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Slips and Slip Ups: Managing Buprenorphine in Patients with Co-Occurring Pain and Addiction

Activity Type:

  • On Demand

Release Date: 9/30/2015

Expiration Date: 9/30/2018

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

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Many addicted patients have co-occurring pain, and they often have a difficult time finding pain management providers that will treat them. It is crucial that psychiatrists and other physicians develop an understanding of co-occurring pain, so that these patients can be treated in other types of clinics or in conjunction with standard pain management clinics.


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

This is a free course; however, you will still be required to go through the checkout process in order to complete your enrollment.

Educational Objectives

  • Explain the next best steps to take when a patient with co-occurring depression has a relapse in her/his opioid use disorder
  • Understand the appropriate dosing of opioid maintenance medications in the patient with co-occurring pain 
  • Explore the role that buprenorphine/naloxone can have in the management of chronic pain

Target Audience

This program is designed for physicians and clinicians who treat patients with addiction.

Estimated Time to Complete

Estimated Duration: 1 hour
Begin Date: September 30, 2015
End Date:  September 30, 2018

How to Earn Credit

Complete each section of the course. 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 a Certificate of participation (non-physicians) showing the date of completion 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 material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Beatrice Eld – Deputy Director of Education for Addiction Psychiatry, American Psychiatric Association. Reports no financial relationships with commercial interests.
Erin Zerbo, M.D. – Associate Professor of Psychiatry, Rutgers New Jersey Medical School. Reports no financial relationships with commercial interests.

Disclosure of 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.

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+, Google Chrome (latest version), or Microsoft Edge (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.orgfor questions about this course | Contact for technical assistance

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