Clinical Provider Quick Tips
Addressing Substance Use in Primary Care Settings
What You Need to Know
Fentanyl Quick Tips
Fentanyl use trends, overdose risks and tools for reducing risk, and relevant medications for opioid use disorders (MOUD) to treat patients within emergency department and primary care settings.
The US Overdose Crisis: Rapid Shifts in Fentanyl and Novel Synthetic Substances
Description: This brief video describes current trends in overdose, driven by polysubstance combinations with illicit fentanyl and synthetic analogues, and discusses clinical approaches needed to address rising burden of disease.
Presenter: Joseph Friedman, PhD, MPH
Watch Video: Earn CME (.25 credit); Non-Credit Version (20:04 min.)
- We are in the 'fourth wave' of the US overdose crisis, driven by polysubstance combinations with illicit fentanyls.
- Become aware of new health risks to consumers due to rapid shifts in the illicit drug supply.
- New clinical approaches are needed to address rising burden of disease.
Primary Care/Harm Reduction for People Who Use Fentanyl
Description: This brief video highlights the transferability of skills providers already have treating chronic disease to Fentanyl use, and provides tips and useful information for reducing harm and stigma in primary care.
Presenter: Candy Stockton-Joreteg, MD, FASAM
Watch Video: Earn CME (.25 credit); Non-Credit Version (21:36 min.)
- If you are a primary care provider who treats chronic diseases, you already have the skill set you need.
- Stigma kills; you should be comfortable asking questions and giving practical advice.
What The Fentanyl! Understanding Fentanyl from the Primary Care Setting
Description: This brief video provides an overview of fentanyl use and the resulting overdose deaths within the past decade, and highlights the benefits of access to naloxone and other harm-reduction and life-saving approaches, including buprenorphine.
Presenter: Arianna Campbell, PA-C
Watch Video: Earn CME (.25 credit); Non-Credit Version (14:45 min.)
- Primary Care is an essential access point to care for people who use fentanyl.
- Become a prescriber! Buprenorphine is a gold standard in combating the overdose epidemic.
- Ensure access to naloxone; in-hand naloxone saves lives.
Buprenorphine for Patients Using Fentanyl
Description: This brief video highlights the value of using buprenorphine with patients who intentionally or unintentionally are using fentanyl, addresses guidance for inducting patients on buprenorphine in hospital, clinic and home settings, and provides resources to support new prescribers.
Presenter: Reb JH Close, M.D.
Watch Video: Earn CME (.25 credit); Non-Credit Version (16 min.)
- Fentanyl is prevalent in illicit opioids and greatly increases overdose risk; engaging patients in MOUD treatment increase retention and reduces risk.
- Using good practices when starting buprenorphine with fentanyl-using patients will increase treatment success.
- Assess and address patients' needs during and after the induction of buprenorphine.
BONUS MATERIAL
Addiction Overview
Description: This video provides a brief overview of substance (particularly opioid) use disorders, including basic neurochemistry. The goal of this course is to increase the knowledge base of health care providers treating patients with opioid use disorders.
Presenter: R. Corey Waller, MD, MS, FACEP, DFASAM
Watch Video: Earn CME (.5 credit); Non-Credit Version (23:29 min.)
*Note: All videos are 508 compliant and include closed captioning.
This series is sponsored by the Department of Healthcare Services in California through the SAMSHA State Opioid Response Grants. All information in the presentations are generated by the presenters and do not reflect the opinions of CA DHCS.