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Providing the Right Expectations: Understanding the Pathophysiology of Pain

Providing the Right Expectations: Understanding the Pathophysiology of Pain

Format

Webcast

Time to Complete

15 minutes

Released

April 26, 2019

Expires

April 26, 2020
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Maximum Credits

0.25 / AMA PRA Category 1 CreditsTM
0.25 / ABIM MOC Points
0.25 / AAFP Prescribed Credit
0.25 / CE for Pharmacists (0.025 CEUs)

An important note about ABIM MOC Part II points
Successful completion of this CME activity enables eligible participants to earn up to 0.25 ABIM-Part II Medical Knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. To claim MOC points, follow these easy steps:

Step 1: Complete all 4 questions under the "ABIM Part 2 Credit Questions" section, located at the bottom of the course evaluation form. This includes 1) attesting that our partner may submit your credits to ABIM, 2) attesting that you are ABIM board certified, 3) providing your ABIM #, and 4) providing your date of birth (MM/DD).

Step 2: Our partner, USF Health, will send your MOC points to your ABIM account within 6-8 weeks.

Accredited Provider

This educational initiative is co-provided by USF Health and CME Outfitters.

Commercial Supporter

Supported by an educational grant from Johnson & Johnson

Program Description

It can be difficult and daunting to evaluate patients with chronic pain, as the nervous system is complex and knowing which type of pain the patient is experiencing – neuropathic, nociceptive, or nociplastic – is the best guide for where clinicians should focus their treatment choices; the fact that there is no clinical way to diagnose sensitization only adds to the difficulty. It’s important for clinicians to think of what the actual mechanisms of a medication are and how to use them in a rational way to help decrease pain.

There is rarely a medication that will decrease pain completely, but patients should at least experience positive effects on their level of function and quality of life. Dr. Steven Stanos discusses the importance of providing the right expectations for patients, “You have to set the right expectation for the patient. If the patient has a poor understanding of their pain condition, there is this thought that is not accurate – that we can give a medicine for everything. There is rarely a medicine that is going to decrease their pain completely. It’s important to tie the pain score to functional outcomes – what can they now be doing?”

In this free CME Snack, Dr. Gold and Dr. Stanos focus on the pathophysiology of pain and the underlying mechanisms to assessment and appropriate management and share insights on ways to properly educate patients about their pain to optimize safe and effective multimodal treatment plans.

Intended Audience

Physicians, physician assistants, nurse practitioners, nurses, and pharmacists.

Educational Objectives

At the end of this CME/CE activity, participants should be able to:

Physicians/PAs

  • Apply knowledge of acute and chronic pain pathways and underlying mechanisms to clinical assessment and appropriate management of pain.
  • Educate patients about their pain to optimize safe and effective, multimodal treatment plans.

CPE

  • Explain acute and chronic pain pathways and underlying mechanisms and how they relate to clinical assessment and appropriate management of pain.
  • Educate patients about their pain to optimize safe and effective, multimodal treatment plans.

Conflict Of Interest Disclosure Policy

It is the policy of USF Health and CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Faculty

Mark S. Gold, MD
ASAM's Annual Lifetime Achievement John P. McGovern Award & Prize winner
Adjunct Professor of Psychiatry
Washington University School of Medicine
St. Louis, MO
17th University of Florida Distinguished Alumni Professor
Gainesville, FL

Dr. Gold has no disclosures to report.

Steven P. Stanos, DO
Medical Director, Swedish Health System Pain Medicine and Services
Seattle, WA
Immediate Past President, American Academy of Pain Medicine

Dr. Stanos discloses the following:
Research Support: Grunenthal
Consultant: SCILEX Pharmaceuticals, Inc.

Accredited Provider Disclosure

The CME Outfitters, LLC staff has nothing to disclose.
The USF Health staff has no disclosures to report.

Planners' and Managers' Disclosures

Mae Ochoa, RPh, (peer reviewer) has no disclosures to report.
Jan Perez , (planning committee) has no disclosures to report.
Sharon Tordoff (planning committee) has no disclosures to report.

Credit

0.25

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

USF Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

USF Health designates this enduring activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC Part II Points:
MOC Points available for Internal Medicine and General Medicine Board Certified Physicians.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge 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.

Credit

0.25

Type

AAFP Prescribed Credit

Accreditation Statement

This Enduring Material activity, “Providing the Right Expectations: Understanding the Pathophysiology of Pain”, has been reviewed and is acceptable for up to 0.25 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 02/25/2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

0.25

Type

CE for Pharmacists

Accreditation Statement

CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 0.25 contact hours (0.025 CEUs) Universal Activity Number: 0376-0000-19-011-H01-P

Type: Knowledge-based

MIPS Improvement Activity

This activity counts towards MIPS Improvement Activity requirements under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Additional Credit Information

Note to Nurse Practitioners: Nurse practitioners can apply for AMA PRA Category 1 CreditTM   through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 CreditTM   from organizations accredited by the Accreditation Council for Continuing Medical Education. Nurse practitioners can also apply for credit through their state boards.

Note to Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM   from organizations accredited by the Accreditation Council for Continuing Medical Education.

Disclosure of Unlabeled Use

CME Outfitters, LLC, USF Health, and the faculty do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

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.

Instructions

There are no fees for participating in this CME/CE activity. To receive credit, participants must (1) read the learning objectives and disclosure statements, (2) study the educational activity, and (3) complete the post-test and activity evaluation form, including the certificate information section.

To obtain a certificate, participants must receive a score of 75% or better on the post-test. The post-test can be accessed at the end of the activity. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

If you have any questions relating to the accreditation of this activity, please contact CME Outfitters at 877-263-7767.

For information about ACCME accreditation and ABIM MOC for this activity, please email cpdsupport@health.usf.edu.
Learning Format: Enduring activity

If you have any other questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

SYSTEM REQUIREMENTS

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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