Boston Medical Center (BMC) Grayken Center for Addiction Training and Technical Assistance (TTA)

A Resource for Healthcare and Social Services Professionals

The Nuts and Bolts of Buprenorphine Treatment

Estimated time to complete: 2 hours

This two-hour course is designed to provide prescribers, including pharmacists, with the skills and education necessary to prescribe medications for opioid use disorder (MOUD). Topics include initial assessment, initiation of buprenorphine, injectable medications, visit management, monitoring, and strategies to reduce harm associated with continued use. CEs: CME (2.00); Nursing (2.00), Pharmacology (2.00)


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Description

This two-hour course is designed to provide prescribers, including pharmacists, with the skills and education necessary to prescribe medications for opioid use disorder (MOUD). Topics include initial assessment, initiation of buprenorphine, injectable medications, visit management, monitoring, and strategies to reduce harm associated with continued use. 

This training satisfies 2.00 hours of the required 8 hours of training for DEA-registered practitioners. The Medication Access and Training Expansion (MATE) Act was included in the Consolidated Appropriations Act, 2023. The MATE Act requires increased training for Drug Enforcement Administration (DEA)-registered physicians and practitioners—specifically, a one-time eight-hour training requirement on treating and managing patients with opioid or other substance use disorders.

Intended audience

Medical professionals with prescriptive authority and nurses who support them looking to increase provision of care for patients with opioid use disorder.

Speakers

Other Faculty

Daniel P. Alford, MD, MPH, FACP, FASAM, CME Course Director, has no relevant financial relationships to disclose.

Colleen LaBelle, MSN, RN-BC, CARN Nursing Course Director, has no relevant financial relationships to disclose.

Members of the planning committee have no relevant financial relationships to disclose: 

Ilana Hardesty, MA, Planning Committee

Victoria Rust, BS, Planning Committee

Andrea Jodat, DNP, FNP-BC, CARN-AP (she/her)

Andrea is a clinical nurse educator for Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, where she contributes to the development and delivery of continuing education programs, peer-reviewed publications, evidence-based clinical guidelines, and other resources for providers supporting patients with substance use disorders. She is also a family nurse practitioner at Boston Medical Center, an assistant professor of medicine at the Boston University Chobanian & Avedisian School of Medicine, and conducts research in the use of telehealth and coordinated care for persons with opioid use disorder and depression. Andrea is an active member of the Boston University Medical Group Advanced Practice Provider Council and the Massachusetts Coalition of Nurse Practitioners. Andrea has worked with vulnerable populations for over 10 years including managing substance use disorders and overall healthcare for persons experiencing homelessness with the Boston Health Care for the Homeless Program. She is a term lecturer and preceptor for nurse practitioner students at the Massachusetts General Hospital Institute of Health Professions (IHP) and received her Doctor in Nursing Practice (DNP) degree from the IHP in 2018. She also holds certification as a Certified Addiction Registered Nurse - Advanced Practice (CARN-AP) through the Addictions Nursing Certification Board (ANCB).

Andrea has no relevant financial relationships to disclose.

Vanessa Loukas, MSN, FNP-C, CARN-AP (she/her)

Vanessa is a clinical nurse educator for Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, an assistant professor of medicine at Boston University Chobanian & Avedisian School of Medicine, and a nurse practitioner at Boston Medical Center. She has expertise in managing substance use disorders, co-occurring psychiatric conditions, and infectious diseases in primary care settings. Her clinical interests include harm reduction, low-barrier treatment, medical addiction groups, and improving care for persons involved in the criminal-legal system. Through her primary role on the Grayken TTA team, Vanessa contributes to peer-reviewed publications, evidence-based clinical guidelines, development and delivery of continuing education programs, and other resources for providers supporting patients with substance use disorders. Prior to joining the Grayken TTA team, Vanessa practiced as a nurse practitioner and was the program director for the addiction treatment program at the South End Community Health Center, caring for high-risk patients with substance use disorders and psychiatric diagnoses. Her work integrated harm reduction, on-demand treatment, infectious disease treatment, and medical addiction groups including within the male/female re-entry/recovery units at the Suffolk County House of Corrections. Vanessa received her Master of Science in Nursing (MSN) from Simmons University and is a Certified Addiction Registered Nurse – Advanced Practice (CARN-AP) through the Addictions Nursing Certification Board (ANCB).

Vanessa has no relevant financial relationships to disclose.

Annie Potter, MSN, MPH, FNP-BC, CARN-A (she/her)

Annie is a clinical nurse educator for Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, an assistant professor of medicine at Boston University Chobanian & Avedisian School of Medicine, and a nurse practitioner at Boston Medical Center. Annie contributes to peer-reviewed publications, evidence-based clinical guidelines, development and delivery of continuing education programs, and other resources for clinicians supporting patients with substance use disorders. Annie is also consultant and educator for the Massachusetts HEALing Communities Study, a multi-state study funded by the National Institute on Drug Abuse. She is also the Medical Director for the Massachusetts Community Health Center ECHO and an expert faculty member of the Provider Clinical Support System Exchange (PCSS-X). Annie's other clinical interests include treatment and prevention of HIV and Hepatitis C, family planning, and care for gender-diverse individuals. Before joining Boston Medical Center, Annie practiced at a community health center in Baltimore, MD, where she established and directed the city's first walk-in HIV treatment and prevention program. She is board-certified in addictions and holds specialty certifications for the treatment of HIV and Hepatitis C. Annie earned both her Master of Nursing and Master of Public Health from Johns Hopkins University. 

Annie has no relevant financial relationships to disclose.

