Pain Management

Oregon Medical Board Information

Statement of Philosophy: Pain Management​

 

ORS 677.474: Administration of controlled substance for pain allowed; exceptions

 

OAR 847-015-0030: Written Notice Disclosing the Material Risks Associated with Prescribed or Administered Controlled Substance for the Treatment of “Intractable Pain”​

 

The Material Risk Notice form​

 

OAR 847-008-0075: Mandatory Pain Management Education​

 

Continuing Education Requirements for Pain Management​

 
The Medical Board encourages prescribing professionals to use the Oregon Prescription Drug Monitoring Program (PDMP).
​For more information about registration, please visit www.orpdmp.com/health-care-providers.

 
​Notice to Health Care Professionals! The National Transportation Safety Board recommends that health care providers routinely discuss with patients the effect their diagnosed medical conditions or​ recommended medications may have on their ability to safely operate a vehicle in any mode of transportation.​
 

Continuing Education Opportunities​

NEW:  A Thoughtful Approach to Pain Management– Factual information on the use of opioids in Oregon, community effects of opioid prescribing, and current best practices for the treatment of chronic pain. The 15.5 hour CME takes place on May 20-21, 2016, in Medford.

Oregon Pain Management Commission one-hour pain management CME (required)​ – PDF and Word versions of the module are available. The site includes links to additional pain courses and a mailing list to receive direct information.

Extended-Release and Long-Acting Opioids: Assessing Risks, Safe Prescribing – This free, online CME Risk Evaluation and Mitigation Strategy (REMS) activity provides prescribers with training and educational resources.

"Responsible Opioid Prescribing: A Clinician's Guide" – This book published​ by the Federation of State Medical Boards (FSMB) offers clinicians strategies for reducing the risk of addiction, abuse and diversion of opioids that they prescribe for their patients in pain. 

FSMB Policies on Responsible Opioid Prescribing and Office-based Opioid Treatment – These pain policies and online educational activities focus on the appropriate use of opioid analgesics in the treatment of pain as well as the treatment of opioid addiction in the medical office.

COPE (Collaborative Opioid Prescribing Education) Course – The University of Washington's free, online, interactive courspromotes a shared decision-making approach between providers and patients.

Internet Drug Sellers: What Providers Need to Know – This free program for physicians and pharmacists aims to increase awareness of illegitimate online pharmacies and to educate providers on how rogue online pharmacies operate and the danger to patients.

Solutions for Safer ER/LA Opioid Prescribing in a New Era of Health Care Reform  This free webcast series includes three learning tracks on embracing new models of care delivery, implementing a patient-centric approach, and leveraging health information technology.

 

Additional Resources

The Centers for Disease Control and Prevention (CDC) provides a Guideline for Prescribing Opioids for Chronic Pain (2016).

Portland Metro Regional Safe Opioid Prescribing Standards is a guideline created by a collaboration of Portland metro area hospitals, health systems, CCOs, and county health departments.

Oregon Health & Science University published downloadable Guidelines for Safe Chronic Opioid Therapy Prescribing for Patients with Chronic Non-Cancer Pain​.  The guidelines address topics such as health, pain and functional assessments, management of opioid risk and what to do when diversion is suspected.

In April 2014, the Oregon Medical Group published Primary Care Guidelines for Chronic Opioid Prescribing.  The Guidelines describe essential elements when prescribing opioids for the treatment of chronic pain.​

The Opioid Prescriber's Group of Southern Oregon, a diverse group of health care professionals from Jackson and Josephine Counties, provides resources for understanding, evaluation, and application of best practices for the treatment of complex chronic pain.

In July 2013, the Federation of State Medical Boards (FSMB) adopted a new Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain.  The model policy provides informational guidelines for determining if opioid analgesics are appropriate and compliant with state and federal laws and regulations.  The FSMB also provides numerous other resources such as pain and function assessment tools, treatment consensus statements, guides and guidelines, federal regulations and other sites of interest on its Pain Resources page.

In 2010, the Washington State Agency Medical Directors Group published the Interagency Guideline on Opioid Dosing for Chronic Non-Cancer Pain (CNCP).  The Guideline addresses initiating, transitioning and maintaining opioids for chronic non-cancer pain patients and optimizing treatment through various methods.

The National Opioid Use Guideline Group (NOUGG), a group based from the Federation of Medical Regulatory Authorities of Canada, has established the Canadian Guideline for Safe and Effective Use of Opioid for Chronic Non-Cancer Pain and offers applications for Android and iPhones and an Opioid Manager site.​​​​​​​​​

​​​​