This month's cases will be announced soon.

Series Moderator: Lewis Nelson, MD, FACMT, Rutgers New Jersey Medical School, Newark, NJ

About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. NCC is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.

Overview

The Chemical Agents of Opportunity for Terrorism course is a Federal Emergency Management Agency (FEMA)-approved awareness-level training course addressing the medical and psychological impact of industrial chemicals used as terrorist weapons. Since 2005, ACMT has offered this course over 100 times to more than 10,000 attendees throughout the US and internationally. 

Target Audience

1-Day Course Designed for:

• Pre-Hospital First Responders (EMTs and Paramedics)
• Public Health Professionals
• Law Enforcement 
• Emergency Providers

This 10-module course will utilize a symptom-based clinical approach to describe the medical impact of various chemical poisons. It will provide a framework to enhance recognition of the common health effects of apparently disparate chemical toxins, describe the risk to various healthcare workers, and introduce clinical and public health management strategies. 

Course Objectives:

• Understand the concept of chemical and radiological agents of opportunity (AoO) – TICs, TIMs and TRMs
• Identify possible terrorist use of AoO
• Discuss past mass exposure to AoO
• Describe the major health effects of TICs, TIMs and TRMs and other important non-volatile chemical agents
• Identify primary treatment modalities for victims
• Appreciate the basis for increased public health preparedness for these agents
• Understand the psychological impact of mass casualties from such exposures
• Understand the implementation of “first receiver” OSHA guidance

Continuing Education: Interprofessional continuing education credits are available for this course through the CDC.

Agenda | June 14, 2023

8:50 AM - 9:00 AM CT          Welcome & Opening Remarks
                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

9:00 AM - 9:40 AM CT          Toxic Disasters: Beyond Conventional Chemical Weapons
                                                Charles McKay, MD, FACMT
                                                Associate Medical Director, Connecticut Poison Control Center

9:40 AM - 10:00 AM CT        Chemical Explosions
                                                 Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                 Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                 Vice President, American College of Medical Toxicology

10:00 AM - 10:40 AM CT      Toxic Gases as Threats
                                                 Emily Kiernan, DO
                                                 Assistant Professor, Emergency Medicine and Medical Toxicology
                                                 Emory University School of Medicine

10:40 AM - 10:50 AM CT      Break

10:50 AM - 11:30 AM CT      Why are Cyanide and Fumigants So Worrisome?
                                                 Emily Kiernan, DO
                                                 Assistant Professor, Emergency Medicine and Medical Toxicology
                                                 Emory University School of Medicine

11:30 AM - 12:10 PM CT      Food, Water and Medication as Vehicles for Toxic Threats
                                                 Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                 Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                 Vice President, American College of Medical Toxicology

12:10 PM - 1:00 PM CT        Clinical Neurotoxicology of Chemical Threats
                                                 Paul Wax, MD, FACMT
                                                 Executive Director, American College of Medical Toxicology

1:00 PM - 1:30 PM CT         Lunch

1:30 PM - 2:10 PM CT         Delayed Toxic Syndromes
                                               Bryan Wilson, MD
                                               Interim Medical Director, Iowa Poison Control Center 
                                               Clinical Assistant Professor, University of Iowa Hospitals & Clinics

2:10 PM - 2:50 PM CT         The Psychological Impact of Mass Exposures
                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

2:50 PM - 3:00 PM CT         Break

3:00 PM - 3:40 PM CT         After Event Population Monitoring: Pros and Cons
                                               Charles McKay, MD, FACMT
                                               Associate Medical Director, Connecticut Poison Control Center

3:40 PM - 4:40 PM CT         Scenario-Based Discussion: What is the Poison? What is the Response? Ay, There's the Rub.
                                               Charles McKay, MD, FACMT
                                               Associate Medical Director, Connecticut Poison Control Center

                                               Paul Wax, MD, FACMT
                                               Executive Director, American College of Medical Toxicology

                                                Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                Vice President, American College of Medical Toxicology

                                                Emily Kiernan, DO
                                                Assistant Professor, Emergency Medicine and Medical Toxicology
                                                Emory University School of Medicine

                                                Bryan Wilson, MD
                                                Interim Medical Director, Iowa Poison Control Center 
                                                Clinical Assistant Professor, University of Iowa Hospitals & Clinics

4:40 PM - 4:50 PM CT         Closing Remarks/Adjourn
                                                Charles McKay, MD, FACMT                                                 
                                                Associate Medical Director, Connecticut Poison Control Center

                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

Registration Rates

Registration will include: 

• Access to the live event
• Access to the on-demand recording for 1-year
• Continuing Education (provided at no cost through CDC via TCEO)
• Downloadable Attendance Certificate

Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.

Interested in becoming an ACMT Member? Contact our Membership Manager, Jenn Dorsey, at membership@acmt.net. Learn more at: www.acmt.net/membership

Continuing Education

Available CE Categories

CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE: The Centers for Disease Control and Prevention designates this activity for 7.75 nursing contact hours.

CPE: The Centers for Disease Control and Prevention designated this knowledge-based event for pharmacists to receive 0.7 CEUs in pharmacy education. The Universal Activity Number is pending and will be provided closer to the event date. Once credit is claimed, an unofficial statement of credit is immediately available on TCEOnline. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

IACET CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.9 CEU's for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 5.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 5.5. Continuing Competency credits available are 0. CDC provider number 98614.

AAVSB/RACE: This program was reviewed and approved by AAVSB RACE program for 6.0 hours of continuing education. Participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession.

