Managing Pain in the Primary Care Setting

The purpose of this activity is to increase physician knowledge regarding treating chronic pain patients. In order to provide the highest quality of patient care, physicians must know the tools and resources available in treating this complex patient population. Providers should understand the mechanisms and types of pain as well as become familiar with the classes of medications, physical modalities, and interventions utilized to treat chronic pain.

At the conclusion of this educational activity, the participants should be better able to effectively:

• Discuss the essential neurophysiology and neuropharmacology as a basis for the selection of methods to medically manage chronic pain.
• Discuss the use of complementary and alternative medicine for the management of multiple chronic pain conditions.
• Distinguish between migraine and other types of headache to guide treatments with the appropriate pharmacotherapeutic intervention.
• Discuss the burden of managing adults with low back pain in the United States within the context of the healthcare delivery system, economy and workforce.
• Describe the contemporary issues regarding the role of select therapeutic interventions within the scope of physical therapy practice, including patient education, thermal modalities, electrotherapy, mechanical spinal traction, manual therapy, and exercise therapy in the management of adults with chronic low back pain complaints.
• Understand the components of monitoring practices in the use of controlled therapies for chronic pain including written consent, urine toxicology, and pharmacology monitoring as guided by new opioid prescribing laws and rules.
• Understand common methods of diversion and recognize red flags.
• Recognize signs of addiction and appropriate treatment options utilizing community resources.

Predicted changes in practice as a result of participating in this activity may include the improved ability to:

• Utilize new legislation and safe prescribing practices to shape office policies for the treatment of chronic pain in primary care setting.
• Develop treatment plans incorporating multi-modal practices including physical therapy and complimentary medicine for the management of chronic pain states.
• Manage and treat painful states with medications based on neurophysiology and neuropharmacology principles previously discussed.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Tulane University Health Sciences Center and CrescentHealth Consulting. Tulane University Health Sciences Center is accredited by the ACCME to provide continuing medical education for physicians.

Tulane University Health Sciences Center designates this live educational activity for a maximum of 8 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Tulane University Health Sciences Center and CrescentHealth Consulting presents this activity for educational purposes only and does not endorse any product, content of presentation or exhibit. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected because of their recognized expertise.

It is the policy of the Center for Continuing Education at Tulane University Health Sciences Center to plan and implement all of its educational activities in accordance with the ACCME® Essential Areas and Policies to ensure balance, independence, objectivity and scientific rigor. In accordance with the ACCME® Standards for Commercial Support, everyone who is in a position to control the content of an educational activity certified for AMA PRA Category 1 Credit™ is required to disclose all financial relationships with any commercial interests within the past 12 months that creates a real or apparent conflict of interest. Individuals who do not disclose are disqualified from participating in a CME activity. Individuals with potential for influence or control of CME content include planners and planning committee members, authors, teachers, educational activity directors, educational partners, and others who participate, e.g. facilitators and moderators. This disclosure pertains to relationships with pharmaceutical companies, biomedical device manufacturers, biotech firms, or other commercial interests as defined by the ACCME®. Any real or apparent conflicts of interest related to the content of the presentations must be resolved prior to the educational activity. Disclosure of off-label, experimental or investigational use of drugs or devices must also be made known to the audience.

This conference is designed to address the issues of competence in the following areas:

ACGME/ABMS Competencies

Patient Care and Procedural Skills, Medical Knowledge, Practice Based Learning Improvement, Interpersonal and Communication Skills, Professionalism and Systems- based Practice.

Institute of Medicine Competencies

Provide Patient Centered Care, Work in Interdisciplinary Teams, Employ Evidence-based Practice.

Interprofessional Education Collaborative Competencies

Values/Ethics for Interprofessional Practice, Roles/Responsibilities, Interprofessional Communication and Teams and Teamwork.

This activity for 8.5 contact hours is provided by the Education Resource Center of Tulane University Hospital, New Orleans, LA.  The Education Resource Center is approved by the LSBN C.E. Provider #5.

Nurses wishing to receive nursing credit must attend the whole symposium. Partial credit cannot be awarded.

By participating in MOCII, you give Tulane University CCE permission to share your completion data with ACCME on your behalf. The ACCME will communicate with the appropriate board to issue your MOCII points.

ABIM:  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 8.5 MOC points and patient safety 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.

ABA:  Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of the American Board of Anesthesiology®.

MOCA 2.0® is a trademark of the American Board of Anesthesiology®.

This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website,www.theABA.org, for a list of all MOCA 2.0 requirements.

Tulane University, Center for Continuing Education has been accredited as an authorized provider by the International Association for Continuing Education and Training (IACET).  Tulane University, Center for Continuing Education is authorized by IACET to offer .9 CEUs for this program.