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ICOO 2016 Keynotes
Sunday June 5, 2016
8:30 am - 9:15 am

Eduardo D. Bruera, MD

Chair, Department of Palliative Care and Rehabilitation Medicine

The University of Texas MD Anderson Cancer Center

Long-term Opioid Use in Supportive Care Clinics: 
Assessment and Monitoring Among Patients with Advanced Cancer and Cancer Survivors

    Dr. Eduardo D. Bruera is the Chair of the Department of Palliative
Rehabilitation and Integrative Medicine at The University of Texas
MD Anderson Cancer Center where he holds the F.T. McGraw
Chair in the Treatment of Cancer. His main clinical interest is the
care of the physical and psychosocial distress of patients with
advanced cancer and the support of their families. Dr. Bruera has
been interested in the development of palliative care programs
internationally, particularly in the developing world where
he helped in the establishment of numerous palliative care
programs in the Latin American region, India, and different areas
of Europe. The Canadian Society of Palliative Care Physicians has
established the “Eduardo Bruera Award” as a career award for
palliative care specialists.
Tuesday, June 7, 2016
9:15 am - 10:00 am

Humayun Chaudhry, D.O., MACP, MACOI
President and Chief Executive Officer
The Federation of State Medical Boards of the United States, Inc.

The Role and Perspective of State Medical Boards in the Oversight of Chronic Opioid Therapy for Pain Management.

     Dr. Humayun “Hank” Chaudhry is the President and Chief
Executive Officer of the Federation of State Medical Boards
(FSMB) of the United States, which represents the nation’s state
medical licensing boards and co-sponsors the United States
Medical Licensing Examination (USMLE). In September 2014,
he was elected Chair-Elect of the International Association of
Medical Regulatory Authorities (IAMRA), which represents more
than 90 member organizations from more than 43 nations. He
is the co-author of two books, Fundamentals of Clinical Medicine
and Medical Licensing and Discipline in America. He has a Master’s
degree in Health Care Management from the Harvard School of
Public Health.


Conference Schedule - Updated June 1, 2016 

Sunday, June 5, 2016

8:30 am – 9:15 am

KEYNOTE: Long-term Opioid Use in Supportive Care Clinics:  Assessment and Monitoring Among Patients with Advanced Cancer and Cancer Survivors

Eduardo D. Bruera, MD


9:15 am – 10:00 am

Kappa Opioid Receptor Agonists (KORAs), a Novel Pharmacology for the Treatment of Acute and Chronic Pain

Joseph Stauffer, DO, MBA


Lynn Webster, MD


Three experts in the field of clinical research and clinical practice will describe the pre-clinical and clinical data for novel peripherally selective Kappa Opioid Receptor Agonists (KORAs). Human Abuse Liability data will also be presented. Application of this novel pharmacology may fill an unmet need in acute and chronic pain.


10:00 am – 10:30 am Break with Exhibitors and Poster Presenters (1-30)

10:30 am – 11:15 am

Medication Assisted Treatment for Opioid Use Disorders that Occur in the Treatment of Chronic Pain

Elinore McCance-Katz, MD, PhD

The occurrence of opioid use disorder (OUD, opioid abuse/addiction) is a concern shared by many clinicians who prescribe opioids in the context of pain management. This presentation will review literature on rates of OUD in chronic pain patients, behaviors associated with OUD, the validity of the construct of psuedoaddiction, epidemiology of OUD in Americans and treatment of OUD. Medication assisted treatment for OUD in the context of the patient with pain will be addressed as will new models of care for this population.


11:15 am – 12:00 pm

Opioids for Chronic Pain: “Damned if You Do, Damned If You Don’t!”

Howard A. Heit, MD, FACP, FASAM


12:00 pm – 12:30 pm

Association of Single-Nucleotide Polymorphisms, Buprenorphine vs Methadone Maintenance Therapy, and Second/Third Trimester Dose Reduction Strategies with Clinical Outcomes of Neonatal Abstinence Syndrome

John Standridge, MD, DFASAM


Four specific objectives include:  To determine whether genomic variations in the mothers are associated with severity of Neonatal Abstinence Syndrome (NAS); To confirm the findings of the MOTHER trial; To demonstrate that a tapering regimen is safe and effective in proactively alleviating NAS severity; To create an NAS risk index.