Instructions for Obtaining CE

There are no fees for receiving Continuing Education for this course. In order to receive continuing education (CE), please visit TCEO (https://tceols.cdc.gov/) and follow the 9 Simple Steps (https://tceols.cdc.gov/Home/Steps) using the below information:

Chemical Agents of Opportunity for Terrorism
WC4383-061423
Live Webcast
Complete the Evaluation at: www.cdc.gov/GetCE
Pass the posttest at: 70%
Available: 6/14/23 - 7/14/23

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser or Zoom Application. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Fees

No fees are charged for CDC’s CE activities.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention, American College of Medical Toxicology (ACMT), and Radiation Emergency Assistance Center/Training Site (REAC/TS). The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Overview

The Radiological Emergency Medical Management course is an awareness-level training course addressing the medical and psychological impact of radiation.

Target Audience

1-Day Course is Designed for:

• Pre-Hospital First Responders (EMTs and Paramedics)
• Public Health Professionals
• Law Enforcement 
• Emergency Providers

Course Objectives:

• Describe the types of radiation and radiation scenarios
• Discuss Acute Radiation Syndrome (ARS)
• Describe the emergency care of patients contaminated with radioactive material
• Describe cutaneous radiation syndrome assessment and care
• List resources available to address radiation accidents
• Discuss the roles and responsibilities of emergency physicians and nurses and prehospital personnel during a radiation accident affecting a large population

Continuing Education: Interprofessional continuing education credits are available for this course through the CDC.

Agenda | June 13, 2023

8:50 AM - 9:00 AM CT         Welcome and Opening Remarks
                                                Carol Iddins, MD
                                                Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

9:00 AM - 10:00 AM CT       Practical Radiation Physics and Radiation Protection
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

10:00 AM - 11:00 AM CT     Acute Radiation Syndrome
                                                Carol Iddins, MD
                                                Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

11:00 AM - 11:10 AM CT     Break

11:10 AM - 12:00 PM CT     Radiation Protection, Contamination Control, and Instrumentation
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

12:00 PM - 1:00 PM CT       Cutaneous Radiation Injuries
                                                Mark Ervin, MD
                                                Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

1:00 PM - 1:30 PM CT         Lunch

1:30 PM - 2:20 PM CT          Preparedness and Response to Radiological Incidents
                                                Kristy Diffenderfer, MSN, BSB, RN, CEN
                                                Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)

2:20 PM - 3:10 PM CT          Common Radiation Sources
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

3:10 PM - 3:20 PM CT         Break

3:20 PM - 4:10 PM CT           Management of Internal Contamination
                                                 Mark Ervin, MD
                                                 Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

4:10 PM - 5:00 PM CT           Donning/Doffing and Decontamination
                                                 Kristy Diffenderfer, MSN, BSB, RN, CEN
                                                 Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)

5:00 PM - 5:10 PM CT           Closing Remarks/Adjourn
                                                 Carol Iddins, MD
                                                 Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

Registration Rates

Registration will include: 

• Access to the live event
• Access to the on-demand recording for 1-year
• Continuing Education (provided at no cost through CDC via TCEO)
• Downloadable Attendance Certificate

Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.

Interested in becoming an ACMT Member? Contact our Membership Manager, Jenn Dorsey, at membership@acmt.net. Learn more at: www.acmt.net/membership

Continuing Education

Available CE Categories

CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE: The Centers for Disease Control and Prevention designates this activity for 7.0 nursing contact hours.

CPE: The Centers for Disease Control and Prevention designated this knowledge-based event for pharmacists to receive 0.7 CEUs in pharmacy education. The Universal Activity Number is pending and will be provided closer to the event date. Once credit is claimed, an unofficial statement of credit is immediately available on TCEOnline. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

IACET CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.8 CEU's for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 8 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 8. Continuing Competency credits available are 0. CDC provider number 98614.

AAVSB/RACE: This program was reviewed and approved by AAVSB RACE program for 9.0 hours of continuing education. Participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession.

CPH: The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 3.0 CPH recertification credits for this program.

Instructions for Obtaining CE

There are no fees for receiving Continuing Education for this course. In order to receive continuing education (CE), please visit TCEO (https://tceols.cdc.gov/) and follow the 9 Simple Steps (https://tceols.cdc.gov/Home/Steps) using the below information:

Radiological Emergency Medical Management
WC4382-061323
Live Webcast
Complete the Evaluation at: www.cdc.gov/GetCE
Pass the posttest at: 70%
Available: 6/13/23 - 7/13/23

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser or Zoom Application. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Fees

No fees are charged for CDC’s CE activities.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention, American College of Medical Toxicology (ACMT), and Radiation Emergency Assistance Center/Training Site (REAC/TS). The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Course Overview

In recent years, there has been growing concern that many of the most likely terrorist threats will involve “agents of opportunity” or materials that are readily available in most communities around the country.

The American College of Medical Toxicology (ACMT) and the Radiation Emergency Assistance Center/Training Site (REAC/TS) in partnership with the Region 7 Regional Disaster Health Response Ecosystem (RDHRE) and in collaboration with the Region 4 Southern Regional Disaster Response System (SRDRS) are pleased to offer this course on emergency medical response to exposures from radioactive materials and toxic chemicals. The Office of Emergency Management, within the Agency for Toxic Substances & Disease Registry (ATSDR) and the National Center for Environmental Health (NCEH) at the Centers for Disease Control & Prevention (CDC), supported the delivery of this unique course to familiarize health care providers and responders with toxic exposures. The course will review the medical and psychological consequences of exposures to a variety of chemical and radiological materials. It will include practical information regarding scene safety for such agents as high potency fentanyl analogs, inhaled irritants, and proper decontamination of a victim contaminated with radiological material.

Presented by:

In partnership with:

Click here to download the course flyer (PDF).

