The Curbsiders Addiction Medicine Podcast
- Episódios
- 38
- Publicação
- irregular
- Último episódio
- 17 ago 2026
Sobre o podcast
Step up your knowledge on caring for patients with substance use disorders (SUD)! This show features addiction medicine experts who are dedicated to bringing you practice changing knowledge about substance use, and substance use disorders. We use expert interviews to demystify common addiction medicine topics, reduce stigma, and inspire listeners to be fierce advocates for all individuals who use substances.
This mini-series is hosted by Doctors Carolyn Chan, Shawn Cohen, Kenny Morford, Natalie Stahl, and friends, where they discuss how to diagnose, assess, and treat a wide-range of substance use disorders.
By listening to these episodes & completing CME through VCU, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
We are thrilled to produce season 2 and 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)
Contact the team at [email protected]. Follow us on twitter @CurbsidersSUDs, show notes available at thecurbsiders.com/addiction .
Episódios 38
S3 Ep26: #536 Q&Apalooza: Your Addiction Questions Answered!
This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital …
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This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs. Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Show Segments- Intro, disclaimer
- Picks of the Week
- Off-Label GLP use
- Naloxone review
- Acute pain in patients with opioid use disorder (OUD)
- Care Coordination with opioid treatment programs (OTPs)
- New medications for pain; suzetrigine
- Perioperative pain management for patients with OUD
- Outro
Credits- Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD
- Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
- Reviewer: Kenny Morford, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD
Production Partner: ACAAM
The Curbsiders Addiction Medicine Podcast are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM’s membership has grown to include a strong and expanding community of addiction medicine specialists, fellows, and trainees dedicated to advancing the field. Membership provides access to a wide range of educational resources, professional development, and a national network of colleagues. Learn more about ACAAM Membership here.S3 Ep25: #533: What’s the Tea on Kratom?
Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr …
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Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Credits- Written and Produced, with Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD
- Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD
- Reviewer: Kento Sonoda, MD, MPH
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Jonathan Tanawan, MD
Show Segments- Intro, disclaimer, guest bio
- Guest one-liner, Picks of the Week*
- Case from Kashlak; Definitions
- Pharmacology of kratom and other mitragynine-based compounds
- How to take a mitragynine-specific substance use history
- Defining a use disorder
- Withdrawal from kratom
- Managing a use disorder with MOUD
- Legal landscape and regulation
- Outro
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Sponsor: Continuing Education Company
Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.S3 Ep24: #528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein
Become the Medetomi-Dean of AdmissionsStep up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the …
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Become the Medetomi-Dean of Admissions
Step up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply is impacting patients and withdrawal management. We’re joined by Dr Maggie Lowenstein (University of Pennsylvania)
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Credits- Writer, Producer, and Show Notes: Shawn Cohen MD
- Infographic and Cover Art: Zoya Surani
- Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
- Reviewer: Payel Jhoom Roy MD, MSc
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Maggie Lowenstein MD MPhil MSHP
S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar
Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting …
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Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania.
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Show Segments- Intro, disclaimer, guest bio
- Guest one-liner
- Case from Kashlak; Definitions
- Symptoms of opioid withdrawal
- Medications for the management of opioid withdrawal
- Buprenorphine precipitated withdrawal
- Starting Buprenorphine: Experiences and Strategies
- Titrating Methadone: Dosage and Adjuncts
- Adjunctive short-acting opioids
- Emerging Trends in Drug Supply: Xylazine and Medetomidine
- Outro
Credits- Producer, Show Notes: Zina Huxley-Reicher
- Infographics: Zina Huxley-Reicher MD and Zoya Surani
- Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD
- Reviewer: Payel Jhoom Roy, MD, MSc
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Ashish Thakrar, MD MHSP
S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin
In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use …
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In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH.
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Show Segments- Intro, disclaimer, guest bio
- Guest one-liner
- Case from Kashlak; Definitions
- Four-tier approach to taking care of patients with methamphetamine use/use disorder
- Medications for treatment
- Psychosocial treatment
- Harm reduction
- New horizons in treatment
- Outro
- Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
- Infographic and Cover Art: Zoya Surani
- Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
- Reviewer: Sarah Leyde MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Dr. Phillip Coffin
S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin
Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in …
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Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!
