Online CME: Anesthesiology/Pain Management
Last Updated June 13, 2009.

Special Notice!! Looking for reviewers to help keep the List up-to-date.

The sites described on this page are primarily concerned with anesthesiology and pain management. You may find other online CME sites and courses with anesthesiology and pain management content at the main online CME site.

AAFP Learning Link
Last visited...3/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...4 lectures each offering 2.0 hours each (total of 8 hours).
Awarded by....AAFP.
Cost..........Free.
Instruct. Type...Slide-Video Lecture.
Target Audience....FP, PAIN.
Educ. material last updated...2008.
Financial support...Various pharmaceutical companies.
CME Credit Expires...Two years.

The first set of activities in the new AAFP Learning Link is the Pain Management Series, which consists of these 4 lectures: Assessment and Management of Chronic Pain; Managing the Chronic Pain Patient at Risk or with a History of Addiction; Challenging Issues in Chronic Pain Management; Disparities in Care: and Special Populations in Pain Management.

(The) Academy for Continued Healthcare Learning (formerly called ACCESS)
Last visited...1/2008.
Credit hours....18 activities offering a total of 18 hours.
Awarded by....ACCESS Medical Group.
Cost...........Free.
Instruction Type...Text-Only, Text-and-Graphics, Slide-Audio (webcasts)
Target Audiences...FP, IM, ANES.
Educational material last updated....2007.
Financial support...None Stated.

One case study (Exploring Strategies to Reduce Cardiovascular Risk in Diabetic Patients With Dyslipidemia); one monograph (Reducing Residual Cardiovascular Disease Risk in Patients With Diabetes: The Unique Macrovascular and Microvascular Benefits of Fenofibrate); 8 monographs (mostly on anesthesia topics and lipid control); 6 slide-kit modules in anesthesia; and 2 webcasts (anesthesia; use Internet Explorer).

AMA Pain Management: The Online Series
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...12 modules, each offering 1.0 hour of credit.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Text-and-Graphics with occasional audio.
Target Audiences....ANES/PAIN, General Interest.
Educ. material last updated....9/07.
CME Credit Expires...12/09.
Financial support...Purdue Pharma.

Twelve modules on the assessment and management of pain in a variety of areas:
Pathophysiology of Pain; Overview of Management Options; Barriers to Pain Management; Pain in Patients with Substance Abuse Concerns; Pain in Older Adults; Pediatric Pain Management; Persistent Nonmalignant Pain; Common Persistent Pain Conditions; Neuropathic Pain; Cancer Pain; and End-of-Life Care.

Anesthesiology Online
Last visited....12/2008.
Credit hours....1.0 per module, 2 per article, 2 for the slide shows. (Total of "more than 60" credits available)
Awarded by....Dannemiller Memorial Educational Foundation.
Cost...........$99.99 per year.
Instruction Type....Text-Only.
Target Audience....ANES.
Educational material last updated...2006
Financial support...Purdue.

Anesthesiology Online is an online informational and educational resource for anesthesia professionals. You will not be able to view any content until you have registered and paid your fee.

California Society of Anesthesiologists Online CME Programs
Last visited...5/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours... 3 programs offering 21 total credits
Awarded by....California Society of Anesthesiologists (CSA).
Cost...........Free to CSA members; $30 per credit for all others.
Instruction Type....Text-Only.
Target Audience....ANES/PAIN.
Educational material last updated....2008
Financial support...None Stated

These articles were created to meet the licensure requirement of the California Medical Board for 12 hours CME in pain and end-of-life studies. The twelve articles are: Summary of Pain Management and End-Of-Life Care Series, and Neuromodulation; Neurosurgical Options for Refractory Pain Management; Improving Patient Safety for Pain Blocks: Lessons Learned from Medical Malpractice Claims Review; Pain and the Brain: What We Have Learned from Functional Neuroimaging; Rehabilitation in Pain Management; Palliative and End-of-Life Care; Opioids for Pain: Risk Management; Complex Regional Pain Syndromes; Pain Physiology; Concepts in Opioid Tolerance; Is Untreated Pain a Disease? and Repeal of Triplicate Prescribing. You will also find the Obstetric Anesthesia program containing 4 modules ( 4 credits) and the Critical Care program offering 5 modules ( 5 credits).

