Addiction Medicine Education, Patient Care and Research Update

1. Addiction Medicine Education, Patient Care and Research Update Alex Walley, MD, MSc Clinical Addiction Research and Education (CARE) Unit www.bumc.bu.edu/care

2. CARE Unit - Clinical Addiction Research and Education • An academic unit of the section of general internal medicine • Founded in 1992 by Jeffrey Samet • Directed by Richard Saitz since 2002 • Mission: • To conduct research, educate health professionals, provide health care, and inform clinical and public health practice and policy to improve the lives of people www.bumc.bu.edu/care

3. Addiction Educationwww.bumc.bu.edu/care/education-and-training-programs • American Board of Addiction Medicine (ABAM) Residency Program • Chief Resident Immersion Training (CRIT) in Addiction Medicine – NIDA R25 Samet since 2000 • Primary Care Addiction Medicine Block Rotation • Medical Student Drug Abuse Summer Research Program • Medical Student Addiction Medicine Elective • Massachusetts Medical Schools Consortium – NIDA Center of Excellence for Physician Information – Prescription Drug Abuse Curriculum • Board of Registration in Medicine - Safe Opioid Prescribing Courses • Alcohol, Other Drugs, and Health: Current Evidence www.bumc.bu.edu/care

4. BUMC Addiction Medicine Residency • One of the first 10 Addiction Medicine training programs recognized by ABAM • Taking fellows after medicine, family, pediatrics, emergency or Ob/Gyn residencies • Accepting 1-2 fellows each year for 2 years – 1 clinical year, 1 research year • Rotations include longitudinal, outpatient and inpatient experiences at BMC, Children’s Hospital, Faulkner, Dimock • Developed in collaboration with BU addiction psychiatry fellowship www.bumc.bu.edu/care

5. Addiction Clinical Carewww.bumc.bu.edu/care/clinical-programs • Office Based Opioid Treatment Program • Boston Public Health Methadone Maintenance Program • Transitional Opioid Program • MASBIRT (SAMHSA-funded) • Massachusetts Screening Brief Intervention and Referral to Treatment • FAST PATH (SAMHSA-funded) • Facilitated Access to Substance abuse Treatment with Prevention and Treatment of HIV • Pain Medication Consultation Program • August 2011 • Inpatient Addiction Medicine Consultation Service • In development www.bumc.bu.edu/care

6. Addiction Researchwww.bumc.bu.edu/care/research-studies BMC patients • Addiction Health Evaluation And Disease Management (AHEAD) Study – NIAAA+NIDA R01 Saitz and Samet • Assessing Screening Plus brief Intervention’s Resulting Efficacy to Stop drug use: The ASPIRE Study - NIDA R01 Saitz • Suboxone Transition to Opiate Program (STOP) – NIDA R01 Liebschutz Site PI • HCV and Pain in Substance Users with and without HIV – NIDA K23 Tsui Epidemiology • Intranasal Naloxone and Prevention EDucation’s Effect on OverDose (INPEDE OD) Study – CDC R21 Walley • Youth, Adults, & Alcohol Policies (YAAP) Study – NIAAA R01 Naimi International • HIV’s Evolution in Russia – Mitigating Infection Transmission and Alcoholism in a Growing Epidemic (HERMITAGE) Study – NIAAA R01 Samet • Linking Russian Narcology & HIV Care to Enhance Treatment, Retention, & Outcomes (LINC) – NIDA R01 Samet www.bumc.bu.edu/care

7. Faculty Richard Saitz, MD, MPH, Director Daniel Alford, MD, MPH Sheila Chapman, MD Debbie Cheng, ScD Sondra Gordon, MD Theresa W. Kim, MD Colleen Labelle, RN Jane Liebschutz, MD, MPH Timothy Naimi, MD, MPH Jeffrey Samet, MD, MA, MPH Chris Shanahan, MD, MPH Judith Tsui, MD, MPH Alexander Walley, MD, MSc Ziming Xuan, ScD Fellows Karsten Lunze, MD Christine Pace, MD Faculty and Fellows www.bumc.bu.edu/care