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Course 2. Opioid Use Disorder
This course on the management of Opioid Use Disorder (OUD) in the primary care setting will cover pharmacology, risk factors, and diagnosis of OUD; reasons to treat, pharmacologic treatment options, risk of precipitating opioid withdrawal with treatment initiation, and the role of counseling in the treatment of OUD; and treating OUD in special populations.

Management of Opioids and Chronic
Pain in the Primary Care Setting



The Center for Innovation in Academic Detailing on Opioids (CIAO), at the San Francisco Department of Public Health, has prepared online coursework modules with the aim of educating learners on topics related to the management of opioids and chronic pain in the primary care setting as well as how to communicate relevant information to patients and providers.

Opioids have legitimate medical uses, but many people also use opioids recreationally. Problematic use, whether medical or recreational, can lead to addiction, overdose, and death. Opioid use disorder (OUD) is a problematic pattern of opioid use, with serious potential for negative consequences such as disability, relapse, and death.

This course on the management of OUD in the primary care setting will cover pharmacology, risk factors, and diagnosis of OUD; reasons to treat, pharmacologic treatment options, risk of precipitating opioid withdrawal with treatment initiation, and the role of counseling in the treatment of OUD; and treating OUD in special populations. Additionally, a clinical expert on OUD will review selected journal publications on the impact of treatment for opioid dependence on fatal drug-related poisoning in England, comparative effectiveness of different treatment pathways for OUD, collaborative care for opioid and alcohol use disorders in primary care, and low barrier treatment for persons experiencing homelessness and injecting heroin in San Francisco. Case studies will be used to help illustrate course concepts, and interactive dialogue simulations will help hone OUD-related messaging between patient, provider, and provider educator.

Learning Objectives

At the end of this activity, the participant should be able to:

  1. Apply knowledge of opioid use disorder, including diagnosis and treatment, to clinical practices in different patient populations
  2. Apply knowledge of indications, contraindications, and general tenets of starting buprenorphine to treat opioid use disorder
  3. Apply knowledge of common substance use disorder diagnoses, treatments, and panel management in primary care
  4. Apply knowledge of screening and confirmatory drug testing practices in support of treatment for opioid use disorder

Method of Participation/Instructions for Obtaining Credit

Participants should read and listen to the coursework content, answer the multiple-choice test questions within each module, and complete the evaluation form online to receive a certificate. You must receive a score of 80% or better to complete the course. You will have unlimited attempts to successfully complete the post-test.  Your certificate will be available immediately for print or download upon completion of the entire module.

This course was released October 25, 2022, and re-released November 1, 2022, and expires May 31, 2025.


Please see the overall curriculum overview for accreditations and credit designations. This module will take 60 minutes to complete, which is equivalent to 1.0 credit (or 0.1 CEUs), including 1 credit for Pharmacotherapeutics.

The ACPE Universal Activity Number for this knowledge-based module is 0005-9999-22-012-H01-P for pharmacists.

ABIM Maintenance of Certification Points: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


This UCSF CME activity was planned and developed to uphold academic standards to ensure balance, independence, objectivity, and scientific rigor; adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA); and include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

The following individuals have no financial relationships with ineligible companies whose primary business purpose is the manufacturing, marketing, selling, re-selling or distributing health care goods used on or by patients.

Course Directors
Phillip Coffin, MD
Brian Wylie, OTD, MPH
Rebecca Martinez, FNP-C

Additional Speakers
Jessica Ristau, MD
Assistant Professor of Medicine
Division of General Internal Medicine
University of California, San Francisco
San Francisco, California

The following individuals have disclosed a relevant financial relationship with one or more ineligible companies. Financial relationships have been mitigated in accordance with the Standards for Integrity and Independence of Accredited Continuing Education Activities.


Special Needs or Other Concerns
If you require any special accommodations for a disability which creates a hardship to participating in this activity, or you have questions or concerns about this course, please contact the Office of CME. (Additional contact information is below.)

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UCSF School of Medicine
Office of Continuing Medical Education
Box 0742
490 Illinois Street, Floor 8
San Francisco, CA  94143
Phone: (415) 476-4251 • Fax: (415) 476-0318

Type:     Internet Activity (Enduring Material)
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