Chronic Pain and Opioids

Clinicians and their team members are cordially invited to participate in the Chronic Pain and Opioids ECHO program, funded by the SAMHSA State Targeted Response to the Opioid Crisis grant program.

This 16 session ECHO series is designed to help clinicians and their teams provide enhanced pharmacological and non-pharmacological treatment for chronic pain in a primary care setting.

Topics will include: 

  • The biopsychosocial approach to managing pain

  • Understanding and assessing different types of pain

  • Appropriate and ethical treatment plans for patients with opioid use disorder

  • Evidence-based behavioral interventions for chronic pain

  • Managing opioid tapers

  • Identifying patients who may benefit from buprenorphine products

  • Distinguishing between opioid dependence and opioid use disorder

Benefits of participation include:

  • No cost to you or your facility

  • No cost to you continuing medical education (CME) and Maintenance of Certification (MOC) credits*

  • The opportunity to present your tough cases and receive feedback from a multidisciplinary team of specialists and your peers

  • Share and learn with other clinicians, practices, and a multidisciplinary team of specialists on how to:

    • Assess substance use disorder in the context of pain

    • Have difficult conversations

We will select up to 25 Oregon clinicians (MD, DO, ND, PA, and NP) to participate based on their interest in the program, geographic distribution, and ability to commit to attend the sessions. Clinicians are encouraged to invite one other staff member such as behavioral health specialists, nurses, medical assistants, or practice managers to participate in the sessions with them.  This course is part of the OHSU Addiction Medicine ECHO certificate program; participants who express interest in completing the certificate program will receive priority access.

*Accreditation: Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit: OHSU School of Medicine designates this live activity for a maximum of 16.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, Chronic Pain and Opioids has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: Family Medicine, Preventive Medicine.

This program is registered for MOC through the American Board of Internal Medicine (ABIM)



Tuesdays, noon - 1 p.m.
January 14 - May 5, 2020


  • Jonathan Robbins, M.D., M.S. Assistant Professor of Medicine, Division of General Internal Medicine and Geriatrics, School of Medicine, OHSU

  • Catriona Buist, Psy.D. Assistant Professor of Anesthesiology and Perioperative Medicine, School of Medicine, OHSU

  • Jessica Gregg, M.D., Ph.D., Associate Professor of Medicine,
    Division of General Internal Medicine and Geriatrics, School of Medicine
    , OHSU

  • Amy Maher, M.D., Pain Management Physican

  • Michelle Marikos, B.S., Peer Support Specialist For Chronic Pain

  • Elizabeth Tiffany, M.D., Addiction Psychiatrist/Addiction Psychiatry Fellowship Director UC Health/University of Cincinnati College of Medicine