Agenda | June 13, 2023

8:50 AM - 9:00 AM CT         Welcome and Opening Remarks
                                                Carol Iddins, MD
                                                Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

9:00 AM - 10:00 AM CT       Practical Radiation Physics and Radiation Protection
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

10:00 AM - 11:00 AM CT     Acute Radiation Syndrome
                                                Carol Iddins, MD
                                                Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

11:00 AM - 11:10 AM CT       Break

11:10 AM - 12:00 PM CT     Radiation Protection, Contamination Control, and Instrumentation
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

12:00 PM - 1:00 PM CT       Cutaneous Radiation Injuries
                                                Mark Ervin, MD
                                                Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

1:00 PM - 1:30 PM CT           Lunch

1:30 PM - 2:20 PM CT          Preparedness and Response to Radiological Incidents
                                                Kristy Diffenderfer, MSN, BSB, RN, CEN
                                                Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)

2:20 PM - 3:10 PM CT          Common Radiation Sources
                                                Joshua Hayes, PhD NRRPT
                                                Associate Manager of Health Physics, Radiation Emergency Assistance Center/Training Site (REAC/TS)

3:10 PM - 3:20 PM CT           Break

3:20 PM - 4:10 PM CT           Management of Internal Contamination
                                                 Mark Ervin, MD
                                                 Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

4:10 PM - 5:00 PM CT           Donning/Doffing and Decontamination
                                                 Kristy Diffenderfer, MSN, BSB, RN, CEN
                                                 Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)

5:00 PM - 5:10 PM CT           Closing Remarks/Adjourn
                                                 Carol Iddins, MD
                                                 Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

Agenda | June 14, 2023

8:50 AM - 9:00 AM CT          Welcome & Opening Remarks
                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

9:00 AM - 9:40 AM CT          Toxic Disasters: Beyond Conventional Chemical Weapons
                                                Charles McKay, MD, FACMT
                                                Associate Medical Director, Connecticut Poison Control Center

9:40 AM - 10:00 AM CT        Chemical Explosions
                                                 Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                 Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                 Vice President, American College of Medical Toxicology

10:00 AM - 10:40 AM CT      Toxic Gases as Threats
                                                 Emily Kiernan, DO
                                                 Assistant Professor, Emergency Medicine and Medical Toxicology
                                                 Emory University School of Medicine

10:40 AM - 10:50 AM CT      Break

10:50 AM - 11:30 AM CT      Why are Cyanide and Fumigants So Worrisome?
                                                 Emily Kiernan, DO
                                                 Assistant Professor, Emergency Medicine and Medical Toxicology
                                                 Emory University School of Medicine

11:30 AM - 12:10 PM CT      Food, Water and Medication as Vehicles for Toxic Threats
                                                 Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                 Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                 Vice President, American College of Medical Toxicology

12:10 PM - 1:00 PM CT        Clinical Neurotoxicology of Chemical Threats
                                                 Paul Wax, MD, FACMT
                                                 Executive Director, American College of Medical Toxicology

1:00 PM - 1:30 PM CT         Lunch

1:30 PM - 2:10 PM CT         Delayed Toxic Syndromes
                                               Bryan Wilson, MD
                                               Interim Medical Director, Iowa Poison Control Center 
                                               Clinical Assistant Professor, University of Iowa Hospitals & Clinics

2:10 PM - 2:50 PM CT         The Psychological Impact of Mass Exposures
                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

2:50 PM - 3:00 PM CT         Break

3:00 PM - 3:40 PM CT         After Event Population Monitoring: Pros and Cons
                                               Charles McKay, MD, FACMT
                                               Associate Medical Director, Connecticut Poison Control Center

3:40 PM - 4:40 PM CT         Scenario-Based Discussion: What is the Poison? What is the Response? Ay, There's the Rub.
                                               Charles McKay, MD, FACMT
                                               Associate Medical Director, Connecticut Poison Control Center

                                               Paul Wax, MD, FACMT
                                               Executive Director, American College of Medical Toxicology

                                                Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
                                                Professor, Department of Emergency Medicine, Emory University School of Medicine
                                                Vice President, American College of Medical Toxicology

                                                Emily Kiernan, DO
                                                Assistant Professor, Emergency Medicine and Medical Toxicology
                                                Emory University School of Medicine

                                                Bryan Wilson, MD
                                                Interim Medical Director, Iowa Poison Control Center 
                                                Clinical Assistant Professor, University of Iowa Hospitals & Clinics

4:40 PM - 4:50 PM CT         Closing Remarks/Adjourn
                                                Charles McKay, MD, FACMT                                                 
                                                Associate Medical Director, Connecticut Poison Control Center

                                                Paul Wax, MD, FACMT
                                                Executive Director, American College of Medical Toxicology

Registration Rates

Registration will include: 

• Access to both live events (Radiological Emergency Medical Management & Chemical Agents of Opportunity for Terrorism)
• Access to the on-demand recordings for 1-year
• Continuing Education for each day of the course (provided at no cost through CDC via TCEO)
• Downloadable Attendance Certificate for each day of the course

Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.

Interested in becoming an ACMT Member? Contact our Membership Manager, Jenn Dorsey, at membership@acmt.net. Learn more at: www.acmt.net/membership

Sporadic ALS: Search for Environmental Etiology

Presenter: Peter Spencer, PhD, FANA, FRCPath, Professor, Oregon Institute of Occupational Health Sciences, OHSU; Tenured Professor of Neurology, School of Medicine, OHSU, Portland, OR

Learning Objectives

• The value of disease hotspots and community involvement in the search for etiology;
• The importance of recognizing the long latency between exposure and clinical onset;
• Research on the lifetime exposome is needed for sporadic neurodegenerative diseases.

Series Moderator: Nicholas E. Nacca, MD, Assistant Professor of Emergency Medicine, University of Rochester Medical Center, Rochester, NY

About The Series: ACMT's Grand Rounds offer an in-depth and interactive platform for learning and discussion about issues that impact the research and practice of medical toxicology. Experts from within and outside medical toxicology will share their knowledge and experience and highlight areas for collaboration and mutual understanding.

