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IDAA 2005

CME Statement and Conference Objectives

Continuing Medical Education activities have been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the California Society of Addiction Medicine (CSAM) an the International Doctors in Alcoholics Anonymous (IDAA). The California Society of Addiction Medicine (CSAM) designates this educational activity for a maximum of 12 hours credit in Category 1 toward the American Medical Association's (AMA) Physician Recognition Award.

Participants who attend all the CME sessions will be able to:
  1. Compare the definition of addiction accepted by psychiatry with the understanding of who is an alcoholic or addict in Twelve Step programs
  2. Define personality disorders and their effect on Chemical Dependency treatment, rehabilitation and recovery.
  3. Formulate a plan for medication pain management in chemically dependent patients.
  4. Identify the primary elements of a state of the art urine drug testing program.
  5. Address recovery issues in children of recovering substance abusers.
  6. Advocate for recovering physicians regarding Disability Insurance and the courts
Each participant MUST sign in for CME once during the conference. Each participant should claim those credits that he/she actually spent in continuing education activities. Participants may pick up their Certificates of CME units at the Registration Desk on Saturday once they turn in an evaluation form. Certificates will not be mailed.

CME TRACK SCHEDULE

Wednesday 8-3-2005 - 3.5 units CME credit

1-2 pm
Evidence-Based Addiction Treatment: How Research Supports the Use of the 12 Steps
Presenter: Marvin Sepulla, M.D.
Objectives: After completing this workshop, participants will successfully be able to:

  1. Critically evaluate the Literature regarding research on Alcoholics Anonymous.
  2. Apply research findings on AA to clinical cases.
  3. Identify core characteristics of AA that contribute to its effects on promoting abstinence in recovery.
2-3 pm
Listen to the Children: Golden Nuggets on the Road to Kid Recovery
Presenter: Jerry Moe, M.A.
Objectives: After completing this workshop, participants will successfully be able to:
  1. List the stages of recovery in children.
  2. Describe two strategies for parents to get closer to their children, thereby decreasing the risk of the children becoming involved with substances.
  3. State the two biggest "Gifts" recovering parents can give their children to facilitate family healing and recovery.
3-4:30 pm
Addressing Character Dynamics that Interfere with Treatment and Recovery: A Taboo Topic
Introduction: Norman Reynolds, M.D.
Panel Participants: Norman Reynolds, M.D., Lloyd Gordon, M.D., Burns Brady, M.D.
Character pathology, a much neglected topic in addiction medicine, typically evokes strong emotional reactions when broached. Deep-seated character pathology can impede treatment of the physician addict. It is a risk factor for relapse.
Left unaddressed, even among physicians who remain abstinent, character pathology can sabotage meaningful recovery.

Objectives:
After completing this workshop, participants will successfully be able to:
Identify character pathology.
List techniques for effective management of character pathology.
Recognize limits of therapeutic strategies.

Brief introductory didactic presentation will be followed by panel discussion by experts from diverse backgrounds and Q&A from the audience.

Panel experts:
Norman Reynolds, M.D. - Psychiatrist evaluator of physician impairment and treatment of physicians in recovery
Lloyd Gordon, M.D. - Internal Medicine, Medical Director of COPAC
Burns Brady, M.D. - Family Practice, Director of Kentucky PHHP

Thursday 8-4-2005 - 4 units CME Credits

8-9 am
Psychiatry and the Twelve Steps
Presenter: Penelope Ziegler, M.D. FASAM

This presentation will focus on comparing and contrasting the understanding of addiction between psychiatry and the Twelve Step programs such as Alcoholics Anonymous and Narcotics Anonymous. It will include a comparison of definitions, philosophies, approaches to treatment and recovery, vocabulary and literature. Emphasis will be on how the two perspectives relate and how they can work effectively together toward the common goal of assisting persons who suffer from addictive disease.

Objectives:
After completing this workshop, participants will successfully be able to:
  1. Compare the definition of addiction accepted by psychiatry with the understanding of who is an alcoholic or addict in Twelve Step programs.
  2. Define 6 basic concepts of recovery, comparing vocabulary from Alcoholics Anonymous and psychiatric literature
  3. Explain the difference between a therapist and a sponsor.
  4. Discuss the opinion of Twelve Step programs on psychiatric medications.

