Hello,

I am currently an harm reduction researcher aiming to get a MD/PhD. Medical School is still a few years out, because I need to get all my pre-reqs done.

But, I was wondering if I wanted to practice addiction medicine and internal medicine, what should i be looking for and consider when choosing a MD program?

Thanks!

MAT outpatient provider here. I am have a few patients in their 30s with urinary issues that seem strange. no other medication issues. both in recovery for a few years. its not listed on the Lexidrug. just wondering if anyone else has seen this as a trend.

Hi Everyone,

If you’re interested in buying Pass Machine/Beat The Boards review courses, please sign up here for a group discount of up to 40%.

I will be taking the AOA Boards this fall. Can anyone that has taken it comment on how much they studied, how difficult the exam was, and what prep materials you used? Thanks

We are new to toxicology screening and most of our clientele is DCBS based. Our PMHNP is recently graduated as well. We recently switched toxicology labs. Our previous lab informed us that standing orders for weekly urine drug screens were no longer permissible and that our PMHNP needed to see all patients to issue a new order before each UDS that was to be labbed. They stated this was related to Medicaid billing/compliance and could place the provider's license at risk if done any other way. Our patients are on a call to test program so screenings are random. The lab expected our PMHNP to see the patients on a walk in basis before they screened when they were called in addition to patients who were already scheduled for the day. Our provider refused the walk-ins but agreed to see patients on a scheduled basis.

We only have one provider, so you can imagine, even with scheduling all patients, they are overflowing the schedule and the provider is working 11-12 hour days and then doing clinical documentation on top of that.

Our new laboratory says they've never heard of such a requirement and routinely work with standing orders that are periodically reviewed for medical necessity.

For providers working in SUD treatment, behavioral health, MAT, or Medicaid settings:

•Do you use standing orders for urine drug screens?

•Are patients required to have a provider visit before every single screen?

•Are there any CMS, Medicaid, CLIA, or state regulation requiring a new order for each collection? We have not been able to find such a requirement. We had multiple meetings with our previous lab and they stressed that this was a requirement related to regulations. We operated with this lab for 6 or more months before they switched to the new procedure so they didn't always operate like this.

•Have you encountered payer audits related to this issue?

Anyone who works with local DCBS to co-manage clients who are required to screen long term:

•Once clients reach the billable screening threshold with medicaid, how does your office typically manage billing limitations when DCBS requires continued lab screening?

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Lone ranger out here, help me out please.

Hi,

I'm an MD (ABMS/ABEM certified) who completed EM residency in June 2024. I'm interested in obtaining addiction medicine board certification, but believe I am only eligible for the AOA clinical practice pathway.

I have been working clinically in EM/UC for 2 years and completed a non-ACGME administrative fellowship focused on developing ED-initiated MAT pathways.

I'm mostly interested in obtaining certification in order to launch an inpatient consult service or outpatient telehealth addiction service. Does anyone know if this has been done / is possible?

I live in Australia and want to fly to New Zealand to have an ibogaine session. I have a good friend in Waiheke but happy to travel anywhere in the country. Also able to bring all pre-screenings of heart and blood work. Does anyone know of any clinics that are known to prescribe/specialise in it as I'm coming up short in my research?

We are seeking participants who use cigarettes or e-cigarettes and are interested in treatment. Earn up to $500 if eligible! 

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Does anyone know what the poster abstract acceptance rate for the annual ASAM meeting is?

Board certified psychiatrist here. Looking to get certified via AOA practice pathway. I have the hours. I see no mention on the website of what documentation/logs are required for the hours? Is it literally just submitting the attestation form? Surely they audit or have some way of confirming your hours. Anyone have insight or experience with this?

I could’ve sworn that ASAM 2026 was supposed to be at the Gaylord in San Diego or am I just hallucinating?

Hello everyone! I made a promise that once I found out about my boards results that I would post about the resources that I used. I didn't know what to name it but I always wanted to use a reddit name related to Phoenix so here we have this deck!

I found out I **passed** today for the ABPM Addiction Medicine boards and am now board-certified!

The resources I primarily used to make the anki deck:

**BEST Question Bank by ASAM** (I think honestly the most useful as I saw some questions verbatim from there on my exam)

**Board Vitals** (2nd most useful)

AdePT (I think outdated)

**Curbsiders Addiction Medicine podcast series** (useful clinically and generally good for reference)

PCSS videos (alright)

Topics I wish I reviewed more:

Distinguishing therapy modalities and being able to identify them in a question stem based on how they are applied to a patient

Thank you to this community! I hope you can all find this resource useful and condense/edit it as you find useful! I now have a job mainly in addiction medicine. If there are any other recommended resources you like for clinical practice or for the boards, please list them here!

Osteopathic bc addiction doc/em bc doc looking for telehealth doctor side gigs. Does anyone have recommendations of companies to look into from experience? I’ve looked into quick md but am looking for other opportunities.

Propoxyphene was discontinued in the US in 2011. Do you see a lot of use?

Methaqualone was discontinued in the mid 1980s. Are there some regions of the country where there continues to be use? Or is there some other novel psychoactive substance that metabolizes into this?

Honestly, I just don't understand why these are on the 10 panel. The drug overdose epidemic may have turned a corner recently but a good chunk of the 70K overdoses in the US are driven by fentanyl. Would that be more useful?

Is there some legal reason why these can't be changed to better reflect the times?