CSAM Addiction Medicine Board Review Course

and American Board of Addiction Medicine Certification Exam Preparation Track

FEATurEd SPEAkErS:

Neal Benowitz, Md Stephanie Brown, Phd Timmen Cermak, Md Scott Fishman, Md keith Humphreys, Phd George koob, Phd Thomas kosten, Md Edwin Salsitz, Md George Vaillant, Md

Addiction Medicine review Course 2012

CAliForNiA SoCiETy oF AddiCTioN MEdiCiNE

SEPTEMBEr 5-8, 2012 Hyatt regency Embarcadero

San Francisco, CA

up to 34 AMA/PRA Category 1 Credits™

Join us in San Francisco for a stimulating and rewarding educational experience that will advance your understanding of addiction medicine and improve your clinical practice. Whether you are preparing for the American Board of Addiction Medicine Certification Exam, refreshing your knowledge of the field, or newly learning about the diagnosis and treatment of addictions, this course has something to offer.CSAM is honored to have one of the central figures in addiction research with us to kick off the conference. Since the publication of The Natural History of Alcoholism in 1983, George Vaillant, MD, has been on the front lines of addiction treatment. He will give us a review and update on more than 30 years of longitudinal studies on alcoholism and drug abuse.

In addition, the conference includes a roster of the preeminent leaders in the field of addiction research and treatment. Speakers include Francis Vocci, PhD, who will present on receptor pharmacology and medical management of addictions, George Koob, PhD, on neurobiology, Marc Fishman, MD, on special needs of the adolescent population, Neal Benowitz, MD, on nicotine, Stephanie Brown, PhD, on a clinician guide to the 12-steps, Scott Fishman, MD, on pain and safe prescribing practices, and Thomas Kosten, MD, on stimulant pharmacology and treatment.

For those who are preparing for the American Board of Addiction Medicine Certification Exam, we have expanded the special exam track to help individuals prepare for the exam, including a study guide, both pre-conference and post-conference web-based assessment and study, and 6 hours of exam preparation during the conference focused on sample questions and identifying high value material.

CSAM conferences are designed to enhance physician interaction and collegiality. Small group discussion of cases will complement the didactic lectures and provide an experiential learning format. A Friday evening dinner, with a San Francisco theme, will allow for a chance to relax, meet and enjoy the company of others. At the dessert reception on Thursday evening, Gabor Maté, MD, author of the best-selling In the Realm of Hungry Ghosts: Close Encounters with Addiction will discuss “Taming the Hungry Ghost: Combining Science and Compassion in the Treatment of Addiction.”

There will be a variety of pre-conference workshops on Wednesday, September 5 to deepen your understanding of several challenging clinical topics.

JOIN US IN SAN FRANCISCO

Conference Planning CommitteeAnthony P. Albanese, MD Conference Chair

Jean A. Marsters, MD Conference Co-Chair

Sharone Abramowitz, MD

Angella Barr, MD

Mario San Bartolome, MD

Juliane Bohan, MD, MPH

William S. Brostoff, MD

Steven J. Eickelberg, MD, FASAM

Christina H. Fritsch, MD

Murtuza Ghadiali, MD

James W. Golden, MD

Dana Harris, MD

Mark Hrymoc, MD

Long H. Nguyen, MD

Kenneth A. Saffier, MD

Emjay Meng-Jiao Tan, MD

Mason S. Turner, MD

INFORMATION California Society of Addiction Medicine 575 Market Street, Suite 2125 San Francisco, CA 94105 ph: 415/764-4855 fax: 415/764-4915 [email protected] www.csam-asam.org

Anthony Albanese, MD

Conference Chair

SAVE THE DATE

Addiction Medicine: State of the Art 2013

October 16-19, 2013 Sheraton San Diego Hotel and Marina

Who Should Attend?

Practicing physicians in both primary care and other specialty fields seeking an introduction to the full spectrum of substance use disorders, their diagnosis, and appropriate management.

