TREAT ME - Block Two: Asynchronous Recognition: How do we find youth? - December 2022

CME/MOC Information

This block contains 1 asynchronous learning segment and is eligible for .75 CME. When combined with the live talk, the total CME/MOC for Block Two is 1.75 AMA PRA Category 1 Credits ^TM.

AMA Designation Statement: The Maine Medical Education Trust designates this activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CCMEA Accreditation Statement: Maine Medical Education Trust (MMET) is accredited by the Maine Medical Association's Committee on Continuing Medical Education (CME) to provide CME to practicing physicians.

Joint Providership Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and Maine Chapter AAP. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

If you seek Maintenance of Certification Part Two credit, your evaluation will be graded and you must receive an 80% correct score. Upon completion of the survey, you will receive a list of the questions with the correct answers, along with the slides for each talk which validate the content.

Question Title

* 1. Please rate the presenter, Rich Brown, MD, MPH, on the following:

	Poor	Fair	Average	Good	Excellent
Presentation Skills	Presentation Skills Poor	Presentation Skills Fair	Presentation Skills Average	Presentation Skills Good	Presentation Skills Excellent
Knowledge of Topic	Knowledge of Topic Poor	Knowledge of Topic Fair	Knowledge of Topic Average	Knowledge of Topic Good	Knowledge of Topic Excellent
Quality of Slides	Quality of Slides Poor	Quality of Slides Fair	Quality of Slides Average	Quality of Slides Good	Quality of Slides Excellent
Resources Offered	Resources Offered Poor	Resources Offered Fair	Resources Offered Average	Resources Offered Good	Resources Offered Excellent

Comment:

Question Title

* 2. On any particular day, what is the lowest amount of alcohol consumption that experts consider "high risk" for a 16-year-old boy?

any alcohol at all

more than 1 standard drink

more than 2 standard drinks

more than 3 standard drinks

more than 4 standard drinks

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* 3. The criterion that best distinguishes dependence from problem use is

the quantity and frequency of substance use

the pharmaceutical category of substances

the severity of negative health and social consequences of substance use

loss of control over substance use

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* 4. Patients with positive alcohol or drug screening questionnaires should be

asked more questions about their substance use

counseled to reduce or quit their substance use

referred for treatment

taken off any potentially addictive medications

Question Title

* 5. Which statement about a team-based approach to SBIRT is true for most primary care practices?

Receptionists should have no role in an SBIRT program.

Medical assistants should be trained to conduct brief interventions, referrals to treatment, and follow-up discussions, because they have lots of free time to spend with patients.

Trained paraprofessionals can deliver SBIRT effectively.

Most health insurance plans reimburse for SBIRT only when it is delivered by physicians.

Question Title

* 6. Which statement is true about prescribing naltrexone in primary care settings?

Primary care providers (PCPs) are encouraged to prescribe naltrexone only for patients with severe alcohol use disorders.

PCPs are encouraged to prescribe naltrexone only for patients with severe opioid use disorders.

PCPs are encouraged to prescribe naltrexone for patients with severe alcohol and/or opioid use disorders.

Naltrexone should be prescribed only by addiction medicine specialist or psychiatrists.

Question Title

* 7. According to the 2020 National Survey on Drug Use and Health, of the following, the LEAST common reason why people with substance use disorders did not receive specialized treatment was

limitations in financial resources or insurance coverage

perceptions that treatment would not help or was not necessary

stigma

waiting lists

Question Title

* 8. According to federal law, coverage for alcohol and drug treatment by commercial health plans

must be complete (plans must cover all costs)

must be complete if plans elect to cover mental health disorders

must be similar to coverage for other medical treatments

must be similar to coverage for other medical treatments if plans elect to cover mental health disorders

Question Title

* 9. An 18-year-old woman asks her primary care provider to prescribe medication for her severe opioid use disorder. Of the following, which medicine(s) could a PCP consider prescribing for this patient?

buprenorphine (Suboxone) only

methadone (Dolophine) only

naltrexone (Vivitrol) only

buprenorphine and methadone

buprenorphine and naltrexone

Question Title

* 10. A 16-year-old boy with severe alcohol use disorder declines his primary care physician’s (PCP’s) referral specialized treatment. However, he would be willing to continue working with his PCP to reduce his drinking and avoid further problems with the police and school authorities. Which would be the most appropriate recommendation for this patient at this time?

Design and follow a personalized behavior change plan

Exclude parents from all PCP-patient discussions on alcohol

Start attending local Alcoholics Anonymous meetings for adults

Start acamprosate, disulfiram, or naltrexone today

Question Title

* 11. PCPs are often advised simply to refer to treatment (RT)patients with severe substance use disorders, but most decline such referrals. What phrase better describes how PCPs should assist patients with severe substance use disorders?

IT - initiate treatment

IT - insist on treatment

MI - motivational interviewing

MT - motivate for treatment

Question Title

* 12. Will this educational session...

	Yes	No	Not sure
enhance your competence?	enhance your competence? Yes	enhance your competence? No	enhance your competence? Not sure
influence your practice?	influence your practice? Yes	influence your practice? No	influence your practice? Not sure
impact the care you give to your patients?	impact the care you give to your patients? Yes	impact the care you give to your patients? No	impact the care you give to your patients? Not sure

Please provide an example:

Question Title

* 13. Was the webinar appropriate for your educational needs?

Yes

Comment:

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* 14. Did you feel the technology was used effectively for this presentation?

Yes

Comment:

Question Title

* 15. Was any potential faculty conflict of interest provided to the audience?

Yes

Not sure

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* 16. Was the presentation free from commercial or personal bias for or against a product or company?

Yes

Not sure

Question Title

* 17. If you would like to receive CME or MOC credit for this educational activity, please provide the following information:

Full Name

Credentials

Organization

Zip Code

Email Address

For MOC Only: Provide your ABP ID#

For MOC Only: Provide your Date of Birth