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DEE - CCSAD - 2011 Cape Cod Symposium on Addictive Disorders - Physicians
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Objective 1: Apply clinical skills from a broad range of professional core functions including assessment, therapeutic approaches
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 2: Cite advances in the addiction field resulting from research and practice innovations
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Identify distinctions between law, ethics, values , practice standards and decision making
Summarize the laws and ethics associated with privacy and confidentiality; relationships; education and  ongoing training, record-keeping
Discuss issues around dual relationships, ethical decision making, and the propriety of behavior with clients who often try to expand the relationship beyond its limits
Discuss the intent and purpose of CFR 42 Part 2 and HIPAA
Identify specific areas of overlap regarding confidentiality, i.e. client's rights, record keeping, disclosures, ROT's
Describe resources for interpretation and implementation of the regulations through case examples
Explain the release of emerging tobacco products as part of a Tobacco Industry strategy
Differentiate between various emerging tobacco products
Discuss the import of emerging tobacco products on client's current tobacco use and clinical treatment of nicotine dependence
Discriminate between descriptions and definitions that focus on the outward behaviors seen in many persons with addiction and the underlying biology that is disordered in addiction that leads to altered thoughts, emotions, and behaviors
Analyze new diagnostic criteria for addiction in light of evolving historical understandings of addiction over the past 50+ years
Describe 5 specific, Dual Diagnosis Group content areas that have been identified as significant to this population, developed from direct feedback from group members
Compare and contrast these with empirically-based models developed on a broader population
Develop service satisfaction and feedback sheets for the process of their own dual diagnosis group development and design
Develop service satisfaction and feedback sheets for the process of their own dual diagnosis group development and design
Discuss the history of the alternative to discipline programs in Massachusetts
Explain the similarities between Healthcare Professionals and the General Population
Identify risk factors, signs and symptoms that the chemically impaired healthcare professional will exhibit in the work setting
Explain why SIBs as a coping skill are being utilized with far more frequency than years past
State why SIBs may increase while in the primary CD setting and when access to chemicals is removed
Explain how to implement treatment plan objectives for SIBs in a primary CD setting
Identify similarities and differences between eating disorders and addictions based on case presentations and clinical review
Explain how to assess for signs and symptoms, medical complications, the role of genetics, factors related to co-occurring addictions and mental illness, cognitive impairment when malnourished, medication options, possible causes, and family related issues
Describe the main patient, staff, and environmental goals of the Addressing Tobacco Through Organizational Change (ATTOC) model
List the ATTOC steps and strategies to effectively address tobacco use in addiction treatment settings
Discuss the ATTOC implementation strategies in various addiction and co-occurring disorder treatment settings
Discuss how physicians with substance use disorders and co-occurring disorders including mental health, behavioral health, physical illness and boundary concerns, are involved with the state licensing board and the physician health program, with a focus on the federal regulation, 42CFR, regarding confidentiality
Explain how the Massachusetts Board of Registration (BORM) policies in ensure that physicians with addictive and co-occurring disorders practice safely and the public is protected
Describe the relationship between the Massachusetts Physician Health Services (PHS) and the BORM which enhances physician health and promotes patient safety
Summarize how the theoretical foundations of the Developmental Model applies effectively to resolve underlying issues that drive the need for an eating disorder
Discuss how to combine the skills needed to use the developmental model for accurate assessment in combination with an understanding of empathic inquiry to the signs, symptoms, habits and complications of the eating disorder
Explain how to discontinue battling the eating disorder in order to move a client from the wounded ego state into the functional ego state
Discuss the treatment of opioid dependence
Evaluate the use of clinical mentoring that emphasizes practical issues in the recognition and treatment of opioid dependence
Describe complex issues in the treatment of those with substance use disorders, opioid dependence, and other mental or medical illnesses
Identify the symptoms of PTSD co-occurring with substance abuse/dependency
Describe the treatment approaches for this dual-diagnosis including therapeutic modalities, pharmacologic support and why inpatient treatment is often advised
Assess the effectiveness of 12 step practices in facilitating recovery at a neurobiologic level
Discuss continuing care plan implications and approaches for those presenting with co-occurring PTSD and substance abuse
Define gambling
Identify the ten DSM-IV diagnostic criteria for pathological gambling
 Identify the signs and symptoms of problem gambling
Describe how an eating disorder nutrition specialist develops a plan to help a person with an eating disorder interrupt eating disorder behaviors, accept and practice a meal plan, weight restore, broaden food options and change problem eating habits
Assess readiness for change to explore the connection between erroneous food beliefs and the addiction to food
Explain how to individualize even the most compromised, emaciated person’s meal plan so they can stick with a program long enough to learn it is safe and effective
Discuss fetal development and placental function and the potential impact of teratogens, drug, and alcohol use and withdrawal on pregnancy and pregnancy outcomes
Describe the current management of alcohol, benzodiazepine, and opioid dependence during pregnancy including recent literature regarding opioid dependency
Assess the importance of reproductive and contraceptive counseling in the treatment of substance abuse disorders
Describe how the Developmental Model applies effectively to resolve underlying issues that drive the need for an eating disorder