This webinar is for ACMT members only.

Overview

Pathways to Building and Sustaining a Medical Toxicology Practice is an 8-hour virtual workshop on the variety of pathways available for establishing and maintaining a satisfying career in the field of medical toxicology. This on-demand material consists of recordings from the live virtual event that was held on was held on May 4, 2023.

Led by experienced active medical toxicologists from a variety of practice settings, this on-demand workshop features panel discussions comparing the most common hospital-based, non-hospital-based, and non-clinical practice models, plus presentations on additional topics of interest, including adding addiction medicine services to a medical toxicology practice, hints and tips for contract negotiation, the basics of medical billing and coding, and the need for additional research on medical toxicology practice.

Target Audience: Medical toxicologists, including fellows, recent graduates, and others with an interest in expanding their medical toxicology practice.

Learning Objectives

• Outline opportunities for a lifelong career practicing medical toxicology
• Identify revenue streams for working as a medical toxicologist
• Understand how to get out of the emergency department and earn a living as a medical toxicology subspecialist
• Describe additional pathways to expand current medical toxicology practice
• Identify new and emerging roles for medical toxicologists in the field of addiction medicine, telehealth, government/public health, and industry
• Illustrate techniques for negotiating your time (FTE) with your Chair and Administrators
• Describe how to incorporate forensic consulting into your medical toxicology practice

Please note that Continuing Education credits are not available for this content.

Registration Rates

Live-Event Attendees: access to this on-demand course was included in the original registration fee for the live virtual event. If you attended the live event on May 4, 2023 you should automatically have been given access. If you have not received this automatic access, please write to us at: events@acmt.net.

Registration includes: 

• 90-day access to the on-demand course from date of purchase
• Access to PDFs of all available lecture slides
• Downloadable Certificate of Completion

Registration does not include continuing education credits. There is no CE available for participation in this enduring activity.

Interested in becoming an ACMT Member? Contact our Membership Manager, Jenn Dorsey, at membership@acmt.net. Learn more at: www.acmt.net/membership

Refunds and Cancellations

For questions regarding our refund and cancellation policy, please email us at events@acmt.net.

Instructions

Once you have completed your registration:

1. Click on the Contents tab. This is where you will be able to see all lectures recordings.


2. Watch all lectures and panels. 


3. Access the slides in the Slides tab. You will be able to download and review all the speaker slides.


4. Download Certificate of Completion. This certificate is not a record for Continuing Education, this is a record of your completion only. You will be able to download the certificate until your course registration expires.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Need Assistance or Have Questions?

For assistance logging in, accessing content, or for any other questions, please contact us at events@acmt.net or visit our FAQ page.

Syllabus                                  

Module 1: Hospital-Based Medical Toxicology Practice | 90 minutes

Co-Moderators: Christina Hantsch, MD, FACEP, FACMT, FAACT and Timothy Wiegand, MD, FACMT, FAACT, DFASAM

"Phoenix Model" Admitting Service | 18 minutes
Anne-Michelle Ruha, MD, FACMT, Chair, Department of Medical Toxicology, Banner University Medical Center, Phoenix, AZ  

"Pittsburgh Model" Admitting Service | 15 minutes
Anthony Pizon, MD, FACMT, Chief of Division of Medical Toxicology, Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA

Consult Service in an Academic Setting | 15 minutes
Joshua Radke, MD, Medical Toxicologist, Clinical Associate Professor, Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA

Consult Service in the Community Setting | 20 minutes
Michelle Hieger, DO, Emergency Physician, Medical Toxicologist, Addiction Medicine Physician, WellSpan Health, York, PA
Bryan Judge, MD, FAAEM, FACMT, Emergency Physician, Medical Toxicologist, Spectrum Health, Grand Rapids, MI

Discussion / Q&A (All Speakers) | 22 minutes

Module 2: Medical Toxicology Practice in Other Clinical Settings | 96 minutes

Co-Moderators: Jerrold Leikin, MD, FACP, FACEP, FACMT, FAACT, FACOEM, FASAM and Anthony Pizon, MD, FACMT

Virtual Consultation Service | 14 minutes
Steven Offerman, MD, FACMT, FACEP, Medical Director, KPNC Regional Toxicology Consultation Service, Kaiser Permanente Northern California, Sacramento, CA

"Money Talks for Med Tox" Outpatient Services | 18 minutes
Jerrold Leikin, MD, FACP, FACEP, FACMT, FAACT, FACOEM, FASAM, Adjunct Clinical Professor, Division of Environmental and Occupational Health Sciences, University of Illinois - Chicago, Chicago, IL; Professor of Medicine, Rosalind Franklin University of Medicine & Science, North Chicago, IL

Telehealth Experience in Medical Toxicology | 25 minutes
Timothy Wiegand, MD, FACMT, FAACT, DFASAM, Associate Professor, Emergency Medicine; Director of Toxicology and Toxicology/Addiction Consult Service, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY

Interprofessional Consults | 15 minutes
Kristine Nanagas, MD, FACMT, Associate Professor of Clinical Emergency Medicine; Chief, Medical Toxicology Division, Indiana University School of Medicine, Indianapolis, IN

Discussion / Q&A (All Speakers) | 24 minutes

Module 3: Addiction Medicine Clinical and Academic Practice | 48 minutes

Moderator: Joshua Radke, MD

Lecture | 44 minutes
Ashley Haynes, MD, FACEP, Ascension Via Christi Hospitals, Wichita, KS
Leslie Dye, MD, FACMT, FASAM, FAACT, Clinical Professor, Emergency Medicine; Assistant Medical Director, Wright State University/Boonshoft School of Medicine; OneFifteen, Dayton, OH

