Introduction

Beginning June 5, 2017, the BCCSU will be responsible for the educational and clinical care guidance activities for all health care professionals who are prescribing medications to treat opioid addiction (i.e., methadone, buprenorphine/naloxone, slow release oral morphine). This includes the authorization process for those seeking an exemption under Section 56 of the Controlled Drugs and Substances Act to prescribe methadone. It is important to note that the exemption process for prescribers of methadone for analgesic purposes is the responsibility of the College of Physicians and Surgeons of BC. In order to improve access and provincial capacity for opioid agonist treatment education for health professionals, the BCCSU is transitioning to an online learning environment paired with an in-person preceptorship for the Provincial Opioid Addiction Treatment Program. The course will be offered in partnership with UBC Continuing Professional Development and will launch in early July, 2017. The College will remain responsible for prescription monitoring of controlled substances across the province.

Important Dates

*These are the final in-person trainings offered by the College of Physicians and Surgeons of BC

Target Audience

While the Provincial Opioid Addiction Treatment Program online training will be geared towards opioid agonist treatment prescribers, including both physicians and nurse practitioners, all clinicians (e.g., nurses, pharmacists, social worker, counsellors, etc.) can benefit from the online education modules. If you are not seeking an exemption or CME credits, you can simply select modules of interest to your profession.

Program Overview

The process to meet the requirement for methadone prescribing (includes full methadone exemption) involves:

  • 8-hour online course (which includes both MainPro+ and MOC CME credits)
  • 2 half-days of preceptorship, or additional learning as needed (with BCCSU-approved preceptor)
  • PharmaNet review

NOTE: Those seeking to prescribe buprenorphine/naloxone do not need a methadone exemption, but completing the training module is recommended.

There are other ways to engage with the online training program:

  • Temporary Methadone prescribing (includes temporary methadone exemption) – specific modules and PharmaNet review
  • One-time Methadone prescription (includes one-time methadone exemption) – RACE line consult
  • Methadone CME – Methadone modules only
  • Buprenorphine/naloxone CME – Buprenorphine/naloxone modules only
  • Full CME – All online modules
  • Educational only – One or more modules of choice

NOTE: If you have previously completed Methadone 101 through the College of Physicians and Surgeons of BC but have not yet completed a preceptorship or you have completed educational requirements in another province or jurisdiction, please contact:

Amanda Giesler
Project Coordinator, Implementation
(604) 416-1535
agiesler@cfenet.ubc.ca

Topics Covered

  • Trauma-Informed Care
  • Overview of Opioid Use Disorder
  • Triage, Assessment, and Treatment Planning
  • Urine Drug Testing
  • Harm Reduction
  • Health Promotion for People with Opioid Use Disorder
  • Methadone – Pharmacotherapy, Safety, Continuing Care, and Pregnancy
  • Buprenorphine/Naloxone – Pharmacotherapy, Induction, Continuing Care, and Pregnancy
  • Slow Release Oral Morphine (SROM)
  • Caring for a Patient with Opioid Use Disorder
  • Differences Between Methadone and Buprenorphine
  • Treating Opioid Use Disorder – Rural Context
  • Home Induction of Buprenorphine/Naloxone
  • Polysubstance Use While on Opioid Agonist Treatment
  • Strategies to Prevent Diversion
  • Benzodiazepine Prescribing from Another Prescriber
  • Youth with Opioid Use Disorder
  • Managing Precipitated Withdrawal - Buprenorphine/Naloxone
  • Methadone in Acute Care Settings
  • Buprenorphine/Naloxone in Acute Care Settings
  • Transition from Methadone to Buprenorphine/Naloxone

Preceptors

We are expanding the number of opioid agonist treatment preceptors in the province. If you are interested in becoming a preceptor, please contact:

Amanda Giesler
Project Coordinator, Implementation
(604) 416-1535
agiesler@cfenet.ubc.ca

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