Pain Management and Opioids CME & Disclosures

Activity Overview and Instructions

The FDA Risk Evaluation and Mitigation Strategy (REMS) for opioids leverages accredited CE to address the opioid crisis. Offered in collaboration with Area 9 Lyceum and Boston University School of Medicine, this program addresses the FDA Opioid Analgesic REMS 2018 mandate for accredited CME/CE to expand the REMS program to include Immediate-Release (IR) opioids by providing comprehensive prescriber education in the safe use of these medications. This program is funded by an unrestricted educational grant by the Opioid Analgesic REMS Program Companies, known as the REMS Program Companies (RPC).

Pain Management and Opioids from NEJM Group consists of 62 in-depth, case-based scenarios developed by practicing clinician experts in pain management and addiction. The cases and questions assess the participant’s learning that includes many high-yield learning resources in the form of audio, video, and infographics. The material covers:

• The latest practices for assessing and managing acute and chronic pain.
• Current guidelines on the appropriate use of opioids for pain management.
• Evidence-based strategies for recognizing and treating opioid use disorder.

Learning Objectives

• Choose the most appropriate pain-management strategy for an individual patient.
• Recognize the scenarios in which opioid analgesia is and is not appropriate.
• Formulate a standardized approach for routinely assessing pain, function, and adverse effects in patient taking chronic opioid therapy.
• Identify signs of opioid misuse and opioid use disorder.
• Choose the most appropriate strategy for tapering or discontinuing opioid analgesics when necessary.
• Choose the most appropriate intervention when opioid use disorder is suspected.

Disclosure of support

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://www.opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf 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).

Intended Audience

The primary audience for this activity will be US-based internal medicine generalists and subspecialists, hospitalists, family medicine physicians, and emergency medicine physicians. The secondary audience will be pain specialists, surgeons, anesthesiologists, and psychiatrists. The tertiary audience will be all other physicians and allied care providers on the aspirational learning scale.

Medium or Combination of Media Used

This is an adaptive self-assessment tool designed to adjust to the learner’s strengths and areas for growth, and can be accessed from a desktop, laptop, tablet, or smartphone. Learners are presented with a sequence of questions. After each question is answered, the user is provided with the key learning point, detailed feedback that discusses the correct answer as well as each of the wrong answers, and citations to relevant articles.

Method of Participation

To maximize exposure to the FDA Opioid Analgesics REMS blueprint, learners must first answer all case-based questions, and the detailed feedback will automatically be shown after your response. After you’ve seen all the cases, the system will adapt to you and allow you to keep learning to obtain mastery and earn all associated CME credits.

All questions are approved for AMA PRA Category 1 Credit™ and ABIM Maintenance of Certification (MOC) points. To receive CME credit and ABIM MOC points, you must answer questions correctly:

• Six questions answered correctly are designated for 1 AMA PRA Category 1 Credit™.
• Six questions answered correctly equal 1 ABIM MOC point.

Bibliography

Each clinical vignette includes citations and references.

Hardware/Software Requirements

Windows

• Google Chrome 30+, Safari 5.0+, Internet Explorer 11.0+, Mozilla Firefox 10.0+, Microsoft Edge
• Recommended: Google Chrome 39+, Safari 7+, Internet Explorer 11, or Firefox 32+
• Windows 7 (32-bit and 64-bit), Windows 8+. Windows 7+ is recommended.
• Minimum 1 GB of RAM but 2 GB or greater is recommended
• 2.33 GHz or faster x86-compatible processor, or Intel® Atom™ 1.6 GHz or faster processor for netbooks
• Display resolution: 1024 × 768 or better

Mac OS

• Google Chrome 14+, Safari 5.0+, Mozilla Firefox 12.0+
  Recommended: Google Chrome 39+, Safari 7+, or Firefox 32+
• Mac OS X v10.6+
• Minimum 1 GB of RAM but 2 GB or greater is recommended
• Intel Core™ Duo 1.33GHz or faster processor
• Display resolution: 1024 × 768 or better

Mobile/Tablet

Pain Management and Opioids works on all mobile and desktop systems via your web browser whenever you have an internet connection.

• iOS devices running OS 7+(includes iPhone and iPad devices). iOS version 8+ is recommended.
• Android version 4+ (includes smartphones and tablets). Android version 5+ is recommended. Note: Android phones will also support the browser version of each product (Chrome recommended).

