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*****From Minnesota Medical Association and mncme.net Best Practices in Prescribing Opioids and Non-pharmacological and Implantable Device Alternatives for Pain Treatment and Ongoing Pain Management *****Accreditation Statement: Minnesota Medical Association 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 obultrasound.net DBA mncme.net. The Minnesota Medical Association (MMA) is accredited by the ACCME to provide continuing medical education for physicians.*****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.*****• 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.*****• Introduction, definitions, patient safety, cautions and risk assessment The course includes defining the opioid crisis with definitions, opioid misuse with current statistics of overdose and deaths from the CDC and Minnesota data and dental statistics. Best practices includes a background on heroin and fentanyl. 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.*****• Pain Phases Best Opioid Practices 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.***** • Implantable Devices and Non-pharmacological therapy 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.