Credits- Producer, Show Notes, Infographics: Carolyn Chan MD, MHS
- Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD
- Reviewer: Payel Jhoom Roy MD, MSc
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Jessica Merlin MD, PhD, MBA
Sponsor: JournalFeed
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Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit …
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Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Written, produced, show notes, cover art and infographics by: Shawn Cohen MD
- Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD
- Reviewer: Kento Sonoda MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Stephen Holt MD
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Sponsor: Ezresus
Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code CurbsidersS2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan
Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping …
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Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producer/Writer: Era Kryzhanovskaya, MD
- Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD
- CME: Era Kryzhanovskaya, MD
- Infographic and Cover Art: Zina Huxley-Reicher, MD
- Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
- Reviewer: Kento Sonoda, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD
Show Segments- 00:11 Intro, disclaimer
- 02:22 Guest bios
- 04:28 Guest one-liners
- 10:28 Case from Kashlak
- 11:55 Vape info and definitions
- 14:32 How to discuss vaping with patients
- 17:53 FDA authority over vapes
- 20:37 Development of nicotine (via vaping) use disorder
- 23:29 Questions to ask about use disorder
- 30:53 E-cigarettes for tobacco cessation
- 35:39 Exploring ways to quit smoking (+/- vapes)
- 39:53 Screening for vaping use disorder; research measures
- 43:10 Resources for e-cigarette cessation
- 45:33 Medication approaches
- 48:25 Behavioral supports for e-cigarette cessation
- 1:00:31 Take Home Points
- 1:05:08 Outro
S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu
From Recreational Use to Possible Therapeutic InterventionsLearn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen …
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From Recreational Use to Possible Therapeutic Interventions
Learn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu (Johns Hopkins Center for Psychedelic and Consciousness Research)
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Show Segments- Intro, disclaimer, guest bio
- Case from Kashlak; Definitions of hallucinogens and psychedelics
- Examples of hallucinogens and mechanisms of action
- Dosing strategies
- Risks of Use
- Psychedelic Assisted Therapy
- Outro
Credits- Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD
- Hosts: Shawn Cohen, MD and Kat Mullins, MD
- Reviewer: Kento Sonoda, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Albert Garcia-Romeu, PhD
S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer
Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify …
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Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine).
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Show Segments- Intro, disclaimer, guest bio 0:00
- Guest one-liner 3:10
- Case from Kashlak 6:30
- Epidemiology of alcohol-associated liver disease (ALD) 7:40
- How does alcohol affect the liver? 11:11
- Spectrum of ALD 13:10
- Risk factors for ALD 16:13
- Evaluating for ALD 19:35
- When to refer to hepatology 33:08
- Medications for AUD in patients with ALD 37:00
- Monitoring liver tests for naltrexone 44:27
- Optimizing treatment for patients who continue drinking 47:18
- ALD and liver transplantation 50:45
- Post-transplant care 1:00:15
- Take-home points 1:02:30
- Outro 1:04:56
- Writer and Producer: Kenneth Morford, MD
- Show Notes: Kenneth Morford, MD
- Infographic and Cover Art: Natalie Stahl, MD, MPH
- Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD
- Reviewer: Sarah Leyde, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Lamia Haque, MD, MPH
S2 Ep16: #27- Recap: ACAAM Lightning Round
Spark your learning!We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with …
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Spark your learning!
We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more!
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim CME for this episode at curbsiders.vcuhealth.org!
