ACTIVITY DISCLAIMER. Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use DISCLOSURE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "ACTIVITY DISCLAIMER. Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use DISCLOSURE"

Transcription

1 Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use Kathleen Reims, MD Denise Ernst ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations. The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Every effort has been made to ensure the accuracy of the data presented here. Physicians may care to check specific details such as drug doses and contraindications, etc., in standard sources prior to clinical application. This material might contain recommendations/guidelines developed by other organizations. Please note that although these guidelines might be included, this does not necessarily imply the endorsement by the AAFP. DISCLOSURE It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflict of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity. All individuals in a position to control content for this activity have indicated they have no relevant financial relationships to disclose. The content of my material/presentation in this CME activity will not include discussion of unapproved or investigational uses of products or devices. Kathleen Reims, MD Principal/Chief Medical Officer, CSI Solutions, LLC, Bethesda, Maryland; Assistant Clinical Professor, Department of Family Medicine, University of Colorado School of Medicine, Denver. Dr. Reims is a board-certified family physician who earned her medical degree from Baylor College of Medicine, Houston, Texas, and completed her family medicine residency at Roanoke Memorial Hospital, Virginia. She is a member of the Motivational Interviewing Network of Trainers (MINT), and she currently co-directs the Centre for Collaboration, Motivation and Innovation (CCMI), a nonprofit organization dedicated to building skills and confidence for better health and health care. She has served as an improvement advisor and faculty member for numerous health systems improvement projects, and she has a strong interest in engagement that allows s' values and preferences to be respectfully included in their care. Dr. Reims is actively involved with Denver Health's Lowry Family Health Center, Denver, Colorado, as a volunteer preceptor, serving a diverse population from around the world. She was a National Health Service Corps Scholar, has more than 25 years of clinical experience with underserved populations, and has served as medical director for two federally qualified health centers. Denise Ernst Learning Objectives Owner, Denise Ernst Training and Consultation, Portland, Oregon. Ernst earned her doctorate from the University of New Mexico, Albuquerque, where she studied under William Miller, PhD, the renowned co-founder of motivational interviewing (MI). Her research focus was the application of MI in real clinical practice. She became an MI trainer in 1993 and is a member of the Motivational Interviewing Network of Trainers (MINT). Ernst has conducted MI training internationally for a wide variety of professionals working in substance abuse treatment, criminal justice, medical care, and public health. She has also been involved in efforts to increase the effectiveness of MI training, has provided structured feedback and coaching to a variety of professionals, and has developed and delivered several levels of advanced MI curriculum. 1. Identify the key components of the definition, spirit, and focus of motivational interviewing. 2. Describe the skills used to facilitate behavior change through conversation and how to apply those skills when speaking with s about pain management or opioid use. 3. Utilize one strategy to keep the conversation about pain management and opioid use -centered. 1

2 Audience Engagement System Step 1 Step 2 Step 3 Session Overview Focus on non-cancer pain Emphasize challenging situations those times when expectations for chronic opioid therapy (COT) do not align Assumptions Routinely use assessment tools for appropriate opioid use Use screeners and the prescribing database for potential warning signs of misuse Informed consent Systematic follow up Marty 62 year old cashier at local grocery store Twisted back picking up grandson Opioids initiated at Urgent Care three months ago following MRI which revealed mild degenerative changes Percocet 5/325, 1 2 tabs p.o. q 4 6 hours Tried to stop meds after 6 weeks, but became really nervous In fact, he has had to increase back up to 6 8 pills each day to control the pain Presents as a new with chief complaint of back pain No warning signs of abuse or misuse of medications Marty s experience with his pain He has followed his treatment plans Expectations for this visit The Dilemma with Marty Your desire to do what is best for the Clinician s guard is up Challenging conversation Time Poll: What is the best next step in addition to a complete history and physical? 1. Explain to Marty that opioids are not indicated for his pain and decline to refill them 2. Explain that you will need to wean the opioids beginning today and refer him to physical therapy 3. Decide with Marty how to best address his pain 4. Continue his current dose until you get to know him better 2

3 Definitions of MI How does MI work? Motivational interviewing is a collaborative, goaloriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by drawing out and exploring a person s own reasons for change within an atmosphere of acceptance and compassion MI Tip #1: Find Common ground with Agenda Mapping Allows mutual agreement about how to use the appointment time Quickly assesses what is important to the Clinicians add their thoughts and concerns as well Allows to prioritize Agenda Mapping Demo MI Tip #2 Engage the, not the problem The Spirit of MI Compassion: active promotion of the client s welfare and needs. Acceptance, including accurate empathy, affirmation, absolute worth of the person, and support of the person s autonomy. Partnership with the client; MI is done for and with a person and not to a person Evocation of clients motivation, hopes, dreams, desires, values, goals, and abilities. Empathy Engages the Patient As an essential and foundational component of the healing relationship Consists of an attitude of acceptance; respectful listening to the with the desire to understand his perspective Is conveyed to the primarily through skilled and accurate reflective listening Empathy is a way of being with our s Empathy is not: Having had the same experience or problem Identification with the Let me tell you my story 3

