Wise Prescribing and Deprescribing: Opioid Skills for the Frontline Clinician (Online Modules)

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ABOUT THE COURSE

The Wise Prescribing and Deprescribing: Opioid Skills for the Frontline Clinician Course provides opportunities for you to review the principles and guidelines for opioid tapering, reflect on your own practices, and discuss enablers and barriers with the facilitator and peers. 

There are patient and health care provider interview video clips in these modules. For your active thinking, there are reflective notes inserted in the videos. Please respect the interviewees’ contribution to this education program. They have consented to sharing their interviews for your personal learning use, and this information must not be shared beyond participants in this course.

References

Tools & Resources

LEARNING OBJECTIVES

Upon completion of the online modules, learners will be able to:

  • Identify whether opioid tapering is an appropriate plan for a given patient
  • Plan a tapering discussion that is evidence-based and responsive to the patient’s readiness for change
  • Execute an opioid taper with a motivated patient
  • Troubleshoot challenges that occur during an opioid taper
TO NAVIGATE THROUGH THE ONLINE MODULES
  • It is not recommended to access the online modules on smartphones at this point as your learning experience might be compromised.
  • There are required learning activities in the course, such as reviewing video materials, viewing and downloading PDF resources, responding to questions and responding to some course evaluation survey questions.
  • “MARK COMPLETE”: When you go through the course the first time, you will notice the “MARK COMPLETE” button in the pages. Make sure clicking on it when you reach the bottom of a page. After you complete the whole course, the “MARK COMPLETE” will not be there anymore when you revisit the content.
  • ‘RESUME LEARNING”: Please be aware that it will take you approximately one hour to complete the modules. For the convenience of self-paced learning, you may exit from the middle of the course and come back later. When you log into the e-learning portal again, click on ‘RESUME LEARNING’, and you will be redirected to where you left last time.
  • CME Certificate / Certificate of Completion for the Online Modules: Once you have completed the modules, you will find the ‘Print Your Certificate’ button available at the top of this page. You may choose to print it or download it as PDF document.
ADDITIONAL INFORMATION

This one-credit-per-hour Self-Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the University of Calgary Office of Continuing Medical Education and Professional Development for up to 7.0 Mainpro+ credits.

This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the University of Calgary Office of Continuing Medical Education and Professional Development. You may claim a maximum of 7.0 hours (credits are automatically calculated).

You may also perform Linking Learning exercises around a question you ask yourself as a result of learning from this course at: http://www.cfpc.ca/Linking_Learning_exercises/. Each completed Linking Learning exercise earns up to five Mainpro+ certified credits.

Accredited Royal College MOC Section 1 and Section 3 credits are eligible for certified Mainpro+ credits, up to a maximum of 50 credits per five-year cycle; any additional credits are eligible as non-certified Mainpro+ credits. MOC Section 3 accredited activities can be claimed at 3 credits per hour up to the cycle maximum.

There is also offering of small group workshops certified/accredited at Mainpro+ 18.0 three-credit-per-hour / MOC 6.0 Section 3 in this course. Workshop participants will reflect on their own practices and discuss enablers and barriers with the facilitator and peers. You must complete the online modules before you can register for the workshops. (Read More)

The learning material presented are in compliance with the University of Calgary Copyright Policy, Acceptable Use of Material Protected by Copyright.

The learning materials were created for those enrolled in this course and cannot be reproduced or redistributed.

