Montana Medical Association Prescription Drug Abuse Prevention Training- without CME

Prescription drug abuse and diversion is a growing epidemic in Montana, contributing to the deaths of more than 300 Montanans each year. The Montana Medical Association and its partners designed this four module course to help health care teams find the proper balance between providing appropriate treatment for patients while protecting them from opioid addiction.

This series provides valuable information for physicians and non-physicians who are involved in patient care concerning opioid medications. Physicians are encouraged to include all appropriate members of their teams in this training. The program addresses the problem on a state and national level, how to prescribe opioids and how to communicate with patients about the dangers of prescription drugs. Non-physicians who complete the webinar and a post-webinar evaluation will also receive a certificate of completion.

Date of Original Release: 7/30/2015
Date of Most Recent Review: 7/30/2015
Termination Date: 6/30/2018

Course Intended For All Specialties: Physicians, Dentists, Physician's Assistants, Pharmacists, Nurses, Nurse Practitioners, Advanced Practice Nurses

Upon conclusion of this activity, participants should be able to:

1. Implement recommended prescribing practices and alternate forms of treatment for patients presenting with acute or chronic pain.

2. Use the toolkit and resources to manage patient treatment.

3. Apply the state and federal laws as related to prescribing Schedule II drugs.

4. Examine the prescription drug issue from a state and national level.

Dr. Marc Mentel

Associate Program Director

Marc Mentel, D.O., is the Associate Program Director for Osteopathic Curriculum at the Family Medicine Residency of Western Montana, University of Montana, in Missoula. The program provides education in Family Medicine and in such a way as to enhance current and future care for rural and underserved populations in Montana.

Dr. Camden Kneeland

Medical Director, Montana Center for Wellness and Pain Management

Camden Kneeland, M.D., is on the medical staff of Kalispell Regional Healthcare and serves as Medical Director at the Montana Center for Wellness and Pain Management. He is board certified in both anesthesiology and pain medicine. His fellowship training and current practice focus on treating hundreds of painful conditions while minimizing the use of habit-forming medications.

Dr. Scott Stayner

Pain Medicine Doctor

(Richard) Scott Stayner, M.D., Ph.D., currently practices Pain Medicine in Billings Montana at the St. Vincent's Pain Center. He completed undergraduate degrees Japanese (BA) and Material Science and Engineering (BS) at the University of Utah. He then completed a doctoral program in Bioengineering (PhD) at the University before starting Medical School (MD) at the University of Minnesota. After medical school, he completed residency in Anesthesia at the University of Minnesota and then went on to complete a fellowship in Pain Medicine at the University of California, Davis. He is board certified in Anesthesiology and Pain Medicine. Dr. Stayner is a published author and frequently speaks at continuing medical education conferences about various aspects of patient centered pain management and the role of opioid medications in chronic pain medicine.

Dr. William Gallea

Emergency Physician

William Gallea, M.D., has been an emergency physician at St. Peter's Hospital in Helena for over 20 years. He is immediate Past-President of the Montana Chapter of the American College of Emergency Physicians. Dr. Gallea was appointed to then-Attorney General Steve Bullock's Prescription Drug Abuse Task Force in 2009 and helped in the passage by the 2011 Legislature of the Montana Prescription Drug Registry. He currently co-chairs the MPDR Advisory Group, and is a staunch advocate for implementing the enhancements to the Drug Registry.

Anita Harper Poe

Lawyer

Anita Harper Poe, J.D. counsels clients with Garlington, Lohn & Robinson, PLLP, in Missoula, MT. She is a specialist in the areas of hospital and health care law, medical negligence defense and employment law, practicing in these areas for almost 25 years. Anita received her law degree from Gonzaga University School of Law in Spokane. She is a member of the American Bar Association, the American Health Lawyers Association and the Montana Defense Trial Lawyers' Association, and was honored by receiving an award from the Mountain States Super Lawyers.