4 Words we might use How is your back pain impacting your life at this point and what you would like to be able to do again? I see how worried you are about this pain and I m here to work with you. Being able to be present and to support your family is really important to you. What gets in the way of engaging the? Righting reflex: we try to convince s or fix situations Ambivalence: we respond to ambivalence as a form of denial rather than a normal part of the change process Expert role: we do not respect the expertise of the in their own lives Q & A MI Tip #3: Giving Information Elicit-Provide-Elicit OR Ask-Tell-Ask The single biggest problem in communication is the illusion that it has taken place. George Bernard Shaw Ask Tell Ask Demo MI Tip #4: Develop care plan WITH the Re-inforce functional goals described by the Offer options, provide real choices Agree on weaning schedule and follow up Encourage self-management activities Emphasize partnership and hope 4

5 Words we can use.. I know that is not what you want to hear and I am here to find the best resolution possible. Since we are going to decrease by one pill a day, would morning or evening work best for you? What support do you need to move more throughout the day? We will work together to make sure that your care is safe and to focus on what is important to you. Take Home Messages Wear your CAPE not your armor! Agree on an agenda up front find that common ground Engage the not the problem Give information respectfully and listen to how it was heard Do what is right for the and include their expertise in the care plan Practice Recommendations Focus on the relationship and partnership Use active listening intentionally Use Ask-Tell-Ask as a strategy to give information in a way that can understand and to assess ho the information was heard Related Sessions Motivational Interviews Friday * 1:30-2:30 pm; Room: Mile High Ballroom 3A Thank you for joining us! Denise Ernst Kathy Reims 5

ACTIVITY DISCLAIMER. Common Ethical Issues in Global Health DISCLOSURE. Learning Objectives. Audience Engagement System Step 1 Step 2 Step 3

ACTIVITY DISCLAIMER. Common Ethical Issues in Global Health DISCLOSURE. Learning Objectives. Audience Engagement System Step 1 Step 2 Step 3 Common Ethical Issues in Global Health Calvin Wilson, MD ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only.

More information

ACTIVITY DISCLAIMER. Maintenance of Certification (MOC): Saving Time, Getting More

ACTIVITY DISCLAIMER. Maintenance of Certification (MOC): Saving Time, Getting More Maintenance of Certification (MOC): Saving Time, Getting More Joseph Tollison, MD, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians

More information

ACTIVITY DISCLAIMER. Learning Objectives Documenting and Getting Paid for Chronic Care Management and Transitional Care Management: DISCLOSURE

ACTIVITY DISCLAIMER. Learning Objectives Documenting and Getting Paid for Chronic Care Management and Transitional Care Management: DISCLOSURE Practice Management Track: Secure Your Practice: Learn the Elements to Deliver, Document, and Get Paid for Key Family Medicine Services Barbie Hays Kent Moore Cynthia Hughes, CPC, CFPC ACTIVITY DISCLAIMER

More information

GUIDE TO PATIENT COUNSELLING

GUIDE TO PATIENT COUNSELLING Guide To Patient Counselling page - 1 - GUIDE TO PATIENT COUNSELLING Communication is the transfer of information meaningful to those involved. It is the process in which messages are generated and sent

More information

The Holy Grail of DPC. Craig Scurato

The Holy Grail of DPC. Craig Scurato The Holy Grail of DPC Craig Scurato Activity Disclaimer The material presented here is being made available by the DPC Summit Co-Organizers for educational purposes only. This material is not intended

More information

These core elements are included in three increasingly detailed levels of definition:

These core elements are included in three increasingly detailed levels of definition: A Definition of Motivational Interviewing The definition of Motivational Interviewing (MI) has evolved and been refined since the original publications on its utility as an approach to behavior change.

More information

Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference

Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference 2013 Motivational Interviewing Are we Dancing or Wrestling? Definition of Motivational Interviewing Motivational interviewing is a

More information

TEACHING THE FOUR PROCESSES

TEACHING THE FOUR PROCESSES TEACHING THE FOUR PROCESSES MINT Pre-Forum Workshop Bill Miller & Terri Moyers Fort Wayne September 2012 Planning Engaging Focusing Evoking Relational Foundation Motivational Interviewing 1. Engaging 2.