Pain Management and Opioids Editors and Publishers

A Product of NEJM Group — Owned & Published by the
MASSACHUSETTS MEDICAL SOCIETY

NEJM Group Editor
Jeffrey M. Drazen, MD

Vice President, NEJM Group
David Sampson

Education Editor, NEJM Group
Ole-Petter Riksfjord Hamnvik, MB BCh BAO, MMSc

Founding Editor
Graham T. McMahon, MD, MMSc

Senior Reviewer
Daniel P. Alford, MD, MPH

Deputy Reviewers
Daniel Randall, MD, MPH
C. Christopher Smith, MD

Section Editors
Anna Lembke, MD
Eric Roeland, MD

Reviewers
Martha E. Billings, MD
Megan J. Bray, MD
Melissa Cavaghan, MD
Vincent W. Chiang, MD
Mihir M. Kamdar, MD
Amy Keim, MS PA-C
Patricia A. Kritek, MD, EdM
Dan L. Longo, MD
Michael Craig Miller, MD
Mark T. Nadeau, MD, MBA, FAAFP
Karen A. O’Brien, MD
Mark D. Price, MD, PhD
Shannon E. Scott-Vernaglia, MD
Katherine A. Sparger, MD
Derrick J. Todd, MD, PhD
David M. Vernick, MD

Authors
Soraya Azari, MD
Erica J. Bial, MD, MS
Allan S. Brett, MD
Ethan G. Brown, MD
Jeffrey Bruckel, MD
Patrick K. Cronin, MD
Robert R. Edwards, PhD
Amy L. Fitzpatrick, MD
Peter D. Friedmann, MD, MPH
Julie Fu, MD, MA
Douglas L. Gourlay, MD, MSc
Ellie Grossman, MD, MPH
Scott E. Hadland, MD, MPH, MS
David B. Hathaway, MD
Lindsey Hayes, MD, PhD
Jeoffrey Hill, MD
Janet J. Ho, MD, MPH
Mohammed A. Issa, MD
Syed Mohammad Ali Kazmi, MD
Amy J. Kennedy, MD
Stacy E. Melanson, MD, PhD
Eli Miloslavsky, MD
Christine Pace, MD
Daniel K. Partain, MD
Michael D. Perloff, MD, PhD
Cara Poland, MD, MEd
Cassandra Pruitt, MD
Shari S. Rogal, MD, MPH
Serena L. Roth, MD
Payel J. Roy, MD
Seddon R. Savage, MD, MS
Daphne A. Scott, MD
Margarita Sergonis, MD
Christine S. Soran, MD, MPH
Scott Steiger, MD
Joji Suzuki, MD
David Tian, MD, MPP
Donald N.S. Unger, MFA, PhD
Lauren VanDam, MD
Sarah E. Wakeman, MD
Jennifer Wang, MD
Melissa B. Weimer, DO, MCR
Zoe M. Weinstein, MD, MS

Editorial Staff
Josette Akresh-Gonzales
Linda Barlow
Steven DeMaio
Ilana T. Hardesty
Kathryn Joy
Spencer Parente
Catherine Tomeo Ryan
Kyle Simmons
Scott D.S. Young

Planners
Ole-Petter Riksfjord Hamnvik, MB BCh BAO, MMSc
Daniel P. Alford, MD, MPH
Kristin F. Watson, NP
Danna Muir, MBA
Michelle Haché
Catherine Tomeo Ryan
Kathleen Bellisle

MMS Disclosure Policy

The Massachusetts Medical Society (MMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) and must ensure independence, balance, and scientific rigor in its accredited continuing education activities.

All individuals in control of the content for an MMS accredited continuing education activity must disclose all financial relationships with ineligible companies.

Disclosure Statement

The following individuals disclosed relevant financial relationships with ineligible companies within the past 24-months:

Ethan Brown, MD

Mihir M. Kamdar, MD

Eric Roeland, MD

Joji Suzuki, MD

All relevant financial relationships have been mitigated prior to the beginning of this activity in accordance with ACCME and MMS policies. All other individuals in control of the content have reported no relevant financial relationships with ineligible companies for this activity.

Accreditation Information

Accreditation Statement

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement

The Massachusetts Medical Society designates this enduring material for a maximum of 10.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Risk Management and Pain Management Credits

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management study.

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for opioid education.

Many states have similar requirements. Please check with your Board to determine if this activity will fulfill your state’s specific requirements.

American Board of Internal Medicine MOC Points

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10.25 MOC points and patient safety MOC credit 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.

American Academy of Family Physicians (AAFP)

The AAFP has reviewed Pain Management and Opioids and deemed it acceptable for up to 10.25 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 04/15/2024 to 04/15/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Pediatrics (ABP)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 10.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Medical Specialties Maintenance of Certification Part 2 Credit

Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, Pain Management and Opioids has met the requirements as an MOC Part II Self-Assessment and/or MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

MOC Part II Self-Assessment Activity
Physical Medicine and Rehabilitation

MOC Part II CME Activity
Anesthesiology
Family Medicine
Preventive Medicine
Psychiatry and Neurology
Radiology

American Academy of Physician Associates (AAPA)

This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 10.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. Approval is valid from 4/15/2024 to 4/14/2025. AAPA reference number: CME-2011305.

American Association of Nurse Practitioners (AANP)

Pharmacology Contact Hours

This activity is approved for 10.0 contact hour(s) of continuing education (which includes 10.0 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 23036011. This activity was planned in accordance with AANP Accreditation Standards and Policies

ACPE Credits

The University of Rhode Island College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This is an application-based educational activity. Pharmacists will receive 8.0 contact hours (0.8 CEUS) for the educational activity. No partial credit is available.
UNIVERSAL ACTIVITY NUMBERS (UAN) 0060-9999-22-055-H08-P

Contact Information

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