlled Drugs 1:30-2:00 pm Toxicology Testing in Office Practice 2:00-3:00 pm Nicotine Dependence 3:00-3:15 pm Break 3:15-4:15 pm Practical Approaches to Prescribing Chronic Opioids 4:15-5:00 pm Patient Scams Friday 8:00-8:45 am Maintenance of Medical Records in OMTP 8:45-9:00 am Brief Intervention for Substance Abuse Disorders 9:00-10:15 am Brief Intervention for Substance Abuse Disorders Skills Practice 10:15-10:30 am Break 10:30-11:45 am Legal Issues: Perspective of Law Enforcement 11:45-12:15 pm Forming a Plan for Treatment and Recovery 12:15-12:30 pm Break to get lunch 12:30-1:30 pm Lunch Session: Forming a Treatment Plan Skills Session 1:30-3:00 pm Impaired Physician 3:00-3:15 pm Course Feedback

4 f a c u l t y Course Director Theodore V. Parran, Jr., MD Carter and Isabel Wong Professor of Medical Education Medical Director, CME Thomas C. Chelimsky, MD Professor of Neurology, Anesthesiology & Pediatrics Director, Autonomic Disorders Ronald I. Cowan, PharmD Senior Clinical Instructor of Medicine Manager, Clinical and Drug Information Services Department of Pharmacy Services Christina Delos Reyes, MD Assistant Professor of Psychiatry Director, Addiction Psychiatry Fellowship John R. Irwin, JD, MD, FCLM Attorney at Law Jeffrey W. Janata, PhD Associate Professor, Departments of Psychiatry, Reproductive Biology, Anesthesiology Director, Behavioral Medicine Program Sybil K. Marsh, MD, MA Associate Professor of Family Medicine Reena Mehra, MD, MS, FCCP, DABSM Associate Professor of Medicine Medical Director, Adult Sleep Services Division of Pulmonary, Critical Care and Sleep Medicine Center of Clinical Investigation Andreea Popa, PharmD Critical Care Clinical Pharmacist Joann D. Predina, MBA, RPh Compliance Specialist Ohio State Board of Pharmacy William J. Schmidt, JD Senior Counsel, Investigations, Compliance & Enforcement Ohio State Medical Board All faculty from Case Western Reserve University School of Medicine unless otherwise indicated. Accreditation Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Case Western Reserve University School of Medicine designates this live activity for a maximum of 31.0 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Location and Hotel Accommodations The course will be held at Case Western Reserve University with exact location to follow. A list of accommodations will be provided upon registration. For More Information Call Case Western Reserve University, Continuing Medical Education Program, phone (216) or (800) or visit

5 r e g i s t r a t i o n Registration Information The registration fee for this course is $950. Fees include tuition, educational materials, breakfast, lunch and breaks. An administrative fee of $150 will be deducted from fees for cancellations made after April 24 (for May course) or November 20 (for December course). All requests for refunds must be made in writing. Four Ways to Register 1. Register online at 2. Mail this completed form with a check payable to Case Western Reserve University for $950 or complete the credit card information and send to: Continuing Medical Education Program Euclid Avenue Cleveland, Ohio Fax this form with your credit card number to (216) Phone (216) or (800) with the information requested below and your credit card number. Registration Form May 8-11, 2012 CID #2404A December 4-7, 2012 CID #2405A Opiate Maintenance Treatment Programs (OMTP) Name Degree Specialty Address City State Zip SSN (last 4 digits) Phone Fax Make checks payable for $950 to: Case Western Reserve University or complete credit card information. l MasterCard l Visa l Discover Credit card # Card expiration date Signature Date l Dietary restrictions? l I will need parking Happenings in Cleveland The Cleveland Orchestra Ticket information (216) The Cleveland Museum of Art Information (216) Playhouse Square Center Ticket information (216) The Cleveland Play House Ticket information (216) The Rock and Roll Hall of Fame and Museum Information (888) The Great Lakes Science Center and OMNIMAX Theater Information (216) Or for more Cleveland activities visit Positively Cleveland at

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