Explain how to combine the skills needed to use the developmental model for accurate assessment in combination with an understanding of empathic inquiry to the signs, symptoms, habits and complications of the eating disorder
Assess how to discontinue battling the eating disorder in order to move a client from the wounded ego state into the functional ego state
Describe how the internet and online communities have fundamentally changed the way that behavioral health professionals are able to connect with those in need of our services
Assess how, when and why to set up your own online blog, social networking site, YouTube video channel, Twitter accounts and more
Discuss what works and what doesn’t— and why — in the “new world” of social media and online communities
Identify benefits and barriers of treating nicotine dependence in substance addiction treatment settings
Describe core psychosocial and medication treatment approaches, as well as other community resources for effective reduction of tobacco use among persons in recovery from other addictions
Discuss cultural changes needed in addiction treatment settings to promote and sustain abstinence from tobacco use among clients and staff
Identify the main influences in Dialectical Behavior Therapy
Discuss the bio-social model of emotional vulnerability (emotional dysregulation), how this relates to individuals in recovery, and how it can be used as a tool to increase parent and child understanding and communication of emotions
Describe a model of coordinated treatment which teaches DBT skills to adolescent  clients and their parents
 Identify clinical imperatives that support the need for a Suboxone Clinic within a hospital setting and an Out-patient setting
Compare evidence based strategies that will support selection, assessment and treatment for hospitalized individuals requiring OBOTreatment
Evaluate clinical forms and clinical setting requirements to optimize successful outcomes
Discuss fetal development and placental function and the potential impact of teratogens, drug, and alcohol use and withdrawal on pregnancy and pregnancy outcomes
Describe the current management of alcohol, benzodiazepine, and opioid dependence during pregnancy including recent literature regarding opioid dependency
Assess the importance of reproductive and contraceptive counseling in the treatment of substance abuse disorders
List drugs of abuse requiring detoxification
Identify common beliefs about pharmocotherapies in working with addicted clients
Differentiate concepts of neurophysiology and clinical implications for the early recovering client
Describe buprenorphine efficacy and safety
Describe the epidemiology of buprenorphine diversion
Summarize best office-based practices for prescribing and monitoring buprenorphine treatment for opioid addiction
Discuss the neurobiological foundation for the recovery process
Relate the neurobiology of recovery and addiction to the Twelve Step process
Identify biological factors in recovery in a Twelve Step Program
List the core relapse issues of the healthcare professional with addiction
Discuss how to identify characterologic issues by explorative and 12 step interventions
Identify how these issues contribute to relapse
State how to integrate primary care into addiction treatment as a means of detox and sobriety maintenance
Compare the Massachusetts Model of Addiction Treatment to the Minnesota Model
Compare and contrast Massachusetts Model of Addiction Treatment to established Minnesota Model
Discuss how trauma and PTSD influence and complicate the course and treatment of eating disorders
Explain how traumatic experiences and subsequent PTSD are important risk factors in the development of eating disorders, particularly bulimia nervosa (BN), anorexia nervosa, binge-purge type, (AN-BP), binge eating disorder (BED) and EDNOS with purging
Explain why ED patients with a history of maltreatment, especially during childhood, are also more likely to have comorbid psychiatric illnesses, including affective, anxiety, substance use, disruptive, somatoform, dissociative and personality disorders, as well as extreme obesity
Review the DSM IV's Diagnostic criteria for Borderline Personality Disorder
Discuss Co-Occurring Disorders with Borderline Personality Disorder
Discuss Treatment modalities for Borderline Personality Disorder with Co-Occurring Disorders at difference levels of care
 Explain the stigma female addicts have faced in society and how that has impacted access to treatment and treatment systems
Describe the constellation of biopsychosocial issues surrounding and contributing to women's addiction
List the principles of gender specific treatment
Identify specific methods to facilitate cross-disciplinary collaboration
Name several current issues in the field of addiction
Identify specific methods to facilitate cross-disciplinary collaboration
Compare methods of opioid-free detoxification leading to more rigorous outpatient/residential treatment and/or to antagonist therapy
Demonstrate how to do brief and intermediate detoxification using methadone and buprenorphine
Explain how to determine which patients are more appropriate for longer-term and indefinite methadone and buprenorphine maintenance
Discuss how to provide integrative treatment to clients with substance abuse and psychiatric disorder
Review models for assessment and treatment decision-making
Discuss how to increase long-term efficacy of treatment effects
Describe how to assess risk of serious withdrawal
Differentiate between benzodiazepines and other sedative-hypnotics
Explain how to do rapid and intermediate tapering therapies
Define the role of adjunctive medication, particularly anticonvulsants and mood-stabilizing medications
Develop a framework for working effectively with adolescents diagnosed with co-occurring disorder
Identify critical elements of adolescent development and assessment
Review evidence-based treatment approaches with specific emphasis on skill building techniques
Utilize the Stages of Change model to conduct a stage of change analysis for a client
Explain how to incorporate the MI techniques of open-ended questions, affirmations, reflective listening, and summarization (OARS) to engage and assist clients in the recovery process
Identify and respond appropriately to client change talk: desire, ability, reason, need & commitment (DARNC)
Explain how brain regions other than the mesolimbic reward circuitry are central to the complex processes of addiction
Objective 3: Discuss key issues such as cultural diversity, gender issues, sexual orientation and age-specific differences in relation to clinician/client interaction
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
Was the educational content free of commercial bias?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain.
What did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

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