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What Should They Expect? Making Time to Talk to Patients About Pain Before Their Dental Procedure

Register NowRecent studies have demonstrated the effectiveness and acceptability of reduction or the total elimination of opioids after discharge from minor surgery, with most patients who underwent a dental procedure or oral surgery reporting low pain scores. In the third installment of this CME Outfitters Briefcase series on non-opioid pain management, expert faculty share strategies for educating patients and managing their expectations, setting clear goals, as well as best practices for patient engagement. Further discussion illustrates the importance of post-operative follow-up and practical information on safe storage and disposal of unused medication. By engaging patients in an open discussion, clinicians effectively partner with their patients and the community as a whole to be a resource for health and wellness.

Getting a Head Start on Pain: Simple Changes to Your Pre-Procedure Workflow for Assessing Misuse and Diversion of Opioids

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An adolescent or young adult's first exposure to opioids often occurs following a third molar extraction, and even though 85%-90% of these patients find the experience unpleasant due to side effects, up to 15% are at risk for misuse, abuse, and addiction. To mitigate risk of opioid dependency it is imperative that dentists and oral surgeons are aware of the patients medical history, engage in pre-and postoperative discussions about pain and pain management expectations, discuss the risks and possible side effects of opioids, and balance compassionate care that manages suffering with safety.
Risk assessment tools such as the Opioid Risk Tool can be used as a complement to medical history, while checking the Prescription Drug Monitoring Program (PDMP) can determine whether a patient has had any aberrant prescription behaviors. This CME Outfitters Briefcase activity focuses on when to use validated tools to assess patients for risk of misuse and diversion of opioids as well as strategies for engaging patients in the management of their pain.

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

Register 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.

Opioid Red Flags: Examining the Options and Taking the Next Steps

Register Now The final episode of this CME Outfitters Briefcase series focuses on identifying the red flags of OUD and best options for taking the next steps to engage patients and develop appropriate treatment strategies.

Are You Seeing the Big Picture?: A Multimodal Approach to the Management of Pain

Register NowPart two of this CME Outfitters BriefCase series revisits the patient case from part one, with a focus on how best to handle prescribing, patient education, and shared decision-making via telehealth appointments.

Conducting an ePain Assessment: Asking the Right Questions, Using the Best Tools

Register NowCase-based learning is helpful in illustrating not just strategies for managing challenging patients, but also in sharing experiences and insights on maintaining quality care when facing changes in clinical workflow. To help clinicians adapt to virtual appointments, part one of this CME Outfitters BriefCase series features expert faculty presenting a case vignette that demonstrates tips for performing psychosocial and physical assessments via a telehealth appointment in order to educate clinicians on appropriate management of pain and the viability of Telehealth for pain evaluation and ongoing management

What You Need to Know About Hepatitis B Coinfection

Register NowIndividuals with hepatitis B may also be coinfected with hepatitis A, hepatitis C, hepatitis D, or HIV. Coinfection can increase the risk of liver cancer, cirrhosis, the progression of disease, and liver failure. In this video, Drs. Ahn and Tang provide useful information about the various types of viral hepatitis coinfections as well as important steps you can take to reduce the burden of the disease.

What to Expect from Your Hepatitis B Treatment

Register NowThe goals of treatment for chronic hepatitis B virus infection are to reduce inflammation of the liver and to prevent complications by suppressing viral replication. In this video, Drs. Ahn and Tang discuss the goals of treatment for HBV, indications for treatment, and the importance of treatment adherence, as well as provide a broad overview of your treatment options and highlight some important items to discuss with your physician.

Translating Evidence to Practice: Approaches for Individualized and Patient-Centered MS Care

Register NowThis video is a replay of a plenary session from the 12th Annual Chair Summit Master Class for Neuroscience Professional Development held in Las Vegas, NV from February 27 - 29, 2020.  At the end of this CE activity, participants should be able to evaluate the latest clinical data on the safety and efficacy of current and emerging therapies for MS and develop a patient centered care plan.

Spasticity: Diagnosis and Management with Focus on Botulinum Toxin

Register NowThis video is a replay of a plenary session from the 12th Annual Chair Summit Master Class for Neuroscience Professional Development held in Las Vegas, NV from February 27 - 29, 2020.  At the end of this CE activity, participants should be able to:
  • Recognize the varied presentations of spasticity.
  • Develop individualized treatment strategies based on shared goals and available treatment options.

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

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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.
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.