4th Annual Pain Management Symposium Up to 12.5 AMA PRA Category 1 Credits in Pain Management and End of Life. August 8-9, 2013 7:30 a.m to 4:00 p.m. USC Health Sciences Campus Aresty Auditorium, 1450 Biggy Street Los Angeles, California Non-profit Org. U.S. Postage PAID University of Southern California Presented by: Keck Medical Center of USC, Division of Nursing Education USC Office of Continuing Medical Education
Join us for a two-day symposium and share in a dynamic patientcentered experience focused on advancements in pain medicine and regional anesthesia/analgesia. COURSE DESCRIPTION The two-day event will feature pain management expert Debra B. Gordon RN-BC, DNP, ACNS-BC, FAAN, and faculty and staff members from the world-renowned Keck School of Medicine of USC discussing the latest advancements in patient-centered, interdisciplinary pain management. TARGET AUDIENCE Practitioners and health care professions who seek the latest developments in pain medicine, including primary care physicians, oncologists, surgeons, hospitalists, nurse practitioners, physician assistants, pharmacists, nurses, and other allied health care professionals who treat patients with acute, chronic malignant, and non-malignant pain. EDUCATIONAL OBJECTIVES By the end of the course, participants will be able to: Describe major recommendations of the 2013 APS/ASA/VA DoD postoperative pain guidelines. Propose new approaches to acute pain assessment, care planning, and treatment. Identify the potential benefits and drawbacks of various agents used as part of a multimodal approach to treat acute pain. Outline available national guidelines for pain and key recommendations for chronic opioid treatment and neuropathic pain. Outline appropriate strategies for assessment and management of pain in older adults. Classify management techniques and dosing regimens for acute and postoperative pain in chronic pain patients. Distinguish the rationale of using standardized tools for titration of analgesics and sedatives in the ICU. Describe the primary pharmacological treatments for neuropathic pain. Describe the use of KETAMINE for pain. Identify and deliver a range of basic cognitive-behavioral and physical comfort measures. Define Complementary and Alternative Medicine (CAM) therapies. Define the biopsychosocial nature of pediatric chronic pain. Classify the elements of pediatric pain assessment. Describe the services offered by the Palliative Care service. Prescribe two non-pain symptoms that are managed by the Palliative Care team including assessment criteria and management of each symptom. Describe how unaddressed spiritual problems can affect suffering. Describe the care and management of continuous peripheral nerve blocks, and possible side effects. Evaluate treatment options for various chronic pain conditions including pharmacology, neural blockade, spinal cord stimulation and intrathecal drug therapy. The program and objectives have been developed in the context of desirable physician attributes 1, 2, 3, 4, 5 and 6. 1 2
FEATURED SPEAKERS Dr. Richeimer is the Chief of the USC Division of Pain Medicine and Director of Norris Cancer Hospital Palliative Medicine service. He is Board Certified in the fields of anesthesiology and psychiatry, and in the sub- specialty of pain medicine. Dr. Richeimer is a member of the American Pain Society, American Society of Regional Anesthesia, American Society of Anesthesiologists, and International Association for the Study of Pain, and the American Medical Association. He is on the editorial board of the journal Pain Medicine, and is also a member of the board of For Grace. Dr. Richeimer has published over fifty papers and chapters. Dr. Richeimer is dedicated to using the full scope of medical science to provide personalized, effective care. Jeffrey I. Gold, Ph.D. Jeffrey I. Gold, Ph.D., is an Associate Professor in the Departments of Anesthesiology and Pediatrics at the Keck School of Medicine, University of Southern California. Dr. Gold, a Licensed Clinical Psychologist, is director of the Pediatric Pain Management Clinic within the comprehensive multidisciplinary Pain Management and Palliative Care Program in the Department of Anesthesiology Critical Care Medicine at Children s Hospital Los Angeles (CHLA). Dr. Gold is also the director of the Children