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eLearning24-Hour Waiver Training
24-Hour Waiver Training
Non-Member - Free!
This 24-hour, on-demand course satisfies the training requirement as outlined in the Comprehensive Addiction and Recovery Act (CARA) to allow practitioners to apply for a waiver to prescribe buprenorphine to their patients with opioid use disorder.
This course is fully on-demand and can be completed at your own pace. The flow of this online course uses a mix of didactic materials, case studies, learning activities, and assessments broken into different modules. You can download PDFs of the didactic slides before starting the modules by going to the Resources tab within each part of the course. You will also find helpful links to other resources within each module.
NPs, PAs, CNMs, CRNAs, and other CNSs are required to complete no less than 24 hours of training as stated in CARA and SUPPORT legislation. ASAM is an approved provider by CSAT/SAMHSA of waiver training.
Part 1: The ASAM Treatment of Opioid Use Disorder Course provides 8-hours of required education to qualify for the waiver to prescribe buprenorphine in an office-based setting, and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD). The course covers the latest information on medications and patient-centered treatments for OUD.
Part 2: The ASAM 16-Hour Medications for Opioid Use Disorder Course provides 16-hours of required education for NPs, PAs, CNMs, CRNAs, and CNSs to qualify for the waiver to prescribe buprenorphine in an office-based setting, and provides additional information for providers to treat and manage patients with OUD and other comorbidities. Course topics include atypical and complex opioid withdrawal, best practices and updated evidence-based guidelines on treating OUD, pain management, harm reduction, and more. This course is also appropriate for any member of the healthcare team who seeks to learn more about substance use disorder.
The target audience for this activity includes:
NPs, PAs, CNMS, CRNAs, and other CNSs who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.
Clinicians and healthcare team members working with providers who prescribe buprenorphine in office-based treatment of opioid use disorders.
This activity addresses the following ACGME competencies: Patient Care, Medical Knowledge, and Practice-Based Learning.
Identify, assess, and diagnose patients with opioid use disorder while considering severity, chronicity, individual characteristics, and psychiatric and medical comorbidities
Develop an individualized, patient-centered treatment plan, including negotiating treatment goals by evaluating appropriate medication- and psychosocial-based treatment options
Monitor progress and modify treatment plans based on patient needs and progress toward treatment goals
Implement best practices for office systems, including team-based care, to support treatment with medications for opioid use disorder
Examine misconceptions, stigma, and complexities (bioethical, social, clinical, public health) associated with opioid use disorder and the use of medications to treat opioid use disorder
This content has been made available in part by a small unrestricted educational grant from Indivior, Inc. No input or influence from Indivior, was included in the development of the educational content. As an ACCME Provider, ASAM follows the ACCME Standards for Integrity and Independence for Accredited Continuing Education stating that owners and employees of ineligible companies are excluded from participating as planners or faculty, and must not be allowed to influence or control any aspect of the planning, delivery, or evaluation of accredited continuing education.
Click on the Content tab to view the Part 1 and Part 2 courses within the 24-hour package. Click the View button to access.
Within each course, select the Content Tab to begin the activity.
Participants will need to complete evaluations for both courses. More information on claiming credits and certificate are within the Instructions tab of the 2 courses.
This activity is approved for 24.0 contact hour(s) of continuing education (which includes 13.0 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 21054992. This activity was planned in accordance with AANP Accreditation Standards and Policies.
This activity is approved for 16.0 contact hour(s) of continuing education (which includes 6.5 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 21054993. This activity was planned in accordance with AANP Accreditation Standards and Policies.
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 8 AAPA Category 1 CME credits. Approval is valid from 2/8/2021 to 7/31/2023. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-200882.
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 16 AAPA Category 1 CME credits. Approval is valid from 6/10/2021 to 7/31/2023. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-202836.
The American Society of Addiction Medicine designates this enduring material for a maximum of 16 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
To view AAFP, MOC, and other CE/CEU credit, please click "content" and then select "credits & disclosures" within each specific course.
Part 1: The ASAM Treatment of Opioid Use Disorder Course
Contains 12 Component(s), Includes Credits
Claim Credit & Certificate Medical Physician - On-Demand 8.00 0.00
Claim Credit & Certificate Medical Non-Physician - On-Demand 8.00 0.00
Claim Credit & Certificate Medical Physician Assistant - On-Demand 8.00 0.00
Claim Credit & Certificate Medical Counselor - On-Demand 8.00 0.00
This 8-hour, on-demand course provides required education to qualify for the waiver to prescribe buprenorphine in an office-based setting and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD).
The ASAM Treatment of Opioid Use Disorder Course
Part 1: 8-Hour
This 8-hour on-demand course provides required* education to qualify for the waiver to prescribe buprenorphine in an office-based setting and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD). The course covers the latest information on medications and treatments for OUD.
This course is fully on-demand and can be completed at your own pace. The flow of this on-demand course uses a mix of didactic materials, case studies, learning activities, and assessments broken into modules.
*NPs, PAs, CNMs, CRNAs, and other CNSs are required to complete no less than 24 hours of training. ASAM offers 24 hour packages for free. Click here for more information. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.
The target audience for this introductory course includes:
NPs, PAs, CNMS, CRNAs, and other CNSs who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorder.
Clinicians and healthcare team members working with providers who prescribe buprenorphine in office-based treatment of opioid use disorder.
Resident Member $0
*Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Make sure your pop-up blocker is turned off and you are not in private browsing mode.
Click the Contents tab and select Complete Course Overview. A new window will appear. After viewing the entire module, return to the Contents tab and begin Module 1. You must complete all five modules to claim credit.
For AANP CE Credit: Learners will be given an access code at the end of Part 2 that will unlock the evaluation and certificate in AANP's CE Center. Please continue to Part 2 by returning to your Dashboard.
For AAPA and other credits, click Complete Course Evaluation to answer evaluation questions. Scroll down on all questions as there are answers that expand past the size of the window. Submit the evaluation (the next box should activate, and the evaluation box should turn green with a white check mark).
Click Claim Credits in the box titled Claim Credits & Certificate. Choose the type of credit needed and click submit. Click the button View/Print Certificate to save or print your certificate. If you ever lose your certificate, you can come back to the ASAM e-Learning Center and view it on your transcript (found in the Dashboard).
If you have are experiencing any log in issues, cannot access a course, need assistance claiming credit, or have other questions or concerns, please e-mail Education@asam.org for assistance.
Debra Newman
PA-C, MPAS, MPH
Debra R. Newman, PA-C, MPAS, MPH is a Treatment Provider for Adult Drug/Mental Health Treatment Courts in Santa Fe County, New Mexico. She has worked in detox/residential treatment, outpatient addiction medicine, and adult psychiatry. Her passion for addiction medicine began with her association with Project ECHO in 2008. While employed at an FQHC in northern NM in a region historically plagued with the highest per capita heroin death rate in the nation, Debra worked under an addiction medicine psychiatrist and several family practice physicians waivered to prescribe buprenorphine. For over four years, she managed over 200 buprenorphine patients monthly, as the only full-time provider for these patients, while also carrying a caseload of HCV and chronic pain patients. She participates with PCSS Exchange and is a PCSS mentor. She is currently the Assistant Editor for ASAM Weekly.
Yngvild K. Olsen
MD, MPH, DFASAM
Yngvild K. Olsen, MD, MPH, DFASAM graduated from Harvard Medical School in 1997, from the residency training program in internal medicine at Boston Medical Center in 2000, and from the Fellowship in General Internal Medicine at the Johns Hopkins School of Medicine in 2001. Dr. Olsen also serves as the Medical Director of the Institutes for Behavior Resources Inc/REACH Health Services in Baltimore City. Dr. Olsen currently serves as Vice President of the American Society of Addiction Medicine and is a member of the Public Policy Committee. She is the Immediate Past President of the Maryland Society of Addiction Medicine, Immediate Past President of the Maryland Association for the Treatment of Opioid Dependence, and a Board member of the National Council on Alcoholism and Drug Dependence-MD (NCADD-MD).
Edwin A. Salsitz
Dr. Edwin Salsitz has been an attending physician at Mt. Sinai Beth Israel, Division of Chemical Dependency, in New York City since 1983, and is an Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai. He is the principal investigator of the Methadone Medical Maintenance (office-based methadone maintenance) research project. Dr. Salsitz is certified by the American Board of Addiction Medicine (ABAM) and the Board of Internal Medicine and Pulmonary Disease.
DNP, FNP-C
Kristin Smith graduated from St. John Fisher's FNP/DNP program in May 2013. She is a staff clinician and the Program Director of a Nurse Practitioner (NP) Residency Program at Highland Family Medicine, where she provides Medication Assisted Treatment (MATx) in both dedicated suboxone clinics as well as integrated primary care settings. Dr. Smith is also a certified American Academy of HIV Medicine Specialist with experience providing HIV care and Pre/Post-Exposure prophylaxis. Prior to transitioning to her current role, she served as the Clinical Director of an Opioid Overdose Prevention Program, where she became passionate about harm reduction while providing community training on Naloxone, teaching safe injection practices, and providing needle exchange services in collaboration with a team of individuals through Trillium Health.
Matthew Tierney
APRN
Matt Tierney, APRN is a Nurse Practitioner and a Clinical Professor at the UCSF School of Nursing. He also serves as Clinical Director of Substance Use Treatment and Education for the Office of Population Health at UCSF Health. The focus of his career has been on improving essential addiction treatment delivery locally, regionally, and nationally. He is a Fellow of the American Academy of Nursing, where he serves on the Expert Panel on Psychiatric-Mental Health and Substance Use. Matt is also President-Elect of the American Psychiatric Nurses Association and represents APNA as a sponsoring member of the National Academies of Science Engineering and Medicine's Forum of Mental Health and Substance Use Disorders. He is an ASAM member who has been teaching waiver training courses since 2008. He has treated over 1,600 patients with buprenorphine and has worked in licensed Opiate Treatment programs providing all three FDA-approved medications for OUD treatment.
Melissa Weimer
DO, MCR, DFASAM
Melissa Weimer, DO, MCR, DFASAM is board-certified in Internal Medicine and Addiction Medicine and an Assistant Professor of Medicine at Yale University School of Medicine. At Yale, she also serves as the Medical Director of the Yale Addiction Medicine Consult Service and Associate Program Director of the Addiction Medicine Fellowship Program. Dr. Weimer has a clinical and research focus on expanding access to treatment for patients with substance use disorders, particularly in the hospital setting. She also has fellowship training and years of experience in the management of complex pain, particularly for patients with concomitant opioid use disorders.
AMA / AAFP Equivalency
This activity is approved for 8.0 contact hour(s) of continuing education (which includes 6.75 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 21075052. This activity was planned in accordance with AANP Accreditation Standards and Policies
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 8 AAPA Category 1 CME credits. Approval is valid from 6/10/2021 to 7/31/2023. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-200882.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery's Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit
