Materials For Providers
CIAO’s educational materials were developed by the San Francisco Department of Public Health and reviewed by a panel of experts. Materials are regularly updated to include new scientific literature and changes in policy and programming.
Our materials are meant to be used and shared! If you are interested in using, adapting, or learning more about our materials, please fill out our contact form.
Last Updated: Apr. 2024
The CIAO teams aims to decrease opioid and stimulant related morbidity and mortality by promoting balanced approaches to care. This Guide was created as a resource for healthcare providers who want to provide a higher standard of care for their patients who use drugs.
San Francisco based providers can sign up for more in-depth one-on-one educational sessions with a member of the CIAO team here.
Opioids and Chronic Pain: A guide for primary care providers
Last Updated: Feb. 2023
This Guide was created as a resource for primary care providers who may be inheriting patients on opioids or want to provide a higher standard of care for their patients who use drugs.
Providers may also utilize CIAO's Inheriting Patients on Opioids Toolkit here.
Last Updated: June 2018
Pending updates to reflect changes in DEA waiver requirement
Last Updated: Jun. 2020
The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO), at the San Francisco Department of Public Health, has prepared online coursework modules with the aim of educating learners on topics related to the management of opioids and chronic pain in the primary care setting as well as how to communicate relevant information to patients and providers.
The knowledge-based curriculum is designed for a wide range of health professionals, including physicians, pharmacists, physician assistants, nurse practitioners, registered nurses, and health educators who care for patients who use opioids, who use illicit substances, or who have chronic pain, in the primary care setting
The curriculum consists of eleven (11) short on-demand courses, which can be completed in any order. A certificate of credit will be issued for each module individually, with an option to print a certificate including all credits earned upon completion of the curriculum. Courses will be released over time, and include:
Currently Available:
1. Naloxone
2. Opioid Use Disorder
3. Buprenorphine
4. Substance Use Disorders
5. Reducing or Stopping Opioids for Chronic Pain
6. Urine Toxicology
7. Opioid Stewardship
8. Starting Opioids for Chronic Pain
Coming Soon:
9. Chronic Pain Management
10. Motivational Interviewing
11. Academic Detailing Basic Skills
This course meets the new Medication Access and Training Expansion (MATE) Act requirements from the Drug Enforcement Administration (DEA) for training on substance use disorders. Please note that not all credit hours are currently available. Providers planning to receive or renew their DEA registration can currently earn 5.75 hours toward their 8-hour MATE requirement. More hours will be added in the near future.
Previous Webinars
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, managing opioid use disorder, and academic detailing on those topics. The webinar will focus on patients prescribed long-term opioids who are abandoned when a clinic shuts down, or when a clinician relocates or loses their license to practice. The webinar will begin with real case studies about the morbidity, mortality, and challenges faced by patients in this situation, and explore resources available to clinicians who are hesitant to take on either inherited or abandoned patients. A mock detailing session will also illustrate how to talk with clinicians about both the perils of abandoning patients on opioids and some best practices in initiating care for an abandoned patient. The information will be presented using CIAO's Toolkit for Inheriting Patients on Long-term Opioids.
Date: May 9th, 2023
View the webinar recording here.
View the webinar slides here.
Find the 1st Vice article here.
Find the 2nd Vice article here.
Find the New York Times article here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, managing opioid use disorder, and academic detailing on those topics. This webinar will briefly review the basics of academic detailing skills and concepts, including performing the needs assessment, preparing for possible barriers, communicating key messages, and supporting clinician behavior change. They will then use reference cases and mock detailing sessions to bridge the gap between theory and application. CIAO’s academic detailing training is modeled after evidence-based practices from the National Resource Center for Academic Detailing.
Date: October 25, 2022
View the webinar recording here.
View the webinar slides here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, managing opioid use disorder, and academic detailing on those topics. The webinar will review urine drug screening (UDS), including the technology behind UDS, interpretation of UDS results, and how to utilize UDS in clinical practice in a non-punitive way to enhance patient care. This information was presented using CIAO’s Opioids and Chronic Pain: A Guide for Primary Care Providers guidebook through a case study-based format.
