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Challenges and Opportunities in Chronic Pain Management During Transitions in Care

Activity Type:

  • On Demand

Release Date: 7/19/2017

Expiration Date: 7/19/2020

  • AMA PRA Category 1: 1
  • Participation: 1



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.

Funding for this initiative was made possible (in part) by grant no. 5U79TI026556-03 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


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

Educational Objectives

  • 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

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: 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. 

Continuing Education Credit

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.

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

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All materials copyright American Psychiatric Association. ©2017

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