Daniel J. Dunlap

Special Agent

Daniel J. Dunlap is a Special Agent with the Drug Enforcement Administration (DEA) Tactical Diversion Squad. He is located in the Billings Resident Office and has investigation, enforcement and education responsibilities across Montana.

Dr. Greg Holzman

Dr. Greg Holzman is the State Medical Officer at the Department of Health and Human Services (DPHHS). Dr. Holzman graduated from the University of Florida’s College of Medicine, he completed his family medicine residency at Carolinas Medical Center in Charlotte, North Carolina. 

Dr. Robert Sherrick

Dr. Sherrick, a Board-certified Internal Medicine physician, specializing in Addiction Medicine, practices at KRMC’s Pathways Treatment Center in Kalispell.  Dr. Sherrick graduated from George Washington School of Medicine and Health Science in 1985.  In 1993, he started practicing in Montana at such locations as Kalispell Diagnostic Services PC and then with the Veterans Affairs Medical Center in Kalispell.

Dr. Daniel Nauts

Dr. Nauts has more than 28 years in treating addiction and mental health disorders.  An Internist by training, Dr. Nauts’ passion for the addiction and mental health fields flourished when asked to put together an addiction treatment program in Bellingham, WA for the Sisters of St. Joseph of Peace. Dr. Nauts is certified in Addiction Medicine by the American Society of Addiction Medicine (ASAM). In Montana, he is a respected leader in the field of substance use and co-occurring disorders.

Bryan Lockerby

Bryan Lockerby is the Administrator of the Division of Criminal Investigation and the Montana Departments of Justice which includes management and oversight of the Montana Law Enforcement Academy, state criminal history records, human trafficking investigations, criminal justice data networks, state fusion center, sexual and violent offender registry, state narcotics unit, major case investigations, officer involved shootings, public corruption and embezzlement crimes, Medicaid fraud, cybercrime, and other duties. Prior to his appointment by Montana Attorney General Tim Fox in 2012, he served 31 years with the Great Falls Police Department and retired as Captain of Investigations. 

Dr. Camden Kneeland has reported that he is a clinical researcher for spinal cord stimulation for St. Jude Medical. All others in control of the content of this activity have reported no relevant financial relationships with commercial interests.

Key:

