Chronic Non-Cancer Pain Management and Opioid Resources

Through the leadership of the Section of Communities of Practice in Family Medicine (CPFM) and in collaboration with our Chapters and key partners, we have established a chronic non-cancer pain management and opioid resources webpage that lists CPD programs and other relevant resources for Family Practitioners.

What's New

Health Canada has launched five new episodes as part of the In Plain Sight audio series that explores the personal stories of people affected by the opioid crisis in Canada. The series is available on Canada.ca/Opioids. Please take time to listen to these stories and share them with your network. If you have any questions about the In Plain Sight audio series, please contact us at: [email protected].

The Mental Health Commission of Canada (MHCC) completed an environmental scan of training programs available to healthcare providers across Canada to meet their learning needs around supporting people who use opioids. The details of the training programs are current as of March 31, 2019. The Opioid Training for Healthcare Providers Course Catalogue can be found on the MHCC’s website at: https://www.mentalhealthcommission.ca/English/media/4259

Changing the Narrative:
https://www.changingthenarrative.news/

The Opioid Crisis: getting to "better"

Opioid Use Disorder Guideline Published in Canadian Family Physician
The PEER group Opioid Use Disorder (OUD) Guideline which was published in the May 2019 issue of Canadian Family Physician meets the Institute of Medicine’s criteria for “Guidelines We Can Trust” and was specifically developed to support family physicians and their patients. Furthermore, the guideline is supported by a rigorous systematic review of the evidence also published in the same issue of the journal, along with 4 original research articles on OUD and outcomes in primary care.
See the May issue of CFP 
Download the practical, one page OUD Primary Care Pathway

Updated Family Medicine Recommendations
Thirteen Things Physicians and Patients Should Question
(View Opioid specific recommendations)

CFPC’s Decision on CPD for Prescribing Opioids – Survey Results
CFPC ePanel 4 2015 - Mandatory CPD for Prescribing Opioids

CFPC’s new decision on CPD and prescription drug abuse (Video)

Resources

University of Calgary Wise Prescribing and Deprescribing: Opioid Skills for the Frontline Clinician
The Wise Prescribing and Deprescribing: Opioid Skills for the Frontline Clinician course provides opportunities for you to review the principles and guidelines for opioid tapering, reflect on your own practices, and discuss enablers and barriers with the facilitator and with your peers.

 Bevel Up Bevel Up: A groundbreaking professional learning resource
For the first time, Bevel Up, a documentary and learning resource designed to help healthcare workers deliver compassionate care to people who use drugs, is accessible as free online harm-reduction content. Created by the outreach nursing team from the BC Centre for Disease Control (BCCDC) and co-produced with the National Film Board of Canada (NFB), Bevel Up combines art and science to inspire social change.
  
 machealthOpioids Clinical Primer
This program provides an overview of key concepts and skills for clinicians facing common challenges in the management of patients with chronic pain, including reducing the risks of opioids and addressing opioid use disorder.

The Opioid Tapering Template
Developed by the Center for Effective Practice and with the clinical leadership of CFPC member, Dr. Arun Radhakrishnan, the Opioid Tapering Template is a new resource to support primary care providers with reducing opioid dosages safely and effectively. It recognizes that opioid tapering is a complex process that requires individualized tapering plans and prioritizing patient safety and self-efficacy. Throughout the tool, providers will find helpful talking points, fillable forms and links to relevant resources to further guide their approach.

The CFPC’s Addiction Medicine and Chronic Pain Program Committees have complied a list of related resources to assist family physicians in their daily clinical practices.

The Centre for Effective Practice updates the Opioid Manager tool to reflect the 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain

2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain
The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain, developed by the Michael G. DeGroote National Pain Centre at McMaster University, will assist health care providers in making practice decisions about the safe and effective use of opioids for chronic non-cancer pain management.

New Tools on Stigma Related to Opioid and Drug Use
www.canada.ca/opioids 

These include:

  • a video titled “Together, we can stop the cycle of stigma”  to raise awareness about the effects that stigma has on the quality of life of people who use drugs, people in recovery and their families
  • a web page that talks about stigma
  • and tips about how we can better talk about substance use 

Questions?
Please contact us at [email protected]

Copyright © 1996-2019 The College of Family Physicians of Canada