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Initiating Medication-Assisted Therapy for OUD in Diverse Settings: Clinical Pearls for Navigating the Process

Participate NowThe opioid abuse epidemic has resulted in an alarming increase in opioid-related overdoses and deaths; however, the severe and lethal consequences of opioid misuse are preventable with the use of medication-assisted treatment (MAT), which is a proven, effective tool for patients with opioid use disorder (OUD). This CME Outfitters Snack features expert faculty expanding on best practices for MAT initiation particularly in diverse care settings such as the VA system, criminal justice settings, hospitals, and outpatient clinics, by examining the neurobiology of opioid addiction and the efficacy of opioid agonists and antagonists in reducing illicit opioid use.

Putting Pressure on Opioid Prescribing: Novel Approaches to Pain Management

Participate NowOpioids continue to impact all corners of the United States and its communities, a burden that continues to grow at a rapid pace. The current opioid crisis is incredibly challenging for both patients and health care providers (HCPs). There has been a 30% increase in overdoses among men and a 24% increase among women, with all ages affected. While changing these current trends is important, it cannot be accomplished by policy changes alone. There is no one size fits all model for communities to address this crisis. Participate in this activity via video or tune into the podcast>>

Rethinking Standing Orders for Opioids to Manage Pain in Adolescents and Young Adults Requiring Third Molar Extraction

Participate NowIt has long been a habit of dentists and oral and maxillofacial surgeons to prescribe narcotics following surgeries such as third molar extraction, with many prescribing as many as 20-30 tablets.A recent study of 105 patients who underwent third molar extraction saw 8 surgeons prescribing 1,773 opioid units, with only 38.4% of those units being consumed during the study period. The first installment of this CME Outfitters Briefcase series on non-opioid pain management focuses on how to choose safe and effective pain management strategies for dental postsurgical pain by aligning pain management practices to evidence-based recommendations for a rational, multimodal approach to analgesia.

CMEOCast: Best Practices: Applying Extended-Release MAT (or MOUD) in Real-World Settings

Participate Now
The final episode of the three-part CMEOcast podcast series focuses on applying evidence-based strategies to initiating the use of extended-release MOUD in real-world settings, providing best practices for supporting the recovery process of individuals with OUD.

CMEOCast: Helping Your Patients Over the Detox Hurdle: Strategies for Successful Outcomes

Participate NowIn the second episode of this three-part CMEOcast podcast series, OUD experts discuss best practices for managing detoxification in patients transitioning to MAT from opioid dependence and how clinicians can implement them in their practice.

CMEOCast: In It for the Long Game: Examining the Role of Extended-Release MAT (or MOUD) in Relapse Prevention in OUD

Participate NowThe first episode in this three-part CMEOcast podcast series on best practices in OUD analyzes the latest clinical updates on the safety and efficacy of extended-release MAT for OUD in order to improve clinical outcomes for struggling patients

CMEOCast: Talking Safety and NSAIDs

Participate NowThis fourth and final episode in the series features expert faculty discussing the precautions to take when prescribing NSAIDs for acute and chronic pain.

CMEOCast: Myth-Busting About NSAIDs and Bone Health

Participate NowThe third episode of this CMEOCast series focuses on busting these myths about NSAIDs and bone health by applying evidence and guideline recommendations that support non-opioid pain management in treatment decision-making.

CMEOCast: Patient Education to Manage Expectations About Pain and Pain Management

Participate NowThis second episode in a CMEOCast series focuses on making informative treatment decisions for pain management in order to change habits and improve outcomes. As part of that process is to educate patients in order to manage their expectations, it features expert faculty discussing strategies on how to best assess patients for misuse and communicate necessary information with patients.

CMEOCast: Can an Over the Counter Drug Really Take Care of Post-Operative Pain?

Participate NowIn the first episode of this CMEOCast podcast series on practice guidelines for pain management, expert faculty discuss utilizing a validated tool to assess patients for risk of misuse and diversion of opioids, as well as applying evidence that supports non-opioid management and whether over the counter treatment options can adequately treat post-operative pain.

Breaking the Ice: Talking to Your Patients About Naloxone

Participate Now Due to the considerable number of risk factors for overdose in patients with OUD or those on high dose opioids for chronic pain, it is imperative that health careprofessionals (HCPs) are familiar with the use of naloxone and its availability. Naloxone products for home use by patients or caregivers can reduce the risk of overdose deaths in both patients and household contacts; therefore, it is imperative that HCPs educate patients who are at risk for overdose on its role and means of administration.  The final episode of this CMEOCast podcast series highlights the multitude of risk factors for opioid overdose that clinicians treating patients with chronic pain need to be aware of, as well as strategies for counseling patients about naloxone.