More information

Medical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives

Medical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives Medical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives Medical Knowledge Goal Statement: Medical students are expected to master a foundation of clinical knowledge with

More information

SCOPE of Pain: Safe and Competent Opioid Prescribing Education

SCOPE of Pain: Safe and Competent Opioid Prescribing Education SCOPE of Pain: Safe and Competent Opioid Prescribing Education Disclosure of Support Our program is funded by an independent educational grant awarded by the manufacturers of extended-release (ER) and

More information

Sample Patient Agreement Forms

Sample Patient Agreement Forms Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other

More information

ACTIVITY DISCLAIMER. Negotiating an Employment Contract that Ensures Success Under Value-based Payment

ACTIVITY DISCLAIMER. Negotiating an Employment Contract that Ensures Success Under Value-based Payment Negotiating an Employment Contract that Ensures Success Under Value-based Payment Travis Singleton ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family

More information

ACTIVITY DISCLAIMER. Assessing the Cost of Sustaining a PCMH: Experiences From Two States DISCLOSURE. Learning Objectives. Michael Magill, MD

ACTIVITY DISCLAIMER. Assessing the Cost of Sustaining a PCMH: Experiences From Two States DISCLOSURE. Learning Objectives. Michael Magill, MD Assessing the Cost of Sustaining a PCMH: Experiences From Two States Michael Magill, MD David Ehrenberger, MD ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy

More information

Published by Waterford Life Sciences, Washington, DC 202-299-0600 Cover and book design: Gretchen Maxwell, GLM Design

Published by Waterford Life Sciences, Washington, DC 202-299-0600 Cover and book design: Gretchen Maxwell, GLM Design Copyright 2007 Scott M. Fishman, MD CME Activity Copyright 2009 The University of Wisconsin Board of Regents Published by Waterford Life Sciences, Washington, DC 202-299-0600 Cover and book design: Gretchen

More information

Dancing, not wrestling:

Dancing, not wrestling: IssueBrief VOLUME 3, ISSUE 2 Dancing, not wrestling: Motivational interviewing helps case managers cultivate relationships and elicit change You cannot fix a client. Of course, every professional case

More information

Brief Intervention Stages of Change and Motivational Interviewing

Brief Intervention Stages of Change and Motivational Interviewing Brief Intervention Stages of Change and Motivational Interviewing James Bray, PhD Alicia Kowalchuk, DO Vicki Waters MS, PA-C InSight SBIRT Residency Training Program This project is funded by Substance

More information

Motivational Interviewing: Engaging Patients Through Communication

Motivational Interviewing: Engaging Patients Through Communication Motivational Interviewing: Engaging Patients Through Communication Catherine M. Mullahy, RN, BS, CRRN, CCM President of Mullahy & Associates, LLC Michael G. Goldstein, MD Associate Chief Consultant for

More information

Estonian experience in teaching Motivational Interviewing for medical providers

Estonian experience in teaching Motivational Interviewing for medical providers Estonian experience in teaching Motivational Interviewing for medical providers Anneli Rätsep PhD GP senior researcher Department of Family Medicine University of Tartu Doctor s expectations that patient...

More information

Opioid Treatment Guidelines. Denis G. Patterson, DO University of Nevada, Reno 7/15/2015

Opioid Treatment Guidelines. Denis G. Patterson, DO University of Nevada, Reno 7/15/2015 Opioid Treatment Guidelines Denis G. Patterson, DO University of Nevada, Reno 7/15/2015 Opioid Treatment Guidelines Opioid Treatment Guidelines Chronic opioid therapy to treat chronic non-cancer pain (CNCP)

More information

The Role of Education in Safe and Effective Pain Management Kevin L. Zacharoff, MD

The Role of Education in Safe and Effective Pain Management Kevin L. Zacharoff, MD The Role of Education in Safe and Effective Pain Management Kevin L. Zacharoff, MD 1 Multiple opportunities for training do not necessarily lead to quality instruction When something has a bunch of different

More information

NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS

NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS This project was supported by Grant No. G1299ONDCP03A, awarded by the Office of National Drug Control Policy. Points of view or opinions in this

More information

Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach

Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach Lowell C. Dale, MD Associate Professor of Medicine Mayo Clinic Nicotine Dependence Center & Division of Primary Care Internal Medicine

More information

36 Interviewing the Patient, Taking a History, and Documentation

36 Interviewing the Patient, Taking a History, and Documentation CHAPTER 36 Interviewing the Patient, Taking a History, and Documentation Learning Outcomes 36.1 Identify the skills necessary to conduct a patient interview. 36.2 Implement the procedure for conducting

More information

Training in SBIRT in Medical Schools in the United States:

Training in SBIRT in Medical Schools in the United States: Training in SBIRT in Medical Schools in the United States: An Examination of Physician Education and Training on Conducting Screenings, Brief Interventions, and Referrals to Treatment Manu Singh, Ph.D.,

More information

MedChi. Joseph A. Schwartz, III Pamela Metz Kasemeyer J. Steven Wise Danna L. Kauffman. DATE: February 6, 2014

MedChi. Joseph A. Schwartz, III Pamela Metz Kasemeyer J. Steven Wise Danna L. Kauffman. DATE: February 6, 2014 MedChi The Maryland State Medical Society 1211 Cathedral Street Baltimore, MD 21201-5516 410.539.0872 Fax: 410.547.0915 1.800.492.1056 www.medchi.org TO: FROM: The Honorable Peter A. Hammen, Chairman Members,

More information

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families What is a Patient-Centered Medical Home? A Medical Home is all about you. Caring about you is the most

More information

Course Prospectus. Elevate your practice to the next level of patient care.