Listening to this episode and completing CME, can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producer, Show Notes, Infographics: Carolyn Chan
- Hosts: Carolyn Chan, MD. MHS, Shawn Cohen, MD, Kenneth Morford, MD, Natalie Stahl, MD MPHS
- Reviewer: Sarah Leyde, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
Show Segments- 00:00 Intro, disclaimer
- 03:00 Picks of the week
- 07:00 Buprenorphine and hepatitis
- 16:30 Ketamine for withdrawal
- 24:00 Hepatitis B
- 28:20 Tianeptine
- 35:30 Hepatitis C treatment
- 39:00 PETH
- 47:40 Unintended phenobarbital consequences
- 53:40 TBI and overdose risk
- 58:00 Outro
S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP
Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya …
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Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD
- Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD
- Reviewer: Payel Jhoom Roy, MD, MSc
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guests: Raagini Jawa, MD MPH and Tehya Johnson, NP
Show Segments- Intro, disclaimer, guest bios - 01:42
- Guest one-liners - 03:22
- Case from Kashlak - 7:56
- Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38
- Xylazine test strips and other harm reduction strategies - 15:48
- Natural history of xylazine wounds - 19:15
- Creating a welcoming wound care environment - 21:05
- Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18
- Steps for wound care - 33:27
- Frequency of wound care - 46:16
- Pain control in the setting of dressing changes - 51:01
- Route switching, harm reduction around injecting at the site of the wound - 52:20
- When to refer to other wound care specialists/plastic surgery - 55:00
- Take home points - 57:05
- Outro - 1:00:17
S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank
OTP yea you know meMake methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with …
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OTP yea you know me
Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Show Segments- Intro, disclaimer, guest bio
- 5:00 Guest one-liner
- 10:25 Case from Kashlak; Definitions
- 11:19 Methadone pharmacology and evidence
- 17:08 What an OTP feels like
- 20:25 OTP intake
- 24:45 Talking through methadone with a patient
- 28:15 Personal impact of methadone
- 30:20 Requirements at an OTP
- 33:43 What your patient needs to access an OTP
- 37:25 The line
- 39:06 Dosing/Take homes
- 44:48 Loss of take homes
- 48:39 How to interact with an OTP as a PCP
- 52:50 Methadone at STRs
- 57:03 How to clinicians use their voice to improve things
- 1:00:45 Take home points
- 1:03:00 Plugs
- 1:04:24 Outro
- Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD
- Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
- Reviewer: Payel Jhoom Roy MD, MSc
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Ruth Potee MD, David Frank PhD
S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer
Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide …
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Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producers: Shawn Cohen MD, Kenneth Morford MD
- Writer: Carolyn Chan MD MHS
- Show Notes: Shawn Cohen MD
- Infographic and Cover Art: Kenneth Morford MD
- Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
- Reviewer: Kento Sonoda MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Melissa Weimer DO MCR
Show Segments- Intro, disclaimer, guest bio 00:00
- Guest one-liner 05:02
- National Addiction Treatment Week 06:00
- Case from Kashlak; Definitions 08:30
- Starting methadone 11:01
- Common methadone pitfalls 15:00
- Buprenorphine precipitated opioid withdrawal 23:50
- High-dose buprenorphine 32:20
- Treating buprenorphine precipitated withdrawal 36:50
- Low-dose buprenorphine 41:50
- Maintenance dose of buprenorphine 48:15
- ER buprenorphine 49:00
- Take home points 53:31
S2 Ep12: #23 Opioid Overdose Treatment and Prevention with Dr. Alex Walley
Prevent opioid overdoses in your community! We discuss opioid overdose prevention and treatment so you can counsel patients who use substances on ways to decrease their risk of overdose. We discuss optimal ways …
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Prevent opioid overdoses in your community! We discuss opioid overdose prevention and treatment so you can counsel patients who use substances on ways to decrease their risk of overdose. We discuss optimal ways to respond to hospital overdoses, ideal doses of naloxone, and how to monitor a patient experiencing an overdose clinically. We’re joined by Dr. Alex Walley, MD MsC @AlexanderWalley (Boston University School of Medicine).
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Credits- Producer: Natalie Stahl, MD, MPH
- Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS
- Hosts: Carolyn Chan, MD, MHS and Natalie Stahl, MD, MPH
- Reviewer: Sarah Leyde, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: Podpaste
- Guest: Dr. Alex Walley
Show Segments- Intro, disclaimer, guest bio: 00:00
- Guest one-liner: 05:10
- Case from Kashlak: 07:20
- Overview of the Overdose Crisis: 08:13
- Changes in Messaging for Fentanyl OD Prevention: 16:10
- Naloxone formulations: 22:15
- Dose and frequency of naloxone: 24:50
- Counseling a patient on overdose response/prevention: 31:25
- Good Samaritan Laws: 38:00
- Responding to hospital overdoses: 40:45
- OTC naloxone: 51:14
- Take Home Points: 55:50
- Outro: 59:19
S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD
Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot …
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Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot challenges patients may face. We’re joined by Dr. Eleasa Sokolski, MD (Oregon Health and Sciences University) and Amelia Goff, MSN, FNP (Oregon Health and Sciences University).
