Dr. Vik Gulati joins us to discuss California ACEP’s 31st Annual Legislative Leadership Conference (LLC), which will be held virtually on April 13th and 15th. LLC is an opportunity for medical students, residents, and emergency medicine physicians to speak with legislators or their legislative staff and advocate for our patients and for emergency medicine as a specialty. This is a great way to get experience with health policy and advocacy. You do not have to be an expert on policy or the legislative process, we will lead an introductory session and you will be meeting with legislators as a team and be grouped with folks with advocacy experience. Your experiences within medicine reflect the impact policy has on patient care. Advocacy can be as easy as simply telling a story from your last shift. Join us for LLC! Register for free here: https://californiaacep.org/event/LLC2021 Please subscribe and rate the California ACEP podcast on Apple podcasts or wherever you download your podcasts. Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.
Dr. Vik Gulati is an emergency physician in San Diego and the current President of California ACEP. He joins us to discuss his thoughts on health policy and advocacy, his pathway to joining California ACEP first as a fellow, then being elected to the Board of Directors, and his pathway to becoming President, and his goals for his term. Please subscribe and rate the California ACEP podcast on Apple podcasts or wherever you download your podcasts. Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook. Links: Follow Dr. Gulati on Twitter at @vikgulati
Teaser Episode: Welcome to the California ACEP podcast! We’re creating a podcast for California ACEP to bring you up to date information about health policy on both the state and national level and to talk about how these changes will impact your life and your practice. We will also have discussions with California ACEP leaders about who they are and what the organization is doing to address the issues that will affect you. Please subscribe and rate the California ACEP podcast on Apple podcasts or wherever you download your podcasts. Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.
Dr. Lori Winston is an emergency medicine physician and Vice President of Medical Education at Kaweah Delta Healthcare in California’s central valley, Director of Academic Affairs for Vituity, and is now the current President of California ACEP. She joins us to discuss her path to emergency medicine, finding success in emergency medicine and her journey to the many different roles that she plays within medicine, and her views on leadership as she begins her term.Please subscribe and rate the California ACEP podcast on Apple podcasts or wherever you download your podcasts.Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.Links:Follow Dr. Winston on Twitter at @loriwinstonmd
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 6: MAT FAQ In the final episode of this series, our experts answer some of the most frequently asked questions about MAT. You should now have all the tools and information you need to get started with MAT in your ED. See the links below for more resources and reach out to California ACEP with any questions. Remember Kayce’s story and commit to saving a life!If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep.Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC DavisGuests:Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEPDr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San FranciscoDr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey PeninsulaResources:California ACEP Medication Assisted Treatment ResourcesCalifornia Bridge“We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.”Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources“The Game Has Changed”. Featuring Dr. Gail D’Onofrio. EM Pulse Podcast. 2018 March 15.https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/Apply for your DEA-X Waiver!SAMHSAGetWaivered.com***This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources.California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more.Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise.Also, a big thanks to Kelsey McQuaid for all of your hard work on this project.EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast.Thanks to OM Audio Productions for audio production services.References (from Dr. Snyder):(https://discovery.cdph.ca.gov/CDIC/ODdash/).Nationally, deaths from the opioid epidemic annually exceed those at the peak of the HIV epidemic. We've had more drug overdose deaths in 2017 than Americans that died in the entire Vietnam war (https://www.economist.com/briefing/2019/02/23/tens-of-thousands-of-americans-die-each-year-from-opioid-overdoses).Here’s a cool graph that trends ED visits https://www.hcup-us.ahrq.gov/faststats/OpioidUseServlet?radio-3=on&location1=CA&characteristic1=01&setting1=ED&location2=US&characteristic2=01&setting2=ED&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hideKashef Z. Starting opioid addiction treatment in the ED is cost-effective, says study. Yale News. August 16, 2017. Health media overview of landmark Yale MAT study and its effectiveness in guiding patients to treatment. Initiating medication-assisted treatment for patients presenting with opioid withdrawal. ED Management. August 1, 2017. Health media overview of the effectiveness of MAT with a focus on the experiences of a program initiated in Washington state. Emergency department initiation of medication-assisted treatment for opioid addiction: Strategies for success. California Health Care Foundation. Published August 2016. Report on launching an opioid addiction treatment program with visual guide to setting up an effective MAT program. Emergency department treatment and follow-up strategies for opioid use disorder. Centers for Medicare & Medicaid Services. December 13, 2017. PowerPoint presentation outlining CMS-sponsored lectures on ED treatment and follow-up planning for patients presenting with opioid use disorder. Robeznieks A. For patients struggling with opioids, ED visit can mark new start. AMA Wire. November 22, 2017. Brief AMA article outlining MAT therapy in the ED at Washington University Medical Center