Course Prospectus. Elevate your practice to the next level of patient care. Course Prospectus Elevate your practice to the next level of patient care. Description Transform your ability to manage your patients medication therapy with ADAPT, an innovative, application-based, skills

More information

Comprehensive Addiction Treatment

Comprehensive Addiction Treatment Comprehensive Addiction Treatment A cognitive-behavioral approach to treating substance use disorders Brief Treatment Eric G. Devine Deborah J. Brief George E. Horton Joseph S. LoCastro Comprehensive Addiction

More information

Using Motivational Interviewing to Improve Clinical Outcomes

Using Motivational Interviewing to Improve Clinical Outcomes Using Motivational Interviewing to Improve Clinical Outcomes BARBARA B. WALKER, PH. D. NATIONAL JEWISH HEALTH DENVER, COLORADO BBWALKER@INDIANA.EDU Overview Why MI? What exactly is MI? Spirit Principles

More information

Overview: TIP 52 Clinical Supervision and Professional Development of the Substance Abuse Counselor

Overview: TIP 52 Clinical Supervision and Professional Development of the Substance Abuse Counselor Overview: TIP 52 Clinical Supervision and Professional Development of the Substance Abuse Counselor Christine Tronge, MSW, LCSW Clinical Standards Coordinator Dept. of Drug and Alcohol Services DADS Definitions

More information

DEPARTMENT OF COUNSELING AND EDUCATIONAL PSYCHOLOGY COLLEGE OF EDUCATION 6300 Ocean drive, Unit 5834 Corpus Christi, Texas- 78412-5834 Facilitating Change: Combining Motivational Interviewing and Dialectical

More information

Overview of Colorado SBIRT

Overview of Colorado SBIRT Integrating Mental Health and Substance Use Services with HIV/AIDS Prevention Overview of Colorado SBIRT U.S. Conference on AIDS Orlando, Florida September 13, 2010 Presenter: Leigh Fischer, Program Manager

More information

Degree of Integration

Degree of Integration Integrated Primary Care and Behavioral Health Services at Community Clinics and Health Centers: RESULTS OF THE 2012 BEHAVIORAL HEALTH SERVICES ADVOCACY AND NETWORKING SURVEY FACT SHEET: Integrated Behavioral

More information

Care Definition, Practice Foundations, and Ability-Based Outcomes Updated May 23, 2013

Care Definition, Practice Foundations, and Ability-Based Outcomes Updated May 23, 2013 University of Washington School of Pharmacy Care Definition, Practice Foundations, and Ability-Based Outcomes The pharmacist graduating from the University of Washington School of Pharmacy promotes the

More information

Financial Disclosures

Financial Disclosures Opioid Agonist Therapy: To Maintain or Not To Maintain - A Case Discussion PCSS-MAT American Psychiatric Association Drs. Ed Salsitz, John Renner, Timothy Fong April 14, 2015 Financial Disclosures Edwin

More information

Faculty/Presenter Disclosure. Mitigating Potential Bias. Disclosure of Commercial Support 08/10/2013. Using Performance Data and EMR To Optimize CPD

Faculty/Presenter Disclosure. Mitigating Potential Bias. Disclosure of Commercial Support 08/10/2013. Using Performance Data and EMR To Optimize CPD Using Performance Data and EMR To Optimize CPD 5 th National CPD Accreditation Conference October 8th, 2013 Kendall Ho, MD FRCPC Professor, Emergency Medicine Director, Faculty/Presenter Disclosure Faculty:

More information

Employee Performance Review

Employee Performance Review Employee Performance Review Source: Learn to Read, Inc. Review Date: Date of Last Review: Employment Date: Name: Title: Reports to: Expectation Basis Leadership Readily assumes responsibility for projects

More information

Arkansas Emergency Department Opioid Prescribing Guidelines

Arkansas Emergency Department Opioid Prescribing Guidelines Arkansas Emergency Department Opioid Prescribing Guidelines 1. One medical provider should provide all opioids to treat a patient s chronic pain. 2. The administration of intravenous and intramuscular

More information

MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET

MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET What is Motivational Interviewing - MI? The founders of motivational interviewing are Dr s. William R. Miller & Stephen Rollnick,1991. We have sought

More information

New Patient Form Please print clearly

New Patient Form Please print clearly New Patient Form Today s Date: Name: Last First MI Preferred name to be called: Email: Address: Street City State Zip DOB: Age: Sex: SSN#: - - Please check a box for the preferred # to call to confirm

More information

Substance Abuse Assessment and Treatment in HIV Infection: A Case Based Discussion

Substance Abuse Assessment and Treatment in HIV Infection: A Case Based Discussion Substance Abuse Assessment and Treatment in HIV Infection: A Case Based Discussion Marc Fishman MD Johns Hopkins University School Of Medicine, Dept of Psychiatry Maryland Treatment Centers Baltimore Learning

