Opioid Prescribing Series (6 Modules)

Module 1: Prescribing Opioids for Chronic (non‐Cancer) Pain

The course series addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading this material, a participant will be familiar with:

  • The recommended steps to be taken prior to initiating long-term opioid therapy
  • The recommended steps to be taken upon initiation of long-term opioid therapy
  • Screening tools to assess the baseline risk of opioid addiction/abuse
  • The Opioid Risk Tool
  • The CAGE-AID Tool
  • The Patient Health Questionnaire-9
  • The monitoring of function and pain during opioid therapy
  • The graded chronic pain scale
  • The reasons to taper or discontinue opioid therapy


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


Module 2: Tapering Opioids, Opioid Therapy Agreements-Contracts and Drug Testing

The course addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading this material, a participant will be familiar with:

  • Factors that prolong the duration of an opioid taper
  • Many of the common signs and symptoms of opioid withdrawal syndrome
  • The factors that must be considered when tapering opioids
  • The definition of drug potency
  • The points that should be addressed in an opioid therapy agreement/contract
  • The purpose of a urine drug test and what information can be obtained from a urine drug test
  • When and how often urine drug tests should be performed
  • Which drugs can be detected on urine toxicology screens
  • The reasons why urine drug tests are under-utilized


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


Module 3: Urine Testing and Trends in Opioid Use, Misuse and Abuse

The course addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading this material, a participant will be familiar with:

  • The ability of urine immunoassay tests to detect THC, cocaine and alcohol
  • The three acceptable ways to dispose of opioid medications
  • Which unwanted medicines should be flushed down the drain according to the FDA and DEA
  • The significant problems posed by not keeping controlled substances in locked/secure places
  • "Take-back" programs
  • The places that can accept controlled substances
  • The definition of drug abuse
  • The definition of drug tolerance
  • The definition of drug addiction
  • The definition of substance dependence
  • The trends of opioid use in the U.S. since 2000
  • The trends of opioid misuse/abuse in the U.S. since 2000
  • The trends of opioid-related ER visits in the U.S. since 2000


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices) Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


Module: 4: The Opioid Abuse Epidemic and Commonly Abused Non-Opioid Prescription Drugs

The course addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading this material, a participant will be familiar with:

  • The rate at which the opioid abuse epidemic is growing
  • The commonly abused non-opioid prescription drugs
  • The various ways in which opioid abusers get the opioids
  • How the opioid abuse rate in women compares to that of men
  • How the opioid overdose death rate in women compares to that of men
  • Which age group has the highest rate of opioid analgesic misuse and overdose deaths
  • Which racial groups in the U.S. have the highest rates of medical and non-medical opioid use
  • 1-800-662-HELP
  • How prescription overdose rates in rural areas compare to those in urban areas
  • Rates of prescription painkiller sales during the time period of 1999-2008 in the U.S.
  • Rates of substance abuse treatment admissions during the time period of 1999-2008 in the U.S.
  • Obtaining opioids from an online pharmacy
  • What factors make some opioids more attractive to abuse than other opioids
  • How opioid abusers alter the opioid pills and patches
  • The terms "abuse-deterrent formulation" and "abuse-resistant formulation"
  • The actions that a physician must take if he/she determines that a chronic pain patient becomes addicted to opioids
  • The magnitude of the increase of the dispensing of opioids in the U.S. during the time period of 1997 to 2009


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

 The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


Module 5: Opioid Use in Special Populations, The Controlled Substances Act and Naloxone

The course addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading the material, a participant will be familiar with:

  • The number of pregnant women in the U.S. using opioids or dependent on opioids during the period of 2000-2009
  • Neonatal abstinence syndrome (NAS)
  • The incidence of NAS in the United States
  • The number of drug and alcohol rehabilitation centers in each state and the number of drug and alcohol rehabilitation centers per capita for each state
  • The term ultra-rapid metabolizers
  • The potential consequences of administering codeine to an ultra-rapid metabolizer pediatric patient
  • The potential consequences of administering codeine to an ultra-rapid metabolizer female patient who is breastfeeding
  • The controlled substances act
  • The schedule I drugs
  • The schedule II drugs
  • The schedule III drugs
  • The schedule IV drugs
  • The schedule V drugs
  • Which healthcare providers can prescribe controlled substances
  • Naloxone
  • The potential side effects of naloxone
  • The modes of administration of naloxone
  • The dosage of naloxone
  • The half-life of naloxone and the half-lives of the commonly abused opioids


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


Module 6: The Prescription Drug Abuse Plan, Prescription Drug Monitoring Programs and Risk Evaluation and Mitigation Strategy (REMS)

The course addresses opioid prescribing practices, monitoring opioid therapy and managing risk when prescribing opioids. Also, the opioid abuse epidemic is examined in detail. Jointly sponsored with The Answer Page, Inc.

Learning Objectives

After reading this material, a participant will be familiar with:

  • The United States government document entitled "Epidemic: Responding to America's Prescription Drug Abuse Crisis"
  • The extent of opioid pain management/risk management training presently being offered by healthcare professional schools
  • The healthcare provider education programs outlined in the Prescription Drug Abuse Plan
  • The intended goal of the Centers of Excellence in Pain Education
  • Which medical educational institutions have been designated as Centers of Excellence in Pain Education
  • The parent, youth and patient education programs outlined in the Prescription Drug Abuse Plan
  • How the U.S. government proposes to enlist the medical research and development sector to help decrease the incidence of opioid abuse
  • Prescription drug monitoring programs and the purpose that they serve
  • The effect of prescription drug monitoring programs on the admission rate to substance abuse facilities
  • The effect of prescription drug monitoring programs on the incidence of opioid abuse
  • The effect of prescription drug monitoring programs on the practice of ER physicians
  • Risk Evaluation and Mitigation Strategy (REMS)


Course Fees
Massachusetts Medical Society (MMS) Member: $12
Non Member Physicians: $22
Allied Health Professionals: $9.60

Format: Text

CME Credit: 1 AMA PRA Category 1 Credit™, risk management study

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management credit, including 1.0 credit in effective pain management and prescribing of controlled substances.

The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 joint providership of the Massachusetts Medical Society and the Answer Page, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

System requirements:


Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


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