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.
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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.
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Medscape
Anesthesiology 
Last visited...10/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...Varies from time to time.
Awarded by....Medscape and many other sponsoring organizations.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only, Slide-Audio Lecture, Slide-Video
Lecture and Case-Based-Interactive.
Target Audiences....ANES.
Educational material last updated...New activities posted frequently.
Financial Support...Many academic, specialty, and commercial sources as well as WebMD.
Expiration of CME Credit...Credit for most activities expires one year after posting.
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CME activities of special interest to anesthesiologists. Medscape contains a
variety of educational formats:
CONFERENCE COVERAGE - Reports of advances presented at major
medical conferences; typically includes several tracks with news stories, expert
interviews, and in-depth topic overviews.
CLINICAL UPDATE - Comprehensive original review article on scientific
advances in a clinical topic.
FAST TRACK CLINICAL UPDATE – Narrowly focused original review article
on scientific advances in a clinical topic.
CME-LIVE - Real-time online events with streaming video, synchronized
visuals, and interactive questions and answers; archived for 1 year.
NEWS-CME - Daily reports of major current medical research articles; 0.25
credits each
JOURNAL CME - Articles selected from a wide selection of conference
reports and peer-reviewed journals, including MedscapeGeneralMedicine
(MedGenMed).
SPECIAL REPORT CME – Topic-based monthly email newsletter distributed
to Medscape’s professional member database by specialty.
INTERACTIVE PATIENT CASES – Original CME activity presented to the
physician in an interactive, clinical case-based format.
CME CIRCLE – Multimedia content certified by other accredited
professional education providers, typically from live symposia or monographs,
and then posted on Medscape and archived for one year.
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Pain.com
has CME instruction in
four sections.
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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.
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Monthly Modules
Last visited...7/2009.
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...........$5 for 1 credit; or 12 credits for $49; or 24 credits for $97.
Instruct. Type...Text-Only.
Target Audiences....ANES, PAIN MGMT.
Educ. material last updated....2008.
Financial Support...Cephalon, Purdue.
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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.
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Breakthrough Pain
Last visited...7/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours....1.0.
Awarded by...Dannemiller Educational Foundation.
Cost...........$5 for 1 credit; or 12 credits for $49; or 24 credits for $97.
Instruct. Type...Text-Only.
Target Audiences....ANES, PAIN MGMT.
Educ. material last updated....2009.
Financial Support...Cephalon.
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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."
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CME/CE Slide Presentations
Last visited...7/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...11 courses offering 11 hours.
Awarded by...Dannemiller Educational Foundation.
Cost...........$5 for 1 credit; or 12 credits for $49; or 24 credits for $97.
Instruct. Type...Slide-Audio Lecture.
Target Audiences....ANES, PAIN MGMT.
Educ. material last updated....2008.
Financial Support...Cephalon, Purdue.
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11 lectures on a variety of pain management topics, mostly concerning opioid
prescribing.
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CME/CE Articles
Last visited...7/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...3 articles totaling about 3 hours.
Awarded by...Dannemiller Educational Foundation.
Cost...........$5 for 1 credit; or 12 credits for $49; or 24 credits for $97.
Instruct. Type...Text-Only.
Target Audiences....ANES, PAIN MGMT.
Educ. material last updated....2008.
Financial Support...Cephalon, Purdue.
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Four articles: Parent/Nurse-Controlled Analgesia (PNCA) as a Standard of Care: How to Make it Safe; Pain Report #11- Pain Management for the Elderly; Pediatric Pain Assessment in the Clinical Setting;
and Pain Report #10 - Rational versus Irrational Polypharmacy in Chronic Pain.
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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.
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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.
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