Cleveland Clinic: 2nd Annual Perioperative Medicine Summit
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD
Credit hours...2 activities, for a total of 1.25 hours.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Case-Based Interactive.
Target Audiences...ANES, IM.
Educ. material last updated....2009.
Financial Support...Multiple pharmaceutical companies.

The goal of this activity is to enable clinicians who are engaged in perioperative medical care to incorporate the latest findings from clinical research into their office and hospital practice so that they can provide quality and safe medical care. Two brief interactive cases: Perioperative Management Strategies for the Patient Requiring Warfarin; and Challenging Perioperative Cases.

Cleveland Clinic: Findings from the Department of Outcomes Research and Outcomes Research Consortium (Perioperative Hypothermia)
Last visited...3/2009.
Reviewed by...Bernard Sklar, MD
Credit hours....4 activities, offering 0.5 or 2.0 hours (total of 5.0 hours)
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video lectures.
Target Audiences...SURG, ANES, CRIT CARE.
Educ. material last updated....2008.
Financial Support...Cleveland Clinic Foundation
CME Credit Expires...4/09.

After completing this series, you should be able to: review the effects of regional and general anesthesia on thermoregulatory control; discuss heat balance and how surgical patients become hypothermic; review the consequences of hypothermia and how to maintain normothermia; and identify methods of reducing the risk of surgical infection. Lectures are titled: Non-Pharmacologic Prevention of Surgical Wound Infection; Perioperative Shivering: Physiology and Pharmacology; Prevention and Treatment of Perioperative Hypothermia; and Temperature Monitoring and Perioperative Thermoregulation.

Cleveland Clinic: IV Methadone: Guidelines for Safe Effective Use
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD
Credit hours...1.0.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video Lecture, Podcast.
Target Audiences...PAIN.
Educ. material last updated....2008.
Financial Support...Xanodyne Pharmaceuticals.

After completing this activity, you should be able to: describe the indications for IV methadone use; explain the side effect profile of IV vs. oral methadone; review the current guidelines for monitoring patients on IV methadone; and elucidate how to safely utilize IV methadone in appropriate circumstances.

Cleveland Clinic: Opioid Rotation: What Comes After Morphine?
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD
Credit hours...1.0.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video Lecture.
Target Audiences...PAIN, General Interest.
Educ. material last updated....2009.
Financial Support...Endo Pharmaceuticals.

This webcast explores the rationale for opioid rotation and alternatives. After completing this activity, you will be able to: explore the pros and cons of opioid rotation; discuss the physiologic and clinical rationale for opioid rotation; and review specific conversion protocols for alternate opioid therapies.

Cleveland Clinic Pain Management Symposium
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD
Credit hours...5 sets of activities offering a total of 7.75 hours.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Audio lectures.
Target Audiences...PAIN.
Educ. material last updated....2008.
Financial Support...ANS.

A set of lectures recorded at the 10th Annual Pain Management Symposium in February 2008. Topics include: Cancer Pain; Evidence-Based Pain Management; My Technique Symposium: Presentation by the Experts Parts 1 & 2; and Emerging Therapies.

Cleveland Clinic Selected Topics in Pain Management
Last visited...3/2009.
Reviewed by...Bernard Sklar, MD
Credit hours....2 activities totaling 2.50 hours). 
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Case-Based Interactive.
Target Audiences...FP, IM, PAIN,
Educ. material last updated....2008.
Financial Support...None Stated.
CME Credit Expires...2009.

Two activities: Post-Herpetic Neuralgia and Spinal Cord Stimulation and Occlusive Peripheral Vascular Disease.

Cleveland Clinic Traditional and Emerging Approaches to Challenging Cases in Anesthesiology  
Last visited...3/2009. 
Credit hours....7 courses, each offering 1.0 credit hour.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Text-Only.
Target Audiences...ANES.
Educ. material last updated....2008
Financial Support...Various.

Seven activities: Anesthetic Management for Morbid Obesity During Craniotomy; Perioperative Management of Patients
Undergoing Bilateral Total Knee Replacement; The Adult Difficult Airway: Malignant and Benign Tumors; Anesthesia for Revascularization of the Lower Extremity; Anesthesia for Major Hepatic Resection; Obese Patients and Laryngeal Mask Airways;
and Airway Challenges in the PACU/ICU.

