Resources & Information

The North Carolina Medical Board expects licensees who prescribe controlled substances to do so in a safe and appropriate manner that conforms to accepted standards of care. Here, the Board has gathered several resources that can help licensees maintain current knowledge about accepted standards and best practices. Resources may be documents developed by the NCMB, or resources that the Board has found to be credible and useful to licensees who prescribe opioids to their patients.


NCMB Policy on the use of opiates for the treatment of pain This is the Board’s official guidance document for licensees who prescribe controlled substances for the treatment of pain. Last revised in 2005, the Board is currently reviewing the position statement with the intent to update it.

NC Controlled Substances Reporting System: This program is NOT administered by the Medical Board. It is a state-run resource that the NCMB considers to be an important tool. Licensees are encouraged to register for access and use the system. Licensees may register for access to the CSRS via the NCMB website. Login here, then select Training & CSRS from the menu options and scroll down the page to access the CSRS registration process.

Responsible Opioid Prescribing: A Physician’s Guide by M. Scott Fishman, MD, is an excellent book that offers clinicians effective strategies for reducing the risk of addiction, abuse and diversion of opioids that they prescribe to patients with pain. Licensees who read the book and complete related online activities can claim CME. Learn more


The Federation of State Medical Boards (FSMB) and FSMB Foundation and other medical and educational organizations have created six online modules on responsibile opioid prescribing. Users who complete all six may claim one hour of AMA/PRA Category 1 CME credit.

SCOPE of Pain (Safe and Competent Opioid Prescribing Education) This program, developed by Boston University with grant funding from makers of extended release/long-acting (ER/LA) opioid analgesics, is offered online or in person at one of 10 regional trainings being held nationally. The NCMB was proud to be a sponsor of the SCOPE of Pain training held in Raleigh in October 2013. Find information about online SCOPE of Pain CME opportunities.