SCOPE of Pain: Safe & Competent Opioid Prescribing Education Dr. Daniel Alford, MD, MPH
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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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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?
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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?
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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?
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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?
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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?
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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?