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Jointly provided by the Warren Alpert Medical School and Boston Medical Center in partnership with the Rhode Island Department of Health Academic Center


Program Description

This program will address opioid use and opioid use disorder in pregnancy. During pregnancy medical providers must respond to women’s pain management and behavioral health needs while minimizing potential risks to the fetus, and this balance is further complicated when opioid use disorder is present.

The program is a 3-module case-based activity designed to help you identify and respond to opioid use disorder and manage pain among pregnant patients and women patients of childbearing age.

Target Audience

Physicians, nurses, and midwives who provide care to pregnant patients and women of childbearing age (15–44 years).

Support

Funding for this program was made possible in part by the Bureau of Justice Assistance, Department of Justice, grant no. PM-BX-Koo4.



Activities/Modules

Estimated time to complete each activity: 60–90 minutes

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Module 1: Understanding Opioid Issues in Pregnancy
(90 min)

This activity provides information about opioid prescribing in pregnancy, identifying opioid use disorder, legal considerations, and pharmacological treatment for opioid use disorder in pregnancy. Three patient cases are introduced illustrating the issues.

 

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Module 2: Discussing Concerns, Developing a Treatment Plan
(60 min)

This activity provides information and videos demonstrating initial visits for the 3 patient cases, including discussing clinician and patient concerns related to pregnancy and developing treatment plans for each case.

 

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Module 3: Treatment Plan Adjustment and Perinatal Care
(60 min)

This activity provides information and videos demonstrating follow-up visits for the 3 patient cases, including treatment plan and medication adjustment. The activity also provides information about pain management in childbirth, NAS assessment and treatment, and postnatal care.

 

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Resources

This section provides relevant resource documents and links, including all tools and materials referenced in the activities, such as screening tools, provider checklists, and patient handouts.

Program Release: January 3, 2018
Expiration Date (CME): January 3, 2020
Expiration Date (CNE): October 4, 2019

Faculty

Adam J. Czynski, DO
Assistant Professor of Pediatrics, Clinician Educator
Warren Alpert Medical School of Brown University, Women & Infants Hospital | Providence, RI

Catherine Friedman, MD
Assistant Professor of Psychiatry and Human Behavior, Clinician Educator
Warren Alpert Medical School of Brown University | Providence, RI

Medical Director
Rhode Island Department of Child, Youth and Families | Providence, RI

Psychiatrist
Eleanor Slater Hospital and Center for Excellence, Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals | Cranston, RI

Tirah L. Samura, MD
Assistant Professor of Obstetrics & Gynecology
Boston University School of Medicine, Project RESPECT, Boston University Medical Center | Boston, MA

Course Directors and Planning Committee

Traci C. Green, PhD, MSc (Course Director)
Adjunct Associate Professor of Emergency Medicine and Epidemiology
Warren Alpert Medical School of Brown University | Providence, RI

Associate Professor
Emergency Medicine and Community Health Sciences, Boston University | Boston, MA

Deputy Director & Senior Scientist
Injury Prevention Center, Boston University Medical Center | Boston, MA

Gillian Leichtling (Course Director)
Senior Research Associate
RMC Research Corporation | Portland, OR

Judith Linden, MD
Associate Professor of Emergency Medicine, Vice Chair for Education
Department of Emergency Medicine, Boston Medical Center, Boston University | Boston, MA

Maria Sullivan
Director, Office of Continuing Medical Education
Warren Alpert Medical School of Brown University | Providence, RI

Nicole Robertson, MPH
Research Assistant
Injury Prevention Center, Boston University Medical Center | Boston, MA

Julia Issa
CME Coordinator, Office of Continuing Medical Education
Warren Alpert Medical School of Brown University | Providence, RI



Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Boston Medical Center. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education for physicians.

Disclosure Policy
In accordance with the disclosure policy of the Warren Alpert Medical School of Brown University as well as standards set forth by the Accreditation Council for Continuing Medical Education, all CME activity speakers, planners and reviewers have disclosed all relevant commercial financial relationships received within the past twelve months. The activity’s disclosures have been reviewed and all identified conflicts of interest, if applicable, have been resolved.

The Speakers and Planning Committee of this activity have indicated they have no relevant financial relationships to disclose.