NOTE: Lectures with an asterisk (*) will be followed by a breakout session, where attendees will meet with the faculty and “deconstruct” the material.

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Thursday, September 6, 2007

*Pain Mechanisms: Peripheral (P-1)/(PE-1)
James Giordano, PhD

Goals/objectives: define the components of the peripheral nervous system involved with the transduction of pain, describe the process of pain transmission, and discuss the role of typical sensitizing compounds.

Breakout goals/objectives: identify key teaching points for professional audiences based upon transduction and transmission of pain, apply principles of neurophysiology and pharmaceutical science to patient education materials, and integrate anatomy and physiology from the formal presentation to classroom presentations that are cognitively appropriate for the intended audience.

Cultural Influences (P-2)
Suzanne Bushfield, PhD, MSW

Goals/objectives: identify the core features of a culture, apply defining aspects of culture to clinical situations, and analyze healthcare delivery for cultural awareness.

*Pain Context: Implications for Family (P-3)/(PE-3)
Suzanne Bushfield, PhD, MSW

Goals/objectives: describe traditional roles within families, discuss the impact of pain on these traditional family roles, and apply information to actual clinical care.

Breakout goals/objectives: apply knowledge about traditional family roles to patient education in clinical situations that are at risk for ignoring the needs of the individuals within larger family units, analyze professional curriculum for disruptive patterns associated with the occurrence of pain within families, and formulate effective presentations about the implications of pain in the family.

Pain Mechanisms: Central (P-4)
James Giordano, PhD

Goals/objectives: describe processes involved with transmission of pain, discuss the balance between ascending and descending pain pathways, and apply uses of modulation into the practical management of pain.

*Pain Diagnostics: Clinical interviewing (P-5)/(PE-5)
Kathleen Broglio, NP

Goals/objectives: describe commonly used methods to obtain historical information, discuss use of facilitating statements, and apply principles of effective communication to patient assessments.

Breakout goals/objectives: apply principles of communication to demonstrations of patient interviews, explain use of facilitating and continuing statements for healthcare professionals, and prepare cognitively appropriate presentations on the subject of clinical interviewing.

Pain Diagnostics: Physical Exam (P-6)
David Glick, DC

Goals/objectives: describe the essential elements of a physical examination, discuss commonly used methods to distinguish between nociceptive and neuropathic pain, and apply techniques of physical examination to typical clinical environments (bedside, office, ER).

*Pain Diagnostics: Laboratory Studies (P-7)/(PE-7)
W. John Diamond, MD

Goals/objectives: describe commonly used blood tests that help to establish the diagnosis, discuss the role of hormone testing and potential need for supplementation as a strategy for pain control, and apply universal precautions to all situations involving the handling of body fluids.

Breakout goals/objectives: apply basics of laboratory medicine to patient education materials, compare commonly ordered studies and order them in significance for establishing typical pain-related disorders, and design effective professional education about the utility of laboratory testing for monitoring treatment compliance.

Pain Diagnostics: Imaging Studies (P-8)
Chris J. Kottenstette, PA-C

Goals/objectives: describe the similarities and differences of computerized tomography and magnetic resonance imaging, discuss the contraindications for the use of contrast agents, and apply information gathered from imaging techniques to diagnostic challenges associated with painful conditions.

Assessment and Treatment of Chronic Pain in the Motor Vehicle Collision Context (PSY-1 and PSY-2)
Melanie P. Duckworth, PhD

Goals/objectives: identify key aspects of the assessment needed for survivors of motor vehicle accidents; describe common psychological occurrences after motor vehicle accidents, discuss need for early interventions.

Differentiate between psychological therapies for the management of chronic pain resulting from motor vehicle accidents, describe potential acute interventions that may mitigate the risk of long term problems, discuss the importance of integrating behavioral approaches into the care of those sustaining bodily injuries during motor vehicle accidents.

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Friday, September 7, 2007

*Pain Diagnostics: Functional Capacity Evaluations (P-9)/(PE-9)
Barbara L. Kornblau, JD, OT

Goals/objectives: describe the essential features of functional capacity evaluations (FCEs), discuss methodological limitations with these examinations, and apply information learned from FCEs to workplace restrictions.

Breakout goals/objectives: prepare patient education materials explaining what will occur during FCEs, explain for professional audiences what may be learned from FCEs, and combine data from FCEs with results of imaging and laboratory studies to provide regulators and payers with necessary adjudicating information.

Pain Diagnostics: Physiologic (P-10)
David Glick, DC

Goals/objectives: describe differences between electromyography and nerve conduction velocity testing, discuss the practical limitations of electrodiagnostic studies, and apply information obtained from such studies to clinical situations in which muscles and/or nerves may be involved in the generation of pain.

