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Opioid Prescribing for Acute Pain after Surgery

This module discusses the prescribing habits of physicians for general surgery patients resulting in the over prescription of opioids and overdose death. It describes interventions that have led to finding the lowest practical dose of opioids as well as adjunct methods of pain control leading to patient satisfaction and minimizing diversion.

Activity Details
Start Date: March 16, 2018
End Date: March 16, 2020

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Richard J. Barth Jr., MD
    Professor of Surgery
    Chief, Section of General Surgery
    Dartmouth Hitchcock
Learning Outcome(s)

Participants will be able to discuss the opioid epidemic and the difficulties clinicians have with providing pain control for surgical patients and the responsibilities for population health; describe the link between increased prescribing and overdose deaths; and discuss the balance between the lowest practical dose while providing adequate pain control.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the activity evaluation. (you must register to access).
Speaker Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content of Opioid Prescribing for Acute Pain after Surgery (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME or the Department of Medicine Chair. The speaker role was resolved by validating the activity content through independent peer review by the Associate Dean for CME. All potential conflict(s) were resolved.

  • Kelly Kieffer, MD ~ received an honorarium from Medscape, which was supported by grants from Pfizer and Abbvie.
  • Richard I. Rothstein, MD ~ has research support from Baranova and other financial interests with Takeda (data and safety monitoring committee).
  • Richard Barth, MD has research/grant support from, is a consultant to and is a stockholder with CairnSurgical, Inc.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:
Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

For more information on this topic, please go to: https://www.oplc.nh.gov/medicine/opioid-prescribing.htm

Type:     Internet Activity (Enduring Material)
295 Registered Users