Guidance At-A-Glance For SMPH/UW Health 

File UW SMPH Faculty and Staff Requirements At-A-Glance

MATE or WI MEB Live Courses and Series

 

MATE or WI MEB Asynchronous Courses

Rational Opioid Prescribing for Team-based Practice 2023 - 2025
MATE Act: 2.5 hours
Wisconsin MEB: 2.5 Credits
Illinois: 2.5 Credits
Expires 8/7/2025

Pharmacology of Opioids
Meets 1.25 MATE Training Hours
Does not meet WI MEB Requirements
Not approved for MD. 
Expires 1/30/2025

Tobacco Use and Dependence: A Review of Treatments
Meets 1.0 MATE Training Hours
Does not meet WI MEB Requirements
Expires 3/14/2025

Frequently Asked Questions

What is the Medication Access and Training Expansion Act?

Section 1263 of the ‘Consolidated Appropriations Act of 2023' otherwise known as the Medication Access and Training Expansion (MATE) Act, requires new or renewing Drug Enforcement Administration (DEA) registrants, as of June 27, 2023, to have completed a total of at least 8 hours of training on opioid or other substance use disorders, as well as the safe pharmacological management of dental pain.

How do I know if I have completed 8 hours of the required training?

Review your transcripts, certificates, or credit letters from accredited courses you’ve completed in the past. Click here for instructions on accessing your transcripts and credit letters in the ICEP Learning Portal.

How do I know if accredited continuing educations activities I've taken "count" toward the 8 required hours?

Two things to consider are:

  1. How far back should I look for activities that will meet the requirement?

"In fact, any previous training counts: If you received any other training related to the treatment of patients with OUD or SUD that counts as well! In other words, the training is retrospective and could have occurred at any time in the past.”

  • Source: Jeffrey Davis, Director of Regulatory and External Affairs at ACEP, Regs & Eggs, March 30, 2023

 

  1. What accredited continuing education content “counts” toward the 8 required hours of training?

Compare the activity title and/or learning objectives to these topics/competencies identified by SAMHSA to determine if the content meets the requirements.

Substance Use Disorders

  • Use of validated screening tools for SUD and risk factors for substance use, including mental disorders18
  • Diagnosis and assessment of individuals who screen positive for SUDs19
  • The initiation and management of FDA-approved medications for SUDs (opioids, alcohol, and tobacco), including the impact of unique, individual physiology and metabolism on medication pharmacodynamics20
  • Consideration of polysubstance use and co-occurring mental disorders21
  • Patient and family education on safety and overdose prevention (diversion control; safe storage; use of naloxone)22

Effective Treatment Planning

  • Use of patient-centered decision-making and paradigms of care, and use of evidence-based communication strategies such as shared decision-making and motivational interviewing23
  • The impact of stigma, trauma, and the social determinants of health on substance use and recovery26
  • Collaborating with other disciplines to facilitate access to medications and referrals to services such as case management24
  • Legal and ethical issues involved in the care of patients with SUD25

Pain Management and Substance Misuse

  • The assessment of patients with acute, subacute, or chronic pain26
  • Components of developing an effective treatment plan, including general principles underlying nonpharmacologic and pharmacologic analgesic therapy, as well as the importance of multidisciplinary treatment interventions23
  • Managing patients on opioid analgesics, including tapering off the medication when the benefits of opioids no longer outweigh the risks23
  • Recognizing signs of OUD in the setting of prescribed opioids27

 

 

References

ACCME; The Medication Access and Training Expansion (MATE) Act. Accessed on 7/17/2023.

American College of Emergency Physicians; Regs & Eggs. March 30, 2023; Accessed on July 17, 2023

Substance Abuse and Mental Health Services Administration (SAMHSA); Recommendations for Curricular Elements in Substance Use Disorder Training. Accessed on 7/17/2023.

18 The American Society of Addiction Medicine. The ASAM Fundamentals of Addiction Medicine Recognition Program: Competencies and Curriculum Learning Objectives. 2015

19 American Society of Addiction Medicine. ASAM Standards of Care for Addiction Specialists. 2014
20The Patient Care Process for Delivering Comprehensive Medication Management (CMM): Optimizing Medication Use in Patient-Centered, Team-Based Care Settings. CMM in Primary Care Research Team. July 2018. 
21 Substance Abuse and Mental Health Services Administration (SAMHSA): Treating Concurrent Substance Use Among Adults. SAMHSA Publication No. PEP21-06-02-002. Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.
22 The State of Massachusetts. Recommendations From The Governor’s Medical Education Working Group On Prescription Drug Misuse. Medical Education Core Competencies for the Prevention and Management of Prescription Drug Misuse. 2015
23 Wandner, L. D., Prasad, R., Ramezani, A., Malcore, S. A., & Kerns, R. D. (2019). Core competencies for the emerging specialty of pain psychology. American Psychologist, 74(4), 432–444. https://doi.org/10.1037/amp0000330
24 Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. DOI: http://dx.doi.org/10.15585/mmwr.rr7103a1
25 Tran T, Ball J, Bratberg JP, DeSimone EM, Franko TS, Hill LG, Sharp CPK, Palombi L, Ventricelli D, Farrell D, Gandhi N, Moore T. Report of the 2020 Special Committee on Substance Use and Pharmacy Education. Am J Pharm Educ. 2020 Nov;84(11):8421. doi: 10.5688/ajpe8421. Epub 2020 Nov 2. PMID: 34283760; PMCID: PMC7712728.
26 Servis M, Fishman SM, Wallace MS, Henry SG, Ziedonis D, Ciccarone D, Knight KR, Shoptaw S, Dowling P, Suchard JR, Shah S, Singh N, Cedarquist LC, Alem N, Copenhaver DJ, Westervelt M, Willis BC. Responding to the Opioid Epidemic: Educational Competencies for Pain and Substance Use Disorder from the Medical Schools of the University of California. Pain Med. 2021 Feb 4;22(1):60-66. doi: 10.1093/pm/pnaa399. PMID: 33316051; PMCID: PMC8921611.
27 Rutkowski, Beth. (2019). Specific disciplines addressing substance use: AMERSA in the 21st century. Substance Abuse. 40. 1-4. 10.1080/08897077.2019.1686726.
28 The American Academy of Family Physicians, Recommended Curriculum Guidelines for Family Medicine Residents: Substance Use Disorders. Accessed on 01/26/2021.

What are the current State of Wisconsin Medical Examining Board (MEB) Continuing Medical Education and Controlled Substance Prescribing requirements?

The MEB has created options and flexibility for obtaining CME with recent rule changes in time for the 2021 - 2023 CME reporting period:

First, the rule provision requiring that two required CME hours relate to responsible opioid prescribing has been expanded to include courses or programs concerning controlled substances in general, and not just opioid controlled substances. This rule also aligns with the standards adopted for program approval by the Drug Enforcement Administration (DEA) to fulfill their 8-hour requirement.

Second, the Board removed the requirement that CME related to opioid prescribing or controlled substances be preapproved by the MEB.  Courses will no longer have an MEB approval number. 

Source: https://content.govdelivery.com/accounts/WIDSPS/bulletins/36cd651 Accessed 9/18/2023

How many CME credits are physicians licensed in Wisconsin required to earn during a reporting cycle?

Physicians must earn 30 CME hours/credits over the two-year license period.  Two of the 30 CME hours must address opioid-controlled substances and/or controlled substances generally.

MATE Needs Assessment

What topics related to MATE/opioid or other substance use disorders will help you take care of your patients, families, healthcare staff, and you?

If you would like us to contact you to discuss further, please provide your name and email address, or email us at help@icep.wisc.edu