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How has your practice of prescribing Buprenorphine changed since COVID-19?
2.
When doing a tele-buprenorphine visit, what platforms do you use (phone, VVC, zoom)? Which platform do you prefer, and why? What platform do the Veterans prefer, and why? What challenges have you encountered using this technology?
3.
Where are you located when you conduct a session? Where is the Veteran? Are they usually at their home? In the car?
4.
Tell me about your experience working with Veterans who are having difficulty focusing during the session (for example driving/distracted by children) during their visit with you. How do you handle these situations?
5.
Tell me about Veterans you may have encountered who may be intoxicated or otherwise impaired?
6.
What does your induction process look like when patients can’'t come to the clinic for induction?
7.
Tell me about your dosing of Buprenorphine when you tele prescribe? What factors affect your dosing?
8.
Do you prescribe other medications for other psychiatric conditions during your session?
9.
How do Veterans get their meds? Have your patients told you about any challenges in getting the meds? How has that changed since COVID?
10.
How do you monitor your patients’ use of other drugs? How do you manage urine tox testing?
11.
Tell me about your experience with patients who have overdosed since COVID? Is there anything you have been doing differently to support these patients? Have the overdoses in this situation impacted your practice?
12.
Are there any services your patients need that have been challenging for them to get? (e.g. primary care, residential, specialty mental health) Are you making referrals?
13.
Have you learned anything new about your patients from a virtual session that you weren't learning from office visits? Discovered anything about their home life or environment? How has what you learned informed your interaction with your patients? Have you prescribed differently to a patient because of what you learned?
14.
Reflect on your initial concerns about remote prescribing. How have your concerns changed?
15.
If I were to give you a magic wand and you could have anything, what would you need to improve access or prescribing right now? Anything else you’d like to tell me about?