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producer: Era Kryzhanovskaya, MD
- Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS & Kenny Morford, MD
- Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
- Reviewer: Sarah Leyde, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Dr. Eleasa Sokolski, MD and Amelia Goff, MSN, FNP
Show Segments- Intro, disclaimer, guest bio: 0:55
- Guest one-liner: 5:10
- Case from Kashlak: 9:05
- Buprenorphine and fentanyl: 10:20
- Methods to start buprenorphine: 16:00
- 4-day low-dose buprenorphine protocol: 18:20
- Buprenorphine formulations: 22:30
- Counseling patients on low dose start: 26:10
- Patient population considerations: 28:20
- Troubleshooting; 30:15
- Outpatient low dose starts: 36:55
- Take Home Points: 45:14
- Outro: 50:48
S2 Ep10: #21 Racism and Inequities in Addiction Medicine with Dr. Myra Mathis
Gain insight into how racialized US drug policies, the War on Drugs, and media portrayals of substance use impact our patients in ongoing ways. Learn how you can take action and intentionally promote equity as …
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Gain insight into how racialized US drug policies, the War on Drugs, and media portrayals of substance use impact our patients in ongoing ways. Learn how you can take action and intentionally promote equity as a clinician! We’re joined by Dr Myra Mathis, @DrMyraMathis (University of Rochester Medical Center)
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Credits- Producer, Writer, Show notes, Infographic, Cover Art: Katherine Mullins, MD
- Hosts: Carolyn Chan, MD, MHS and Katherine Mullins, MD
- Reviewer: Kento Sonoda, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Myra Mathis, MD
Show Segments- Intro 0:00
- Disclaimer 2:00
- Guest bio 3:30
- Episode Pearls 4:36
- Guest One-Liner and Intro 5:15
- Definitions (race and racism) 7:13
- The War on Drugs 9:09
- AntiDrug Abuse Act of 1986 11:47
- Fair Sentencing Act of 2010 14:10
- Policy in the Fentanyl Era 15:15
- Mass Incarceration + Downstream Effects 17:30
- Media Portrayals 19:24
- Current Treatment Landscape 23:29
- Disparities in Overdose Deaths 25:50
- The Parallel System of White Supremacy 26:41
- The Clinician’s Role: Advocacy on the Policy Level 27:40
- The Clinician’s Role: Advocacy on the Clinic Level 29:22
- Harm reduction 30:25 - 32:44
S2 Ep9: #20 Extending Knowledge of LAI Buprenorphine with Dr. Ken Lee
Learn about long-acting injectable (LAI) buprenorphine for the treatment of opioid use disorder with Dr. Ken Lee, an addiction medicine provider in Canada. We go over the basics of using LAI buprenorphine, tips …
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Learn about long-acting injectable (LAI) buprenorphine for the treatment of opioid use disorder with Dr. Ken Lee, an addiction medicine provider in Canada. We go over the basics of using LAI buprenorphine, tips and tricks for troubleshooting with patients as well as newer protocols that Dr. Lee and his colleagues use.
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | Swag! | iTunes | [email protected] | Free CME!
Credits- Show Notes, Cover Art, Infographics, Producer: Zina Huxley-Reicher, MD
- Hosts: Carolyn Chan, MD, MHS and Zina Huxley-Reicher, MD
- Reviewer: Payel Jhoom Roy, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Dr. Ken Lee
Show Segments- Intro, disclaimer, guest bio - 1:58
- Guest one-liner - 4:15
- Case from Kashlak; Definitions - 5:27
- Injectable MOUD - 6:14
- Plasma levels of buprenorphine - 7:14
- Relative contraindications to LAI buprenorphine- 8:51
- Tips for Patient Counseling - 12:28
- Starting LAI buprenorphine - 16:01
- Side effects of LAI bup - 25:45
- Administering LAI bup - 29:06
- Dosing Interval - 31:53
- Other LAI considerations - 42:19
- Take home points - 47:24
- Outro - 49:18
S2 Ep8: #19 Return to Use Prevention Counseling with Dr. Eve Lasswell, PsyD
Jumpstart your knowledge on how to counsel patients in primary care to help decrease their risk of returning to substance use! Learn how to help patients identify triggers, develop plans on how to navigate …
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Jumpstart your knowledge on how to counsel patients in primary care to help decrease their risk of returning to substance use! Learn how to help patients identify triggers, develop plans on how to navigate high-risk situations & so much more! We are joined by psychologist Dr. Eve Lasswell PsyD at the University of California San Diego!
