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War on Pain Updated: Pain Management and the Appropriate Care and Treatment of the Terminally Ill
AB 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." This series qualify to meet the AB 487 requirement.

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

TARGET AUDIENCE:
This activity is designed for primary care physicians and specialists, pharmacists, and other interdisciplinary team members including physical therapists, nurse practitioners, and occupational therapists.

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.

ADDITIONAL ACCREDITATION

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:

  1. Have an awareness of other treatment modalities besides medication
  2. Describe the neurophysiology of pain transmission
  3. Evaluate the patient in pain
  4. Differentiate between different procedural interventions and understand when each is indicated
  5. Describe pharmacological techniques of pain treatment
  6. Identify and treat addictive behaviors
  7. Clarify the legal issues surrounding pain management
  8. Utilize new options to assess and treat the child in pain
  9. Determine how to treat pain and suffering in the patient with terminal illness

PROGRAM AGENDA

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:

  1. Review the educational objectives
  2. View all 13 videos
  3. Complete the speaker evaluation for each video
  4. Complete the online post-test and course evaluation

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

FACULTY:

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

DISCLOSURE INFORMATION:

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:

Name

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

INSTRUCTIONS:

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:

  1. View all 13 modules
  2. Answer evaluation questions
  3. Successfully complete the post-test (must pass 80% or higher)
  4. You will have 3 opportunities to successfully complete the test  

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:
cmereg@ucdavis.edu

Software Requirements:

PC
Windows XP or greater
Internet Explorer (v7 or greater), or Firefox (Latest version)
Sound Card & Speakers
800 x 600 Minimum Monitor Resolution
(1024 x 768 Recommended)
Flash Player Plugin (9.0 or later) | Check your version here
Adobe Acrobat Reader*
MAC
MAC OS 10.4
Safari (Latest version) or Firefox (Latest version)
Sound Card & Speakers
800 x 600 Minimum Monitor Resolution
(1024 x 768 Recommended)
Flash Player Plugin (9.0 or later) | Check your version here
Adobe Acrobat Reader*
Internet Explorer is not supported on the Macintosh.

* Required to view printable (PDF) version of the lesson.

 


Type:     Internet Activity (Enduring Material)
971 Registered Users
Credits
12 Contact Hours> Non-Accredited

12 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit

12 Contact Hours, 1.2 CEU> Accreditation Council for Pharmacy Education> ACPE