Transitions in care may present challenges and opportunities for both patients and health care providers in the management of chronic, non-malignant pain. The challenges may be compounded if the patient previously displayed aberrant behaviors around opioid use. While this information may guide management decisions, the importance of building a new, trusting professional relationship is necessary to ensure that the patient’s concerns are addressed appropriately. Using a case study the purpose of this presentation is to discuss the challenges and opportunities a new provider faces in assuming the care of someone with chronic, non-malignant pain particularly as it relates to concerns about the use of opioids and the presence of opioid use disorder. Participants will be encouraged to explore the case from the perspective of the patient and brainstorm ideas on how to improve the professional relationship while ensuring safe care is provided.
- General Member - Free
- Resident-Fellow Member - Free
- Medical Student Member - Free
- Non-Member - Free
- State challenges and opportunities associated with transitions in care for both patients and health care providers generally and those specifically related to the use of opioids chronically
- Discuss non-pharmacologic and pharmacologic treatments for the management of chronic, non-malignant pain
- Discuss criteria for diagnosing opioid use disorder
- Discuss the "experiencing transitions middle-range theory" as a framework for understanding transitions between patients and their health care providers
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: July 19, 2017
End Date: July 19, 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.
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
- Adam Gordon, MD, MPH, Professor of Medicine, Professor of Clinical and Translational Science, Advisory Dean, University of Pittsburgh, VA Pittsburgh Healthcare System. Reports no financial relationships with commercial interests.
- Timothy Sowicz, PhD, Postdoctoral Trainee, Interdisciplinary Addiction Program for Education and Research (VIPER), VA Pittsburgh Healthcare System. 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.
- Roke Iko, Program Manager, Sub-Specialty Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
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