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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
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This CME Activity has expired and is no longer available for credit.
Mission: Pain Management—The Efficient First Visit

Mission: Pain Management—The Efficient First Visit


Patient Case Simulations

Time to Complete

1 hour


November 27, 2012


November 27, 2013

Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / CE for Nurses
1.00 / CE for Pharmacists

Accredited Provider

This activity is jointly sponsored by the University of Cincinnati, Advancing Knowledge in Healthcare (AKH Inc.), and Educational Awareness Solutions.

Commercial Supporter

This activity is supported by educational grants provided by Purdue Pharma, L.P. and Mallinckrodt, the Pharmaceuticals business of Covidien.

Program Description

Mission: Pain Management – The Efficient First Visit an IDEAL® Clinical Encounter is designed to help the pain team focus their efforts on maximizing their time with the chronic pain patient.

After reviewing relevant first visit “clinical pearls”, the expert faculty will interact with a chronic pain patient, discussing his history and current situation. They will then review management choices and appropriate treatments based upon the information and “clinical pearls” revealed earlier in the program. Throughout the activity, participants will have the opportunity to monitor their learning progress, via question and answer and the experts will provide evidence-based information that can be implemented immediately to enhance your patient care.

Intended Audience

The educational design of this activity addresses the needs of physicians, nurses, pharmacists, and other health care professionals involved in the treatment of patients with pain.

Educational Objectives

After taking part in this educational activity, participants should be better able to:
  • Differentiate the underlying pathophysiology and pain transmission mechanisms associated with nociceptive, neuropathic, and centrally mediated chronic pain.
  • Compare non-pharmacologic and pharmacologic treatment options for chronic pain and contrast their relative risks and benefits in the management of chronic pain.
  • Illustrate barriers to the optimal use of opioid analgesics in patients with chronic pain and formulate strategies to address such barriers.
  • Assess therapeutic management methods, including titration for safety and efficacy, for screening and risk mitigation in the initial and follow-up care of patients with chronic pain.


Faculty Editorial Board

Bill H. McCarberg, MD

Founder of the Chronic Pain Management Program
Kaiser Permanente, San Diego
Escondido, CA

Bill H. McCarberg, MD
Speakers bureau: Endo Pharmaceuticals, NeurogesX, PriCara, Purdue Pharma

Jeffrey A. Gudin, MD
Director, Pain and Palliative Care
Englewood Hospital and Medical Center
Englewood, NJ

Jeffrey A. Gudin, MD
Speakers bureau: Pfizer Inc., Purdue Pharma, Johnson & Johnson Pharmaceuticals, Covidien, ProStrakan

Paul Arnstein, RN, PhD, FAAN
Clinical Nurse Specialist for Pain Relief
Massachusetts General Hospital
Boston, MA

Paul Arnstein, RN, PhD, FAAN
Nothing to disclose

Program Presenters

John F. Peppin, DO, FACP

Associate Medical Director
Hospice of the Bluegrass
Palliative Care Center of the Bluegrass
Director, Center for Bioethics
Pain Management and Medicine
Clinical Associate Professor
University of Kentucky
Lexington, KY

John F. Peppin, DO, FACP
Consultant/independent contractor: AIT Laboratories; Ameritox Laboratories; Astellas Pharma Inc.; Eli Lilly and Co.; NeurogesX; Progenics Pharmaceuticals, Inc.; Pfizer Inc.; Shinogi Inc.; Theravance, Inc.; Trevena, Inc.
Speakers bureau: AIT Laboratories, Ameritox Laboratories, Astellas Pharma, Covidien Pharmaceuticals, NeurogesX, Progenics Pharmaceuticals
Honoraria: AIT Laboratories, Ameritox Laboratories, Astellas Pharma, Covidien, NeurogesX, Progenics Pharmaceuticals
Research support: Alpharma Pharmaceuticals; Arcion Therapeutics, Inc.; AstraZeneca Pharmaceuticals;Cephalon, Inc.; Johnson & Johnson Pharmaceuticals; King Pharmaceuticals; Megan Medical; NeurogesX; Pfizer; Progenics Pharmaceuticals; Sangamo BioSciences, Inc.

Mary Lynn McPherson, PharmD, BCPS, CPE
Professor and Vice Chair,
Dept Pharmacy Practice & Science
University of Maryland School of Pharmacy
Baltimore, MD

Mary Lynn McPherson, PharmD, BCPS
Nothing to disclose

Planners and Managers Disclosures

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME/CE activity:

Luciano Acevedo, EAS, Nancy Feiwel, MD, EAS, Barbara Forney, UC, James Miller, EAS, Pearl Schwartz, EAS, Susan Tyler, M.Ed., CMP, CCMEP, UC, Liz Adams, AKH Inc., Jessie Goldman, AKH Inc., and Mimi Holman, AKH Inc., have nothing to disclose.


Web-based interactive CME program




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Cincinnati, Advancing Knowledge in Healthcare (AKH Inc.), and Educational Awareness Solutions. The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

The University of Cincinnati designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CE for Nurses

Accreditation Statement

AKH Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Designation Statement

AKH Inc. designates this educational activity for 1.00 contact hour (0.1 CEU). Accreditation applies solely to educational activities and does not imply approval or endorsement of any commercial product by the ANCC-COA.




CE for Pharmacists

Accreditation Statement

AKH Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Designation Statement

AKH Inc. approves this application based activity for 1.00 contact hour (0.1 CEU). UAN 0077-9999-12-032-H04-P.


Faculty Disclosure Declaration
According to the disclosure policies of the University of Cincinnati College of Medicine and AKH Inc., all faculty, planning committee members, and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interest related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity, and levels of evidence. Disclosure will be made at the time of activity.

Learner Assurance Statement
The University of Cincinnati and AKH Inc. are committed to managing all conflict-of-interest issues that could arise as a result of prospective faculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati and AKH Inc. are committed to retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the CME/CE activity.


Method of Participation
There are no fees for participating and receiving CME credit for this activity. During the period November 27, 2012 through November 27, 2013, participants must 1) read the complete program information, learning objectives and faculty disclosures; 2) study the educational activity; 3) complete the online post-test by selecting the best answer to each question, and 4) complete the online evaluation form.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 80% or better. Post-tests should be completed no later than November 27, 2013.

For information about the CME accreditation of this program, please contact Barb Forney of the University of Cincinnati at 513-558-3197 or

For information about the nursing and pharmacy accreditation of this program, please contact Jessie Goldman at AKH Inc. at (904) 683-8843 or via email at

If you have any other questions relating to your certificate or other issues with this activity, please contact


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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