2-4 pm
Addiction and Pain: Another Troublesome Dual Diagnosis
Presenter: Barry Rosin, M.D.
Objectives: After completing this workshop, participants will successfully be able to:

  1. Define the "Disease Concept" of addiction.
  2. Define the "Disease Concept" of chronic pain.
  3. List principles of clinical management of pain.
4-5 pm
Basic Principles of Medication Management
Presenter: Lyman Boynton, M.D.

Objectives:
After completing this workshop, participants will successfully be able to:
  1. Recognize the risks of prescribing to recovering patients.
  2. List the basic principles of medication management in chemically dependant patients.
  3. Define basic prescribing guidelines for chemically dependent patients.
Rational:
One of the most common factors in post operative relapse in patients with mature recovery is provider lack of knowledge of appropriate OPD prescribing and medication management
Lack of recognition of need for escalation of recovery program around major medical or surgical events is a factor in relapse.
Antidepressants are both inappropriately prescribed and inappropriately withheld in recovering patients. When prescribed, CMT or equivalent is ignored.
Few providers are familiar with the complexities of depression and the second step and how to either or both

Friday 8-5-2005 - 2.5 units CME credit

8:30-10 am
Rehabilitative Advocacy:
Presenter: Robert W. Stewart, J.D. and Mark Seltzer, J.D.
Objectives: Robert W. Stewart, J.D.
  1. Improve participants' knowledge of their Licensing Boards during and Accusation process.
  2. Describe the opportunities to promote recovery from substance abuse during a licensing action.
  3. Present a framework and specific techniques to advance such recovery while defending against an accusation.
Objectives: Mark Seltzer, J.D.
  1. Educate physicians about addiction, as relates to Insurance Company and Courts, and the acceptance of illness as a disabling condition.
  2. Financial issues distract focus from recovery-collection of Disability Insurance benefits resolves many financial problems and helps focus on recovery.
  3. Advise on Disability Insurance contract provisions to understand what needs to be established contractually to obligate the Company to pay the claim.
  4. Advise on critical legal issues and case law, specific to addiction/psychiatric claims.
  5. Advise on strategies to successfully prosecute and maintain claims.
10:30-11:30 a.m.
The Family Trap
Presenter: Joseph Cruse, M.D.
The workshop will encompass lecture, visual, and experiential material. The audience will participate by small group sharing, writing and participating in role-playing. A question and answer period will be provided. It is the goal of this presentation to inform and motivate the participants to remain or become aware of the significant impact that the diseases of alcoholism and drug addiction have on family members. The impact on spouses, parents and children is tremendous. The participants will gain insight that alcohol and drug addiction is a "family" disease

Objectives:
  1. Involve participants in a review of their own family history dynamics so that they can better understand and integrate the inner workings of functional and dysfunctional family systems.
  2. Demonstrate that any patient who walks into a physician's office may be suffering, and demonstrating, the fall out from alcoholism and drug abuse in the family
  3. Provide an emphasis on the importance of treatment for the entire family when a member of the family is undergoing treatment for alcohol or drug addiction.
  4. Develop a more positive outlook for the recovery of alcohol and drug dependent individuals whose families are also involved in the recovery process.
Saturday 8-6-2005 - 2 units CME credit

10:30- 11:30 a.m.
Ur-ine Luck: Fundamentals of Urine Drug Testing:
Presenter: Greg Skipper, M.D.
Objectives:
After completing this workshop, participants will successfully be able to:
  1. Recognize the primary reasons urine drug testing is performed.
  2. Identify the primary elements of a modern urine drug testing program.
  3. List indications for utilizing the new test for ethylglucuronide, "EtG"
1:30-2:30 p.m.
Emotional sobriety: the Next Step in Your Recovery
Presenter: Allen Berger, Ph.D.
Objectives:
After completing this workshop, participants will successfully be able to:
  1. Define what "emotional sobriety" is and how it relates to establishing a solid program of recovery.
  2. Identify the similarities between Bill Wilson's concept of "absolute dependence" and Murray Bowen's concept of "emotional dependency."
  3. List 5 Behaviors that a recovering person can manifest to foster healthier relationships.
  4. Describe the three responses a person has to emotional dependency.
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