Program Description:
By definition, chronic pain burdens patients, impairing their ability to work and carry out other activities of daily life, hampering sleep, exacerbating concomitant illness, and generally diminishing quality of life. For clinicians, managing long-term pain can be tremendously frustrating, and the subjective nature of pain perception means that even assessing response to treatment can be difficult. This case, focusing on chronic lower back pain, demonstrates how validated screening instruments for pain and concomitant conditions such as depression are valuable in pain assessment and management. It also provides insight on how knowledge of pain pathophysiology contributes to treatment decisions.
INTENDED AUDIENCE:
Primary care physicians, nurse practitioners, and physician assistants
Activity Objectives:
After taking part in this educational activity, participants should be better able to:
- Use validated screening tools to assess patients for chronic pain and response to treatment.
- Evaluate the benefits and risks of pharmacologic and nonpharmacologic treatment options for chronic pain as they apply to each individual.
- Apply knowledge of pain pathways when making diagnostic and management decisions regarding patients with chronic pain.
- Adopt communication strategies that promote patient satisfaction and adherence among patients with chronic pain.
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Credits
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Type
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Accreditation Statement
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Designation Statement
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0.50
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AMA PRA Category 1 Credit(s)TM
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Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
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Albert Einstein designates this enduring educational activity for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
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Faculty:
Bill H. McCarberg, MD
Founder, Chronic Pain Management Program
Kaiser-Permanente, San Diego
Adjunct Assistant Clinical Professor
University of California, San Diego
Bruce D. Nicholson, MD
Director, Pain Specialists of Greater Lehigh Valley
Medical Director, Division of Pain Management
Lehigh Valley Hospital and Health Network
Allentown, PA
Clinical Associate Professor
Penn State College of Medicine
Hershey, PA
CME COURSE ADVISOR
David Myland Kaufman, MD
Montefiore Medical Center
Medical Arts Pavilion
Bronx, NY
Disclosures:
FACULTY DISCLOSURES
Bill H. McCarberg, MD, is a consultant for Endo Pharmaceuticals, Insys Therapeutics, Neurogesx, Salix Pharmaceuticals, Pfizer, Inc., QRxPharma, Teva Pharmaceuticals, PriCara, Purdue Pharma, and Sucampo.
Bruce D. Nicholson, MD, has nothing to disclose.
ACCREDITOR DISCLOSURES
David Myland Kaufman, MD, has nothing to disclose.
The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine has nothing to disclose relative to this CME activity.
PUBLISHING STAFF DISCLOSURES
Jill Rovitzky Black and Melissa Johnson, Haymarket Medical Education, have nothing to disclose with regard to commercial support.
Disclosure of Unlabeled Use
This educational activity may contain discussion of approved and/or investigational uses of agents that are not indicated by the FDA. Albert Einstein College of Medicine of Yeshiva University, Lilly USA, LLC, and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Albert Einstein College of Medicine of Yeshiva University, Lilly USA, LLC, and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Presented in collaboration with PAINWeek

Accredited Provider:
Sponsored by Albert Einstein College of Medicine of Yeshiva University

If you have any questions relating to the accreditation of this activity, please contact Mildred Adighiuzor at 718-920-6674.
Commercial Supporter:
Supported by an educational grant from Lilly USA, LLC. For further information concerning Lilly grant funding visit www.lillygrantoffice.com.

Produced by Haymarket Medical Education

Instructions:
To obtain credit, a score of 70% or better is required. This CE is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the posttest survey, and have received your digital copy of your credit certificate. Your online certificate will be saved on myCME.com within your Profile/Exam History, which you can then access at any time.
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SYSTEM REQUIREMENTS:
WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution
set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.
MACINTOSH® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20
MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands
of Colors”; Macromedia Flash Player 6 or higher.