Discussion / Q&A | 4 Minutes                   

Module 4: Non-Clinical Practice Models | 63 minutes

Moderator: Ashley Haynes, MD, FACEP

Government Careers for Medical Toxicologists | 15 minutes
Stephanie Weiss, MD, PhD, Staff Clinician, Translational Addiction Medicine Branch, National Institute on Drug Abuse

Pathways to Industry | 13 minutes
Sarah Eliza Dunn (Halcomb), MD, FACMT, Medical Affairs Lead, Senior Science Fellow, Bayer U.S. Crop Science

How to Set up a Forensic Toxicology Practice | 19 minutes
Jerrold Leikin, MD, FACP, FACEP, FACMT, FAACT, FACOEM, FASAM, Adjunct Clinical Professor, Division of Environmental and Occupational Health Sciences, University of Illinois - Chicago, Chicago, IL; Professor of Medicine, Rosalind Franklin University of Medicine & Science, North Chicago, IL

Discussion / Q&A (All Speakers) | 16 minutes

Module 5: Negotiating 101 | 56 minutes

Lecture | 48 minutes
Azeem Ahmed, MD, MBA, Clinical Professor of Emergency Medicine; Executive Vice Chair, Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA; Adjunct Clinical Professor of Management and Entrepreneurship, University of Iowa, Iowa City, IA

Discussion / Q&A | 8 minutes

Module 6: Understanding Medical Insurers and Medical Billing & Coding 101 | 37 minutes

Lecture | 31 minutes
Tracey Loveland, CMBS, University of Rochester, Rochester, NY

Discussion / Q&A | 6 minutes

Module 7: Practice Based Research: Can We Overcome the Challenges? | 39 minutes

Lecture | 24 minutes
Shooshan Danagoulian, PhD, Associate Professor, Department of Economics, Wayne State University

Discussion / Q&A | 15 minutes

Overview

The American College of Medical Toxicology (ACMT), in joint providership with AKH Inc (Advancing Knowledge in Healthcare), is pleased to offer a new opportunity to help healthcare practitioners seeking to comply with the DEA's new accredited CE requirements to fulfill the MATE Act.

This course consists of 4 separate activities which satisfy the new, eight-hour education requirement issued by the Drug Enforcement Administration (DEA) to meet the conditions of the MATE Act for all registered practitioners on treating and managing patients with opioid or other substance use disorders. 

• Activity 1: Clinical Updates on Substance Use Disorder (2.75 CR)
• Activity 2: Substance Use Screening and Treatment Approach in the ED – Opioids (1.50 CR)
• Activity 3: Substance Use Screening and Treatment Approach in the ED – Non-Opioids (1.25 CR)
• Activity 4: Highlights from Addiction Toxicology Case Conferences (3.0 CR)

Package vs. Individual Activities

Attendees can register for each activity separately as meets their needs or interest, or sign up for the 4-activity package (a $40 savings!). Each activity is accredited and has its own Continuing Education certificate. When packaged together, the 4 activities award 8.50 credits, more than the requirement needed to maintain DEA licensure.

The education does not have to occur in one session–it can be cumulative across multiple sessions. CE activities listed on this page can be taken in any combination to fulfill the eight-hour requirement.

Continuing Education

Continuing Education credit for each activity of this program is provided by AKH Inc., Advancing Knowledge in Healthcare. Click here for more info.

Total CE: 8.50
Length of Course: ~ 9.5 hours

Target Audience

All Drug Enforcement Administration (DEA)-registered practitioners who treat patients with opioid or other substance use disorders, including physicians, nurse practitioners, physician assistants, and dentists.This requirement applies to new or renewing DEA registrants.

Commercial Support

There is no commercial support for this activity.

Disclosure of Unlabeled Use and Investigational Product

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant's misunderstanding of the content.

AKH Partnership

ACMT is partnering with AKH, a trusted source for accredited CE, to offer you two options to satisfy your MATE Act requirement. Choose the format you prefer - on-demand webinars from ACMT or text-based monographs from AKH - and select the hours you need. For details, visit AKH at: www.akhcme.com/mate-act

Registration Rates

Registration includes: 

• 90-day access to the course from date of purchase


• Continuing Education Credits for: Physicians, Nurse Practitioners, Physician Assistants or Dentists. Click on the "Continuing Education" tab of each activity for details. 

The accreditation of this activity is valid until June 1, 2024.

Membership Discount

Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. 

Learn more at: www.acmt.net/membership

Refunds and Cancellations

For questions regarding our refund and cancellation policy, please email us at events@acmt.net.

Package Options - Discounted Rates!

Purchase all 4 ACMT DEA MATE Act Education activities at the same time -- a $40 savings! When packaged together, the 4 activities award 8.50 credits, more than the requirement needed to maintain DEA licensure.

Purchase 4-Activity Package

Instructions

Once you have completed your registration:

1. Click the View Button on the activity you want to view.


2. Click on the Contents tab of the activity you want to watch. This is where you will be able to see all lectures and required content for the activity.


3. Watch all recordings. Learners will not be able to fast forward or increase the video speed. Learners will be required to watch at least 3/4 of the video before it will be marked as complete and you can move on to the next. 


4. Complete the Post-Test for each activity. Learners will have unlimited attempts and the test requires 70% to pass. 


5. Complete the Survey for each activity. This survey is required by our CE provider and must be completed in full.


6. Download the Continuing Education Certificate for each activity. Select which certificate to download. Your options are: Physician, Physician Assistant, Nurse Practitioner, or Dental. There will be a total of 4 CE certificates to download -- one for each of the 4 activities.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.

If you have questions regarding the CE of this activity, please contact AKH Inc. at JGoldman@akhcme.com.

Continuing Education

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. 

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 8.50 Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians
AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 8.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8.50 AAPA Category 1 CME credits. Approval is valid until June 1, 2024. PAs should only claim credit commensurate with the extent of their participation.