More information

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model West Virginia University School of Medicine BEHAVIORAL MEDICINE & PSYCHIATRY Morgantown, WV Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu Disclosure Reckitt Benckiser

More information

Performance Evaluation Rating Descriptions

Performance Evaluation Rating Descriptions The following rating descriptions are examples of the behaviors employees would be demonstrating at each of the four levels of performance. These examples should assist the supervisor and employee during

More information

HAWAII BOARD OF MEDICAL EXAMINERS PAIN MANAGEMENT GUIDELINES

HAWAII BOARD OF MEDICAL EXAMINERS PAIN MANAGEMENT GUIDELINES Pursuant to section 453-1.5, Hawaii Revised Statutes, the Board of Medical Examiners ("Board") has established guidelines for physicians with respect to the care and treatment of patients with severe acute

More information

Your Pharmacy Benefit: Make it Work for You!

Your Pharmacy Benefit: Make it Work for You! Your Pharmacy Benefit: Make it Work for You! www.yourpharmacybenefit.org Table of Contents Choose Your Plan.............................................2 Steps in Choosing Your Pharmacy Benefits.........................

More information

Continuing Medical Education Category 1 Credit Documentation Process UnityPoint Health - Des Moines

Continuing Medical Education Category 1 Credit Documentation Process UnityPoint Health - Des Moines Continuing Medical Education Category 1 Credit Documentation Process UnityPoint Health - Des Moines UnityPoint Health - Des Moines is accredited by the Iowa Medical Society (IMS) to provide continuing

More information

Implementing wraparound in a community is complex and

Implementing wraparound in a community is complex and This document was peer reviewed through the NWI. Supporting Wraparound Implementation: Chapter 5a.3 Choosing a Consultant to Support Your Wraparound Project Patricia Miles, Consultant National Wraparound

More information

UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths

UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths Joanna G Katzman, M.D., M.S.P.H Director, UNM Pain Center Associate Professor,

More information

Assessment and Referrals Standards of Care. Randi Ettner, PhD Clinical and Forensic Psychologist

Assessment and Referrals Standards of Care. Randi Ettner, PhD Clinical and Forensic Psychologist Assessment and Referrals Standards of Care Randi Ettner, PhD Clinical and Forensic Psychologist Continuing Medical Education Disclosure Program Faculty: Randi Ettner, PhD Current Position: Clinical and

More information

Raising Difficult Issues with Your Service Provider

Raising Difficult Issues with Your Service Provider Self-Determination Series Raising Difficult Issues with Your Service Provider Determine Your Destiny Raising Difficult Issues with Your Service Provider Prepared by: Carol A. Petersen, M.Ed. Jessica A.

More information

Duties and Responsibilities of the Team Physician. Peter A. Indelicato MD Emeritus Professor and Team Physician University of Florida

Duties and Responsibilities of the Team Physician. Peter A. Indelicato MD Emeritus Professor and Team Physician University of Florida Duties and Responsibilities of the Team Physician Peter A. Indelicato MD Emeritus Professor and Team Physician University of Florida Disclosure Arhtrex consultant, royalties RTI consultant, share holder

More information

AUBURN MEMORIAL MEDICAL SERVICES, P.C.

AUBURN MEMORIAL MEDICAL SERVICES, P.C. AUBURN MEMORIAL MEDICAL SERVICES, P.C. Office Policies We would like to thank you for choosing as your medical provider. We have written this policy to keep you informed of our current office policies.

More information

Opioid Contracts: A Tool for Providing Relief and Preventing Abuse?

Opioid Contracts: A Tool for Providing Relief and Preventing Abuse? Opioid Contracts: A Tool for Providing Relief and Preventing Abuse? Jane Jurcic McMaster Family Practice and Hamilton Family Health Team Hamilton, Ontario Opioid Prescribing in Chronic Pain Legitimate

More information

Thank you for your interest in the Executive Leadership Program. We are delighted to offer this exceptional program to our members.

Thank you for your interest in the Executive Leadership Program. We are delighted to offer this exceptional program to our members. 1799 Pennsylvania Street P.O. Box 539 Denver, Colorado 80201-0539 303.839.5177 (main) 800.884.1328 (toll free) 303.863.8956 (fax) MSEC.org Dear Member: Thank you for your interest in the Executive Leadership

More information

Iowa Governor s Office of Drug Control Policy

Iowa Governor s Office of Drug Control Policy Talking to kids about {prescription drug abuse Iowa Governor s Office of Drug Control Policy Talking to kids about {prescription drug abuse As a parent you re concerned about your children s health and

More information

Training Health Care Practitioners for Texas and Georgia SBIRT: Standardized Patient and Expert Coaching Models

Training Health Care Practitioners for Texas and Georgia SBIRT: Standardized Patient and Expert Coaching Models Training Health Care Practitioners for Texas and Georgia SBIRT: Standardized Patient and Expert Coaching Models Mary M. Velasquez, Ph.D. 1 Sylvia Shellenberger, Ph.D. 2 Kirk von Sternberg, Ph.D. 1 1 University

