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Physicians' Education Resource®, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physicians' Education Resource®, LLC, designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


PER Pulse™ Recaps
for Community Practice Connections™: A Team-Based Approach to Enhanced Recovery: Controlling Postsurgical Pain in Breast Cancer Patients focuses on areas of clinical challenge faced by practicing clinicians. A brief overview of specific information covered in the online activity is provided in these summaries.

Acknowledgment of Commercial Support

This activity is supported by an educational grant from Pacira Pharmaceuticals, Inc.

Community Practice Connections™: A Team-Based Approach to Enhanced Recovery: Controlling Postsurgical Pain in Breast Cancer Patients

Release Date: June 29, 2016
Expiration Date: June 29, 2017
Media: Internet - based

Activity Overview

This activity focuses on optimization of pain control for patients undergoing surgery for breast cancer. It features a series of short video interviews with leading experts in the prevention and management of perioperative pain. The content and interviews are based on presentations given at A Team-Based Approach to Enhanced Recovery: Controlling Postsurgical Pain in Breast Cancer Patients, a live CME-certified symposium held adjunct to the 33rd Annual Miami Breast Cancer Conference®, a PER® Legacy International Conference.

Included in this program are reviews of state-of-the-art multimodal strategies to control pain throughout the perioperative period, including methods to reduce opioid requirements, immediate-release and liposome-encapsulated local anesthetics, regional blocks, and best practices for administration of surgical analgesia strategies.

CME Activity Table of Contents

  • Introduction

  • Overview of Pain Theory
    Jeff Gadsden, MD

  • Best Practices: Local and Regional Pain Management
    Patrick I. Borgen, MD

  • Integration of an Enhanced Recovery After Surgery Strategy for Breast Surgery
    Donna-Marie Manasseh, MD

Instructions For This Activity & Receiving Credit

  • You will need to login to participate in the activity.
  • Each presentation may contain an interactive question(s). You may move forward through the presentation; however, you may not go back to change answers or review videos/content until you finish the presentation.
  • At the end of the activity, "educational content/video" will be available for your reference.
  • In order to receive a CME certificate, participants must complete the activity.
  • Complete the posttest and pass with a score of 70% or higher, complete the evaluation and then click on request for credit. Participants may immediately download a CME certificate upon completion of these steps.

Target Audience

This educational activity is directed toward medical and surgical oncologists, fellows, nurses, nurse practitioners, physician assistants, and other healthcare professionals involved in the care of patients with breast cancer.

Educational Objectives

At the conclusion of this activity, you should be better prepared to:
  • Explain the rationale for optimizing pain control in the surgical patient and the impact of uncontrolled postoperative pain
  • Define the goals of multimodal analgesia and the phases of care for which these strategies should be applied in surgical settings for patients with breast cancer
  • Discuss the benefits of opioid-sparing treatment regimens in the care of patients experiencing postsurgical pain
  • Apply best practices pertaining to the administration of pain control interventions in preoperative, intraoperative, and postoperative settings in caring for patients with breast cancer

Faculty, Staff, and Planners' Disclosures


Patrick I. Borgen, MD
Chairman, Department of Surgery, Maimonides Medical Center
Director, Brooklyn Breast Cancer Program
Brooklyn, NY


Jeff Gadsden, MD, FRCPC, FANZCA
Associate Professor
Department of Anesthesiology
Duke University Medical Center
Chapel Hill, NC

Donna-Marie Manasseh, MD
Director of Breast Surgery
Maimonides Breast Cancer Center
Brooklyn, NY


The following individuals have no relevant financial relationships with commercial interests:

The staff of Physicians’ Education Resource®, LLC

The following individuals have relevant financial relationships with commercial interests to disclose:

Patrick I. Borgen, MD - Speakers Bureau: Genomic Health, NanoString Technologies; Jeff Gadsden, MD, FRCPC, FANZCA - Consultant: Pacira Pharmaceuticals; Donna-Marie Manasseh, MD - Speakers Bureau: Genomic Health.

Disclosure Policy and Resolution of Conflicts of Interest (COI)

It is the policy of Physicians' Education Resource®, LLC, (PER®) to ensure fair balance, independence, objectivity, and scientific rigor in all of our CME activities. In accordance with ACCME guidelines, PER® requires everyone who is in a position to control the content of an educational activity, including spouses/partners, to disclose all relevant financial relationships with any commercial interest to participants as a part of the activity planning process. PER® has implemented mechanisms to identify and resolve all conflicts of interest prior to release of this activity.

Off-Label Disclosure and Disclaimer

This CME activity may or may not discuss investigational, unapproved, or off-label uses of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only, and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic or treatment options for a specific patient's medical condition.

The opinions expressed in the content are solely those of the individual faculty members, and do not reflect those of Physicians' Education Resource®, LLC, or any of the companies that provided commercial support for this activity.

Hardware And Software Requirements

Supported Browsers
Internet Explorer v.7 or greater (for Windows) | Mozilla Firefox v.2 or greater (for Windows, Mac, Linux)

Minimum System Requirements (Windows)
  • A Pentium-based PC or compatible computer
  • At least 64MB of RAM
  • Windows 95/98/NT/ME/2000/XP/Vista system software
  • Screen resolution of 1024 x 786 or larger recommended
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise
Minimum System Requirements (Mac OS)
  • A PowerPC processor-based Macintosh computer
  • At least 64MB of RAM
  • Mac OS 7.5 or later
  • Screen resolution of 1024 x 786 or larger recommended
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise

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