CC2018: Opioid-Sparing Perioperative Pain Management: A Credentialed Course for the Practicing Surgeon

Unintentional deaths due to opioids are a major concern in the United States. This course provides expert guidance and resources to implement and evaluate an opioid-sparing program at your surgical center. Panels, video, guidelines, small group application, and algorithms will be used to teach multimodal therapy and opioid-sparing perioperative protocols. Outpatient medication prescribing and pain management patient/caregiver education—including communication, screening, optimal discharge planning, patient contracts and referrals to pain management teams—will also be discussed. Case studies will include managing opioid-naïve and opioid-tolerant patients with a focus on breast, colorectal, hernia, and trauma patients.

Opioid-Sparing Perioperative Pain Management: A Credentialed Course for the Practicing Surgeon was a Didactic Experiential Course given at Clinical Congress 2018. This course may help satisfy portions of physician state licensure and regulatory mandate certification related to pain management and/or opioid prescribing.

Course Outline

Session I: The Opioid Epidemic and Surgery: Effective Strategies to Change Trends

  • ACS Initiatives and the Big Picture
    John M. Daly, MD, FACS, FRCSI(Hon), FRCSG(Hon), Philadelphia,PA
  • The Veterans Affairs Quality Improvement Plan: Acute Pain Management Guide to Meet the Current Challenges
    Lisa M. Mazzia, MD, Washington, DC
  • Opioid Prescribing Engagement Network (OPEN): Moving to a New Model for Pain Management
    Chad Brummett, MD, Ann Arbor, MI
  • Effective Guidelines, Emergency Department, and Beyond: The Brigham Comprehensive Opioid Response and Education (B CORE) Program
    Scott Weiner, MD, MPH, Boston, MA

Session II: Multimodal Analgesics and Opioid-Sparing Guidelines: All Part of the Enhanced Recovery Plan

  • The Colon and Rectal Patient: Pre-, Intra-, and Postoperative Medications and Techniques to Minimize Opioid Use
    Michael F. McGee, MD, FACS, FASCRS, Chicago, IL
  • The Hernia Patient: Pre-, Intra-, and Postoperative Medications and Techniques to Minimize Opioid Use
    Michael Reinhorn, MD, FACS, Newton, MA
  • The Breast Cancer Patient: Pre-, Intra-, and Postoperative Medications and Techniques to Minimize Opioid Use
    Mark A. Lockett, MD, FACS, Charleston, SC

Session III: Implementing Best Practice for Opioid-Sparing Techniques, Including Indications, Modifications, Complications, and Safety Monitoring

  • Nerve Blocks: Best Practice from Assessment to Approach
    Phillip Lirk, MD, PhD, Boston, MA
  • Opioid-Sparing Principles, Algorithms, and Outcomes with Considerations for the Opioid-Naïve and -Dependent Patient
    Thomas A. Aloia, MD, FACS, Houston, TX

Session IV: Outpatient Prescribing Practices and Patient Transition to Home Care Providers

  • Discharge Protocols Based on Patient Analgesic Use: A Best Practice Approach to Prescribing and Managing Patient Expectations
    Michael J. Englesbe, MD, FACS, Ann Arbor, MI
  • Trauma Protocols and Patient Transitions
    Jessica L. Gross, MD, FACS, Winston-Salem, NC
  • The Complex Patient Discharge: Contracts, Considerations, and Referrals for the Patient with Opioid Dependency, Opioid Use Disorder, and High-Risk Comorbidities
    Timothy J. Atkinson, PharmD, BCPS, CPE, Murfreesboro, TN
  • Bringing It All Together: Evaluation Model and Resources
    Kathleen Heneghan, PhD, MSN, RN, CPN, Chicago, IL

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care

Contact

For questions about the course content, please contact elearning@facs.org.

If you have any technical questions, contact learning@facs.org.

Course summary
Available credit: 
  • 4.00 AMA PRA Category 1 Credit™
  • 4.00 Self Assessment Credit
  • 4.00 CE Contact hours
  • 4.00 Certificate of Completion
Course opens: 
01/15/2019
Course expires: 
12/31/2020

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity.  Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation. 

(Download the full list of disclosures.)

Faculty and Disclosures

John M. Daly, MD, FACS, FRCSI(Hon), FRCSG(Hon), Philadelphia, PA - No Disclosures
Lisa M. Mazzia, MD, Washington, DC - No Disclosures
Chad Brummett, MD, Ann Arbor, MI - No Disclosures
Scott Weiner, MD, MPH, Boston, MA - No Disclosures
Michael F. McGee, MD, FACS, FASCRS, Chicago, IL - No Disclosures
Michael Reinhorn, MD, FACS, Newton, MA - No Disclosures
Mark A. Lockett, MD, FACS, Charleston, SC - No Disclosures
Phillip Lirk, MD, PhD, Boston, MA - No Disclosures
Thomas A. Aloia, MD, FACS, Houston, TX - No Disclosures
Michael J. Englesbe, MD, FACS, Ann Arbor, MI - No Disclosures
Jessica L. Gross, MD, FACS, Winston-Salem, NC - No Disclosures
Timothy J. Atkinson, PharmD, BCPS, CPE, Murfreesboro, TN - No Disclosures
Kathleen Heneghan, PhD, MSN, RN, CPN, Chicago, IL - No Disclosures

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - No Disclosures
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - No Disclosures

Members

David C. Borgstrom, MD, FACS, Morgantown, WV - No Disclosures
Daniel L. Dent, MD, FACS, San Antonio, TX - No Disclosures
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Audra A. Duncan, MD, FACS, London, ON - No Disclosures
Mariam F. Eskander, MD, Boston, MA - No Disclosures
Paula Ferrada, MD, FACS, Richmond, VA - No Disclosures
Neil H. Hyman, MD, FACS, Chicago, IL - No Disclosures
Martin S. Karpeh, Jr., MD, FACS, New York, NY - No Disclosures
Dennis H. Kraus, MD, FACS, New York, NY - No Disclosures
Kenneth W. Sharp, MD, FACS, Nashville, TN - No Disclosures
David A. Spain, MD, FACS, Stanford, CA - No Disclosures

Ex-Officios

Mary T. Hawn, MD, FACS, Stanford, CA - No Disclosures
Daniel M. Herron, MD, FACS, FASBMS, New York, NY - No Disclosures

Consultants

Barbara Lee Bass, MD, FACS, FRCS(Hon), Houston, TX - No Disclosures
Quan-Yang Duh, MD, FACS, San Francisco, CA - No Disclosures
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - No Disclosures
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - No Disclosures
Valerie W. Rusch, MD, FACS, New York, NY - No Disclosures

Continuing Medical Education Credit Information

Accreditation

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 4 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 4.00 AMA PRA Category 1 Credit™
  • 4.00 Self Assessment Credit
  • 4.00 CE Contact hours
  • 4.00 Certificate of Completion

Accreditation Period

Course opens: 
01/15/2019
Course expires: 
12/31/2020
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