Activity ID



June 24, 2021

Format Type


CME Credit



CME Provider

Oregon Health & Science University School of Medicine


As noted in our explication Of professional practice Gaps for Addiction Medicine ECHO Programs , there remains a significant gap between physicians who are DATA-waived to prescribe buprenorphine in Oregon and those who are actively prescribing it. According to a 2004 study in Biological Psychiatry, “Contemporary addiction treatment: A review of systems problems for adults and adolescents,” many of the most common barriers to prescribing buprenorphine need to be addressed on a systems level.

For prescribers, these barriers included: payment issues, insufficient nursing support, insufficient office support, lack Of institutional support, and pharmacy issues. The more common barriers for non-prescribers were insufficient office support, insufficient nursing support, lack of institutional support, insufficient staff knowledge, and low demand. About half of prescribers reported at least one barrier, whereas two-thirds of non-prescribers reported at least one barrier.”

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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

After taking this course, learners will be able to: 1. Identify and develop administrative policies and protocols for the treatment of addiction in primary care. For example: cross-coverage for prescribers, referral pathways etc. 2. Develop standardized processes and workflows for patient office visits (preferably EMR based). For example: process for in-home or office inductions, completing COWS scores, ordering standard labs, ordering medications including naltrexone, health history, community psycho-social resources, etc. 3. Develop processes for improving communication and best practices for the exchange of health information. 4. Develop strategies for building trauma informed systems of care with specific focus on harm reduction, reducing stigma, difficult conversations and boundary setting. 5. Identify strategies for building and sustaining team-based approaches to treating addiction in primary care. For example: how to upscale current team members, how to use team members to expand capacity. 6. Understand how to close knowledge gaps around addiction medicine. For example: finding a network of experts, how to gain institutional support for furthering training, understanding your community resources.


Interpersonal & Communication Skills, Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban, VA/Military

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