Emerging Solutions in Pain
Last visited...6/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...13 activities offering a total of 10.75 hours.
Awarded by....Medicom Worldwide, Inc.
Cost...........Free.
Instruction Type...Text-Only; Slide-Video Lectures.
Target Audiences...Many Specialties.
Educational material last updated...2009.
Financial Support...Cephalon.

After registering and logging in, click on CE Education to find these activities: 
Knowledge Series I & II – Previously accredited and published monographs that have been re-accredited and re-released (3 activities; 3 hours).
Journal Club – Earn 0.25 Credit per activity by reading articles, downloading a transcript or listening to commentaries (3 activities, 0.75 hour)
Pain & Addiction 101 – Programs adapted from live symposia held in 2008 in conjunction with the 19th American Academy of Pain Management and the 8th International Conference on Pain and Chemical Dependency. (5 activities, 5 hours)
Monographs on a range of pain management and addiction medicine topics. (2 activities, 2 hours)

HemostasisCME.org
Last visited...12/2008.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 6 courses each offering 1.0 hour.
Awarded by....FCG Institute for Continuing Education.
Cost for Credit......Free.
Instruction Type... Slide-Audio Lectures.
Target Audiences...ANES, HEMA, SURG.
Educational material last updated...2008.
Financial Support...Various pharmaceutical companies.

You will find 6 CME activities relating to hemostasis and coagulation issues: Congenital Hemophilia With Inhibitors: Treatment of Bleeding; Hemostatic Strategies in Surgery to Optimize Control of Blood Loss; Coagulation Case Challenge; Acquired Factor VIII Inhibitors: Pathophysiology and Treatment; Unexpected Bleeding Diatheses: Diagnosis and Management; and Optimizing Blood Management in Cardiovascular Surgery: Why & How.

Insights into Pain Management
Reviewed by...Bernard Sklar, MD.
Last visited...3/2009.
Credit hours...7 modules, each offering 1.0 hour of credit. 
Awarded by....University of Pennsylvania School of Medicine and Scios-CME.
Cost for Credit....Free.
Instruction Type...Case-Based Interactive.
Target Audiences...FP, IM, PAIN MGMT.
Educational material last updated....2009.
Financial Support...Ortho-McNeil-Janssen Pharmaceuticals.

Following participation in this program, you will be better able to: translate an understanding of the basic pathophysiology of pain into optimal pharmacologic clinical practice; list common clinical pain syndromes addressing the diagnostic and therapeutic decisions that need to be made; give reasons for treating acute pain syndromes early; enumerate pharmacologic and nonpharmacologic choices for acute and chronic pain management; develop a scheme of rational drug selection, titration, and administration, based upon tolerability, safety, and prevention of toxicity; identify the common misconceptions and barriers to achieving pain control using opioids and nonopioids appropriately; and explain the importance of elements of a comprehensive, multidisciplinary approach to pain, including techniques to improve patient and physician communications.

MediCom Worldwide
Last visited...3/2008.
Credit hours...2.0.
Awarded by....Medicom.
Cost...........Free.
Instruction Type...Slide-Audio-Lecture.
Target Audience...PAIN MGMT.
Educational material last updated....2007.
Financial Support...Abbott and Alpharma.

Two courses are available: Advances in Pharmacotherapy for Chronic Pain and Tomorrow's Vision of Pain Management.

Pain.com has CME instruction in four sections.

Access all sections from the main page. To find the CME content, Click on "Professionals," then CME Center, at the top left of the main page.

  • Monthly Modules
    Last visited...2/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours....1.0 per CME program or module; 3 modules per month for total of 36 modules per year. (36 credits)
    Awarded by...Dannemiller Educational Foundation.
    Cost...........Free
    Instruct. Type...Text-Only.
    Target Audiences....ANES, PAIN MGMT.
    Educ. material last updated....2008.
    Financial Support...Cephalon, Purdue.

These articles are organized into modules of 10 articles each, and three new modules are offered each month. There are now 36 modules available. Each module is followed by a 10-question multiple choice post-test and a short evaluation.

