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Creating a Culture of Safe Prescribing

CIN Action Group for Primary Care Residency Programs

Residency programs joined a CIN action group on safe prescribing practices for opioid-dependent patients. A toolkit consolidates the strategies and teaching tools used by the nine participating programs.

California Improvement Network Logo

The overuse of prescription painkillers (opioids) is a significant public health problem. More than 15,000 Americans died from prescription opioids in 2009, and emergency department visits involving prescription pain relief misuse increased more than 150% between 2004 and 2010. In response, CHCF invited family medicine and internal medicine residency programs to participate in a peer learning and training opportunity focused on safe prescribing practices and management of complex, opioid-dependent patients.

In the summer of 2015, nine programs were selected to receive coaching and training from expert faculty and to share strategies to achieve improvement goals.

Core Components of Safe Clinic Culture and Resident Teaching

Drs. Kelly Pfeifer and Diana Coffa and Kristene Cristobal discuss core components of safe prescribing culture in a clinic and provide an example of how the UCSF Family and Community Medicine Program at San Francisco General Hospital teaches residents about this issue.

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Neurobiology of Pain and Addiction

Drs. Kelly Pfeifer and Sharone Abramowitz explain how a new understanding of physiology changes how we can teach residents and support safe prescribing practices.

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Basics of QI for Safe Prescribing Culture in Residency Programs

Dr. Diana Coffa and Kristene Cristobal discuss how quality improvement (QI) applies in a safe prescribing culture in residency programs. Speakers explain how to do rapid cycle improvement, how to create SMART goals, and how to diffuse innovation in an organization.

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Teaching Basic Behavioral Health Management in Resource-Poor Settings

Drs. Sharone Abramowitz and Diana Coffa talk about how to teach residents basic behavioral health management in resource-poor settings.


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The Art and (very little) Science of Tapering Opioid Medications

In this presentation about tapering opioid medications, Dr. Andrea Rubinstein helps attendees identify situations that are appropriate for tapering, learn to design the most appropriate taper program for particular patients, and identify and troubleshoot problems that may arise.


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The Opioid Addiction Epidemic: The Case for Treatment in Primary Care

Slide Presentation Cover Image: CIN Residency Action Group (Haddad)

Dr. Marwan Haddad, from the Weitzman Institute, presented the case for treating opioid addiction using buprenorphine in primary care settings. The recording from this webinar is not available but the slides can be downloaded below.


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For more information, see the complete RFA and application form, as well as a summary of the training tools and strategies used by participating programs, under Document Downloads.

 

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