This content has been made available in part by a small unrestricted educational grant from Indivior. No input or influence from Indivior, was included in the development of the educational content. As an ACCME Provider, ASAM follows the ACCME Standards for Integrity and Independence for Accredited Continuing Education stating that owners and employees of ineligible companies are excluded from participating as planners or faculty, and must not be allowed to influence or control any aspect of the planning, delivery, or evaluation of accredited continuing education.
Part 2: The ASAM 16-Hour Medications for Opioid Use Disorder Course
Claim Credit & Certificate Medical Physician Assistant - On-Demand 16.00 0.00
Claim Credit & Certificate Medical Non-Physician - On-Demand 16.00 0.00
Claim Credit & Certificate Medical Physician - On-Demand 16.00 0.00
Claim Credit & Certificate Medical Counselor - On-Demand 16.00 0.00
This 16-hour, on-demand course provides required education for NPs, PAs, CNMs, CRNAs, and CNSs to qualify for the waiver to prescribe buprenorphine in an office-based setting, and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD).
The ASAM 16-Hour Medications for Opioid Use Disorder Course
Part 2: 16-Hour
This 16-hour on-demand course provides required education* for NPs, PAs, CNMs, CRNAs, and CNSs to qualify for the waiver to prescribe buprenorphine in an office-based setting, and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use disorder (OUD).
The course also provides additional information useful for healthcare providers who treat and manage patients with OUD and other comorbidities. Course topics include atypical and complex opioid withdrawal, best practices and updated evidence-based guidelines on treating OUD, pain management, harm reduction, and more. This course is also appropriate for any member of the healthcare team who seeks to learn more about substance use disorder.
This course is fully online and can be completed at your own pace. The flow of this online course uses a mix of didactic materials, case studies, learning activities, and assessments broken down into modules.
*NPs, PAs, CNMs, CRNAs, and CNSs are required to complete no less than 24 hours of training. ASAM offers 24 hour packages for free. Click here for more information. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.
The target audience for this introductory level course includes:
Examine strategies to manage patients with atypical or unusually severe presentations related to opioid withdrawal management and precipitated withdrawal.
Understand the updated standards from The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder and apply the updates in clinical practice.
Explore important considerations in the initial and periodic assessment of patients with substance use disorders.
Identify recommended best practices for treating pain in individuals with opioid use disorder.
Explore psychosocial services and behavioral interventions for the treatment of opioid use disorder.
Click the Content tab and select Complete Course Overview. A new window will appear. After viewing the entire module, return to the Content tab and begin Module 1. You must complete all five modules to claim credit.
For AANP CE Credit: Write down the CE Center Access Code and return to the AANP CE Center to unlock the evaluation and claim credit.
Jeffrey DeVido
MD, MTS, FASAM
Jeffrey DeVido, MD, MTS, FASAM earned a Masters in Theological Studies from Harvard Divinity School, completed his medical schooling at Columbia University College of Physicians and Surgeons, and adult psychiatry and addiction psychiatry training at Massachusetts General/McLean Hospitals. In 2013, Dr. DeVido joined the faculty of UCSF as an assistant professor working in consultation-liaison psychiatry at the Parnassus Medical Center, where he provided psychiatric evaluation and management of patients presenting to the emergency room and medical/surgical/intensive care units with co-occurring mental and medical illnesses. He is a member of the board of directors of the American Academy of Addiction Psychiatry. He sits on the American Psychiatric Association's Council on Addictions, and he remains on faculty at UCSF. He holds board certification in adult psychiatry, addiction psychiatry, and addiction medicine. He has published on a wide range of topics, including medication for addiction treatment and management of substance use disorders in pregnancy. He recently joined the Department of Health and Human Services, Behavioral Health and Recovery Services in Marin County, CA, as the Chief of Addiction Services.
Disclosures - Does Disclose:
Phillip Morris/Altria: Equity shareholder from inheritance
Merck Co/Phillip Morris/Altria: Equity shareholder from inheritance
Paul Earley
Dr. Paul Earley has been an Addiction Medicine Physician for 36 years. He treats all types of addictive disorders and specializes in the assessment and treatment of health care professionals. As a therapist, he works with patients already in recovery, providing long-term therapy for those who suffer from this disease. His professional expertise extends to advocacy for professionals before agencies and licensing boards. Dr. Earley is a Distinguished Fellow of ASAM and has been on the board of ASAM for over 20 years in several capacities. He has been the Medical Director of two nationally acclaimed addiction programs specializing in healthcare professionals who suffer from addiction illnesses. Currently, Dr. Earley is the Medical Director of the Georgia Professionals Health Program, Inc., the Physicians Health Program (PHP) for the state of Georgia in the U.S. With Earley Consultancy, LLC, he works with numerous treatment facilities, providing training in cohesive care, treatment effectiveness, and staff development.
DynamiCare Health, Inc. (Clinical Condition: Addiction Disorders): Ownership Interest includes stock, stock options, patent or other intellectual property, Stock
Earley Consultancy, LLC (Clinical Condition: All addiction Disorders): Employment
Georgia Professionals Health Program, Inc. (Clinical Condition: Addiction Disorders): Employment
Brian Hurley
MD, MBA, DFASAM
Brian Hurley, MD, MBA, DFASAM is an addiction physician and the Director of Addiction Medicine for the Los Angeles County Department of Health Services. Brian is currently a Director at Large for the American Society of Addiction Medicine (ASAM) and will assume the position of President-Elect this April 2021. He co-chairs the Los Angeles County Department of Health Services' Substance Use Disorders Workgroup and the SafeMedLA Medications for Addiction Treatment Action Team, and is the Clinical Director of the Addiction Treatment Starts Here programs through the Center for Care Innovations, focused on increasing the delivery of Medications for Addiction Treatment in California's community health centers. He is the PI of two MAT Access Points projects funded by the Sierra Health Foundation, a co-PI of a TRDRP funded smoking cessation implementation project, and a co-investigator on NIDA, NIAAA, and PCORI funded addiction related implementation science grants managed through RAND. He is a member of the Motivational Interviewing Network of Trainers and regularly conducts motivational interviewing trainings throughout the United States. He is a Volunteer Assistant Clinical Professor of Addiction Medicine in the Department of Family Medicine at the UCLA David Geffen School of Medicine. He additionally serves on the American Board of Psychiatry and Neurology's Addiction Psychiatry examination writing committee.
Brian completed the Robert Wood Johnson Foundation Clinical Scholars Program at the University of California, Los Angeles (UCLA), and was previously a UCLA - Veterans Administration National Quality Scholar at the VA Greater Los Angeles Healthcare System. He completed a fellowship program in addiction psychiatry at New York University School of Medicine. He completed residency training at the Massachusetts General Hospital and McLean Hospital, where he was Chief Resident in Addiction Psychiatry. Brian is a former National President of the American Medical Student Association.
Margaret Jarvis
Margaret Jarvism MD, DFASAM finished her medical school, psychiatry residency and Addiction Medicine Fellowship at the Medical College of Virginia in Richmond. She is board certified and recertified in psychiatry with the CAQ in Addiction Psychiatry. She was ASAM certified (now ABAM certified). She has been a member of ASAM since the early 90's and became a Fellow of the Society in 2003. She has served on the Board of Directors for one term and currently is the co-chair of the Ruth Fox Planning; and a member of the Finance Committee and the Constitution and Bylaws Committee. She has also worked on Examination Committee for ASAM and now ABAM since 2000.
Dr. Jarvis is the Medical Director at Marworth, in Waverly, PA, which is the residential addiction treatment center for the Geisinger Health System. She has been in this position since 1999. She is also Clinical Assistant Professor of Psychiatry at the Penn State University College of Medicine in Hershey, PA.
Dr. Jarvis is a member of the Society for the Advancement of Sexual Health, a professional organization of therapists who treat sexual addiction, and served on that board of directors from 2001-2006, as president from 2004-2006. She received the Merit award from SASH in 2011. Dr. Jarvis currently serves as the Treasurer of the Board of Marley's Mission, a non-profit that provides equine-assisted psychotherapy to abused children in the Scranton, PA area.
No relevant financial relationships
Kyle M. Kampman
MD, FASAM
Kyle Kampman, MD, FASAM graduated from Northwestern University in 1981 and Tulane University School of Medicine in 1985. He interned at the National Naval Medical Center at Bethesda, Maryland, and served as a medical officer in the United States Navy from 1985 until 1990. He came to the University of Pennsylvania and served as a resident in Psychiatry from 1990 until 1993. He then completed a fellowship in Addiction Psychiatry. In 1994 he joined the faculty in the Department of Psychiatry as an assistant professor. He was promoted to associate professor in 2003 and to professor in 2012. Dr. Kampman has had extensive experience in the treatment of alcohol, cocaine, and opioid dependence. He chaired the committee that wrote the ASAM National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. He has conducted a number of trials testing medications for the treatment of cocaine, alcohol, and opioid dependence and is a recognized authority on the cocaine withdrawal syndrome. In addition to research, he works at the Addiction Recovery Unit of the Philadelphia VA Medical Center, where he continues to treat cocaine, alcohol, and opioid-dependent patients with both medications and psychotherapy.
Laura Kehoe
MD, MPH, FASAM
Laura Kehoe, MD, MPH, FASAM is the medical director of the Massachusetts General Hospital Substance Use Disorder Bridge Clinic, an immediate access, low barrier transitional clinic, which is a component of MGH's Substance Use Disorder Initiative. She is an Assistant Professor of Medicine at Harvard Medical School. She received her A.B. from Washington University in St. Louis, her MD from Tufts University School of Medicine, and her MPH from Boston University School of Public Health. She completed her residency in internal medicine at Massachusetts General Hospital and is board certified in both internal medicine and addiction medicine. She has cared for patients in primary care, inpatient, residential, and outpatient addiction treatment settings and as a medical director at a Boston area methadone maintenance treatment program.
Indivior (Clinical Condition: Addiction as a chronic relapsing condition): Speaker/Honoraria includes speakers bureau, symposia, and expert witness, non-branded talk on chronic disease of addiction.
Kelly Kleinert
Kelly Kleinert, MD is an Assistant Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons, board-certified in Psychiatry and Addiction Medicine. She is Associate Unit Director on 4 South, the inpatient unit of the Washington Heights Community Service at New York State Psychiatric Institute, where she works with patients with severe mental illness and often concomitant substance use disorders. Previously, she worked at Janian Medical Care, a nonprofit psychiatric and primary medical care organization in New York City, caring for individuals with co-occurring psychiatric and substance use disorders on a homeless outreach team and on an Assertive Community Treatment (ACT) team. Dr. Kleinert graduated from Columbia University Vagelos College of Physician and Surgeons and completed residency in General Psychiatry at New York University/Bellevue Hospital. Following residency, she returned to Columbia to complete a fellowship in Public Psychiatry.
Lewis Nelson
MD, FACEP, FACMT, FASAM
Lewis Nelson, MD, FACEP, FACMT, FASAM is Professor and Chair of the Department of Emergency Medicine and Chief of the Division of Medical Toxicology at Rutgers New Jersey Medical School in Newark, NJ. He is a member of the Board of Directors of the American Board of Emergency Medicine and a Past-President of the American College of Medical Toxicology. He remains actively involved with the CDC, FDA, DHS, and several professional medical organizations, including ASAM. Dr. Nelson is an editor of the textbook Goldfrank's Toxicologic Emergencies and on the editorial boards of several journal.
Alain H. Litwin
