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Accreditation/Credit Designation

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

Physicians' Education Resource®, LLC designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Acknowledgement of Commercial Support

This activity is supported by an educational grant from Pacira.

Community Practice Connections™: A Better Way to Stop Pain: Paths Toward Responsible Postsurgical Pain Management for Patients With Breast Cancer

Release Date: May 15, 2018
Expiration Date: May 15, 2019
Media: Internet - based


Activity Overview

Patients with breast cancer who undergo surgical procedures such as mastectomy and breast reconstruction are susceptible to postsurgical pain, which may adversely affect both acute and long-term outcomes. As clinicians involved in the postsurgical care of these patients, you can help them by providing pain management strategies that are both effective and responsible, given the contemporary opioid crisis that is claiming American lives every day. New multimodal approaches to pain management are being employed that may offer significant benefits to your patients. We have developed an educational activity to help you set and meet appropriate pain management goals at the preoperative, intraoperative, and postoperative stages. You will learn how these strategies can be applied to your patients and the types of procedures that they undergo.

We will address multiple key topics pertaining to pain management for your patients, as our multidisciplinary panel of clinical experts in surgical oncology and anesthesiology shares their perspectives on pain management options, techniques to provide pain relief, and the rationale for you to consider an opioid-sparing treatment regimen.

Acknowledgement of Commercial Support

This activity is supported by an educational grant from Pacira.

Instructions for This Activity and 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 files” 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 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.

Learning Objectives

At the conclusion of this activity, you should be better prepared to:

  1. Determine the impact of uncontrolled postoperative pain and the goals for multimodal analgesia in breast cancer surgical settings
  2. Identify the rationale to apply opioid-sparing treatment regimens in the care of patients experiencing postsurgical pain, including in the context of key issues relevant to contemporary pain management
  3. Formulate perioperative pain management strategies for challenging patients with breast cancer
  4. Apply best practices pertaining to the administration of pain control interventions in preoperative, intraoperative, and postoperative settings in the care of patients with breast cancer

Faculty, Staff, and Planners' Disclosures


Anoushka Afonso, MD
Director, Enhanced Recovery after Surgery
Memorial Sloan Kettering Cancer Center
New York, NY

Disclosure: Grant Research Support: Pacira; Speakers Bureau: Pacira.

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

Disclosure: Speakers Bureau: Genomic Health, Inc; Genentech; Pacira.

Eleni Tousimis, MD, FACS
Director, Betty Lou Ourisman Breast Health Center
Chief, Breast Surgery
Director, Breast Oncology Fellowship
MedStar Georgetown University Hospital
Washington, DC

Disclosure: No relevant financial relationships with commercial interests to disclose.

The staff of PER® have no relevant financial relationships with commercial interests to disclose.

Disclosure Policy and Resolution of Conflicts of Interest (COI)

As a sponsor accredited by the ACCME, it is the policy of PER® to ensure fair balance, independence, objectivity, and scientific rigor in all of its CME activities. In compliance with ACCME guidelines, PER® requires everyone who is in a position to control the content of a CME activity to disclose all relevant financial relationships with commercial interests. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months that creates a COI.

Additionally, PER® is required by ACCME to resolve all COI. PER® has identified and resolved all COI prior to the start of this activity by using a multistep process.

Off-Label Disclosure and Disclaimer

This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical and nursing education purposes only, and is not meant to substitute for the independent clinical judgment of a physician relative to diagnostic, treatment, or management 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 PER®.

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