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.

Acknowledgment of Commercial Support

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

Community Practice Connections™: Curbing the Opioid Epidemic: Taking Steps to Improve Postsurgical Outcomes for Your Patients With Breast Cancer


Release Date: May 31, 2019
Expiration Date: May 31, 2020
Media: Internet - based

Activity Overview

Patients who undergo surgical procedures as a part of the management of breast cancer are susceptible to postsurgical pain, which may adversely affect both acute and long-term outcomes. Multimodal approaches to pain management are being employed that may lead to improved outcomes for your patients, and an increasing volume of evidence is supportive of opioid-sparing analgesic regimens. Evidence-based pain management protocols often require close multidisciplinary collaboration. Securing adequate pain management is an incredibly complex challenge for clinicians; individual patient characteristics and procedural considerations need to be evaluated to optimize pain management strategies in the preoperative, intraoperative, and postoperative stages.

To help you to meet these challenges, this online program features the perspectives of clinical experts in surgical oncology and anesthesiology who discuss various aspects of contemporary pain management strategies. Clinical case scenarios are reviewed to help contextualize recent evidence pertaining to pain management.

CME Activity Table of Contents

  • Pre-Activity Questions
  • Contemporary Challenges to the Delivery of Optimal Pain Management
  • Considerations for the Multimodal Management of Surgical Pain in Breast Cancer
  • Managing Pain Across the Continuum of Surgical Care: Pain Control in Breast Cancer
  • Post-Activity Questions

Acknowledgement of Commercial Support

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

Instructions for This Activity and Receiving Credit

  • You will need to log in 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 audio files/content until you finish the presentation.
  • At the end of the activity, educational content/audio files will be available for your reference.
  • In order to receive a CME certificate, you 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.” You may immediately download a CME certificate upon completion of these steps.


Target Audience

This educational activity is directed toward medical oncologists who treat patients with breast cancer. Nurse practitioners, nurses, physician assistants, pharmacists, researchers, and other healthcare professionals interested in the treatment of breast cancer are also invited to participate.

Learning Objectives

Upon successful completion of this educational program, you should be better prepared to:

  • Define the goals of analgesia through multiple modes of action in the management of uncontrolled postoperative pain following breast cancer surgery
  • Relate the therapeutic rationale for use of opioid-sparing treatment regimens in the setting of postsurgical pain, especially considering principles of contemporary pain management
  • Develop perioperative pain management strategies for challenging breast cancer case scenarios
  • Outline best practices for the management of breast cancer–related pain through administration of pain control in the preoperative, intraoperative, and postoperative settings

Faculty, Staff, and Planners’ Disclosures

Patrick I. Borgen
Patrick I. Borgen, MD
Chair, Department of Surgery
Maimonides Medical Center
Brooklyn, NY

Disclosures: Speakers Bureau: Genomic Health, Inc, Pacira Pharmaceuticals, Inc.

Jeff Gadsden
Jeff Gadsden, MD, FRCPC, FANZCA
Associate Professor, Duke University School of Medicine
Chief, Division of Orthopaedic, Plastic and Regional Anesthesiology
Regional Anesthesiology and Acute Pain Medicine Fellowship Director
Duke University Medical Center
Durham, NC

Disclosures: Grant Research Support: Pacira Pharmaceuticals, Inc, Mallinckrodt Pharmaceuticals; Consultant: Pacira Pharmaceuticals, Inc.

Kristin E. Rojas
Kristin E. Rojas, MD
Breast Surgical Oncology and Gynecologic Surgery
Director, Maimonides Urogential Sexual Health and Intimacy Center (MUSIC)
Brooklyn Breast Program
Maimonides Medical Center
Brooklyn, NY

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

The staff of Physicians' Education Resource®, LLC (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 create a conflict of interest (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 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® or any of the companies that provided commercial support for this program.


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