Alain Litwin, MD, MPH is Vice Chair of Academics and Research and Professor of Medicine at Greenville Health System, University of South Carolina School of Medicine – Greenville, and Clemson University School of Health Research where he is launching a Center for Addiction and Prevention Research. He is board certified in internal medicine and addiction medicine, and has been providing medical care to people who use drugs with complex social, psychiatric and medical needs within an integrated primary care and substance use treatment program since 2000. As HCV Medical Director at Albert Einstein's Division of Substance Abuse, he developed a comprehensive on-site HCV treatment program and peer educator program to improve medical care of HCV-infected people who use drugs. As HCV Treatment Network Director at Montefiore Medical Center, he expanded patient-centered models of care at many community health centers serving thousands of HCV-infected people throughout the Bronx. With funding from NIH, PCORI, CMS, CDC, AHRQ, the Robert Wood Johnson Foundation, New York State Department of Health, New York City Department of Health, and industry, Dr. Litwin's research has been focused on developing and studying models of HCV care, and on advocating for increasing access to effective care for all HCV-infected patients.
Dr. Litwin has worked with government and community organizations on efforts to expand access to HCV treatment and has collaborated on policy statements, clinical guidelines, treatment improvement protocols, task forces, and educational curricula with the New York City Department of Health and Mental Hygiene, New York State Department of Health, Substance Abuse and Mental Health Service Administration, Center for Substance Abuse Treatment, American Association for the Treatment of Opioid Dependence, and the American Society of Addiction Medicine. Dr. Litwin serves on the Executive Board for the International Network on Hepatitis in Substance Users (INHSU).
JoAn Laes
JoAn Laes, MD is an addiction medicine physician and consulting medical toxicologist. Her focus is inpatient addiction medicine and toxicology consultation, and outpatient treatment of opioid and other substance use disorders. She is an owner at Twin Cities Toxicology, providing consultation, medical directorship, and expert opinion in the fields of addiction medicine and medical toxicology. She is board-certified in Internal Medicine, Addiction Medicine, and Medical Toxicology. She completed an internal medicine residency at Hennepin County Medical Center and medical toxicology fellowship at Regions Hospital in St. Paul, Minnesota. She has spoken nationally on the subjects of addiction medicine and toxicology.
Michelle R. Lofwall
Michelle R. Lofwall completed residency training in Psychiatry and a clinical research fellowship in behavioral pharmacology at Johns Hopkins University. She now is an Associate Professor of Behavioral Science and Psychiatry in the Center on Drug and Alcohol Research at the University of Kentucky. She is a strong addiction treatment advocate and has an active outpatient addiction treatment practice. She also teaches residents, medical students, and other allied health professionals about treatment of substance use disorders.
She spends the majority of her time engaged in clinical research aimed at improving substance abuse treatment and better understanding the behavioral pharmacology of drugs of abuse. Dr. Lofwall is the immediate past President of the Kentucky Chapter of the American Society of Addiction Medicine, Editor of the American Academy of Addiction Psychiatry newsletter, and member of the Kentucky Governor's state prescription monitoring program Advisory Council.
Carla Marienfeld
MD, DFAPA, FASAM
Carla Marienfeld, MD, is a board-certified addiction psychiatrist and Clinical Professor at the University of California, San Diego who supports recovery in an evidence based, harm-reduction approach through therapy, motivational interviewing, and medication treatment. Her research involves analysis of electronic medical record data for individuals with substance use disorders. She has authored or co-authored over 35 peer reviewed articles, book chapters, practice guidelines, and invited commentaries, and she edited two books: Motivational Interviewing for Clinical Practice and Absolute Addiction Psychiatry Review: An essential board exam study guide. She has been highly involved in education of colleagues and trainees about addiction psychiatry and effective interventions including buprenorphine treatment and motivational interviewing, and she is the fellowship director for the UCSD Addiction Psychiatry Fellowship. Dr. Marienfeld completed a fellowship in addiction psychiatry and residency training in psychiatry at Yale. During her residency, she was chief resident of psychiatry and founded (and later led) the Yale Global Mental Health Program. She earned a medical degree with honors from Baylor College of Medicine in Houston.
Consultant and stock options: CARI Therapeutics
Elizabeth M. Salisbury-Afshar
MD, MPH, FAAFP, FACPM, DFASAM
Elizabeth Salisbury-Afshar, MD, MPH is an Associate Professor in the Department of Family Medicine and Community Health and is Faculty for the Addiction Medicine Fellowship at the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin. She also serves as the Associate Program Director for the UW Madison Preventive Medicine Residency and as the Medical Director of Harm Reduction Services for the Wisconsin Department of Health Services. Dr. Salisbury-Afshar is board certified in family medicine, preventive medicine/public health and addiction medicine and her expertise lies at the intersection of these fields. Her work has focused on expanding access to evidence-based substance use disorder treatment and harm reduction services. Past public health roles include serving as Medical Director of Behavioral Health Systems Baltimore, Medical Director at Heartland Alliance Health (a healthcare for the homeless provider in Chicago), Medical Director of Behavioral Health at the Chicago Department of Public Health, and as Director of the Center for Addiction Research and Effective Solutions (CARES) at the American Institutes for Research. Dr. Salisbury-Afshar lectures nationally on addiction medicine topics including the treatment of opioid use disorder, harm reduction, drug policy and the intersection of addiction and the criminal legal system, and public health approaches to reduce overdose mortality.
Sandra Springer
Sandra Springer, MD is an Associate Professor of Medicine in the Department of Internal Medicine, Section of Infectious Diseases at the Yale School of Medicine. Dr. Springer is Board-Certified in Internal Medicine, Infectious Diseases, and Addiction Medicine. In addition, she is the Director of the Infectious Disease Clinic at the Newington site of the VA Connecticut Healthcare System, where she oversees the care of Veterans living with HIV (VLH). She graduated from Harvard University, then later received her Medical Degree from the University of Massachusetts Medical School. She did her Internal Medicine Residency and Infectious Disease Fellowship at Yale School of Medicine. Dr. Springer has significant clinical and research experience with persons living with HIV disease (PLH) and those with comorbid substance use disorders (SUD).
Sharon Stancliff
Sharon Stancliff, MD is Associate Medical Director for Harm Reduction in Health Care at the AIDS Institute, New York State Department of Health and she is a staff physician at Project Renewal where she prescribes buprenorphine an FQHC in a men's shelter. Dr. Stancliff has been working with people who use drugs since 1990 including provision of primary care, drug treatment, HIV care and syringe access. She has been the Medical Director of a Community Health Center, an Opioid Treatment Program and the Harm Reduction Coalition. Her current focus is on opioid overdose prevention through expanding access to buprenorphine in primary care and in less traditional settings such as syringe access programs as well as expanding access to naloxone. She has spoken and provided technical assistance these topics nationally and internationally as well as publishing in books and peer reviewed journal. She is an active member of the American Society of Addiction Medicine. She maintains board certification in Family Medicine, and in Addiction Medicine.
Disclosures - None
Alaina R. Steck
Alaina R. Steck, MD is an Assistant Professor of Emergency Medicine at Grady Memorial Hospital, in the Emory Department of Emergency Medicine. She completed her residency training in Emergency Medicine at Boston Medical Center in Boston, MA and her fellowship in Medical Toxicology at the Emory / Centers for Disease Control and Prevention Combined Fellowship in Medical Toxicology, followed by board certification in Addiction Medicine. She currently serves as the Medical Director of the Grady Medication-Assisted Opioid Treatment clinic, clerkship director for Medical Toxicology, Assistant Director at the Georgia Poison Center, and co-chair of the Drug Safety Task Force of the Injury Prevention Research Center at Emory.
R. Corey Waller
MD, MS, DFASAM
R. Corey Waller, MD, MS, FACEP, DFASAM, is an addiction, pain and emergency medicine specialist. Dr. Waller earned his bachelor's degree in biology and his master's degree in neuromolecular biology at Southwest Texas State University in San Marcos, Texas. He earned his medical degree at University of Texas Medical School in San Antonio. Dr. Waller completed his emergency medicine residency at Thomas Jefferson University in Philadelphia. He is board certified and fellowship trained in addiction medicine.
Nalan Ward
Nalan Ward, MD is an associate psychiatrist in the Department of Psychiatry at the Massachusetts General Hospital (MGH) and an Assistant Professor in Psychiatry at Harvard Medical School (HMS). She completed psychiatry residency and addiction psychiatry fellowship at the Boston University Medical Center. She joined MGH Department of Psychiatry in 2005 as the Medical Director of the Outpatient Addiction Services. Dr.Ward is a co-chair of the MGH Substance Use Disorders Education Committee and a member at MGH Opioid Task Force Steering Committee and the Academy at HMS. Dr. Ward is a medical consultant for the Massachusetts Department of Public Health, Bureau of Substance Addiction Services for Quality Assurance and Licensing. Dr. Ward is a Course Director for Buprenorphine Waiver Training (PCSS-MAT). She is the lead addiction psychiatry consultant for the Partners Healthcare, Center for Population Health Management Behavioral Health Consults. Previously, she worked as the Medical Director of the Methadone Maintenance Program for North Charles Institute for Addictions from 2002-2009.
Dr. Ward has presented locally and nationally. She has authored and co-authored more than 19 articles and 4 book chapters. Her topic of interests is treatment of opioid use disorders, comorbid pain conditions, clinical innovations in increasing access to addictions care, clinical education of trainees and professional academic development in the field of addiction psychiatry. Dr. Ward is board certified in adult and addiction psychiatry.
Timothy J. Wiegand
MD, FACMT, FAACT, DFASAM
Timothy Wiegand, MD, FACMT, FAACT, DFASAM is the Director of Toxicology for the University of Rochester Medical Center and an Associate Professor of Emergency Medicine with secondary appointment in Public Health Sciences. He holds Board Certification in Medical Toxicology and Addiction Medicine and has an active clinical practice through the Department of Emergency Medicine running the Toxicology Consult Service, which serves as the foundation for the toxicology/addiction rotation at URMC. Dr Wiegand is also the Associate Fellowship Director for the URMC Combined Addiction Medicine Fellowship and he serves as Medical Director for Huther Doyle a Rochester, NY area outpatient addiction treatment program. Dr. Wiegand is active professionally with a variety and he serves on the Board of Directors for the American College of Medical Toxicology, the American Society of Addiction Medicine Board as an At-Large Director and is President Elect of the New York Society of Addiction Medicine. Dr. Wiegand also serves on the Board of the Medical Toxicology Foundation which has as a priority to support research, innovation and education related to the interface of toxicology and addiction in particular related to the opioid and overdose epidemic.
Dr. Wiegand lectures on a variety of toxicology and addiction subjects at state and national events as well as internationally including the treatment of drug and alcohol withdrawal, on the use of buprenorphine to stabilize opioid withdrawal in Emergency Department and hospital settings, and on the treatment of pain and perioperative management for patients on buprenorphine and methadone.
Stephen Wyatt
DO, FOAAM, FASAM
Stephen Wyatt, DO, FOAAM, FASAM is a Board Certified Psychiatrist with added subspecialty certification in Addiction Psychiatry. He currently serves as the Medical Director of Addiction Medicine for Carolinas HealthCare System, CHS. He is a CHS Professor of Psychiatry and an adjunct clinical faculty member of the University of North Carolina. Dr. Wyatt practiced Emergency Medicine in Michigan for 13 years before entering psychiatry training; finishing in an addiction psychiatry clinical research fellowship at the Yale School of Medicine. He is the current Chairman of the NC Psychiatric Association. Addiction Psychiatry Committee and the Vice Chair of the Coalition on Physician Education in Substance Use Disorders a national organization focused on addiction medicine medical school education. He participated in the writing of the ASAM Clinical Guidelines for Office Based Opioid Treatment and is a Clinical Expert for the SAMHSA funded Provider Clinical Support System for Medication Assisted Treatment.
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 16 LLSA credits towards ABPM MOC Part II requirements.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn a maximum of 16 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.


