Episode 1: The Time for Treating Substance Use Disorder Is Now
Raul Ayala, MD interviews Arianna Campbell, PA-C
Why should family doctors - and all primary care providers - integrate treatment for opioid use disorder (OUD) into our practice? You’ll hear first-hand accounts of how medication for opioid use disorder (MOUD) enriches practice, relationships with patients, and most importantly, saves lives. We’ll identify barriers to beginning MOUD and start you on your way to office based opioid treatment (OBOT).
On the Podcast:
Raul Ayala, MD, MHCM, serves as the Ambulatory Medical Director at Adventist Health Central Valley Network. He has transformed the health care landscape in the Central Valley through the clinical integration of over 50 ambulatory clinics. Dr. Ayala has taken on many other projects and outreach, such as launching a rural track for a family medicine residency program, integrating virtual healthcare into clinics and homeless shelters, and expanding the graduate medical residency program in family medicine. The Governor has commended Dr. Ayala’s commitment to improving care for the state’s most vulnerable populations through his work leading the Adventist Health Opioid Stewardship Committee and implementing programs to address housing and food insecurities screenings. Dr. Ayala is 2023 President of the California Academy of Family Physicians.
Arianna Campbell, PA-C is an Emergency Department PA with more than 23 years of clinical experience. She is Senior Advisor of MAT for US Acute Care Solutions and works clinically at Marshall Medical Center in Placerville, California where she is chair of the SUD Committee. She also serves as Director and co- Principal Investigator for California Bridge Program, a program for which she is a cofounder.
Resources:
CAFP - California Academy of Family Physicians, Substance Use Disorder: education, resources, projects, and peer support
CA Bridge: training, information, and advocacy across California and beyond
CSAM - CA Society of Addiction Medicine: gatherings, education, resources, and policy
MERF - Medical Education and Research Foundation for the Treatment of Addiction: training and scholarships
Shatterproof.org - Patient stories are compliments of Shatterproof, a national nonprofit organization dedicated to reversing the addiction crisis in the United States.
Thanks:
The Family Docs Podcast series Treating Addiction in Primary Care is supported by the National Institute on Drug Abuse (NIDA) and the California Department of Health Care Services (DHCS).
Thanks to Shatterproof for sharing ambassador voices.
Episode 2: Break the Stigma, Save a Life
Shoaib Khan, MD, AAHIVS interviews Sky Lee, MD, AAHIVS and MK Orsulak, MD, MPH, AAHIVS
Health care providers may still blame patients for their substance use disorder (SUD) even though we know that addiction is a brain disorder and not the result of moral weakness. This episode dives deep into the origins of SUD stigma and how it merged with racism in the U.S. to influence drug policy and treatment. We’ll discuss harm reduction and how to promote health and dignity with people who use drugs.
On the Podcast:
Dr. M. Shoaib Khan graduated from the Dow Medical College, in Karachi, Pakistan in 2006. After completing his internship and three years of research in primary care and infectious diseases at the Aga Khan University, he moved to the United States in 2010 for further training in research and primary care. For the next 5 years, he worked at the pediatric heart centers at the Texas Children’s Hospital, Baylor College of Medicine in Houston, followed by the Cincinnati Children’s Hospital Medical Center in Cincinnati. The focus of his research during this time was outcomes in pediatric cardiovascular and congenital heart disease care, thoracic transplantation, and the use of mechanical assist devices in children. He went back to clinical medicine and completed his residency, graduating as a chief resident from the Family and Community Medicine at the School of Community Medicine, the University of Oklahoma in Tulsa. Based on his deep interest in underserved care, he pursued further training in Global Health with the Health, Equity, Action, and Leadership (HEAL) Initiative with UCSF. He works as an addiction and HIV specialist and provides hepatitis C and B care. He completed a formal faculty development fellowship with UCSF Family and Community Medicine (FCM) and has a Master’s of Science degree in Public Health from the London School of Hygiene and Tropical Medicine, University of London. He is a fellow of the American Academy of Family Physicians.
Dr. Khan divides his interests and time between full-spectrum family medicine, public health projects, and research endeavors. His background along with a strong bent towards justice and equity for underserved populations has led him to work with multi-specialty teams and organizations in Pakistan, Liberia, the Navajo Nation, and other parts of the United States. He joined UCSF Fresno as core faculty with a similar focus on underserved populations in the San Joaquin Valley area, including the migrant workers, rural area medicine, and inner-city underserved. His hospital work includes patient care for adult medicine and obstetrical care with the residents at Community Regional Medical Center, provides outpatient care at Federally Qualified Health Centers for prenatal/women's health and newborn care in Mendota, for HIV care, chronic hepatitis C and B treatment, and addiction care including harm reduction and medication-assisted treatment at Parlier and Downtown Fresno, California.