in St. Louis. Frazier WT. Medication-assisted treatments and opioid use response to opioid overdose sentinel events. Master essay, University of Pittsburgh. Comprehensive overview of MAT response to opioid overdose to determine treatment utilization before and after nonfatal overdose using a longitudinal retrospective cohort of the Pennsylvania Medicaid population 2008-2013. Martin A, Kunstler NM. Opinion: We have effective treatments for opioids addiction - why don’t we use them?” ACEPNow. December 12, 2017. Article on some barriers to the widespread adoption of MAT and a call to overcome these barriers for the sake of our patients. Addressing the opioid crisis - an ACH collaboration. Washington State Hospital Association, Washington State Medical Association. Set of strategies outlined by the Accountable Communities of Health for communities, hospitals, and providers to better combat the opioid epidemic, of which MAT is a main component. Research D'Onofrio G, O'Connor PG, Pantalon MV, et al. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. “The D’Onofrio Trial,” a randomized clinical trial performed at Yale showing the effectiveness of ED initiated MAT. Does initiating medication assisted treatment in the emergency room result in better outcome? Recovery Research Institute. An organized breakdown and summary of the D’Onofrio study highlighting the effectiveness of ED initiated MAT. Protocols SBIRT and Buprenorphine/Naloxone Administration in the ED for Acute Withdrawal: St Agnes Hospital (PDF). California ED-Bridge/ Emergency Buprenorphine Treatment Project: Guide for Emergency Buprenorphine Treatment (PDF). ED Initiation of Buprenorphine in the Emergency Department: Natividad Medical Center (PDF). Opioid Withdrawal Protocol: Zuckerberg San Francisco General Hospital and Trauma Center (PDF includes pocket card).
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 5: Implementation We’ve covered why we should treat opioid use disorder in the ED, how to identify, then approach patients who might benefit from MAT, and lastly how to appropriately use buprenorphine. You’re ready to change your practice, but where do you start? Our experts offer their advice for how to get buy-in from leadership and your colleagues, as well as some specifics on how to start a MAT program in your ED.If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep.Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC DavisGuests:Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEPDr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San FranciscoDr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey PeninsulaResources:California ACEP Medication Assisted Treatment ResourcesCalifornia Bridge“We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.”Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources“The Game Has Changed”. Featuring Dr. Gail D’Onofrio. EM Pulse Podcast. 2018 March 15.https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/Apply for your DEA-X Waiver!SAMHSAGetWaivered.com***This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources.California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more.Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise.Also, a big thanks to Kelsey McQuaid for all of your hard work on this project.EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast.Thanks to OM Audio Productions for audio production services.
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 4: Treating with Buprenorphine In the fourth episode of our series, we get into the nitty gritty of MAT in the ED. Our experts cover appropriate dosing, potential side effects and contraindications, and so more. See below for links to the California ACEP MAT Toolkit and other resources.If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep.Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC DavisGuests:Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEPDr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San FranciscoDr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey PeninsulaResources:California ACEP Medication Assisted Treatment ResourcesCalifornia Bridge“We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.”Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources“The Game Has Changed”. Featuring Dr. Gail D’Onofrio. EM Pulse Podcast. 2018 March 15.https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/Apply for your DEA-X Waiver!SAMHSAGetWaivered.com***This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources.California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more.Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise.Also, a big thanks to Kelsey McQuaid for all of your hard work on this project.EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast.Thanks to OM Audio Productions for audio production services.
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 3: Treatment Options In this episode, our experts discuss various treatment options available for opioid use disorder. What do you need to know? How do you approach a patient? What do you need from the patient? Turns out all you need from them is to be willing!If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep.Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC DavisGuests:Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEPDr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San FranciscoDr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey PeninsulaResources:California ACEP Medication Assisted Treatment ResourcesCalifornia Bridge “We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.”Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources“The Game Has Changed”. Featuring Dr. Gail D’Onofrio. EM Pulse Podcast. 2018 March 15.https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/Apply for your DEA-X Waiver!SAMHSAGetWaivered.com ***This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources.California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more.Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise.Also, a big thanks to Kelsey McQuaid for all of your hard work on this project.EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast.Thanks to OM Audio Productions for audio production services.
