Non-Opioid Chronic Pain Management
What You’ll Learn
After completing this course, learners should be able to explain the biological basis of chronic pain, build patient trust through effective communication, and describe non-pharmacologic and non-opioid treatments for managing chronic pain in patients with serious illness.
Learning outcomes for this course include:
- Explain the biological basis of chronic pain
- Discuss the benefits of motivational interviewing in creating a trusting patient clinician relationship
- Describe 2 potential non-pharmacologic and non-opioid treatments for managing chronic pain
- Describe 2 non-opioid treatments for managing chronic pain
What You’ll Earn
Only CAPC members who are logged in can earn the following free Continuing Education Credits:
- 1.00 AMA PRA Category 1 Credit(s)™
- Case Management: 1.00 CE
- Nursing: 1.00 CNE
- Social Work: 1.00 CE (NYSED)
- Social Work: 1.00 CE (NASW)
To take this course, log in. Or, check here to see if your organization is a member.
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Tools & Resources
Key Takeaways for Course 1 of the Chronic Pain Strategies for Patients with Serious Illness Unit.
Course citations and additional resources.
Training and clinical tools for managing pain in patients living with serious illness, with a focus on safe opioid prescribing and risk assessment for substance use disorder.
Recommended assessment questions to typify pain and inform pain management for patients with serious illness.
Brief (4-question) screening tool for anxiety and depression.
When to use - and when to avoid - 6 classes of analgesics including acetaminophen, NSAIDs, opioids, antiepileptics, antidepressants, and corticosteroids.
A 13-item scale to assess patients' catastrophic thinking related to their pain.
Course Directors
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Diane E. Meier, MD, FACP, FAAHPM
Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care
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Andrew E. Esch, MD, MBA
Director, Palliative Care Program Development
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Jessica Merlin, MD, PhD, MBA
Director, CHAllenges in Managing and Preventing Pain (CHAMPP) Clinical Research Center
Director, Tai…
Accreditations and Disclosures
Physicians
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the providership of the Icahn School of Medicine at Mount Sinai. The Icahn School of Medicine at Mount Sinai is accredited by the ACCME to provide continuing medical education for physicians.
Icahn School of Medicine at Mount Sinai designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™ effective 2/15/2024-2/15/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME Released: 2/15/2024; Valid for credit through 2/15/2026
Estimated Time of Completion for CME: 60 minutes
ABIM MOC Recognition Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 1.0 MOC credits in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC credits equivalent to the amount of CME credits claimed for this activity. 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
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME. Icahn School of Medicine at Mount Sinai designates this enduring material with 1.0 AMA PRA Category 1 Credit(s)™ as specified, which can be applied to the continuing education of Physician Assistants. Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity.
Nurses (Registered Nurses, Advanced Practice Registered Nurses, Licensed Nurses)
This nursing continuing professional development activity was approved by Connecticut Nurses' Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
CNE Released: 01/11/2024; Valid Credit through 01/11/2026
Estimated Time of Completion for CNE: 60 minutes
Social Workers
This program is approved by the National Association of Social Workers (Approval # 886437049-1554) for 1.0 continuing education contact hours effective 12/12/2023 - 12/31/2024.
Center to Advance Palliative Care SW CPE #0257 is recognized by the New York State Education Department's Board for Social Work as an approved provider of continuing education for licensed social workers effective 08/01/2015 - 07/31/2027. This program has been approved for 1.0 continuing education contact hours.
Certified Case Managers
This program is approved by The Commision for Case Manager Certification (Approval # 230004281) to provide 1.0 continuing education credits to CCM board-certified case managers.
Verification of Attendance (VOA)
All users that are not eligible for continuing education will receive a Verification of Attendance certificate upon completion of the course.
Course Media Instructions
Software Requirements: CAPC’s online curriculum, tools and technical assistance are designed to be fully compatible through multiple platforms: computer, smartphone (iOS or Android) or tablet running the following web browsers: Google Chrome, Mozilla Firefox, Safari, and Microsoft Edge.
Content: Each course is comprised of interactive learning components (articles, tools, or supporting materials), video and audio. The learner will be expected to complete various interactive processes such as matching, simulated clinical decision-making, fill in the blanks, and highlighting content.
