Module 6 Pre-Test Patient Support for Induction and Maintenance

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 providing patient support for buprenorphine induction and maintenance.

Pre-Training Knowledge Assessment

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* 7. Which of the following is NOT a goal of the OBAT program?

Hope for recovery

Treatment of substance use disorder without medication treatment

Reductions in problematic substance use

Reduce withdrawal symptoms and cravings

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* 8. Which of the following clinical tools can be used to assess the level of opioid withdrawal a patient is experiencing?

COWS

NM ASSIST

DAST-10

PHQ-9

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* 9. A relapse prevention plan should consider:

Triggers

Warning signs

Coping strategies

All of the above

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* 10. Which of the following is true regarding buprenorphine discontinuation?

Buprenorphine therapy should be discontinued between 1 and 3 years after induction

Support from the OBAT team stops once a patient discontinues buprenorphine

Patients should be counseled at the initiation of therapy on the risks associated with abrupt discontinuation of buprenorphine

The best way to discontinue buprenorphine is rapidly over the course of 2-3 days