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 2: Opioid OverviewIn this episode we explore what the opioid crisis is, who it impacts, and why we care as emergency medicine providers. We discuss the options that are out there and what our experts believe is the best for the ED setting.If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep.Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC DavisGuests:Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEPDr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San FranciscoDr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey PeninsulaResources:California ACEP Medication Assisted Treatment ResourcesCalifornia Bridge“We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.”Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment ResourcesApply for your DEA-X Waiver!SAMHSAGetWaivered.com***This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources.California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more.Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise.Also, a big thanks to Kelsey McQuaid for all of your hard work on this project.EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast.Thanks to OM Audio Productions for audio production services.
If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. Episode 1: Kayce was my daughterThe opioid crisis is a reality for all of us. In this series, we go in-depth on what YOU can do about it in your emergency department (ED). This is the first of six episodes brought to you by California ACEP on medication assisted treatment or MAT. Dr. Steve Anderson, an experienced emergency physician, tells his own compelling story of why he is leading the charge in his ED to combat opioid addiction.If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC DavisSarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guest: Stephen H. Anderson, MD, FACEP. Emergency Medicine Physician, and Chair of the National ACEP Board of Directors. Resources:California ACEP Medication Assisted Treatment Resources California Bridge “We’re developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” “Steve’s Story: Fighting for Kayce” Real Talk Podcast. Recorded Apr 4th 2019 at the Washington ACEP “Summit to Sound” Conference in Seattle. Speaker: Steve Anderson, MD, FACEP with Alicia Kurtz, MD. https://www.vituity.com/realtalk Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources Apply for your DEA-X Waiver!SAMHSAGetWaivered.com *** Thank you to Dr. Alicia Kurtz and Marco Gonzalez from Real Talk Podcast for facilitating this recording. Real Talk is a space for doctors and other healthcare professionals to share their real, human experiences from working in medicine. Thank you to Dr. Steve Anderson for sharing his personal story. This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you’ll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services.
CalACEP Executive Director, Elena Lopez-Gusman, joins us on the podcast for a legislative and advocacy update.This time we are talking about Proposition 35 - a ballot measure to earmark the MCO tax to improve funding for Medi-Cal. While CalACEP fought and won to have emergency physicians keep their portion of the MCO tax to improve Medi-Cal reimbursement for emergency medicine, CalACEP strongly recommends a YES vote on Proposition 35 to ensure that the MCO tax continues to fund improved access to care for all of our patients.See our current Treasurer, Adam Dougherty, MD FACEP, featured in an article on this proposition: https://californiahealthline.org/news/article/california-lmedi-cal-managed-care-organization-tax-budget-ballot-initiative/The California ACEP Podcast is produced by the staff and volunteer leaders at California ACEP as well as Marco Gonzalez, our sound engineer.California ACEP’s mission is to support emergency physicians in providing the highest quality of care to all of our patients and their communities.Please subscribe, rate, and review the California ACEP podcast on Apple podcasts, Spotify, or whichever podcast platform you use. Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.
CalACEP Executive Director Elena Lopez-Gusma joins us on the podcast for a legislative and advocacy update.We discuss the Managed Care Organization (MCO) tax and and the roller coaster ride of getting the tax renewed and dedicated for Medi-Cal funding in 2023, only to have that revoked in the Governor’s proposed budget in an attempt to backfill the budget deficit, and the strategic and hard work of the CalACEP staff to keep the share of the MCO tax dedicated to emergency physicians on table to go into effect in January 2025.The California ACEP Podcast is produced by the staff and volunteer leaders at California ACEP as well as Marco Gonzalez, our sound engineer.California ACEP’s mission is to support emergency physicians in providing the highest quality of care to all of our patients and their communities.Please subscribe, rate, and review the California ACEP podcast on Apple podcasts, Spotify, or whichever podcast platform you use. Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.
CalACEP Executive Director, Elena Lopez-Gusman, joins us on the podcast for a legislative and advocacy update.This time we are talking about changes to the definition of Gravely Disabled and legislation CalACEP is co-sponsoring this year to clean up a bill signed into law in 2023.Please subscribe and rate the California ACEP podcast on whichever podcast platform you use.Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.
Dr. Michael Gertz is an emergency medicine physician and medical director of the emergency department at Antelope Valley Medical Center, and managing partner of Antelope Valley Emergency Medical Associates, and is the 2023-24 President of California ACEP. He joins us to discuss his path to emergency medicine, how he has found success in emergency medicine, his views on leadership, and his legislative and advocacy goals for California ACEP for his term.Please subscribe and rate the California ACEP podcast on whichever podcast platform you use.Email feedback, questions, comments, or ideas to us at info@californiaacep.org and be sure to follow us on Twitter, Instagram, or Facebook.