Acute Pain in Patients with Opioid Use Disorder: Leveling Up Analgesia While Dialing Down Risk

Bedside decisions shouldn’t trade relief for risk. In this on-demand course, clinicians describe the roles of buprenorphine and methadone, recognize openings to start MOUD during acute and acute-on-chronic pain in hospitalized patients with serious illness, and implement team-based plans with outpatient partners. We then apply palliative care communication to discuss comorbid pain and OUD, advancing safer analgesia and more dignified hospital care.

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Availability

On-Demand

Expires on Apr 30, 2027

Cost

Member: $0.00

Non-Member: $55.00

Credit Offered

0.75 CME Credit

0.75 ABIM-MOC Point

0.75 Participation Credit

Overview
Faculty
Accreditation
Recommended

Learning Objectives
After completing this activity, learners should be able to:

Describe the pharmacology and clinical use of buprenorphine and methadone, both for pain and for opioid use disorder (OUD).
Recognize opportunities to prescribe medications for opioid use disorder (MOUD) in the management of acute pain among patients experiencing OUD.
Implement treatment plans for acute pain in patients using MOUD, in coordination with outpatient longitudinal providers.
Apply principles of patient-centered communication to discussions of co-morbid pain and OUD, allowing for compassionate and respectful whole-person care for these vulnerable patients.

Faculty

Eric Goodlev

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 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.

Inpatient Management of Opioid Use Disorder

Eighty thousand opioid deaths demand action on the wards. Led by Addiction Medicine hospitalists, this on‑demand course shows you how to initiate buprenorphine confidently, including micro‑induction for fentanyl exposure; identify and manage precipitated withdrawal; screen for xylazine and apply harm reduction. You’ll synthesize protocols, refine dosing, and leave ready to design safer inpatient pathways and improve outcomes.

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Inpatient Management of Alcohol Withdrawal and Medications for Alcohol Use Disorder

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The US Drug Enforcement Administration (DEA) recently announced updated rules for all registered clinicians. Starting June 27, 2023, clinicians applying or renewing their DEA registration will need to make a one-time attestation that they have attended at least eight hours of approved training. This will be due at the time of renewal, which will vary by clinician. As an accredited CME provider, the Society of Hospital Medicine has compiled a list of sessions that meet this requirement. By registering for thia free-to-member curriculum below, you will gain access to all sessions, including sessions otherwise only available through paid On Demand products.

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Rapid Clinical Updates: Inpatient Management of Opioid Withdrawal in the Fentanyl Era

This session is presented by Alex Logan, MD and Marlene Martin, MD. Our moderator is Lily Ackermann, MD.

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Rapid Clinical Updates: Hospitalist Management of Opioid Use Disorder

U.S. drug-related overdose deaths continue rising, with more than 100,000 individuals dying in the 12-month period ending in April 2021. Amidst this, hospitalists must be first-line responders in being able to assess and diagnose opioid use disorder, while offering evidence-based treatment. Participants will leave this session empowered to provide life-saving treatment for hospitalized patients with opioid use disorder.

This session is moderated by Joseph Sweigart, MD, FHM, SFHM. Our panelists include Marlene Martin, MD and Susan Calcaterra, MD, MPH.

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How to be a Hospitalist Opioid Use Disorder Champion: OUD Consult Services

The hospitalist role in providing effective care for patients with opioid use disorder (OUD) has never been more important. In this webinar, we will focus on the creation of OUD consult services. In addition to the structure of these service lines, we will explore the role that culture plays in OUD treatment. Participants will understand how to assess readiness for consult services within their own institutions, develop support and find partners, define metrics, and activate the model. We will also discuss various funding opportunities for these programs.

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How to be a Hospitalist Opioid Use Disorder Champion: Improving the Quality of Care for Patients

The hospitalist role in providing effective care for patients with opioid use disorder (OUD) has never been more important. In this webinar, part one of two on the topic, members of the SHM SUD Special Interest Group will discuss the current state of addiction medicine and the roles that hospitalists can take within their practice to overcome barriers and improve the quality of care for their patients with opioid use disorder. Topics will include how to screen patients, building protocols and pathways for treatment, QI projects, orders for discharge, and linkage to care. Additionally, speakers will discuss how to acquire data on the issue and how to start building capacity within the hospitalist team.

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