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Management of Opioids and Chronic Pain in the Primary Care Setting
The Center for Innovation in Academic Detailing on Opioids (CIAO), at the San Francisco Department of Public Health, has prepared online coursework modules with the aim of educating learners on topics related to the management of opioids and chronic pain in the primary care setting as well as how to communicate relevant information to patients and providers.
Courses in the Curriculum
Activity Title
(clickable links)
Activity DescriptionCredits AvailableBase
Price
Price Included
in Bundle?
Course 1. Naloxone This course on naloxone prescribing in the primary care setting will cover opioid and overdose basics, including relative strength of opioids, opioid agonists and antagonists, and risk factors for overdose; the role of language in caring for patients who use opioids; recommendations for when to prescribe naloxone for opioid overdose prevention; naloxone pharmacology, mechanism of action, and formulations; and naloxone-related legislation.
  • 0.75 Accreditation Council for Continuing Medical Education
  • 0.75 Accreditation Council for Pharmacy Education
  • 0.75 Accreditation Council for Pharmacy Education
  • 0.75 Accreditation Council for Continuing Medical Education
  • 45.00Yes
    Course 2. Opioid Use Disorder This course on the management of Opioid Use Disorder (OUD) in the primary care setting will cover pharmacology, risk factors, and diagnosis of OUD; reasons to treat, pharmacologic treatment options, risk of precipitating opioid withdrawal with treatment initiation, and the role of counseling in the treatment of OUD; and treating OUD in special populations.
  • 1 Accreditation Council for Continuing Medical Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Continuing Medical Education
  • 45.00Yes
    Course 3. Buprenorphine This course on buprenorphine prescribing in the primary care setting will cover buprenorphine’s safety profile and its different formulations; prescribing buprenorphine for pain; how a clinician gets a buprenorphine waiver, and how a buprenorphine waiver can augment clinical care; contraindications to buprenorphine use; considerations for special populations; prescribing buprenorphine when a patient is also using benzodiazepines and alcohol; opioids and stimulants; misuse and diversion of buprenorphine; planning for buprenorphine initiation, including understanding the risk of precipitated opioid withdrawal; starting buprenorphine for problematic fentanyl use; and buprenorphine as maintenance therapy.
  • 1 Accreditation Council for Continuing Medical Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Continuing Medical Education
  • 45.00Yes
    Course 4. Substance Use Disorder This course on the management of substance use disorder in the primary care setting will cover screening for and diagnosing SUD; SUD epidemiology; health complications due to different substances; harm reduction strategies; therapies for SUD; and additional medical care for patients who use drugs.
  • 1 Accreditation Council for Continuing Medical Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Pharmacy Education
  • 1 Accreditation Council for Continuing Medical Education
  • 45.00Yes
      

    Management of Opioids and Chronic
    Pain in the Primary Care Setting
     




    Full Curriculum


    Description

    The Center for Innovation in Academic Detailing on Opioids (CIAO), at the San Francisco Department of Public Health, has prepared online coursework modules with the aim of educating learners on topics related to the management of opioids and chronic pain in the primary care setting as well as how to communicate relevant information to patients and providers.

    The curriculum consists of eleven (11) short on-demand courses, which can be completed in any order. A certificate of credit will be issued for each module individually, with an option to print a certificate including all credits earned upon completion of the curriculum. Courses will be released over time, and include:

    Currently Available
    1. Naloxone [PM Rx]
    2. Opioid Use Disorder [Rx]
    3. Buprenorphine [PM S2 Rx]

    Coming Soon
    4. Substance Use Disorders [Rx]
    5. Urine Toxicology [PM]
    6. Opioid Stewardship [PM]
    7. Chronic Pain Management [PM S2 Rx]
    8. Initiating Opioids for Chronic Pain [PM S2 Rx]
    9. Reducing or Stopping opioids for Chronic Pain [PM S2 Rx]
    10. Motivational Interviewing [PM]
    11. Academic Detailing Basic Skills [PM]

    All courses are qualified for CME and CPE credit. The following key indicates the courses qualified for these specialty certificate credits:

    [PM] Pain Management
    [S2] Schedule II Drugs
    [Rx] Pharmacotherapeutics for Nurses

    Learning Objectives

    At the completion of the entire curriculum, the participant should be able to:

    1. Apply knowledge of opioid and overdose basics, naloxone mechanism of action and formulations, and patient acceptability, to improve prescriber practices;
    2. Apply knowledge of opioid use disorder, including diagnosis and treatment, to clinical practices in different patient populations;
    3. Apply knowledge of indications, contraindications, and general tenets of starting buprenorphine to treat opioid use disorder;
    4. Apply knowledge of common substance use disorder diagnoses, treatments, and panel management in primary care;
    5. Apply knowledge of screening and confirmatory drug testing practices in support of treatment for opioid use disorder;
    6. Apply knowledge of pain and function assessments to opioid stewardship, and describe monitoring for opioid use disorder;
    7. Apply knowledge of non-pharmacologic treatments and non-opioid pharmacologic treatments for chronic pain to the correct patient type;
    8. Apply knowledge of the steps for determining if opioids should be considered for chronic pain and how to assess a patient already on opioid therapy;
    9. List, and apply to the correct patient type, risks to reducing opioid therapy;
    10. Demonstrate best practices of shared decision-making for opioid therapy with a patient;
    11. Apply knowledge of concepts and communication skills of motivational interviewing and give examples of each in practice;
    12. Apply knowledge of the needs assessment, delivering key messages, handling objections, and closing the visit, to promote prescriber behavior change.