12:30 pm - 1:30 pm

Lunch Break with Exhibitors, Poster Presenters (1-30) or Satellite Symposia

Lunch provided by ICOO2016 organizers - not industry sponsored


1:30 pm – 2:15 pm

Opioids and Clinical Cannabis:  Considerations in Co-occurring Use

Seddon Savage, MD, MS

Gil Fanciullo, MD, MS


Twenty-three U.S. States and all Canadian provinces have made herbal cannabis available for clinical management of pain and a variety of other symptoms and many patients prescribed opioids for pain elect to also use marijuana either through legal authorization or illicitly. Opioids and cannabis/cannabinoids provide analgesia through different mechanisms and both are rewarding substances that can become objects of diversion, misuse and addiction. This raises numerous clinical considerations for clinicians who use opioids to treat pain, particularly in States with legal access to marijuana. Whether or not physicians support use of non-pharmaceutical cannabis in clinical care, most will need to manage patients who elect to use cannabis for pain control.


2:15 pm – 3:30 pm

Contemporary Issues in Opioid Therapy

-Methadone: Refining and Defining Safety and Efficacy in Clinical Practice
-One Size Really Doesn't Fit All: Implications of patient- and opioid-specific variables
-It's more than a number...Advanced opioid conversions and dosing strategies

Mary Lynn McPherson, PharmD, BCPS, CPE

Kathryn Walker, PharmD, BCPS, CPE


The American Pain Society and other groups recently published safety guidelines on methadone dosing and suggested monitoring parameters. This presentation will provide an overview of these guidelines and will include case-based illustrative examples. Application in special populations such as end of life care will also be addressed.


Practitioners are fortunate to have multiple opioids to select from to treat patients with moderate to severe pain. No one opioid is the best choice for any individual patient. Participants in this session will learn how to consider characteristics about various opioids, and specific patients to make optimal decisions.

Calculating opioid conversions can be complex, but are commonly coupled with the challenge of applying it to a medically complicated patient. To address this issue, we will discuss case based pearls to use in untangling the complexities of applying opioid conversions to patient care.

3:30 pm – 4:00 pm - Break with Exhibitors and Poster Presenters (1-30)

4:00 pm – 5:00 pm

The Evolution of Abuse Deterrent Drug Formulations:  Testing Effectiveness from the Benchtop to the Real World

Beatrice Setnik, PhD

James Tolliver, PhD

Richard Dart, MD, PhD

Edward Cone, PhD


ICOO participants will greatly benefit from understanding the regulatory requirements and evolving methods for evaluating abuse deterrent formulations and the emerging data to determine if an abuse deterrent approach is effective in mitigating prescription opioid abuse and misuse in the real world.


5:00 pm – 5:30 pm

ER/LA Opioid Analgesics REMS: Implementation and Impact on Opioid Abuse, Overdose and Death

Paul Coplan, ScD, MBA

Gregory Wedin, PharmD, DABAT

Laura Wallace, MPH


This symposium will describe the components and results of the extended-release/long-acting (ER/LA) opioid class risk evaluation and mitigation strategy (REMS) program. It will include details on the class-REMS collaboration and structure, REMS education, metrics, results, and overall impacts on opioid prescribing and abuse in the United States.


6:00 pm – 8:00 pm

SCREENING: "The Painful Truth: What Chronic Pain Is Really Like and Why It Matters to Each of Us"

Lynn Webster, MD

Dr. Lynn Webster has dedicated more than three decades to becoming an expert in the field of pain management. A leading voice in trying to help physicians safely treat pain patients, Dr. Webster actively works within the industry to develop safer and more effective therapies for chronic pain and addiction. In The Painful Truth, Dr. Webster introduces chronic pain through the eyes of his former patients, illustrating their unique situations as their lives were suddenly and dramatically torn apart by onset pain. (No Cost - RSVP required)


Monday, June 6, 2016

8:00 am - 8:45 am

NATIONAL PAIN STRATEGY: Implications for the Pain Community

Daniel B. Carr, MD, FABPM


 8:45 am - 9:30 am

CDC Guidelines

Jane Ballantyne, MD


 9:30 am - 10:00 am

Selected Case Studies and the Application of Recent Guidelines

Jane Ballantyne, MD

Daniel B. Carr, MD, FABPM


10:00 am - 10:30 am - Break with Exhibitors and Poster Presenters (31-60)


10:30 am - 11:00 am

Reduction in Postoperative Opioid Requirement Through the Combined Application of Preoperative Risk Assessment and Multimodal Analgesia.

Guy Hans, MD, PhD


Scientific update on practices to reduce opioid requirement postoperatively with application of preoperative risk assessment and application of multimodal analgesic methods per- en post-operatively.


