Completing Your Practice Activity
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- Shauna McCormick
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1 Completing Your Practice Activity Applicants are required to provide 24 months of practice activity within a five year time span. A total of 1920 hours must be documented. The minimum of 24 months of practice time need not be continuous; however, all practice time must have occurred in the five-year period preceding June 30 of the application year. A minimum of 480 hours of practice must be in direct patient care in Addiction Medicine. Practice that is not direct patient care such as Addiction Medicine teaching, research and administration activities may count for a combined maximum of 1440 hours. Applicants may include 480 hours of general practice activity (ie: Primary care, Emergency care, non Addiction Medicine Psychiatry practice). Multiple positions or jobs may be listed in the Practice Activity section. Each position or job should select the appropriate activity and provide a detailed description of the practice..
2 Adding a practice(s). Applicants may submit practice activity from July 1, 2014 through June 30, Verifications are sent to each practice/job listed via . Incorrect s may result in a delayed response from the verifier. All verifications must be received to complete the application. Delayed response/non-response may cause a delayed application decision. It is the responsibility of the applicant to ensure Practice Verifications are received by ABPM. Applicants are encouraged to monitor their application by logging into the dashboard to check status. A Verifier/Supervisor is required for each job/position listed. This individual should have knowledge of the applicant s practice activities. A referring physician or Medical Directors from admitting hospitals or other facilities may be used. For applicants providing verification from a non-physician, an explanation must be provided.
3 Listing the practice Applicants must identify if their practice at each job/position listed is full time. The system will default to a 40 hour week for full time positions. For non full time positions, applicants must report the average number of hours per week in the position. Applicants should indicate if the primary responsibilities of the position/job are General Practice or dedicated to Addiction Medicine. For Applicants that select General Practice, each practice activity may be classified as General (as in the primary responsibilities of an Emergency Room physician). Practices listed as General practice with some part of their practice may classify the specific practice activity as Dedicated to Addiction Medicine. Those activities that are Direct patient care will be counted towards the required 480 hours of Direct patient care in Addiction Medicine. Applicants may select from a drop-down menu of activities. A specific, detailed explanation for each activity should be provided in the section provided.
4 Adding practice Activity Practitioners may select Type of Activity, General Practice or Addiction Medicine. Only Direct Patient care hours classified as Addiction Medicine practice will be counted towards the required 480 hours of Direct Patient care. General Practitioners should select Addiction Medicine for those activities that are dedicated to Addiction Medicine. General Practitioners may claim 480 hours of General practice hours. The General Practice box check box should be selected. Insufficient practice descriptions will prompt a message to provide a more detailed description of the practice. Practitioners are discouraged from copy/pasting the same description into each practice activity.
5 Direct Patient Care Activities Applicants may select from a drop-down menu of activities. Practice must consist of broad-based professional activity with significant Addiction Medicine Activity. Types of practices may include, but are not limited to: a methadone maintenance clinic, providing medically managed withdrawal treatment from alcohol, sedatives, opioids, or other substances; hospital-based addiction consultation services (consultation-liaison service); or a medical director of a residential addiction treatment program; and other settings. Attached is the chart with suggestions to assist with the detail required for reviewers to evaluate your practice activities. Applicants should provide specific, detailed descriptions of their practice that may include the number of patients treated and the types of treatments offered. Direct Patient Care Description/Helpful Hints or Suggestions Provide a detailed explanation of each practice activity selected. Include volume of patients; types of treatments or therapies offered; types of addictions treated; type of medications used. Prevention Services prevention or education tools do you offer to your patients? (For Addiction, Intoxication, Withdrawal). Explain your screening Screening procedures in detail. How do you assess/diagnose intoxication? How many patients Assessment/Diagnosis of Intoxication are seen per week? Brief Intervention Referral Assessment/Diagnosis of Withdrawal Management of Mild to Moderate Withdrawal Management of Mild to Moderate Intoxication Medication Management of Addiction Assessment/Diagnosis of Addiction and Substancerelated Disorders Addiction Counseling: Individual, Group and Family Management of Severe or Complex Intoxication Management of Severe or Complex Withdrawal Management of Psychiatric Complications Screening/Referral for Dual Diagnosis Assessment/Management of Dual Diagnosis How many patients? How do you quantify a brief intervention? How do you evaluate a patient to determine if a referral is made? How many patients do you refer? How do you assess/diagnose someone in withdrawal? How many patients are seen per week? How do you assess/diagnose someone in withdrawal? How many patients are seen per week? How do you assess/diagnose intoxication? Explain the assessment tools or skills used. How many patients are seen per week? Please describe medications and prescriptive limitations. How do you assess/diagnose intoxication? Explain the assessment tools or skills used. How many patients are seen per week? Provide an explanation of the treatments offered. activites do you engage in? activites do you engage in? activites do you engage in? Includes management of cases involving psychiatric complications related to addiction and other substance-related disorders. Provide a detailed description of your management of patients with Psychiatric complications. Dual diagnosis refers to cases involving a patient with a mental health disorder alongside an addictive disorder. Provide a detailed description of your screening and referral activities for patients with a dual diagnosis. Dual diagnosis refers to cases involving a patient with a mental health disorder alongside an addictive disorder. Describe in detail, how you assess or manage patients with dual diagnosis. Descriptions may include assessment tools and the number of patients treated on average per week.
6 Adding Non Direct Patient Care Activity Research, Training and Administration Research, Administrative or Training responsibilities within a Medical and Professional Organizations Volunteer activities that include Administration, Research or Administrative duties. Clinical Contributions Practice Activity Selection Applicants may also meet the practice activity requirements by selecting from the Research, Training and Administration dropdown menu. Applicants must have 480 hours of Direct Patient care in Addiction Medicine. An additional 480 hours of General practice care may be selected. Applicants may fulfill the remaining required 1920 hours through Research, Training and Administration hours. Description Acceptable examples include American Society of Addiction Medicine, American College of Academic Addition Medicine, AMA, AOA, Advanced Studies in Medicine, American Psychiatric Association, RSA, etc., or state and local medical societies. Participation in uncompensated activities of social significance, such as volunteer work at community health agencies, volunteer services on a board of directors for a healthcare agency, or volunteer work with schools, Planned Parenthood, Boy Scouts, etc. Clinical contributions such as developing a unique model for addiction treatment or advancing the knowledge base of addiction medicine Political or Legislative Involvement Administrative Appointments Published Work Teaching or Educational Contributions Political or legislative involvement, grassroots or other lobbying, holding elected or appointed public office, serving as a committee member in the political process to further the goals of addiction medicine or ASAM, and/ or testifying before local, state, or federal legislative bodies to further the goals of addiction medicine. Administrative appointments such as a position of authority within a hospital, hospital committee, or substance abuse treatment program; boards of substance abuse treatment programs; and federal or state departments of alcoholism and/or drug abuse Published writings in peer-reviewed journals and/or books, or chapters of books, written for the education of professionals. Teaching contributions, such as appointment to medical school faculty in substance abuse teaching, volunteer teaching of alcoholism and drug abuse information to patients in publicly funded treatment or education programs, or presentations of formal lectures in the substance abuse field to physicians and/or healthcare providers in the addiction field, on a consistent basis
7 Reviewing Practice Activity The save and review the practice activity, the applicant must press save and continue to display the calculation of hours. The system will display the following information: Status of 24 month requirement Total Direct Patient Care hours Total General Practice hours Total practice hours Practice hours meeting requirements will be displayed in green. Practice hours that may be insufficient are displayed in yellow. In the example provided for insufficient hours, of the 818 hours claimed, only 480 hours were specific to Addiction Medicine.
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