ASAM Pain and Addiction: Common Threads Course XXV - 2024

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ASAM Pain and Addiction: Common Threads Course XXV
Navigating Gray Areas in Pain Care: Evidence, Experience, and Perception

Recorded: Thursday, April 4, 2024
On-Demand Course

Overview

The ASAM Pain & Addiction Common Threads Course is one of ASAM's longest-running and most sought-after programs. This 6 hour advanced course is designed to deepen the clinical providers’ understanding of the complexities of treatment when patients and providers navigate the gray area between pain and addiction. You will explore insights from recent critical research developments in pain and addiction treatment and consider their implications for clinical decision making and patient-centered care. You will be offered practical strategies for integrating these new takeaways and techniques into your clinical practice to optimize patient care and outcomes.  

The target audience for this advanced level activity includes: physicians, nurse practitioners, physician associates and other clinicians part of the care team.

This activity addresses the following ACGME Competencies: Patient Care, Medical Based Knowledge, Practice Based Learning.

Learning Objectives

Upon completion, learners will be able to:

  1. Examine the historical context of prescription opioid use for chronic non-cancer pain, reflecting on lessons learned from the opioid epidemic, and their implications for future directions in treating complex patients with pain and addiction. 
  2. Discuss recent research on interventions for chronic pain and consider how it can inform treatment planning that may include both pharmacologic and non-pharmacologic treatment options.  
  3. Explore techniques for establishing effective patient-centered dialogues  which focus on improving quality of life and functional outcomes, while optimizing the management of their chronic pain 
  4. Analyze common neurologic mechanisms and central nervous system pathways influencing the overlapping etiology and treatment of opioid use disorder, alcohol use disorder, and chronic pain. 
  5. Discuss ways to integrate optimal diagnostic and treatment approaches for patients on long-term opioid therapy for chronic pain who do not meet the criteria for opioid use disorder.  
  6. Discuss the clinical implications of recent research regarding the benefits and risks associated with cannabis use for chronic pain.  
  7. Evaluate the impact of changes to state cannabis laws on attitudes and health outcomes related to cannabis use.  
  8. Evaluate the bidirectional relationship between unhealthy alcohol use and chronic pain. 
  9. Formulate an understanding of the therapeutic potential of psychedelic drugs in the treatment of headache and chronic pain disorders based on the available research. 

Registration Rates


ASAM Learner TypeRate
ASAM Member$149
Non-Member$199
Associate Member$99
Resident Member*$99
Student Member*$99

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM e-Learning Center refund requests must be made in writing to Education@ASAM.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Open Registration: 05/06/2024 - 04/06/2027

Close Access Date: 05/06/2027

Instructions

  1. Click on the Contents tab to begin this activity. 
  2. Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 13 out of 18 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window. 
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM e-Learning Center, clicking Dashboard, and clicking Transcript/Achievements.

Need Assistance?

For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please check the FAQ page or e-mail Education@ASAM.org

ASAM is proud to offer eSSENTIAL Accessibility to ensure our website is accessible and functional for all our learners while providing free assistive technology for people with the widest possible range of abilities.

Gregory Rudolf

MD, DFASAM

Dr Rudolf is a physician board certified in addiction medicine, pain medicine, medical acupuncture and family medicine practicing at Swedish Pain Services in Seattle. The clinic integrates multidisciplinary pain care approaches in an effort to optimize patient functional outcomes and self-efficacy. He has also worked extensively in inpatient substance use disorder treatment settings and has published on the topic of opioid withdrawal management. He is the current Chair of the ASAM Pain and Addiction Committee, the immediate past president of the Washington Society of Addiction Medicine, and is a clinical associate professor at University of Washington.

No relevant financial disclosures.

Mark D. Sullivan

MD, PhD

Dr. Mark Sullivan received his M.D. and his Ph.D. in Philosophy from Vanderbilt University. After completing an internship in Family Medicine at University of Missouri, he completed a residency in Psychiatry at the University of Washington in 1988. He is now Professor of Psychiatry and Behavioral Sciences as well as Adjunct Professor of Anesthesiology and Pain Medicine and Adjunct Professor of Bioethics and Humanities at the University of Washington. He has served as attending physician in the UW Center for Pain Relief for over 25 years, where he is Co-Director of Behavioral Health Services. He has published over 240 peer-reviewed articles, many on chronic pain. He is currently participating in NIMH, NIDA, CDC, PCORI and VA-funded studies on opioid therapy for chronic pain. He has been chair of the Ethics Committee of the American Pain Society and on the editorial board of Pain. He has a book forthcoming from Oxford University Press titled, The Patient as Agent of Health and Health Care.

