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Pediatric Pain and Opioid Education

This is a self-paced, open-enrollment course that may be started and completed at any time. Please note: This course requires an updated browser to function properly. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher). To check your current browser version, click here.

About This Course

This program provides training in acute and chronic pain management for pediatric patients, with an emphasis on safe and effective opioid use. Topics covered include neurobiology of pain; addiction, abuse and safe opioid prescription practices; licensing, the law and opioid prescribing; treatment of chronic pain; and safe storage and disposal of medications.

This course was developed by the OPENPediatrics program at Boston Children's Hospital, and provides Continuing Medical Education credit. To access a free, non-CME version of this course, as well as hundreds of other resources on pediatric care, sign up for a free account on the OPENPediatrics site.

Cost

USD $125.00

Contributors

Dr. David Casavant, Elaine Meyer, PhD, RN, (Vignette Development), Dr. Charles Berde, Dr. Kim Boullard, John Costello, Steve Hoffman, Dr. Karen Kaczynski, Dr. Sharon Levy, Dr. Neil Schechter, Dr. Clifford Woolf

Instructional Time

5 hours, 30 minutes

Course Format, Media and Technical Requirements

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

Release/Review/Expiration Dates

Released: 1/28/2016

Reviewed: 1/28/2016

Expires: 1/28/2018

Learning Objectives

  • Describe safe opioid prescribing practices
  • Demonstrate safe prescribing decision-making in clinical settings
  • Describe the development of neurobiological mechanisms of pain perception
  • Describe the safe appropriate use of pain medications
  • Describe the biological mechanisms through which pain medications function
  • Correctly assess patient level of pain
  • Describe the neurobiological mechanisms of normal pain perception
  • Describe the clinical implications of the neurobiological mechanisms of pain perception for treating and preventing pain
  • Describe the neurobiological mechanisms of chronic pain
  • Describe the biological mechanisms through which pain medications function
  • Demonstrate safe prescribing decision-making in clinical settings
  • Describe the epidemiology of opioid misuse/abuse/dependence
  • Describe patterns of drug addiction in patient behavior
  • Adjust patterns of prescriptions based on knowledge of addiction patterns
  • Detect patterns of drug addiction in patient behavior
  • Describe key aspects of the regulatory frameworks that govern pain medication prescription and use
  • Describe strategies for treatment of chronic pain
  • Describe effective communication strategies for assessing and treating pain
  • Describe differences in metabolism and excretion based on patient age and level of development
  • Describe approaches to titration of medication based on efficacy and side effect profile
  • Statement of Need/Target Audience

    Opioid prescription for pediatric patients presents unique challenges because these patients are physiologically and developmentally dynamic. In addition, abuse of prescription pain medication in the pediatric population is a growing health concern.

  • MDs and Trainees
  • Pediatric MDs and Trainees
  • Pediatric Intensive Care (ICU) MDs and Trainees
  • Accreditation/Designation Statements

    Boston Children's Hospital is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Boston Children's Hospital designates this enduring material for a maximum of 3.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit™ to an equivalent number of European CME Credits® (ECMECs®). Information on the process of converting AMA PRA Category 1 Credits™ to ECMECs® can be found at: www.eaccme.eu.

    Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 3.50 ABP MOC Part 2 points in the American Board of Pediatrics'(ABP), American Board of Internal Medicine (ABIM) and the American Board of Anesthesiology (ABA) Maintenance of Certification program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP, ABIM and ABA MOC credit.

    The following Enduring Material: Pediatric Pain and Opioid Education Program meets the requirement for 3.5 Risk Management Credits proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. The Massachusetts Board of Registration in Medicine has reviewed and approved the course to fulfill the state opioid training requirement.

    This course is KBML (Kentucky Board of Medical Licensure) approved in regards to the HB1 requirement for 3.5 hours. ID#:1216-H3.5-BCH1.

    Instructors

    Dr. David Casavant, MD

    Associate in Perioperative Anesthesia, Pain Medicine and Critical Care Medicine, Boston Children's Hospital
    Instructor of Anesthesia, Harvard Medical School.

    Elaine Meyer, PhD, RN

    Associate Professor of Psychology, Department of Psychiatry, Harvard Medical School

    Dr. Charles Berde, MD, PhD

    Sara Page Mayo Chair
    Chief, Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital
    Professor of Anesthesia (Pediatrics), Harvard Medical School

    Kimberly Boullard, MS, OTR/L

    Occupational Therapist 111, Department of Physical and Occupational Therapy, Department of Anesthesiology Perioperative and Pain Medicine, Boston Children's Hospital

    Mr. John Costello, JD

    Complaint Counsel, Massachusetts Board of Registration in Medicine

    Mr. Steven Hoffman, JD

    Deputy Chief, Medicaid Fraud Division, Massachusetts Attorney General's Office

    Dr. Karen Kaczynski, PhD

    Senior Psychologist in Pain Medicine, Boston Children's Hospital
    Department of Anesthesiology Perioperative and Pain Medicine

    Dr. Sharon Levy, MD, MPH

    Director, Adolescent Substance Abuse Program (ASAP), Boston Children's Hospital
    Assistant Professor in Pediatrics, Harvard Medical School

    Dr. Neil Schechter, MD

    Senior Associate in Pain Medicine, Department of Anesthesiology Perioperative and Pain Medicine, Boston Children's Hospital
    Associate Professor of Anesthesia, Harvard Medical School

    Dr. Clifford Woolf, MB, BCh, PhD

    Director, F.M. Kirby Neurobiology Center Center, Boston Children's Hospital
    Professor of Neurology and Neurobiology, Harvard Medical School

    Disclosures

    In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

    Instructor Disclosures

    No disclosures to report:

    Dr. David Casavant, Dr. Charles Berde, Ms. Kim Boullard, Mr. John Costello, Mr. Steve Hoffman, Dr. Karen Kaczynski, Dr. Sharon Levy, Dr. Neil Schechter

    The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients:

    Dr. Clifford Woolf

    Content Reviewers

    No disclosures to report:

    Dr. Joseph Cravero, Dr. Daniel Kelly, Dr. Tom Mancuso, Ms. Carol Holt, NP, Ms. Victoria Karian, NP, Ms. Christine Nigrin, NP, Ms. Jean Solodiuk, NP, Lesley Niccolini

    Commercial and Financial Support Disclosure

    This program receives no commercial support.

    This program was made possible in part through the support of the Mayday Fund.

    Privacy Policy

    Access the Boston Children's Hospital CME Privacy Policy here.

    1. Course Number

      BCH-AN001-OP
    2. Classes Start

      Jan 02, 2016
    3. Estimated Effort

      5 hours 30 minutes
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