Nurse Practitioners
This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT).  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803. This activity is approved for 8.50 contact hour(s) (which includes 7.0 hour(s) of pharmacology).

Dentists
AKH Inc., Advancing Knowledge in Healthcare 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 ADA.org/CERP.

AKH Inc., Advancing Knowledge in Healthcare designates this activity for 8.50 continuing education credits.

Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

FAQs

Who needs to meet this training requirement?

All Drug Enforcement Administration (DEA)-registered practitioners who treat patients with opioid or other substance use disorders, including physicians, nurse practitioners, and dentists. This requirement applies to new or renewing DEA registrants with some exclusions.

When should the requirement be met?

The deadline for satisfying this new training requirement is the date of a practitioner’s next scheduled DEA registration submission (either initial registration or a renewal registration) on or after June 27, 2023.

Practitioners will need to check a box on their online DEA registration form attesting that they have completed eight hours of training on the treatment and management of patients with opioid or other substance use disorders.

How do I complete the requirement?

Learners must listen to each self-directed audio recording while following along with the visual slides and complete an evaluation form to receive a certificate of completion. Your chosen sessions must be viewed in their entirety. Partial credit of individual sessions is not available for each activity.

I don't like watching webinars. Are there other learning formats available?

Yes! Our partner, AKH, offers accredited text-based activities on the MATE Act. Click here for more info.

Overview

Activity 2 of the ACMT DEA MATE Act Substance Use Disorder Educational package consists of 20-minute or less modules that were originally created for a SAMHSA-funded project called "Frontline: Training Emergency Medicine Residents and Medical Toxicology Fellows to Effectively Screen, Assess, and Treat Patients with Substance Use Disorder." The goal of this project was to provide the same level of training that a Medical Toxicologist might receive on how to provide consultation on SUD patients in the ED to a multidisciplinary emergency department team and staff. The idea being that expanded competency in the ED would result in more cohesive team treatment and better patient outcomes. This activity features highlights from the ACMT SAMHSA curriculum that have a specific focus on opioids. Check the course syllabus for more info.

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. For more info, click here.

CE: 1.50
Length of Activity: ~ 2 hours

Target Audience

All Drug Enforcement Administration (DEA)-registered practitioners who treat patients with opioid or other substance use disorders, including physicians, nurse practitioners, physician assistants, and dentists.This requirement applies to new or renewing DEA registrants.

Learner Objectives

1. Contrast aspects of addiction and physical dependence.
2. Identify the best screening and assessment protocol that can be integrated into existing workflows of a busy Emergency Department. 
3. Identify the principles of motivational interviewing. 
4. Describe the pharmacology of Methadone and Naltrexone. 
5. Identify strategies used to beat a urine drug screen and how they can be detected.

Commercial Support

There is no commercial support for this activity.

Disclosure of Unlabeled Use and Investigational Product

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant's misunderstanding of the content.

ACMT DEA MATE Act SUD Education

This course consists of 4 separate activities which satisfy the new, eight-hour education requirement issued by the Drug Enforcement Administration (DEA) to meet the conditions of the MATE Act for all registered practitioners on treating and managing patients with opioid or other substance use disorders. 

• Activity 1: Clinical Updates on Substance Use Disorder (2.75 CR)
• Activity 2: Substance Use Screening and Treatment Approach in the ED – Opioids (1.50 CR)
• Activity 3: Substance Use Screening and Treatment Approach in the ED – Non-Opioids (1.25 CR)
• Activity 4: Highlights from Addiction Toxicology Case Conferences (3.0 CR)

Attendees can register for each activity separately as meets their needs or interest, or sign up for the 4-activity package (a $40 savings!). When taken together, the 4 activities add up to meet the full 8 credits required to maintain DEA licensure.

Syllabus

Total Activity Length: around 2 hours (110 minutes)

SAMHSA Module: Substance Use Disorder 101: Understanding the Difference Between Addiction and Physical Dependence | 17 min

Kurt Kleinschmidt, MD, FACMT, FASAM, Professor of Emergency Medicine, Division of Medical Toxicology, UT Southwestern Medical Center; Medical Director, Perinatal Intervention Program, Parkland Health and Hospital System, Dallas, TX

In this module, the speaker contrasts aspects of addiction and physical dependence, defines addiction, and determines the disease treated by detoxification.

SAMHSA Module: Screening for and Assessment of Substance Use Disorders in the ED | 19 min

Alaina R. Steck, MD, FACMT, FASAM, Associate Professor of Emergency Medicine, Emory University, Atlanta, GA

In this module, the speaker identifies the best screening and assessment protocol that can be integrated into existing workflows of a busy Emergency Department as well as discusses how to implement universal screening for SUD in Emergency Department patients.

SAMHSA Module: Motivational Interviewing in the ED | 16 min

Henry D. Swoboda, MD, Assistant Professor of Emergency Medicine & Psychiatry, Rush University, Chicago, IL

This module focuses on motivational interviewing, defining its principles and goals.

SAMHSA Module: Methadone | 20 min

Timothy Wiegand, MD, FACMT, FAACT, DFASAM, Associate Professor of Emergency Medicine and the Director of Toxicology and the Toxicology/Addiction Consult Service, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY

In this module, the speaker describes important elements related to the history of methadone use for the treatment of opioid use disorder and chronic pain in the United States. He describes the pharmacology of methadone, identifies methadone PEARLS for the Emergency Department, and discusses common medico-legal issues with methadone.

SAMHSA Module: Extended Release Intramuscular Naltrexone in Opioid Use Disorder Treatment | 21 min

Henry D. Swoboda, MD, Assistant Professor of Emergency Medicine, Rush University, Chicago, IL

The speaker in this module focuses on the patient who is a likely candidate for medicated assisted abstinence. He contrasts the risks and benefits of naltrexone compared to other medications and goes through the indications for naltrexone. Lastly, he identifies the common side effects of naltrexone that all healthcare providers should be aware of.

