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2017 Appalachian Addiction Conference Report.

2017 Appalachian Addiction & Prescription Drug Abuse Conference Report--"Prescriber Education Continued"

The 2017 Appalachian Addiction & Prescription Drug Abuse Conference (AAPDAC) met our objectives of continued growth, integration and collaboration of multiple healthcare professional disciplines. Held October 19-21 at the Embassy Suites in Charleston, WV, with over 350 participants from 11 disciplines and 38 exhibitors in attendance, it was the largest attendance in its fiveyear history. This year's conference opening and overview were led by the AAPDAC organizer, P. Bradley Hall, M.D. Dr. Hall is the Executive Medical Director of the WV Medical Professionals Health Program and President of the Federation of State Physician Health Programs and Mitchell Brian "Mitch" Carmichael--President of the Senate--Lieutenant Governor of West Virginia.

James Berry, DO, Associate Professor/Medical Director, Chestnut Ridge Center and Inpatient Acute Dual Diagnosis Program, J.W. Ruby Memorial Hospital moderated the first day of the conference, which focused on expansion of access to care, with Lynn Hankes, MD, Past Director of Washington Physician Health Program and Past-President of the Federation of State Physicians Health Program, speaking on the office management of the chemically dependent patient. Gary Carr, MD, Medical Director of JourneyPure and Mary Aldred-Crouch, MSW, MPH, LICSW, followed with a presentation on the current state of affairs of suboxone and medication assisted treatment. The first day's presentations ended with Elizabeth Hager, MD, MMM, WV Medical Director of Beacon Health Options, providing information for primary care office integration of addiction treatment. The evening concluded with a reception sponsored by the WV Medical Professionals Health Program and the WV Society of Addiction Medicine.

Rahul Gupta, MD, MPH, Commissioner and State Health Officer of the Bureau for Public Health for the WV Department of Health and Human Resources (WVDHHR) welcomed participants and provided an update on West Virginia's state of addiction on the second day of the conference. Some of the highlights of Commissioner Gupta's presentation included WV statistics related to causes of death, social deterrents of health, demographics and risk factors learned from the evolution of the opioid crisis. Changes in opioid prescribing and innovations moving forward were also discussed.

Ken Thompson, MD, addiction medicine specialist from Black Bear Lodge, discussed the brain development of addiction and Mike Baron, MD, medical director of the Tennessee Medical Foundation- Physician Health Program, provided an in-depth presentation on effective management of chronic pain without opioids.

Chris Bundy, MD, MPH, medical director Washington Physician Health Program, provided an overview of physician burnout, causes, conditions and cures. The morning session ended with the honored presence of the Deans of all three WV medical schools speaking on relevant education of early career physicians. Craig Boisvert, DO, Lewisburg School of Osteopathic Medicine, Clay Marsh, MD, WV University Medical School and Joseph Shapiro MD, Joan C. Edwards School of Medicine all provided excellent specific initiatives of each medical school.

Robert DuPont, MD, first director of National Institute on Drug Abuse and second White House Drug Chief, gave a compelling presentation on the evolving paradigm of addiction care management.

Jill Head, supervisory chemist Special Testing and Research Laboratory Drug Enforcement Administration provided an excellent and informative update on synthetic drugs in the United States. The second day concluded with a dinner program on "The Parents Perspective", provided by Kathleen Ryan, PhD and Jim Elson, MD.

The third day began with opening remarks from U.S. Republican Representative Evan Jenkins, representing the Third Congressional District in West Virginia. Congressman Jenkins provided an update from Washington and conveyed his personal support to everyone involved in the conference and discussed the impact made by attendees at the community level. Kavara Vaughn, MD, addiction psychiatrist at Chestnut Ridge Hospital, gave an excellent update on the often-overlooked impacts of alcohol on patients and society. Jimmy Adams, DO, DAAPM, Regional Assistant Dean with the West Virginia School of Osteopathic Medicine, provided a multitude of case studies utilizing pearls and best practices in prescribing. Each study focused on the best practices of patient care while remaining cognizant of the potential for addiction. Pearls for proper prescribing, the use of drug screens, consulting the Board of Pharmacy database and careful prescribing were the lessons shared with participants.

Saturday morning ended with an update on WV overdose statistics provided by Allen Mock, MD, MS, DABP, Chief Medical Examiner, State of WV Office of the Chief Medical Examiner. Dr. Mock provided statistical information indicating that while WV has seen a reduction in opioid overdoses, heroin-related overdoses continue to be a major concern with rates surpassing previous years, and the co-use of heroin and fentanyl have reached record setting highs. Navjyot Bedi, MD, medical director, Talbott Recovery Campus, provided additional information of atypical drugs of abuse, with related case studies.

The luncheon program was led by Laura Lander, MSW, assistant professor, Department of Behavioral Medicine and Psychiatry, WVU, highlighting the impacts of addiction on pregnancy and neonates.

Following the luncheon program, Carrie Ann Cherep-Carr, MA, LCPC, EMDR Certified clinician, provided an overview of trauma, addictions and solutions including the role of eye movement desensitization and reprocessing, EMDR. State immunization officer, Sherri Young, DO and Vice President of the WVSMA provided a prescriber's update on the PDMP and other associated WV laws, rules and regulations highlighting recent Naloxone legislation and the WV Medical Cannabis Act. The basics of when and how to use the CDMP was provided as well.

The conference ended with an update on HIPAA and 42- CFR provided by James L. Wilkinson, Esq., Murray, Kelly & Bertrand, P.C., and an overview of the literature on the topic of benzodiazepines by Steven Wright, MD, addiction medicine, medical pain management specialist.

The conference was supported by WVSMA, WVMPHP, WVDHHR, WVSAM, WVBOM, WV Board of Osteopathic Medicine and the WVOMA. CAMC HERI and the WV Medical Foundation worked jointly in providing CME for the conference. A physician education grant provided by the WVDHHR Bureau for Behavioral Health and Health Facilities and administered by the WVMPHP helped make this conference possible.

P. Bradley Hall, M.D

By P. Bradley Hall, M.D., Executive Medical Director, WVMPHP & AAPDAC Conference Chair
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Author:Hall, P. Bradley
Publication:West Virginia Medical Journal
Article Type:Report
Geographic Code:1U5WV
Date:Mar 1, 2018
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