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Post X-Waiver SUD Training Suite

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Post X-Waiver Substance Use Disorder Training Suite

NEW!

Content newly created and adapted for this training suite.

On December 30, 2022, the DATA X-Waiver requirement to prescribe medication for opioid use disorder (MOUD) was eliminated by the federal government under the Mainstreaming Addiction Treatment (MAT) Act, section 1262 of the Consolidated Appropriations Act of 2023.

While the DATA X-Waiver has been eliminated, there is an additional requirement that controlled medication prescribers must receive at least 8 hours of education on treating and managing patients with substance use disorder. This is a one-time training requirement which will be self-reported on the DEA registration form for new and renewing applicants starting June 27, 2023. This interactive training suite has been developed in accordance with the recommendations from the DEA and SAMHSA for the Medication Access and Training Expansion (MATE) Act.

SAMHSA recommends that educational content includes education on the prevention, recognition, and care of people with substance use disorders, including those with concurrent pain and/or psychiatric or medical co-morbidities. The recommended curricular elements include: substance use disorders, effective treatment planning, and pain management and substance misuse.

Most programs have also been designed to satisfy, in part, the North Carolina Medical Board's CME requirement for controlled substance prescribers. Per NCAC rules: As of July 1, 2017, all physicians (other than residents), physician assistants, nurse practitioners, podiatrists, and dentists who prescribe controlled substances must satisfy the controlled-substance prescribing CE requirements as set forth by their licensing boards. Requirements vary by discipline and board.

Training content can include:

Substance Use Disorders

  • Screening for SUD and mental health
  • Diagnosis and assessment for SUD positive patients
  • The initiation and management of FDA approved medications for SUD
  • Consideration of polysubstance use and co-occurring mental disorders
  • Patient and family education on safety and overdose prevention

Effective Treatment Planning

  • Patient-centered decision making and paradigms of care, and communication strategies
  • Stigma, bias, and social determinants of health
  • Collaboration to facilitate access to care
  • Legal and ethical issues in SUD care

Pain Management and Substance Misuse

  • Assessment of patients with pain
  • Developing an effective treatment plan
  • Managing patients on opioid
  • Recognizing signs of OUD
Please note:

While only eight modules are necessary to fulfill the requirement, this training offers sixteen options. We hope that learners will be able to choose the topics that they believe will benefit their work most. Four modules are highlighted as “recommended” because MAHEC providers believe they provide key information for the effective treatment of substance use disorders, and should be used as the foundation of this training. The following modules are recommended:

  • Module 1: Understanding Addiction
  • Module 3: Initiation and Management of Medications for Substance Use Disorders
  • Module 4: Treating Pain Safely
  • Module 9: Prescribing Medication for Opioid Use Disorder

Substance Use Disorders

Modules for this training element include:
Overall objectives for this training element include:
  • Identify validated screening tools for SUD and risk factors
  • Interpret diagnosis and assessment of individuals who screen positive for SUDs
  • Outline initiation and management of FDA approved medications for SUDs (opioids, alcohol and tobacco), including pharmacological impacts
  • Summarize polysubstance use and co-occurring mental disorders
  • Explain patient and family education on harm reduction and overdose prevention and treatment

Effective Treatment Planning

Modules for this training element include:
Overall objectives for this training element include:
  • Utilize patient-centered approaches to care including motivational interviewing
  • Connect the impact of stigma, trauma and the social determinants of health on substance use and recovery
  • Compare cross-discipline integrated care including medication and care management
  • Correlate legal and ethical issues involved in the care of patients with SUD

Pain Management and Substance Misuse

Modules for this training element include:
Overall objectives for this training element include:
  • Summarize treatment of acute and chronic pain
  • Recommend effective multidisciplinary treatment planning including nonpharmacologic and pharmacologic analgesic therapy
  • Analyze the benefits of opioid tapering
  • Recognize signs and symptoms of OUD

Post X-Waiver Substance Use Disorder Training Suite

Register below for each module in this training suite.

Module 1 Recommended Module 2 Module 3 Recommended Module 4 Recommended Module 5 Module 6 Module 7 Module 8 Module 9 Recommended Module 10 Module 11 Module 12 Module 13 Module 14 Module 15 Module 16

This requirement applies to physicians, physician assistants, nurse practitioners, podiatrists, dentists, and other practitioners that prescribe controlled substances who are applying for or renewing their DEA license after June 27, 2023.

For additional online opioid programs, please visit mahec.net/onlineopioid
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