Shifting Perspectives on Pain Management in Oral Surgery

Shifting Perspectives on Pain Management in Oral Surgery is organized by CME Outfitters, LLC.

Premiere Date: Friday, March 1, 2019
Credit Expiration Date: Thursday, December 31, 2020

This activity offers CE credit for:
• Physicians (CME)
• Pharmacists (ACPE)
• ABIM (MOC)
• Other

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

CME Outfitters, LLC, designates this live activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dental Credit:
This course meets the Dental Board of California's requirements for 0.5 units of continuing 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.

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):
ACPE 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).

ABIM/MOC Credit:
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 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.

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.