It's Not Worth the Risk: Codeine and Tramadol in Children

There are contraindications to prescribing codeine and tramadol to children under the age of 12, or to children under the age of 18 undergoing tonsil or adenoid surgery. Despite this, according to Wisconsin and National data, these opioids are still being prescribed to this group of patients. This CE activity is relevant to anyone who prescribes opioids to children.

Target Audience

Physicians, Advanced Practice Providers, Nurses, Pharmacists

Learning Objectives

Upon completion of this activity, learners will be able to:

  • Explain the hyper-metabolization process of codeine and tramadol into morphine
  • Describe the risks of codeine and tramadol hyper-metabolism in children
  • List alternatives to codeine and tramadol prescription in children
Course summary
Available credit: 
  • 0.50 ABA MOCA 2.0® Part 2 Points
  • 0.50 ABIM MOC Part 2 Points
  • 0.50 ABOHNS MOC Part 2 Points
  • 0.50 ABP MOC Part 2 Points
  • 0.50 ABS MOC Part 2 Points
    This activity meets the ABS requirements for CME and self‐assessment credit toward Part 2 of the ABS MOC program.
  • 0.50 ACPE Contact Hours
  • 0.50 AMA PRA Category 1 Credit
  • 0.50 ANCC Contact Hours
  • 0.50 ANCC Pharmacotherapy Contact Hours
  • 0.50 University of Wisconsin–Madison Continuing Education Hours
Registration opens: 
11/08/2019
Course expires: 
11/07/2022
Cost:
$0.00
Rating: 
0

Course Director

Jonathan Kohler, MD, MA, FACS

Planning Committee

Benjamin Eithun, RN
Addi Faerber, PhD
Elle Kalbfell, MD
Julie Martinelli, BS
Rebekah Olson, BS
Tanvee Thakur, MS, BPharm

It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) that the faculty, authors, planners, and other persons who may influence content of this continuing education (CE) activity disclose all relevant financial relationships with commercial interests* in order to allow CE staff to identify and resolve any potential conflicts of interest.  Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation(s).  For this educational activity all conflicts of interest have been resolved and detailed disclosures are listed below.

*The ACCME defines a commercial interest as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests.

Discloser List CME Internal Report

Accreditation Statement

Jointly Accredited Provider LogoIn support of improving patient care, the University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Designation Statements

Accreditation Council for Pharmacy Education (ACPE)

A maximum of 0.5 hours of knowledge-based CE credit can be earned by successfully completing this live activity. Pharmacists should claim only the credit commensurate with the extent of their participation in the activity. CE credit information, based on verification of live attendance and completion of the program assessment and evaluation, will be provided to NABP within 60 days after the activity completion.

2019 Universal Activity Number (UAN) JA0000358-0000-19-104-H01-P
2020 Universal Activity Number (UAN) JA0000358-0000-20-027-H01-P

American Medical Association (AMA)

The University of Wisconsin–Madison ICEP designates this live activity for a maximum of 0.5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)

The University of Wisconsin–Madison ICEP designates this live activity for a maximum of 0.5 ANCC contact hours, 0.5 of which are eligible for ANCC pharmacotherapeutic contact hours.
The University of Wisconsin–Madison School of Nursing is Iowa Board of Nursing provider 350.

Continuing Education Units

The University of Wisconsin–Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for 0.05 continuing education units (CEUs) or 0.5 hours.

Maintenance of Certification/Lifelong Learning and Self-Assessment

By participating in this activity, the learner grants permission for ICEP to share completion information with the ACCME on the learner's behalf.

American Board of Pediatrics MOC Lifelong Learning and Self-Assessment Credit

Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.5 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Anesthesia MOCA 2.0 Lifelong Learning and Self-Assessment Credit

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine MOC Credit

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Otolaryngology - Head and Neck Surgery Lifelong Learning and Self-Assessment Credit

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology - Head and Neck Surgery's Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.

American Board of Surgery Lifelong Learning and Self-Assessment Credit 

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 Medical Knowledge MOC points in the American Board of Surgery's (ABS) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABS MOC credit.

Available Credit

  • 0.50 ABA MOCA 2.0® Part 2 Points
  • 0.50 ABIM MOC Part 2 Points
  • 0.50 ABOHNS MOC Part 2 Points
  • 0.50 ABP MOC Part 2 Points
  • 0.50 ABS MOC Part 2 Points
    This activity meets the ABS requirements for CME and self‐assessment credit toward Part 2 of the ABS MOC program.
  • 0.50 ACPE Contact Hours
  • 0.50 AMA PRA Category 1 Credit
  • 0.50 ANCC Contact Hours
  • 0.50 ANCC Pharmacotherapy Contact Hours
  • 0.50 University of Wisconsin–Madison Continuing Education Hours

Course Information

Registration opens: 
11/08/2019
Course expires: 
11/07/2022

Price

Cost:
$0.00
Please login or register to take this course.

Required Hardware/software

Free, current version of Chrome, Firefox, Safari, or Edge. Some older browsers and Microsoft Internet Explorer could produce error messages or not display the content correctly. 

Free, current version of Adobe Acrobat Reader or other .pdf reader.