Module 1 Pre-Test Navigating Buprenorphine Prescribing for the Primary Care Physician

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 navigating buprenorphine prescribing.

Pre-Training Knowledge Assessment

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* 7. Physical dependence to a substance is:

An altered state of physiology resulting from prolonged drug exposure.

Not, by itself, indicative of an addiction.

Not necessary to make a diagnosis of substance use disorder.

All of the above.

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* 8. Which of the following patient communication styles is NOT helpful in treating patients with substance use disorder?

Empathetic – “Wow, that sounds really hard”

Collaborative – “Let’s make a plan together.”

Authoritarian – “If you smoke marijuana one more time, you’ll be discharged from my practice.”

Curious – “Can you tell me more about that?”

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* 9. Changes in behavior such as lying, stealing, and relationship turmoil that are seen in patients with substance use disorder can be attributed to:

The personality metamorphosis that occurs in this patient population.

Side effects of medications used to treat substance use disorder.

Physical dependence.

Personality characteristics of individuals that tend to develop substance use disorder.

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* 10. When interviewing a patient for the first time, it is best to start with:

An outline of consequences for non-adherence to treatment.

Demographic information.

Substance use history.

An overview of treatment options.