Pain and Addiction (2017) | Daniel Alford, MD

This presentation is part of the Addiction Medicine Review Course 2017, an overview of the core elements of addiction medicine, presented by top experts in the field. Together with the other presentation it can serve as a broad review for clinicians, a review of the basics for newcomers, or a starting point for those preparing to sit for the Board of Addiction Exam.

Target Audience

  • Addiction medicine specialists who want an overview of the latest developments in the field and their relevance to clinical practice
  • Primary care clinicians who want to get a better understanding of addiction and manage patients with addictions in their practice
  • Public health officials who want an understanding of the current state of addiction treatment
  • Non-physicians who are involved in the treatment of addiction

Learning Objectives

After viewing this lecture participants should be able to

  1. Describe the clinical interface between pain and addiction including general effects of addiction on pain and unique effects of opioid dependence and pain. 
  2. Understand psychological Issues in the management of pain  
  3. Utilize non-opioid treatments in management of pain 
  4. Describe safe prescribing interventions in addicted patients who need opioids for chronic pain. 
  5. Utilize clinical tools (TAR, CURES, medication agreements (contracts), 
  6. Apply methods in treating non-adherent patients
  7. Describe different formulations of opioid medications
  8. Understand how to utilize urine drig screen in a clinical setting 
Course summary
Available credit: 
  • 1.00 AMA Category 1
  • 1.00 Attendance
Course opens: 
Course expires: 

Daniel Alford, MD, MPH
Daniel P. Alford, MD, MPH is Professor of Medicine, Assistant Dean of Continuing Medical Education and Director of the Safe and Competent Opioid Prescribing Education (SCOPE of Pain) program at Boston University School of Medicine. He is on staff in the Section of General Internal Medicine and Director of the Clinical Addiction Research and Education (CARE) Unit at Boston Medical Center. He is past-president of the Association for Medical Education and Research in Substance Abuse (AMERSA). In 2011 he was recognized as a “Champion of Change” by the White House. In 2014 he received the AMA “Award for Health Education” and his SCOPE of Pain program was presented with an “Outstanding Prevention Effort Award” by the White House Office of National Drug Control Policy. In 2016 he was awarded the American Society of Addiction Medicine first “Educator of the Year Award” and the American College of Physicians “Award for Distinguished Contributions to Behavioral Medicine”. His clinical, educational and research interests focus on opioid use disorders and safe and competent opioid prescribing for chronic pain.


Dr. Alford has no relevant financial relationships to disclose.

The California Society of Addiction Medicine (CSAM) is accredited by the Institute for Medical Quality/California Medical Association to provide continuing medical education for physicians. CSAM takes responsibility for the content, quality and scientific integrity of this CME activity.

CSAM designates this edduring internet-based educational activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This credit may also be applied to the CMA Certification in Continuing Medical Education.

Available Credit

  • 1.00 AMA Category 1
  • 1.00 Attendance


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