Opioid Response Network Clinical Scenarios: Practical Applications in Addiction Treatment in Rural Healthcare Settings
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Opioid Response Network Clinical Scenarios: Practical Applications in Addiction Treatment in Rural Healthcare Settings
Created: September 2025
Online Course
Overview
This one-hour, online intermediate-level course, developed in collaboration with the Opioid Response Network (ORN), uses real-world case studies to help medical professionals strengthen their clinical judgment in treating opioid use disorder. Through three scenario-driven case studies, learners will explore challenges related to access, stigma, co-occurring conditions, and care delivery across different populations and environments, with a focus on rural communities.
The target audience for this intermediate-level course includes: Physicians, Nurse Practitioners, Physician Associates, Nurses, Pharmacy and Pharmacy Technicians, Social Workers, and other health care professionals with experience in addiction medicine.
This activity addresses the following ACGME Competencies: Patient Care and Procedural Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, and Systems-based Practices
Learning Objectives
Upon completion, learners will be able to:
- Employ strategies to overcome barriers in providing OUD treatment in clinical settings.
- Recognize and address stigmatizing interactions and perceptions to break down stigma and improve patient care for individuals with substance use disorders.
- Apply strategies to manage care for patients with a special focus on rural settings with opioid use disorder, considering populations with unique clinical needs, and access to resources.
- Identify unique clinical needs to develop treatment plans for individuals with opioid use disorder.
Overview Acknowledgement:
Funding for this initiative was made possible by cooperative agreement number 1H79TI086770 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
The Opioid Response Network (ORN) is a program funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). It is led by the American Academy of Addiction Psychiatry (AAAP) in collaboration with a large national coalition. This coalition forms the Opioid Response Network to provide free training and education to address opioid, stimulant and all substance use disorders.
Registration Rates
| ASAM Learner Type | Rate |
| ASAM Member | $0 |
| Non-Member | $0 |
| Associate Member | $0 |
| Resident Member* | $0 |
| Student Member* | $0 |
*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM e-Learning Center refund requests must be made in writing to Education@ASAM.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Open Registration: 9/08/2025 - 08/08/2028
Close Access Date: 9/08/2028
Instructions
- Click on the Contents tab to begin this activity.
- Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 2 out of 3 questions correctly.
- Click Complete GPRA Evaluation to provide valuable activity feedback.
- Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click Complete Presenter Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM e-Learning Center, clicking Dashboard, and clicking Transcript/Achievements.
Need Assistance?
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Frank Del Real
MD, FASAM
Dr. Frank Del Real is the Medical Director at Central Wyoming Counseling Center and Clinical Adjunct Professor and Visiting Attending at the University of Wyoming Family Practice Program. Previously, he was the Medical Director at Wyoming Recovery. Dr. Del Real attended medical school at the University of California, San Diego where he received his M.D. degree. He then completed his residency in Psychiatry at Harbor, UCLA Medical Center. He has practiced as a psychiatrist for 31 years. In addition to his extensive experience in psychiatry he is also Board Certified in addiction medicine. He is one of a few physicians in Wyoming that provides out-patient based opioid treatment for those suffering from opioid use disorders. He is an active member of the American Society of Addiction Medicine (ASAM) where he serves as chairman of the membership committee of the Northwest chapter. He is the immediate past-president of the Northwest Chapter. He was also a member of the ASAM Marijuana Task Force that contributed to the development of the Marijuana Position Paper for ASAM.
No relevant financial disclosures
Robert Sherrick
MD, FASAM
Dr. Robert Sherrick, MD, FASAM, is Chief Medical Officer for Community Medical Services, a company that serves patients through its 30 Opioid Treatment Programs in 8 different states. Dr. Sherrick completed medical training and residency in Internal Medicine at George Washington University. After 5 years on the faculty at George Washington,he moved to Montana to join a private practice in Internal Medicine. Since 1994, Dr. Sherrick has worked at an inpatient addiction treatment facility, Pathways, where he has treated all forms of Substance Use Disorders and has served as the CD Medical Director. Dr. Sherrick has been providing Medication Assisted Treatment for Opioid Use Disorder since 2003, initially in an office setting using buprenorphine and naltrexone. In 2009, Dr. Sherrick closed his private practice and moved to VA Montana. Over the next 7 years at VA Montana he developed a state-wide MAT program that was one of the first uses of telemedicine for providing MAT to rural areas. Dr. Sherrick has been working for Community Medical Services since 2010, providing MAT services with methadone, buprenorphine, and naloxone as well as serving as Northern Medical Director. He has been Chief Medical Officer for the last year. He is currently the President of the Northwest Chapter of ASAM. He is Board Certified in Addiction Medicine through the American Board of Preventative Medicine.
No relevant financial disclosures.
Daniel Nauts
MD, FASAM
Dr. Nauts, MD, FASAM completed his undergraduate and medical education at the University of Michigan and joined an internal medicine group practice in Bellingham, Washington. He left general internal medicine to develop his Addiction Medicine practice; since that time, he has been instrumental in the creation of 3 inpatient programs for those suffering with substance use and co-occurring disorders, outpatient SUD programs, and medication assisted treatment services.
No relevant financial disclosures
Accreditation & Credits
Joint Accreditation Statement
In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credits Available
- Physicians: 1.00 Credit
- Nurses & NPs: 1.00 Nursing Contact Hour
- Pharmacology Hour(s): 0.25 Hour
- PAs: 1.00 Credit
- Social Workers: 1.00 Credit
- Interprofessional Continuing Education: 1.00 Credit
- Certified Counselors: 1.00 NBCC Contact Hour
American Society of Addiction Medicine has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7062. Programs that do not qualify for NBCC credit are clearly identified. American Society of Addiction Medicine is solely responsible for all aspects of the programs.
- NAADAC: 1.00 CE Credit
Maintenance of Certification (MOC)/Continuing Certification Program (CCP)
This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABP, ABIM, and ABS. By completing the online credit application and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.
- ABIM MOC Points: 1 Medical Knowledge | 1 Patient Safety
- ABP MOC: 1 Lifelong Learning & Self-Assessment
- ABS Continuing Certification: 1 Accredited CME
- ABA MOCA 2.0®*: 1 Lifelong Learning | 1 Patient Safety
MOCA 2.0® is a trademark of the American board of Anesthesiology®.
This activity contributes to the CME requirement for Part II: Lifelong Learning and Self-Assessment of the American board of Anesthesiology's (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, https://www.theaba.org/, for a list of all MOCA 2.0 requirements.
Additionally, this activity has been designed to satisfy the requirements of the following primary physician board certification requirements. Please confirm with your individual Board.
- American Board of Addiction Medicine (ABAM)
- American Board of Preventative Medicine (ABPM)
- American Board of Psychiatry and Neurology (ABPN)
- Royal College of Physicians and Surgeons of Canada (RCPSC)
Certificates for other professions
All participants may request a certificate of participation upon completion of the activity and an online evaluation confirming their participation. Learners are strongly advised to contact their professional licensing board or professional association to confirm this certificate will be accepted as evidence supporting continuing education requirements.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1225.
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205.
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-0227.
Disclosure Information
In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education.
The complete list of disclosures and designation statements are linked below.
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