11:00 am - 11:45 am

If Not You, Who? A Call for Informed Professionals To Engage in Opioid-Related Policy Making

Michael C. Barnes, JD

Jonathan M. Young, JD, PhD


A discussion of timely opioid-related policy matters and a call to action


11:45 am - 12:00 pm

Reducing the Community Prescribed Opioid Load as a Harm Reduction Strategy



This presentation will introduce a new community safety strategy to reduce the harm imposed by opioids on communities, and help to control the opioid epidemic. Our concept of a community prescribed opioid load encourages best practice in opioid prescribing and monitoring to reduce the quantity of opioids in circulation.


12:00 pm - 12:30 pm

New Drugs in Opioid-Induced Constipation: How Much is That Bowel Movement Gonna Cost You?

Leah Sera, PharmD, BCPS

Nina M. Bemben, PharmD, BCPS


Opioid-induced constipation (OIC) is a common and distressing symptom in patients with advanced illness taking opioids. This presentation will describe the pharmacology of newer agents for constipation, assess the evidence for their use in OIC, and discuss their place in therapy.


12:30 pm - 1:30 pm

Lunch Break with Exhibitors, Poster Presenters (31-60) or Satellite Symposia

Lunch provided by ICOO2016 organizers - not industry sponsored


1:30 pm - 2:15 pm

Legal Issues from a Physician’s Viewpoint

Carol A. Warfield, MD



2:15 pm - 3:30 pm

Effective Treatment vs Enabling: Where to Draw the Line with Opioid Agonist Therapy?

Joseph Insler, MD

Anna LaRose, MD

Akiva Daum, MD

John Renner, MD


This workshop will focus on buprenorphine maintenance treatment in patients who continue to abuse opioids or other drugs. These patients often create clinical challenges since many do not achieve sobriety in their initial treatment attempts, and providers may wonder whether they are helping or harming by continuing maintenance treatment.


3:30 pm – 4:00 pm - Break with Exhibitors and Poster Presenters

4:00 pm - 5:30 pm

Evidence-Based Best Practice for Opioid Prescribing and Monitoring: Medicolegal Pain Management Expert Symposium

Daniel Schwarz, MD, FASAM

Ronald Chapman, II, JD

Hon. Jodi Debbrecht Switalksi, JD


Media’s lopsided heroin consequences contradict persistent opiate prescriptions, emergency visits and mortality.  Despite varied state legislation and disparaging new mandates, the prescription opioid epidemic is thriving.  Requiring objective functional pain metrics, knowledge of judicial actions and review of pertinent case law, realistic solutions for prevention may prevail over societal band-aid solutions.


Tuesday, June 7, 2016

8:00 am - 8:30 am

Behavioral Interventions for Pain Management

Robert Jamison, PhD


8:30 am - 8:45 am

How to Wean Patients of Opioids: What Resources Can be Used to Educate and Support Patients to Cease Taking Opioids.

Penny Briscoe, MBBS, FPMANZCA


With increasing concerns of harm and evidence of poor efficacy from long term use of opioids in chronic non-malignant pain how can we advise and support patients to wean?

What are some of the tools that can be used to help patients understand why we wish them to wean.


8:45 am - 9:15 am

The Disciplinary Process for Physicians Who are Reported for Poor Opioid Prescribing Practices

James McDonald, MD, MPH


9:15 am -10:00 am

KEYNOTE: The Role and Perspective of State Medical Boards in the Oversight of Chronic Opioid Therapy for Pain Management.

Humayun Chaudhry, D.O., MACP, MACOI


10:00 am – 10:30 am - Break with Exhibitors


10:30 am – 11:00 am

Top Three Posters


11:00 am – 12:30 pm

Governors’ Panel
Gov. Charlie Baker (MA)
Gov. Maggie Hassan (NH)
Gov. Paul R. LePage (ME)
Gov. Dannel P. Malloy (CT)
Gov. Gina M. Raimondo (RI)
Gov. Peter E. Shumlin (VT)

12:30 pm

ICOO 2016 Conference Wrap Up

 ICOO 2016 Conference Times
Saturday June 4, 2016
 Exhibitor Setup 2:30 pm to 5:00 pm
Attendee Registration 2:30 pm to 5:00 pm
Sunday June 5, 2016
Attendee and Exhibitor Registration 7:00 am to 6:00 pm
Conference day begins at 8:00 am -  day ends at 8:00 pm
Monday, June 6, 2016
Attendee and Exhibitor Registration 7:00 am to 5:00 pm
Conference day begins at 8:00 am - day ends at 5:15 pm
Tuesday, June 7, 2016
 Attendee and Exhibitor Registration 7:00am to 1:30pm
 Conference day begins at 8:00 am - 
Conference closes at 1:15 pm
 Exhibit Breakdown 1:30pm to 4:00pm

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Schedule Subject to change without notice