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Developing an Effective Treatment Plan: Opioid- and Nonopioid-based Treatment Options for Acute and Chronic Pain Management
A CME/AAFP-certified, MOC Eligible Activity
Release date: January 31, 2019
Expiration date: January 31, 2020
Pain is a significant public-health problem, affecting more than 100 million adults in the US and causing significant reductions in patient quality of life. The use of narcotic medications for pain management has increased dramatically in the US over the past two decades. However, pain patients are often undertreated due to a variety of physician- and patient-related concerns and barriers.
Despite the pain-relieving properties of opioids, the potential for misuse, abuse, and addiction remains a concern. In response to these apprehensions, the FDA developed the Risk Evaluation and Mitigation Strategy (REMS) to ensure the benefits outweigh the risks with opioid treatments. The FDA also developed the Blueprint for Prescriber Education (FDA Blueprint) in July 2012. The FDA Blueprint was recently updated to include more information on pain management, such as components of an effective treatment plan, nonpharmacologic treatments for pain, pharmacological treatments for pain (nonopioid and opioid analgesics), and a primer on addiction medicine.
Developing an Effective Treatment Plan: Opioid- and Nonopioid-based Treatment Options for Acute and Chronic Pain Management, incorporates the updated FDA Blueprint into education designed to translate improved clinician knowledge and confidence into enhanced care and improved quality of life for patients with acute and chronic pain.
Welcome and Introduction
Pain: A Public Health Issue
Recognizing the Barriers in Effective Pain Management
REMS: Extended Release Opioids and Abuse Deterrent Formulations: What Prescribers Need to Know
Improving the Management of Pain Through Patient Engagement
Q&A Session and Concluding Remarks
The educational design of this activity addresses the needs of primary care physicians and other healthcare professionals involved in the treatment of patients with acute and chronic pain.
At the conclusion of this activity, participants should be able to demonstrate the ability to:
- Describe components of an effective treatment plan, such as treatment goals, patient interactions, and collaboration with the healthcare team
- Compare and contrast the individualized benefits and risks to initiating non-medication therapies before considering long-term medications
- Identify patients who are candidates for treatment with nonopioid analgesics
- Justify a rational decision to initiate long-term opioid analgesics, including ER/LA opioids, with consideration to providing in-home naloxone
- Categorize risk factors and vulnerabilities associated with addiction to opioid analgesics
The Potomac Center for Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
PHYSICIAN DESIGNATION STATEMENT
The Potomac Center for Medical Education designates this enduring material for a maximum of 3.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABIM MOC DESIGNATION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3.50 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 credit.
To receive CME credit and/or MOC points, you MUST pass the post-test and complete the evaluation. For ABIM MOC points, your information will be shared with the ABIM through PCME’s ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.
For questions regarding CME credit or the evaluation, please email firstname.lastname@example.org.
AAFP DESIGNATION STATEMENT
This Enduring Material activity, Developing an Effective Treatment Plan: Opioid- and Nonopioid-based Treatment Options for Acute and Chronic Pain Management, has been reviewed and is acceptable for up to 3.50 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 1/31/2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
PROGRAM FACULTY / STEERING COMMITTEE
Bill McCarberg, MD
Adjunct Assistant Clinical Professor
University of California
San Diego, CA
Bill McCarberg, MD is Founder of the Chronic Pain Management Program for Kaiser Permanente (retired) in San Diego, CA. He is the Adjunct Assistant Clinical Professor at the University of California at San Diego School of Medicine and is working with Neighborhood Healthcare in Escondido California (Federally Qualified Health Center) and Elizabeth Hospice. He is also Past President of the American Academy of Pain Medicine and President of the Western Pain Society. Dr. McCarberg is a member of the American Academy of Family Physicians, American Academy of Pain Medicine, American Pain Society, and International Association for the Study of Pain.
His awards and leadership positions include: national guideline committees for post-operative pain, fibromyalgia and osteoarthritis; the Elizabeth Narcessian Award for Outstanding Educational Achievement in the Field of Pain (American Pain Society); Presidential Commendation (American Academy of Pain Medicine); Award of Honor for Excellence in Geriatric Medicine (National Institute of Medicine); Mayday Pain and Society Fellowship; Award of Excellence (Southern California Pain Initiative); Highest Rated Physician, Member Appraisal of Physician Services (Kaiser Permanente); and Ambassador of the Year (National Pain Foundation). He has served on the Board of Directors of the American Pain Society and on the Professional Education and Training Sub-committee of the National Institutes of Health’s Interagency Pain Research Coordinating Committee, which has proposed the US Department of Health and Human Service’s National Pain Strategy.