Physicians preparing for the certification examination in addiction medicine requiring an overview of the core elements of addiction medicine in a way that allows them to identify the areas where they may need more study.

Physicians currently practicing in the field who want a refresher course based on the latest clinical research.

Other health care professionals, including psychologists, therapists, nurses and drug abuse counselors, who are involved in the treatment of patients with substance abuse disorders.

JOIN US IN SAN FRANCISCO

Addiction Medicine review Course The 3-day Review Course presents an overview of the core elements of addiction medicine, presented by top experts in the field. It can serve as a broad review for clinicians, a review of the basics for newcomers, or a starting point for self-assessment and study for those planning to sit for the American Board of Addiction Medicine exam. Since it is not designed exclusively for test preparation some material not likely to be on the test will be included in plenary sessions as part of providing the foundation for informed clinical practice. Participants sit at tables with a facilitator to guide case discussions and answer questions. Participants receive a course syllabus with copies of all lecture handouts and selected articles as well as access to online video of all lectures.

American Board of Addiction Medicine Certification Exam Preparation Track (additional fee)In addition to the three-day Review Course, CSAM also offers an ABAM Certification Exam Preparation Track. In July, Exam Track participants will receive a CD-ROM study guide with sample questions and other study material. Prior to the conference, those taking the Exam Preparation Track will take a pre-conference assessment test online to help identify areas where additional study may be needed (1 hour CME). The Exam Preparation Track at the conference consists of 6 additional CME hours devoted to test-taking strategies, sample questions, high-yield exam content, and tips on how to prepare for the exam. After the conference, participants will have access to video of all conference presentations and a minimum of two post- conference webinars (2 hours CME) as well as a post-conference practice exam (1 hour CME). Those taking the certification exam preparation track must also sign-up for the Review Course.

CrEdiT

CrEdiTPhysicians: The California Society of Addiction Medicine (CSAM) is accredited by the Institute for Medical Quality/California Medical Association to provide continuing medical education for physicians. CSAM takes responsibility for the content, quality and scientific integrity of this CME activity.

CSAM designates this live educational activity for a maximum of 34 AMA PRA Category 1 Credits™ (see below). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This credit may also be applied to the CMA Certification in Continuing Medical Education.

Addiction Medicine Review Course 20.5 credits Certification Exam Preparation Track 10 credits Pre-Conference Workshops 7 credits

(Those taking the Certification Exam Preparation Track can only take a morning workshop with 3.5 units)

CEU Credit is available for psychologists, therapists, drug abuse counselors, nurses and physician assistants. See CSAM website for details.

TWElVE-STEP/MuTuAl HElP MEETiNGSThese will be held every day during the conference at 7:00 am and 9:00 pm.

HoTEl/TrAVElThe conference hotel is the Hyatt Regency Embarcadero in San Francisco. There are a limited number of rooms available at the conference rate of $199 for a single or double room through August 25. Please call 1-888-421-1442 for a reservation and make sure that you mention the CSAM Addiction Medicine Review Course to get the special rate. If you wait until the August 25 deadline there is no guarantee that rooms will still be available.

“The enthusiasm to help people learning addiction medicine and taking the test was infectious.”

– Attendee, Review Course 2010

EduCATioNAl oBJECTiVESA complete list of educational objectives for this course appears •on the conference website at www.csam-asam.org.Upon completion of this course participants should be able to:

Describe the effects of alcohol, tobacco and other drugs in both •tolerant and non-tolerant individuals;

Summarize the basic neurobiological, behavioral and genetic •mechanisms of addiction;

Describe the main drugs of abuse, their pharmacology, and •specifics associated with the diagnosis, detoxification, and treatment for each;

Describe the main features of related psychological disorders •seen in patients suffering from substance abuse disorders.

