25th Annual Scientific Assembly

Medication Assisted Treatment Waiver Training


Saturday, March 9, 2019
Forum 22-23

Jointly provided by the American Academy of Addiction Psychiatry, a DATA 2000 sponsoring organization and Providers Clinical Support System


Course Description

Physicians are required to complete eight hours (and nurse practitioners and physician assistants are required to complete 24 hours) of medication assisted treatment (MAT) training to apply to the Drug Enforcement Agency for a waiver (“X-license”) to prescribe buprenorphine, one of three medications (buprenorphine, naltrexone and methadone) approved by the FDA for the treatment of opioid use disorder.

Emergency physicians have an opportunity to profoundly impact the deadly opioid epidemic by bridging patients to addiction treatment from the ED with buprenorphine. Along with the X-license, the information in the course will facilitate this life-saving, and potentially life-transforming, intervention.

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Credit Designation Statement

The American Academy of Emergency Medicine designates this live activity for a maximum of 9 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of physician participation in the learning process: Credit will only be awarded for completing all of the training. To be awarded a maximum of 9 AMA PRA Category 1 Credits™ and a Buprenorphine Training Completion Certificate you must complete all 8 hours of the course. Those completing the course will be able to complete the waiver application online.

Funding for this initiative was made possible (in part) by grant nos. 5U79TI026556-02 and 3U79TI026556-02S1 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


Learning Objectives

1.    Review addiction treatment in office-based practices

2.    Discuss the pharmacological treatments of opioid use disorder

3.    Determine what medical record documentation must be followed

4.    Discuss the process of buprenorphine induction as well as stabilization and maintenance techniques

5.    Describe how to take a patient history and evaluation

6.    Review safety concerns and drug interactions

Course Eligibility

Please confirm your eligibility prior to registering: To apply for a waiver you must have a valid medical license and an active DEA number. Residents may take the course and apply for their waiver when they receive their DEA license. Medical students are also welcome to take the course.


Course Fee

  • AAEM Member: Early Bird $150 | Late: (after February 6) $250                
  • Non-AAEM Member: Early Bird $300 | Late: (after February 6) $400
  • AAEM/RSA Resident or Student Member: Early Bird $100 | Late: (after February 6) $200
  • Resident Non-Member: Early Bird $160 | Late: (after February 6) $260
  • Non-Member Medical Students: Early Bird $140 | Late: (after February 6) $240
  • Allied Health Professional Non-Member:  Early Bird: $200 | Late: (after February 6) $300


Tentative Course Schedule

Saturday, March 9, 2019


Overview and Welcome




Small Group/Case #1: Addicted School Teacher*






Specialty Topics


Lunch (included with course fee) and Patient Panel


Medication Assisted Treatment (MAT) and Urine Drug Testing


Small Group/Case #2: Addiction and Depression*


Evidence-Based Counseling


Clinical Management


Small Group/Case #3: Setting Treatment Goals*
Small Group/Case #4: Cocaine Abuse Problem*


Completion of DEA Waiver; Questions and Answers; Evaluations



*Please go to your assigned breakout section.


Course Director

Department of Emergency Medicine & Department of Behavioral Health – Addiction Medicine Consult Service, Presbyterian Health System, Santa Fe & Espanola, NM; Medical Director, New Mexico Treatment Services (Opioid Addiction Treatment Program), Farmington & Santa Fe, NM; Co-Medical Director, multiple EMS & Fire Departments, NM & AZ



Andrew Herring, MD FAAEM FACEP
Highland Hospital Emergency Department, San Francisco, CA


Sponsoring Groups