40-Hour Program


The ASAM Fundamentals of Addiction Medicine 40-Hour Program is a needs-based curriculum that addresses the most important areas of knowledge and skills for the diagnosis and treatment of substance use disorders by providers new to the field of addiction medicine, such as primary care physicians, clinicians and general psychiatrists, who see patients at risk for or with substance use disorders (SUDs). Learn how to recognize, screen, treat and refer patients with substance use disorders through 40 CME hours of interactive, case-based learning specifically designed for the busy healthcare professional.

Who Should Participate

Primary care physicians, clinicians, emergency/urgent care providers and general psychiatrists and other members of the healthcare team interested in learning more about addiction medicine and how to recognize, treat and/or refer patients with substance use disorders.


Why Participate

Participants will receive a certificate for the completion of all 40 hours as laid out in the curriculum.

  • Gain new skills and knowledge in the field of addiction medicine
  • Lead the way towards integration for primary care
  • Work your way through the program at your own pace
  • Learn from any location with the program's online options
  • Stay ahead of the medical education and policy curve
  • Recognize and improve care for your patients with SUDs
  • Connect with experts and colleagues in the field
  • Get recognized for your time and dedication

Fundamentals Program Competencies

The ASAM Fundamentals of Addiction Medicine 40-Hour Program seeks to help learners achieve nine identified competencies in the addiction medicine field. 

  1. Interact with patients and professional colleagues so as to display professionalism in all activities, by demonstrating commitment to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behavior.
  2. Identify their feelings and attitudes that promote or prevent therapeutic responses to their patients with substance use disorders.
  3. Understand the addictive disorders as developmental biopsychosocial disorders.
  4. Take an evidence-based approach to detecting substance use disorders. 
  5. Respond to positive substance use screening results with brief counseling strategies, appropriate to the patient’s readiness to change.
  6. Use motivational interviewing with patients ambivalent about changing their substance use behavior.
  7. Conduct a biopsychosocial and developmental ambulatory assessment of an adult with a suspected SUD to match the patient to an appropriate level of care.
  8. List the indications, contraindications and duration of treatment of evidence based pharmacotherapy for alcohol, tobacco, and opioid use disorders and refer patient to specialty care where appropriate. 
  9. Reflect on the role of behavioral interventions for patients and families including formal intensive ambulatory and inpatient treatment and informal programs such as mutual aid groups in the recovery process for patients in their practice/ communities.

The 40 hour CME curriculum is structured around these nine competencies, of which each competency has several learning objectives. Activities in the curriculum will align with at least one of the learning objectives.

View the full ASAM Fundamentals of Addiction Medicine 40-Hour Program Blueprint: Competencies and Curriculum Learning Objectives.



Program Description

The ASAM Fundamentals of Addiction Medicine 40-Hour Program is comprised of five activities (defined below) that together equal a total of 40 CME hours.  

Click on the links below or in the navigation pane on the right to learn more about each component of the program.

  • Activity

    CME Hours

    The ASAM Fundamentals of Addiction Medicine – A Live Workshop

    The ASAM Fundamentals of Addiction Medicine--A Live Workshop is a practical, case-based workshop in which participants interact in small groups to discuss information about SUD and its appropriate diagnosis and treatment.  The session will include a mix of brief lectures, demonstration of practice-related skills, and skills building. Participants are recommended to take this component first in order to get the most out of the 40-Hour Program.

    For participants unable to attend the live workshop, ASAM offers a 5-hour online version of the workshop designed to give participants the same knowledge base.

    8 (Live)


    5 (Online)

    The CO*RE/ASAM Pain Management and Opioids: Balancing Risks and Benefits

    The CO*RE/ASAM Pain Management and Opioids: Balancing Risks and Benefits course reviews safe prescribing habits and examines the difference between extended-release and long-acting and short-acting opioid medications. The course will also include information from the CDC guidelines and includes information provided by the FDA blueprint for Risk Evaluation and Mitigation Strategy (REMS) education. 

    Participants of the 40-hour program can attend a live course, live webinar or fulfill the requirement online, at their own pace on ASAM's e-Learning Center. Check the ASAM Calendar for all live courses and webinars. 


    The ASAM Treatment of Opioid Use Disorder Course
    Includes Waiver Qualifying Requirements

    The ASAM Treatment of Opioid Use Disorder Course: Waiver Qualifying Training course covers the medication treatments for Opioid Use Disorder and the requirements needed to obtain the waiver to prescribe buprenorphine under the Drug Abuse Treatment Act of 2000 (DATA 2000) and Comprehensive Addiction and Recovery Act (CARA). This course fulfills 8 of the 24 hours required for NPs and PAs under CARA. Completion of select components of the 40-Hour Program will fulfill requirements for the additional 16 hours.


    Fundamentals of Addiction Medicine ECHO (FAME) Clinics
    (in collaboration with Project ECHO – University of New Mexico)

    The ECHO video conference model is used to connect participants with a panel of addiction and multidisciplinary experts. Clinics are two hours, and include a 20 - 30 minute addiction didactic presentation and lively discussions on case presentations submitted by participants.   

    Participants must attend at least 4 (four) teleECHO clinics. Participants will be expected to present one case to fulfill this component of the 40-Hour Program.   


    Elective Topics

    Participants select from a broad range of topics especially created to meet the needs of primary care physicians and clinicians. Participants may choose from a selection of approved modules and topics based on their needs and the needs of their patients. Completion of additional FAME TeleECHO clinics beyond the required four are also eligible to fulfill this component. Elective topic hours are determined by the number of workshop hours completed for the first activity.





    40 Hours

Program Planning Committee

  • Miriam S. Komaromy, MD, FACP, DFASAM (Chair) 
  • Peter L. Selby, MBBS, CCFP, FCFP, DFASAM (Immediate Past Chair) 
  • Zwaantje H. Hamming, FNP-C, CARN-AP
  • Jill R. Mattingly, DHSc, MMSc, PA-C
  • Kenneth A. Saffier, MD, FASAM 
  • Mario F. San Bartolomé, MD, MBA, MRO, QME, FASAM 
  • J. Paul Seale, MD, FASAM 
  • Jeanette M. Tetrault, MD, FACP, FASAM
  • Alexander Y. Walley, MD, MSc, FASAM 

Agency Support

ASAM thanks the Agency for Healthcare Research and Quality, an agency of the U.S. Department of Health and Human Services, for their support of this FAME series through grant number R18HS025067. 

Disclosure of Commercial Support

The American Society of Addiction gratefully acknowledges the support of the following companies in the development of The ASAM Fundamentals of Addiction Medicine Program.

Indivior provided an unrestricted educational grant to assist with the development, implementation and evaluation of this Fundamentals Program.