What coursework is required and what content should be included?
Coursework for this requirement must be from approved training providers on safe controlled substance prescribing. As an overarching concept, the Substance Abuse and Mental Health Services Administration (SAMHSA) recommends that content should be related to the prevention, recognition, and care of people with substance use disorders, including those with concurrent pain and/or psychiatric and medical co-morbidities. Categorized for organizational purposes, recommended core curricular training elements could therefore include:
1. Substance Use Disorders (SUD)
- Use of validated screening tools for SUD and risk factors for substance use, including mental disorders
- Diagnosis and assessment of individuals who screen positive for SUDs
- The initiation and management of FDA-approved medications for SUDs (opioids, alcohol and tobacco), including the impact of unique, individual physiology and metabolism on medication pharmacodynamics
- Consideration of polysubstance use and co-occurring mental disorders
- Patient and family education on safety and overdose prevention (diversion control; safe storage; use of naloxone)
2. Effective Treatment Planning
- Use of patient-centered decision-making and paradigms of care, and use of evidence-based communication strategies such as shared decision-making and motivational interviewing
- The impact of stigma, trauma and the social determinants of health on substance use and recovery • Collaborating with other disciplines to facilitate access to medications and Legal and ethical issues involved in the care of patients with SUD 3. Pain management and substance misuse
- The assessment of patients with acute, subacute, or chronic Components of developing an effective treatment plan, including general principles underlying nonpharmacologic and pharmacologic analgesic therapy, as well as the importance of multidisciplinary treatment interventions
- Managing patients on opioid analgesics, including tapering off the medication when the benefits of opioids no longer outweigh the risks
- Recognizing signs of OUD in the setting of prescribed opioids
Who can offer these classes?
Only approved training providers can satisfy this requirement. Local approved training providers include Massachusetts Dental Society (MDS), and Tufts University School of Dental Medicine. Both are ADA CERP Providers. Certificates of completion are required and CE credits are not required.
There is no statute of limitations. (It is recommended that courses provided by the same lecturer taken in multiple years only be counted once). Prior courses are eligible with the certificate of completion. (It is recommended that only courses taken within the past five years be used). Training credits for state licensure are eligible.
Where can you take these classes?
- Available on demand, "Commonwealth of Mass: Massachusetts Prescription Awareness Tool Current Status and Registration"—Rodd Kelly (one hour, fill out survey then take course)
- Available on demand, "Patient Communication, Health Literacy, Social Determinants of Health"—Nicole Holland, DDS, MS (one hour, fill out survey then take course)
- Available on June 21, 2023, “Evaluating and Managing the Patient with Substance Use Risk: the PDMP as an Assessment Tool”—Antje Barreveld, MD (one hour, fill out survey then take course)
- Available on June 28, 2023, “Overview of the Prescription Drug Monitoring Program in Dentistry”—David Keith, BDS, FDSRCS, DMD (one hour, fill out survey then take course)
- Available on demand, "DEA Compliant Opioid Course Medication Access and Training Expansion (MATE) Act"—American Dental Association Society of Anesthesiology (ADA CERP, eight hours)
- September 8, 2023, “Pain Management for the Dentist”—Dr. David Keith, Massachusetts Dental Society. Registration opens July 31. Registration link coming.
- October 18, 2023, "Systems Integration and Behavioral Health Programming in Oral Health”—Alec Eidelman, DMD (one hour). Registration link coming.
- Yankee Dental Congress (January 2024). Registration opens October 12, 2023. Registration link coming.
- “Pharmacology for Dental Pain”—Dr. Richard Harold (two hours)
- “Pain Management for the Dentist”—Dr. David Keith (two hours)
- “Contemporary Diagnosis and Management of Facial Pain & Cases You Have Sent Us”—Drs. Schweitzer, Cheng, Handa, Shaefer, Kulich, and Keith (four hours)
The Massachusetts Dental Society (ADA CERP provider) provides Yankee continuing education (CE) credits.
Tufts: Controlled Substance Risk Mitigation Education Modules
- An Introduction
- Screening Strategies
- Interviewing the Patient
- Managing Acute Dental Pain
- Medical and Psychiatric Conditions
- Opioid Prescribing
- Motivational Intervention Strategies
- Interprofessional Collaboration
- Assessment & Management of High Risk Patient
MDS, "Pharmacologic Management of Acute Dental Pain & the Prescription Opioid Epidemic"—Drs. Harold and Keith (two hours)
American Dental Association
ADA CERP provider
Massachusetts Dental Society
Tufts University School of Dental Medicine CE Department