No relevant financial disclosures.

Roger Chou, MD, FACP

Roger Chou is a Professor in the Department of Medical Informatics & Clinical Epidemiology and the Department of Medicine at Oregon Health & Science University (OHSU) School of Medicine and Director of the Pacific Northwest Evidence-based Practice Center. His clinical background is general internal medicine. He has authored over 300 peer-reviewed articles, including numerous systematic reviews, and led or participated in clinical guideline development efforts in chronic pain and opioids, low back pain, addiction, and other topics, and is among the top 2% cited scientists in the world. His reviews have been used by the American College of Physicians, the Centers for Disease Control and Prevention, the US Preventive Services Task Force, the American Pain Society, the American Urological Association, the World Health Organization, and others to develop clinical practice guidelines. Dr. Chou serves as a methodologist for several World Health Organization guideline development groups, served as Coordinating Editor of the Cochrane Back and Neck and Senior Editor of Cochrane Musculoskeletal, and serves on the Board of Scientific Counselors of the CDC’s National Centers for Injury Prevention and Control.

No relevant financial disclosures.

Martin D. Cheatle

PhD

Dr. Martin Cheatle is an Associate Professor of Psychiatry, Anesthesiology, and Critical Care, Director of Behavioral Medicine at the Penn Pain Medicine Center, and Director of Pain and Chemical Dependency Research at the Center for Studies of Addiction, Perelman School of Medicine at the University of Pennsylvania. He has been conducting research and providing clinical treatment of patients with chronic pain and co-morbid disorders including substance use disorders, HIV, mood disorders, and sleep disorders as director of both university and community-based interdisciplinary pain programs.  His focus of research is in improving pain care to individuals from vulnerable populations (psychiatric, substance use disorders, HIV, sleep disorders) including developing strategies to identify and mitigate the risks associated with opioid therapy and the risk of suicide in the pain population. He was the PI of a recently completed RO1 NIDA grant on clinical and genetic characteristics of opioid addiction in chronic pain; a project PI of a NIDA P-60 Center grant on a longitudinal study of the development of a substance use disorder in patients initiating prescription opioid therapy for chronic pain in primary care; and as a co-investigator in the development of a patient-centered medical home model for improved pain care.  Currently, Dr. Cheatle is a co-investigator of many recently funded NIH grants examining the effect of cognitive behavioral therapy delivered preoperatively to patients undergoing total knee arthroplasties in reducing postoperative pain, opioid use, and the chronification of pain.

No relevant financial disclosures.

Ajay Manhapra, MD, FASAM

Dr. Manhapra completed his M.B.B.S. degree from Government Medical College, Thrissur, India and Internal Medicine residency from Henry Ford Hospital, Detroit, MI. He was a practicing internist for over a decade and then completed VA Advanced Inter-professional Fellowship in Addiction Treatment at West Haven VA Medical center, CT, affiliated to Department of Psychiatry, Yale School of Medicine. He has been a clinician, researcher and scholar focused on recovering people with pain and addiction for the past decade. He is currently the Section Chief of Pain Medicine at Hampton VA Medical Center, Hampton, Virginia and runs an interdisciplinary clinic helping people with complex chronic pain and multimorbidity find a path to functional recovery. Dr. Manhapra and colleagues pioneered the concept of complex persistent opioid dependence/opioid induced chronic pain as an explanation of ineffectiveness of long term opioid therapy and its deprescribing. Dr. Manhapra also advanced the treatment of ineffective long term opioid therapy and failed opioid taper using buprenorphine based pharmacobehavioral approaches. 

No relevant financial disclosures.

Mark C. Bicket, MD, PhD

Mark C. Bicket, MD, PhD is an Associate Professor in the Department of Anesthesiology at the University of Michigan School of Medicine. He has a joint appointment at the University of Michigan School of Public Health. He received an M.D. and a Ph.D. in Clinical Investigation from the Johns Hopkins University. He completed anesthesiology residency at the Johns Hopkins Hospital, where he served as Chief Resident and pain medicine fellowship training at the Massachusetts General Hospital.