s Outcomes, Research, and Evaluation (C.O.R.E.) program, director of the CHLA Yo San University Pediatric Acupuncture program and the CHLA-Heart Touch Massage Program, and faculty with the Pediatric Psychology specialization within the USC University Center of Excellence in Developmental Disabilities Mental Health Services at CHLA. Dr. Gold has specialized in the assessment, treatment, and clinical investigation of acute and chronic pain in children, adolescents, and adults with various chronic medical illnesses, such as sickle cell disease and chronic pain conditions. Debra B. Gordon RN-BC, DNP, ACNS-BC, FAAN Debra Gordon is a teaching associate with the Department of Anesthesiology & Pain Medicine at the University of Washington, Seattle. She is a coinvestigator for the UW s NIH designated John D Loeser Center of Excellence in Pain Education. Ms. Gordon has also been involved in a number of national and international projects focused on improving pain management, including the American Pain Society s (APS) Quality Improvement Guidelines and the Robert Wood Johnson funded Postoperative Pain Management Quality Improvement Project. She has served as a member of the American Nurses Credentialing Center s content expert panel on pain management, the American Medical Association s Episodes and Costs of Care Low Back Pain Workgroup, and as co-chair for the APS, American Society of Anesthesiologists (ASA), and Veteran s Administration- Department of Defense (VA- DoD) acute postoperative pain guideline. Ms. Gordon is active in a number of professional pain management societies, and has served as a board member for both the Alliance of State Pain Initiatives and the American Pain Society. She is a Fellow in the American Academy of Nursing. PROGRAM Thursday, August 8, 2013 7:30 Registration & Continental Breakfast, Welcome 8:00 Session 1: General Session: Evidence Based Practice and Quality Improvement in Pain Management: Debra Gordon RN, DNP, FAAN 9:00 Session 2: General Session: Acute pain; Updates on the 2013 APS/ASA/VA DoD Post-operative Pain Clinical Practice Guidelines: Debra Gordon RN, DNP, FAAN 10:00 BREAK 3 4
10:15 Breakout Session 3 A: Pearls of Pharmacologic Management of Pain: Debra Gordon RN, DNP, FAAN 10:15 Breakout Session 3 B: Advance Pain Management Pharmacology: 12:00 LUNCH, VENDOR & POSTER PRESENTATIONS 1:00 Breakout Session 4: Non-Pharmacological Approaches to Pain Management: Debra Gordon RN, DNP, FAAN Breakout Session 3 B: Advance Pain Management Pharmacology: 2:00 BREAK 2:15 Breakout Session 5: Pain Management in Older Adults: Debra Gordon RN, DNP, FAAN Breakout Session 5B: Application of Evidence-Based Guidelines for Controlled Substance for Chronic Pain: Debra Gordon RN, DNP, FAAN 2:15 Breakout Session 6: Advanced Interventions: Natalie Strand, M.D.; Michael Sniderman, M.D., Dayal Rakhi, M.D. 4:00 Evaluations/ Adjournment Friday, August 9, 2013 7:30 Registration & Continental Breakfast, Award Ceremony, Welcome 8:15 Session 7: General Session: Spiritual and Psychological Issues in Pain Management: 9:00 Session 8: General Session: Alternative Medicine Therapies to Pain Management: Jeffrey I. Gold, Ph.D. We commit to excellence in clinical care, teaching and research. 10:00 BREAK 10:20 Breakout Session 9: Acute Pain in the Chronic Pain Patient: Linda Rever, M.D. Breakout Session 10: Pediatric Pain: Jeffrey I. Gold, Ph.D. 11:45 LUNCH, VENDOR & POSTER PRESENTATIONS 12:45 Breakout Session 11: Pharmacological Treatments for Neuropathic Pain: Erin Knox, Pharm.D. & Kum Ja Lee, Pharm.D. Breakout Session 12 : Continuous Peripheral Nerve Block: Jack Berger, M.D. 2:00 Breakout Session 13: Analgesia/Sedation in the ICU: Veronica Acevedo, RN-BC, BSN & Gina Greco, MS, CCNS Breakout Session 14: Palliative Care/Cancer Pain: Angela Ryan, M.D. & Pamela Merriam MSN, ANP-BC, OCN 3:00 BREAK 3:15 Session 15: General Session: Overview/Key Concepts of Pain Management: Panel Discussion: 4:00-4:15 Evaluations/Adjournment SYMPOSIUM DIRECTORS Director, USC Pain Center Chief, Linda Rever, M.D. Assistant Professor of Anesthesiology, Veronica Acevedo, RN-BC, BSN Pain Management Coordinator, Keck Medical Center of USC 5 6
