ADDICTION MEDICINE Workshop Participant Evaluation Form:

The Texas Pain Society is accredited by the Texas Medical Association to provide continuing medical education for physicians.

The Texas Pain Society designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with their participation in this activity.

This course has been designated by the Texas Pain Society for 3.0 credits of education in medical ethics and/or professional responsibility.

This activity contributes to the CME component of The American Board of Anesthesiology® Maintenance of Certification in Anesthesiology® (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0® requirements. Maintenance of Certification in Anesthesiology® and MOCA® are registered certification marks of the American Board of Anesthesiology®. MOCA 2.0® is a trademark of the American Board of Anesthesiology®.

 

INSTRUCTIONS

  1. Use one form to record all of your activities
  2. To the left of each program, designate whether or not you attended each lecture.
  3. Complete the evaluation
 
Texas Pain Society is committed to excellence in continuing education. Your opinions are critical to assisting us. We need your evaluation of the effectiveness of this program, as well as suggestions for future educational programs. Please reflect carefully and complete this form.
 
An evaluation is required for CME credit. 

Save & Return

Save your progress as you go! Be sure to log in or create an account to return to saved work.
Please indicate whether or not you attended each activity and complete the evaluation.

Friday, October 28, 2022
Attended the full Addiction Medicine Workshop *
Evaluation scale: 4 = Excellent 3 = Good 2 = Fair 1 = Poor *
Presentation SkillsSubject KnowledgeTopic Relevance
432143214321
Addiction 101 for the Pain Doctor
Michael Sprintz, DO, DFASAM
Appropriate Use of Buprenorphine for Pain AND Addiction
Sudheer Potru, DO, FASAM
Behavioral Health's Role in Treating Chronic Pain and Addiction
Peter Mott, LCDC
Opioid withdrawal management for pain docs
Michael Sprintz, DO, DFASAM
Identification and management of SUD in pain patients
Michael Sprintz, DO, DFASAM
How to have hard conversations with your patients
Michael Sprintz, DO, DFASAM
Activity Objectives:

Review the disease of addiction and its neurobiological basis
Identify appropriate use situations for buprenorphine for chronic pain or addiction
Identify ways to help patient develop self-management and adaptive pain coping skills in order to increase ability to manage life
Examine the complex nature between pain and substance use disorders
Describe the challenges pain management providers face when managing patients with both pain and SUD
Discuss the key techniques to help safely and compassionately navigate difficult conversations, including de-escalation *
4 = Excellent 3 = Good 2 = Fair 1 = Poor
4321
Rate the effectiveness of the objectives above
Rate your competence on the subject before the activity
Rate your competence on the subject after the activity
How will you implement this information within the next 6 months in your practice? (Check all that apply) *
 
Total:
0.00

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Program content was free of commercial bias *