Best Practices for Safe Prescribing of Opioids Including Long Acting Formulations

On-Demand Training

Following the content recommendations from the FDA’s Opioid Analgesic REMS Education Blueprint for Health Care Providers, this training will satisfy the Washington State requirement for 4 hours of long acting opioid education for physicians as well as 4 hour best practices for opioid prescribing education for ARNPs.  It will continue the discussion on the appropriate role and current regulations regarding opioids analgesic options for chronic pain. Attendees will learn how to integrate best practices related to opioid management based on national guidelines and local evidence-based guidelines.  Attendees will be familiar with recent Washington State pain rules that went into effect January 1, 2019 for all prescribers in the state. The course will also help attendees implement other practical methodologies to encourage lifestyle changes for patients being treated for chronic pain. Attendees will learn to assess and treat opioid abuse disorder and better recognize how to integrate non-opioid therapies for pain into a patient-centered treatment plan. Through didactic and panel presentations, attendees will be able to discuss and implement pain management and opioid prescribing best practices.

Intended Audience: All health care providers who treat patients suffering with acute and chronic noncancerous pain and may need to prescribe opioids, including physicians, ARNPS and PAs. This course is particularly relevant for those in Washington State , and Swedish Health Services and Providence Health & Services medical staff and employees.  This course is now available for both internal and external learners.

Register below for access to this course.  On your registration confirmation web page there will be a "Click to Continue" button at the bottom to access the recorded lectures.  The recorded lectures access link and credit claim information will also be emailed to you in a Registration Confirmation email.


This five hour course meets the one-hour and four-hour continuing education requirements on best practices in the prescribing of opioids, including long-acting formulations, as per the Washington State Medical Commission (MDs) rules,  and the Nursing Commission (ARNPs) rules.


The agenda below is from the original live training, for on-demand viewing please ignore the times listed. The order of the lectures in the recording is still accurate.

7:55 a.m. Welcome & Introductions 
8 a.m.  Opioid Pharmacology &  Formulation Review:
Short-Acting, Long-Acting, and Everything In Between

Steven Stanos, D.O.
  • Interpret the pharmacology of various short-acting and long-acting opioid formulations used for acute and chronic pain management
9 a.m. Patient Evaluation, Assessment, and Risk Stratification: Tools to Improve Outcomes, Limit Adverse Events, and Manage Side Effects
Fangfang Xing, M.D.
  • Discuss and apply a patient-centered approach to assessing risk for adverse events, including aberrant behaviors and addiction related to the use of opioids
9:30 a.m.  Compliance Monitoring: Urine Drug Testing and Trouble Shooting Aberrant Behavior
Wilson Chang, M.D.
  • Apply and integrate urine drug monitoring in your practice along with discussing metabolites related to testing
10 a.m.  Behavioral Medicine Considerations
Sharon Hsu, PhD
  • Explain behavioral interventions that can be successfully integrated in the treatment of pain
10:30 a.m.  Assessment and Management of Opioid Use Disorder
Greg Rudolf, M.D.
  • Identify and assess signs and symptoms of opioid use disorder and evidence-based pharmacologic therapies including buprenorphine and methadone used to treat the disorder
11 a.m. Break (grab a box lunch and return to auditorium)  
11:15 a.m.  Overview of Pain Rules: Best Practices to the Test: Case-Based Approach 
Wilson Chang, M.D. Christina Coulter, PhD, ARNP, Steven Stanos, D.O.
  • Review practical application of best practices through case discussions
12:15 p.m.  Prescriber Resources, Epic Integration & Panel Discussion
Moderator: Fang Xing, M.D.
Panelists: Wilson Chang, M.D.; Christina Coulter, PhD, ARNP; Sharon Hsu, PhD; Greg Rudolf, M.D.; Steven Stanos, D.O.; Kristin Wisegarver, MHA; Cong Yu, M.D.
  • Identify additional resources available to help improve safety and streamline workflows with the use of opioid medications in clinical practice
1:15 p.m.  Adjourn 


At the conclusion of this course the participant will provide better patient care through an increased ability to: 

  • Provide individualized pain management treatment plans for patients that meet the national and local/Washington State pain management requirements and guidelines for opioid prescribing
  • Review opioid pharmacology, the range of opioid formulations available for acute and chronic pain, including oral and transdermal formulations, be aware of potential drug-drug interactions with opioids and other agents, and utilize urine monitoring and other strategies to help identify misuse, abuse, and diversion
  • Safety and effectively manage patients on opioid analgesics and protect family members and the societies they live in from opioid related harm
  • Recognize and effectively treat signs of opioid abuse disorder and apply effective strategies to taper and prevent opioid abuse


Accreditation with Commendation
Swedish Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™
Swedish Medical Center designates this enduring activity for a maximum of 5.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses please note that CNE credit will not be provided, however CME AMA PRA Category 1 credits™ are accepted for Washington State RN Continuing Education requirements as well as for application and renewal of specialty and advance practice certification through both ANCC and AANP (1 CNE hour is equivalent to 1 CME hour).

American Nurses Credentialing Center - ANCC accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

American Academy of Physician Assistant - AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits™ from organizations accredited by the ACCME or a recognized state medical society. Physician Assistants may receive a maximum of 5.0 hours of AMA PRA Category 1 Credits™ for completing this course.


Christina Coulter, PhD, ARNP
Internal Medicine
Swedish Medical Group

Wilson Chang, M.D., MPH
Physical Medicine and Rehabilitation Specialist
Interventional Spine and Pain Management
Swedish Medical Center

Sharon Hsu, PhD
Swedish Pain Services

Gregory Rudolf, M.D.
Staff Physician
Swedish Pain Services
Swedish Medical Center

Steven Stanos, D.O.
Medical Director
Swedish Health System Pain Medicine & Services
Medical Director
Swedish Pain Services
Swedish Medical Center

Fang Xing, M.D.
Pain Management, Anesthesiology 
Swedish Pain Services

Cong Yu, M.D.
Pain Management, Anesthesiology
Swedish Pain Services

Swedish CME maintains full control of the content of every course we provide. It is our policy to identify and resolve all speaker and planner conflicts of interest. Each speaker is required to give a balanced, evidence-based presentation that is free of commercial bias.

Planning Committee

Steven Stanos, D.O., Course Chair
Wilson Chang, M.D.
Christina Coulter, ARNP
Richelle Edmonds, CME Specialist
Danielle Posadas, CME Specialist Sr.


This course training is currently complimentary for Swedish Health Services and Providence Health Services Medical Staff Members only, please select the appropriate dropdown from the fee menu while registering.  For all other providers and learners there is a fee to complete this training, outlined below.  

M.D./D.O.    $175
Allied Health Professional (ARNP, RN, PA, etc.)   $90
Resident/Fellow   $50