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

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 18 July 2024

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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

Transcript

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0:00.0	Hey Curbsiders listeners, I am so excited to announce the latest season of Curbsiders Addiction Medicine
0:06.9	is starting today and we are releasing the first episode right here on our channel so you can hear it and then move over there to their
0:13.3	feed at curbsideers addiction medicine so you can hear all their great
0:17.1	episodes which they'll be releasing weekly for a short time this summer. Their first
0:21.4	episode is on outpatient treatment, specifically talking
0:24.8	about methadone with a wonderful returning guest, Dr. Ruth Pote, and another
0:30.2	guest Dr. David Frank, also wonderful.
0:33.5	Check this out.
0:34.6	And if you enjoy it, please subscribe to the Curbsideers Addiction Medicine.
0:38.9	Dr. Carolyn Chan and her team do so much great work,
0:41.8	and we really think you'll enjoy it.
0:43.2	The curbside addiction medicine is for entertainment, education, and
0:49.1	information purposes only. The topics discussed should not be used to diagnose, treat, or
0:51.8	prevent any diseases or conditions.
0:53.0	Furthermore, the views and statements expressed on this podcast or solely those of the hosts,
0:55.0	it should not be interpreted to reflect official policy or position of any entity aside from possibly cash like a moral hospital.
0:59.0	In short, we aren't responsible if you screw up.
1:00.0	Please do your homework and let us know we got something wrong. Sean, it is so good to see you. We are here with our first episode of season three of the curbsideers addiction medicine.
1:15.2	I cannot believe we have made it to season three.
1:18.6	Yeah, I mean either. I'm so excited that people are still coming back to listen to us and my annoying pun. So get ready for a whole season of them.
1:26.8	We are ready and we look forward to disappointing, not disappointing us. I guess it depends on your perspective of how you feel
1:33.9	like Sean's puns right on the scale of incredible like maybe disappointing we'll
	...

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