JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
New Addiction Medicine-Related Resources for 2024 - Feedback Requested
Thank you in advance for taking the time to provide your feedback. These suggestions will be compiled and shared by Guideline Central with the ASAM publications committee for consideration. This is not a formal call for clinical guideline topics.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
How interested would you be in variations of the existing ASAM
Provider
Guide
for Opioid Use Disorder customized for the following special and/or underserved populations for health equity?
*
Very interested
Interested
Not interested
I'm not sure
Pregnancy
LGBTQI+ community
Low-resource / low-income settings
Adolescents / teens / schools
MAT/MOUD basics for primary care providers (with recent X-waiver repeal)
Any other social/medical barrier or subpopulation focus (please specify in free text field provided at end of form)
Very interested
Interested
Not interested
I'm not sure
Pregnancy
LGBTQI+ community
Low-resource / low-income settings
Adolescents / teens / schools
MAT/MOUD basics for primary care providers (with recent X-waiver repeal)
Any other social/medical barrier or subpopulation focus (please specify in free text field provided at end of form)
With the recent repeal of the X-Waiver Program, how interested would you be in a new ASAM
Provider Guide
for
medication monitoring during MAT
?
*
Very interested
Interested
Not interested
I'm not sure
Other:
How interested would you be in a new ASAM
Provider Guide
for
prevention of opioid use disorder
.
These could contain appropriate pain management and opioid prescribing recommendations, warning signs to be aware of, and similar.
*
Very interested
Interested
Not interested
I'm not sure
Other:
How interested would you be in variations of the existing ASAM
Provider Guide
customized
for EMTs, police officers, and other first responders
?
*
Very interested
Interested
Not interested
I'm not sure
Other:
How interested would you be in ASAM
Provider Guide
for
stimulant use disorders
?
*
Very interested
Interested
Not interested
I'm not sure
How interested would you be in having the ASAM
Provider Guide
available in the following 3rd party systems via an InfoButton or similar:
*
Very interested
Interested
Not interested
I'm not sure
Provider Guide in EHRs
Provider Guide in telehealth applications
Provider Guide in a mobile app for first responders
Provider Guide as a stand-alone clinical decision support tool, similar to the ASAM Continuum
Very interested
Interested
Not interested
I'm not sure
Provider Guide in EHRs
Provider Guide in telehealth applications
Provider Guide in a mobile app for first responders
Provider Guide as a stand-alone clinical decision support tool, similar to the ASAM Continuum
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