Dr. Bicket has research interests in improving the care for patients in the perioperative setting and with acute or chronic pain. He serves as Co-Director of the Overdose Prevention Engagement Network, a group dedicated to advancing evidence, resources, and engagement to address the overdose epidemic. In the Department of Anesthesiology, he serves as Director for Opioid Research. A clinician-scientist and practicing physician anesthesiologist, his work has been supported by NIH, SAMHSA, FDA, CDC, and the Patient-Centered Outcomes Research Institute (PCORI). He is the Principal Investigator of two PCORI-funded clinical trials, including Comparing Analgesic Regimen Effectiveness and Safety (CARES), an international pragmatic randomized trial to examine the association between commonly prescribed treatments for postoperative pain with patient-reported outcomes at up to 6 months after surgery. Dr. Bicket has served on committees for the National Academy of Medicine, Centers for Medicare and Medicaid Services, state governments, and national organizations.

No relevant financial disclosures.

Deondra Asike, MD

Deondra Asike, MD is double board certified in anesthesiology and pain medicine. She is a Clinical Associate in the Department of Anesthesiology and Critical Care Medicine at Johns Hopkins since 2015. She is a veteran of the United States Air Force and deployed to Bagram Air Base, Afghanistan in 2013.  She received her medical degree at Georgetown University School of Medicine. Dr. Asike completed her anesthesiology residency at the San Antonio Military Medical Center and fellowship training in pain medicine at the University of Maryland.  Dr. Asike is currently serving a second term on the Maryland Department of Health Prescription Drug Monitoring Program Advisory Board. Additionally, she chairs the Maryland Cannabis Public Health Advisory Council and The Maryland State Medical Society Cannabis Committee.  She is a specialty expert and Maryland Spokesperson for Doctors For Drug Policy Reform, the nation’s first physician organization dedicated to the legalization, taxation, and effective regulation of cannabis for adults. She believes strongly in a holistic approach to chronic pain management that includes proper nutrition, physical therapy, behavioral therapy, and cannabis as medicine. Dr. Asike is a certifying provider with the Maryland Cannabis Administration. In 2022 she founded National Pain ReLEAF, a consultation practice primarily focused on guiding both patients and members of their healthcare team through a safe and effective incorporation of cannabis into a comprehensive pain treatment.

No relevant financial disclosures.

Jeff Boissoneault, PhD

Jeff Boissoneault, PhD serves as an Associate Professor in the Department of Anesthesiology at the University of Minnesota, where he directs the Minnesota Alcohol and Pain Lab (MAPL). Dr. Boissoneault’s research interests focus on neurophysiological and psychosocial mechanisms underling the bidirectional association between pain and substance use, especially alcohol. He is also actively involved in studies regarding cortical-brainstem-spinal interactions underlying placebo analgesia and non-pharmacologic approaches to improve pain modulatory capacity in people with chronic widespread musculoskeletal pain. He received his doctorate in medical sciences with a concentration in cognitive/behavioral neuroscience from the University of Florida and completed a postdoctoral fellowship in pain research in the University of Florida’s Pain Research and Intervention Center of Excellence. 

No relevant financial disclosures.

Emmanuelle Schindler, MD, PhD

Emmanuelle Schindler, MD, PhD is Medical Director of the Headache Center of Excellence at Veterans Affairs (VA) Connecticut Healthcare System and Assistant Professor of Neurology at Yale School of Medicine. She is a board-certified Neurologist and Headache Medicine specialist. Among her efforts to optimize the management of headache disorders, she has executed the first controlled trials of psilocybin in cluster, migraine, and post-traumatic headache. Previously, Dr. Schindler studied the neuropharmacology of psychedelics and other serotonergic compounds in the context of receptor binding and intracellular signaling at Drexel University College of Medicine. Her neuropharmacology background frames her endeavor to investigate the potential for psychedelics to serve as safe and effective headache medicines. Currently, she seeks to identify the source of sustained reductions in headache burden after limited dosing of psilocybin, considering several neurobiological systems. 

Relevant Financial Disclosures: Ceruvia Lifesciences: Consultant/Advisory Board (Ongoing)|Ceruvia Lifesciences: Research Grant (includes principal investigator, collaborator or consultant and pending grants as well as grants already received) (Ongoing)|PureTech Health: Consultant/Advisory Board (Terminated)

O. Trent Hall, DO

Dr. Orman Trent Hall is an assistant professor of Addiction Medicine in the Department of Psychiatry and Behavioral Health at The Ohio State University Wexner Medical Center (OSUWMC) and The Ohio State University College of Medicine. Dr. Hall completed residency in Physical Medicine & Rehabilitation at the University of Michigan, as well as Addiction Medicine fellowship and a postdoctoral research fellowship in Addiction Neuroscience at The Ohio State University. He now directs a hospital-based Addiction Medicine Consult Service at OSUWMC and co-leads the Healthy State Alliance Addiction Initiative – a strategic partnership between OSUWMC and Bon Secours Mercy Health that combats the addiction crisis in Ohio through collaboration in education, clinical care, advocacy, and research. Dr. Hall’s research is focused on improving the treatment of substance use disorders through clinical phenotyping. Specifically, his research aims to identify subgroups of patients with comorbid chronic pain and substance use disorders for whom central nervous system mechanisms play a prominent role in connecting their pain and addiction. 

