War on Pain Updated: Pain Management and the Appropriate Care and Treatment of the Terminally Ill
Release Date: January 17, 2006 Reviewed, updated and approved June 21, 2011 Expiration Date: July 1, 2014
FEE: 12-hours of CME $200
STATEMENT OF NEED: California Assembly Bill 487, signed into law on October 4, 2001, requires most California-licensed physicians to take, as a one-time requirement, 12 units of continuing medical education (CME) on "pain management" and "the appropriate care and treatment of the terminally ill." The bill, which has become Business and Professions Code section 2190.5, exempts pathologists and radiologists.
The Medical Board will accept courses or programs that address one or both topics. The courses or programs must qualify for Category 1 credit and be presented by an organization accredited to provide CME by the Accreditation Council for Continuing Medical Education (ACCME), the American Medical Association (AMA), the California Medical Association (CMA), or the American Academy of Family Physicians (AAFP). In addition to accrediting CME providers, AMA, CMA, and AAFP may also present CME programs which will be accepted.
The 12 units may be divided in any way that is relevant to the physician's specialty and practice setting. Acceptable courses may address either topic individually or both topics together. For example, one physician might take three hours of "pain management education" and nine hours of "the appropriate care and treatment of the terminally ill;" a second physician might opt to take six hours of "pain management" and six hours of "the appropriate care and treatment of the terminally ill;" a third physician might opt to take one 12-hour course that includes both topics. The Medical Board will accept any combination of the two topics totaling 12 hours.
Physicians with an active license before January 1, 2002, will have until December 31, 2006, to obtain the 12 hours.
Physicians licensed on or after January 1, 2002, must complete the mandated hours by their second license renewal date or within four years whichever comes first.
The 12 required hours shall count toward the 25 hours of approved continuing education each physician is required to complete during each calendar year.
ACTIVITY OVERVIEW: The Office of Continuing Medical Education created the “War on Pain” course as an outreach for California physicians. This series in pain management and end-of-life was created without any pharmaceutical support. It features UC Davis pain specialists who are faculty physicians in the field of pain and palliative medicine.
GOAL: To meet the requirement for AB 487. California state law required California physicians to obtain a minimum of 12 hours of Category 1 continuing medical education credit in pain management and end-of-life. The "War on Pain" course was created to meet this requirement.
ACCREDITATION: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education.
PHYSICIAN CREDIT: The University of California, Davis Health System designates this enduring material activity for a maximum of 12.0 AMA PRA Category 1 Credits™. A maximum total of 12-hours credit available for "War on Pain" series.
Pharmacist: The University of California, Davis Health System Department of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
ACPE Universal Activity Number 0277-0000-11-170-H01-P for 10.5 hours and 0277-0000-11-171-H03-P for 1.50 hours. Both have been assigned to this activity. This knowledge-based activities provides a total of 12.0 contact hours (1.20 CEUs) of continuing education credit. To obtain credit, pharmacists must view all 13 videos and complete the course test and evaluation at the end of the Home Study activity.
EDUCATIONAL OBJECTIVES: At the end of the course, participants should be able to:
Module 1: Systemic Overview Scott M. Fishman, M.D.
Module 2: Neuropathic Pain Scott M. Fishman, M.D.
Module 3: Chronic Pain: Opioids and Addiction Paul Kreis, M.D.
Module 4: NSAIDS Paul Kreis, M.D.
Module 5: Role of Opioid Therapy and Opioid Agreement in Chronic Pain Patients Gagan Mahajan, M.D.
Module 6: Interventional Therapies and Low Back Pain Gagan Mahajan, M.D.
Module 7: Legal Issues in Pain Medicine Scott M. Fishman, M.D.
Module 8: Developments in Acute Pain Management: a consultant's view Kenneth T. Furukawa, M.D.
Module 9: Psychological Aspects of Chronic Pain Ingela Symreng, PsyD
Module 10: Legal Issues in Pain and Palliative Medicine Ben Rich, J.D., Ph.D.
Module 11: Basic Approaches to Pediatric Pain Management Kenneth T. Furukawa, M.D.
Module 12: Palliative Care Jack MacMillian, Jr., M.D.
Module 13: Chronic Pain Amplification Syndrome: Diagnosis and Treatment of Fibromyalgia Jeffrey A. Applebaum, MD, FAAFP
METHOD OF PARTICIPATION: War on Pain Update is an online CME activity, Continuing medical education credit will be awarded to physicians who successfully complete this activity. Participation should take approximately 12 hours. To complete this activity and receive credit, the participant should:
Participants must receive a score of 80% or better on the post-test to receive credit.
