Better Prescribing, Better Treatment Podcast
The WSMA Better Prescribing, Better Treatment Podcast is for physicians,
physician assistants, and health professionals, and supports the goals of
the
Better Prescribing, Better Treatment safe-prescribing program. Creation of the WSMA Better Prescribing, Better Treatment Podcast is
made possible through funding from the federal Bureau of Justice
Assistance and the Washington State Department of Health.
About the Podcast
The WSMA Better Prescribing, Better Treatment Podcast addresses the gaps
in practice that exist between the current state of prescribing and the
best practices surrounding opioid and controlled substance prescriptions.
The risks of both short- and long-term administration of opioids in
combination with and separately from sedative medications impose risks
that cross specialties and systems.
Over the course of the series, you’ll hear from leaders on an
array of topics about how we reduce the dependence on opioids for pain
management where appropriate, help those suffering with chronic conditions
safely, and help those with addiction.
A sole production of the WSMA, the podcast supports the goals of the
Better Prescribing, Better Treatment safe-prescribing program, a joint initiative of the WSMA and the Washington State Hospital
Association that aims to reduce the burden of opioid overdose in the
individual’s practice and surrounding communities.
The podcast is available to all physicians and health
professionals either as audio or audio and video. Episodes will be posted
approximately every two weeks through the summer months.
Subscribe to WSMA Podcasts
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About the Host
Each podcast episode is hosted by
Nathan Schlicher, MD, JD, FACEP, the physician lead
for the Better Prescribing, Better Treatment safe-prescribing program.
Podcast Objectives
-
Increase safe opioid prescribing practices in line with House Bill 1427.
-
Have strategies to tailor opioid management services to prescribers
specialty and organization using evidence-based practices on appropriate
prescribing and data-driven practices.
- Help reduce the development of tolerance to opioids.
-
Address long-term pain management and appropriately treat opioid
addiction.
These activities are approved for AMA PRA Category 1 CreditTM.
To claim CME credit, learners must watch or listen to the podcast(s)
and submit the evaluation for each episode. For each podcast episode,
MOC credit has been approved for one or more of the following boards:
-
American Board of Internal Medicine’s Maintenance of Certification
program.
-
American Board of Anesthesiology’s redesigned Maintenance of
Certification in Anesthesiology™ program, known as MOCA 2.0®. Please
consult the ABA website,
theABA.org, for a list of all
MOCA 2.0 requirements.
-
Part-II self-assessment credit in the American Board of
Otolaryngology – Head and Neck Surgery’s Continuing Certification
program (formerly known as MOC).
- American Board of Pathology’s MOC program.
- American Board of Pediatrics’ MOC program.
-
CME requirement of the American Board of Surgery’s Continuous
Certification program.
To claim MOC credit for an episode, learners must watch or listen to
the podcast, then earn 100% on the quiz.
Episode Guide
Episode 1:
The Future of the Better Prescribing, Better Treatment Program at
WSMA
Episode 2:
The History of Opioid Prescribing Legislation
Episode 3: Prescribing Opioids in a Rural Setting
Episode 4: Opioids in Obstetrics
Episode 5: Opioids in Pediatrics
Episode 6: Opioids in Hospice
Episode 7: Opioids in Family Medicine
Episode 8: Opioids in Cancer-Related Pain
Episode 9: Opioids and the Bridge Program
Episode 10: Opioids and Health Equity
Episode 11: Opioids in Emergency Medicine
Episode 12: Opioids in General Surgery
Episode 13:
Opioids at the Health System and Community Health Level
Episode 14:
Opioids and Risk Management
Episode 15:
Opioids and Nurse Practitioners
Episode 16:
Opioids in Dentistry
Episode 17:
Opioids and Physician Assistants
Episode 1: The Future of the Better Prescribing, Better Treatment Program
at WSMA
In this episode, Dr. Schlicher is joined by WSMA Program Manager Monica
Salgaonkar, MHA, CPHQ, and WSMA Director of IT Troy Brown to discuss the
new areas of development in the Better Prescribing, Better Treatment
program at the WSMA.
Learning objectives:
-
Recall the history and background of Better Prescribing, Better
Treatment.
-
Describe the areas of expansion of Better Prescribing, Better Treatment.
-
Using data components, determine how the data may be used to drive
improvement.
-
Get more involved in Better Prescribing, Better Treatment and know who
to contact for questions or coaching.