Conference Information

Advanced topics in the clinical use of buprenorphineWorkshop Planners: Karen Miotto, MD and Farzin Yaghmaie, MD

This workshop will address challenges of the transition from methadone to buprenorphine, new formulations including buprenorphine implants, strategies to help patients who want to taper off buprenorphine and best practices for preventing diversion.Richard C. Dart, MD, PhD, Director, Rocky Mountain Poison and Drug Center; Professor of Emergency Medicine; University of Colorado School of Medicine.

Walter Ling, MD, Professor of Psychiatry and Director, Integrated Substance Abuse Programs, David Geffen School of Medicine, UCLA

Andrew Saxon, MD, Professor, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine

use of psychiatric medications with patients at-risk for or facing addictive disordersWorkshop planners: Dana Harris, MD (chair), Sharone Abramowitz, MD, John Tsuang, MD

This workshop is designed for both primary care physicians and psychiatrists. An initial presentation will review commonly prescribed psychiatric medications, including their abuse potential and their interactions with drugs of abuse. Participants will then engage in small group and case-based learning activities that will focus on ADHD, the treatment of insomnia and issues with the use of sedatives-hypnotics in addicted and at-risk patients. Monika Koch, MD, Medical Director, Kaiser Permanente Chemical Dependency Recovery Program, Vallejo

Thomas Kosten, MD, Professor, Dept. of Psychiatry and Neuroscience, Baylor College of Medicine, Houston

Nicholas Rosenlicht, MD, Clinical Professor, Department of Psychiatry, UC San Francisco

John Tsuang, MD, Clinical Professor, Department of Psychiatry, David Geffen School of Medicine, UCLA

Workshops (Wednesday, September 5) (additional fee)Workshops cover specific areas of clinical interest and are designed to meet a clinical need. They are not designed as part of either a broad overview of addiction medicine (Review Course) or as certification exam preparation. They can be taken together with the Review Course or alone. If a participant plans on being part of the Certification Exam Preparation Track, then only a morning workshop can be attended as the Exam Track begins Wednesday afternoon.

Full-Day Workshop (8:30 am to 5:00 pm)

Motivational interviewing for busy cliniciansWorkshop planners: Ken Saffier, MD (chair), Steven Eickelberg, MD, Jennifer Hettema, PhD, Julie Nyquist, PhD, Maureen Strohm, MD

Motivational interviewing (MI) is a patient-centered and highly effective method to facilitate behavior change. This workshop will provide practitioners with a framework for understanding behavior change, and concrete tools for promoting behavior change in general medical and addiction medicine practices. Emphasis will be on small group learning and mentored clinical skills, providing feedback to learners with different levels of familiarity and experience. Participants and mentors will be challenged with examples of clinical resistance that are common to everyday practice. By the end of this workshop, participants will develop individual learning plans for continuing their MI education.Jennifer Hettema, PhD, Assistant Professor, University of Virginia, Department of Psychiatry and Neurobehavioral Sciences, Center for Addiction Research and Education

Julie Nyquist, PhD, Professor, Division of Medical Education, Keck School of Medicine, University of Southern California, Los Angeles

Morning Workshops (8:30 am to 12:00 noon)

Addiction medicine practitioner as expert witness: a clinical master class(Enrollment is limited to 15)

Addiction Medicine practitioners are often consulted on medico-legal questions with toxidromes, addiction, and substance use disorders being a key part of the consultation issue. This workshop will prepare participants for forensic issues that arise in your daily practice and introduce models to expand your practice into medico-legal settings. Tools that will be offered include sample engagement agreements and examples of forensic reports.David Kan, MD, Board Certified Forensic Psychiatrist maintaining an addiction psychiatry practice at the San Francisco VA Medical Center.

