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Simulation based learning for methadone prescribing skills

This course is offered at a discounted rate, under the Ministry of Health and Long-Term Care (MoHLTC) funding to support those affected by opioid crisis, and under the CAMH De-implementation of High-Risk Opioid Prescribing and Use initiative.

In their announcement from August 29, 2017, the MoHLTC committed to provide urgent funding to address the opioid crisis. MoHLTC identified treatment for opioid use disorder “as one of three key pillars of a comprehensive approach to addressing Ontario’s opioid crisis,” and a key objective to the plan is to increase addiction treatment in primary care.
The Simulation based learning for methadone prescribing skills, provides the necessary training to increase capacity of primary care physicians, and facilitates their ability to treat people with opioid use disorder.

This course is held under the auspices of the Office of Continuing Education and Professional Development, Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario.

Program description

The simulation-based learning for methadone prescribing skills is offered as an opportunity for physicians to practice methadone prescribing skills, in an environment that imitates real-life situations, without any risk to real patients. In Ontario this course is approved by the College of Physicians and Surgeons of Ontario (CPSO) as an alternative for the two-day practicum required in the process to get the exemption to prescribe methadone.

Delivery method

The simulation learning comprises of cases of patients, each includes simulated appointments in different points of time in their treatment. Each learner will have the opportunity to actively participate in three sessions of simulation, and observe six other sessions, followed by debrief. The debriefs of the sessions will be led by facilitators and include trainees and peers.
Sample agenda can be found here

Learning objectives:

  • following a comprehensive assessment of patient for suitability of MMT, including diagnosis for moderate-severe opioid use disorder, initiated treatment with methadone in compliance with the CPSO MMT standards and guidelines
  • during stabilization phase titrate methadone does based on assessment of patient, and in compliance with the CPSO MMT standards and guidelines
  • during maintenance phase manage methadone treatment based on patient clinical stability including take-home doses, missed doses, and relapse events, in a manner that is safe for patient and the community and incompliance with the CPSO MMT standards and guidelines

Target audience:

Ontario physicians who completed the Opioid dependence treatment core course, and who are looking to complete the practicum component required to get the exemption to prescribe methadone.


This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified for up to 13.5 Mainpro+ credits.

This activity is an Accredited Simulation Activity (Section 3) as defined by the Maintenance of Certification Program of The Royal College of Physicians & Surgeons of Canada, and approved by the University of Toronto on 02/11/2016 and expires 12/18.

Remember to visit MAINPORT ePortfolio ( to record your learning and outcomes. You may claim a maximum of 6.5 hours (credits are automatically calculated).

Course location and dates:

All courses will be offered at the CAMH Addiction medicine services, 100 Stokes St., Toronto (near Queen St. W. & Ossington Ave.)




May 5, 2018
Please click on the link below to register

June 2, 2018
Please click on the link below to register

June 23, 2018
Please click on the link below to register


Robyn Steidman
Education Assistant
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