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Managing Active Injection Opioid Use: Severe Depression and Acute Pain

Activity Type:

  • On Demand


Release Date: 6/28/2017

Expiration Date: 6/28/2020

  • AMA PRA Category 1 Physician: 1
  • Participation: 1

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Overview

The intersection of active illicit opioid use, acute pain and severe mental illness can be particularly challenging for generalist clinicians on the inpatient service. This case discussion reviews several options for managing pain in patients with active opioid use disorder on the inpatient medical service. The case provides discussion of the issues that the healthcare team faces when treating patients with depression and chronic suicidality and provides expert opinion on managing these psychiatric comorbidities in a patient with comorbid substance use disorder.  Finally, it highlights some of the practical challenges and approaches that arise in treating patients with comorbid mental illness, opioid use disorder and pain on the medical inpatient service.  

Pricing

  • General Member - Free
  • Resident-Fellow Member - Free
  • Medical Student Member - Free
  • Non-Member - Free

Educational Objectives

  • Summarize treatment options for managing acute pain in patient with active opioid use disorder on the inpatient service
  • Explain how to manage chronic suicidality in a patient with opioid use disorder and pain
  • Identify factors involved in safe discharge planning for patients with comorbid opioid use disorders, suicidality and pain

Target Audience

Physicians and other clinicians with interests in safe and effective use of opioid medications for the treatment of chronic pain and the interface of pain and opioid use disorder.   

Estimated Time to Complete

Estimated Duration: 1 hour
Begin Date: June 28, 2017
End Date: June 28, 2020

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple-choice quiz is provided based on the content. A passing score of 70% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Accreditation

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Presenters

  • Jessica Gray, MD, Addiction Medicine Fellow, Boston Medical Center. Reports no financial relationships with commercial interests.
  • Daniel Alford, MD, MPH, Professor of Medicine, Assistant Dean of Continuing Medical Education, Director of the Safe and Competent Opioid Prescribing Education, Boston University; Director, Clinical Addiction Research and Education (CARE) Unit,  Boston Medical Center. Reports no financial relationships with commercial interests.
  • John A. Renner, Jr., M.D., Boston University School of Medicine, Director, Addiction Psychiatry Residency Training, Boston University Medical Center and VA Boston Healthcare System. Disclosure: Stock/other financial options: Johnson & Johnson and General Electric.

Program Planners

  • John A. Renner, Jr., M.D., Boston University School of Medicine, Director, Addiction Psychiatry Residency Training, Boston University Medical Center and VA Boston Healthcare System. Disclosure: Stock/other financial options: Johnson & Johnson and General Electric.
  • Roke Iko, Program Manager, Sub-Specialty Education, American Psychiatric Association. Reports no financial relationships with commercial interests.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this course | Contact learningcenter@psych.org for technical assistance

All materials copyright American Psychiatric Association. ©2017

American Psychiatric Association 
Department of CME 
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Suite 1825 
Arlington, VA 22209

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