#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 29 September 2021

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

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Summary

What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/ ( https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/)ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im )Time Stamps:04:24 Starting the Conversation 10:43 The Shared Agenda14:46 Exploring patient goals18:54 Reducing drug use24:09 Reducing harm in opioid use29:06 RecapTags: Core IM, IM Core, MOUD, buprenorphine, patient centeredness, motivational interviewing, safe practices Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone, this Coriam episode will count for CME Credit with the American College of Physicians.
0:05.2	We'll link the exact URL in the show notes, so click on the link, answer three questions, and get
0:10.0	CME Credit. And with that, let's dive into this thought-provoking topic.
0:14.8	I think there's this thought that when we enter the room, we're going to go in there and
0:18.8	somehow save the day that we're going to say the right word and it's going to click with them and and they'll be in recovery.
0:25.3	But you know, the reality of life is much different. And so I think the key to a good clinical encounter
0:32.4	is really to in all all senses of it to just
0:35.3	meet the patient where they're at to come in as agendaless as possible to see where
0:40.3	they are in their health timeline and by being able to just sit there with them no matter where they are I think that gives them the most opportunity to them change and
0:55.0	Dr.
0:58.0	Dr. Marty Freed, Dr. Laura Colby and Dr. Alexis Fian.
0:59.0	This is the Core I Am 5 Pearls podcast bringing youield, Evidence-Based Pearls. Today we're discussing
1:05.2	stigma in the treatment of patients with substance use disorders.
1:09.0	Our goal for this episode is to get more comfortable with discussing substance use disorders with our patients in the hospital.
1:15.4	Alexis, welcome back.
1:19.3	Our listeners will remember Dr. Alexis VN from our Five Pearls on inpatient pain management.
1:24.1	And on this episode we're welcoming a new producer to the Five Pearls family.
1:27.4	You're right Alexis?
1:28.4	Yeah, so great to be back Marty. I'm also super excited to introduce Dr Laura Colby, also a hospitalist at Cornell and current fellow in medical ethics.
1:38.0	It's so great to be here. Thank you for having me, Alexis and Marty.
1:41.0	Who you heard in the opener was my mentor Dr. Jonathan Avery, Director of Addiction
1:46.2	Psychiatry at Wile Cornell Medical College.
	...

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