Pamela Merriam, MSN, ANP-BC, OCN Nurse Practitioner CARE Team/Palliative Medicine Keck School of Medicine of USC, Department of Anesthesiology FEATURED SPEAKER Debra B. Gordon RN-BC, MS, DNP, ACNS-BC, FAAN Teaching Associate, Department of Anesthesiology & Pain Medicine University of Washington, Seattle, WA Department of Bio Behavioral Nursing and Health Systems Clinical Assistant Professor University of Washington, Seattle, WA KECK MEDICAL CENTER OF USC FACULTY AND STAFF Jack Berger, M.S., M.D., Ph.D., Professor of Clinical Anesthesiology Director of Regional Anesthesia Resident Training Keck School of Medicine of USC, LAC+USC Medical Center Rakhi Dayal, M.D. Assistant Professor of Clinical Anesthesiology Jeffrey I. Gold, Ph.D. Associate Professor of Anesthesiology and Pediatric Keck School of Medicine of USC Director, Pediatric Pain Management Clinic Childrens Hospital Los Angeles (CHLA) Gina Greco, RN, MSN, CCNS Director of Evidence-Base Practice, Keck Medical Center of USC Erin Knox, Pharm.D. Assistant Professor of Clinical Pharmacy School of Pharmacy, University of Southern California Kum Ja Lee, Pharm.D. Assistant Professor of Clinical Pharmacy School of Pharmacy, University of Southern California Angele Ryan, M.D. Assistant Professor of Anesthesiology Michael Sniderman, M.D. Assistant Professor of Clinical Anesthesiology Natalie Strand, M.D. Assistant Professor of Clinical Anesthesiology Accreditation Statement The Keck School of Medicine of USC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Credit Designation The Keck School of Medicine of USC designates this live activity for a maximum of 12.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The following may apply AMA Category 1 Credit(s) for license renewal: Registered Nurses may report up to 12.5 credit hour(s) toward the CME requirements for license renewal by their state Board of Registered Nurses (BRN). CME may be noted on the license renewal application in lieu of a BRN provider number. Physician s Assistants: The National Commission on Certification of Physicians Assistants states that AMA Category 1 accredited courses are acceptable CME requirements for recertification. 7 8
Faculty Disclosure Statement Current guidelines state that participants in continuing medical education activities should be aware of any affiliation or financial interest that could affect the speaker s presentation(s). The Accreditation Council for Continuing Medical Education policy mandates that the provider adequately manages all identified potential conflicts of interest prior to the program. Faculty members and planners have completed disclosure forms and potential conflicts of interest have been reviewed and resolved prior to the program. All disclosures must be listed in the course syllabus. Desirable Physician Attributes In alignment with the CME mission of the Keck School of Medicine, programs are planned in the context of desirable physician attributes as designated by the ACGME/ABMS and the Institute of Medicine: 1) Patient Care and Patient-Centered Care, 2) Medical Knowledge, 3) Practice-Based Learning, 4) Interpersonal and Communication Skills, 5) Professionalism, 6) Systems-Based Practice. Attributes addressed in each of the activity objectives will be noted, using numbers 1-6, in proceedings. Phone: 1-800-USC-1119 Onsite: Aresty Auditorium, Lower Ground Level Registration confirmation and parking information will be emailed. Please provide an email address when registering. If you have a disability, advance notification by 07/10/2013 of any special needs will help us to better serve you. This program is approved by the California Board of Registered Nursing, Provider No. CEP15533, for 12.5 contact hours. (NO PARTIAL DAY CREDIT) If you or another attendee will need specific assistance or require additional information regarding the course, please contact Veronica Acevedo at (323) 442-8939 or by e-mail at veronica.acevedo@health.usc.edu Course Location: USC Health Sciences Campus Harlyne J. Norris Cancer Research Tower Aresty Auditorium, Lower Ground Level 1450 Biggy Street, Los Angeles, California 90033 Parking: Parking structure located on the corner of Biggy Street and Zonal Ave. on USC s Health Sciences Campus. Cost for parking: $10/day Registration Methods: Online: http://keck.usc.edu/cme. Then click on conferences and courses Fax: 1-888-665-8650 Mail: Office of Continuing Medical Education 1540 Alcazar St., CHP 223, Los Angeles, CA 90033 9 10