SCOPE of Pain: Safe & Competent Opioid Prescribing Education

Dr. Daniel Alford, MD, MPH

Helpful discussions of challenges commonly faced by health care clinicians when prescribing opioids. Hosted by Dr. Daniel P. Alford, MD, MPH, Director of the Safe and Competent Opioid Prescribing Education program (SCOPE of Pain) at Boston University's Chobanian & Avedisian School of Medicine.

  1. 03/03/2020

    Ep #013: The CDC Guideline Requires All Patients to be Tapered

    Your medical director states that over the next six months, all patients on opioids must be decreased below 90 morphine milligram equivalents as per the mandate of the CDC guideline. What does the CDC guideline say about a dosing threshold of 90 morphine milligram equivalents?

  2. 03/03/2020

    Ep #014: Will Post-Surgery Opioids Make Me Addicted?

    A patient is afraid receiving postoperative opioid analgesics will result in opioid addiction. How will you educate this patient about the risks and benefits of opioids for managing her postoperative pain?

  3. 03/03/2020

    Ep #015: I Need Opioids for My Sprained Ankle

    A patient with a twisted ankle requests a prescription for oxycodone. How will you respond to his request for opioids for his acute pain?

  4. 03/03/2020

    Ep #016: My Wife Overdosed on Her Fentanyl Patch!

    How will you manage a patient's chronic pain and likely opioid use disorder after her opioid overdose?

  5. 03/03/2020

    Ep #017: Opioids are Not Effective for Treating Chronic Pain

    Your medical director states all patients on chronic opioid therapy should be tapered, as there's no evidence opioids are effective for chronic pain. What is the actual efficacy of opioids for chronic pain?

  6. 03/03/2020

    Ep #018: I Don't Want Addicted Patients in Our Practice

    How do you educate your medical director about the importance and benefits of offering medications, such as buprenorphine for the treatment of patients with opioid use disorder?

  7. 03/03/2020

    Ep #019: How Do I Treat Pain in a Patient With Opioid Addiction?

    Your surgical colleague asks if your patient who is taking buprenorphine for his opioid use disorder should stop before hip replacement surgery and requests your guidance on how to manage postoperative pain in this patient. What will you recommend?

  8. 11/15/2018

    Ep #012: The Anonymous Call – Your Patient Is Selling His Opioids

    You get an anonymous phone call stating your patient, who you've been treating with chronic opioids for chronic pain for the past six months, is selling his opioids. How will you respond to this concerning, anonymous call regarding potential opioid diversion by your patient?

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Helpful discussions of challenges commonly faced by health care clinicians when prescribing opioids. Hosted by Dr. Daniel P. Alford, MD, MPH, Director of the Safe and Competent Opioid Prescribing Education program (SCOPE of Pain) at Boston University's Chobanian & Avedisian School of Medicine.

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