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producer: Era Kryzhanovskaya, MD
- Show Notes, Infographics, Cover Art: Carolyn Chan, MD, MHS
- Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
- Reviewer: Kento Sonoda, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Dr. Eve Lasswell, PsyD
Show Segments- Intro, disclaimer, guest bio 00:00
- Guest one-liner 5:30
- Case from Kashlak 8:25
- Preparing for a visit 9:22
- Pre - Planning At Risk Scenarios 17:25
- Marlatt’s Framework 18:50
- People, places, and things 22:55
- Pearls and Pitfalls 27:30
- Virtual Visits 31:50
- Time Limited Visits 35:20
- Mutual Support Groups 38:35
- Sustained Remission 45:50
- Substance Specific Tips 47:15
- Take Home Points 49:20
- Outro 53:30
S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand
Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives, and …
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Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives, and how to counsel a patient prior to ordering the test. We’re joined by Dr. Timothy Weigand @TwToxMD (University of Rochester Medical Center).
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!
Credits- Producer: Natalie Stahl, MD, MPH
- Show Notes, Cover Art, Infographic: Carolyn Chan, MD, MHS
- Hosts: Carolyn Chan, MD, MHS, and Natalie Stahl MD, MPH
- Reviewer: Kento Sonoda, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
- Guest: Dr. Timothy Wiegand
- Intro, disclaimer, guest bio 00:00
- Guest one-liner: 05:17
- Case from Kashlak: 09:42
- Types of Urine Drug Testing (UDT): 10:37
- Detection Window 22:07
- Interpreting Opiates and Opioids UDT 25:26
- Resources to Interpret UDT 39:20
- False Positives 43:29
- Discussing Results with a Patient 45:52
- Interpreting UDT - Buprenorphine 48:47
- Specimen Validity Testing 50:22
- Saliva Testing 54:56
- Outro 1:01:28
S2 Ep6: #17 Caring for People with Criminal Legal Involvement and SUDs with Dr. Lisa Puglisi
Learn to take a trauma-informed criminal legal history, tailor your MOUD prescribing to meet the needs of patients impacted by the criminal legal system, and advocate for high-quality care in the carceral …
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Learn to take a trauma-informed criminal legal history, tailor your MOUD prescribing to meet the needs of patients impacted by the criminal legal system, and advocate for high-quality care in the carceral system and the community. We’re joined by Dr. Lisa Puglisi, @pugleesa (Yale University)
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | Swag! | iTunes | [email protected] | Free CME!
Credits- Producer, writer, show notes, infographic, cover art: Shawn Cohen MD
- Hosts: Carolyn Chan, MD and Shawn Cohen MD
- Reviewer: Sarah Leyde MD
- Showrunner: Carolyn Chan, MD
- Technical Production: Podpaste
- Guest: Lisa Puglisi MD
Show Segments- Intro, disclaimer, guest bio 0-3:50
- Learning points 3:50-4:40
- Case from Kashlak 4:40-5:51
- Mass incarceration as context 5:51-7:45
- Taking a criminal legal history 7:45-16:27
- Addressing law enforcement in the hospital 16:27-18:00
- Health risks of incarceration 18:00-24:39
- Opioid Use Disorder and the criminal legal system 24:39-36:00
- Documentation 36:00-39:53
- Parole, probation, and advocacy 39:53-43:10
- Transitioning home 43:10-46:42
- Addressing law enforcement in the hospital part 2 46:42-49:45
- MOUD when leaving the hospital 49:45-57:28
- Take homes 57:28-59:05
- Plugs 59:05-1:01:15
- Guest one-liner, Picks of the Week* 1:01:15-1:03:43
- Outro 1:03:43-1:04:54
S2 Ep5: #16 Distilling Inpatient Alcohol Withdrawal with Dr. Shawn Cohen
Distill the management of inpatient alcohol withdrawal down to its core with Dr. Shawn Cohen (@ShawnCohen_MD, Yale University). This episode is full of practical pearls, and we discuss the ins and outs of …
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Distill the management of inpatient alcohol withdrawal down to its core with Dr. Shawn Cohen (@ShawnCohen_MD, Yale University). This episode is full of practical pearls, and we discuss the ins and outs of managing alcohol withdrawal in the hospital setting. Learn how to triage patients in the hospital, which benzodiazepines to select, the pathophysiology of alcohol withdrawal, and phenobarbital for the management of alcohol withdrawal.
