In the third episode of our opioid use disorder series, we explore therapy, sponsors, and return to use with our patient TJ and Expert Dr. Chan. Share your reactions and questions with us at  Speak Pipe. We might feature you on a future episode!

=== Outline ===

1. Introduction (0:00 )
2. Chapter 9: Therapy (individual vs group) (3:29 )
3. Chapter 10: Sponsors (17:33 )
4. Chapter 11: Return to Use (21:40 )
5. Conclusion: (34:39 )

=== Learning Points ===

1. While resources such as group therapy, NA, and other 12-step programs are not for everyone, they can be important tools to offer our patients. 
2. Sponsors can often relate to a patient’s struggles with opioid use disorder more authentically than we can as their providers. While a sponsor may not be for everyone, they can be invaluable to walk alongside some patients on their journey. 
3. Return to use is hard, both for patients and providers. We must accept that return to use is part of the disease of addiction, and this is not an excuse to pull back on medication treatment or to give up on our patients.

=== Our Expert(s) ===

Dr. Carolyn Chan is an academic hospitalist at Yale New-Haven Hospital with interests in medical humanities, quality improvement, and addiction medicine. You can reach her on twitter @CarolynAChan.

 Dr. Lisa Sanders, MD, FACP, associate professor of medicine (general medicine) and author of the popular Diagnosis column for the New York Times Magazine offers her media expertise to the PCP team as a production consultant for the podcast.

=== References ===

1. SAMHSA’s National Helpline: https://www.samhsa.gov/find-help/national-helpline

=== Recommended Reading ===

1. Buresh M, Stern R, Rastegar D. Treatment of opioid use disorder in primary care. BMJ. 2021 May 19;373:n784. doi: 10.1136/bmj.n784. PMID: 34011512.
2. Alexander GC, Stoller KB, Haffajee RL, Saloner B. An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19. Ann Intern Med. 2020 Jul 7;173(1):57-58. doi: 10.7326/M20-1141. Epub 2020 Apr 2. PMID: 32240283; PMCID: PMC7138407.
3. Hoffman KA, Ponce Terashima J, McCarty D. Opioid use disorder and treatment: challenges and opportunities. BMC Health Serv Res. 2019 Nov 25;19(1):884. doi: 10.1186/s12913-019-4751-4. PMID: 31767011; PMCID: PMC6876068.

=== About Us ===

The Primary Care Pearls (PCP) Podcast is created in collaboration with faculty, residents, and students from the Department of Internal Medicine at the Yale School of Medicine. The project aims to create accessible and informative podcasts for furthering the medical education of residents and clinicians in early stages of their careers. Building on the work of other medical education podcasts, Primary Care Pearls includes contributions from patients themselves, who have the autonomy to share their own experiences of how their primary care physician directly impacted the quality of their care.

Hosts: Nate Wood, Maisie Orsillo, Addy Feibel
Logo and name: Eva Zimmerman
Theme music and Editing: Josh Onyango
Producers: Helen Cai, Addy Feibel
Other Background music: Slynk, Astron, Nathan Moore, Dream-Protocol, Emmit Fenn, and Arcadia

Instagram: @pcpearls
Twitter: @PCarePearls
Listen on most podcast platforms: linktr.ee/pcpearls