Addiction Medicine - #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank

The Curbsiders Internal Medicine Podcast

OTP yea you know me
Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
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Show Segments

• Intro, disclaimer, guest bio
• 5:00 Guest one-liner
• 10:25 Case from Kashlak; Definitions
• 11:19 Methadone pharmacology and evidence
• 17:08 What an OTP feels like
• 20:25 OTP intake
• 24:45 Talking through methadone with a patient
• 28:15 Personal impact of methadone
• 30:20 Requirements at an OTP
• 33:43 What your patient needs to access an OTP
• 37:25 The line
• 39:06 Dosing/Take homes
• 44:48 Loss of take homes
• 48:39 How to interact with an OTP as a PCP
• 52:50 Methadone at STRs
• 57:03 How to clinicians use their voice to improve things
• 1:00:45 Take home points
• 1:03:00 Plugs
• 1:04:24 Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD
• Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Ruth Potee MD, David Frank PhD