Date: June 28, 2022
View the webinar slides here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series, CIAO Time, to share evidence-based information related to opioid prescribing, opioid stewardship, and managing opioid use disorder. On February 2, 2022, CIAO staff will discuss the epidemiology of the overdose crisis related to fentanyl and the effect on evidence-based overdose prevention interventions. In particular, CIAO will discuss the impact on naloxone programming and medications for opioid use disorder, including the role of overlap initiation for buprenorphine treatment. This information will be presented using CIAO’s Opioids and Chronic Pain: A Guide for Primary Care Providers guidebook. The presentation will include a live detailing demonstration and an opportunity to ask questions.
Date: February 2, 2022
View the webinar recording here.
View the webinar slides here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, and managing opioid use disorder. This webinar will focus on how providers can implement opioid stewardship measures when using these medications in chronic pain management. We will cover assessments, drug screening, controlled substance monitoring programs, naloxone, and—most importantly—documentation. This information will be presented using CIAO’s Opioids and Chronic Pain: A Guide for Primary Care Providers guidebook. The presentation will include a live detailing demonstration and opportunity to ask questions.
Date: October 20, 2021
View the webinar recording here.
View the webinar slides here.
Due to recent closures of 29 LAGS pain management clinics in California, up to 20,000 patients receiving pain management will be seeking alternative care. Some of these patients may be on long-term opioid therapy for chronic pain, a serious challenge for nearby providers. If you have received patient transfer requests or are otherwise affected by these closures, please view the following webinar for information and clinical tools about inheriting patients on opioid therapy, ensuring continuity of care, and utilizing buprenorphine. Affected providers can also register for a one-on-one informational session with CIAO’s clinician trainers to discuss these topics at https://www.ciaosf.org/contact-us.
Date: June 23, 2021
View the webinar recording here.
View the webinar slides here.
Resources from the webinar here.
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Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) is continuing its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, and managing opioid use disorder. The topic of this webinar will be chronic pain management, including reviewing non-opioid approaches to chronic pain and the rationale for using opioids when appropriate for treating pain. This information will be presented using CIAO’s Opioids and Chronic Pain: A Guide for Primary Care Providers guidebook through a case study-based format. The presentation will include a live detailing demonstration and opportunity to ask questions.
Date: June 9, 2021
View the webinar recording here.
View the webinar slides here.
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This webinar for California-based academic detailers and program staff included a review of CIAO’s newly updated academic detailing guidebook, Opioids and Chronic Pain: A Guide for Primary Care Providers. CIAO staff also demonstrated a mock e-Detailing session and facilitated a discussion around common academic detailing visit and implementation barriers that detailers and program staff have experienced in their clinics or health systems.
Date: May 12th, 2021
View the webinar recording here.
View the webinar slides here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) continued its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, and managing opioid use disorder. The topic of this webinar is buprenorphine, including the role of buprenorphine, common barriers to utilizing buprenorphine in clinical care, and protocols for buprenorphine induction and maintenance. This information is presented using CIAO’s Opioids and Chronic Pain: A Guide for Primary Care Providers guidebook. The presentation includes a live detailing demonstration.
Date: March 15th, 2021
View the webinar recording here.
View the presentation slides here.
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The Center for Innovative Academic Detailing on Opioids and Stimulants (CIAO) kicked off its quarterly webinar series on topics related to opioid prescribing, opioid stewardship, and managing opioid use disorder. The topic of this first webinar is opioid tapering, including if and when to taper, how to create a "patient-centered" plan, and mechanics of a taper. This information is presented using CIAO’s Opioids and Chronic Pain: A guide for primary care providers guidebook. The presentation includes a live detailing demonstration.
Date: December 9th, 2020
View the webinar recording here.
View the presentation slides here.
As of December 2022, there is no longer a federal requirement for practitioners to have an X-Waiver to prescribe Buprenorphine for the treatment of Opioid Use Disorder (OUD). Only a standard DEA registration number is required. Information from SAMHSA on the intricacies of these changes can be found here.