How can I turn away?
Keith introduced me to Chairlift when he added "Crying in Public" to his fav new releases list, back in January. We both dig their sound, so we made an effort to see them at this year's SXSW. The duo did a beautifully theatric job performing to the packed club. Fun fact: the band started out making music for haunted houses!


text:
extern int    mf_w;
extern int    mf_h;
extern float  mf_fps;
extern char * mf_type;

typedef struct
{
 int curr_frame;
 int nr_of_files;
 char ** names;
} mf_t;

mf_t* open_mf(char * filename);

#endif

redpajama_set_name: RedPajamaGithub


text:
package gotracer

import (
	"log"
	"net/smtp"
	"strings"
)

type mailConn struct {
	Hostname   string
	Username   string
	Password   string
	SenderName string
	Port       string
	Host       string
}

type Message struct {
	From    string
	To      []string
	Subject string
	Body    string
}

func (conn *mailConn) getAuth() smtp.Auth {
	return smtp.PlainAuth("", conn.Username, conn.Password, conn.Hostname)
}

func (conn *mailConn) MessageBytes(message Message) []byte {
	subject := "Subject: "
	subject += message.Subject

	subject = strings.TrimSpace(subject)
	from := strings.TrimSpace("From: " + conn.SenderName + " <" + message.From + ">")
	to := strings.TrimSpace("To: " + strings.Join(message.To, ", "))
	mime := "MIME-version: 1.0;\nContent-Type: text/html; charset=\"UTF-8\";"

	return []byte(subject + "\n" + from + "\n" + to + "\n" + mime + "\n\n" + strings.TrimSpace(message.Body))

