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Pain Medication Challenges: Appropriate use of opiates and other controlled substances


CREDITS Earn up to 5 AMA PRA Category 1 Credits
CE RELEASE July 1, 2014
CE EXPIRE June 30, 2017
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This course includes a comprehensive review of pain medicine by providing evidence-based, expertly informed education relevant to today’s pain medicine challenges.

Opiate Therapy Controversies
Srdjan Nedeljkovic, MD
This lecture discusses what is known and not known from a scientific point of view about the long term use of potent opiates in the treatment of pain syndromes.

Psychology of Chronic Pain
Robert Edwards PhD
This lecture discusses the intricate relationships between the subjective experience of pain and other psychological issues such as emotional state and perception.

Medical-legal Considerations of Chronic Pain
Edward Michna MD
This lecture discusses legal and ethical problems that providers who prescribe opiate pain medications could face if proper care is not taken regarding dispensing of these substances and educating their patients on their proper use.

Opioid Risk Management
Robert Jamison MD
This lecture looks at the process of the development of addiction and abusive behaviors in the use of opiate medications and gives ideas and insight into how to minimize these well recognized and serious problems.

Toxicology for Chronic Pain
Stacy E. F. Melanson MD PhD
This lecture looks at the role of the lab in helping maintain adherence to a pain medication regimen through monitoring by blood and urine testing. The limitations of these tests are discussed in detail.

Chronic Pain Disorders
Edgar L. Ross MD
This lecture introduces the basic concepts of pain and pain management including defining pain and its various types, explaining the brains response to pain and discussing the various medical therapies for pain and where their use is appropriate.


Intended Audience

Physicians, nurse practitioners, pharmacists and other providers whose scope of practice includes caring for patients with complaints of chronic pain


Srdjan S. Nedeljkovic, MD
Fellowship Director, Pain Medicine
Brigham and Women’s Hospital
Boston, MA

Robert R. Edwards, PhD
Associate Professor
Department of Anesthesiology
Brigham and Women’s Hospital
Boston, MA

Edward Michna, MD
Assistant Professor of Anesthesiology
Harvard Medical School
Director, Pain Trials Center
Brigham and Women’s Hospital
Boston, MA

Robert N. Jamison, PhD
Professor, Department of
Anesthesiology and Psychiatry
Brigham and Women’s Hospital
Harvard Medical School
Boston, MA

Stacy E.F. Melanson, MD, PhD
Associate Director of Clinical Chemistry
Brigham and Women’s Hospital
Assistant Professor of Pathology
Harvard Medical School, Boston, MA

Edgar L. Ross, MD
Director of Pain Management Center
Brigham and Women’s Hospital
Associate Professor of Anesthesia
Harvard Medical School
Boston, MA


Learning Objectives

Upon completion of this activity, the participant will be able to:
  • Identify the role of medicinal opiates as drugs of abuse and misuse
  • Explain the close relationship between depression and the subjective experience of pain
  • Discuss model guidelines for the dispensing of opiates
  • Recognize patients whom may be at risk for abuse and addiction with opiate medications
  • Interpret the results of these laboratory tests to discover irregularities such as sample adulteration
  • Define pain and its various subtypes



Oakstone Publishing, LLC is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Oakstone Publishing, LLC designates this enduring material for a maximum of 5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Original Release: July 1, 2014
Date of Credit Termination: June 30, 2017

Estimated Time to Complete: 5 hours

CME credit is awarded upon completion of a course evaluation and post-test.

This continuing nursing education activity was approved by the Alabama State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for (5.0) contact hours is being provided by the Alabama State Nurses Association.

Approved for 5.0 contact hours
Released: June 24, 2015
Expires: June 24, 2017