Educational Activities Archives

This activity focuses on the assessment, mitigation and management of risk when prescribing opioids for analgesia. Learners are introduced to the concept of universal precautions and their role in opioid therapy, as well as to practical monitoring and documentation strategies. The fundamental principles of urine drug testing and interpretation are also reviewed, as is the differential diagnosis of opioid misuse. Special attention is given to overdose prevention, naloxone co-prescribing, and how to recognize and respond to an emerging opioid use disorder when prescribing chronic opioid therapy for pain.

This module focuses on how to approach opioid tapering in the care of patients prescribed long-term opioid therapy for chronic pain who have not been diagnosed with opioid use disorder. It describes patient perspectives on pain and opioid management, and how these may diverge from prescribers’ perspectives. It describes challenges in opioid prescribing, including opioid dependence and withdrawal, and identifies practical approaches to reducing opioids while maintaining a positive patient-clinician relationship. Participants also learn about the role of shared decision-making in opioid tapering.

Due to the opioid epidemic, over 2.5 million adults in the U.S. have opioid use disorder (OUD), yet only 25% of those who need treatment receive recommended medication for opioid use disorder (MOUD). Alongside the rising rates of OUD, there has been an increase in infectious diseases such as HIV, hepatitis B and C, endocarditis and skin and soft-tissue infections, particularly among people who inject drugs. These intertwining epidemics have not been sufficiently addressed, but MOUD — combined with appropriate substance use treatment supports and health care services — represents an opportunity to reduce risk and improve health outcomes.

Provides a basic introduction of the concepts of the disease of addiction and the role of the reward system. Using neuroscience concepts as a foundation, clinical manifestations of the disease of addiction are then discussed in the form of case-based presentations. 

Outlines the basic concepts of alcohol and drug use disorders. Standard drink sizes, screening for alcohol use disorders and an introduction to alcohol withdrawal management are discussed. A basic overview of the major drug use disorders are then discussed in a clinically-relevant manner. 

Provides an overview of the history of opioid use with an overview of contributing factors to the current epidemic. Using clinical cases, opioid use disorder is then discussed in detail. Finally, there is a discussion of treatment options.