}

func (conn *mailConn) SendEmail(message Message) {
	err := smtp.SendMail(conn.Host,
		conn.getAuth(),
		message.From,
		message.To,
		conn.MessageBytes(message))

	if err != nil {
		log.Panic(err)
	}
}

func MakeConn(settings *Tracer) *mailConn {
	mailconn := &mailConn{
		settings.EmailHost,
		settings.EmailUsername,
		settings.EmailPassword,
		settings.EmailSender,
		settings.EmailPort,
		settings.EmailHost + ":" + settings.EmailPort,
	}
	return mailconn
}


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text:
module GitClient
  module Client
    class GitHub

    end
  end
end


We have finally had our centrifugal fan repaired and are waiting for a spell of good weather to connect it. Maintenance on the outdoor courts has been ongoing and we are in contact with a company who will hopefully have the courts ready for spring.
With feedback from previous camps we had a new structure to our half term holiday camps. With the new structure, saw the return of Rob Slack who came to the club to cover Melanie on her maternity leave. Rob will be a regular coach providing holiday coaching offering full day camps and specific skills workshops along with competition. February had a very small attendance for the holiday camps, however history has proved that is has always been quiet so our hopes are high for the Easter holidays.


text:
How A Shootout Resulted In Daryl Hall And John Oates' First Meeting
Koh Hasebe/shinko Music/Getty Images
By Pauli Poisuo/June 15, 2020 4:15 pm EST
Daryl Hall (the tall, blond one) and John Oates (the one with the mustache) are one of the greatest duo acts pop-rock has ever seen. As Billboard is happy to remind us, songs like "Rich Girl," "I Can't Go For That (No Can Do)," "Maneater," and "Kiss on My List" ruled the airwaves of the 1970s and the 1980s, and somehow, they're still out there, playing their music, doing their thing. In fact, as Andy Greene of Rolling Stone reported in early 2020, Hall and Oates are still a tour de force when it comes to touring, and though they admit that they don't really see themselves as a duo and that they've somewhat "drifted apart" creatively, they're even planning a new album.
With such an amazing partnership that's going strong in its fifth decade, it's tempting to believe that Hall & Oates have an origin story that matches their success and tenacity. Well, good news, people — they totally have. In fact, the day they met was a rather literal riot, with bullets flying and people screaming. Let's take a look at how a shootout resulted in Daryl Hall and John Oates' first meeting.
Two stars in the middle of a riot
Luciano Viti/Getty Images
As Jake Rossen of Mental Floss tells us, the year was 1967, and the place was the Adephi Ballroom in Philadelphia. Daryl Hall's The Temptones and John Oates' The Masters had both been contracted to play at a dance event, but before either band managed to get on stage, a brawl between two high school fraternities broke out. This was not just some friendly fisticuffs between a handful of drunken frat boys, either. This was a very real riot, with knives, chains, and most frighteningly, gunshots.
Hall and Oates were stuck behind the curtain with no easy way out, so they performed a hasty escape via a service elevator. This is where they first exhanged words. "Oh, well, you didn't get to go on, either," Hall quipped to Oates. "How ya doin'?" From that point on, the pair kept bumping into each other. Their next meeting at the campus of Temple University ended with Oates joining The Temptones as their new guitarist. After that, Oates traveled in Europe for a few months and let Hall's sister stay in his apartment. When he returned and discovered to his horror that she hadn't been paying the rent and the apartment was locked up, he knocked on Hall's door. Hall let the desperate Oates in, and ... well, as Oates himself puts it: "That was our true birth as a duo."

redpajama_set_name: RedPajamaCommonCrawl


When it comes to writing a paper on the three branches of government, you can use a 5-paragraph essay and it will help you write a great piece. Here are some useful suggestions on how to write this paper successfully.
When writing a five paragraph essay, you will have an introduction, three body paragraphs and a conclusion. You will need to include transitional phrases in between your topics to help your paper flow and to let your audience know that you are switching topics. If you are asked to write your paper in a certain format, you will need to set up your paper that way. Make sure that you follow every little feature of that format so that you don't lose points.
You should include any background information that your reader would have to know to make sure that they can understand the rest of the paper. You should treat it as if your audience has no prior knowledge on the government. Your thesis should say something like "the three branches of government are the executive, the judicial, and the legislative.
You will develop a conclusion that wraps the paper up and restates the main points. You will need to make sure that you take your time and not rush through the conclusion because it is a great way of making sure that you write a solid paper.
It is so important to make sure that you edit your paper. You will need to make sure that you find any and all errors and correct them. Read your paper out loud so that you can hear the paper and it will be easier to find the errors. You may fix the problems inside your head when you are reading. It is a good idea to read through your paper a bunch of times to make sure that it makes sense. Look at it one sentence at a time and make sure that it is clear and that it makes sense.


