Needs Statement

Older adults experience a higher incidence of persistent pain across chronic disease trajectories and at end-of-life. Data obtained from the NHANES survey indicates that older adults are almost twice as likely to use opioid analgesics compared to younger adults (20-39) for pain management (CDC, 2015). Age-related changes to the body place older adults at a higher risk for adverse events due to an increased sensitivity and reduced clearance of opioids. A lack of education and failure to adequately engage, communicate, and educate providers in evidence-based practices have been found to be barriers to the safe use of pain medications in older adults (FDA, 2010; HHS, 2019).

Providing effective, evidence-based continuing education can reduce serious adverse outcomes resulting from inappropriate prescribing, misuse, and abuse of opioid analgesics while maintaining patient access to appropriate pain medications for older adults with chronic pain.

Target Audience

This activity is designed for prescribers and dispensers of controlled substances including physicians, physician assistants, pharmacists, nurse practitioners, dentists, and any other interested health care professionals such as social workers and public health professionals.

Objectives

Upon completion of this education activity, participants will be able to:

• Discuss when referral to a pain specialist is appropriate
• Describe the fundamental elements of addiction medicine
• Identify patients with opioid use disorder
• Manage patients with opioid use disorder 

Accreditation

CME
The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

This training has been approved by the KBML as meeting the statutory requirements of HB1.

ACGME Competencies—Patient care and Medical knowledge

ABIM MOC Recognition Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .5 MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Physician Assistants
Physician Assistants may claim a maximum of .5 Category 1 credit for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

CPE
The University of Kentucky College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This knowledge-based activity has been assigned UAN 0022-9999-20-108-H08-P and will award 0.50 contact hours (0.050 CEU) of continuing pharmacy education credit in states that recognize ACPE providers.

Statements of participation will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation, and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity. Credit will be uploaded to CPE Monitor, and participants may print a statement of credit or transcript from their NABP e-profile. The College complies with the Accreditation Standards for Continuing Pharmacy Education.

CNE
This nursing continuing professional development activity was approved by the Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. Learners may earn up to 0.5 pharmacotherapeutic contact hours.

CDE

University of Kentucky College of Dentistry is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The University of Kentucky College of Dentistry designates the Mar 16, 2020, activity for 0.50 hours of continuing education credits.

This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between University of Kentucky College of Dentistry and UK HealthCare CECentral.

Other
UK Healthcare CECentral certifies this activity for 0.50 hours of participation.

Faculty Disclosure

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration.

No speakers, planners, or content reviewers have any relevant financial relationships to disclose. 

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Acknowledgment

This activity is provided by the University of Kentucky in collaboration with The France Foundation and the Montana Nurses Association.

CE Content Concerns

Policy

Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504.

Procedures

• The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
• If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
• Issues regarding activity content also will be reviewed and addressed by the Activity Director.
• A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/her designee.
• Grievances will be considered when planning future activities.

Appeal Procedure

• Persons who wish to appeal a decision should address the appeal by email, fax, or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
• The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
• The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.