Module 5 Pre-Test Challenging Clinical Scenarios in MOUD: Early Refills and Lost of Stolen Medication

PRE-TEST SURVEY

Please complete the following pre-test to help us assess your knowledge of the course material prior to completing this training session.

IMPORTANT!!
Once you complete the pre-test and FINISHED, you will be able to view your test results. After viewing your results, click DONE.

If you have difficulties completing this survey, please contact Amy Wales at amy.wales@miccsi.org.

Demographics

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Please choose your organization from the choices below:

Affinia Health Network-Lakeshore (Lakeshore Health Network)

Answer Health (WMPN/POWM)

Borgess Health/Ascension

Bronson Healthcare

Blue Cross Blue Shield of Michigan or Blue Care Network

CIPA

Covenant Healthcare

Genesys

Great Lakes Bay Health

Great Lakes PHO

Henry Ford Health System

Holland PHO

Huron Valley Physicians Association (HVPA)

IHA

Lakeland Care

McLaren Health

Mercy Health Physicians Partners-Grand Rapids

Munson Healthcare

Metro Health

Northern Physician Organization (NPO)

Priority Health

Spectrum Health

Thunder Bay Health Centers

University of Michigan

Upper Peninsula Health System

Wexford PHO

Other (please specify)

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* 3. Please list the name of your practice. If not applicable, type "N/A".

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* 4. Please choose your role in your practice:

Physician

Advanced practice provider (physician assistant, nurse practitioner, etc.)

Nurse care manager/care coordinator

Social worker care manager/behavioral health specialist

Pharmacist

Leadership

Other clinical (CMA, RMA, etc.)

Other non-clinical (support staff, etc.)

Other (please specify)

Pre-Training Confidence Assessment

Please use the following scale to answer questions 5 and 6.

1: Not confident at all
2: Slightly confident
3: Somewhat confident
4: Fairly confident
5: Completely confident

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* 5. On a scale of 1-5 please rate your confidence in managing substance use disorder.

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* 6. On a scale of 1-5 please rate your confidence in managing challenging clinical scenarios in MOUD.

Pre-Training Knowledge Assessment

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* 7. Which of the following is/are facts to consider when evaluating an early refill request?

Suspicion of diversion

Patient reports of cravings

UDS and MAPS report

All of the above

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* 8. Which of the following is true for ALL patients requesting an early refill of buprenorphine?

Discharge from the practice should be considered.

The patients should be contacted for an assessment.

The request should be denied if this is not the first time an early refill was requested.

All of the above.

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* 9. In general, reconsideration of efficacy and referral to a higher level of care may be necessary for patients on a dose of __ mg buprenorphine who continue to report cravings or request early refills.

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* 10. John Doe is a 30-year-old male with a 10-year history of heroin addiction. He was inducted on buprenorphine therapy (current dose = 20 mg daily) one month ago and is returning today for a follow-up visit. The drug screen obtained at the visit is unremarkable and is negative for buprenorphine and norbuprenorphine. When discussing this with the patient, in a follow-up phone call, what is the FIRST thing you should say?

Your urine did not have any buprenorphine in it. Can you tell me why?

Your urine did not have any buprenorphine in it. If this happens again, you will be discharged from care at this practice.

There was something I forgot to ask you during your appointment. Can you please tell me when you last took buprenorphine and if you’re taking the medication regularly?

There was something I forgot to discuss with you during your appointment. Your urine did not contain buprenorphine which tells me you are not being truthful about taking your medication.