A Collaborative Approach to Pain: Working with Your Patients to Reach an Informed Pain Management Plan

Participate NowThere are currently 50 million Americans living with chronic pain, which can result in restrictions in mobility and daily activities, dependence on opioids, anxiety and depression, and reduced quality of life (QoL) leading to it being one of the most common reasons for seeking medical care. This CMEOCast podcast focuses on educating clinicians to evaluate their current workflow for opioid prescribing, including incorporating best practice strategies that will optimize safe and competent prescribing and therefore minimize the potential for abuse and diversion.

Are You Seeing the Whole Picture? Assessing Pain and the Multitude of Factors that Influence Pain Perception

Participate NowKnowledge of acute and chronic pain pathways and their underlying mechanisms are imperative to the fundamentals of pain management and provide a comprehensive framework for appropriate clinical assessment and management of pain. The first episode of this CMEOCast podcast series on the treatment and monitoring of pain features faculty focusing on the whole picture of pain assessment and the factors that influence pain perception with the goal of educating clinicians on how to apply their knowledge of pain pathways to better counsel and treat their patients with acute and chronic pain.

Team-Based Strategies to Address Patients’ Pain Needs

Register NowWhile team-based care is the best approach to managing patients with pain, it is not always easy, with lack of communication and education often being the biggest concerns. Here, we examine the role of pharmacists in educating patients about their pain to optimize safe and effective treatment plans. In this CMEOCast podcast about team-based strategies that address patients’ pain needs, expert faculty discuss the management of pain from acute injury, dental procedures, and minor surgery as well as that of patients with chronic pain, including strategies that promote improved communication among the treatment team and educating patients about their pain.

Treating Incarcerated Individuals with OUD

Most individuals do not receive treatment for their opioid use disorder when incarcerated resulting in significant rates of relapse, overdose, and death upon release. Dr. Tobias Wasser discusses barriers and opportunities for treatment in correctional facilities. Download Slides Here - PDF

Resources

Shared Decision Making

Dr. Mark Ballow talks about strategies for patients and their caregivers to improve communication with their doctors and healthcare teams.

Whiteboard Animation: Primary Immunodeficiency Disorders

  PID Whiteboard:  An animated guide for patients and caregivers on what PIs are, and what to expect from clinical visits during the diagnostic phase and treatment planning.

Animated Look at Prior Authorization in AMD

Download Animated Look at Prior Authorization in AMD

An Animated Look at Acute and Chronic Pain Pathways

Download the Animation Guide here (PDF)

Download Animated Look at Acute and Chronic Pain Pathways Video
Resource Links

Brief Adherence Rating Scale (BARS)

Medication Adherence Rating Scale (MARS) The total score ranges from 0-10 with a higher score indicating better adherence

Brief Psychiatric Rating Scale (BPRS) Comprehensive 24-item symptom scale

Hamilton Depression Rating Scale (HAM-D) The Hamilton Depression Rating Scale (HAM-D) has proven useful for many years as a way of determining a patient’s level of depression before, during, and after treatment.

Geriatric Depression Scale Short Form (GDS-SF) 15-item screening tool used to identify depression in older adults

Edinburgh Postnatal Depression Scale (EPDS) Proven to be an effective screening tool to identify patients at risk for “perinatal” depression. Mother asked to check the response that comes closest to how she has been feeling in the previous 7 days.

Patient Health Questionnaire (PHQ-2) Use the Patient Health Questionnaire (PHQ-2) to screen for depression.

Beck Depression Inventory-II (BDI-II) The Beck Depression Inventory-II (BDI-II): 1996 revision of the BDI 21-item self-report multiple-choice inventory ~ 10 minutes to complete. Widely used indicator of the severity of depression.

Bipolar Spectrum Diagnostic Scale (BSDS) The Bipolar Spectrum Diagnostic Scale (BSDS) is a descriptive story that captures subtle features of bipolar illness.

Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR-16) Quick Inventory of Depressive Symptomatology (Self-Report) (QIDS-SR-16) has proven useful for many years as a way of determining a patient’s level of depression before, during, and after treatment.