SAMHSA Module: Urine Drug Testing: Interpretation Basics and Pitfalls | 17 min

Rachel S. Wightman, MD, Director of Medical Toxicology Education, Department of Emergency Medicine, Assistant Professor of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI

In this module, the speaker review the advantages and disadvantages of urine screening. She identifies at least two reasons for conducting a urine screen and discusses when a confirmatory test should be conducted. Lastly, she identifies various strategies used to beat a drug screen and how they can be detected.

Disclosures

None of the planners or faculty for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships listed for these individuals have been mitigated.

AKH Reviewers and Planners

Dorothy Caputo, MA, BSN, RN, VP, Healthcare Continuing Education and Operations
Bernadette Makar, MSN, APRN-BC, NP-C

Disclosures

It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with ineligible companies whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are mitigated by AKH prior to accreditation of the activity. AKH planners and reviewers have no relevant financial relationships to disclose.

Registration Rates

Registration includes: 

• 90-day access to the course from date of purchase


• Continuing Education Credits for: Physicians, Nurse Practitioners, Physician Assistants or Dentists. Click on the "Continuing Education" tab for details. 

The accreditation of this activity is valid until June 1, 2024.

Membership Discount

Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. 

Learn more at: www.acmt.net/membership

Refunds and Cancellations

For questions regarding our refund and cancellation policy, please email us at events@acmt.net.

Package Options - Discounted Rates!

Purchase all 4 ACMT DEA MATE Act Education activities at the same time -- a $40 savings! When packaged together, the 4 activities award 8.50 credits, more than the requirement needed to maintain DEA licensure.

Purchase 4-Activity Package

Instructions

Once you have completed your registration:

1. Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.


2. Watch all recordings. Learners will not be able to fast forward or increase the video speed. Learners will be required to watch at least 3/4 of the video before it will be marked as complete and you can move on to the next. 


3. Complete Post-Test. Learners will have unlimited attempts and the test requires 70% to pass. 


4. Complete Survey. This survey is required by our CE provider and must be completed in full.


5. Download Continuing Education Certificate. Select which certificate to download. Your options are: Physician, Physician Assistant, Nurse Practitioner, or Dentist.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.

If you have questions regarding the CE of this activity, please contact AKH Inc. at JGoldman@akhcme.com.

If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.

Continuing Education

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. 

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 1.5 Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians
AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.5 AAPA Category 1 CME credits. Approval is valid until June 1, 2024. PAs should only claim credit commensurate with the extent of their participation.

Nurse Practitioners
This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT).  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803. This activity is approved for 1.5 contact hour(s) (which includes 1.0 hour(s) of pharmacology).

Dentists
AKH Inc., Advancing Knowledge in Healthcare 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 ADA.org/CERP.

AKH Inc., Advancing Knowledge in Healthcare designates this activity for 1.5 continuing education credits.

Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

Overview

Activity 3 of the ACMT DEA MATE Act Substance Use Disorder Educational package consists of 5 20-minute or less modules that were originally created for a SAMHSA-funded project called "Frontline: Training Emergency Medicine Residents and Medical Toxicology Fellows to Effectively Screen, Assess, and Treat Patients with Substance Use Disorder." The goal of this project was to provide the same level of training that a Medical Toxicologist might receive on how to provide consultation on SUD patients in the ED to a multidisciplinary emergency department team and staff. The idea being that expanded competency in the ED would result in more cohesive team treatment and better patient outcomes. This activity features highlights from the ACMT SAMHSA curriculum that have a specific focus on non-opioids, for example: stimulants, benzodiazepines, cannabis, and ethanol. Check out the course syllabus for more info.

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. For more info, click here.

CE: 1.25
Length of Activity: ~ 1.5 hours

Target Audience

All Drug Enforcement Administration (DEA)-registered practitioners who treat patients with opioid or other substance use disorders, including physicians, nurse practitioners, physician assistants, and dentists.This requirement applies to new or renewing DEA registrants.

Learner Objectives

1. Select potential treatments for stimulant use disorder and the basis for use.
2. Describe the pharmacology of Benzodiazepines and select appropriate management options for Benzodiazepine overdose and withdrawal.
3. Review adverse health events associated with cannabis use and their treatments.
4. Describe characteristics of the alcohol withdrawal syndrome, determine the initial treatment strategy to address alcohol withdrawal, and identify the progression of treatment for resistant alcohol withdrawal treatment.
5. List the available pharmacotherapies of alcohol use disorder.

Commercial Support

There is no commercial support for this activity.

Disclosure of Unlabeled Use and Investigational Product

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant's misunderstanding of the content.

ACMT DEA MATE Act SUD Education

This course consists of 4 separate activities which satisfy the new, eight-hour education requirement issued by the Drug Enforcement Administration (DEA) to meet the conditions of the MATE Act for all registered practitioners on treating and managing patients with opioid or other substance use disorders. 

• Activity 1: Clinical Updates on Substance Use Disorder (2.75 CR)
• Activity 2: Substance Use Screening and Treatment Approach in the ED – Opioids (1.50 CR)
• Activity 3: Substance Use Screening and Treatment Approach in the ED – Non-Opioids (1.25 CR)
• Activity 4: Highlights from Addiction Toxicology Case Conferences (3.0 CR)

Attendees can register for each activity separately as meets their needs or interest, or sign up for the 4-activity package (a $40 savings!). When taken together, the 4 activities add up to meet the full 8 credits required to maintain DEA licensure.

The training does not have to occur in one session–it can be cumulative across multiple sessions. CE activities listed on this page can be taken in any combination to fulfill the eight-hour requirement.

