• Recognize the unique model of palliative pain management
• Define total pain and other pain types
• Consider the differential for uncontrolled pain
• Review the most common opioids and their formulations
• Apply the opioid equianalgesic table
• Practice a logical approach to opioid analgesia
• Recall basic principles of pain and longitudinal opioid management.
• Identify key universal practices for safer opioid prescribing.
• Anticipate predictable adverse effects of opioid therapy, and devise plans for their management.
• Develop appropriate follow-up plans for longitudinal opioid management.
• Practice opioid dose titration.
• Recall basic principles of pain and opioid management (in both inpatient and outpatient scenarios) including
opioid conversions, rotations, formulations and dose titrations.
• Review universal practices for safer opioid prescribing.
• Practice patient counseling around safe and effective opioid use.
• Anticipate common patient scenarios in opioid prescribing including patients with opioid hesitancy and
patients at higher risk for unsafe opioid use.
• Compare pharmacology of both buprenorphine and methadone
• Differentiate between buprenorphine products and select an appropriate product for a patient in the
outpatient palliative care setting.
• Initiate and manage buprenorphine in the outpatient setting
• Initiate and manage methadone in the outpatient setting
• Review definitions and epidemiology of substance use from dependence through disorder
• Utilize screening tools and deliberate risk mitigation strategies against development of OUD
• Utilize a framework for clinical decisions about opioid and other controlled medication regimens and
monitoring in patients at risk for or with SUDs
• Evaluate urine toxicology monitoring
• Integrate opioid rotation, opioid tapering, and medications for OUD treatment to improve quality of life of
patients in palliative care