  • This course has received no commercial sponsorship support.
  • This course was provided by Calgary Pain Program and the University of Calgary CME&PD, and was planned to achieve scientific integrity, objectivity and balance.
  • Faculty disclosure

Faculty

Credentials

Disclosure

Affiliation

Lori Montgomery

MD CCFP

Clinical Trials: Hotchkiss Brain Institute – grant for clinical trial of medication for opioid withdrawal (not mentioned in the course);
medical leadership role: Alberta Health Services;
Teaching honoraria: U of C, ACFP, CBT Canada

Community Integration Medical Lead, AHS Calgary Zone; Clinical Associate Professor, Departments of Family Medicine and Anesthesiology, Perioperative and Pain Medicine, University of Calgary

Joyce Cote

BSc Pharm ACPR

Nothing to declare

Pharmacist, Chronic Pain Centre, Alberta Health Services

Arlene Cox

PhD RPsych

Nothing to declare

Clinical Psychologist, Chronic Pain Centre, Alberta Health Services

Patrick Quail

MBBChBAO CCFP

Nothing to declare

Clinical Assistant Professor, Department of Family Medicine, University of Calgary; Medical Lead, Supportive Living, Alberta Health Services, Calgary Zone

Saifee Rashiq

MB BS FRCPC

Nothing to declare

Professor, Department of Anesthesiology and Pain Medicine; Director, Division of Pain Medicine, University of Alberta

  • Planning Committee disclosures:

Planning Committee

Credentials

Disclosure

Affiliation

Lori Montgomery

MD CCFP

Clinical Trials: Hotchkiss Brain Institute – grant for clinical trial of medication for opioid withdrawal (not mentioned in the course);
Medical leadership role: Alberta Health Services;
Teaching honoraria: U of C, ACFP, CBT Canada

Community Integration Medical Lead, AHS Calgary Zone; Clinical Associate Professor, Departments of Family Medicine and Anesthesiology, Perioperative and Pain Medicine, University of Calgary

Arlene Cox

PhD RPsych

Nothing to declare

Clinical Psychologist, Chronic Pain Centre, Alberta Health Services

Kari Blessing

MN, NP

Nothing to declare

Nurse Practitioner, Chronic Pain Consult Service, Calgary Pain Program, Alberta Health Services

Katrina Mary Nicholson

MD, CCFP, MBChB, FCFP

DFM Clinical Lecturer; Medical Director offices of PLP and CME&PD – University of Calgary Cumming School of Medicine;
Clinical Associate professor – DFM – University of Alberta;
Faculty Teacher – REACH Institute/ Canreach AB;
Board Member – CADDRA;
Core member/ member of kidney group – AHS Medicine SCN
Speakers Bureau – Elvium

Clinical Associate Professor, CME&PD, Cumming School of Medicine, University of Calgary

Kelly Shinkaruk

MD, FRCPC

Honorarium: Sabi Mind – clinical work

Professor, Department of Anesthesiology and Pain Medicine; Director, Division of Pain Medicine, University of Alberta

Monica Wickland-Weller

MD

Nothing to declare

Senior Medical Advisor, College of Physicians & Surgeons of Alberta

Samuel Parmiter

RPh

Honorarium: National Pain Rounds – Guest speaker;
Clinical Trials: Hotchkiss Brain Institute, University of Calgary – co-author on RCT

Pharmacist, Chronic Pain Centre; Pharmacist, Long Covid Clinic; Alberta Health Services, Calgary Zone

Sasha Mallya

PhD, RPsych

Nothing to declare

Psychologist

Utkarsh Subnis  (CME Representative)

PhD, MBBS

Honoraria: Fresh Squeezed Ideas Inc., Digital Workplace Consultant; HAnalytics Solutions Inc, Former Employee

Education Consultant, Continuing Medical Education and
Professional Development, University of Calgary

This program has received educational grants from the College of Physicians and Surgeons of Alberta and the Alberta Physician Learning Program.

      Physician Learning Program Logo

 

Thank the external experts reviewing the curriculum:

Peter MacDougall PhD MD FRCPC
Professor, Department of Anesthesiology, Pain Management and Peri-operative Medicine, Dalhousie University
Director, Atlantic Mentorship Network – Pain and Addiction

Christy Sutherland MD CCFP dABAM
Medical Director, PHS Community Services Society
Physician Education Lead, British Columbia Centre on Substance Use
Clinical Assistant Professor, UBC Department of Family Medicine