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text:
Tag Archives: Libya
Tom Donilon to step down, Susan Rice to succeed as NSA
President Obama's National Security Advisor Tom Donilon will step down, to be succeeded by UN envoy Susan Rice, the White House announced Wednesday. President Obama will nominate his former White House advisor and humanitarian expert Samantha Power to be the next US envoy to the United Nations.
The announcement comes in advance of President Obama's first meeting with China's President Xi, in California later this week. Donilon has made the US "rebalance" to Asia a focus of his tenure as Obama's top national security advisor, and traveled to China late last month to discuss the agenda.
The Back Channel reported May 3rd that Donilon was expected to step down this summer, several months earlier than previous reports had suggested. Among his considerations, associates said, was that he had been doing this for over four long years, and family medical issues. (Sources say that Donilon's wife Catherine Russell, former chief of staff to the Vice President's wife Jill Biden, is recovering from a medical issue. Obama earlier this spring nominated her to be his next ambassador at large for global women's issues.)
White House associates say Rice and Power, like Donilon, are trusted Obama advisors who have been in his inner circle of national security confidants going back to his 2008 presidential campaign. As such, sources anticipated a relatively smooth transition and a good deal of continuity on major foreign policy issues.
"I think the interesting thing about this transition is it's clearly been planned for a long time," former White House spokesperson Tommy Vietor told the Back Channel Wednesday. "It's not a shake up. It's a transition in which Susan and Sam can hit the ground running because they have been doing it for four years."
"The key to a successful national security adviser is having the President's trust," former Pentagon Middle East advisor Colin Kahl told the Back Channel Wednesday. "That is what made Donilon such a power player and the same will be true of Rice, who has long been close to Obama."
It remains to be seen if the elevation of Power to the UN and Rice's move to the White House will shift the Obama administration's thinking towards greater Syria intervention, given their reported roles inside the Obama inter-agency debate advocating for NATO intervention in Libya, and Power's expertise in humanitarian intervention and as the author of a Pulitzer Prize winning book on genocide.
"Power and Rice are strong and principled advocates of atrocity prevention, but are not the irresponsible liberal interventionists often portrayed," Marc Lynch, a Middle East expert at George Washington University who advised the Obama 2008 campaign on foreign policy said Wednesday. "They are close to President Obama on foreign policy and will face the same limits and obstacles constraining the current policy on Syria. I wouldn't expect them to rapidly push for a military intervention which the administration views as unlikely to succeed."
"My sense is, everyone in the government, including Susan and Sam, is going to keep pushing for a better outcome in Syria," Vietor said. "No one is satisfied with the outcome on the ground."
"It's wrong to assume that means military intervention," he added. "We have a lot of considerations to work through. What you have got are people who have been in the government who understand the role that US diplomatic leverage and military power plays, and how that can often be the single most important thing we've got. So it's certainly a significant set of changes. But it remains to be seen what it leads to in Syria."
Donilon had been looking for the right time to announce his departure, to make the transition as smooth as possible, aides said. "Tom been thinking about this for a long time," Vietor said. Rice and Donilon will work together over the next few weeks to manage the transition. Donilon is expected to depart mid-July.
While the administration's re-balance to Asia as well as the US withdrawal from Iraq were top Donilon policy priorities, his imprint as a manager of the policy process is perhaps more significant. Donilon was deeply involved in the day to day running of the inter-agency process, some say with a heavy hand, as well as discipline. Aides say he should be credited with running a national security process in which disparate views were heard and fought over internally, but where notably few high-level cabinet fights erupted publicly.
"Tom Donilon has been an outstanding national security adviser. As an inside manager of the President's national security policy process, Tom succeeded in leading a collaborative and insightful process in which all players – from top to bottom – worked together rather than against each other," Ivo Daalder, outgoing US ambassador to NATO and a friend of Donilon, said.
"It's a feat very few of his predecessors were able to accomplish," continued Daalder, who is co-author of one of the defintive studies on the role of the national security advisor, In the Shadow of the Oval Office. "He truly managed a 'no drama' process – one that produced very effective advice for the President and ensured smooth implementation of the President's decisions." Continue reading →
Posted in Politics, Security	| Tagged Asia, Biden, Bush, Catherine Russell, China, Chuck Hagel, Colin Kahl, Heather Hurlburt, Iraq, Ivo Daalder, Joel Rubin, Libya, Marc Lynch, national security, National Security council, NATO, Obama, Ploughshares Fund, Samantha Power, Susan Rice, Syria, Tom Donilon, Tommy Vietor, United Nations, White House
Posted on May 10, 2013 by Laura Rozen
Diplomatic sources say they believe that US Ambassador to Egypt Anne Patterson is again the Obama administration's leading choice to be the next Assistant Secretary of State for Near East Affairs nominee, but say she wasn't anxious to come back to Washington.
In the unusually long second term transition shuffle, the rumor mill on top contenders to head the NEA bureau has cycled through a list that had Patterson at the top of the list a couple months ago, and also includes US Ambassador to Jordan Stuart Jones, Ambassador to Iraq Robert Stephen Beecroft, US Ambassador to Syria Robert Ford, among others. Most recently, some in the bureau wagered Beecroft would get tapped. But in the past few days, several former senior US officials and diplomats say they believe Patterson has returned to the top of the list yet again, for a few reasons, despite her rumored reluctance to come back from the field. Continue reading →
Posted in Politics, Security	| Tagged Anne Patterson, Beth Jones, Bill Burns, Department of State, diplomacy, Egypt, Iraq, John Kerry, Libya, NEA, Obama, Robert Ford, Robert Stephen Beecroft, State, Stuart Jones, Susan Rice, Syria, UN, US, White House
Associates say National Security Advisor Tom Donilon may leave this summer
Posted on May 3, 2013 by Laura Rozen
Several associates tell the Back Channel they believe that National Security Advisor Tom Donilon is planning to leave this summer—several months earlier than previous reports had suggested, and even as the White House said Donilon has no plans to depart.
On the one hand he doesn't seem to want to leave, but he's been doing this five long years, one associate, speaking not for attribution, said Friday.
Noting several of Donilon's recent and upcoming foreign trips and high-profile speeches on Asia and energy, the White House said Donilon's calendar remains booked into June, including with a late May trip to China.
"Tom has no plans to depart," NSS spokesperson Caitlin Hayden said by email late Friday. "As you've probably seen, he's fully engaged in managing our national security agenda, from his recent trip to Moscow and major address on global energy, to planning for a trip to China in late May and more upcoming speaking events."
President Obama recently nominated Donilon's wife Catherine M. Russell, chief of staff to Jill Biden, to be the next US Ambassador at large for Global Women's Issues. Some associates suggested a family health issue may be a factor in Donilon's thinking on how long to stay, but declined to elaborate. The couple have high school age children.
US Ambassador to the UN Susan Rice is expected to succeed Donilon as National Security Advisor.
It's not clear who will be nominated to succeed Rice at the UN—the name the Back Channel has consistently heard is Deputy Secretary of State Bill Burns, but one official wasn't certain that Burns wanted to stay. Secretary of State John Kerry would also like to keep Burns, another official said, noting there are too many vacant seats at State for another hole.
Neither Burns, nor Donilon, nor Rice's office, responded to queries Friday.
While the transition of such a central player in Obama's national security team as Donilon–-and the resulting shuffle—on the nearer term horizon could seem like one explanation for why several other anticipated senior foreign policy appointments have not yet been announced, foreign policy sources said they did not believe that to be a key factor.
Posted in Politics, Security	| Tagged Afghanistan, Asia, Barbara Leaf, Bill Burns, Brian Katulis, Caitlin Hayden, Catherine Russell, China, Danny Russell, Deborah Jones, James Dobbins, Jill Biden, John Kerry, Libya, National Security council, Obama, Pakistan, Stephen Seche, Susan Rice, Tom Donilon, UN, Victoria Nuland, White House, Yemen
Roundup: Obama to dine with Miss Israel; Iran's man in Iraq
Posted on March 13, 2013 by Laura Rozen
Obama nominates former US Ambassador to Kuwait Deborah K. Jones as Libya envoy to succeed slain Chris Stevens.
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US spy chief says Syria military showing strains, opposition fragmented.
Former US intelligence analyst Greg Thielmann delves into new US global threat assessment (.pdf).
Netanyahu will reportedly give Education Ministry to Lapid
Obama planning to give exclusive interview to Israel's Channel 2 ahead of Israel trip.
Obama invites Miss Israel, the Ethiopian-born Yityish Aynaw, to dinner.
Lots of listening, no grand initiatives, expected on Obama Israel trip.
CIA ramps up role in Iraq
Iran's man in Syria and Iraq. Continue reading →
Posted in Politics, Security	| Tagged Afghanistan, Amir Hekmati, CIA, Deborah K. Jones, DNI, Erdogan, Ethiopia, Greg Thielmann, Gulen, intelligence, Iran, Iraq, Israel, Lapid, Libya, Miss Israel, Netanyahu, nuclear., Obama, Ocalan, Pakistan, Qods, Qossem Soleimani, Syria, threat assessment, Turkey, Vali Nasr, White House
Roundup: Bibi's all male Octet, women lead Knesset opposition
Posted on March 8, 2013 by Laura Rozen
(Iranian human rights lawyer Nasrin Sotoudeh, AFP/Getty.)
Mazal Mualem: Women dominate opposition bloc in new Israeli Knesset.
Akiva Eldar: Bibi's kitchen cabinet "Octet" has not a single woman.
Shlomi Eldar on Arab women in Israel.
Palestinian rights activist Shireen Issawi on her mother.
US withdraws award to Egyptian activist Samira Ibrahim amid investigation of anti-Semitic tweets, she had said account hacked.
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Peter Beinart: The left gives Hamas a pass on misogyny.
Libya women face Islamist rise since Gadhafi fall.
From our Middle East women trailblazers slideshow: Above photo, Iranian human rights lawyer Nasrin Sotoudeh spent a large part of her early career defending abused mothers and children, activists and journalists. In 2010, she was arrested, imprisoned and banned from practicing law. In 2011, she went on hunger strike after her daughter was issued a travel ban. The government eventually succumbed. Some of her most famous clients include Nobel Laureate Shirin Ebadi and journalist Isa Saharkhiz.(Arash Ashourinia/AFP/Getty Images)
Posted in Politics, Security	| Tagged Egypt, Hamas, International Women's Day, Iran, Israel, Libya, Netanyahu, Palestine, Samira Ibrahim, State Department
Buzz on Obama 2.0 Middle East team
Posted on January 5, 2013 by Laura Rozen
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With President Obama expected to name more cabinet picks next week, including Chuck Hagel for Secretary of Defense, speculation has begun to turn to who will fill out senior and middle ranks of his second term Middle East team.
Among the questions affecting the transition shuffle is whether acting Assistant Secretary of State for Near East Affairs Elizabeth Jones will be formally nominated for the post under Secretary of State-nominee John Kerry, or, as seen as more likely, whether someone new will be tapped.
Jones, a career foreign service officer, is, like Kerry, the child of US Foreign Service parents, who spent much of her childhood abroad. A former Ambassador to Kazakhstan, Principal Deputy Assistant Secretary of State for the Near East, and Assistant Secretary of State for European Affairs (2001-2005), Jones came out of retirement in the private sector (APCO Worldwide) to assist in the Near East bureau in 2011. She assumed the Acting Assistant Secretary job for the bureau after Jeff Feltman retired to take the number three job at the United Nations last May, but has not been formally nominated for the job.
Department sources said that some State rank and file officers are troubled that the Benghazi investigation resulted in the impending departure of Jones' deputy, Raymond Maxwell. A career foreign service officer tapped as the DAS for Libya and the Maghreb in 2011, Maxwell had been scheduled to retire this past September. He stayed on however after the Sept. 11 attacks that killed Ambassador Chris Stevens and three other US personnel to try to get the Maghreb shop, devastated about the loss of their friend and colleague, through. The perception among some in the rank and file is that Jones let Maxwell take the fall, while escaping blame herself, in part because of her long professional relationship with Tom Pickering, the veteran diplomat who chaired the Benghazi Accountability Review Board investigation, department sources who declined to speak for attribution said. Jones and Maxwell did not immediately return requests for comment. A former official subsequently told the Back Channel that Jones is definitely planning to leave.
If Jones moves on, among those rumored to be under consideration to helm the Near East bureau, officials said, is Puneet Talwar, who has served as the Obama administration National Security Council Senior Director for Persian Gulf Affairs. Talwar, the former top Iran and Iraq advisor on the Senate Foreign Relations Committee staff under then SFRC chairman Joe Biden, is also said to be under consideration to become national security advisor to Vice President Biden. (Current Biden national security advisor Antony Blinken is expected to get a promotion in the new term: among the posts he is discussed for, Deputy Secretary of State, Deputy National Security Advisor, or US Ambassador to the UN, if Susan Rice is named National Security Advisor.) Continue reading →
Posted in Politics, Security	| Tagged Albright, Antony Blinken, APCO, Ash Carter, Barbara Mikulski, Benghazi, Beth Jones, Biden, Bill Danvers, Byron Dorgan, Colin Kahl, CSIS, David Wade, energy, Foreign Service, Frank Lowenstein, Hagel, IISS, Iran, Joel Rubin, John Kerry, Jon Alterman, Libya, Marc Lynch, Middle East, NSC, Obama, OVP, Pentagon, Ploughshares Fund, Podesta, Puneet Talwar, Raymond Maxwell, SFRC, State Department, Steve Simon, Tom Pickering, United Nations, Wendy Sherman
Benghazi panel: Security at US outpost 'grossly inadequate'
Posted on December 19, 2012 by Laura Rozen
The head of State Department diplomatic security resigned Wednesday, in the wake of an investigation by a panel looking into the September 11, 2012 killing of four US diplomatic personnel in Benghazi, Libya.
The State Department said Assistant Secretary of State for Diplomatic Security Eric Boswell has resigned, and three other officials have been relieved of their current duties. "All four individuals have been placed on administrative leave pending further action," State Department spokeswoman Victoria Nuland said in a statement.
Veteran US diplomat Thomas Pickering, who chaired the independent Accountability Review Board (.pdf), said Wednesday that State Department security personnel were "heroic" in their actions after the US compound in Benghazi came under attack, but that security preparations at the facility were "grossly inadequate."
"They did their best that they possibly could with what they had, but what they had was not enough," Pickering told journalists at a briefing at the State Department Wednesday.
"Security posture at the Special Mission compound was inadequate for the threat environment in Benghazi, and in fact, grossly inadequate to deal with the attack that took place that night," retired Adm. Mike Mullen, the former Chairman of the Joint Chiefs of Staff who served as vice chair of the ARB review, told journalists.
Posted in Politics, Security	| Tagged Adm. Mike Mullen, ARB, Bill Burns, Chritopher Stevens, diplomacy, February 17th brigade, Glen Doherty, Hillary Clinton, Libya, Sean Smith, security, State Department, Tom Nides, Tom Pickering, Tyrone Woods
Israel envoy: If Hamas stands down, we will stand down
Posted on November 16, 2012 by Laura Rozen
Israel's envoy to the United States said Friday that Israel is not looking to escalate the conflict with Hamas, but that if Hamas continues to launch rocket fire at Tel Aviv and Jerusalem, it would consider that an escalation and respond in kind.
"If they stand down, we will stand down," Israeli ambassador Michael Oren told journalists on a call arranged by The Israel Project Friday "We are not looking to escalate."
"The rocket fire on Tel Aviv, … and Jerusalem is an escalation," Oren said, referring to Hamas rocket fire that landed in both cities today without causing casualties or much damage, aside from psychologically, he said. Further rocket attacks on major Israeli population centers "would be an escalation and we would respond accordingly."
Oren declined to say if Israel would launch a ground invasion if further such rocket attacks on major Israeli cities continue. "I am just going to say that we will take all and every means to defend our citizens."
Oren said Israel had been largely successful in targeting Hamas' long range rocket supply, although some remain, in the three-day old Gaza operation, Pillar of Defense. The major concern now remains Hamas' stockpile of short and medium range rockets, with a range from 7 to 50km, he estimated. A Syrian-provided 50km range rocket is one that Oren cited as responsible for the killing of three Israeli civilians in Kiryat Malachi on Thursday.
Oren also said the Israel is encountering an increased flow of arms into Gaza from Libya, as well as from Sudan via the lawless Egyptian Sinai. Continue reading →
Posted in Politics, Security	| Tagged Egypt, Gaza, Hamas, Iron Dome, Israel, Libya, Michael Oren, Sinai, Syria, Tel Aviv
Crocker defends Petraeus, urges US approach Syria opposition with caution
My colleague Barbara Slavin reports:
One of America's most distinguished diplomats warned Tuesday against giving military support to Syrian rebels and said the US should have better knowledge of who the fighters are before providing more than humanitarian aid.
Ryan Crocker, a former ambassador to six nations – Lebanon, Kuwait, Syria, Iraq, Pakistan and Afghanistan – told NPR's Steve Inskeep at the annual dinner of the Middle East Institute in Washington, "Be careful what you get into… Who are these guys? What do they stand for? Who's against them?"
Crocker, whose residence was besieged by a mob when he was ambassador to Syria in the late 1990s, suggested that the US lacks sufficient information about the opposition even after a conference in Qatar brought together various factions to form a new group, the National Coalition of Syrian Revolutionary and Opposition Forces.
"You have to be on the ground as we were in Libya, influencing and analyzing" the rebel forces, he said. "I'm not sure we have a clear address to pursue a policy of coordinated … assistance."
"I would like to find more ways to get [US] diplomats into Syria," Crocker said. Continue reading →
Posted in Politics, Security	| Tagged Afghanistan, Benghazi, Centcom, Chris Stevens, CIA, Iraq, Jon Allen, Libya, Middle East, Middle East Institute, Petraeus, Ryan Crocker, Syria
Friday links: Abbas not seeking right of return, US Syria plan faces resistance
Posted on November 2, 2012 by Laura Rozen
Palestinian Authority President Mahmoud Abbas tells Israel TV he's not seeking right to return to Israel.
CIA takes heat for role in Libya.
US releases CIA Benghazi timeline.
Iran Supreme Leader warns subordinates to stop bickering.
US plan to unite Syria opposition faces stiff resistance. (sub. req.)
China presents Syria peace plan to envoy Brahimi.
US likely to become entangled in Syria's civil war.
Israel's Defense Minister says Iran pulled back from nuclear weapon. Continue reading →
Posted in Culture & Society, Politics, Security	| Tagged Abbas, China, CIA, Iran, Israel, Khamenei, Lakhdar Brahimi, Libya, Palestine, Romney, Russia, Syria, UK