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | Swag! | iTunes | [email protected] | Free CME!
Credits- Producer, writer, show notes, cover art, and infographic: Zina Huxley-Reicher, MD
- Hosts: Carolyn Chan, MD and Zina Huxley-Reicher, MD
- Reviewer: Payel Jhoom Roy, MD, MSc
- Showrunner: Carolyn Chan, MD
- Technical Production: Podpaste
- Guest: Dr. Shawn Cohen
Show Segments- Intro 0:00
- Guest bio - 3:17
- Case 1- 5:20
- Alcohol withdrawal pathophysiology - 6:10
- Kindling effect - 9:05
- Diagnosing alcohol withdrawal and clinical withdrawal scales - 10:12
- Severe alcohol withdrawal definition - 15:26
- Triaging a patient - 16:50
- Medication management for alcohol withdrawal syndrome- 19:37
- Decisions between benzodiazepines and phenobarbital and formulation - 23:47
- Choices of benzodiazepines in hepatic impairment - 26:30
- Symptom triggered vs. fixed protocol - 28:10
- Benzodiazepine resistant alcohol withdrawal - 33:33
- Timeline of alcohol withdrawal syndrome symptoms - 42:38
- ICU management of alcohol withdrawal - 46:27
- Discharge planning and management of alcohol use disorder - 48:50
- Take home points - 51:45
- Lightning round- 53:43
- Outro - 56:01
S2 Ep4: #15 Buprenorphine for Chronic Pain with Dr. Will Becker
Crush chronic pain with buprenorphine. Learn how to assess chronic pain and opioid use disorder (OUD) in patients on long-term opioid therapy, when to consider buprenorphine, and how to make the switch. We’re …
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Crush chronic pain with buprenorphine. Learn how to assess chronic pain and opioid use disorder (OUD) in patients on long-term opioid therapy, when to consider buprenorphine, and how to make the switch. We’re joined by addiction medicine and pain management expert, Dr. William Becker (Yale School of Medicine).
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | Swag! | iTunes | [email protected] | Free CME!
Show Segments- Disclaimer 0:52
- Intro, guest bio 1:18
- Case from Kashlak; Definitions 4:22
- Assessing chronic pain and long-term opioid use 5:22
- Treatment options when patients are not benefitting from opioids 11:55
- Buprenorphine for chronic pain 14:28
- Assessing OUD in patients on long-term opioid therapy 15:54
- Buprenorphine mechanism of action 19:17
- When to consider buprenorphine for chronic pain 21:12
- Buprenorphine formulations 24:25
- Switching from full agonist opioids to buprenorphine 29:02
- Adding full agonists to buprenorphine 39:30
- Take Home Points 46:07
- Plug 47:38
- Lightning round 48:32
- Outro 50:20
Credits- Show Notes, Writer, Producer, Cover Art, Infographics: Kenneth Morford, MD
- Hosts: Carolyn Chan, MD and Kenneth Morford, MD
- Reviewer: Payel Jhoom Roy, MD, MSc
- Showrunner: Carolyn Chan, MD
- Technical Production: Podpaste
- Guest: Dr. William Becker
S2 Ep3: #14 Getting to the Heart of Injection Drug Use Associated Infectious Endocarditis with Dr. Ayesha Appa
Bring some heart to the care of people with IDU-IE. Learn how to provide person-centered care addressing both the acute infection and SUD and when/how to advocate for surgical treatment. We’re joined by Dr …
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Bring some heart to the care of people with IDU-IE. Learn how to provide person-centered care addressing both the acute infection and SUD and when/how to advocate for surgical treatment. We’re joined by Dr. Ayesha Appa @AyeshaAppaMD, (UCSF)
Claim free CME for this episode at curbsiders.vcuhealth.org!S2 Ep2: #13 What to Expect: Managing Opioid Use Disorder in Pregnancy with Dr. Terplan
Manage opioid use disorder in pregnancy. Learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the …
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Manage opioid use disorder in pregnancy. Learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the postpartum period. We are joined by Dr. Mishka Terplan, on Twitter @do_less_harm (Friends Research Institute).