    Method of Participation/Instructions for Obtaining Credit

    The knowledge-based curriculum is designed for a wide range of health professionals, including physicians, pharmacists, physician assistants, nurse practitioners, registered nurses, and health educators who care for patients who use opioids, who use illicit substances, or who have chronic pain, in the primary care setting.

    The enrollment fee for the entire curriculum is $45.

    Participants should read and listen to the coursework content, answer the multiple-choice test questions embedded within each module, and complete the evaluation form online to receive a certificate. You must receive a score of 80% or better to complete each course. You will have two attempts to successfully complete the post-test.  Your certificate will be available immediately for print or download upon completion of the entire activity.

    This course was released May 1, 2022 and expires May 31, 2025.

    Curriculum Directors / Speakers


    Phillip Coffin, MD, MIA, FACP, FIDSA
    Medical Director and Clinician Trainer
    Center for Innovation in Academic Detailing for Opioids
    San Francisco Department of Public Health
    Assistant Professor of Medicine
    Zuckerberg San Francisco General Hospital and Trauma Center
    San Francisco, California

    Brian Wylie, OTD, MPH
    Program Director
    Center for Innovation in Academic Detailing for Opioids
    San Francisco Department of Public Health

    Rebecca Martinez, FNP-C
    Clinician Trainer
    Center for Innovation in Academic Detailing for Opioids
    San Francisco Department of Public Health

    Accreditations

    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 University of California, San Francisco and San Francisco Department of Public Health. The University of California, San Francisco is accredited by the ACCME to provide continuing medical education for physicians.

    UCSF designates this enduring activity for a maximum of 8.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.



    The University of California, San Francisco School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

    Each course in the curriculum has been approved individually for the specified number of credits under it's own Universal Activity Number, as indicated on the course overview page. Maximum number of credits earned for completing all 11 courses is 8.75 contact hours (.088 CEUs).




    ABIM Maintenance of Certification Points: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 8.75 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.


    Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credit™. (Report up to 20.00 hours of credit and list "CME Category 1" as the provider number.)

    Nurse Practitioners: For the purposes of recertification, AANPCB accepts AMA PRA Category 1 Credit issued by organizations accredited by ACCME as an equivalent number of hours of participation.

    Registered Dietitians: The Commission on Dietetic Registration accepts as continuing professional education those courses that meet the standard of relevance to Dietetic practice and have been approved for AMA PRA Category 1 Credit™.

    Psychologists: This educational activity is recognized by the California Board of Psychology as meeting the continuing education requirements toward license renewal for California psychologists. Psychologists are responsible for reporting their own attendance to the California Board of Psychology. Psychologists from other states should check with their respective licensing boards.

    Physician Assistants: PAs may claim a maximum of 20.00 Category 1 credit(s) for completing this activity. NCCPA accepts AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society.  AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

    See individual course overview pages for specific number of continuing education, Pain Management, Schedule II, and Pharmacotherapeutic credits.

    Disclosure

    This UCSF CME activity was planned and developed to uphold academic standards to ensure balance, independence, objectivity, and scientific rigor; adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA); and include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

    The following individuals have no financial relationships with ineligible companies whose primary business purpose is the manufacturing, marketing, selling, re-selling or distributing health care goods used on or by patients.

    Phillip Coffin, MD, MIA, FACP, FIDSA
    Brian Wylie, OTD, MPH
    Rebecca Martinez, FNP

    The following individuals have disclosed a relevant financial relationship with one or more ineligible companies. Financial relationships have been mitigated in accordance with the Standards for Integrity and Independence of Accredited Continuing Education Activities.

    NONE


    Special Needs or Other Concerns
    If you require any special accommodations for a disability which creates a hardship to participating in this activity, or you have questions or concerns about this course, please contact the Office of CME. (Additional contact information is below.)

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    UCSF School of Medicine
    Office of Continuing Medical Education
    Box 0742
    490 Illinois Street, Floor 8
    San Francisco, CA  94143

    info@ocme.ucsf.edu
    Phone: (415) 476-4251 • Fax: (415) 476-0318



    Type:     Internet Activity (Enduring Material)
    17 Registered Users