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Overview & Introduction
Greg Holzman, MD, MPH, State Medical Officer of Montana, and Marc Mentel, DO, Professor of Family Medicine, discuss the opioid epidemic and substance use disorders. You must register to access.
Clinical Best Practices
Learn about clinical best practices to prevent prescription drug abuse. Featuring Marc C. Mentel, D.O. Missoula, Richard S. Stayner, M.D. Billings, and William S. Gallea, M.D. Helena. You must register to access.
Evolution of opioids in Montana
Greg Holzman, MD, MPH, State Medical Officer of Montana, and Robert Sherrick, MD, Internal/Addiction Medicine, discuss the evolution of opioids. You must register to access.
Toolkit
Learn about the tools available to aid you in preventing prescription drug abuse. Featuring Marc C. Mentel, D.O. Missoula, Richard S. Stayner, M.D. Billings, and William S. Gallea, M.D. Helena. You must register to access.
Resources
Learn about the resources available to prevent prescription drug abuse. Featuring Marc C. Mentel, D.O. Missoula, Richard S. Stayner, M.D. Billings, and William S. Gallea, M.D. Helena. You must register to access.
Montana Prescription Drug Registry
Tony King, PharmD, President of the Montana Board of Pharmacy, Robert Sherrick, MD, Internal/Addiction Medicine, and Marc Mentel, DO, Professor of Family Medicine, discuss opioids and the Montana Prescription Drug Registry and why it is important to use this tool. You must register to access.
Community Partners
Learn about community partners. Featuring Marc C. Mentel, D.O. Missoula. You must register to access.
Legal Issues & Drug Enforcement Administration
Learn about the legal issues surrounding prescription drug abuse prevention and the Drug Enforcement Administration. You must register to access.
Law Enforcement
Bryan Lockerby, Administrator of Montana’s Division of Criminal Investigation, talks about opioids and drugs in Montana from a law enforcement perspective while providing some historical context. You must register to access.
Targets in the Pain Pathway to Manage Chronic Pain
Learn about targets in the pain pathway to manage chronic pain. Presented by R. Scott Stayner, M.D., Ph.D. Billings. You must register to access.
An Ethical Approach to Current CDC Guidelines on Prescribing Opioids for Chronic Pain
Marc Mentel, DO, Professor of Family Medicine, talks about ethical approaches to the current Centers for Disease Control and Prevention (CDC) guidelines on prescribing opioids for chronic non-cancer pain. You must register to access.
Special Populations
Robert Sherrick, MD, Internal/Addiction Medicine, and Marc Mentel, DO, Professor of Family Medicine, talk about special populations (adolescents, elderly, women, veterans, etc.) and opioid-use disorders. You must register to access.
Prison Population
David Young, MS, Ph.D., Professor & Community Health Specialist at Montana State University and Chaplain at the Gallatin County Detention Center, talks about opioid addiction in the prison population. You must register to access.
Obtaining a Waiver, Part 1 of 2
Daniel Nauts, MD, FASAM, Addiction Medicine/Internal Medicine, Approved Waiver Trainer by the American Society of Addiction Medicine, talks about Medication Assisted Treatment (MAT), the reasons and process of obtaining a MAT Waiver in part one of this two-part series. You must register to access.
Obtaining a Waiver, Part 2 of 2
Daniel Nauts, MD, FASAM, Addiction Medicine/Internal Medicine, Approved Waiver Trainer by the American Society of Addiction Medicine, continues his discussion about Medication Assisted Treatment (MAT), the reasons and process behind a MAT Waiver in part two of this series. You must register to access.
Treating Chronic Pain Patients with Buprenorphine
TrBrett Bell, MD, Family Medicine, talks about treating chronic pain patients with Buprenorphine, including a pharmacological breakdown of Buprenorphine, in part one of this two-part series. You must register to access.
Managing Patients with OUD in the Hospital
Brett Bell, MD, Family Medicine, discusses approaches to treating a patient with an opioid disorder in the hospital in the second part of this series. You must register to access.
Legacy Patients & CDC Guidelines, Part 1 of 2
Marc Mentel, DO, Professor of Family Medicine, talks about the Centers for Disease Control and Prevention (CDC) guidelines regarding legacy patients (those on more than 90 Morphine Milligram Equivalents) in part one of this two-part series. You must register to access.
Legacy Patients & CDC Guidelines, Part 2 of 2
Marc Mentel, DO, Professor of Family Medicine, talks about the Centers for Disease Control and Prevention (CDC) guidelines regarding legacy patients (those on more than 90 Morphine Milligram Equivalents), while providing real-world applications in the second part of this series. You must register to access.
OUD Background & Treatment, 1 of 4
Robert Sherrick, MD, Internal/Addiction Medicine, talks about the background and treatment of Opioid Use Disorder (OUD) in part one of this four-part series. You must register to access.
The Basics of Medication Assisted Treatment, 2 of 4
Robert Sherrick, MD, Internal/Addiction Medicine, talks about the basics of Medication Assisted Treatment (MAT), why opioid addiction is different than other substance addictions, and how to break the cycle of opioid addiction in part two of this four-part series. You must register to access.
MAT Patients in General Medical Care, 3 of 4
Robert Sherrick, MD, Internal/Addiction Medicine, talks about Opioid Use Disorder (OUD) regarding patients in general medical care and shares a case study in part three of this four-part series. You must register to access.
OUD What Constitutes Quality Treatment, 4 of 4
Robert Sherrick, MD, Internal/Addiction Medicine, talks about the right way to treat Opioid Use Disorder (OUD) and what constitutes quality treatment in the fourth video of this series. You must register to access.
MAT Counseling
Robert Sherrick, MD, Internal/Addiction Medicine, discusses the basics of Medication Assisted Treatment (MAT) and how to break the cycle of addiction. You must register to access.
Evaluation PDA