Opioids for Pain Treatment in Persons with Opioid Use Disorder

January 8, 2021

There is no cost to attend. If you are interested in attending, please send an email to echo@iowapca.org.

Target Audience

Primary care physicians, nurses, mental health professionals, substance use disorder professionals, or any clinic staff who support behavioral health services.


Case presentations are truly the core of every ECHO session. During each ECHO session each participant who chooses to present will gain access to unique feedback and questions from a wide range of peers and experts in an all-teach, all-learn modality. The ECHO session facilitator will moderate the case presentation and discussion portion of every session to ensure all participants have a change to engage in the peer-to-peer learning.

To submit a case download and complete the template form and email to glamba@iowapca.org.


This session will help attendees better understand the complex intersection between pain and opioid use disorder. It will help attendees identify key features of both and identify effective treatments. Participants will have time to ask questions to better apply their knowledge.


This presentation will review safe and effective pain treatment, how to support recovery from opioid use disorder and avoid relapse in patients with OUD, and how to avoid personal and public health consequences of opioid use disorder.  Participants will be introduced to the general principles of effective pain treatment in patients with OUD, how to treat pain safely and effectively, how to address pain facilitators and opioid use disorder, and when to say ‘no’ to a request for long-term opioid therapy.  Dr. Weimer will also discuss other options for treatment of pain.

Educational Need

Iowa is designated as a Health Professional Shortage Area especially for treatment and management of behavioral health disorders. The Behavioral Health ECHO learning series will utilize the ECHO Model to train and support primary care team members, behavioral health professionals and case managers in treatment and management of substance use disorders, psychiatric illnesses and associated co-morbidities, with the goal to help enhance integrated care in identifying and treating these concerns in their patients. This will be done by disseminating evidence based best practice care to improve patient outcomes in the form of didactic instruction as well as the feedback provided by the hub team experts and peers during case discussions will enhance quality of care and consequently patient health outcomes.   

Learning Objectives

  • Identify principles of pain treatment in opioid use disorder
  • Describe pain treatment in opioid use disorder and chronic non-terminal, non-cancer pain
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credits
  • 1.50 AOA Category 1­A
  • 1.50 CE Contact Hour(s)
  • 1.50 IBON
Course opens: 
Course expires: 
Event starts: 
01/08/2021 - 12:00pm CST
Event ends: 
01/08/2021 - 1:30pm CST


Melissa Weimer, DO, MCR, FASAM

Assistant Professor; Medical Director of the Addiction Medicine Consult Service, Program in Addiction Medicine, Yale School of Medicine
Associate Program Director of the Addiction Medicine Fellowship Program, Medicine, Yale School of Medicine

Dr. Weimer is board certified in Internal Medicine and Addiction Medicine and has a clinical and research focus on expanding access to substance use disorders treatment, particularly in the hospital setting. She also has fellowship training and years of experience in the management of complex pain, particularly for patients with concomitant opioid use disorders. She is the Medical Director of the Yale Addiction Medicine Consult Service (YAMCS), a multidisciplinary, hospital based program to address the substance use disorder needs of patients admitted to Yale New Haven Hospital.

Dr. Weimer has worked tirelessly on a local, state and national level to improve access to evidence based treatments for patients with substance use disorder. Her work to expand addiction treatment in hospital settings started at Oregon Health & Science University where she worked with colleagues and community partners to create one of the nation's first hospital-based models to initiate addiction treatment while patients are hospitalized from a complication of their substance use. An experienced educator, she teaches health care students and professionals about substance use disorders and their treatment to promote the expansion of the addiction medicine workforce. She additionally serves as the Associate Program Director of the Yale Addiction Medicine Fellowship program.

Full biography.

Case Presenters

Carrie Schmidt, RN
Community Health Center

Dawn Davies, ARNP, PMHNP-BC, AFN
Peoples Clinic

Austin Cross, LISW, CADC
Primary Health Care


Gagandeep Lamba, MA, MS, MBA
Behavioral Health Consultant, Iowa Primary Care Association   

Liz Noble
Administrative Assistant, Iowa Primary Care Association 

Accreditation Statements

  • MD:  This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the Iowa Primary Care Association. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live, online activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 1.5 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.5 continuing education contact hour(s). No partial credit awarded.
  • Other Healthcare Professionals: This live activity is designated for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.


No commercial interest company provided financial support for this continuing education activity.


Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with commercial interest companies to disclose.

  • Julie Baker, MPA, CHCEF, Planning Committee Member
  • Bery Engebretsen, MD, Planning Committee Member
  • Nicolas Foss, MS, IADC, BACC, ICGC-II, Planning Committee Member
  • Gagandeep Lamba, MA, MS, MBA, Activity Director/Coordinator, Planning Committee Member, and Moderator
  • Elizabeth Noble, Activity Coordinator and Moderator
  • Danielle O'Brien-Day, LMHC, CRC, Planning Committee Member
  • Nicole Gastala, MD, Planning Committee Member and Speaker
  • Andrea Storjohann, MSN, ARNP, PMHNP-BC, CADC, Planning Committee Member
  • Carrie Schmidt, RN, Case Presenter
  • Dawn Davies, ARNP, PMHNP-BC, AFN, Case Presenter
  • Austin Cross, LISW, CADC, Case Presenter

Relevant to the content of this educational activity, the following individual(s) have a conflict(s) with commercial interest companies to disclose.

  • Janice Landy, MD, Planning Committee Member - Does not have a conflict with a commercial interest company; however, does intend to discuss off-label uses of commercial products.
  • Melissa Weimer, DO, MCR, FASAM, Speaker - Consultant for Path CCM, Inc.

The speaker(s) will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. 


The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 1.50 AMA PRA Category 1 Credits
  • 1.50 AOA Category 1­A
  • 1.50 CE Contact Hour(s)
  • 1.50 IBON


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There is no cost to attend. If you are interested in attending, please send an email to echo@iowapca.org.