*Pain Diagnostics: Anesthetic Blocks (P-11)/(PE-11)
Peter S. Staats, MD

Goals/objectives: describe commonly used diagnostic blocks, discuss role of neurodestructive methods in the management of cancer-related pain, and apply principles of neuroanatomy to methods used for blockade.

Breakout goals/objectives: examine methods used when selecting optimum technique for certain pain states, connect routes of administration and doses to clinical toxicity, and create cognitively relevant patient education materials.

Pain Diagnostics: Emerging Technologies (P-12)
B. Eliot Cole, MD, MPA

Goals/objectives: describe emerging technologies that provide information about the CYP 450-mediated metabolism of medication, discuss role of fMRI relative to other imaging methods, and apply emerging trends to clinical practice.

*Special Populations: Infants and Children (P-13)/(PE-13)
Gary Walco, PhD

Goals/objectives: describe assessment methods to be used with infants and children, discuss behavioral manifestations of unrelieved pain, and apply methods of pain management for younger people that do not pose psychological risk to them.

Breakout goals/objectives: relate methods of assessment for adults to those used for infants and children, select from various pain rating measures those most appropriate for infants and smaller children, and judge utility of professional materials for the instruction of healthcare personnel regarding the assessment and treatment of childhood pain. 

Special Populations: Aging Adults (P-14)
Teresa Keane, NP

Goals/objectives: describe issues associated with performing pain assessments for those with various impairments (cognitive, hearing, vision), discuss dosing considerations for those with impaired kidney and liver functions, and apply principles of geriatric medicine to situations in which pain is expected to occur.

*Pain Syndromes: Facial (P-15)/(PE-15)
Bernadette Jaeger, DDS

Goals/objectives: describe differences between pain of dental and neurological origin, discuss overlap between neurological and myofascial pain generators, and apply principles of head and neck anatomy to common pain syndromes.

Breakout goals/objectives: apply knowledge of anatomical structures to the design of patient education materials, plan upper body stretching sequences and techniques to address pain of myofascial origin, and discriminate between methods used to communicate overlapping etiologies for facial pain.

Pain Syndromes: Headaches (P-16)
Gary W. Jay, MD

Goals/objectives: describe typical migraine presentations, discuss implications of medication use and rebound cephalgia, and apply principles of physiology to the evaluation of headache.

Technology and Our Ethical Obligation to Treat Chronic Pain
and Suffering (PSY-3)
Michael E. Schatman, PhD

Goals/objectives: define major ethical principles, describe the role of the mental health professional in the management of pain, discuss the challenges created by technology to the provision of client-centered care.

Matching Treatments to Chronic Pain Patients: Virtues of
Splitting vs Lumping (PSY-4)
Dennis C. Turk, PhD

Goals/objectives: differentiate the therapeutic goals of “lumping” versus “splitting,” describe role of individual treatment components within the overall therapeutic plan, discuss “added value” of behavioral approaches relative to standard “medical” care.

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Saturday, September 8, 2007

*Special Populations: Terminally Ill (FP-1)/(PE-21)
B. Eliot Cole, MD, MPA

Goals/objectives: describe pain management needs of those at end-of-life, discuss management of bothersome symptoms that degrade quality of life, and apply principles from the Education for Physicians on End-of-life Curriculum to clinical care.

Breakout goals/objectives: demonstrate means for communicating “bad news,” explain differences in care of family members responding to anticipated versus sudden death, and formulate patient and family educational materials (explaining expected changes near end of life, commonly used medications, and the grieving process).

Special Populations: Comorbidly Addicted (FP-2)
Howard A. Heit, MD

Goals/objectives: describe common features of people with unrelieved pain and those with addictive disorders, discuss assessment methods used to recognize undertreated pain with drug-seeking behavior, and apply science of addictive medicine to risk mitigation in clinical prescribing of controlled substances.

*Pain Syndromes: Neck, Shoulder, Arm Pain (FP-3)/(PE-23)
Charles E. Argoff, MD

Goals/objectives: describe overlapping causes for upper body pain, discuss cervicogenic mechanisms producing upper quarter pain, and apply use of electrodiagnostic and imaging methods to the management of pain.

Breakout goals/objectives: modify existing information about cervicogenic pain generators for patient education, compare overlapping pain mechanisms with existing therapies based upon their ability to address these mechanisms, and rank literature for quality and absence of bias.

Pain Syndromes: Abdominal and Pelvic (FP-4)
Andrea Rapkin, MD

Goals/objectives: describe common causes of abdominal and pelvic pain, discuss hormonal influences on pelvic pain, and apply knowledge of anatomy and physiology to clinical situations.

*Pain Syndromes: Back (FP-5)/(PE-25)
Michael H. Moskowitz, MD, MPH

Goals/objectives: describe similarities of lower back pain, discuss role of opioids in the management of lower back pain, and apply rehabilitation methods to the treatment of back pain.

