Surgeon's Role in Solving the Opioid Crisis (OPM)

This session has been identified and designated as Credit to Address Regulatory Mandate for Opioid/Pain Management. Learn more about state regulatory mandates.

Session Description

Introduction of pain as the fifth vital sign has contributed to the opioid crisis as a consequence of increased focus by health care workers and unrealistic expectations by patients. Surgeons need to better understand the opioid crisis and their role in it (~3 percent of acute surgical patients get addicted to opioids). Solutions rest in awareness, education, and prevention. The first step is creation and implementation of an ERAS (Enhanced Recovery After Surgery) multimodality pain pathway guideline for ambulatory/inpatient surgery. Second, education of trainees, practicing surgeons, and patients about multimodality pain management will aid in meeting patient expectations and minimize reliance on opioid treatment for pain. Finally, surgeons must have a voice about mandates regarding Continuing Medical Education training for license renewal and legislation aimed at limiting narcotic prescriptions (quantity/formulation/duration) that affect patient safety and satisfaction.

Moderator: Christine Laronga, MD, FACS, Tampa, FL

Co-Moderator: Patricia M. Byers, MD, FACS, Coral Gables, FL


The Opioid Crisis: How Did We Find Ourselves Here?
Jill Q. Dworsky, MD, MS, Los Angeles, CA

Perioperative Pain Management in Ambulatory Abdominal Surgery
Lina Hu, MD, Chicago, IL

Future Directions: Train the Trainees and Educate the Surgical Community
Anna C. Beck, MD, Iowa City, IA

Partnering with Patients to Solve the Opioid Crisis
Terry Sarantou, MD, FACS, Charlotte, NC

Easing the Pain: A Grassroots Perspective on Opioid Legislation
Patricia M. Byers, MD, FACS, Coral Gables, FL

Sponsored by the Board of Governors Best Practices Group and the Board of Governors Grassroots Advocacy Engagement Workgroup

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


For questions about the course, please contact

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
Course expires: 

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

Anna C. Beck MD - Nothing to Disclose
Christine Laronga MD, FACS - Nothing to Disclose
Jill Q. Dworsky MD, MS - Nothing to Disclose
Patricia M. Byers, MD, FACS - Shire: Registry grant: PI
Q Lina Lina Hu MD MS - Nothing to Disclose
Terry Sarantou MD, FACS - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure


David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure


Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure


Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information


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 1.5 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 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages