Wise Prescribing and Deprescribing

Opioid Skills for the Frontline Clinician (Online Modules) Second Edition

This course provides opportunities for you to review the principles and guidelines for opioid tapering, reflect on your own practices and discuss enablers and barriers with the workshop facilitator and peers. There are offerings of self-learning as well as small group learning activities in this course.

At the end of this course, learners will be equipped to:

identify whether opioid tapering is an appropriate plan for a given patient
plan a tapering discussion that is evidence-based and responsive to the patient’s readiness for change
execute an opioid taper with a motivated patient
troubleshoot challenges that occur during an opioid taper

Online Modules
This activity has been certified for up to 8.0 Mainpro+ Self-Learning credits

Online Modules

ecme@ucalgary.ca

Create an ECME e-Learning Profile or login to an existing profile at https://ecme.ucalgary.ca. Once logged in, go to 'e-Learning Courses' from the main menu. Find 'Wise Prescribing and Deprescribing: Opioid Skills for the Frontline Clinician' in the course listing. After submitting your registration, right away you will be redirected to start the course.

Please be aware that it will take you several hours to complete the modules. You may leave and return to where you left off at any time. This allows you to work through them at your own pace. When you wish to continue, log back in and click on 'RESUME LEARNING". It will bring you back to where you left off.

This course is made up of self-learning activities (i.e. online modules) and small group learning activities.

The online modules are available for you to self-register and complete at any time. You may complete them as a stand-alone activity.

Please read the how-to register instructions carefully.

The paired workshops will be offered several times per year. Upcoming workshop dates will be
released on the course webpage. Completion of the online modules is the prerequisite of registering for the workshops.

Individuals who have completed the online modules will be notified of upcoming workshop registrations.

Attention Workshop Registrants

For this Mainpro+ three-credits-per-hour activity, you are REQUIRED to obtain your own opioid
prescription data. You will receive detailed how-to information about this aspect after
your course registration has been processed.

The self-learning activity consists of the following online content:

Opening Panel

Opioid Pharmacology
Safe and Appropriate Initiation of Opioids
Monitoring Patients on Opioids
Indications for Tapering
Helping Patients to Change
Tapering Plans

Put It All Together

Additional Module: Opioid Rotation

Closing Panel

The small group learning activity consists of two three-hour workshops. These two workshops are at least eight weeks apart.

Workshop 1 - How to Put the Principles into My Practice: Case Scenarios
Workshop 2 - What Worked and Didn’t Work: Enablers and Barriers

Faculty and Planning Committee

Lori Montgomery MD, CCFP, FCFP, CHE

Community Integration Medical Lead, AHS (Calgary) Community, Rural and Primary Care; Clinical Associate Professor, Departments of Family Medicine and Anesthesiology, Perioperative and Pain Medicine, University of Calgary

Disclosure:

Clinical Trials: Hotchkiss Brain Institute – grant for clinical trial of medication for opioid withdrawal (not mentioned in the course);
Alberta Health Services – medical leadership role

Arlene Cox PhD RPsych

Clinical Psychologist, Chronic Pain Centre, Alberta Health Services

Nothing to disclose

Kari Blessing NP, MN

Nurse Practitioner, Chronic Pain Consult Service, Calgary Pain Program, Alberta Health Services

Nothing to disclose

Kelly Shinkaruk MD, FRCPC

Professor, Department of Anesthesiology and Pain Medicine; Director, Division of Pain Medicine, University of Alberta

Disclosure:

Honorarium: Sabi Mind – clinical work

Monica Wickland-Weller MD

Senior Medical Advisor, College of Physicians & Surgeons of Alberta

Nothing to disclose

Samuel Parmiter RPh

Pharmacist, Chronic Pain Centre; Pharmacist, Long Covid Clinic; Alberta Health Services, Calgary Zone

Disclosure:

Honorarium: National Pain Rounds – Guest speaker;
Clinical Trials: Hotchkiss Brain Institute, University of Calgary – co-author on RCT

Emily Ardell

Heather Armson MD, CCFP

Professor, Department of Family Medicine, Cumming School of Medicine, University of Calgary

Disclosure:

Clinical Trials: The Foundation for Medical Practice Education – Executive Director

Katrina Mary Nicholson MD, CCFP, MBChB, FCFP

Clinical Associate Professor, CME&PD, Cumming School of Medicine, University of Calgary

Disclosure:

DFM Clinical Lecturer; Medical Director offices of PLP and CME&PD – University of Calgary Cumming School of Medicine;
Clinical Associate professor – DFM – University of Alberta;
Faculty Teacher – REACH Institute/ Canreach AB;
Board Member – CADDRA;
Core member/ member of kidney group – AHS Medicine SCN
Speakers Bureau – Elvium