Episode #89 High Truths on Drugs and Addiction with National Clinician Consultation CenterEpisode #89 High Truths on Drugs and Addiction with National Clinician Consultation Center
High Truths on Drugs and Addiction
Where do doctors go for advice if they need help treating patients with addiction? NCCC is like the National Poison Center but with a focus on drug addiction. NCCC provides free advice from national experts to doctors and clinicians treating patients with addiction. On this podcast hear from the NCCC experts on how doctors give advice to other doctors. NCCC - National Clinician Consultation Center For 30 years, the National Clinician Consultation Center (NCCC) has offered free, on-demand tele-consultation on HIV and viral hepatitis to health care providers across the U.S. In 2015, with support from the Bureau of Primary Health Care (BPHC) at the Health Resources and Services Administration (HRSA), the NCCC launched a new National Substance Use Warmline (855.300.3595) to address providers’ clinical questions regarding substance use disorder prevention, evaluation, and medical management. The Warmline’s multi-disciplinary team of experienced addiction medicine professionals has provided over 3,000 individually tailored consultations across a broad range of topics, such as novel buprenorphine initiation strategies; alcohol withdrawal management for older adults with complex comorbidities; and pharmacotherapy considerations for pregnant and parenting individuals. The Warmline welcomes calls from any U.S.-affiliated clinician, especially providers working in safety net healthcare systems and rural communities. More information is available at: nccc.ucsf.edu. Brenda Goldhammer, MPH - NCCC Program Director Brenda Goldhammer has been working in the HIV/AIDS field for nearly 30 years. She received her Master’s in Public Health from the University of California at Los Angeles where she was awarded the Improving Public Health in Southern California Fellowship for her work with social service providers serving people who are unhoused and the University Fellowship for academic excellence. Before joining the National Clinician Consultation Center, Ms. Goldhammer launched her career with the University of California, San Francisco (UCSF) at the Center for AIDS Prevention Studies as an HIV/AIDS Intervention Specialist. As Program Director for the National Clinician Consultation Center based out of UCSF, she provides operational and strategic leadership including overseeing the program’s technological and infrastructure improvements. She also manages the projects collaborative partnerships and public relations. Jesse Ristau, MD - NCCC Physician Consultant Dr. Jesse Ristau completed her M.D. at Boston University Medical Center, Primary Care Internal Medicine residency at UCSF and Primary Care and Addiction Medicine Fellowship at UCSF. Dr. Ristau is now an Assistant Professor on faculty at UCSF Health Division of General Internal Medicine and practices primary care and addiction medicine. She also provides addiction consultation with the UCSF NCCC Substance Use Warmline and clinical care for inpatient and outpatient addiction specialty clinics in San Francisco. Mishka Terplan, MD MPH FACOG DFASAM - NCCC Physician Consultant Dr. Mishka Terplan is board certified in both obstetrics and gynecology and in addiction medicine. His primary clinical, research, public health, and advocacy interests lie along the intersections of reproductive and behavioral health. He is Medical Director at Friends Research Institute and adjunct faculty at the University of California, San Francisco where he is a Substance Use Warmline clinician for the National Clinician Consultation Center. Dr. Terplan has active grant funding and has published over 140 peer-reviewed articles with emphasis on health inequities, discrimination, and a
1:04:20•5 Sept 2022
Guiding Clinicians: Expert Advice on Addiction Treatment from the NCCC
“The most rewarding part is creating a community of practice for clinicians out there, especially those who are working in rural areas and helping to support them, and let them know that they're not alone when they're taking care of patients with substance use disorder and working on the warm line.”
Imagine being a doctor faced with a complex addiction case and not knowing where to turn for advice. In this episode of 'High Truths on Drugs and Addiction', Dr. Roneet Lev sits down with four leading experts from the National Clinician Consultation Center (NCCC). This invaluable resource offers free, on-demand advice to healthcare providers across the U.S., much like a specialized National Poison Center focused on addiction. Dr. Mishka Terplan, Dr. Trevonne DeFreeze, Dr. Andrea Hunt, and Dr.
Andrea Rubinstein share their experiences and expertise, covering a range of crucial topics. They dive into the use of buprenorphine and methadone in emergency settings, strategies for managing neonatal abstinence syndrome, and innovative approaches to treating alcohol use disorder with off-label medications. The conversation also touches on the unique challenges faced by clinicians in rural areas and the vital role of community support.
The NCCC's multidisciplinary team has provided over 3,000 consultations, helping clinicians navigate complex cases and improve patient outcomes. This episode offers a behind-the-scenes look at how these experts support their peers, making it an essential listen for any healthcare provider dealing with addiction treatment. You'll hear about the practicalities of initiating buprenorphine in emergency departments, managing withdrawal in older adults with multiple health issues, and providing care for pregnant and parenting individuals with substance use disorders.
The discussion also highlights the importance of community building and the rewards of being a clinician consultant. Whether you're a seasoned healthcare provider or new to the field, this episode provides valuable insights into the world of addiction treatment and the support available through the NCCC. Tune in to learn how these experts are revolutionizing care and offering hope to both patients and clinicians alike.
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