He has given more than 250 presentations on pain-management issues and is the author or co-author of 115 articles, book chapters, and books. He is board-certified by the American Board of Pain Medicine and American Board of Family Practice, and is additionally certified in Geriatrics and Hospice and Palliative Care. Dr. McCarberg received his medical doctorate from Northwestern University Medical School in Chicago, IL. He completed a medical internship and a residency in family practice at Highland Hospital in Rochester, NY.
Lynn R. Webster, MD
Vice President of Scientific Affairs
PRA Health Sciences
Salt Lake City, UT
Lynn R. Webster, MD is an internationally recognized expert in pain and addiction medicine. His mission is to help address the twin crises of chronic pain and addiction in America. He is an advocate for people with disabling pain and deadly addictions. For 25 years, he focused his clinical practice on helping people who experienced devastating pain and addictions. This experience has given him a unique insight into the medical challenges of fighting both diseases. He is devoting the rest of his career to the clinical research of searching for solutions to the dual crisis of pain and addiction. Dr. Webster is the author of the award-winning book, The Painful Truth (Oxford University Press). He is also co-producer of the critically acclaimed television documentary, also titled The Painful Truth, that has been nationally distributed on public television.
He earned his doctorate of medicine from the University of Nebraska and completed his residency in the University of Utah’s Department of Anesthesiology. He is board-certified in anesthesiology, pain medicine, and addiction medicine. He has authored more than 300 scientific publications and abstracts. Dr. Webster is a Senior Editor of the journal Pain Medicine, is a regular contributor to The Hill, and has contributed editorials and interviews to such publications as the Wall Street Journal, Bloomberg, Chicago Tribune, Milwaukee Journal Sentinel, Washington Post, New York Times, Salt Lake City Tribune, and Huffington Post.
A sought-after guest, Dr. Webster has appeared on national television and radio networks, as well as local TV and radio shows from coast to coast, including KSL News, ABC News, NPR, Radio MD, Health Matters Radio, and many more. He lectures extensively and is frequently a keynote speaker. Dr. Webster is Vice President of Scientific Affairs for PRA, a clinical research organization that operates in more than 80 countries. He is a Past President of the American Academy of Pain Medicine (AAPM) and resides in Salt Lake City with his wife.
Program Faculty and Steering Commitee Disclosures
The program faculty and steering committee reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:
Bill McCarberg, MD – Consultant/Independent Contractor: Pfizer, Collegium, Daiichi-Sankyo, Ferring, GlaxoSmithKline, Scilex; Speaker's Bureau: Collegium, Ferring, Adapt; Stock/Shareholder: Collegium, Johnson and Johnson, Biospecifics Technologies, Sellas Life Sciences
Lynn R. Webster, MD – Consultant/Independent Contractor: Bonti, Charleston Laboratories, Egalet, Depomed, Insys, Mallinckrodt, Pain Therapeutics, Pernix, Shionogi, Teva, Trevena, Trevi; Advisory Board: Charleston Laboratories, Depomed, Mallinckrodt
Non-faculty Content Contributors Disclosures
Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:
Brian W. Jack (AAFP Reviewer) – Consultant/Independent Contractor: TeleHealth
Kathy Merlo; Chad Williamson, MS, MBA, CMPP; Blair St. Amand; Lindsay Scott, PT, DPT, ATC; Ashley Marostica, RN, MSN, CCM – Nothing to disclose
The contents of some CME/CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.
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INSTRUCTIONS FOR PARTICIPANTS AND OBTAINING CME CREDIT
There is no fee for this activity. To receive credit, participants must take the pre-test, view this CME activity in its entirety, and then complete the post-test, with a score of 70% or better, and evaluation. The estimated time for completion of this activity is 3.5 hours. To receive their certificates, participants must demonstrate mastery of the presented material via the post-test. Participant is allowed to take the post-test multiple times.
INSTRUCTIONS FOR OBTAINING MOC Points
Physicians seeking ABIM MOC Points will be required to provide:
- ABIM six-digit ID number
- First and last name
- Date of birth (mm/dd)
Provided by Potomac Center for Medical Education
This activity is not supported by any commercial interest or grantor.