Compass OPSS Microlearning

Compass OPSS
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This series delivers quick, practical education for busy clinicians on safer opioid prescribing and pain management. Each episode features a real-world case, a clear clinical goal, and actionable strategies to improve patient care. Topics range from opioid rotation and buprenorphine initiation to procedural pain control and emerging concepts like nociplastic pain. Designed for flexibility, these microlearnings are available in video, audio, and written formats to fit your schedule.

Episodes

  1. 2 DAYS AGO

    Module 9: Naloxone and Overdose Prevention

    This week's case is about Claire, a 62-year-old woman with osteoarthritis and chronic low back pain who takes hydromorphone ER 8 mg twice daily and gabapentin. This equates to approximately 80 MME/day. She occasionally uses a sleeping pill (temazepam) at night. She lives with her husband, who worries about accidental overdose. They have heard about naloxone but think it is only for people who misuse drugs.

    5 min

  2. 2 FEB

    Module 8: Urine Toxicology Testing (Part 2)

    Part two: This week's case is about a patient, Tania, a 37- year-old female with chronic pain from lupus vasculitis and peripheral neuropathy. She has episodes of severe abdominal pain and describes intermittent electrical sensations in her legs and feet. Medications include hydroxychloroquine and azathioprine for lupus, duloxetine and bupropion for depression, and meloxicam, gabapentin, and lidocaine patches for pain. For severe pain she uses hydrocodone/acetaminophen 10 mg/325 mg, 1-2 tablets every 4-6 hours, and is prescribed 84 tablets every 28 days. She fills this medication on time every 4 weeks and has never requested early refills.

    8 min

  3. 26 JAN

    Module 7: Urine Toxicology Testing (Part 1)

    This week's case is about a patient, Tania, a 37- year-old female with chronic pain from lupus vasculitis and peripheral neuropathy. She has episodes of severe abdominal pain and describes intermittent electrical sensations in her legs and feet. Medications include hydroxychloroquine and azathioprine for lupus, duloxetine and bupropion for depression, and meloxicam, gabapentin, and lidocaine patches for pain. For severe pain she uses hydrocodone/acetaminophen 10 mg/325 mg, 1-2 tablets every 4-6 hours, and is prescribed 84 tablets every 28 days. She fills this medication on time every 4 weeks and has never requested early refills.

    6 min

  4. 20 JAN

    Module 6: Identifying Opioid Use Disorder and Starting Buprenorphine

    his week’s case is about Bob is a 50-year-old man with chronic low back pain who has been taking oxycodone ER 20 mg three times daily for three years. He recently asked for early refills, reports lost prescriptions twice, and his urine drug screen shows fentanyl and benzodiazepines. The state prescription drug monitoring program indicates prescriptions from multiple providers. This constellation of behaviors—unapproved dose increases, obtaining opioids from multiple prescribers, and concurrent non-medical drug use may signal increased risk for OUD. Bob insists he is taking opioids for pain but admits buying additional pills to “avoid getting sick.”

    7 min

  5. 13 JAN

    Module 5: Maximizing the Controlled Substances Agreement

    This week’s case is about David, who is a 65- year-old male with chronic pain from severe degenerative osteoarthritis of the cervical and lumbar spine. He takes extended-release oxycodone 20 mg twice a day, supplemented with immediate-release oxycodone 10 mg up to 4 times daily. The regimen has been unchanged for 8 years. Over that time, he has occasionally run out of his immediate release prescription early, which he has attributed to acute exacerbations of severe pain. He rates his pain as moderate on most days, and has variable function, is able to go on longer walks and go shopping on good days while relegated to staying at home during severe episodes. He returns for his scheduled 3-month follow-up appointment.

    6 min

  6. 2 JAN

    Module 4: How to Taper a Patient From a High Dose of Clonazepam

    This week’s case is about Andrea, a 67-year-old woman with anxiety and insomnia who has been taking high-dose clonazepam for years, also takes citalopram and occasionally drinks alcohol, and is seeking support to safely reduce her medication, highlighting the importance of careful assessment, shared decision-making, and a structured taper.

    8 min

  7. 17/12/2025

    Module 1: Standard Rotation to Buprenorphine from Chronic Full Agonist Opioid Therapy

    This week's case is about a patient, John, currently prescribed OxyContin 40 mg every 12 hours and hydrocodone/acetaminophen 10-325 mg, two tablets three times daily, totaling approximately 180 MMEs per day. The patient is being considered for a transition to buprenorphine for chronic pain management using a standard rotation approach. We'll walk through the clinical reasoning, dosing strategy, and the transition protocol.

    6 min

  8. 15/12/2025

    Module 3: Nociplastic Pain

    This week’s case is about Edward, who is a 45 y/o male patient experiencing chronic abdominal pain for over five years. The patient has had multiple CT scans, endoscopies, and other procedures without clear etiology of pain – his GI doctor has diagnosed him with irritable bowel syndrome and painful, daily chronic abdominal migraines. The patient has tried multiple medications – and is currently on a fentanyl patch and oxycodone for breakthrough pain. On exam, the patient has TTP out of proportion and complains of poor function and pain management. He also complains of significant anxiety and depression due to his pain. In today’s microlearning, we are going to discuss the concept of nociplastic pain, how to make the diagnosis, and how treatment of these pain types differs from other types of pain management.

    7 min

  9. 15/12/2025

    Module 2: Trigger Points and Trigger Point Injections

    This week’s case features Greg, a 42-year-old male patient, who while lifting a box at work developed sudden lumbar back pain, which is non-radiating but debilitating. The patient was seen in the ER, where he was diagnosed with a back strain, and provided with prescriptions for cyclobenzaprine and lidocaine patches. In addition, the patient has been using over-the-counter NSAIDS and Acetaminophen – with mild relief. He sees you in clinic, concerned about his continued pain and asking what else can be done. On exam, the patient has areas that are exquisitely TTP at his left SI joint and left perilumbar region around L4-5. This is the perfect patient to possibly receive in office trigger point injections, an effective and safe intervention – and the subject of today’s microlearning.

    6 min
  • 9 Episodes

About

This series delivers quick, practical education for busy clinicians on safer opioid prescribing and pain management. Each episode features a real-world case, a clear clinical goal, and actionable strategies to improve patient care. Topics range from opioid rotation and buprenorphine initiation to procedural pain control and emerging concepts like nociplastic pain. Designed for flexibility, these microlearnings are available in video, audio, and written formats to fit your schedule.

Information

  • Creator
    Compass OPSS
  • Years Active
    2025 - 2026
  • Episodes
    9
  • Rating
    Clean
  • Copyright
    © 2025 Compass OPSS
  • Show Website
    Compass OPSS Microlearning