Release date: May 23, 2023
Expiration date: May 22, 2026
Audio-only versions
Listen to audio for episode 1 - The Future of the Better Prescribing,
Better Treatment Program At WSMA
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Google Podcasts
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Spotify
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MP3
Resources
Future of Better Prescribing, Better Treatment slides
Better Prescribing, Better Treatment (wsma.org)
Opioid Prescribing Reports - Washington State Hospital Association
(wsha.org)
Opioid Prescribing | Washington State Department of Health
Opioids | Washington State Health Care Authority
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 2: The History of Opioid Prescribing Legislation
In this episode, Dr. Schlicher sits down with WSMA Policy Director Jeb
Shepard to discuss the history of opioid prescribing in the state, the
origins of Better Prescribing, Better Treatment, and its overall impact on
prescribing.
Learning objectives
-
Summarize the history and background of opioid prescribing legislation
over the years.
-
List the stakeholders involved in addressing the opioid use public
health crisis in Washington state.
-
Understand the effects of House Bill 1427 and Senate Bill 5380 on opioid
prescribing in Washington state and have strategies to comply with them.
-
Get engaged in Olympia and testify on rules and regulation of important
medical issues.
Release date: June 8, 2023
Expiration date: June 7, 2026
Audio-only versions
Listen to audio for episode 2 - The History of Opioid Prescribing
Legislation
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
History of Opioid Prescribing Legislation slides
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 3: Prescribing Opioids in a Rural Setting
In this episode, Dr. Schlicher talks with Barry Bacon, MD, a family
medicine physician in Colville, about chronic prescribing, co-prescribing,
and treatment in the rural environment.
Learning objectives
- Summarize barriers to opioid prescribing in rural Washington.
-
Detail the current challenges for incarcerated patients in accessing
sober and clean housing.
-
Describe the vicious cycles incarcerated patients experience when
dealing with opioid use disorder.
-
Identify the unintended consequences of the Centers for Disease Control
and Prevention’s opioid prescribing guidelines on rural communities from
2016 to 2023.
-
Find ways to be part of the solution to the opioid epidemic in rural
areas.
Release date: June 23, 2023
Expiration date: June 22, 2026
Audio-only versions
Listen to audio for episode 3 - Prescribing Opioids in a Rural Setting
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Rural Settings slide deck
CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022 | MMWR
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 4: Opioids in Obstetrics
In this episode, Dr. Schlicher talks with Nariman Heshmati, MD, MHA,
FACOG, senior regional medical director at Optum Washington and WSMA
president-elect.
Learning objectives
-
Analyze opioid use considerations pre-, during, and post-pregnancy.
-
Determine appropriate non-opioid options to manage pain in pregnant
patients.
-
Recognize the effects of opioids on birthing parents and their babies.
Release date: July 7, 2023
Expiration date: July 6, 2026
Audio-only versions
Listen to audio for episode 4 - Opioids in Obstetrics
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Obstetrics slide deck
Multimodal Approach for Postpartum Pain Management
CDC Opioid Use During Pregnancy Guidelines
Claim CME Credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 5: Opioids in Pediatrics
In this episode, Dr. Schlicher talks with Daniel Low, MD, an
anesthesiologist at Seattle Children’s Hospital and the chief medical
officer for Adaptx, an AI-driven clinical management solution that
empowers clinical leaders to improve and manage care across patients by
leveraging their own real-world EMR data.
Learning objectives
-
Understand Seattle Children’s journey to scale opioid-free anesthesia in
surgery.
-
State the risk of developing persistent opioid use in pediatrics
following surgery.
-
Implement ways to reduce intraoperative AND postoperative opioid use for
pediatric surgery.
-
Set up PDSA cycles to measure and manage opioid use effectively in their
system.
Release date: July 21, 2023
Expiration date: July 20, 2026
Audio-only versions
Listen to audio for episode 5 - Opioids in Pediatrics
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Pediatrics slide deck
Outcomes for 41,260 pediatric surgical patients with opioid-free
anesthesia: One center’s experience
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 6: Opioids in Hospice
In this episode, Dr. Schlicher talks with Tom Schaaf, MD, chief medical
officer of Providence Home and Community Care and past president of the
WSMA.
Learning objectives
-
Define "hospice" and how health care professionals can meet the patient
where they are.
-
Differentiate the old versus new comfort kits and how they should be
utilized.
-
Understand the different members of the health care team involved in
caring for hospice patients.
-
Have a strategy to educate patients' families on proper disposal of
medication.
Release date: Aug. 4, 2023
Expiration date: Aug. 3, 2026
Audio-only versions
Listen to audio for episode 6 - Opioids in Hospice
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Hospice slide deck
Drug Disposal: FDA’s Flush List for Certain Medicines
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 7: Opioids in Family Medicine
In this episode, Dr. Schlicher talks with Katina Rue, DO, FAAFP, FACOFP,
WSMA's 2022-2023 president and program director for Trios Health Family
Medicine Residency; and Audriana Mooth, DO, a second-year family medicine
resident in East Pierce County.
Learning objectives
-
Summarize the generational shift in opioid prescribing experienced by
seasoned and new-to-practice family physicians.
-
Make the case that family medicine includes acute and chronic pain
management to physician peers and other clinicians.
- Formulate how to manage handoffs of chronic pain management.
-
Have a strategy to integrate treating or screening for opioid use
disorder into primary care.
Release date: Aug. 18, 2023
Expiration date: Aug. 17, 2026
Audio-only versions
Listen to audio for episode 7 - Opioids in Family Medicine
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Family Medicine
slide deck
Risk Factors Associated with Transition from Acute to Chronic Low Back
Pain in US Patients Seeking Primary Care
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 8: Opioids in Cancer-Related Pain
Dr. Schlicher chats with Camille Puronen, MD, a hematologist/oncologist at
Kaiser Permanente Washington and a member of the WSMA board of trustees,
and Ran Huo, MD, a palliative care physician at Kaiser Permanente. They
discuss the close connection between oncology and palliative care when
caring for patients with oncology pain.
Learning objectives
-
Describe the partnership between oncology and palliative care in
treating cancer-related pain.
- Understand the long-term impacts of opioids on oncology patients.
-
Counsel patients and families on safe disposal of pain medications.
- Understand the patient’s goals before prescribing opioids.
Release date: Sept. 1, 2023
Expiration date: Aug. 31, 2026
Audio-only versions
Listen to audio for episode 8 - Opioids in Cancer-Related Pain
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids in Cancer-Related Pain slide deck
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 9: Opioids and the Bridge Program
Dr. Schlicher chats with Liz Wolkin, MS, RN, NPD-BC, CEN, program
administrator of the Washington State Health Care Authority’s Emergency
Department Support, Clinical Quality and Care Transformation program,
about the new state bridge program.
Learning objectives
-
Understand the components and resources of the new Washington state bridge
program.
- Assist patients with access to MOUD.
- Counsel patients about the effects of MOUD.
- Utilize harm reduction strategies in patient care.
- Outline the benefits of syringe services programs.
Release date: Sept. 15, 2023
Expiration date: Sept. 14, 2026
Audio-only versions
Listen to audio for episode 9 - Opioids and the Bridge Program
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids and the Bridge Program slide deck
Bridge Program One-Pager
Claim CME Credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 10: Opioids and Health Equity
Dr. Schlicher chats with Rae Wright, MD, an addiction medicine physician
in Vancouver, Washington. Dr. Wright will delve into what equity in health
care looks like, and how addiction and opioid use disorder interface with equity issues
(e.g., pain management, the justice system, and access to care).
Learning objectives
-
Identify how health equity impacts patients’ access to treatment for
OUD.
-
Describe ways to improve access to OUD treatment for marginalized
patients.
-
Identify barriers to treatment access that relate to race, ethnicity,
and LGBTQI communities.
-
Recall the goals of National Institute on drug abuse racial
equity initiative.
Release date: Sept. 29, 2023
Expiration date: Sept. 28, 2026
Audio-only versions
Listen to audio for episode 10 - Opioids and Health Equity
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MP3
Resources
Opioids and Health Equity slide deck
Oregon ECHO Network Addiction Medicine Program
Claim CME Credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 11: Opioids in Emergency Medicine
Dr. Schlicher talks with Áine Yore, MD, an emergency medicine physician in
Everett, and Stephen Anderson, MD, an emergency medicine physician in
Auburn.
Learning objectives
-
Outline the history of the Emergency Department Information Exchange and
its benefit in the emergency department.
- Understand the purpose of Substitute Senate Bill 5195.
- Have a strategy to incorporate SSB 5195 into practice.
-
Understand the effects of fentanyl on the emergency medicine community.
- Engage with the Naloxone Project.
Release date: Nov. 3, 2023
Expiration date: Nov. 2, 2026
Audio-only versions
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MP3
Resources
Opioids in Emergency Medicine slide deck
Distributing opioid overdose reversal medication in EDs and behavioral
health settings – effective Jan. 1, 2022 - WSHA
SSB 5195 Opioid Overdose Reversal Medication—Prescribing
Claim CME Credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 12: Opioids in General Surgery
Dr. Schlicher talks with John Lam, MD, a trauma surgeon in Tacoma.
Learning objectives
- Understand the effects of opioids pre- and post-operatively.
-
Have a strategy to implement surgical guidelines for clinicians to use
in practice.
- Educate clinicians and patients about pain perception.
