17075 - Fast Fact Course 3 Care Strategies for Identifying and Managing Aberrant Behaviors with Opioids

Attention clinicians who practice in Wisconsin:  Print and save your CME certificate in a safe place after you successfully complete this course; this certificate will suffice in meeting the state of Wisconsin educational requirements for safe opioid prescribing.

Course Description:  Aberrant behaviors, addiction, involuntary and voluntary diversion, and abuse can occur even among seriously ill patients prescribed opioids under the careful supervision of a treating clinician.  In addition to the known public health threats, these behaviors can be damaging to the well-being of the patient and family as they cope with a serious illness.   Clinicians who care for patients with illnesses such as advanced cancer, organ failure, dementia, or other serious illnesses need to be able to make informed decisions about the use of opioids for acute and chronic pain management.  In order to do this, clinicians must be able to distinguish aberrant drug behaviors identify from expected physiologic responses to opioids such as tolerance and physical dependence.  In this module, users can attain 1.0 hours of CME credit after successful completion of the following:

  1. Content review of ten Fast Facts and Concepts covering the following topics:
    1. Naloxone including inpatient and outpatient use.
    2. Distinguishing pain from addiction
    3. Diagnosis and management of opioid withdrawal
    4. Substance use disorders in the palliative care patient
    5. Screening for opioid misuse and abuse in seriously ill patients
    6. The treatment of pain in patients taking buprenorphine for opioid addiction 
    7. Opioids for chronic pain in patients with a history of a substance use disorder
  2. Score of 70% or higher on a 10 question quiz covering this content. (Of note: all relevant information to answer each question should be found in the relevant Fast Fact)
  3. Completion of a course evaluation.

Module 3: Fast Facts #39, #68, #95, #110, #127, #221, #244, #311, #312, #328

To review Fast Facts for Module 1 go to PCNOW:  https://www.mypcnow.org/cme-landing

ACCME Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA Credit Designation Statement:
The Medical College of Wisconsin designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hours of Participation for Allied Health Care Professionals:
The Medical College of Wisconsin designates this activity for up to 1.0 hours of participation for continuing education for allied health professionals. 

The Medical College of Wisconsin is accredited by the American Association of Nurse Practitioners as an approved provider of nurse Practitioner continuing education.  Provider Number: 150930.

Course details

  • AMA PRA Category 1 Credit(s)™: 1.00
  • Hours of Participation: 1.00
  • NP Pharmacology: 1.00
  • Course opens: Sun, Jan 01 2017
  • Course expires: Tue, Dec 31 2019
  • Cost: $0.00

Target audience

Physicians, Nurse Practitioners, palliative care care givers

Learning objectives

  1. Define addiction, opioid abuse, involuntary diversion and voluntary diversion and be able to distinguish these terms from physical dependence and opioid tolerance.
  2. Describe at least two evidence-based screening tools for identifying opioid misuse and abuse in seriously ill patients.
  3. Safely manage the symptoms of opioid withdrawal when opioids are discontinued.

Faculty & credentials

In accordance with the ACCME® standard for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. The following in control of content had no relevant financial relationships to disclose.

Sean Marks, MD
David Weissman, MD
Drew Rosielle, MD

In accordance with the ACCME® standards for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. These relationships were reviewed via the MCW conflict of interest resolution process and resolved:

Author Company Role
Frank Ferris Valeant/Salix Author
Bridget Protus Optum Hospice Pharmacy Author
Debra Gordon Pacira Author
April Zehm Intefritas Communicaitons and Global Education Group Author
ABMS Core Competencies: 
Patient Care and Procedural Skills
Medical Knowledge
Practice-based Learning and Improvement

CME Coordinator Contact Information

Rose Hackbarth
Phone Number:: 
+1 (414) 805-4634
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