When a patient with chronic pain loses their provider: Compassionate and Evidence-based responses
Description: What are the best actions to take when patients with chronic pain in a community suddenly lose their provider? Patients on high dose opioids often have difficulty finding new providers. What resources are available to support prescribers in such a transition?
1 define recommended approaches to inheriting patients with chronic pain2 understand compassionate tapering guidelines 3 review resources for appropriate public health community response
Prescribing clinicians and their teams
Continuing Medical Education
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 Maine Medical Education Trust and CCSME. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.
- 1 contact hour for social workers, licensed clinical professional counselors, and behavioral health professionals
- 1 Category I contact hour for psychologists are provided. CCSME is a pre-approved sponsor and provider of Professional Education Activities for Psychologists.
- 1 contact hour CHES. CCSME is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc.
- 1 contact hour pending for alcohol and drug counselors from the board of alcohol and drug counselors
Elisabeth Fowlie MockMD
Dr. Mock received her doctorate from Vanderbilt Medical School and a Master of Public Health in Health Policy and Administration from UNC-Chapel Hill. She also attended Colby College and Emory University. She is Board Certified in Family Medicine and Addiction Medicine. She works primarily as a clinical educator and consultant with per diem hospitalist and buprenorphine clinic shifts and is Maine PMP Clinical and Policy Advisor for Maine’s Office of Behavioral Health.
Dr. Noah Nesin has been a family doctor in Maine since 1986, first in a private, solo practice and then in FQHCs (Health Access Network in Lincoln as Medical Director and Penobscot Community Health Care, based in Bangor, as Chief Quality Officer, Chief Medical Officer and now Innovation Adviser). Dr. Nesin was raised in Howland, Maine, where his father was a family doctor for 39 years. He attended Tufts University School of Medicine and completed his Family Medicine residency in Duluth, Minnesota. Throughout his career Dr. Nesin has led efforts in evidence based prescribing and in practice transformation to improve efficiency and to use health care resources judiciously. Dr. Nesin has mentored PA, nurse practitioner and medical students, and Family Practice residents throughout his career
Dr. Nesin serves as the chair of Maine’s Academic Detailing Advisory Committee, the body which oversees the Maine Independent Clinical Information Service, sits on the Advisory Committee for the Lunder Dineen Health Education Alliance of Maine, and on the Community Advisory Committee for Maine Health Access Foundation. He was a co-founder of Maine Quality Counts’ Maine Chronic Pain Collaborative, is a member of the editorial board for the Journal of Ambulatory Care Management, serves on the Board of the Bangor Area Recovery Network, and is Chair of AHRQ’s National Integration Academy Council. Dr. Nesin is also a member of Maine’s Opioid Clinical Advisory Group and Maine’s Governor has appointed him chair of the Maine Prescription Drug Affordability Board and also appointed him as a member of Maine’s Board of Licensure in Medicine. Dr. Nesin is the immediate Past-President of the Maine Public Health Association.