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Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain


Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain

CME Certificate Fee: $75.00 (USD) for certificate
3.00 AMA PRA Category 1 Credit(s)TM
Estimated time to complete this activity: 3.00 hours
Author(s)/Editor(s): Thomas Elliott, MD; John M. Harris Jr., MD; Randa Kutob, MD
DISCLOSURE STATEMENT: All author(s), contributor(s), editor(s), and CME Office Reviewer(s) state that they do not have any financial arrangements with commercial interests that could constitute a conflict of interest.
Further Author/Editor Information | Further CME Information
Meets Special CME Requirements in: Alabama, Alaska, Arizona, California, Connecticut, Delaware, Georgia, Iowa, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Nevada, New Jersey, New Mexico, North Carolina, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Wisconsin     Learn More >>

New York Licensees: This course will NOT meet the NY pain management/palliative care/addiction requirement for prescribers.

Outcome Objectives:

As a result of completing this activity, the participant will be better able to:

  • Manage acute and chronic back pain.
  • Assess the functional effects of pain in patients.
  • Appropriately utilize a range of therapeutic options when managing patients with chronic pain.
  • Comply with current opioid risk-management practices, including the use of pain contracts and urine drug testing.
  • Educate patients on the proper use, storage, and disposal of opioid medications.

Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by course or module). Please also read the Technical Requirements.

CME Sponsor: University of Arizona College of Medicine - Tucson
Credit Designation and Accreditation Statements >>
Current CME Approval Period: July 5, 2019 - July 4, 2022
Original Release Date: April 1, 2015
Most Recent Review by Author: July 5, 2019
Most Recent Review by CME Sponsor: July 5, 2019
Financial Support Received: Supported by a grant from the Arizona Governor's Office for Youth, Faith, and Families (ADHS14-067194:1)
Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
3.00 AMA PRA Category 1 Credit(s)TM
Current CME Approval Period: July 5, 2019 - July 4, 2022
Financial Support Received: Supported by a grant from the Arizona Governor's Office for Youth, Faith, and Families (ADHS14-067194:1)

ACCME/AMA PRA Accreditation Statement

The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine - Tucson designates this enduring material for a maximum of 3.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


CME Office Contact Information and CME Disclosure

The University of Arizona College of Medicine - Tucson
Office of Continuing Medical Education
520-626-7832
uofacme@email.arizona.edu

The following University of Arizona College of Medicine - Tucson CME Reviewers, Activity Directors, or Planning Committee Members have no relevant financial relationships with commercial interests that could constitute a conflict of interest with the proposed activity:

Robert Amend, M.Ed.
Randa Kutob, MD

Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
About the Author

Thomas Elliott, MD
Until his recent retirement, Dr. Elliott was the Medical Director of the Pain Management Center and Chief of Education and Research at St. Mary's/Duluth Clinic Health System in Duluth, Minnesota. He is also Adjunct Professor of Medicine at the University of Minnesota, Duluth School of Medicine.

Dr. Elliott is certified in Internal Medicine, Hematology/Medical Oncology, and Hospice and Palliative Medicine by the American Board of Internal Medicine. He is nationally known for his work in pain management education and his research in pain treatment, including his work as CEO of the Minnesota Cancer Pain Initiative. He has written extensively on the need for improved medical education in pain management.

Disclosure: Dr. Elliott states that he does not have any financial arrangements that could constitute a conflict of interest.

About the Editors

John Harris Jr., M.D., M.B.A.
Dr. Harris is past Executive Director of the Office of CME at the University of Arizona College of Medicine. Dr. Harris has served as the Principal Investigator on multiple NIH-funded studies of online CME, and he is the author of a number of professional papers dealing with online CME.

Disclosure: Dr. Harris states that he does not have any financial arrangements that could constitute a conflict of interest.

Randa Kutob, MD
Dr. Kutob is an Associate Professor of Family and Community Medicine at the University of Arizona College of Medicine-Tucson and Director of the Office of Continuing Medical Education. She is a board-certified Family Medicine physician and Diplomate of the American Board of Obesity Medicine with extensive teaching, clinical work, and research in the arena of cross-cultural care and chronic disease prevention and treatment.

Disclosure: Dr. Kutob states that she does not have any financial arrangements that could constitute a conflict of interest.

Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
Ratings (5737 responses)
How would you rate this program overall?
Average Rating: 4.00/5.00
How well were the learning objectives of this program met?
Average Rating: 4.21/5.00
User Comments
by Hidden | Sep 23, 2020
this substantially conservative approach to managing pain risks delaying diagnosis of pathology that cannot be known without evaluation beyond plain radiographs. in the practice of medicine today, patients with chronic pain are disinclined to tolerate delay in diagnosis. they have had more than enough tinkering with speculated diagnoses, trial/error medications, and nonspecific therapies. thus, proceeding with this approach is often perceived as cost ineffective. mri and emg/nct up front provide much needed reassurance for the patient who has been down the road of failed "conservative" therapy. this needs to be addressed in a segment of this course, but the course is very well constructed and very instructive, nonetheless. (p.s. i am a recently retired stroke neurologist.)
by Shari Samms | Sep 17, 2020
I felt like the cases encouraged/assumed we SHOULD prescribe opioids for mechanical back pain, in my opinion it is NOT appropriate to put someone on hydrocodone with a plan to keep them on it for months so that they will be physiologically addicted and then have to wean- the cases presented just that as the right course of action; I would have never given pt no.2 an opioid on the first visit and for pt no.3 it is assumed that the doctor will give the pt increased doses of tramadol and then when that doesn't work hydrocodone... where is the evidence for this? In my opinion presenting those options as if they are standard of care would negatively influence any provider who doesn't know any better and perpetuate the opioid crisis in our country
by Stephen Osgood | Sep 14, 2020
Great having the case scenarios!
by Linda Haggard | Sep 5, 2020
I feel the course was well done and presented quite believable patient cases. Thank you!
by LINDSAY WORRELL | Aug 30, 2020
As a practicing pediatrician and neonatologist, please have the author(s) include relevant questions to the age group from birth to 18 years in future iterations of this course for relevance to the population I serve.
by Caleb Rees | Aug 28, 2020
Really well done. Liked the case format and the ability to come and go and not necessarily complete the course in one session, although you easily can. Thanks!
Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
This course meets general AMA PRA Category 1 CME Credit(s)TM requirements in states that have a CME requirement.

Based on information from state licensing authorities, this program meets special CME requirements in these states:

Alabama Controlled Substance Prescribing Practices CME
Alaska Pain Management, Opioid Use, and Addiction CME
Arizona Opioid-Related, Substance Use-Related, or Addiction-Related CME
California Pain Management CME
California Controlled Substance Education (Physician Assistant CME Requirement)
Required for PAs, not MD/DOs.
Connecticut Behavioral Health CME
Delaware Controlled Substance Prescribing Practices CME
Georgia Controlled Substance Prescribing / Pain Management CME
Iowa Chronic Pain Management CME
Louisiana Prescribing of Controlled Dangerous Substances (CDS) CME
Maine Prescribing of Opioid Medication CME
Maryland Opioid Prescribing CME
Massachusetts Risk Management CME
Massachusetts Opiod Education/Pain Management CME
May be counted as risk management credits.
Michigan Pain and Symptom Management CME
Mississippi Prescribing Controlled Substances CME
Nevada Medical Ethics, Pain Management or Addiction Care CME
Nevada Misuse and Abuse of Controlled Substances, Prescribing of Opioids, or Addiction CME
New Jersey Prescription Opioids
New Mexico Pain Management CME
North Carolina Controlled Substance Prescribing CME
Oregon Pain Management / Terminally Ill / End of Life CME
Pennsylvania Risk Management / Patient Safety CME
Pennsylvania Pain Management and Opioid Prescribing CME
Rhode Island Opioid Pain Management / Chronic Pain Management CME
South Carolina Prescribing and Monitoring Controlled Substances CME
Tennessee Controlled Substance Prescribing CME
Texas Pain Management CME
These courses meet the pain management CME requirement for pain management clinics.
Vermont Prescribing of Controlled Substances CME
Virginia Pain Management and the Proper Prescribing of Controlled Substances CME
Wisconsin Opioid Prescribing CME

View other courses meeting Special State Requirements
Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
Technical Requirements

This web-based activity is offered online and requires an always-on connection to the Internet (the activity cannot be downloaded). The activity works on PC or Mac computers and most tablet computers. The activity should work with the newer versions of major Internet browsers, including Internet Explorer, Firefox, Google Chrome, and Safari. JavaScript should be enabled in all browsers, and Popups and first party cookies need to be accepted from www.VLH.com. You should also have the latest, free Adobe Reader installed for reading documents.

For additional information, read the Technical Assistance FAQ.

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