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Surgery Grand Rounds June 19, 2020 - Perioperative Management of Pain and Addiction in Patients with Opioid Use Disorder

Dr. Archibald reviews how opioid addiction affects brain chemistry resulting in hyperalgesia and loss of emotional control, leading to poor decision making when seeking relief from dysphoria. He discusses the negative effects of stigma and the positive results from medication assisted treatment (MAT). Dr. Finn reviews protocols for treating in-patients with standardized screening, buprenorphine order sets in eDH and consultative services. She and Dr. Brackett emphasize the importance of perioperative communication to discuss current opioid use, or if currently in MAT, how to titrate medications pre and post operatively. This optimizes pain control after surgery and reduces the possibility of relapse after discharge.

Activity Details

Start Date:  June 19, 2020
End Date:  June 19, 2023

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 the neurochemistry of addiction and resulting behaviors, and the importance of perioperative communication and planning for effective and sustainable pain control.

Presenters
  • Christine T. Finn, MD Assistant Professor of Psychiatry Vice Chair of Education Director, Psychiatry Residency Training Program Director, Emergency Psychiatry Service Director, Telepsychiatry Service
  • Luke J. Archibald, Assistant Professor of Psychiatry Section Chief, Addiction Treatment Center
  • Charlies D. Brackett, MD Assistant Professor of Medicine Assistant Professor of The Dartmouth Institute
Accreditation

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).
Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock Medical Center/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 director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Surgery Grand Rounds June 19, 2020 - Perioperative Management of Pain and Addiction in Patients with Opioid Use Disorder have reported the following financial interest or relationship* with various companies/organizations.  The Planning Committee role was resolved by altering the individual’s control over content about the products or services of the commercial interest by the Activity Director and determined to be free of commercial bias. 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. 
There were no individuals in a position to control the content who refused to disclose.

* 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
clpd.support@hitchcock.org


Type:     Internet Activity (Enduring Material)
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