Managing Patients with Opioid Use Disorder in Primary Care with Buprenorphine

Programs Opioids Clinical Primer Managing Patients with Opioid Use Disorder in Primary Care with Buprenorphine

Managing Patients with Opioid Use Disorder in Primary Care with Buprenorphine

Learn how to identify patients who would benefit from buprenorphine treatment in a primary care setting.

Outline

Using case studies, learn how to identify patients who would benefit from buprenorphine treatment in a primary care setting. Understand how to manage buprenorphine prescriptions, including; dose adjustments, side effect management, monitoring, observed versus take-home dosing, the role of urine drug testing. Learn about the importance of co-morbid mood and anxiety disorders with respect to relapse prevention and the importance of trauma histories in relation to opioid use disorder.

Objectives

Identify patients for whom treatment with buprenorphine can be appropriately managed in the primary care setting

Manage patients on buprenorphine, including: adjusting doses, writing prescriptions and using urine drug testing for monitoring

Educate patients to recognize and temporarily reverse an opioid overdose with naloxone

Audience

Physicians and other health care professionals
Health Professionals Trainees

Credits

This e-learning activity is a form of self-study using enduring materials (e-learning modules) as defined by the Maintenance of Proficiency (Mainpro+®) Program of the College of Family Physicians of Canada (CFPC). Self-study using e-learning modules is included under the Non-Certified Self-Learning credit category. Any non-certified activity is generally eligible for one non-certified credit per hour.

This e-learning activity is a form of self-study using enduring materials (e-learning modules) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. Self-study using e-learning modules is included as an example of a Section 2 activity. Reviewing enduring materials is generally valued at 0.5 credit per topic. However, additional research/self-study using the e-learning can also be submitted as Personal Learning Projects (PLPs) where you will earn two (2) credits per hour.

Developers

Jennifer Wyman, MD, CCFP, FCFP, DABAM, MPH, Women's College Hospital, Department of Family and Community Medicine, University of Toronto
Anthony J. Levinson, MD, FRCPC, MSc, Director, Division of e-Learning Innovation, Associate Professor, Faculty of Health Sciences, McMaster University
Mel Kahan, MD, CCFP, FRCPC, Medical Director of Substance Use Service, Women's College Hospital, Associate Professor, Department of Family and Community Medicine, University of Toronto
Lynn Wilson, MD, CCFP, FCFP Vice Dean, Partnerships, Professor, Department of Family and Community Medicine, Faculty of Medicine, University of Toronto

Thank you to Drs. David Daien, Megan Messenger and Eric Wooltorton as well as the members of the Expert Panel for their invaluable contribution.

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