Course Description:
This online course is made up of 5 video modules that qualify for 8 hours of CE credit that is automatically issued with a digital certificate upon completion.
Meharry Medical College in joint providership with the Washington AGD through its affiliation with DOCS Education has created a new 8-hour course* that fulfills the new one-time opioid course requirement for DEA registration. (Please see the CERP Joint Providership Recognition Statement below.)
This comprehensive online program is presented by world-renowned faculty members Steve Yun, MD, Leslie Fang, MD, Ph.D., John Hexem, MD, and Carol Wilson, DMD. In total, you will receive 8 hours of CE.
This on-demand course covers a range of topics related to opioid prescribing and pain management required by the Medication Access and Training Expansion (MATE) Act, including the risks and benefits of opioids, safe pharmacological management of dental pain and screening, treating and management of patients with substance abuse disorders, patient counseling and education, proper recordkeeping requirements, and the appropriate clinical use of all drugs approved by the Food and Drug Administration for the treatment of a substance use disorder.
*The Drug Enforcement Administration does not approve specific courses, only specific educational providers. Meharry Medical College, a DEA-approved CERP provider, will issue the certificate upon the completion of this course.
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Topics Covered:
ADA Policy on Opioids (2.5 hours)
Taught by Dr. Leslie Fang, this 2.5-hour class provides an extensive review of all of the safety protocols and regulations related to controlled substances. More specifically, it teaches dentists how to optimize the use of non-narcotic painkillers.
Examining Addiction (.75 hours)
Board-certified anesthesiologist Dr. John Hexem explains the mechanism of addiction in this one-hour class. Dr. Hexem will discuss brain physiology, new regulations, and iatrogenic addiction, and will outline how dentists can confidently approach the use of opioids and other necessary pain medications without adding to the problem of drug addiction.
DEA Compliant Recordkeeping (.75 hours)
Dr. Carol Wilson will unpack the steps to DEA-compliant recordkeeping requirements in a dental office. You will learn how to record controlled substances in a DEA-compliant log book and how to properly dispense, store and destroy medications in your office.
Requirements & Responsibilities of Prescribing Schedule II Opioid Drugs (4 hours)
Dr. Steve Yun will discuss the history, pharmacology and risk of opioid addiction, review the signs of use, dependency, and abuse, as well as the framework for prescribing opioids.
Total: 8 Hours
California Doctors
For those doctors in California, two of the eight hours complies with the Dental Board of California’s requirement for a Board-approved course on opioids for license renewal (CCR 1017(a)(4)) titled: Responsibilities and Requirements of Prescribing Schedule II Opioid Drugs.
California Learning Objectives:
- Practices for Pain Management in Dentistry
- Regulatory Requirements for Prescribers and Dispensers
- Dental Office Procedures for Managing Vulnerable or Substance Use Disorder Patients
Disclaimers:
Purchase of this course grants access for one year and requires an internet connection, computer with video and audio capabilities, and in some cases, Adobe Reader to view handouts and articles.
You can download this course and watch it anywhere using the DOCS APP. Get it on Google Play or the Apple Store.
Watch the videos and complete the quiz to earn 8 CE credits.
Scientific support and additional resources are available here.
In late December 2022, the Consolidated Appropriations Act of 2023 enacted a new 8-hour training requirement for all Drug Enforcement Administration (DEA) registered practitioners on the treatment and management of patients with opioid or other substance use disorders. This includes dentists. It is called the Medication Access and Training Expansion (MATE) Act.
Beginning on June 27, 2023, you will be required to check a box on your online DEA registration form—whether for initial registration or for renewing your registration—affirming you have completed this new training requirement and maintain your certificate of completion.
This one-time training requirement will not be part of future registration renewals.
Meharry Medical College is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at CCEPR.ADA.org.
Meharry Medical College designates this activity for eight (8) continuing education credits.
This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Meharry Medical College and Washington Academy of General Dentistry.
