- Daniel Felix, PhD, Director of Behavioral Health, Sioux Falls Family Medicine Residency, Sioux Falls, SD
- Yajaira Johnson-Esparza, PhD, Director of Medication Assisted Treatment, Salud Family Health Centers, Commerce City, CO
- Carlos Estrella, LPC, Behavioral Health Provider, Salud Family Health Centers, Commerce City, CO
- Cindy Genzler, RN, Nurse Case Manager, Center for Family Medicine, Sioux Falls, SD
Training FM residents to offer medication assisted treatment (MAT) for opiate use disorders is not a simple task. As opposed to simply buying some new medical device for the clinic and training residents to use it, instead MAT training requires systematic changes in work-flow, billing, and scheduling. It can require systemic change in mission, vision, and even in personnel. Certainly it requires the interpersonal skills necessary to get buy-in from administrators, faculty, staff, and residents in order to adopt this training as part of the curriculum. In this presentation we share our story of success in becoming one of the only providers of MAT in our area, emphasizing the strengths and weaknesses of our approach. We share research that supports the need to train for MAT in residency, and we provide specific tips that participants can take home to use in their training location to aid in their MAT training efforts.
- Define reasons and research regarding why MAT training is necessary and beneficial in family medicine training.
- Identify benefits and challenges of adopting MAT training into a residency clinic and curriculum.
- Outline methods for addressing many of the common challenges hindering the adoption of this modality in family medicine training.
- Hutchinson, E., Catlin, M., Andrilla, C. H. A., Baldwin, L. M., & Rosenblatt, R. A. (2014). Barriers to primary care physicians prescribing buprenorphine. The Annals of Family Medicine, 12(2), 128-133.
- Polydorou, S., Gunderson, E. W., & Levin, F. R. (2008). Training physicians to treat substance use disorders. Current psychiatry reports, 10(5), 399-404.
- Colameco, S., Armando, J., & Trotz, C. (2005). Opiate dependence treatment with buprenorphine: one year's experience in a family practice residency setting. Journal of addictive diseases, 24(2), 25-32.
- Donaher, P. A., & Welsh, C. (2006). Managing opioid addiction with buprenorphine. American family physician, 73(9).
- Seale, J. P., Shellenberger, S., & Clark, D. C. (2010). Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum. BMC medical education, 10(1), 33.