It Starts with a Signal: Understanding Pain, Addiction, and Treatment

CMEO Snack

Premiere Date: Friday, March 1, 2019

This activity offers CE credit for:

  1. Nurses (CNE)
  2. Other
       5. Dentists (CE)

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Creditâ„¢

Credit Expiration Date: Friday, December 31, 2021

Begin Activity Now


Mark S. Gold, MD Mark S. Gold, MD 
ASAM's Annual Lifetime Achievement John P. McGovern Award & Prize Winner
Adjunct Professor of Psychiatry
Washington University School of Medicine
St. Louis, MO
17th University of Florida Distinguished Alumni Professor
Gainesville, FL

Ellen Ovson, MD, FASAM Ellen Ovson, MD, FASAM 
Medical Director
Lakeview Health
Jacksonville, FL

Steven P. Stanos, DO Steven P. Stanos, DO 
Medical Director
Swedish Health System Pain Medicine and Services
Seattle, WA

Statement of Need

The number of opioid related deaths in the US is on the rise and health care providers often struggle finding a balance between prescribing guidelines and the individual needs of patients with acute and/or chronic pain. It's imperative that clinicians seeing patients with pain are knowledgeable about acute and chronic pain pathways and underlying mechanisms so that they may appropriately assess and manage pain.

However, it can be difficult and daunting to evaluate patients with chronic pain, as the nervous system is complex and knowing which type of pain the patient is experiencing - neuropathic, nociceptive, or nociplastic - is the best guide for where clinicians should focus their treatment choices.

When assessing risk, studies have shown that gender plays an important role in pain, pain perception, and opioid use. Women are more likely to gain access to opioids through medical treatment. Not only are women prescribed opioids more often than men (53% vs. 46%), but this number increases with age. Often there is a lack of attention to underlying causes of opioid disorder, particularly past sexual or emotional trauma, which can put women at a significantly higher risk for addiction and relapse.

In this free 4-part Snack, expert faculty highlight the importance of helping patients function better, educating clinicians on the biological underpinnings of pain and the underlying mechanisms to assessment and appropriate management, and the effect of gender on a patient's proclivity to substance use disorders and engagement in treatment.

Learning Objectives

At the end of this CE activity, participants should be able to:

  • Apply knowledge of acute and chronic pain pathways and underlying mechanisms to clinical assessment and appropriate management of pain.
  • Educate patients about their pain to optimize safe and effective, multimodal treatment plans.
  • Identify gender specific treatment needs when addressing substance use disorders.

The following learning objectives pertain only to those requesting CNE or CPE credit:

  • Explain acute and chronic pain pathways and underlying mechanisms and how they relate to clinical assessment and appropriate management of pain.
  • Educate patients about their pain to optimize safe and effective, multimodal treatment plans.
  • Describe gender specific treatment needs when addressing substance use disorders.

Financial Support

Supported by an educational grant from Johnson & Johnson.

Target Audience

Physician assistants, nurse practitioners, and nurses.

Credit Information

AANP Credit (American Association of Nurse Practitioners):
This activity is approved for 1.0 contact hour(s) of continuing education (which includes 1.0 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 19033642. This activity was planned in accordance with AANP Accreditation Standards and Policies.

AAPA Credit (American Academy of PA's):
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 1.00 AAPA Category 1 CME credits. Approval is valid for one year from 04/19/2019. PAs should only claim credit commensurate with the extent of their participation.

CNE Credit (Nurses):
Provider approved by the California Board of Registered Nursing, Provider Number CEP 15510, for 1 contact hours.

Dental Credit:
This course meets the Dental Board of California's requirements for 1.0 units of continuing education.

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explore for Mac. For complete technical requirements and privacy policy, visit

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Gold has no disclosures to report.

Dr. Ovson has no disclosures to report.

Dr. Stanos reports that he receives research support from Grunenthal and is a consultant for SCILEX Pharmaceuticals, Inc.

Mae Ochoa, RPh (peer reviewer) has no disclosures to report.

Jan Perez (planning committee) has no disclosures to report.

Sharon Tordoff (planning committee) has no disclosures to report.

Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report.

CME Outfitters, LLC and the faculty do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

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