17075 - Fast Fact Course 4 Safe and Effective Opioid Prescribing

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: Patients with serious illnesses such as advanced cancer, chronic organ failure, or dementia are at risk for poorly controlled pain and dyspnea.  Often these patients require opioid therapy in order to manage these symptoms, especially as their underlying advanced illness progresses.  In order to prescribe opioids in a safe and effective manner for these patients, clinicians need to have comprehensive clinical knowledge regarding various types of opioids, routes of opioid therapy, dosing of opioid therapy, and how to modify opioid therapy as their symptoms evolve with the underlying illness.  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. Best practices for opioid dose escalation in seriously ill patients
    2. Subcutaneous opioids
    3. Opioid dose conversions
    4. Sublingual morphine
    5. Range orders for as needed opioid prescriptions in seriously ill patients
    6. Opioid infusion orders
    7. Oral opioid orders
    8. Clinical pearls for prescribing scheduled II controlled medications such as opioids
    9. Opioid pharmacokinetics
    10. Abuse-deterrent opioid formulations
  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 4: Fast Facts #20, #28, #36, #70, #72, #74, #198, #307, #329

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

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. Describe starting doses for two oral and two parenteral opioids in palliative care.
  2. List three opioid equi-analgesic and dose escalation principles.
  3. Describe three principles of writing opioid prescription orders in the inpatient and outpatient settings.

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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