Expiration date: No credit will be given after July 1, 2014 Be sure to complete the post-test and the evaluation on or before July 1, 2014. After this date the activity will no longer be designated for credit. A CME certificate will be available upon passing test and completed evaluations.
Original release date: July 1, 2011 Neuropathic Pain Legal Issues in Pain Medicine Chronic Pain Amplification Syndrome: Diagnosis and Treatment of Fibromyalgia
Original release date: January17, 2006 Reviewed and updated/approval date: June 21, 2011 Systemic Overview Chronic Pain: Opioids and Addiction NSAIDS Role of Opioid Therapy and Opioid Agreement in Chronic Pain Patients Interventional Therapies and Low Back Pain Developments in Acute Pain Management: a consultant's view Psychological Aspects of Chronic Pain Legal Issues in Pain and Palliative Medicine Basic Approaches to Pediatric Pain Management Palliative Care
Jeffrey A. Applebaum, MD, FAAFP UC Davis Medical Group Master Clinician’s Certification in Psychopharmacology
Scott M. Fishman, MD Professor and Chief, Division of Pain Medicine Department of Anesthesiology and Pain Medicine University of California, Davis
Kenneth T. Furukawa, MD Co-Director, Inpatient Pain Service Associate Professor Department of Anesthesiology and Pain Medicine University of California, Davis
Paul G. Kreis, MD Medical Director Professor Department of Anesthesiology and Pain Medicine University of California, Davis
John F. MacMillan, Jr., MD Associate Clinical Professor Medical Director, UC Davis Hospice Program Chief, Section of Hospital Medicine
Gagan Mahajan, MD Director, Fellowship in Pain Medicine Associate Professor Department of Anesthesiology and Pain Medicine University of California, Davis
Ben A. Rich, J.D., Ph.D. Professor and School of Medicine Alumni Association Endowed Chair of Bioethics UC-Davis School of Medicine
Ingela C. Symreng, PsyD Director, Pain Psychology Assistant Clinical Professor, Department of Anesthesiology and Pain Medicine University of California, Davis
This series was created without any pharmaceutical support. As a sponsor accredited by the Accreditation Council for Continuing Medical Education, the UC Davis Health System, Office of Continuing Medical Education must ensure balance, independence, objectivity and scientific rigor in all individually or jointly sponsored educational activities.
Speakers and planning committee members participating in a sponsored activity are expected to disclose to the audience any significant financial interests or other relationships with manufacturers of commercial products and/or providers of commercial services that will be discussed in their presentations.
The intent of this disclosure is not to prevent speakers with significant financial or other relationships from making presentations. Rather, disclosure allows listeners to determine if content is evidence based and free of commercial bias, and it demonstrates how speakers will resolve conflict when it exists. Each participant must use his/her personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
Disclosure of relevant financial relationships with commercial interests:
Commercial Relationship & Nature of Relationship
Jeffrey A. Applebaum, M.D., FAAP
Speaker for Forest Laboratories Speaker for AstraZeneca
Scott M. Fishman, M.D.
Consultant: Cephalon & Eli Lilly & Company Consultant, Speaker's Bureau, Grants/Research Support: Elan Company, Endo Pharmaceuticals, Janssen Medical Affairs, Llc, Merck & Company,Inc., Pfizer Inc., Purdue Pharma, L.P.
Paul G. Kreis, M.D.
Speaker's Bureau: Pfizer Inc., Organon
No relevant financial relationships with commercial interests: Kenneth T. Furukawa, MD John F. MacMillan, Jr., MD Gagan Mahajan, MD Ben A. Rich, J.D., Ph.D. Ingela C. Symreng, PsyD
Once you register and pay for the course, the program will be added to your “My CME/CE Account” and show in your “Curriculum”. Go to your “Curriculum” to access the course on-demand and to track your progress in completing this activity.
To receive 12.0 AMA PRA Category 1 Credit™ in pain and palliative medicine you must:
Your statement of credit will be issued immediately upon successful completion of the test and submission of the evaluation form.
If you have questions:
Contact the “War on Pain” Education Specialist at UC Davis Health System, Office of Continuing Medical Education Phone: 916-734-5390 email: email@example.com
* Required to view printable (PDF) version of the lesson.