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Learning Objectives: (to be updated accordingly)
- To learn about the medico legal responsibilities of the first physician
- To discuss the consent and request process as presented by the patients
- To understand the legal and documentation aspects of MAID
Family Practice Renewal Program – Mr. Ian Hodder
- Review and discuss Family Practice Renewal Program rationale, benefits for family practice
- Review and discuss use and application of conditional based fee codes in practice
- Review and discuss Family Practice Networks and provincial progress to date
Quality of Care NL / Choosing Wisely NL: 1 Year Later
- Describe the origins, structures and governance of Choosing Wisely NL as a component of QoCNL
- Review lessons learned during initiation of CWNL and discuss perspectives of family physicians
- Describe projects undertaken by QoCNL and CWNL
A New Vision for Treatment of Opioid Use Disorder: Family Physicians Taking the Lead
- Describe the roles and responsibilities to other professionals as part of the health care team
- Develop a plan to work collaboratively with other health care professions and community organizations to provide coordinated care for patients
- Identify the health needs of patients with substance use disorders
- Describe principles in maintaining professional competency and implementing a personal management system for opioid use disorders
- Demonstrate an awareness and commitment to delivery of care for patients with high level of substance use disorder
Supporting Family Doctors in Research
- Understand what NL SUPPORT and PRIIME are and how we can assist family doctors
- Be aware of funding opportunities available – in particular NL-SUPPORT’s clinician-led grant opportunity
- Understand how we can assist clinicians in developing their research skills
Prescribing in the Trenches
- The goal of this session is to provide a primary care/Family Medicine approach to the management of patients with substance use disorders. At the end of this session, participants will have achieved competency in the following domains:
Define substance use disorder, with particular emphasis on opioid use disorder.
Explore briefly the body of treatment options for opioid use disorder.
Understand the difference between methadone and suboxone as treatments for opioid use disorder.
Understand, using sample cases, appropriate populations for both methadone and suboxone.
Assess efficacy of opioid replacement therapy, including use of urine drug screens and what to do if patient compliance is not being met.
Medical Expert/Health Advocate:
Develop a treatment plan for patients with opioid use disorder, including how to initiate and maintain opioid replacement therapy.
Taking Control of Addiction: The Treatment of Substance Use Disorder by Family Physicians / Solutions to Complicated Patients
All discussions in the afternoon session supports Wellness centred, homeless reduction, poverty reduction, harm reduction as key principles of treatment. At the end of this workshop, participants should be able to:
Offer treatment techniques in 15 minute interview to effectively manage the crises of the complicated opioid use disorder patient who has taken a high dose opioid prescription.
Provide a protocol for addressing, including prevention, alcohol use in the underaged person
Provide support to physicians to deal with complicated OUD patients.
Offer a way to approach to Chronic Multi-system Illness in OUD such as chronic fatigue, chronic abdominal pain and chronic pain. These chronic issues cause difficulty in Family Medicine practices.
Discuss and define while offering a treatment approach to PTSD and acute stress reaction in OUD.
Demystify Chronic pain and it’s most common presentation while offering a treatment approach.
Understand and distinguish between approaches and support options available to help treat complicated opioid use disorder and chronic pain patients.
Understand the concept of switching from methadone to buprenorphine naloxone.
Identify complicated SUD issues and solutions.
Be aware of the principles of harm reduction as they apply to complicated opioid use disorder and chronic pain patients.
Understand when to switch from buprenorphine/naloxone to methadone and when to switch from methadone to other options.