Release Date: November 2008
Expiration Date: November 30, 2009

Faculty
Bernard M. Abrams, M.D.
Clinical Professor of Neurology
University of Missouri School of Medicine
Kansas City, MO

Statement of Need
Many physicians are reluctant and apprehensive about prescribing opioids for their chronic pain patients. This is largely due to real or perceived legal barriers that limit effective chronic pain management and concerns regarding misuse, abuse and diversion of opioids. The purpose of this activity is to provide participants with information to develop and manage the best pharmacologic treatment options for their patients with chronic pain.

Intended Audience
Pain medicine specialists, pain physicians preparing for certification or re-certification in Pain Medicine, and other health care professionals interested in a thorough review of the specialty of pain medicine

Learning Objectives
Upon completion of this activity, the participant should be able to:

1. Understand the legal need to treat pain
2. Understand breakthrough pain
3. Understand the requirements for a lawful controlled substance prescription
4. Identify addiction and diversion.
5. Prevent misuse of prescriptions for diversion
6. Understand the complexities of treating addicted patients with legitimate pain

Accreditation Statement:
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education. The Dannemiller Memorial Educational Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation of Credit
Physicians:
The Dannemiller Memorial Educational Foundation designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Registered Nurses
The Dannemiller Memorial Educational Foundation is a provider approved by the California Board of Registered Nursing, Provider Number 4229 for 1.2 contact hours.
RNs outside California must verify with their licensing agency for approval of this course

Method of participation:
The activity should take approximately 1 hour to complete. The participant should, in order, read the objectives and other introductory CME information, review the slides and listen to the accompanying audio, complete the registration form, post-test, and evaluation form. To access the registration form and post-test, click on the prompt on the final slide in the presentation. To receive credit for this activity, follow the instructions provided on the post-test. This credit is valid through December 1, 2008. No credit will be given after this date. There is no fee associated with this CME activity.

In the event you are unable to print the certificate, please submit the post-test and then e-mail editor@dannemiller.com; a certificate will be mailed within 2 weeks.

Disclosure
In accordance with the Accreditation Council for Continuing Medical Education (ACCME), the Dannemiller Memorial Educational Foundation requires that any person who is in a position to control the content of a CME activity must disclose all relevant financial relationships they have with a commercial interest. Accordingly:

1. Dr. Abrams reports that he has no financial relationships with commercial interests.
2. All others involved with this activity have no relationships with commercial interests.

Off-label statement and disclaimer:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

Disclaimer
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Dannemiller Memorial Educational Foundation. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, healthcare professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.