Afternoon Workshop (1:30 pm to 5:00 pm)

opioids and beyond: optimal strategies for treating chronic pain with opioids and opioid-sparing medicationPlanners: Karen Miotto, MD and Farzin Yaghmaie, MD

This workshop will present on the treatment of chronic pain with opioid and opioid-sparing modalities, with special considerations to the safety and efficacy of opioid-sparing medications. It will review the positive and negative consequences of opioid use for chronic pain and examine recent evidence on opioid’s deleterious effects on patients including opioid-induced hyperalgesia, opioid-induced androgen deficiency, and the effects of opioids on the immune system. Participants will develop skills using non-opioid medications and awareness of alternative treatment options to chronic pain.Michael Leong, MD, Clinical Assistant Professor of Anesthesia and Clinic Chief, Pain Management Center, Stanford University School of Medicine, Palo Alto

Sean Mackey, MD, PhD, Chief, Pain Management Division, Associate Professor, Anesthesia and Pain Management, Stanford University; Co-Director, Stanford Pain Research and Clinical Center, Stanford University, Palo Alto

Karen Miotto, MD, Associate Clinical Professor, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA

American Board of Addiction Medicine Certification Exam Preparation Track (1:30 pm to 5:00 pm)Included in Certification Exam Preparation Track fee.

8:30 am Introduction and OverviewAnthony Albanese, MD, Conference Chair

8:40 am Natural History of AlcoholismGeorge Vaillant, MD, Professor, Department of Psychiatry, Harvard Medical School; Senior Physician, Brigham and Women’s Hospital, Boston

9:25 am AlcoholAnthony Albanese, MD, Health Sciences Professor of Medicine, UC Davis; Director Chemical Dependency, Sacramento VA Medical Center

10:20 am Case Discussion

10:55 am Break

11:15 am Neurobiology of AddictionGeorge Koob, PhD, Professor and Chair, Committee on the Neurobiology of Addictive Disorders, The Scripps Research Institute, La Jolla

12:00 noon CannabisTimmen Cermak, MD, Psychiatrist in private practice, Mill Valley and San Francisco

12:45 Pm Lunch on your own

1:00 Pm Lunch Meetings (optional) Purchase a box lunch and bring your questions and comments.

Luncheon for Early Career Physicians A discussion with experienced practitioners on meeting the challenges facing physicians in the first few years of practice.

A Physician Health Program for California Update from California Public Protection and Physician Health, Inc. (CPPPH), CSAM Committee on the Well-Being of Physicians, and the CSAM Task Force on Physician Health.

2:00 Pm Presentation of the Vernelle Fox Award to Judith Martin, MD and the Community Service Award to Alice Gleghorn, PhD

2:15 Pm Receptors, Pharmacology and Medical Management of AddictionFrancis Vocci, PhD, President and Senior Research Scientist, Friends Research Institute, Baltimore

3:00 Pm Assessment and Treatment of Substance Abuse in AdolescentsMarc Fishman, MD, Medical Director, Maryland Treatment Centers; Assistant Professor, Johns Hopkins University, Baltimore

3:45 Pm Case Discussion

4:15 Pm Break

4:35 Pm Substance Abuse, Pregnancy and Fetal DevelopmentNancy Goler, MD, Department of Obstetrics and Gynecology, Kaiser Permanente Vallejo Medical Center

5:10 Pm Drug TestingGreg Skipper, MD, Medical Director, Professional Health Services, Promises Treatment Centers, Malibu

5:40 Pm Adjourn Plenary

7:30 Pm Dessert Reception (guests welcome)

Gabor Maté, MD author of In the Realm of Hungry Ghosts: Close Encounters with Addiction Taming The Hungry Ghost: Combining Science and Compassion in the Treatment of Addiction

Friday, September 7

7:15 am Certification Exam Preparation Track

8:30 am Medical Complications of AddictionPaula Lum, MD, MPH, Associate Professor of Clinical Medicine, UC San Francisco

9:10 am Opioids: Receptors and PharmacologyEdwin Salsitz, MD, Director, Methadone Medical Maintenance Program, Beth Israel Medical Center; Assistant Professor, Albert Einstein College of Medicine, New York


10:15 am Break

10:35 am Opioid Maintenance TherapyEdwin Salsitz, MD

11:10 am Pain and Safe PrescribingScott Fishman, MD, Professor and Chief, Division of Pain Medicine, UC Davis Medical Center

