Pain & Addiction, Best Practices & Proper Prescribing: Changing a Culture by Changing the Culture of Medicine

Released
March 13, 2020
Expires
February 28, 2023
Credits
3.25 CME, 3.8 Nursing, 2 Nurse Pharmacology, 3.25 ADA CERP
This course was reviewed and accepted by
West Virginia Board of Medicine
West Virginia Board of Osteopathic Medicine
West Virginia Board of Dentistry
Credit Fee
Free to view, $55 to claim credit
Target Audience
This course is designed for all clinicians—physicians, dentists, nurses, physician assistants and others—who prescribe opioid medications and who care for patients receiving opioid medications.

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Following completion of this web course, participants should be able to:

  • Discuss NSDUH 2018 statistics
  • Recognize the benefit of integration of organized medicine and the addiction continuum
  • Describe recent efforts in combating the epidemic and its secondary consequences
  • Identify specific statutory requirements including rules and regulations of the West Virginia Board of Pharmacy, West Virginia Board of Medicine, West Virginia Board of Osteopathic Medicine and West Virginia Board of Dentistry relating to controlled substance prescribers
  • Describe recent legislative changes relating to compliance with controlled substance laws and rules related to substance abuse and prescription drug abuse
  • Explain the importance of registering and use of the PDMP
  • Recognize the impact of legislative changes on physician practices and their patients
  • Describe best practices for indication of opioids in chronic pain treatment and general characteristics, including toxicities and drug interactions
  • Explain risk assessment tools, examination and evaluation of the pain patient
  • Explain the initiation and ongoing management of the chronic pain patient treated with opioid based therapies, including treatment objectives; monitoring and periodic review; referrals and consultations; informed consent; prescription of controlled substance agreements, urine screens and pill counts; patient education on safe use, storage and disposal of opioids; discontinuation of opioids for pain due to lack of benefits or increased risks; documentation and medical records
  • Describe and explain the epidemiology of chronic pain and misuse of opioids including the economic social impact
  • Describe the tactics and behaviors of best practices of suspected doctor shopping, drug seeking and drug diversion
  • Describe best practice methods for working with patients suspected of drug seeking behavior, diversion and other aberrant behavior
  • Explain how cognitive behavior therapy resets the brain in chronic pain and opioid use
  • Develop strategies for crucial conversations with patients to enhance non-opioid pain care
  • Explain and discuss current West Virginia statistics on prescription drug diversion, abuse, intoxications and resulting deaths
  • Describe the synergy of opioids and other common drugs of abuse related to overdose deaths
  • Recognize the markedly increasing role of heroin to overdose deaths relative to the proper opioid prescribing and increased utilization of the PDMP
  • Recognize the importance of utilizing the WV Board of Pharmacy query to detect “doctor shopping” and diversion behaviors