ADA Policy
- Review the commonly prescribed analgesics and narcotics in dentistry.
- Learn the optimal use and timing of analgesia/anti-inflammatory medications.
- Review best practices for pain management in dentistry.
- Discuss an overview of studies on the efficacy of NSAIDs.
- Understand the use of opioids in dentistry.
- Review the 2018 ADA policies and recommendations on substance abuse disorder.
- Learn the regulatory requirements for prescribers and dispensers.
- Learn the CDC recommendations for prescribing opioids.
- Discuss dental office procedures for managing vulnerable or substance use disorder patients.
Examining Addiction
Upon completion of a competency course in enteral sedation, the dentist must be able to understand:
- Brain physiology
- New opioid and other regulations
- Latrogenic addiction
Recordkeeping
- Learn which informed consents and permissions are needed prior to a patient’s sedation appointment
- Understand the limits of advertising laws
- Find out how to prepare your team to conduct a streamlined sedation consult and paperwork appointment
- Understand what you need to record during a sedation appointment
- Learn proper dismissal protocol for sedation patients
- Understand how to properly dispense, store and destroy medications in your office
Requirements & Responsibilities
- Learn about the history of the opioid epidemic and its history of over-prescription in dentistry
- Identify what is the risk of opioid prescriptions
- Understand the different types of opioids, from oral to heroin and fentanyl
- Discuss alternatives to opioids for analgesia: pre-emptive, placebo and nocebo effect; NSAIDs; gabapentin; exparel; and more.
- Learn the risk factors for opioid abuse and addition, and the signs of use, dependency and abuse
- Review best methods to screen patients for opioid misuse
- Discuss how to safely dispose of leftover opioids
- Review the diagnosis and treatment of opioid overdose
- Discuss case studies
(AGD Code - Definition - Hours)
340 (Anesthesia and Pain Management: Prescription Medication Management) - 4 hours
157 (Electives: Substance Abuse) – 4 hours
Steve Yun, MD
As a board-certified M.D. anesthesiologist, Dr. Yun is an expert with over 20 years of experience in making sure his patients can breathe safely. He is certified in advanced life support for adults and children. He is also a safety inspector for surgery centers and an Examiner for the Dental Board of California. He lectures extensively around the country offering his expertise in patient safety. In addition to dental anesthesia, Dr. Yun performs a wide range of OR anesthesia. For the last 12+ years, he has been the Director of Anesthesia for Dr. Daniel Kharrazi, Team Physician for the Los Angeles Lakers.
Leslie Fang, MD, Ph.D.
Dr. Leslie Fang is a world-renowned physician, educator, businessman and speaker. He received his PhD in Physiology and Biophysics from the University of Illinois and his Doctorate of Medicine from Harvard Medical School. He is board certified in both Nephrology and Internal Medicine and has been repeatedly honored as one of “America’s Top Doctors” and “The Best Doctors of Boston.” He is the co-author of The Ultimate Cheat Sheets, a Practical Guide for Dentists.
Carol Wilson, DMD
Dr. Wilson pursued her doctorate at the University of Kentucky College of Dentistry, where she graduated with honors in 2006 and received awards for outstanding achievement in prosthodontics and oral radiology. Since graduation, Dr. Wilson has completed IV sedation certification through DOCS, advanced bone grafting techniques, and dental implant placement training through the Little Implant Company.
John Hexem, MD
Dr. John Hexem, MD is an anesthesiology doctor who practices in Saint Louis, MO. He received his bachelor’s and master’s degree from Yale University, his medical degree from the University of Cincinnati College of Medicine, and his Ph.D. in Chemistry from the University of Pennsylvania. He has extensive fellowship awards and diplomat status in the American Board of Anesthesiology. Dr. Hexem spends much of his time treating patients with chronic pain.
DOCS online courses are available to the purchaser for one year from date of purchase.
No refund of course tuition is available.