THE CONUNDRUM OF OPIOID THERAPY FOR CHRONIC PAIN: SIMPLE DEPENDENCE TO BE MANAGED OR ADDICTION TO BE TREATED? 

 

This Enduring Material was originally presented at Internal Medicine Grand Rounds and is sponsored by the Office of Continuing Medical Education at Eastern Virginia Medical School

Presenter:

Ajay Manhapra, MD

Advanced PACT Pain Clinic

VA Medical Center, Hampton, VA

Research Scientist, VA New England Mental Illness Research and Education Center

West Haven, CT

Target Audience:   All physicians, NPs, PAs, and other interested healthcare professionals

Objectives:

  1. Distinguish between opioid dependence and addiction.
  2. Determine how opioid dependence/addiction interacts with the patient experience of pain and other psychiatric symptoms.
  3. Evaluate the impact of discontinuation of long-term opioids on patients.
  4. Develop a patient-centered approach to opioid tapering and treating chronic pain-related opioid addiction.

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This activity fulfills 1 hour of the requirement of 2 CE hours on pain management, proper prescribing of controlled substances, and the diagnosis and management of addiction required for physicians’ licensure in the State of Virginia. 

 

Reviewers:  Jerry Nadler, MD and James Dixon, MD                          

General Competencies Addressed:  Medical knowledge; communication; professionalism; patient care

Release date:  June 15, 2017            Expiration date:  June 14, 2020

DISCLOSURES

The following planning committee members, reviewers, and presenters have disclosed that they do not have any relevant relationships with commercial companies: Ajay Manhapra, MD, Edward C. Oldfield, III, MD, Ian Chen, MD, MPH, Mark C. Flemmer, MBChB,  Romash Khardori, MD, PhD, Jerry Nadler, MD, James Dixon, MD, Drucie A. Papafil, MEd, and Karen Clifford, PhD

ACCREDITATION

Eastern Virginia Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

This CME activity was planned and produced in accordance with the Accreditation Council for Continuing Medical Education (ACCME) Essential Areas, Elements, and policies.

CREDIT DESIGNATION

Eastern Virginia Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

RESOURCES

https://www.hhs.gov/sites/default/files/Factsheet-opioids-061516.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4106581/

https://www.samhsa.gov/prescription-drug-misuse-abuse/samhsas-efforts

https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse