Attention clinicians who practice in Wisconsin:  Print and save your CME certificate in a safe place after you successfully complete this course; this certificate will suffice in meeting the state of Wisconsin educational requirements for safe opioid prescribing.

Course Description:  Aberrant behaviors, addiction, involuntary and voluntary diversion, and abuse can occur even among seriously ill patients prescribed opioids under the careful supervision of a treating clinician.  In addition to the known public health threats, these behaviors can be damaging to the well-being of the patient and family as they cope with a serious illness.   Clinicians who care for patients with illnesses such as advanced cancer, organ failure, dementia, or other serious illnesses need to be able to make informed decisions about the use of opioids for acute and chronic pain management.  In order to do this, clinicians must be able to distinguish aberrant drug behaviors identify from expected physiologic responses to opioids such as tolerance and physical dependence.  In this module, users can attain 1.0 hours of CME credit after successful completion of the following:

1. Content review of ten Fast Facts and Concepts covering the following topics:
   1. Naloxone including inpatient and outpatient use.
   2. Distinguishing pain from addiction
   3. Diagnosis and management of opioid withdrawal
   4. Substance use disorders in the palliative care patient
   5. Screening for opioid misuse and abuse in seriously ill patients
   6. The treatment of pain in patients taking buprenorphine for opioid addiction 
   7. Opioids for chronic pain in patients with a history of a substance use disorder
2. Score of 70% or higher on a 10 question quiz covering this content. (Of note: all relevant information to answer each question should be found in the relevant Fast Fact)
3. Completion of a course evaluation.

Module 3: Fast Facts #39, #68, #95, #110, #127, #221, #244, #311, #312, #328

See Below "Additional Information"