Segments- Intro, disclaimer: 0:00
- Guest bio: 3:00
- Case from Kashlak: 5:28
- Opioid Use in Pregnancy: 6:17
- Approach to a patient: 12:21
- Medication Options for OUD During Pregnancy: 13:09
- Neonatal Abstinence Syndrome: 25:46
- Dosing Considerations: 29:28
- Psychosocial Interventions: 38:02
- Reporting / Notification Requirements: 39:32
- Postpartum care: breastfeeding: 48:04
- Take home: 52:12
- Lightning Round: 55:22
- Outro: 57:39
Writer, Producer, Show Notes, Infographic, Cover Art: Kat Mullins, MD
Hosts: Carolyn Chan, MD, MHS and Kat Mullins, MD
Reviewer: Kento Sonoda, MD
Showrunner and CME: Carolyn Chan, MD, MHS
Technical Production: Podpaste
Guest: Mishka Terplan, MDS2 Ep1: #12 Listener Q & A on Substance Use Disorders
Put on your Primary Care Cat-HatWe are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University …
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Put on your Primary Care Cat-Hat
We are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this episode, they answer burning questions submitted by listeners. We cover topics such as targeted naltrexone, increasing buprenorphine doses, treating kratom dependence, and so much more!
Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | Swag! | iTunes | [email protected] | Free CME!
Credits- Producer, Show Notes: Kenneth Morford, MD
- Infographic and Cover Art: Carolyn Chan, MD, MHS
- Hosts: Carolyn Chan MD, MHS, Shawn Cohen MD, Kenneth Morford MD, Natalie Stahl MD, MPH
- Reviewer: Payel Jhoom Roy, MD
- Showrunner: Carolyn Chan, MD, MHS
- Technical Production: PodPaste
S1 Ep11: #11 Smoking Cessation: It’s Not a Drag with Dr. Panagis Galiatsatos
Tackle smoking cessation by offering your patients evidence-based treatment options. We discuss pharmacotherapy, mindfulness, and practical tips on how to manage short-acting nicotine replacement therapy to …
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Tackle smoking cessation by offering your patients evidence-based treatment options. We discuss pharmacotherapy, mindfulness, and practical tips on how to manage short-acting nicotine replacement therapy to help your patient stop smoking. We are joined by Dr. Panagis Galiatsatos from Hopkins (@Panagis21).S1 Ep10: #10 The ABCs of CBT: Psychosocial Interventions 101 with Dr. Carla Marienfeld
Integrate motivational interviewing into your busy practice, and learn the basic principles of cognitive behavioral therapy. This episode highlights common psychosocial interventions for individuals with …
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Integrate motivational interviewing into your busy practice, and learn the basic principles of cognitive behavioral therapy. This episode highlights common psychosocial interventions for individuals with substance use disorders. After this episode, you will feel empowered to connect patients to these evidence-based resources. We’re joined by Dr. Carla Marienfeld, MD from UCSD, @DrMarienfeld who gives us practical ways to counsel patients on these interventions, as well as bring them into the busy clinic setting.S1 Ep9: #9 A Joint Conversation: Cannabis Use Disorder with Dr Deepika Slawek
Partner with your patients to address cannabis use disorder. Learn how to talk through someone's motivations for cannabis use, treat cannabis withdrawal, address cannabis use disorder, and the eternal …
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Partner with your patients to address cannabis use disorder. Learn how to talk through someone's motivations for cannabis use, treat cannabis withdrawal, address cannabis use disorder, and the eternal importance of harm reduction in cannabis use. Dr. Deepika Slawek @DeepikaSlawekMD (Einstein Medicine Bio) joins us on this can't miss episode!S1 Ep8: #8 Back to Basics: A Stigma-Free History with Dr. Jeanette Tetrault
Challenge stigmatizing terms and level up your patient-centered language! Learn how to create an inviting environment to discuss substance use and substance use disorders (SUDs), how our word choices directly …
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Challenge stigmatizing terms and level up your patient-centered language! Learn how to create an inviting environment to discuss substance use and substance use disorders (SUDs), how our word choices directly affect patient care and a three-step approach to taking a comprehensive SUD History. Let’s RIP-TEAR it up with our expert, Dr. Jeanette Tetrault from Yale University (@jtetrault17).
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