Step 1 of 4 25% Learner Objectives After participating in this activity, learners should be able to: Episode Specific: Outline the impact of the opioid crisis on American Indian/Alaska Native (AI/AN) communities. Highlight the strategies of tribal health systems like at Lummi Nation in addressing medication treatment of OUD. Apply strategies to support all communities related to the treatment of OUD and foster engagement with the AI/AN communities. Podcast Series: Understand and apply to practice new legislation updates related to better prescribing Adopt approaches in safe prescribing for buprenorphine, sedatives, chronic opioid prescribing, co-prescribing, variants/novel drugs, and new trends Put into practice treatment of opioid use disorder and overcome barriers Apply strategies to engage and better serve communities with treatment of opioid use disorder Taking into account how well the learner objectives were met, how would you rate the podcast episode?1=Poor23=Good45=ExcellentList one or two strategies that you will put in pratice. An “ineligible company,” also known as a "commercial interest," is defined as any entity producing, marketing, selling, re-selling or distributing health care goods or services consumed by, or used on, patients. Among the exemptions to this definition are government organizations, non-health care related companies and non-profit organizations that do not advocate for commercial interests. Did you perceive any bias toward a “commercial interest” in any presentation? Yes No If Yes, please explainWhat barriers do you face in implementing what you learned at the activity?Do you want to claim CME credit?(Required) Yes No CME Credit Claim FormTo claim CME credit, please provide your contact information below.First Name(Required)Last Name(Required)Credentials(Required)AddressCity/TownStateZipCountryEmail Address(Required)Company CME Accreditation The WSMA is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The WSMA designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit Claim Physicians: The number of credits claimed equals the number of AMA PRA Category 1 CreditsTM awarded, with one hour of participation equaling one AMA PRA Category 1 CreditTM. Physicians should claim credit in 15 minute (i.e. 0.25 credit) increments. All other attendees: Please complete this form so that we may verify your participation in this activity, which was designated for 1 AMA PRA Category 1 CreditsTM awarded, with one hour of participation equaling one AMA PRA Category 1 CreditsTM. Attestation & Credits Claimed(Required) I attest that I have viewed/listened to the BPBT Podcast #23: OUD Treatment in Tribal Clinics (0.75 hours)Number of CME credits claimed (up to 0.75)(Required)Please enter a number from 0 to 0.75. Are you claiming MOC credit? By claiming MOC credit, you are granting the WSMA to share your learner data with the ACCME and the certifying Board(s).(Required) Yes No Quiz To claim MOC credit, you must receive a 100% score on the quiz. Participants may take the quiz multiple times. Is the following statement true or false? The 4-year fentanyl overdose rate (2014-2018) indicates that American Indians and Alaska Natives (AI/AN) experienced fentanyl overdose rates nine times higher than white residents in ZIP codes surrounding Whatcom County.(Required) True False Selection is incorrect. Try again. You must select the correct answer to move forward.Correct! The guest speaker Zoe Taylor, MD, MBA, who is a family medicine physician with the Lummi Nation Health Center, shared data on the opioid crisis's severe impact on American Indian and Alaska Native (AI/AN) residents particularly Whatcom County where the Lummi Nation is located. The source of this information is the Lummi Nation Drug Overdose Data Syndromic Surveillance Data Report. Dr. Taylor provided insights into the community that she serves at Lummi Nation, highlighting that over 2014-2018, the fentanyl overdose aggregated rate among AI/AN residents in Whatcom County have been nine times higher than those among white residents. This underscores both the widespread presence of fentanyl and the severe toll of the opioid crisis on AI/AN communities. Nathan Schlicher, MD, JD, noted that experiencing one overdose may increase the risk of future overdoses. Later in the episode, Dr. Taylor discusses how physicians and prescribers can take the first steps in prescribing buprenorphine and connecting tribal members to tribal-led treatment programs.What are the tribal-led services at Lummi Nation and partnerships associated with treatment of opioid use disorder (OUD)?