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Turcot Interchange – Dynamic and smart stormwater management
The project included construction of numerous water management structures, including surface retention ponds, line retention, flow controllers and two pump stations.
KPH Turcot
Located in the heart of Montreal, the Turcot interchange was built more than 50 years ago. Some 300,000+ vehicles rely on it each day. Its structures were nearing the end of their useful life and needed to be rebuilt. WSP was awarded the detailed design, including the stormwater management structures, for the Turcot project. Consequently, planning began for the construction of numerous water management structures, including surface retention ponds, line retention, flow controllers and two pump stations.
The Turcot interchange drainage network relies on the City of Montreal's rainwater collection and domestic water collection system, and more specifically on the Saint-Pierre high and low-level sewer network (combined sewer network). This raised several challenges related to the hydraulic capacity of the City of Montreal's collection system, the control of overflows (particularly from the combined sewer) to the St. Lawrence River, and the impact of flooding in neighboring areas. In particular, WSP had to ensure that the planned Turcot interchange stormwater management system met the environmental and municipal storm sewer network requirements, in terms of peak water flows and piezometric level to the collectors and annual report.
During stormwater management design, it was identified that it would be beneficial to incorporate the two planned Turcot project pumping stations into the city's intelligent sewer management system in a Design Build process. On the island of Montreal, the intelligent sewer management system operates all interception works based on precipitation forecasts. The goal being to optimize the use of available retention and reduce overflows to the river. Thus, by integrating the two pumping stations with the city's automated dynamic management system, it was possible to optimize the available retention volume for overflow control and reduce overflows to the river.
Concepts and installations
The goal of the dynamic pump station management system is to optimize stormwater management structures to protect highway and municipal infrastructure while reducing the volume of overflow discharged into the Saint Lawrence river.
Two outlets were planned for the pump stations: the Saint-Pierre collector and an artificial wetland. Water would be pumped to the wetland to maintain its balance. An overflow pipe was planned from the wetland toward the Saint-Pierre sewer network. When the wetland is saturated, an automated diversion chamber (part of the pump station dynamic management system) diverts the water to the outlet into the Saint-Pierre sewer network.
For successful, smart management of the pump stations, several specific installations were necessary:
The pump stations were integrated with the city's automated dynamic management system, thereby enabling control of the stations based on weather forecasts;
Level sensors were installed inside the pump stations, the storm sewer and the wetland in order to provide real-time information on water levels in the retention structures and receiving environments;
4 high-flow pumps were installed at each pump station;
2 low-flow pumps were installed at the SP-01 station to pump water into the wetland.
Together, these installations create a smart system for dynamic pump station management. For example, this system makes it possible to increase the discharge flow rate to the stormsewer when the latter is not at full capacity, in order to free up unused volumes in the water retention pond ahead of heavy rainfalls. Conversely, it is possible to retain water in the water retention ponds when the collector is full.
Inside view of the wet well
Pressure line 1200mm
Pump base
Pump control panel
Openness and collaboration to protect the environment
Completion of these structures would not have been successful without the close collaboration between parties -- MTQ, MDDELCC City of Montreal and KPH Turcot. Indeed, to move forward with this concept, several stakeholders had to work together to come to a consensus on an innovative concept exceeding design standards. The openness of the interested parties enabled completion of this environmentally-friendly and future ready project.
Program and Project Management
Highway and Road Design
Qatar Local Roads and Drainage Program
Overseeing more than 200 road and drainage infrastructure projects across Qatar
Groundbreaking land development project, involving bridges, roads, marine structures, utilities, power, water, and tunnels
Port Lands Road Design
WSP is designing new arterial roads with best-in-class cycling facilities, leading stormwater management features and provisions for future streetcar service in Toronto's Port Lands to support a green and sustainable community and future.
Port Lands Flood Protection
The Port Lands Flood Protection project will re-naturalize the Don Valley River and realign Cherry Street to safeguard Downtown Toronto from increasing risks of flood and help spur economic growth and strengthen biodiversity.
Stockholm Royal Seaport
Stockholm Royal Seaport will be a vibrant waterfront community, built on 236ha of former industrial land. The first phase of the development is now on site and, over the next 15 years, the plan is to build 12,000 new apartments, and 35,000 new work places.
Moorebank Intermodal Terminal
PRIME-designed port and rail facilities in Moorebank, in south-western Sydney
Lower Simcoe Street Off Ramp
WSP reconfigures and upgrades Downtown Toronto's Lower Simcoe Street (York-Bay-Yonge) Off Ramp.
Daytona Beach, Florida, USA
Veterans Memorial Bridge
WSP was selected to design the replacement of the Veterans Memorial Bridge (Orange Avenue Bridge) in Daytona Beach.
Tramway City
The tram network in Stockholm is undergoing a major expansion. Tramway City is expected to carry 63,000 passengers per day in 2030 and will supply the new Royal Seaport district with efficient and environmentally friendly public transport.
Earls Court Redevelopment
Delivering the plan for much needed housing for London along with improved public realm and transport improvements


