Focusing on Function with Patient-Centered Pain Care: Revised Guidelines for Opioid Prescribing


Johnathan H. Goree, MD
Service Line Director - Neurosciences
Director of Chronic Pain Division
Associate Professor of Anesthesiology
University of Arkansas for Medical Sciences (UAMS)
Little Rock, AR
Johnathan H. Goree, MD

Johnathan Goree, MD, is a Professor of Anesthesiology at the University of Arkansas for Medical Sciences (UAMS), where he is the Director of the Chronic Pain Division, Program Director of the Pain Medicine Fellowship, and Chair of the Opioid Stewardship Committee. Dr. Goree completed medical school and residency at the Weill College of Medicine at Cornell University. He completed a Pain Fellowship at Emory University in Atlanta prior to joining the faculty at UAMS. Dr. Goree considers himself a quality-of-life physician who is focused on improving function through opioid-sparing interventional care. His research interests include the effects of opioid education, racial disparities in chronic pain care, and implementation science.

Yvonne D’Arcy, MS, APRN-C, CNS, FAANP
Pain Management and Palliative Care Nurse, Ponte Vedra Beach, FL
Yvonne D’Arcy, MS, APRN-C, CNS, FAANP

Yvonne D’Arcy MS, APRN, CNS, FAANP is an expert pain management and palliative care nurse practitioner and consultant. She has extensive clinical experience in various roles, including leading a nurse practitioner pain management consulting service at Suburban Hospital Johns Hopkins Medicine, Bethesda, Maryland; pain service coordinator at Johns Hopkins Hospital Oncology department, Baltimore, Maryland; and supervisor of the chronic pain clinic and coordinator of the acute pain service at the Mayo Clinic, Jacksonville, Florida. Ms. D’Arcy has received numerous awards and was inducted as a fellow of the American Association of Nurse Practitioners in 2016. She is a prolific speaker and author, delivering more than 100 poster and oral presentations, publishing more than 100 journal articles on pain-related topics, and authoring eight books, including the AJN award-winning and highly reviewed Compact Clinical Guide to Pain series by Springer Publishing Company. Ms. D’Arcy has been a member of the American Pain Society, where she served on the education committee and helped draft and review national pain management guidelines. She is a past member of the board of the American Society of Pain Management Nurses as well as the immediate past co-chair of the Pain Special Practice Group of the American Association of Nurse Practitioners. Her latest book, Pain Management for Primary Care Providers, was published in September 2020.

Melissa J. Durham, PharmD, MACM
Associate Professor of Clinical Pharmacy
USC Mann School of Pharmacy and Pharmaceutical Sciences
Clinical Pharmacist, The USC Pain Center
Los Angeles, CA
Melissa J. Durham, PharmD, MACM

Melissa J. Durham is an Associate Professor of Clinical Pharmacy and an Associate Dean at the University of Southern California (USC) Mann School of Pharmacy and Pharmaceutical Sciences.  Dr. Durham received her Doctor of Pharmacy degree, completed a residency in Community-based Pharmacy Practice, and has a Master of Academic Medicine degree, all from USC. She has been a clinical pharmacist at the USC Pain Center since 2008, where she runs a pharmacist-led pain medication management service for patients with a variety of complicated chronic, nononcologic pain conditions. She is dedicated to improving the quality of life for people with chronic pain through patient-centered and compassionate care. The value of her unique practice model has been recognized and published both nationally and internationally. Dr. Durham is also a practicing community pharmacist and provides a valuable and unique perspective of a clinician who is both a prescriber and a dispenser.

Statement of Need

In 2016 the CDC Guideline for Prescribing Opioids for Chronic Pain was released with the goal of reducing rates of opioid use disorder (OUD) and overdose and encouraging use of effective opioid-alternatives for the management of chronic pain. In the first and second year following the Guidelines’ release, total day’s supply for opioid prescriptions were reduced by 4.7% and 9.8%, respectively, compared to the pre-Guideline period. However, misinterpretation and misapplication of guideline recommendations continues to pose health equity challenges and add frustration to patient-provider relationships. Updates to the aforementioned CDC Guidelines have been drafted to address these remaining barriers to safe, effective, and equitable pain management and will be released in late 2022.

In this recorded Risk Evaluation and Mitigation Strategy (REMS) webcast, faculty will review anticipated updates to the Guidelines and discuss how best to incorporate these updates into practice. The activity will also examine the underlying pathophysiologic mechanisms of pain, the identification and management of OUD, and strategies for educating patients about their pain and pain treatment options.

Learning Objectives

At the end of this CME/CE activity, participants should be able to:

  • Apply knowledge of acute and chronic pain pathways and underlying mechanisms to clinical assessment and appropriate management of pain.
  • Incorporate the updated CDC Guideline for Prescribing Opioids to practice for safe and competent prescribing and improve health-related quality of life (HRQoL) for patients with chronic pain.
  • Educate patients about their pain to optimize safe and effective, multimodal treatment plans.

Financial Support

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please click here for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).

Target Audience

Physicians, psychologists, dentists, physician associates (PAs), nurse practitioners (NPs), nurses, and pharmacists

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Interprofessional (IPCE) 1.5

This activity was planned by and for the healthcare team, and learners will receive 1.5 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 1.5

CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME Outfitters, LLC, designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 1.5

This activity is designated for 1.5 contact hours.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists (ACPE) 1.5

This application-based activity is approved for 1.5 contact hours (0.15 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-22-148-H01-P

PAs (AAPA) 1.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.5 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.

Dentists (ADA CERP) 1.5

ADA CERP: CME Outfitters, LLC is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at CME Outfitters, LLC designates this activity for 1.5 continuing education credits. Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at

Family Physicians (AAFP) 1.5

The AAFP has reviewed the activity and deemed it acceptable for up to 1.5 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval expires with the expiration date of the credit availability. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician's Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Psychologists (APA) 1.5

Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Goree reports the following financial relationships: Consultant: Abbott and Stratus Medical, LLC. Research Support: Mainstay Medical and SPR Therapeutics.

Dr. D’Arcy reports the following financial relationships: Advisory Board: AppliedVR, Inc.

Dr. Durham reports no financial relationships.

The following peer reviewer and CME Outfitters staff have no financial relationships:

  • Shirley Michelle Franks, MSN, APRN, FNP-BC (peer reviewer)
  • Thomas W. Heinrich, MD (peer reviewer AAFP)
  • Evan Luberger (planning committee)
  • Kellie Busby, PharmD (planning committee)
  • Kasey Brandt, PharmD (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credits

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at (877) CME-PROS or (877) 263-7767.



Focusing on Function with Patient-Centered Pain Care: Revised Guidelines for Opioid Prescribing
Event Date: 10/21/2022