No relevant financial disclosures.

Accreditation & Credit Designation Statements

Joint Accreditation Statement
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In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The American Society of Addiction Medicine designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

This activity awards 6.0 Nursing contact hours.

PAs

ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 6.0 AAPA Category 1 CME credits. Approval is valid until 04/04/2027. PAs should only claim credit commensurate with the extent of their participation.

Pharmacology Hours

This activity has 6.0 number of hours that satisfy the requirements for NP and PA Pharmacology Hours.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 6.0 Interprofessional Continuing Education (IPCE) credits for learning and change.

National Board for Certified Counselors ACEP

The American Society of Addiction Medicine has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7062. Programs that do not qualify for NBCC credit are clearly identified. The American Society of Addiction Medicine is solely responsible for all aspects of the programs.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

California Association of DUI Treatment Centers (CADTP)

This educational program is approved by CADTP: #205.

California Consortium of Addiction Programs and Professionals (CCAPP)

This educational program is approved by CCAPP: #OS-20-330-1224.

Continuing Education Credits (CEUs)

Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

This activity meets the requirements for MOC/CCP for the following primary physician boards and for state licensing CME requirements. MOC Credit is only reported for ABA, ABP, ABIM, and ABS. By completing the online credit application and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

  • American Board of Medical Specialties (ABMS)
  • American Board of Preventive Medicine (ABPM)
  • American Board of Internal Medicine (ABIM)
  • American Board of Pediatrics (ABP)
  • American Board of Surgery (ABS)
  • American Board of Psychiatry and Neurology (ABPN)
  • American Board of Addiction Medicine (ABAM)
  • Royal College of Physicians and Surgeons of Canada (RCPSC)
    • Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons in Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Information

In accordance with disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. These policies include mitigating all relevant financial relationships with ineligible companies for the Planning Committees and Presenters. All activity Planning Committee members and Presenters have disclosed all financial relationship information. The ASAM CE Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.

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View On-Demand Recordings
View Course Overview & Welcome
Open to view video.  |   Closed captions available
Open to view video.  |   Closed captions available This video is approximately 15 minutes and was recorded on 4/4/2024.
View Session 1: Opioid Analgesia, Dependence, and Addiction: Linked by Opioid Reward
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Open to view video.  |   Closed captions available This video is approximately 40 minutes and was recorded on 4/4/2024.
View Session 2: The State of Evidence-based Pain Care
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Open to view video.  |   Closed captions available This video is approximately 35 minutes and was recorded on 4/4/2024.
View Session 3: Do As I Say! Facilitating Treatment Adherence in Pain Medicine
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Open to view video.  |   Closed captions available This video is approximately 27 minutes and was recorded on 4/4/2024.
View Session 4: Central Sensitization in OUD and Pain
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Session 5: Complex Persistent Opioid Dependence - The Good and the Bad of Opioids
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Session 6: Update on Evidence Based Use of Cannabis for Pain
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Open to view video.  |   Closed captions available This video is approximately 35 minutes and was recorded on 4/4/2024.
View Session 7: Unleashing the Dragon: Update on Impact of Relaxing of State Cannabis Laws
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Session 8: Alcohol Use Disorder and Chronic Pain
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Session 9: Psychedelics in Headache and Pain Disorders
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Q&A Part 1
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Open to view video.  |   Closed captions available This video is approximately 30 minutes and was recorded on 4/4/2024.
View Q&A Part 2
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View Course Wrap-Up
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Complete Evaluations & Claim Credit
Complete Post Test
18 Questions  |  10 attempts  |  13/18 points to pass
18 Questions  |  10 attempts  |  13/18 points to pass This post-test has 20 questions and requires 14 out of 20 questions to pass the test.
Complete Evaluation
14 Questions
14 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Complete Presenter Evaluation
12 Questions
12 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Enter Pharmacist CPE Monitor Information (Optional)
2 Questions
2 Questions Pharmacists and Pharmacist Technicians should enter their CPE Monitor reporting information.
Claim Credit & Certificate
Up to 6.00 medical credits available  |  Certificate available
Up to 6.00 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in the activity.