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Release Date: April 2014

Expiration Date: April 2015

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Estimated time to complete the educational activity: 30 minutes

Program Description: From the April 2014 issue of The Clinical Advisor: The safe use of opioids
in the treatment of pain. To minimize the risk of abuse and addiction, evidence-based prescribing practices must be used when treating acute and chronic pain with opioids.

Statement of Need: Substance use disorder has become a growing concern in the United States thanks to changes in prescribing practices. To effectively minimize substance use disorder, a thorough pain assessment is used to determine when treatment of pain with opioids is appropriate. Once that determination has been made, the clinician must follow evidence-based prescribing practices to maximize safety when prescribing these medications.

Target Audience: This activity has been designed to meet the educational needs of primary-care physicians, physician assistants, and nurse practitioners who treat patients with substance use disorder.

Learning Objectives: After completing the activity, the participant should be better able to:

  • Explain how changes in prescribing practices have affected the rise in opioid abuse.
  • Describe the five schedules of controlled substances.
  • Review the components of a comprehensive pain assessment.
  • Identify the potential patient risks associated with prescribing opioid medications.
  • Discuss appropriate prescribing practices as they pertain to opioid medications.

Credits Type Accreditation Statement Designation Statement


AMA PRA Category 1 Credit(s)TM

Physician Credit
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Medical Education Resources (MER) and Haymarket Medical Education. MER is accredited by the ACCME to provide continuing medical education for physicians.

Medical Education Resources designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AAPA accepts certificates of participation for educational activities certified for Category I credit from AOACCME, Prescribed credit from AAFP and AMA PRA Category 1 Credit(s)TM from organizations accredited by ACCME or a recognized state medical society. Physician Assistants may receive a maximum of 0.50 hours of Category I credit for completing this program.


CE for Nurses

Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This CE activity provides 0.50 contact hours of continuing nursing education. Provider approved by the California Board of Registered Nursing, Provider Number 12299, for 0.50 contact hours.


Mary Atkinson Smith, DNP, FNP-BC
Starkville Orthopedic Clinic
Starkville, Miss.

Scott Hambleton, MD, FASAM
Mississippi Professionals Health Program
Ridgeland, Miss.

Faculty Disclosures
The faculty reported the following financial relationships or relationships to products or devices that they or their spouse/life partner have with commercial interests related to the content of this CME/CE activity:

Mary Atkinson Smith, DNP, FNP-BC, and Scott Hambleton, MD, FASAM, have no relevant financial relationships to disclose.

Staff/Planners’ Disclosures

The following HME planners and managers hereby state the following financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months: Delicia Yard, Editor, and Nicole Blazek, Web Editor, have disclosed that they have no relevant financial relationships or conflicts of interest relating directly or indirectly to this activity.

The MER planners and managers, and Veronda Smith, FNP-BC, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the
past 12 months.

Method of Participation: There are no fees for participating in and receiving CMEcredit for this activity. During the period April 2014 through April 2015,participants must: 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest and submit it online and 4) complete the evaluation form online.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 70% or better.


The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources or Haymarket Medical. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Medical Education Resources or Haymarket medical.

Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.