AKH Partnership

ACMT is partnering with AKH, a trusted source for accredited CE, to offer you two options to satisfy your MATE Act requirement. Choose the format you prefer - on-demand webinars from ACMT or text-based monographs from AKH - and select the hours you need. 

For details, visit AKH at: www.akhcme.com/mate-act

Syllabus

Total Activity Length: around 1.5 hours (95 minutes)

SAMHSA Module: Stimulants | 20 min

Timothy J. Wiegand, MD, FACMT, DFASAM, Director of Toxicology and of the Toxicology Consult Service, University of Rochester Medical Center, Rochester, NY

In this module, the speaker identifies types of stimulants used recreationally, and describes the epidemiology and prevalence of stimulant use disorder. He also discusses the stimulant-related symptoms a patient may present with at the emergency department and matches  potential treatments and basis for use.

SAMHSA Module: Benzodiazepines | 23 min

Rachel Haroz, MD, Assistant Professor of Emergency Medicine, Cooper Medical School of Rowan University, NJ

In this module, the speaker describes the pharmacology of Benzodiazepines, and identifies the signs of Benzodiazepine overdose and withdrawal. She review appropriate management options for Benzodiazepine overdose and withdrawal and identifies tapering options. She also discusses the limitations of diagnostic urine testing.

SAMHSA Module: Cannabis (THC) | 18 min

Evan Schwarz, MD, FACMT, Associate Professor of Emergency Medicine, University of California, Los Angeles, CA

This module reviews adolescent attitudes regarding use of cannabis before and after changes in legal status. The speaker discusses the impact of the changing legal status of cannabis on pediatric exposures and reviews adverse health events associated with cannabis use and their treatments.

SAMHSA Module: Ethanol Withdrawal | 17 min

Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ

The speaker in this module describes characteristics of the alcohol withdrawal syndrome, identifying related causes of death. He describe initial treatment strategies to address alcohol withdrawal, and goes through the progression of treatment for resistant alcohol withdrawal treatment. Lastly, he explains the role of adjunctive medications in alcohol withdrawal syndrome.

SAMHSA Module: Therapies to Maintain Sobriety from Alcohol | 17 min

JoAn Laes, MD, FACMT, FASAM, Abbott Northwestern Hospital, Allina Health, Minneapolis, MN

In this module, the speaker lists the available pharmacotherapies of alcohol use disorder, and identifies the proper dose for at least one of the AUD pharmacotherapies. She reviews the six dimensions of ASAM levels of care and covers how to select referral options for treatment of patients with alcohol use disorder.

Disclosures

None of the planners or faculty for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships listed for these individuals have been mitigated.

AKH Reviewers and Planners

Dorothy Caputo, MA, BSN, RN, VP, Healthcare Continuing Education and Operations
Bernadette Makar, MSN, APRN-BC, NP-C

Disclosures

It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with ineligible companies whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are mitigated by AKH prior to accreditation of the activity. AKH planners and reviewers have no relevant financial relationships to disclose.

Registration Rates

Registration includes: 

• 90-day access to the course from date of purchase


• Continuing Education Credits for: Physicians, Nurse Practitioners, Physician Assistants or Dentists. Click on the "Continuing Education" tab for details. 

The accreditation of this activity is valid until June 1, 2024.

Membership Discount

Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. 

Learn more at: www.acmt.net/membership

Refunds and Cancellations

For questions regarding our refund and cancellation policy, please email us at events@acmt.net.

Package Options - Discounted Rates!

Purchase all 4 ACMT DEA MATE Act Education activities at the same time -- a $40 savings! When packaged together, the 4 activities award 8.50 credits, more than the requirement needed to maintain DEA licensure.

Purchase 4-Activity Package

Instructions

Once you have completed your registration:

1. Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.


2. Watch all recordings. Learners will not be able to fast forward or increase the video speed. Learners will be required to watch at least 3/4 of the video before it will be marked as complete and you can move on to the next. 


3. Complete Post-Test. Learners will have unlimited attempts and the test requires 70% to pass. 


4. Complete Survey. This survey is required by our CE provider and must be completed in full.


5. Download Continuing Education Certificate. Select which certificate to download. Your options are: Physician, Physician Assistant, Nurse Practitioner, or Dentist.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This activity is Web-based/Web on Demand.

Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.

If you have questions regarding the CE of this activity, please contact AKH Inc. at JGoldman@akhcme.com.

If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.

Continuing Education

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. 

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians
AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.25 AAPA Category 1 CME credits. Approval is valid until June 1, 2024. PAs should only claim credit commensurate with the extent of their participation.

Nurse Practitioners
This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT).  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803. This activity is approved for 1.25 contact hour(s) (which includes 1.0 hour(s) of pharmacology).

Dentists
AKH Inc., Advancing Knowledge in Healthcare 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 ADA.org/CERP.

AKH Inc., Advancing Knowledge in Healthcare designates this activity for 1.25 continuing education credits.

Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

This month's National Case Conference will be moderated by Joshua D. King, MD, University of Maryland, Baltimore, MD

1. A 22-year-old man with a history of ADHD and mood disorder has a seizure at home after taking extra quantities of his antidepressant with the intent to get high. An ECG on ED arrival reveals the following: HR, 150 bpm; QRS, 105 ms; QT, 290 ms; QTc, 375 ms.
2. A 30-year old-man is "found down" with a suspected opioid overdose. A fentanyl screen in the ED is positive and a finger stick glucose reads ‘low.’
3. A 77-year-old man drinks an unknown liquid from a sports drink bottle found in his garage and shortly thereafter experiences intractable vomiting. A point of care test done in the ED reveals the likely diagnosis.

Series Moderator: Lewis Nelson, MD, FACMT, Rutgers New Jersey Medical School, Newark, NJ

About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. NCC is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.