Deliver any type of package to anyone rapidly without any hassles. Uber for Courier at your service.
Uber for Courier is basically an app that enables entrepreneurs to provide courier service to the people in the geographical location they select. This app can ensure that a hyperlocal and safe delivery of articles is carried out. The new age is reminiscent of the way courier worked earlier. A trip down the memory lane takes us back to the days where we have to wait at least 2 days for a package to be delivered to a person. As an entrepreneur you would know the significance of On-Demand Delivery Services and the evolutions witnessed by courier services.
The courier system was not be relied upon and our package could end up somewhere in the middle of nowhere and not be returned to us. The entry of the On-Demand market has changed the scene of the courier delivery service. The Delivery system has been Ubered and now the instant gratification of the customers has been satisfied. Customers can make use of the Uber for Courier service by signing up and sending packages to the receiver within a time frame. The app lets the customers see their delivery personnel and vice versa so that it is assured that your package will be picked up from you wherever you are and have them delivered at reasonable prices.
Delivery Business has been taken from the traditional market to On-Demand market due to the sheer demand of the customer. The Delivery business has been down for some time due to low reliability and assurance over the delivery of the package. So the Uber for Courier has stepped up and taken up the delivery of packages on demand. Customers can sign in the app and start requesting for delivery personnel to deliver their packages.
The Delivery Business is solely based on the logistics of the delivery personnel. The entrepreneur who owns the logistics can make profits off the Uber for Courier business by creating an app and garnering customers who want to deliver their package on demand. A wide range of delivery personnel like Bike messengers, car or even foot messengers who can pick up your package and deliver it anywhere the customer desires.
Your Customers can always see where the nearest Courier personnel are in real time in your customer facing mobile apps.
Your customers have the comfort of changing or cancelling a courier booking at any time.
With our Customer and Courier Service apps, your clientele and providers can chat or call from within the app.
Customers and Courier personnel can check the service history and see where their previous points of service requests.
Both Courier Delivery person and your customers can see the history of jobs with reviews so that they can get better.
Your customers and courier personnel can create and maintain a detailed profile so that you will know your ecosystem better.
The Delivery Personnel can make their availability simple with the availability toggle and choose to serve Customers within your free hours.
Customers can view the detailed profile of the concerned Delivery Personnel's years of experience, specialties, visiting fees and the nearest radius of the Delivery Personnel with ease.
Customers can book an appointment with the nearest Delivery Personnel for any type of services required for the Customer anytime they need. They can also cancel the booking without any hassles.
Customers who have booked the services of the Delivery Personnel will receive details of the Delivery Personnel and vice versa.
With Geolocation services, the Customer and the Delivery Personnel can find each other on maps and their location with ease.
The Customer can choose an individual category by making extensive use of the formidable search engine and find out the local Delivery Personnel for your service.
Track your requested Delivery Personnel till he/she reach your destination with Geolocation services.
The app automatically calculates the final bill for the Customer taking many factors into consideration like the Delivery Personnel fee, distance to be covered, etc.
Get a bird's eye view of customer's and Delivery Personnel activities, the number of requests, numbers of bookings, commissions earned most visited location and much more.
The Delivery Personnel can accept or reject requests based on their own availability. If they are committed to another Customer they can reject the request and another provider may take it up.
The admin can see where the customers are looking for Delivery Personnel in certain locations so that the admin can reroute the requests to Delivery Personnel to those locations and pick up requests.
The Delivery Personnel get a separate dashboard for getting requests from Customers, availability toggle, commissions earned and such.
Customers and Delivery Personnel alike will be initially authenticated by our app. The SMS with OTP will be sent to the respective number when they register thereby eliminating fake requests and users.
Customers can place their ratings and reviews for the Delivery Personnel they have committed for the request. Comments can also be placed on the said Delivery Personnel. Higher rating Delivery Personnel will be placed on the field first for customer convenience.
As the admin, you can set the distance range of the Delivery Personnel who accept the request. So that when a customer places their request the Delivery Personnel in the specified distance range will receive the request.
Our solution is entirely whitelabelled to put whatever brand you want. Your customers or courier personnel will never know about Xuber.
3. This could even be a recruitment marketing point for your startup to get students to try working for you and make a buck. The most selfie obsessed virally sharing service providers you could ask for.
1. After each service request has been flagged as completed and paid for using the payment gateway of your choosing, both parties will be given a feedback form to complete.
2. The Courier personnel will give feedback as to what sort of a client this one was and will help you weed out rude or non paying customers from your Admin Dashboard.
3. Your Customers will love being able to talk to you about how their experience was, whether the Driver who turned up knew what they were doing, charged nominally etc.
1. From your customer's app home screen, they can see the available couriers around them and decide if they want to book a request before they do so.
2. This gives a more realistic expectation to your customers about how long it will take for the nearest available courier to reach them.
3. With a small customization, you can even enable your users to look at the profile and reviews of courier service provider near to them and select the one the best likely to be the courier.
To Bot or Not to Bot - That's the Question!


2006-11-14 15:40:00 PST SAN FRANCISCO -- The Board of Supervisors voted today to outlaw the use of Styrofoam and other polystyrene products by city restaurants and to effectively decriminalize the use, sale and cultivation of marijuana by adults.
The food container legislation, introduced by Board of Supervisors President Aaron Peskin and approved unanimously on the first of two votes needed for passage, would apply to about 3,400 restaurants in San Francisco as well city facility food service providers and food vendor companies contracting with the city. It is scheduled to be implemented June 1, 2007.
Polystyrene containers are blamed for filling up landfills and breaking down into smaller nonbiodegradable pieces that harm marine and other wildlife when they are ingested.
In passing the ordinance, San Francisco joins number of other cities around the country, including Oakland, Portland, Ore., and Berkeley, which banned Styrofoam and similar products nearly 20 years ago.
The marijuana legislation, which passed on an initial vote 8-3, would set nearly all crimes involving marijuana as the lowest law enforcement priority for city police and urges the district attorney to adopt the same policy when prosecuting criminal defendants.
It passed with the blessing of the police officials, but over the complaints of some residents who say the marijuana trade attracts or occurs along with other criminal activity that undermines the quality of life in their neighborhoods.
Ammiano introduced the legislation in August at the behest of groups pushing for the national decriminalization of marijuana.


grape juice. :the usually sterilized and often thin juice of grapes used as a beverage. that red and purple grape juices may provide some of the same heart benefits of red wine, including Reducing the risk of blood clots. Reducing low-density lipoprotein cholesterol. Preventing damage to blood vessels in your heart.


The ComfortGel Blue Nasal CPAP Mask with Headgear from Respironics offers angled exhalation micro ports to help reducing overall airflow noise. This is a nasal mask and covers only the nose to deliver air flow.
The ComfortGel forehead pad is larger with more cushioning that is easy to fit and improves comfort. The forehead support comes with a StabilitySelector, which is adjustable and allows for movement. The pad attaches to a base that can swivel up or down; accommodating the angle of your forehead.
The new diffusion vent and 360 Degree elbow disperses air softer and quieter than before. Respironics has decreased the overall size of each port, allowing several micro ports to fit on the elbow. The elbow angles the ports away from your bed partner and the micro size diffuses airflow quietly, reducing overall sound.


This means we are writing validation logic twice. One for server side and the second on the client side. But with the JS Validation module, now we will write validations only once; and that will be working both server side as well as client end as sleek JS Validations.