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

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

Ellen Ovson, MD, FASAM Medical Director Lakeview Health Jacksonville, FL

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Co-provided by

Statement of Need

Studies have shown that gender plays an important role in pain, pain perception, and opioid use. Women are more likely to gain access to opioids through their medical treatment. Not only are women prescribed opioids more often than men (53% vs. 46%), but this number increases with age. Often there is a lack of attention to underlying causes of opioid use disorder (OUD), particularly past sexual or emotional trauma, which can put women at a significantly higher risk for addiction and relapse. Gender-responsive treatment programs, such as the one led by Dr. Ovson at Lakeview Health in Jacksonville, FL, help women address their substance use in an environment that removes stigma and bias.

It’s important to identify gender-specific needs when addressing pain management and OUD, with open discussion being the key to their resolution. “We rarely think about what the person brings to the drug challenge. When it comes to someone who has experienced sexual trauma, a single dose of an opioid might be enough to make continued use more likely and addiction inevitable; a couple of doses, and they feel such relief and lack of tension that they think they’ve found the lock and key to their mental well-being and are more likely to rely on opioids to treat their psychological, rather than physical, trauma. Therefore, screening for prior substance use and trauma prior to prescribing opioids is essential,” stated ASAM McGovern Lifetime Achievement Award winner, Dr. Mark Gold, in this CME Outfitters Snack on how gender effects a patient’s proclivity to substance abuse disorders and engagement in treatment, as well as the emotional components that are often underlying causes of addiction.

Learning Objectives

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

• Identify gender-specific treatment needs when addressing substance use disorders.

Financial Support

Supported by an educational grant from Johnson & Johnson.

Target Audience

Physicians, 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 0.25 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.

AAFP Credit (Family Physicians):
This Enduring Material activity, The Role that Gender Plays in Pain Perception, Treatment, and Addiction, has been reviewed and is acceptable for up to 0.25 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 the activity.

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. .25 contact hours (0.025 CEUs) Universal Activity Number:
Enduring: 0376-0000-19-012-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 .25 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. Ovson 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).