(Required) Medication treatment of OUD as part of primary care. Pharmacy located in the clinic for easier access to prescriptions. Tribal liaisons and education for social workers with respect to tribal services. Peer support, social work, behavioral health and harm reduction teams. All the above Selection is incorrect. Try again. You must select the correct answer to move forward.Correct! Dr. Zoe Taylor highlighted the advanced work of the Lummi Nation, aiming to inspire prescribers and other tribal communities. She passionately discussed medication-assisted treatment (MAT) services, emphasizing a patient-centered approach integrated into primary care. These services prioritize accessibility, including pharmacies that are located on-site and walk-in or same-day appointments that reduce barriers to care. Additionally, hospital systems outside tribal communities are engaging with tribal members by incorporating tribal liaisons and social workers trained in tribal-led services. To reinforce these insights, review the presentation slides and initiate discussions with your patients, including American Indians and Alaska Natives, about opioid use disorder. Consider learning more about the tribal communities near you. What is important to know about buprenorphine or medication assisted treatment?(Required) Medication-assisted treatment for opioid use disorder can reduce the risk of overdose death by 50% Only addiction medicine physicians are qualified to provide treatment. A judgmental approach goes a long way. All of the above. Selection is incorrect. Try again. You must select the correct answer to move forward.Correct! Dr. Zoe Taylor explained how medication treatment of OUD is a lifesaving strategy. For those persons experiencing opioid use disorder, using medication assisted treatment may reduce risk of death by overdose by 50%. Dr. Taylor highlighted the vital role of family medicine and primary care in addressing OUD, as these providers often have established, trusting relationships with their patients—an essential factor in encouraging individuals to seek treatment. To support patients on their recovery journey, Dr. Taylor shared key strategies for fostering a non-judgmental environment. These include consistently asking screening questions about substance use, working towards those difficult conservations in a nonjudgmental approach, and practicing radical kindness in those difficult conversations. Source: Schuckit MA. Treatment of Opioid-Use Disorders. N Engl J Med 2016; 375:357-368. You have passed your quiz! MOC Credit Claim FormYou passed the required quiz with 100% score! To claim MOC credit, please provide your date of birth, certification board, and board learner ID.You will need to enter your certification board and learner ID below. Please use the link below to look up your learner ID for your respective board. American Board of Internal Medicine (ABIM) https://www.abim.org/verify-physician.aspx American Board of Anesthesiology (ABA) https://theaba.org/diplomate%20directory.html American Board of Otolaryngology (ABOHNS) https://www.abohns.org/verify-certification American Board of Pathology (ABPath) American Board of Pediatrics (ABP) https://www.abp.org/verification-certification American Board of Surgery (ABS) American Board of Thoracic Surgery (ABTS)Certification Board(Required)Select a certification board from the menuAmerican Board of Internal Medicine (ABIM)American Board of Anesthesiology (ABA)American Board of Otolaryngology – Head and Neck Surgery (ABOHNS)American Board of Pathology (ABPath)American Board of Pediatrics (ABP)American Board of Surgery (ABS)American Board of Thoracic Surgery (ABTS)Board Not Listed (You may try self-claming)Certification Board Learner ID(Required)Do you need to add another board? Yes No Certification Board #2(Required)Select a certification board from the menuAmerican Board of Internal Medicine (ABIM)American Board of Anesthesiology (ABA)American Board of Otolaryngology – Head and Neck Surgery (ABOHNS)American Board of Pathology (ABPath)American Board of Pediatrics (ABP)American Board of Surgery (ABS)American Board of Thoracic Surgery (ABTS)Board Not Listed (You may try self-claming)Certification Board Learner ID #2(Required)Date of Birth (mm/dd only, do not include year)(Required)Attestation(Required) I attest that I met the minimum threshold for participation for this activity by listening to or viewing the entire recording and passing the online quiz. By submitting this attestation, you are giving WSMA the permission to share your learner data with the ACCME and the certifying Board(s). Enter the amount of MOC Credit (up to 0.75)(Required)Please enter a number from 0 to 0.75.
