OPAT Expert Interview Digest

Pain is one of the most common reasons patients seek out healthcare with over 100 million Americans impacted. Pain places a heavy financial burden on society and accounts for more disability than cancer and heart disease combined. During hospitalization, inadequate management of pain leads to longer length of stay and higher readmission rates, resulting in overall higher healthcare costs. Poor management of pain has been linked to reduced quality of life and patient satisfaction with care. Despite the availability of effective pharmacologic agents, healthcare providers are often hesitant to use potent analgesics when managing these patients. This barrier to optimal patient care is multifaceted, including

  • lack of knowledge of the optimal agent based on pain pathophysiology
  • appropriate dosing and dose titration
  • limited understanding of how to utilize a multimodal treatment approach
  • fear of adverse events
  • concerns for abuse and misuse by the patient.

To improve patient quality of care and satisfaction, healthcare providers must develop greater competence and confidence when managing patients suffering from chronic pain. Health-system pharmacists, as part of the interdisciplinary team, can play a lead role in these efforts by incorporating patient-centered approaches to alleviate pain.

This educational activity is designed to meet the needs of health-system pharmacists who are on the frontline of caring for patients suffering from chronic pain.

After reviewing all 5 episodes of this activity, healthcare professionals will be able to:

  • Utilize patient-centered approaches to effectively manage chronic pain
  • Discuss evidence-based strategies to manage patients experiencing chronic pain

This educational activity is based on the proceedings of a continuing education symposium held on December 5, 2011, during the 46th ASHP Midyear Clinical Meeting and Exhibition in New Orleans, LA.

This 5-episode Case Study Forum, through patient and physician case interactions, evidence-based presentations, and faculty discussions, highlights the many advances in the field of pain management and the utilization of patient-centered approaches. This activity empowers healthcare professionals with knowledge, skills, and the application of these skills in both understanding the mechanisms of pain and in utilizing the available agents to provide effective and safe pain relief to their patients.



Addressing the Pain Management Crisis: Meet the Patient

Back to Basics: Differentiating and Assessing Pain

Drug Selection: Differentiating Pain Medications and Utilizing a Multimodal Treatment Approach

Being Proactive: Managing Adverse Events and Opioid Abuse/Misuse

Patient Concluding Remarks

Note: If you have received credit for attending the live symposium by the same name, you are not eligible to apply for credit for this online version.


Photo of Dr Rehm
Gregory L. Holmquist, PharmD, CPE
Pain and Palliative Care Specialist
Certified Pain Educator
Palliative Care Strategies
Seattle, WA

Photo of Dr Heintz Oscar de Leon-Casasola, MD
Professor of Anesthesiology and Medicine
Vice-Chair for Clinical Affairs
School of Medicine and Biomedical Sciences
University at Buffalo
Chief, Pain Medicine
Professor of Oncology
Roswell Park Cancer Institute
Buffalo, NY

Photo of Dr Heintz Mary Lynn McPherson, PharmD, BCPS, CPE
Professor and Vice Chair
Department of Pharmacy Practice and Science
University of Maryland School of Pharmacy
Baltimore, MD



CE Accreditation
ACPE logo The University of Kentucky College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This application-based activity has been assigned ACPE # 022-999-11-119-H01-P and will award up to 1.0 contact hours (0.1 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.

Statements of credit will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes signing in at registration, attending the entire session for which credit is claimed, completing the activity evaluation and requesting credit online at conclusion of the activity. The College complies with the Accreditation Standards for Continuing Pharmacy Education.

Release Date: April 30, 2012
Credit Expiration Date: April 30, 2013

For questions regarding accreditation, please contact crdenn2@email.uky.edu.

Instructions for Credit
1.         Attend activity in its entirety
2.         Post program, go to www.CECentral.com/getcredt
3.         Enter activity code PEN12318
4.         Login or register for a free account
5.         Complete evaluation
6.         Get credit. A printable certificate will be issued.
7.         Estimated time of completion is 1 hour.

The University of Kentucky is an Equal Opportunity University.

Planning Committee Members
Christopher Dennison
Mark Etscheidt, PhD
Marco Cicero, PhD
Gregory L. Holmquist, PharmD, CPE
Mary Lynn McPherson, PharmD, BCPS, CPE
Oscar de Leon-Casasola, MD

Disclosure of Financial Interest Summary
Gregory L. Holmquist, PharmD, CPE (speaker) has no relevant financial relationships with commercial interests.
Dr. Holmquist does not intend to discuss the off-label use of a product.

Mary Lynn McPherson, PharmD, BCPS, CPE (speaker) has no relevant financial relationships with commercial interests.
Dr. McPherson does intend to discuss the off-label use of a product.

Oscar de Leon-Casasola, MD (speaker) has relevant financial relationships with commercial interests as follows:
Hospira - Advisory Board
Dr. DeLeon does not intend to discuss the off-label use of a product.

No (other) speakers, authors, planners or content reviewers have any relevant financial relationships to disclose. No (other) speakers or authors will discuss off-label use of a product.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


Discussion of Off-Label Uses
The following off-label uses of pain medications will be discussed during this activity: venlafaxine for management of neuropathic pain; lamotrigine for central post-stroke pain and diabetic poly-neuropathy.

The opinions expressed in this educational activity are those of the faculty and do not reflect the views of University of Kentucky and Vemco MedEd. This educational activity may discuss off-label and/or investigational uses and dosages for therapeutic products/procedures that have not been approved by the United States Food and Drug Administration (FDA). University of Kentucky and Vemco MedEd do not recommend the use of any product/procedure outside of the labeled indications. A qualified healthcare professional should be consulted before using any therapeutic product/procedure discussed. Clinicians should verify all information and data before treating patients or employing any therapies described in this continuing education activity. Please refer to the prescribing information for each product/procedure for approved indication, contraindications, and warnings.

There is no fee to participate in this activity.

Hardware/Software Requirements
Web Browser
Microsoft Internet Explorer or Mozilla Firefox
Note: Please disable any "pop-up blocker" features.

Adobe® Reader version 7 or above to view PDF files (If you do not have Adobe® Reader, you can download it for free from Adobe.com)
Adobe Flash Player version 10 or above to view multimedia content (If you do
not have Adobe Flash Player, you can download it for free from Adobe.com)

Connection Speed
Cable, DSL, or better of at least 300 kbps

System Check
Please e-mail any questions or concerns to info@vemcomeded.com.

Copyright Statement
Copyright© 2012 Vemco MedEd, LLC. All Rights Reserved. Permission for accreditation use granted to University of Kentucky.

Privacy Policy

Joint Sponsorship
This activity is jointly sponsored by University of Kentucky College of Pharmacy and Vemco MedEd

Vemco LogoKentucky College of Pharmacy Logo

Commercial Support
This activity is supported by an educational grant from Janssen Pharmaceuticals, Inc., administered by Janssen Scientific Affairs, LLC. 

Jannsen Logo


START ACTIVITY By clicking on an Episode below, I acknowledge that I have read the entire CPE information.


Post Test and Evaluation

The Learning Community is an opportunity for colleagues from around the country to work together
through patient cases and share different management approaches and treatment options.
Check back often to view the latest responses from fellow participants and expert faculty
and to submit your questions and comments.

Learning Community