More information

ACROSS THE CONTINUUM: Optimizing Strategies for Acute to Chronic Pain Management HEALTH-SYSTEM PHARMACIST PERSPECTIVES AGENDA

ACROSS THE CONTINUUM: Optimizing Strategies for Acute to Chronic Pain Management HEALTH-SYSTEM PHARMACIST PERSPECTIVES AGENDA Optimizing Strategies for Acute to Chronic Pain Management AGENDA 11:30 11:45 AM Conference Goals/Pre-Test J. Richard Brown, PharmD, FASHP 11:45 12:00 PM The Pain Continuum: From Acute Treatment to Chronic

More information

AANMC Core Competencies. of the Graduating Naturopathic Student

AANMC Core Competencies. of the Graduating Naturopathic Student Page 1 Introduction AANMC Core Competencies of the Graduating Naturopathic Student Page 2 Table of Contents Introduction... 3 Core Principles... 5 Medical Assessment and Diagnosis... 6 Patient Management...

More information

MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY

MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY Presented by: William L. Mock, Ph.D., LISW,LICDC, SAP Professional Training Associates Inc North Ridgeville, Ohio 1 (216) 299-9506

More information

02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION

02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION Effective June 13, 2010 02-313, 02-373, 02-380, 02-383, 02-396 Chapter 21 page 1 02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 313 BOARD OF DENTAL EXAMINERS 373 BOARD OF LICENSURE IN MEDICINE

More information

COLLABORATIVE ENGAGEMENT AGREEMENT NEUTRAL DIVORCE COACH

COLLABORATIVE ENGAGEMENT AGREEMENT NEUTRAL DIVORCE COACH COLLABORATIVE ENGAGEMENT AGREEMENT NEUTRAL DIVORCE COACH KAREN P. FREED, LCSW-C, LICSW, BCD 12007 Whippoorwill Lane North Bethesda, MD 20852 Ph: 301-816-0978 Email: kpfreed@hotmail.com This document constitutes

More information

Medical Case Management Certificate

Medical Case Management Certificate Medical Case Management Certificate for Social & Health Innovation Matthew Bennett, MA, MBA P.O. Box 1883 Nederland, CO 80466 Bennett@ColdspringCenter.org (303) 258-3523 Medical Case Management Certificate

More information

141 The Role of the Laboratory Director: Responsibilities, Expectations and Challenges. Ronald Weiss MD, MBA

141 The Role of the Laboratory Director: Responsibilities, Expectations and Challenges. Ronald Weiss MD, MBA 141 The Role of the Laboratory Director: Responsibilities, Expectations and Challenges Ronald Weiss MD, MBA 2011 Annual Meeting Las Vegas, NV AMERICAN SOCIETY FOR CLINICAL PATHOLOGY 33 W. Monroe, Ste.

More information

Arizona Medical Board Pre Approved Category 1 CME

Arizona Medical Board Pre Approved Category 1 CME Arizona Medical Board Pre Approved Category 1 CME Billing and Coding Course Organization/Location CME Hours Course Name Cost National Procedures Institute Orlando, Florida (800) 462 2492 http://www.npinstitute.com/request_mail.asp

More information

Put Life Back In Your Life

Put Life Back In Your Life Put Life Back In Your Life Many Faces of Community Health October 29, 2010 Pam Van Zyl York, MPH, PhD, RD, LN Minnesota Department of Health The Chronic Disease Self-Management Program Agenda Benefits,

More information

Opioid Agreement for Center for Pain Management S.C.

Opioid Agreement for Center for Pain Management S.C. Opioid Agreement for Center for Pain Management S.C. Patient Name: DOB: I am the patient named above. I have agreed to use pain medication as part of my treatment for chronic pain. I understand that these

More information

Brain & Spine Center of Texas, L.L.P. Dallas Minimally Invasive Spine

Brain & Spine Center of Texas, L.L.P. Dallas Minimally Invasive Spine Please print clearly so that we can process your information quickly and efficiently. Thank you! Name (First, M.I., Last) Date of Birth Social Security # Male / Female Race Ethnicity (Latino / Non Latino)

More information

A Guide: How to Complain About Your Medical or Dental Care

A Guide: How to Complain About Your Medical or Dental Care A Guide: How to Complain About Your Medical or Dental Care This packet will guide you through the processes of: * complaining to a hospital about a health care provider on staff; * filing a formal grievance

More information

YOUR RIGHTS RESPONSIBILITIES TO OUR PATIENTS. Patients and families come first. We are here to serve with respect, compassion, and honesty.

