Premiere Date: Friday, March 1, 2019

This activity offers CE credit for:

1. Physicians (CME)
2. Pharmacists (ACPE)
3. ABIM (MOC)
4. Family Physicians (AAFP)
5. Other
6. Dentists

Faculty

Mark S. Gold, MD ASAM's Annual Lifetime Achievement John P. McGovern Award & Prize Winner Adjunct Professor of Psychiatry Washington University School of Medicine St. Louis, MO 17th University of Florida Distinguished Alumni Professor Gainesville, FL

A. Omar Abubaker, DMD, PhD Professor and S. Elmer Bear Chair Department of Oral and Maxillofacial Surgery Virginia Commonwealth University School of Dentistry Richmond, VA

Co-provided by

Statement of Need

In a survey of 1,015,116 opioid naïve patients undergoing surgery, total duration of opioid use was the strongest predictor of misuse and the greatest risk for individuals in the 15-24 age group. Young people aged 15-24 often get their first exposure to opioids with dental surgery. In a survey of randomly selected oral surgeons conducted by Dr. Abubaker and colleagues, the average number of opioid tablets prescribed was 20, with 22% prescribing more than 20 tablets, and 11% prescribing more than 30 tablets. These risk factors, combined with the current epidemic, have led many oral surgeons to believe that the old standards of depending on opioids as a first-line treatment should be a thing of the past. The number of opioid prescriptions written should decrease moving forward, as dental pain can often be managed without opioids. As Chair of the Department of Oral and Maxillofacial Surgery at Virginia Commonwealth University School of Dentistry in Richmond, Virginia, Dr. Abubaker has led the implementation of new guidelines for prescribing after dental surgery procedures that minimize the use of opioids while meeting patients’ pain needs.

“Dentists play an important role in the opioid epidemic through overprescribing – usually with good intentions – but we need to accept accountability for our role in the problem,” stated Dr. Abubaker. “When managing dental pain, we must strike a balance between compassionate patient care by managing their pain and not suffering, and patient safety. It is a balance that is achievable.”

In this free CME Snack, Dr. Gold and Dr. Abubaker share insights on alternative pain management strategies for oral pain with a focus on finding a balance between compassion for patient care and patient safety.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Recognize the importance of minimizing opioid use in the management of dental pain.
• Educate patients about their pain to optimize safe and effective, multimodal treatment plans.

Financial Support

Supported by an educational grant from Johnson & Johnson.

Target Audience

Physicians, dentists, physician assistants, nurse practitioners, and pharmacists.

Credit Information

CME Credit (Physicians):
USF Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

USF Health designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Note to Nurse Practitioners: Nurse Practitioners can apply for AMA PRA Category 1 Credit™through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 Credit™ from organizations accredited by the Accreditation Council for Continuing Medical Education. Nurse practitioners can also apply for credit through their state boards.

Dentists: USF Health is an approved provider of continuing education credits for Dentist licensees by the Florida Board of Dentistry. This activity has been reviewed and approved for up to .5 contact hour. Licensee numbers are required prior to the issuance of certificates for Florida dentists.

Non-Florida participants are responsible for applying to their state licensing organization to convert their Florida Board of Dentistry certificate to meet state requirements.

AAFP Credit (Family Physicians):
This Enduring Material activity, Shifting Perspectives on Pain Management in Oral Surgery, has been reviewed and is acceptable for up to 0.50 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 03/01/2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in this activity.

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. .5 contact hours (0.05 CEUs) Universal Activity Number:
Enduring: 0376-0000-19-013-H01-P

Type: Knowledge-based

ABIM MOC Credit:
MOC Points available for Internal Medicine and General Medicine Board Certified Physicians.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

For information about ACCME accreditation and ABIM MOC for this activity, please email cpdsupport@health.usf.edu.

Learning Format:
Enduring activity

By providing your ABIM number, you consent to have CME Outfitters and/or our educational partners submit your participation in this activity to the ABIM through the ACCME PARS system

Note to Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit^TM from organizations accredited by the Accreditation Council for Continuing Medical Education.

MIPS Improvement Activity: This activity counts towards MIPS Improvement Activity requirements under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Post-tests, credit request forms, and activity evaluation must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). this website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit https://www.cmeoutfitters.com/privacy-and-confidentiality-policy/

Disclosure Declaration

It is the policy of USF Health and CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Gold has no disclosures to report.

Dr. Abubaker has no disclosures to report.

Mae Ochoa, RPh (peer reviewer) has no disclosures to report.

Jan Perez (planning committee) has no disclosures to report.

Sharon Tordoff (planning committee) has no disclosures to report.

Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report.

Disclosures were obtained from the USF Health staff: No disclosures to report.

CME Outfitters, LLC, USF Health, and the faculty do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS(877.263.7767).