Patients With Opioid Use Disorder Deserve Trained Providers
Authors: Melissa B. Weimer, Jeanette M. Tetrault, David A. Fiellin
Journal: Annals of Internal Medicine (2020)

Letters2 June 2020Patients With Opioid Use Disorder Deserve Trained ProvidersMelissa B. Weimer, DO, MCR, Jeanette M. Tetrault, MD, and David A. Fiellin, MDMelissa B. Weimer, DO, MCRYale School of Medicine, New Haven, Connecticut (M.B.W., J.M.T., D.A.F.)Search for more papers by this author, Jeanette M. Tetrault, MDYale School of Medicine, New Haven, Connecticut (M.B.W., J.M.T., D.A.F.)Search for more papers by this author, and David A. Fiellin, MDYale School of Medicine, New Haven, Connecticut (M.B.W., J.M.T., D.A.F.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-0084 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate the discussion on our commentary and respect the opinions of these commenters, who, like us, want to ensure quality care for persons with OUD. The challenge we all describe is how to expand access while maintaining quality. We agree that patients with OUD deserve trained providers; improved training will save lives; all prescribers and pharmacists need better training; we need more, not less, physician training in the care of OUD; and all generalist physicians should have training to manage addiction. Although DATA 2000 is a flawed mechanism, it is currently the only strategy available to ensure ...References1. Jarvis MAE. American Society of Addiction Medicine (ASAM) testimony at the Bipartisan Opioid Task Force Roundtable—third wave of the opioid epidemic: fentanyl and synthetics. 23 July 2019. Accessed at www.asam.org/docs/default-source/advocacy/final-oral-margaret-jarvis-testimony-bipartisan-heroin-task-force-(7).pdf on 23 April 2020. Google Scholar2. Jones CM, Campopiano M, Baldwin G, et al. National and state treatment need and capacity for opioid agonist medication-assisted treatment. Am J Public Health. 2015;105:e55-63. [PMID: 26066931] doi:10.2105/AJPH.2015.302664 CrossrefMedlineGoogle Scholar3. Barnett ML, Lee D, Frank RG. In rural areas, buprenorphine waiver adoption since 2017 driven by nurse practitioners and physician assistants. Health Aff (Millwood). 2019;38:2048-2056. [PMID: 31794302] doi:10.1377/hlthaff.2019.00859 CrossrefMedlineGoogle Scholar4. Muzyk A, Smothers ZPW, Akrobetu D, et al. Substance use disorder education in medical schools: a scoping review of the literature. Acad Med. 2019. [PMID: 31348067] doi:10.1097/ACM.0000000000002883 CrossrefMedlineGoogle Scholar5. Lofwall MR, Martin J, Tierney M, et al. Buprenorphine diversion and misuse in outpatient practice. J Addict Med. 2014;8:327-332. [PMID: 25221985] doi:10.1097/ADM.0000000000000029 CrossrefMedlineGoogle Scholar6. Crowley R, Kirschner N, Dunn AS, et al; Health and Public Policy Committee of the American College of Physicians. Health and public policy to facilitate effective prevention and treatment of substance use disorders involving illicit and prescription drugs: an American College of Physicians position paper. Ann Intern Med. 2017;166:733-736. [PMID: 28346947]. doi:10.7326/M16-2953 LinkGoogle Scholar7. Meier B. Opioid prescribing gets another look as F.D.A. revisits mandatory doctor training. The New York Times. 2 May 2016. Accessed at www.nytimes.com/2016/05/03/business/fda-again-reviews-mandatory-training-for-painkiller-prescribers.html on 23 April 2020. Google Scholar Author, Article, and Disclosure InformationAffiliations: Yale School of Medicine, New Haven, Connecticut (M.B.W., J.M.T., D.A.F.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2303. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatients With Opioid Use Disorder Deserve Trained Providers Melissa B. Weimer , Jeanette M. Tetrault , and David A. Fiellin Patients With Opioid Use Disorder Deserve Trained Providers Justin Berk , J. Deanna Wilson , James H. Miller , and Leonard Feldman Patients With Opioid Use Disorder Deserve Trained Providers Richard Saitz Patients With Opioid Use Disorder Deserve Trained Providers Kevin Fiscella , Leo Beletsky , and Sarah E. Wakeman Metrics 2 June 2020Volume 172, Issue 11Page: 774-775KeywordsDisclosureDrug administrationHealth careLegislationNursesOpioid addictionOpioid use disorderOpioidsPatientsPharmacists ePublished: 2 June 2020 Issue Published: 2 June 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...