The Center for Innovation in Academic Detailing on Opioids (CIAO), at the San Francisco Department of Public Health, has prepared online coursework modules with the aim of educating learners on topics related to the management of opioids and chronic pain in the primary care setting as well as how to communicate relevant information to patients and providers.

The curriculum consists of eleven (11) short on-demand courses, which can be completed in any order. A certificate of credit will be issued for each module individually, with an option to print a certificate including all credits earned upon completion of the curriculum. Courses will be released over time, and include:

Currently Available
1. Naloxone ^{[PM Rx]}
2. Opioid Use Disorder ^[Rx]
3. Buprenorphine ^{[PM S2 Rx]}
4. Substance Use Disorders ^[Rx]
5. Reducing or Stopping opioids for Chronic Pain ^{[PM S2 Rx]}
6. Urine Toxicology ^[PM]

Coming Soon
7. Opioid Stewardship ^[PM]
8. Chronic Pain Management ^{[PM S2 Rx]}
9. Initiating Opioids for Chronic Pain ^{[PM S2 Rx]}
10. Motivational Interviewing ^[PM]
11. Academic Detailing Basic Skills ^[PM]

All courses are qualified for CME and CPE credit. The following key indicates the courses qualified for these specialty certificate credits:

^[PM] Pain Management
^[S2] Schedule II Drugs
^[Rx] Pharmacotherapeutics for Nurses

This course meets the new Medication Access and Training Expansion (MATE) Act requirements from the Drug Enforcement Administration (DEA) for training on substance use disorders. Please note that not all credit hours are currently available. Providers planning to receive or renew their DEA registration can currently earn 4.75 hours toward their 8-hour MATE requirement. More hours will be added in the near future.

At the completion of the entire curriculum, the participant should be able to:

1. Apply knowledge of opioid and overdose basics, naloxone mechanism of action and formulations, and patient acceptability, to improve prescriber practices;
2. Apply knowledge of opioid use disorder, including diagnosis and treatment, to clinical practices in different patient populations;
3. Apply knowledge of indications, contraindications, and general tenets of starting buprenorphine to treat opioid use disorder;
4. Apply knowledge of common substance use disorder diagnoses, treatments, and panel management in primary care;
5. Apply knowledge of screening and confirmatory drug testing practices in support of treatment for opioid use disorder;
6. Apply knowledge of pain and function assessments to opioid stewardship, and describe monitoring for opioid use disorder;
7. Apply knowledge of non-pharmacologic treatments and non-opioid pharmacologic treatments for chronic pain to the correct patient type;
8. Apply knowledge of the steps for determining if opioids should be considered for chronic pain and how to assess a patient already on opioid therapy;
9. List, and apply to the correct patient type, risks to reducing opioid therapy;
10. Demonstrate best practices of shared decision-making for opioid therapy with a patient;
11. Apply knowledge of concepts and communication skills of motivational interviewing and give examples of each in practice;
12. Apply knowledge of the needs assessment, delivering key messages, handling objections, and closing the visit, to promote prescriber behavior change.
    

The knowledge-based curriculum is designed for a wide range of health professionals, including physicians, pharmacists, physician assistants, nurse practitioners, registered nurses, and health educators who care for patients who use opioids, who use illicit substances, or who have chronic pain, in the primary care setting.

The enrollment fee for the entire curriculum is $45.

Participants should read and listen to the coursework content, answer the multiple-choice test questions embedded within each module, and complete the evaluation form online to receive a certificate. You must receive a score of 80% or better to complete each course. You will have two attempts to successfully complete the post-test.  Your certificate will be available immediately for print or download upon completion of the entire activity.

This course was released May 1, 2022 and expires May 31, 2025.

Phillip Coffin, MD, MIA, FACP, FIDSA
Medical Director and Clinician Trainer
Center for Innovation in Academic Detailing for Opioids
San Francisco Department of Public Health
Assistant Professor of Medicine
Zuckerberg San Francisco General Hospital and Trauma Center
San Francisco, California

Brian Wylie, OTD, MPH
Program Director
Center for Innovation in Academic Detailing for Opioids
San Francisco Department of Public Health

Rebecca Martinez, FNP-C
Clinician Trainer
Center for Innovation in Academic Detailing for Opioids
San Francisco Department of Public Health

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of University of California, San Francisco and San Francisco Department of Public Health. The University of California, San Francisco is accredited by the ACCME to provide continuing medical education for physicians.

UCSF designates this enduring activity for a maximum of 8.75 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of California, San Francisco School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

Each course in the curriculum has been approved individually for the specified number of credits under it's own Universal Activity Number, as indicated on the course overview page. Maximum number of credits earned for completing all 11 courses is 8.75 contact hours (.088 CEUs).

ABIM Maintenance of Certification Points: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 8.75 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credit™. (Report up to 20.00 hours of credit and list "CME Category 1" as the provider number.)

Nurse Practitioners: For the purposes of recertification, AANPCB accepts AMA PRA Category 1 Credit^™ issued by organizations accredited by ACCME as an equivalent number of hours of participation.

Registered Dietitians: The Commission on Dietetic Registration accepts as continuing professional education those courses that meet the standard of relevance to Dietetic practice and have been approved for AMA PRA Category 1 Credit™.

Psychologists: This educational activity is recognized by the California Board of Psychology as meeting the continuing education requirements toward license renewal for California psychologists. Psychologists are responsible for reporting their own attendance to the California Board of Psychology. Psychologists from other states should check with their respective licensing boards.

Physician Assistants: PAs may claim a maximum of 20.00 Category 1 credit(s) for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.  AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

See individual course overview pages for specific number of continuing education, Pain Management, Schedule II, and Pharmacotherapeutic credits.

This UCSF CME activity was planned and developed to uphold academic standards to ensure balance, independence, objectivity, and scientific rigor; adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA); and include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

The following individuals have no financial relationships with ineligible companies whose primary business purpose is the manufacturing, marketing, selling, re-selling or distributing health care goods used on or by patients.

Phillip Coffin, MD, MIA, FACP, FIDSA
Brian Wylie, OTD, MPH
Rebecca Martinez, FNP

The following individuals have disclosed a relevant financial relationship with one or more ineligible companies. Financial relationships have been mitigated in accordance with the Standards for Integrity and Independence of Accredited Continuing Education Activities.

NONE

UCSF School of Medicine
Office of Continuing Medical Education
Box 0742
490 Illinois Street, Floor 8
San Francisco, CA  94143

info@ocme.ucsf.edu
Phone: (415) 476-4251 • Fax: (415) 476-0318