His current research through the department of FCM focuses around underserved populations and includes a wide variety of topics. He mentors residents for their research projects and provides guidance for all scholarly projects being developed in the department as the clinical lead of the research team.
Sky Lee, MD AAHIVS (she/her) Sky Lee is a board certified Family and Addiction Medicine physician and certified by American Academy of HIV Medicine to provide HIV care. She has previously worked as a rural hospitalist, provided primary care in urban federally qualified health centers, educated the next generation of family medicine physicians at UC Davis and created protocols and given technical assistance for hospitals throughout California to improve access and care for people with substance use disorders with the California Bridge Program. She is currently providing care for people who are incarcerated and is the Vice President of the board for the Reproductive Health Access Project. Dr. Lee’s primary interests are to improve care and access for vulnerable populations, to empower both patients and providers to be advocates for their communities and to dismantle white supremacy within ourselves and in medicine.
Dr. Mary Kathryn (MK) Orsulak (she/her) completed her medical and public health training at Tulane University School of Medicine in New Orleans, LA and is a graduate of the UC Davis Family Medicine Residency Program. She also completed a Primary Care Psychiatry Fellowship through UC Davis and UC Irvine. MK believes that Family Medicine is a collaboration between primary care physicians and patients, and everyone should have access to compassionate healthcare that is patient centered. Her interests include providing primary care-based treatment of substance use disorders, mental health, gender affirming care, and reproductive health with a focus on caring for people experiencing homelessness and people who use drugs. She is passionate about decreasing barriers to primary care and integrating the philosophy of harm reduction when providing patient care. MK believes that medicine does not exist in a vacuum and it is the role of physicians to advocate against systems of oppression that impact their patients, especially when those are reinforced within the healthcare system. MK is currently working at the Sacramento County Primary Care Clinic, Mercy Clinic at Loaves and Fishes, and the Sacramento County Department of Public Health Sexual Health Clinic. Additionally, MK is an attending on the inpatient UCD Substance Use Intervention Team and working on projects to improve access and quality of care for people living outside in Sacramento.
Resources:
CAFP - CA Academy of Family Physicians, Substance Use Disorder: education, resources, projects, and peer support
https://familydocs.org/sud
NCCC California Substance Use Line: 24/7 confidential provider tele-consultation for SUD
https://nccc.ucsf.edu/clinician-consultation/substance-use-management/california-substance-use-line/
844-326-2626
CA Bridge: training, information, and advocacy across California and beyond
https://cabridge.org
National Harm Reduction Coalition: to increase access to strategies like overdose prevention and syringe access programs
https://harmreduction.org/
Bevel Up: safer use, overdose prevention & other harm reduction tips
https://www.bvlup.com/
Shatterproof.org - Patient stories are compliments of Shatterproof, a national nonprofit organization dedicated to reversing the addiction crisis in the United States.
Thanks:
The Family Docs Podcast series Treating Addiction in Primary Care is supported by the National Institute on Drug Abuse (NIDA) and the California Department of Health Care Services (DHCS).
Thanks to Shatterproof for sharing ambassador voices.
Episode 3: Prescribing Medication for Opioid Use Disorder
Tipu Khan, MD, FAAFP, FASAM interviewing Rebecca Trotzky-Sirr, MD
Our guests explain the different OUD medicines - there are three and really only two used in primary care - and guide you through very specific resources and protocols so you can get started saving lives right away.
On the Podcast
Tipu Khan, MD, FAAFP, FASAM
Primary Care Addiction Medicine Fellowship Program Director. Core Faculty Family Medicine Residency. Adjunct Associate Clinical Professor, USC Keck SOM
Ventura Family Medicine Residency Program/UCLA
Dr. Khan earned his BA in Philosophy and his BS in Neurobiology, Physiology and Behavior from UC Davis. He went on to earn his MD from the University of Washington with a certificate in The Underserved Pathway. Dr. Khan completed his residency training at Harbor/UCLA and an Obstetrics fellowship at CHMC/USC. He worked in South Central Los Angeles for two years and then joined faculty at Ventura in 2014. His clinical practice includes emergency medicine, high risk obstetrics including addiction in pregnancy, inpatient medicine, addiction medicine, street and international medicine, and scholarly activity. He is a board certified Addiction Specialist. He enjoys triathlons, mountain biking, and anything outdoors with the kids!
Rebecca Trotzky-Sirr, MD
Dr Trotzky is the Medical Director of the Urgent Care Center at LAC + USC, one of the largest public hospitals in the US. She is board certified in Family Medicine and Addiction Medicine, and is faculty in the Department of Emergency Medicine at USC. Additionally, she coordinates expansion of treatment for opioid use disorder as the Southern California Regional Coordinator with the CA Bridge Program.