Breakout goals/objectives: examine existing guidelines for lower back pain, explain role of patient education for a successful back rehabilitation program, and judge quality of research regarding back pain.

Pain Syndromes: Neuropathic (FP-6)
B. Eliot Cole, MD, MPA

Goals/objectives: describe similarities of commonly occurring neuropathic pain syndromes, discuss limitations of existing pharmacotherapies, and apply principles and practices of rational polypharmacy.

*Pain Syndromes: Arthropathy and Rheumatological Conditions
(FP-7)/(PE-27)
Daniel J. Clauw, MD

Goals/objectives: describe differences between osteo- and rheumatoid arthritis, discuss the role for disease-modifying agents, and apply principles of immunology to the management of mixed-connective tissue diseases.

Breakout goals/objectives: apply knowledge of immunology to autoimmune- and connective tissue-related professional education, differentiate between anti-inflammatory and disease-modifying therapies, and recommend online resources for patients and professional self-education.

What Really Works for Pain? (FP-8)
Dennis C. Turk, PhD

Goals/objectives: describe the literature regarding treatment outcome for common pain conditions, discuss the role of comprehensive multidisciplinary pain care, and apply this existing information to the development of viable treatment plans.

Psychological Assessment for Opioid Therapy (PSY-5)/(PSY-6)
Geralyn Datz, PhD

Goals/objectives: identify necessary domains to be checked prior to “clearing” someone for opioid therapy, describe risk factors for misuse of opioid medication, discuss ongoing monitoring methods for the detection of treatment emergent opioid abuse

Breakout goals/objectives: evaluate patients for their appropriateness for opioid therapy, provide continuing oversight for patients taking long-term opioid therapy, prepare written reports answering questions regarding opioid risk mitigation.

The Demise of the Multidisciplinary Chronic Pain Management Program (PSY-7)
Michael E. Schatman, PhD

Goals/objectives: economic factors that have led to the widespread closure of multidisciplinary pain clinics, describe the treatment components that are believed to contribute to the success of multidisciplinary programs, analyze evidence regarding the effectiveness of multidisciplinary treatment over single modality approaches.  

Carving out Services from Multidisciplinary Chronic Pain
Management Programs (PSY-8)
Robert J. Gatchel, PhD

Goals/objectives: identify key aspects of multidisciplinary pain programs that may be “carved out,” describe the value of program components individually and collectively, discuss sequencing considerations when using components to create the most effective treatment options.

The Role of Clinical Practice Guidelines in Chronic Pain Management (PSY-9)
Robert J. Gatchel, PhD and Michael E. Schatman, PhD

Goals/objectives: describe commonly available practice guidelines for managing chronic pain, discuss methods used to develop practice guidelines (evidence based versus consensus), identify strategies needed to implement practice guidelines into the care received by those in pain.

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Sunday, September 9, 2007

*Therapeutics: Non-Opioid Analgesics (FP-9)/(PE-29)
Arthur L. Weaver, MD

Goals/objectives: describe similarities and differences of peripherally acting medications, discuss typical use of these agents in acute versus chronic pain, and apply principles of pharmacology and toxicology to the use of these agents.

Breakout goals/objectives: calculate risk-to-benefit ratios for commonly used anti-inflammatory agents, order adverse event literature for professional education, and judge quality of research demonstrating efficacy for inclusion in patient education.

Therapeutics: Antidepressants, Anticonvulsants, and Stimulants
(FP-10)
Robert Lynn Horne, MD

Goals/objectives: describe differences between antidepressants (TCAs, SSRIs, and SNRIs), discuss role of anticonvulsants for neuropathic pain states, and apply principles of psychopharmacology to the management of pain throughout the continuum.

*Therapeutics: Opioid Analgesics (FP-11)/(PE-31)
Russell K. Portenoy, MD

Goals/objectives: describe role of opioid therapy for cancer and noncancer pain conditions, discuss emerging concerns about opioid-induced hyperalgesia, and apply understanding about opioid-mediated analgesia to everyday clinical care.

Breakout goals/objectives: differentiate between well-designed clinical studies advocating for opioid therapy, classify analgesic studies for inclusion in professional education, and compose accurate and verifiable patient education resources.  

Therapeutics: Interventional (FP-12)
Peter S. Staats, MD

Goals/objectives: describe role for interventional therapies, discuss selection criteria for implanted medication delivery and spinal cord stimulation systems, and apply inclusion and exclusion criteria into method selection.

Educators Training-Part 1 (PE-101)
Mary Lynn McPherson, PharmD

Goals/objectives: describe Bloom’s taxonomy, discuss theories of adult learning, and apply educational theories to the writing of patient and professional educational materials.

Educators Training-Part 2 (PE-102)
Mary Lynn McPherson, PharmD

Goals/objectives: describe role of instruction technologies in presentation, discuss steps taken to make effective presentations, and utilize communication methods that increase recall of information.