11:45 am A Clinician Guide to 12-Step ProgramsStephanie Brown, PhD, Author and consultant in addiction medicine, Menlo Park

12:30 Pm Lunch on your own

12:30 Pm CSAM Annual Business Meeting Non-members also welcome to attend

Workshops (Wednesday, September 5) (additional fee)

Morning Workshops (8:30 am to 12:00 noon)

Review Course Schedule

Thursday, September 6

2:00 Pm NicotineNeal Benowitz, MD, Professor, Departments of Medicine, Biopharmaceutical Sciences, Psychiatry, and Clinical Pharmacy, UC San Francisco

3:00 Pm StimulantsThomas Kosten, MD, Professor, Departments of Psychiatry and Neuroscience, Baylor College of Medicine, Houston

3:55 Pm Case Discussion

4:25 Pm Break

4:45 Pm Psychiatric ComorbiditiesJohn Tsuang, MD, Director of Dual Diagnosis Treatment Program, Harbor/UCLA Medical Center

5:30 Pm Motivational Interviewing / Stages of ChangeSharone Abramowitz, MD, Director, Behavioral and Addiction Medicine, Primary Care Medicine Faculty, Alameda County Medical Center (UCSF Affiliate)

6:00 Pm Adjourn Plenary

6:30 Pm

Experience a variety of flavors of the “City By the Bay” as you meet and mingle with other conference attendees and guests at this signature dinner and social event. You’ll sample and savor the food for which San Francisco is world famous. The menu features fresh shrimp cocktails, clam chowder, and sourdough bread from Fisherman’s Wharf; Chinatown fare of chow mein, egg rolls and pot stickers; a variety of pasta choices from the Italian North Beach area; locally-made coffees and teas; and make-your-own ice cream sundaes topped with Ghiradelli Chocolate. An evening to enjoy and remember!

Friday, September 7 (continued)

Saturday, September 8

7:15 am Certification Exam Preparation Track

8:30 am Sedative-HypnoticsMel Pohl, MD, Medical Director, Las Vegas Recovery Center

9:25 am Behavioral Interventions and Psychosocial TreatmentKeith Humphreys, PhD, Professor of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto

10:10 am Ethics and ConfidentialityDavid Kan, MD, Medical Director, Opioid Replacement Team, VA Medical Center, San Francisco


11:20 am Break

11:40 am Club Drugs, Hallucinogens and New Drugs of AbuseSilas Wheelock Smith, MD, Assistant Professor, Department of Emergency Medicine, New York University School of Medicine

12:30 Pm InhalantsMarc Fishman, MD, Medical Director, Maryland Treatment Centers; Assistant Professor, Johns Hopkins University, Baltimore

12:55 Pm Emergency Room Presentations of AddictionKent Olson, MD, Clinical Professor, Joint Medical Program, School of Public Health, UC Berkeley; Medical Director, San Francisco Division, California Poison Control System

1:50 Pm Adjourn Conference


“it is refreshing to be amongst colleagues who speak and behave compassionately about people with addiction. The materials presented are intellectually stimulating and clearly explained.”

– Attendee, Review Course 2010

“Several of my most respected colleagues told me that this was the best conference on any subject they had attended, and i agree.”– Attendee, Addiction Medicine State of the Art 2011

Conference Dinner: “Flavors of San Francisco” Included in conference registration fee, guests $50

AddiCTioN MEdiCiNE rEViEW CourSE 2012September 5-8, 2012, San Francisco, CA Register on-line at: www.csam-asam.org

Name: __________________________________________________________________________ degree: _____________________________________

Position: _________________________________________________ organization: _________________________________________________________

Address: ____________________________________________________________________________________________________________________

City: ________________________________________________________________________________ State: ________ Zip: _______________________

Phone: ____________________________________________________ Fax: ______________________________________________________________

Email: ___________________________________________________________________ Specialty: ___________________________________________

AddiCTioN MEdiCiNE rEViEW CourSE: THurSdAy, FridAy, SATurdAy, SEPTEMBEr 6-8q Three-day registration one-day registration: (select days) q Thursday q Friday q Saturday

FEES: Half-day pre-conference workshop on Wednesday

(per workshop)

Full-day pre-conference workshop on Wednesday

review Course Thursday through

Saturday

1-day registration Thurs. or Fri.

