AXL Series: MOUD for Patients with Multiple Prescribers



Date & Location
Monday, June 26, 2023, 10:00 AM - Friday, June 26, 2026, 11:00 AM

Credits
AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Overview

Review and discussion of:

  • Potential risks of opioid agonists co-prescribed with benzodiazepines
  • Managing SUD care when stimulants and/or SSRIs are prescribed by non-MOUD providers
  • Strategies for care coordination between multiple providers regarding mental health and infectious disease
  • Following patients after a consultation with psychiatry (in rural areas with little access to psychiatry)
  • Medications review with patients after consolidation of prescribing

Presenter
Nels Kloster, MD
Medical Director: Brattleboro Comprehensive Treatment Center & SaVida Health, Bennington

Learning Outcome
At the conclusion of this learning activity, (at least 75% of) participants will be able to utilize at least two strategies for coordinating patient care with external prescribers in order to develop a unified plan of care that addresses the overall needs of patients with substance use disorder. 

Disclosure
The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have no relevant financial relationship(s)* with ineligible companies to disclose**.

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Bibliographic Material

  • Benzodiazepines for PTSD: A Systematic Review and Meta-Analysis.  Journal of Psychiatric Practice, Vol 21, No. 4, July 2015

  • Bernardy. The Role of Benzodiazepines in the Treatment of Posttraumatic Stress Disorder. PTSD Research Quarterly Volume 23/No. 4, 2013

  • Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. https://wonder.cdc.gov/mcd-icd10.html

  • FDA urges caution about withholding opioid addiction medications from patients taking benzodiazepines or CNS depressants: https://www.fda.gov/media/127688/download

  • Gray, et al.  Benzodiazepine use and risk of incident dementia or cognitive decline: Prospective population study. BMJ. 2016. 352. 190

  • Nutt et al. 2010, Drug Harms in the UK: a multicriteria decision analysis. Lancet, Vol 376, Nov 6, 2010, 1558-1565

  • Park et al.  Benzodiazepine prescribing patterns and deaths from drug overdose among US veterans receiving opioid analgesics: case-cohort study.  BMJ. 2015; 350: h2698

  • Tsui JI. Stimulant Prescription Medications Among Persons Receiving Buprenorphine for Opioid Use Disorder With Prior Drug-Related Poisoning—Evidence of Net-Sum Gain. JAMA Netw Open. 2022;5(5):e2211641. doi:10.1001/jamanetworkopen.2022.11641

  • Turner et al. Selective Publication of Antidepressant Trials and Its Influence on Apparent Efficacy, NEJM, 2008; 358:252-60

Accreditation
Jointly Accredited Provider

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this live activity for a maximum of 1.00 contact hour(s).

Other Learners: All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Click the Register tab above. If you are not logged into your account, you will need to log in. Use the Forgot Your Password? button if you need to reset your password.
  2. Register for the activity.
  3. Click the Content/Tests tab and then View Content to view the recording. View the entire presentation.
  4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).
  5. Click My Account in the menu bar; then click Evaluations.
  6. Complete and Submit the Evaluation.

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CME/CNE Office
Dartmouth Health
[email protected]