To successfully earn credit, participants must complete the activity online, receive a minimum score of 80% on the post-test, and complete the course evaluation. A printable certificate of completion or a continuing award document specific to the discipline will be awarded.
Target Audience: Each program is developed for chaplains/spiritual counselors, nurses, physicians, physician assistants, social workers, case managers, palliative care program leaders, and healthcare leaders (hospital, health system and community care).
Activity Description/Statement of Needs: CAPC’s online curriculum provides training in two critical areas. Technical assistance courses are designed to help palliative care program leaders address key challenges such as implementing palliative care in community health care settings. Clinical coursework provides fundamental training in pain and symptom management, communication, and other key skills needed to work with patients with serious illness.
Disclaimers: The opinions expressed in the courses are those of the authors and do not necessarily represent the views of the sponsor, the educational partner, or the supporter. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.
Activities do not contain information on commercial products/devices that are unlabeled for use or investigational uses of products not yet approved.
Faculty Disclosures and Financial Relationships : It is the policy of CAPC to ensure objectivity, balance, independence, transparency, and scientific rigor in all CE, CNE and CME educational activities per the highest standards of ANCC and ACGME guidelines. For all courses, Faculty/Presenters/Authors/Content Reviewers/Planning Committee Members complete forms to disclose their relevant financial relationships. Any relevant financial relationships have been mitigated. No relevant financial relationships were identified for any individuals with the ability to control content of the activity.
Copyright Information: All rights reserved by the Center to Advance Palliative Care (CAPC). No materials may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.
Course Faculty
William C. Becker, MD. Associate Professor, Yale School of Medicine.
Keysha Brooks-Coley, MA. Vice President, Federal Advocacy and Strategic Alliances with the American Cancer Society Action Network (ACS CAN).
Julie Wilson Childers, MD, MS. Associate Professor of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine.
Katie Fitzgerald Jones, MSN, APN. Palliative Care Nurse Practitioner, VA Boston; PhD candidate Connell School of Nursing Boston College.
Jaime Goldberg, MSW, LCSW, ACHP-SW. Clinical social worker.
Lauran Hardin, MSN, RN-BC, CN. Senior Director of Cross Continuum Transformation at the Camden Coalition and the National Center for Complex Health and Social Needs.
David Hui, MD, MSc. Associate Professor, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center.
Mary Lynn McPherson, PharmD, MA, MDE, BCPS, CPE. Professor and Executive Director, Advanced Post-Graduate Education in Palliative Care, Center to Advance Chronic Pain Research, University of Maryland.
Judith Paice, PhD, RN, FAAN. Director, Center Pain Program, Division of Hematology-Oncology, and Research Professor of Medicine, Feinberg School of Medicine, Northwestern University.
Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.
Melissa Weimer, DO, MCR. Chief of Behavioral Health and Addiction Medicine for St. Peter's Health Partners Acute Care Albany Division.
Peer Reviewers
Karl Bezak, MD. Clinical Assistant Professor of Medicine, Palliative Care and Medical Ethics, University of Pittsburgh (UPMC).*
Spencer Christiansen, MD. Hospice and Palliative Medicine Fellow at Icahn School of Medicine at Mount Sinai
Dara Duncan, RN. Hospice and Palliative Care Registered Nurse, Wiener Family Palliative Care Unit
Mount Sinai Hospital.
Maria Gatto, MA, APRN, ACHPN, APHN-BC.
Gabrielle Langmann, MD. Clinical Instructor of Medicine, Division of General Internal Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh Medical Center; Master’s of Science in Medical Education Candidate, University of Pittsburgh.*
*indicates ABIM Peer Reviewer
Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email [email protected]. For questions about continuing education credits, contact 201-957-0077.
Provided by the Icahn School of Medicine at Mount Sinai.
Course 2 of 4
Clinical training on prescribing an opioid trial for the management of a seriously ill patient's chronic pain.
Course 3 of 4
Clinical training course on universal precautions to identify and assess opioid misuse, and prevent opioid use disorder (OUD) in patients with serious illness.
Course 4 of 4
Clinical training course for identifying and managing opioid use disorder (OUD) in patients with serious illness, and treating pain in seriously ill patients with OUD.