ATTESTATION AND EVALUATION FORM

IMPORTANT INSTRUCTIONS BELOW

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Upon successful completion and verification of each attestation, your CME hours will be logged to your Professional Development record in your account profile on the AOMA website. DOs: Your AOA number is required to complete the form. 

Disclosure: In the interest of complete disclosure, the speaker (s) and planning committee of this CME Activity has signed a financial disclosure form and has no conflict of interest with any commercial entities or products that may have an interest in this program. This is intended to make you aware of the faculty’s interests, so you may form your own judgments about such materials.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Arizona Medical Association (ArMA) through the joint sponsorship of Flagstaff Medical Center and the Arizona Osteopathic Medical Association. The Flagstaff Medical Center is accredited by ArMA to provide continuing medical education for physicians.

The Flagstaff Medical Center designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity

The Arizona Osteopathic Medical Association (AOMA) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. The AOMA designates this program for a maximum of of 3.0 hours of AOA Category 1-A CME credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

To receive CME credits for the lectures attended, please complete your attestation. Credits will be awarded upon verification of paid registration for the lectures marked as attended. 
 
All credits will be reported to AOA and  ACCME. Certificates of completion will be emailed to the email address you provide to AOMA. 
 
The items preceded by an asterisk (*) are required entries. All other items are optional. 
 
To confirm your credits for each of the lectures offered, you are required to indicate whether or not you attended each lecture. The evaluation questions are optional, but we greatly appreciate your feedback.
 
Please select one. *
Attestation Statement:

The Flagstaff Medical Center designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity

The Arizona Osteopathic Medical Association (AOMA) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. The AOMA designates this program for a maximum of of 3.0 hours of AOA Category 1-A CME credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

PLEASE INDICATE THE TYPE OF CME CREDIT YOU ARE REQUESTING: AOA Category 1-A or AMA PRA Category 1.

NOTE: Only one type of credit will be awarded. 

 *

PROGRAM LEARNING OBJECTIVES

1. Describe appropriate patient assessment for treatment with ER/LA opioid analgesics, evaluating
    risks and potential benefits of ER/LA therapy as well as possible misuse.
 
2. Apply proper methods to initiate therapy, modify dose, and discontinue use of ER/LA opioid
    analgesics, applying best practices including accurate dosing and conversion techniques as well as
    appropriate discontinuation strategies.
 
3. Demonstrate accurate knowledge about how to manage ongoing therapy with ER/LA opioid
    analgesics and properly use evidence-based tools while assessing for adverse effects.
 
4. Employ methods to counsel patients and caregivers about the safe use of ER/LA opioid analgesics,
    including proper storage and disposal.
 
5. Review/assess general and product-specific drug information concerning ER/LA opioid analgesics
    and identifying potential adverse effects of ER/LA opioids.