Release date: Dec. 1, 2023
Expiration date: Nov. 30, 2026
Audio-only versions
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Spotify
MP3
Resources
Opioids in General Surgery slide deck
Michigan Open Guidelines
Opioid-Prescribing Guidelines for Common Surgical Procedures: An Expert
Panel Consensus
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
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Episode 13: Opioids at the Health System and Community Health Level
Dr. Schlicher talks with Scott Kennedy, MD, chief medical officer of
Olympic Medical Center, and Katrina Weller, MD, chief medical officer of
North Olympic Healthcare Network, on the use of BPBT data to drive
improvements and how they work together as CMOs and the community to do
so.
Learning objectives
-
Determine how Olympic Medical Center and North Olympic Healthcare
Network are working together with the community to transform prescribing
on the Olympic Peninsula.
-
Given the benefits of BPBT acute opioid reports for Clallam County, form
a strategy to use BPBT data to give your organization’s medical staff a
full picture of opioid prescribing in your area.
-
Describe the role of chronic pain advisory committee at North Olympic
Healthcare Network.
-
Form a strategy to tackle the opioid epidemic within your community.
Release date: Dec. 15, 2023
Expiration date: Dec. 14, 2026
Audio-only versions
Apple Podcasts
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Google Podcasts
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Spotify
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MP3
Resources
Opioids at the Health System and Community Health Level slide deck
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 14: Opioids and Risk Management
Dr. Schlicher talks with Rabia Ahmad, JD, an attorney at Helsell
Fetterman, LLP. Rabia focuses her practice in the areas of health care law
and medical malpractice, specifically defending physicians and hospitals
against medical malpractice lawsuits and in professional licensing
proceedings.
Learning objectives
-
Have a strategy to better mitigate clinical and legal risk and
liability.
- Differentiate between criminal and civil liability.
-
Differentiate between the role of state medical boards in addressing
complaints and the purpose of the prescription drug monitoring program.
-
Recognize what falls outside the usual course of professional practice
and have a strategy to stay within appropriate practice parameters.
Release date: Jan. 12, 2024
Expiration date: Jan. 11, 2027
Audio-only versions
Apple Podcasts
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Google Podcasts
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MP3
Resources
Opioids and Risk Management slide deck
CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim
Episode 15: Opioids and Nurse Practitioners
Dr. Schlicher sits down with Mary Ellen Biggerstaff, DNP, FNP, MPH, to
talk about opioid prescribing as a nurse practitioner. Mary Ellen serves
as the nurse practitioner lead for the BPBT program.
Learning objectives
- Work with different professions to responsibly prescribe opioids.
-
Form a strategy to talk to an inherited patient on best practices in
opioid prescribing without disparaging colleagues.
-
Learn how to change opioid prescribing policies in an organization.
- Know where to find education about buprenorphine administration.
Release date: February 9, 2024
Expiration date: February 8, 2027
Audio-only versions
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Resources
Opioids and Nurse Practitioners slide deck
HHS Releases New Buprenorphine Practice Guidelines, Expanding Access to
Treatment for Opioid Use Disorder | SAMHSA
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
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Episode 16: Opioids in Dentistry
Dr. Schlicher sits down with Rolf Christensen, DDS, to talk about opioid
prescribing in dentistry and how physicians and dentists can work
together.
Learning objectives
-
Form a strategy to communicate with dentists to help manage patients’
pain.
- Discuss pediatric opioid prescriptions in dentistry.
- Identify alternatives to opioids given for dental pain.
-
Identify available resources for patients with substance use disorder.
-
Collaborate across the dentistry and medical professions to identify
patients with opioid use disorder and create a care plan.
Release date: Feb. 22, 2024
Expiration date: Feb. 21, 2027
Audio-only versions
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Resources
Opioids in Dentistry slide deck
New ADA guideline recommends acetaminophen, NSAIDs to manage pain in
pediatric patients | American Dental Association)
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
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Episode 17: Opioids and Physician Assistants
Dr. Schlicher sits down with Eileen Ravella, PA-C, a physician assistant
at Kaiser Permanente Washington, to talk about opioid prescribing as a
physician assistant, and how physicians and physician assistants can work
together toward better prescribing.
Learning objectives
-
Discuss challenges that physician assistants and other prescribers may
face in prescribing opioid medications.
-
Consider different communication and care planning strategies in pain
management.
-
Strengthen the alliance between physician assistants and physicians to
treat addiction.
Release date: Mar. 8, 2024
Expiration date: Mar. 7, 2024
Audio-only versions
MP3
Resources
Opioids and Physician Assistants slide deck
Claim CME credit
To claim CME credit, watch or listen to the podcast, then complete the
evaluation below. Once the evaluation is completed, it will be forwarded
to the CME and MOC credit claim. To claim MOC, you must earn 100% on the
quiz component.
Evaluation and credit claim