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Course 6. Urine Drug Screening
The goals of urine drug screening (UDS) are to support patient care related to opioid use, to detect whether a substance has been used in a particular window of time, and to guide other medical care. UDS does not prevent opioid-related problems among patients with chronic pain, does not diagnose addiction or dependence, does not prove diversion of controlled substances, nor does it single-handedly provide justification to stop prescribing opioids for patients.
  


Management of Opioids and Chronic
Pain in the Primary Care Setting
 




Module 6: URINE
DRUG SCREENING


Description

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.

This course will address urine drug screening (UDS) to support patient care related to opioid use, to detect whether a substance has been used in a particular window of time, and to guide other medical care. UDS does not prevent opioid-related problems among patients with chronic pain, does not diagnose addiction or dependence, does not prove diversion of controlled substances, nor does it single-handedly provide justification to stop prescribing opioids for patients.

Learning Objectives

At the end of this activity, the participant should be able to:

  1. Describe the difference between urine drug screening (UDS) and confirmatory tests
  2. Describe common metabolic pathways of substances identified in UDS
  3. Practice patient-centered care principles when using UDS in clinical settings
  4. Talk to patients about UDS results.

Method of Participation/Instructions for Obtaining Credit

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

This course was released February 17, 2023 and expires May 31, 2025.


Accreditation

Please see the overall curriculum overview for accreditations and credit designations. This module will take 60 minutes to complete, which is equivalent to 1.0 credit (or 0.1 CEUs), including 1 credit for Pain Management, Schedule II Drugs, and Pharmacotherapeutics.

The ACPE Universal Activity Number for this knowledge-based module is 0005-9999-22-016-H08-P for pharmacists.

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 1.0 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.


Disclosure

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.

Course Directors
Phillip Coffin, MD
Brian Wylie, OTD, MPH
Rebecca Martinez, MS, RN, FNP-C

Additional Speakers
Alyssa Peterkin, MD
Assistant Professor of Medicine
Boston University Chobanian & Avedisian School of Medicine
Boston, MA


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.


Special Needs or Other Concerns
If you require any special accommodations for a disability which creates a hardship to participating in this activity, or you have questions or concerns about this course, please contact the Office of CME. (Additional contact information is below.)

Supplemental Material
Cultural and Linguistic Competency Resources  
CLC Info and Resources

UC Online Privacy Policy
http://meded.ucsf.edu/cme/privacy-policy





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



Type:     Internet Activity (Enduring Material)
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