(per day)

Half-day registration

Saturday

CSAM/ASAM Member q $125 q $250 q $695 q $300 q $150Non-Member Physician q $150 q $300 q $795 q $350 q $175Non-Physician q $125 q $250 q $695 q $300 q $150resident or Fellow q $50 q $100 q $250 q $100 q $50Medical Student q $10 q $20 q $100 q $50 q $25

PAyMENT:There is a $50 fee for on-site registration. Payment in U.S. funds must accompany registration.Check Payable to CSAM -or- Charge q ViSA q MasterCard q AMEX

Card#: _________________________________________________________________________

Exp: ____________ / ______________ Three digit number on back of card: __________________

Name on Card:___________________________________________________________________

Signature: ______________________________________________________________________

CANCEllATioNS: CANCEllATioNS BEForE AuGuST 15 ArE SuBJECT To A $75 CANCEllATioN FEE. No rEFuNd For CANCEllATioNS SuBMiTTEd AuGuST 15 ANd lATEr. SuBSTiTuTioNS MAy BE ArrANGEd.

if, due to a disability, you have any special needs, call 415/764-4855 to let us know.We will do our best to accommodate them.

Total enclosed $ ___________

Mail or fax completed form with payment to California Society of Addiction Medicine575 Market Street, Suite 2125San Francisco, CA 94105 phone: 415/764-4855 fax 415/[email protected]

CErTiFiCATioN EXAM PrEPArATioN TrACk q The Exam Preparation Track includes an afternoon session (1:30 to 5:30 pm) on Wednesday, September 5 and two morning sessions (7:15 am

to 8:15 am) on Friday September 7 and Saturday September 8. you must sign up for the 3-day review Course to take the Exam Preparation Track

PrE-CoNFErENCE WorkSHoPS: WEdNESdAy, SEPTEMBEr 5 (AddiTioNAl FEE) Those taking the Exam Preparation Track may register for a morning workshop but not the full day or afternoon workshop as their times conflict.

Full-dAy WorkSHoP (8:30 AM To 5:00 PM)q Motivational interviewing

MorNiNG WorkSHoPS (8:30 AM To NooN)q Advanced Topics: Buprenorphineq use of Psychiatric Medicationsq Testifying as an Expert Witness

AFTErNooN WorkSHoP (1:30 PM To 5:00 PM)q Pain: opioids and Beyond


q Certification Exam Preparation Track ($350)q Friday evening “Flavors of San Francisco” dinner. included in registration fee. Guests $50 per person. Number of guests: ___________q Tax deductible contribution to the Medical Education and research Foundation for conference scholarships: ____________________

Conference Dinner: “Flavors of San Francisco” Included in conference registration fee, guests $50

and American Board of Addiction Medicine Certification Exam Preparation Track

Addiction Medicine review Course 2012

CAliForNiA SoCiETy oF AddiCTioN MEdiCiNE

575 Market Street #2125San Francisco, CA 94105Ph: 415-764-4855; Fax [email protected]://www.csam-asam.org

Prepare for the ABAM •Certification Exam

A comprehensive overview •of addiction medicine

up to 34 • AMA/PRA Category 1 Credit™

learn from experts•

Enjoy beautiful San Francisco•

Nonprofit OrgUS Postage

PAIDSan Francisco, CAPermit No. 1026

SEPTEMBEr 5-8, 2012 Hyatt regency Embarcadero

San Francisco, CA

Documents

CSAM Addiction Medicine Board Review Course