Activity ID



June 27, 2020

Format Type


CME Credit



CME Provider

Oregon Health & Science University School of Medicine


Project Extension for Community Healthcare Outcomes (ECHO) is a telehealth educational initiative first developed in New Mexico that links clinics in rural areas with a multidisciplinary team of specialists via videoconference for mentoring and education. The Addiction Medicine ECHO series will offer three programs in FY 2019: Persistent Pain and Opioids (fall 2018) Substance Use Disorders in Ambulatory Care (winter 2019) Persistent Pain and Opioids (spring/early summer 2019) The overall program goals will be to support primary care clinicians and their teams as they diagnose and treat patients with addiction in their practices. All sessions include a brief didactic presentation and interactive, deidentified case discussion.

With regard to buprenorphine, there remains a significant gap between need and availability in all of our target populations. There is also a significant gap between the number of DATA-waived physicians in Oregon (as derived from DEA license review) and those who are actively prescribing buprenorphine (as derived from the Oregon Prescription Drug Monitoring Database). Between January and March 2016, only 30% of DATA-waived physicians wrote a prescription for buprenorphine. In addition, we know that primary care clinicians need additional support to have the confidence to begin treating opioid use disorder and other substance use disorders in the primary care setting. These programs seek to build the knowledge, confidence, and abilities of primary care clinicians to diagnose and treat this high need population.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

1. Understand and assess different types of pain
2. Develop an approach for appropriate and ethical treatment plans for patients with opioid use disorder 3. Discuss evidence-based behavioral interventions for persistent pain
4. Learn techniques to manage opioid tapers
5. Discuss Buprenorphine induction through case discussion and guided mentoring Substance Use Disorders in Ambulatory Care


Interpersonal & Communication Skills, Medical Knowledge, Patient Care & Procedural Skills, Practice-based Learning & Improvement

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Outpatient, Rural

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