Resources:
CAFP - CA Academy of Family Physicians, Substance Use Disorder: education, resources, projects, and peer support
https://familydocs.org/sud
CA Bridge: training, information, and advocacy across California and beyond
https://cabridge.org
2023 X-Waiver Update, CA Bridge: fewer barriers to prescribing buprenorphine
https://cabridge.org/general/critical-updates-about-the-x-waiver-removal/
PCSS - Providers Clinical Support System: SAMHSA program to train primary care providers about OUD and treatment of chronic pain
https://pcssnow.org/
NCCC California Substance Use Line: 24/7 confidential provider tele-consultation for SUD
https://nccc.ucsf.edu/clinician-consultation/substance-use-management/california-substance-use-line/
844-326-2626
Thanks:
The Family Docs Podcast series Treating Addiction in Primary Care is supported by the National Institute on Drug Abuse (NIDA) and the California Department of Health Care Services (DHCS).
Thanks to Shatterproof for sharing ambassador voices.
Episode 4: Addiction Medicine is Family Medicine!
Carol Havens, MD interviews Mario San Bartolome, MD, MBA, MRO, FASAM
This episode features two recognized leaders in addiction medicine sharing their thoughts about why Family Physicians need to offer treatment services, what to address as you begin, and how rewarding it is to see the positive impacts in their communities. Addiction medicine is family medicine.
On the Podcast:
Carol Havens, MD, recently retired as the Director of Physician Education and Development at the Kaiser Permanente Medical Care Program, Northern California Region, and was a staff physician of Chemical Dependency and Recovery Program at Kaiser Permanente. She is board certified in Family Medicine and Addiction Medicine. Dr. Havens received her undergraduate degree in Medical Technology from Michigan State University and her medical degree from the University of Arizona. She completed her residency training at the University of California, Davis-Sacramento Medical Center Family Practice Residency Program where she also served as chief resident.
Over the course of her career, Dr. Havens has held various leadership positions including President of the CAFP in 2011. She was the clinical lead for the TPMG Opioid Initiative and is currently Chair of the CAFP CPD committee. She served as chair of the California Medical Association CME committee and was a member and vice-chair of the board of directors for the ACCME. She was named a Best Doctor in Sacramento 2005-2016 and was the California Family Physician of the Year in 2017 from CAFP.
Dr. Havens has been published in more than 15 peer-reviewed journals and other publications, and is the recipient of CAFP Foundation’s 2009 Barbara Harris Award for Educational Excellence. She is also the recipient of the Alliance for Continuing Education in the Health Professions Francis Maitland Mentoring Award and the Distinguished Service and Leadership Award. Dr. Havens loves to teach because she finds it simultaneously renewing and helps her find balance in all that she does. Her most recent avocation is baking sourdough creations (though she continues to torture her dog with the ukulele).
Mario San Bartolomé, MD, MBA, MRO, FASAM
Dr. Mario San Bartolome, “Dr. Mario,” is an Addiction Medicine specialist who is board certified in both Family Medicine and Addiction Medicine. Dr. Mario received his undergraduate degree from UC Davis, his MD from the UC Irvine School of Medicine and received a Master’s in Business Administration from the Paul Merage School of Business at UC Irvine. Dr. Mario has experience in all levels of care related to substance use disorders including inpatient medical withdrawal management, residential treatment and outpatient (Intensive Outpatient, Partial-Hospitalization and medical office addiction medicine). Dr. Mario has held medical directorships for several residential and outpatient treatment organizations and served as the former National Medical Director for Substance Use Disorders for Molina Healthcare. Dr. Mario is a certified Medical Review Officer and has been an active and passionate advocate for people with substance use disorders through leadership at the local, state and national level and enjoys teaching students and colleagues about Addiction Medicine. Dr. Mario serves as the vice chair of the American Society of Addiction Medicine Practice Management and Regulatory Affairs Committee and also serves on the California Society of Addiction Medicine’s Public Policy Committee and Board of Directors. Dr. Mario has been active in helping craft various policies involving substance use treatment and remains clinically active, serving vulnerable populations through FQHCs in Orange County with a goal of expanding access to substance use disorder services.
Resources:
CAFP - CA Academy of Family Physicians, Substance Use Disorder: education, resources, projects, and peer support
https://familydocs.org/sud
CA Bridge: training, information, and advocacy across California and beyond
https://cabridge.org
CSAM - CA Society of Addiction Medicine: gatherings, education, resources, and policy
https://csam-asam.org
NCCC California Substance Use Line: 24/7 confidential provider tele-consultation for SUD
https://nccc.ucsf.edu/clinician-consultation/substance-use-management/california-substance-use-line/
844-326-2626
PCSS - Providers Clinical Support System: SAMHSA program to train primary care providers about OUD and treatment of chronic pain
https://pcssnow.org/
Thanks:
The Family Docs Podcast series Treating Addiction in Primary Care is supported by the National Institute on Drug Abuse (NIDA) and the California Department of Health Care Services (DHCS).
Thanks to Shatterproof for sharing ambassador voices.