YOUR RIGHTS RESPONSIBILITIES TO OUR PATIENTS. Patients and families come first. We are here to serve with respect, compassion, and honesty. TO OUR PATIENTS YOUR RIGHTS & RESPONSIBILITIES Patients and families come first. We are here to serve with respect, compassion, and honesty. We will try to do our best today, and do better tomorrow. We

More information

Peer Assistance and Opioid Dependency. Disclosures

Peer Assistance and Opioid Dependency. Disclosures Peer Assistance and Opioid Dependency Suzanne Kinkle, RN, BS, CARN Director - Recovery and Monitoring Program (RAMP) New Jersey State Nurses Association Al Rundio PhD, DNP, RN, APRN, NEA-BC, DPNAP Associate

More information

Choosing and Applying to Medical School. Elena Hernández Ramón, MD/PhD Scientific Program Manager at OITE Pre-medical advisor

Choosing and Applying to Medical School. Elena Hernández Ramón, MD/PhD Scientific Program Manager at OITE Pre-medical advisor Choosing and Applying to Medical School Elena Hernández Ramón, MD/PhD Scientific Program Manager at OITE Pre-medical advisor Med School ISSSTEP Rural Community Experience 2 Center for Research and Advanced

More information

REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS DR. SULLIVAN S MONOGRAPH

REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS DR. SULLIVAN S MONOGRAPH REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS DR. SULLIVAN S MONOGRAPH REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS ACTIVITY DESCRIPTION This program will assist pharmacy technicians to understand the

More information

! The PBI Medical RECORD KEEPING COURSE

! The PBI Medical RECORD KEEPING COURSE The PBI Medical RECORD KEEPING COURSE ATLANTA IRVINE SACRAMENTO IN PARTNERSHIP WITH THE UNIVERSITY OF CALIFORNIA IRVINE SCHOOL OF MEDICINE OFFICE OF CONTINUING MEDICAL EDUCATION CME CREDIT HOURS COURSE*

More information

Adhering to Your. Treatment Regimen. www.patientedu.org/hiv

Adhering to Your. Treatment Regimen. www.patientedu.org/hiv Adhering to Your Treatment Regimen Healthy LivingWith HIV www.patientedu.org/hiv There have been many advances in HIV treatment over the past few decades. These have led to the emergence of effective drug

More information

Heroin Prevention Education

Heroin Prevention Education Heroin Prevention Education April 24, 2014 Kris Adzia, Heroin Prevention Project Manager Robert Crown Center for Health Education It all started with a grandparent asking a single question: Why aren t

More information

The Teach Back Technique

The Teach Back Technique The Teach Back Technique Communicating Effectively With Patients Table of Contents What Is the Teach Back Technique?...2 Why Use the Teach Back Technique?...2 Teach Back Tips and Cautions...4 Tips...4

More information

Interprofessional Collaborative Education

Interprofessional Collaborative Education Presenters Robert Alpino, MIA Julie Bridges Catalano, Ph.D. (Candidate) Bruce Britton, MD Jeffrey Johnson, DHSc Interprofessional Collaborative Education EVMS Facts and Figures 2014 Located in Norfolk,

More information

Office-Based Treatment of Opioid Dependence

Office-Based Treatment of Opioid Dependence Office-Based Treatment of Opioid Dependence Saturday, November 5, 2011 12:30 PM to 5:30 PM Mason General Hospital, Shelton, Washington PROGRAM OVERVIEW Washington State is currently facing an epidemic

More information

TARLETON STATE UNIVERSITY SPORTS MEDICINE

TARLETON STATE UNIVERSITY SPORTS MEDICINE TARLETON STATE UNIVERSITY SPORTS MEDICINE GRADUATE ASSISTANT POLICY & PROCEDURE MANUAL TABLE OF CONTENTS About Tarleton 3 Graduate School Information 3 Sports Medicine Graduate Assistant 4 Responsibilities

More information

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow Objectives To define ethics and introduce how it applies to clinical medicine To discuss the fundamental principles of ethics

More information

Disclosing Medical Errors to Patients: International Developments and Future Directions

Disclosing Medical Errors to Patients: International Developments and Future Directions Disclosing Medical Errors to Patients: International Developments and Future Directions Thomas H. Gallagher, MD University of Washington School of Medicine Accelerating Interest in Disclosure Growing experimentation

More information

Effective Conferencing: The Parent s Perspective. Mitzi Doggett, PhD

Effective Conferencing: The Parent s Perspective. Mitzi Doggett, PhD Effective Conferencing: The Parent s Perspective Mitzi Doggett, PhD Y How to plan, implement, & conduct effective parent conferences 2 Insight When parents walk through the doors of the school house they

More information

ACTIVITY DISCLAIMER. Preparing Yourself, Your Family, Your Staff, and Your Patients for Retirement FACULTY DISCLOSURE. Learning Objectives

ACTIVITY DISCLAIMER. Preparing Yourself, Your Family, Your Staff, and Your Patients for Retirement FACULTY DISCLOSURE. Learning Objectives Preparing Yourself, Your Family, Your Staff, and Your Patients for Retirement Edward Shahady, MD, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of

More information

UMUC Business and Executive Programs Podcasts Executive MBA Education in a Global World

