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Opioid prescribing in surgery: Lessons Learned and Practical Tools

Dr. Waljee discusses her quality improvement work in the area of opioid prescribing in surgery that is based on data gathering, guideline changes and team-based collaborative efforts. Her work shows that a reduction in prescribing, based on patient-reported opioid use after surgery, results in fewer pills taken, no increase in reported pain or number of requested refills. She emphasizes preoperative work around opioid education and management of pain, as well as identifying patients with risk factors are predictors for the post-operative pain management course.

Activity Details

Start Date:  December 6, 2019
End Date:  December 6, 2021

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. View the entire presentation.
  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.

Learning Outcome

Participants will be able to discuss patient-centered guidelines regarding expectations of pain management after surgery and describe how quality improvement initiatives can help generate best practices that lead to a reduction in opioid prescribing and long term use.

  • Jennifer F. Waljee, MD, MS, MPH
    Associate Professor of Surgery (Plastic and Reconstructive Surgery)
    University of Michigan School of Medicine

    About the Presenter:
    Dr. Waljee has expertise in health services research, including the application of patient-reported outcomes toward quality improvement in surgical conditions and the provider-level factors that drive variation in patient-reported outcomes. She is a co-Director and co-Founder of the Michigan Opioid Prescribing Engagement Network (Michigan OPEN), a statewide program dedicated to identifying best practices in postoperative pain.

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 online Attestation of Attendance & Evaluation Form (you must register to access).

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 for Opioid prescribing in surgery: Lessons Learned and Practical Tools (Surgery Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The 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 Department of Surgery Chair. All potential conflict(s) were resolved.

~ Richard J. Barth, MD is a major stockholder in CairnSurgical, Inc.

~ M. Shane Chapman, MD, MBA has grant/research support from Abbvie, Inc., Biofrontera, Boehringer Ingelheim Pharmaceuticals, Inc., Bristol Myer Squibb Company, CARA Therapeutics, Celegene Corporation, Eli Lilly, Inc., Elorac, Inc., Galderma Pharmaceuticals, Genetech, Inc., Kiniksa Pharmaceuticals Ltd., Novartis Pharmaceuticals, Pfizer, Inc., Regeneron Pharmaceuticals, Soligenix, Inc., TARGET PharmaSolutions, and USB Biosciences.  Dr. Chapman is also a consultant for Celgene and Genentech.

~ John D. Seigne, MD is a stockholder of Johnson & Johnson.

~ Michael E. Zegans, MD has grant/research support from MedImmune. 

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

Type:     Internet Activity (Enduring Material)
279 Registered Users