Best Practices Opioid Summary

From Minnesota Medical Association and

Best Practices in Prescribing Opioids and Non-pharmacological and Implantable Device Alternatives for Pain Treatment and Ongoing Pain Management

 Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Minnesota Medical Association and DBA The Minnesota Medical Association (MMA) is accredited by the ACCME to provide continuing medical education for physicians.

CME Statement

The Minnesota Medical Association designates this enduring activity for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

After completing these modules, the participant should be better able to:

Educational Objectives:

Objective #1. Understand factors related to the opioid crisis in the United States and the State of Minnesota.

Objective #2.  Define best practices in prescribing opioids

Objective #3.  Implement non-pharmacological and implantable device alternatives for treatment of pain and ongoing pain management

Course Outline and Content

  1. The course includes defining the opioid crisis with definitions, opioid misuse with current statistics of overdose and deaths from the CDC and Minnesota data.
  2. Best practices includes a background on heroin and fentanyl.
  3. Responsible Prescribing and Patient Safety: includes: Principles of patient care and safety, Primary Goals of patient care and safety, the Check Prescription Monitoring Program (PMP), Principles of Patient Education,  Prescription Cautions and Checks on Psychosocial and Risk Assessment
  4. The 3 pain phases are described in detail.  Best opioid practices define each category of acute pain, post-acute pain, and chronic pain. The 12 CDC recommendations for non-opioid treatment for chronic pain are presented. In each, best prescribing practices are given with an emphasis on non-opioid therapy as recommended by CDC and Minnesota Opioid guidelines. Best opioid practices for tapering, treatment of women of childbearing years and cancer pain is covered.
  5. Non-pharmacological therapy for pain relief is emphasized for specific conditions and non-opioid therapy is presented. Implantable devices are described and their mechanism of action. The two types of implantable devices are described operationally and compared. Recent data comparing the two implantable device types is noted. Other non-pharmacological alternatives to pain are presented and include: Trans-cutaneous nerve stimulation, exercise, cognitive behavioral therapy, multi-disciplinary and multi-modal therapy.

The entire course can be reviewed at:

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