Nancy Regan-Brooks, MSN, FNP, CNM, CARN-AP (she/her)

Nancy is a clinical nurse educator for Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, where she contributes to the development and delivery of continuing education programs, peer-reviewed publications, evidence-based clinical guidelines, and other resources for providers supporting patients with substance use disorders. Nancy is also a nurse practitioner, board certified in both family medicine and midwifery with over a decade of experience working in addiction treatment. Prior to joining the Grayken TTA team, Nancy held a position as director of the substance use disorder program at the Community Health Center of Cape Cod, where she maintains clinical practice. Nancy began her career in a community health center in South Boston managing a wide range of pediatric, prenatal, and adult patients. She later transitioned to addiction medicine at High Point Treatment Center in Jamaica Plain where she worked in an acute treatment setting of medically supervised detoxification and treated acute and chronic medical issues on a Crisis Stabilization Services Unit. Nancy also participated in the HEALing Communities Study — a multi-state study funded by the National Institute on Drug Abuse aimed at reducing overdose deaths — as a lead community partner, facilitating treatment on demand and engaging and empowering other community providers. She received her Master of Science in Nursing (MSN) in 2011 from the Massachusetts General Hospital Institute of Health Professions and her Master of Science in Nursing Midwifery in 2017 from Frontier Nursing University. She also holds certification as a Certified Addiction Registered Nurse – Advanced Practice (CARN-AP) through the Addictions Nursing Certification Board (ANCB).

Nancy has no relevant financial relationships to disclose.

Kristin Wason, MSN, NP-C, CARN (she/her)

Kristin is a clinical nurse educator for Boston Medical Center's Grayken Center for Addiction Training and Technical Assistance, an assistant professor of medicine at Boston University Chobanian & Avedisian School of Medicine, and a nurse practitioner at Boston Medical Center. Kristin contributes to peer-reviewed publications, evidence-based clinical guidelines, development and delivery of continuing education programs, and other resources for clinicians supporting patients with substance use disorders. Kristin is the Director of the Grayken Addiction Nurse Fellowship program, the first addiction nurse fellowship of its kind in the United States. She also sits on the BMC Substance Use Disorder Nursing Council. Kristin is an expert faculty member for the Provider Clinical Support System Exchange (PCSS-X) and co-chair of the Association for Multidisciplinary Education and Research in Substance Use and Addiction 2022 conference. Kristin's clinical interests include women's health, low-barrier treatment, and care of persons involved within the criminal-legal system. She is board-certified in addictions through the Addiction Nursing Certification Board. She earned her Master of Science in Nursing (MSN) from Salem State University and completed her undergraduate studies at the University of New Hampshire. 

Kristin has no relevant financial relationships to disclose.

Objectives

Following this training, participants will have the knowledge necessary to:

Sponsored by

Boston Medical Center Grayken Center for Addiction Training and Technical Assistance, Massachusetts Department of Public Health, Bureau of Substance Addiction Services (DPH/BSAS)

Funding for out of state attendees is provided by the Opioid Response Network (ORN).

Funding for this initiative was made possible (in part) by grant no. 1H79TI083343 & 1H79TI085588-02 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Accreditation information

In support of improving patient care, Boston University Chobanian & Avedisian School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Continuing Medical Education (CME): Boston University Chobanian & Avedisian School of Medicine designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Contact Hours: 2.00 number of contact hours of which 2.00 are eligible for pharmacology credit.

This program expires on 07/14/2025.

Requirements for Credit: To earn credit, one must complete the pre-test, video, and pass the post-test evaluation with a minimum score of 70%. The evaluation closes two weeks after watching the video.

Speaker/Planner Disclosures & Disclaimer

Boston University Chobanian & Avedisian School of Medicine asks all individuals involved in the development and presentation of Accredited Continuing Education activities to disclose all financial relationships with ineligible companies. This information is disclosed to all activity participants prior to the start of the educational activity. Boston University Chobanian & Avedisian School of Medicine has procedures to mitigate all relevant financial relationships with ineligible companies. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed. 

In accordance with the Standards for Integrity and Independence in Accredited Continuing Education, all relevant financial relationships that faculty, planners, authors, and anyone who may be in control of content have with ineligible companies have been mitigated.

Faculty members do not plan on discussing off-label/investigational uses of a commercial product.

THIS CONTINUING EDUCATION PROGRAM IS INTENDED SOLELY FOR EDUCATIONAL PURPOSES FOR QUALIFIED HEALTH CARE PROFESSIONALS. IN NO EVENT SHALL BOSTON UNIVERSITY BE LIABLE FOR ANY DECISION MADE OR ACTION TAKEN IN RELIANCE ON THE INFORMATION CONTAINED IN THE PROGRAM. IN NO EVENT SHOULD THE INFORMATION CONTAINED IN THE PROGRAM BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE. NO PHYSICIAN-PATIENT RELATIONSHIP IS BEING ESTABLISHED. IN NO EVENT SHOULD INFORMATION IN THE MATERIALS REGARDING LAWS, REGULATIONS, OR LEGAL LIABILITY BE CONSIDERED LEGAL ADVICE OR USED AS A SUBSTITUTE FOR CONSULTING WITH AN ATTORNEY.

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Grayken Center for Addiction TTA is a program of Boston Medical Center (BMC), a 514-bed academic medical center located in Boston's historic South End and the largest safety-net hospital in New England.

Funding for Grayken Center for Addiction TTA is provided by:

Massachusetts Department of Public Health Bureau of Substance Abuse Services (BSAS)
GE Foundation
Opioid Response Network

The content on this site and the content presented by Grayken Center for Addiction TTA is intended solely to inform and educate healthcare and social service professionals, and shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional. The hospital, the program, and the contributors are not acting as health care providers or professional consultants on behalf of any specific patient and disclaim establishing a provider-patient relationship with any specific patient.


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