  • Breakthrough Pain
    Last visited...2/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours....1.0.
    Awarded by...Dannemiller Educational Foundation.
    Cost...........Free
    Instruct. Type...Text-Only.
    Target Audiences....ANES, PAIN MGMT.
    Educ. material last updated....2009.
    Financial Support...Cephalon.

A single article. "Breakthrough pain is a frequent problem that occurs in the presence of otherwise stable, persistent pain. It is usually associated with moderate to severe pain and may be a predictor of poor response to treatment with routine pharmacotherapy. Breakthrough pain is also associated with both functional impairment and psychological distress. Assessment and treatment should be multidimensional, with pharmacotherapy being the mainstay of treatment."

  • CME/CE Slide Presentations
    Last visited...2/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours...15 courses offering 15 hours.
    Awarded by...Dannemiller Educational Foundation.
    Cost...........Free.
    Instruct. Type...Slide-Audio Lecture.
    Target Audiences....ANES, PAIN MGMT.
    Educ. material last updated....2008.
    Financial Support...Cephalon, Purdue.

15 lectures on a wide variety of pain management topics. Recent titles include: Headache Management for Primary Care Physicians; Pharmacologic Management of Pain: NSAIDs to Opioids; The Challenge of Opioid Therapy: Proper Patient Selection & Careful Patient Management; Proper Management of Patients with Controlled Substances: 5 Illustrative Cases; and Utilizing Opioid Therapy for Chronic Pain: A Case-Based Approach to Optimize Therapeutic Outcomes While Managing Potential Risks.

  • CME/CE Articles
    Last visited...2/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours...3 articles totaling about 3 hours.
    Awarded by...Dannemiller Educational Foundation.
    Cost...........Free.
    Instruct. Type...Text-Only.
    Target Audiences....ANES, PAIN MGMT.
    Educ. material last updated....2008.
    Financial Support...Cephalon, Purdue.

Three articles: Pediatric Pain Assessment in the Clinical Setting; Pain Report #10 - Rational versus Irrational Polypharmacy in Chronic Pain; and Diabetic Peripheral Neuropathies.

PainEDU.org
Last visited....1/2008.
Credit hours...4.0.
Awarded by....Albert Einstein College of Medicine.
Cost for Credit....Free.
Instruction Type...Case-Based-Interactive.
Target Audiences....Many Medical Specialties.
Educational material last updated....12/07.
Financial Support...Endo Pharmaceuticals.
CME Credit Expires...12/31/08.

The Case-based Course features 24 brief case studies of patients with various pain problems. You earn one hour of CME credit for each six cases you complete. You need to be registered and logged-in in order to view the names of each activity. 

TheAnswerPage
Last visited...6/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...Up to 60 hours per year (240 questions) in each specialty; about 300 hours available.
Awarded by...TheAnswerPage.com and Thomas Beam, Jr. Memorial Institute for Continuing Medical Education.
Cost....$150 per year for unlimited credit.
Instruction Type...Question-and-Answer.
Target Audience...ANES, PAIN MGMT, OB-GYN, NEONATAL, CRIT CARE.
Educational material last updated...Daily Updates.
Financial Support...Various pharmaceutical companies.

TheAnswerPage.com offers 0.25 hours of CME credit for study of the Question of the Day. You may study that question "today," or view an archive of questions. There are no quizzes; credit is applied to your account automatically as you go through the questions and answers, which are authored by faculty from Harvard and other medical schools. There are separate sections for Anesthesiology, Pain Management, Hospital & Critical Care, Obstetrics & Gynecology And Newborn Medicine. TheAnswerPage also has a handheld-based CME program, included in the same annual fee, which allows you to receive CME credit for study directly on handheld computers.

University of Washington CME: Online Courses
Last visited...6/2008.
Reviewed by Julie Hughbanks, MLS.
Credit hours...3.0.
Awarded by... University of Washington School of Medicine.
Cost... Free.
Instruction Type... Interactive text and video.
Target Audiences.. Primary care and other opioid prescribers.
Education material last updated... 3/07.
Financial Support... Ortho-McNeil Janssen.

A single course is titled COPE: Collaborative Opioid Prescribing Education. It offers physicians tools for collaborative goal-setting at the outset of opioid treatment.

Annotated List of Online CME (All Specialties)

This list was compiled by Bernard Sklar, MD, MS