UMUC Business and Executive Programs Podcasts Executive MBA Education in a Global World Interviewer: Nancy Gentry Glenn, Director of Administration, Business and Executive Programs Interviewees: Christina Hannah, Patricia Spencer, and Barrie Zucal Podcast Title: Developing Global Leaders

More information

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE Prepared by CASAColumbia February 2014 Outline Introduction Three Key Steps Engage Motivate Plan Sample Videos 2 INTRODUCTION 3 Addiction

More information

Exercise is Medicine Australia Education evaluation summary

Exercise is Medicine Australia Education evaluation summary Exercise is Medicine Australia Education evaluation summary Exercise is Medicine Australia (EIM Australia) seeks to support health care providers to become consistently effective in counselling and referring

More information

ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET

ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET ANDREA LEIMAN, PH.D. 8536 WEST HOWELL ROAD BETHESDA, MD 20817 PH: 301-469-7793 FAX: 301-469-0586 DRAJLPHD@VERIZON.NET COLLABORATIVE DIVORCE ENGAGEMENT AGREEMENT DIVORCE COACH This document contains important

More information

Using Motivational Interviewing Techniques in SMART Recovery. Roadblocks to Listening

Using Motivational Interviewing Techniques in SMART Recovery. Roadblocks to Listening Using Motivational Interviewing Techniques in SMART Recovery By Jim (GJBXVI) Braastad According to research dating back to the 1960 s, people tend to believe what they hear themselves say. However, in

More information

Motivational Interviewing: Quick and Effective Tools for Clinicians

Motivational Interviewing: Quick and Effective Tools for Clinicians Motivational Interviewing: Quick and Effective Tools for Clinicians November 6-7, 2012 Seattle, WA Co-provided by: Training Xchange University of Washington Center for Commercialization Department of Psychiatry

More information

Frequently AskedQuestions. Y For Your 2014 Medicare Enrollment

Frequently AskedQuestions. Y For Your 2014 Medicare Enrollment Frequently AskedQuestions Y For Your 2014 Medicare Enrollment Frequently Asked Questions For Your 2014 Medicare Insurance Enrollment As of November 8, 2013 TOPICS Enrollment Appointments/When to Call Prescription

More information

This article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546

This article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546 1 of 6 10/10/2011 7:17 PM This article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546 CME/CE Information CME/CE Released: 09/28/2011;

More information

Care Management Approach for People Who Are at High Risk

Care Management Approach for People Who Are at High Risk Care Management Approach for People Who Are at High Risk Presented by: Ann Larsen RN, CDE Care Manger - Herefordshire Clinic/Trainer Care Management Plus June 11, 2013 Welcome! Type questions into the

More information

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Steve Martino, Ph.D. The SBIRT Training in Yale Residency Programs (SAMHSA 1U79Ti020253-01; PI: Gail D Onofrio, M.D.) At Issue

More information

Caring for Oncology Patients:

Caring for Oncology Patients: : Tips and Tools for Managing Targeted Therapy Side Effects ehandbook These independent CME/CE activities are supported by educational grants from Genentech Bio Side Effects ehandbook Table of Contents

More information

Scenario 1. Scenario 2

Scenario 1. Scenario 2 From the 10 coaching scenarios below, practice at least three within your group of three. Each group member should practice being the coach. Next, construct your own coaching scenario that reflects an

More information

Applying the NLN CNEA Standards to Your Program

Applying the NLN CNEA Standards to Your Program 1 Conflicts of Interest and Disclosures 2 Applying the NLN CNEA Standards to Your Program Neither the planners or presenters indicated that they have any real or perceived vested interest that relate to

More information

Introduction... 3. Secrets to Winning A Disability Case... 4-7. Contact Us... 8. Additional Notes... 9

Introduction... 3. Secrets to Winning A Disability Case... 4-7. Contact Us... 8. Additional Notes... 9 Introduction... 3 Secrets to Winning A Disability Case... 4-7 Contact Us... 8 Additional Notes... 9 2 At Liner Legal the focus is on our clients needs. The most important way we are different from other

More information

Disclosing Medical Errors to Patients: Developing and Implementing Effective Programs

Disclosing Medical Errors to Patients: Developing and Implementing Effective Programs Disclosing Medical Errors to Patients: Developing and Implementing Effective Programs Thomas H. Gallagher, MD University of Washington School of Medicine Accelerating Interest in Disclosure Growing experimentation

More information

Dear Nonprofit Leader

Dear Nonprofit Leader Dear Nonprofit Leader Last year Mountain States Employers Council partnered with two community nonprofits to create the MSEC Nonprofit Leadership Institute. This year six nonprofits have come together

More information

MANITOWOC COUNTY CARE TRANSITION PROGRAM

MANITOWOC COUNTY CARE TRANSITION PROGRAM MANITOWOC COUNTY CARE TRANSITION PROGRAM A U G U S T 1 5, 2 0 1 3 Judy Rank Director Cathy Ley Supervisor Care Transitions Coach MANITOWOC COUNTY CARE TRANSITION PROGRAM Julie Place, Director of Nursing

More information