Pain Treatment CME (Continuing Medical Education) Courses

Note: Online education courses generally may be viewed at no charge but there may be a fee to receive CME/CE credits. Pain Treatment Topics has no financial interest in any of these offerings; see also, Disclaimer below.

Courses are listed in chronological order of their end (expiration) dates; newer courses are toward the top and those soon expiring are toward the bottom. To find courses pertaining to specific disciplines, press Control(Ctrl)+F and enter "Physicians," "Pharmacists," "Nurses," etc. in the search box.

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Complex Regional Pain Syndromes (CSA Pain Management Module 5)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=13&terms=show
Audience: Physicians
Start/End: March 31, 2008 / March 31, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Joshua P. Prager, MD
Description: This program was prepared for physicians who don’t usually treat patients with Complex Regional Pain Syndromes (CRPS); it is a guide to help increase the awareness and reduce misconceptions. CRPS is a nervous system disorder with peripheral manifestations and, therefore, requires multidisciplinary treatment and special considerations during surgery. Access checked July 11, 2008.

Abdominal Pain

Access: http://www.cmelectures.org/lecture/abdom_pain
Audience: Physicians, Osteopathic Physicians, Nurses, Physician Assistants
Start/End: March 6, 2008 / March 6, 2011
Credits: Varies according to profession, see ‘Continuing Education Information” link at URL above
Price: This single course is one of 125 CME titles available; cmelectures.org allows access to all lectures for a monthly subscription fee of $10 - $12.50. See details at: http://www.cmelectures.org/user/subscribe.asp
Program Format: Web-based multimedia or print version
Sponsor: Graduate Education Foundation
Author(s): Amardeep Singh, MD
Description: Causes of abdominal pain are reviewed according to the affected abdominal quadrant. Common causes of acute abdominal pain—appendicitis, biliary disease, acute pancreatitis, diverticulitis, and kidney stones—are reviewed and details regarding presentation, symptoms, and testing results are included. Three of the major causes of life-threatening abdominal pain, plus a definition of high risk populations, are described in detail. The important components of a thorough physical examination and evaluation techniques that aid the differential diagnosis are explored. Additionally, the author explains the rationale for using CT scans as the study of choice in abdominal pain. Access checked July 15, 2008.

Pain Physiology (CSA Pain Management Module 4)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=14&terms=show
Audience: Physicians
Start/End: Module updated January 10, 2008 / January 10, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Mark S. Wallace, MD
Description: This article reviews the physical and sensory aspects of pain, the neural pathways of nociceptive pain, ands pain that is neuropathic in nature. The physiology of acute, facilitated and neuropathic pain is described in enough detail to include the specific mechanisms of chemical, cellular, and molecular relationships that contribute to the pain experience. Access checked July 15, 2008.

Low Back Pain

Access: http://www.cmelectures.org/lecture/low_back
Audience: Physicians, Osteopathic Physicians, Nurses, Physician Assistants
Start/End: November 27, 2007 / November 27, 2010
Credits: Varies according to profession, see ‘Continuing Education Information” link at URL above
Price: This single course is one of 125 CME titles available; cmelectures.org allows access to all lectures for a monthly subscription fee of $10 - $12.50. See details at: http://www.cmelectures.org/user/subscribe.asp
Program Format: Web-based multimedia or print version
Sponsor: Graduate Education Foundation
Author(s): Harris B. Cohen, MD
Description: Based on estimates that 80% of adults in the United States will experience low back pain at some point in their lives, the course begins with incidence and cost data. Next, the program concentrates on the importance of a thorough evaluation to rule out “red flags” such as infection, malignancy, and neurological lesions. A brief review of normal spinal anatomy and pathophysiology is coupled with evaluation techniques to aid the differential diagnosis. A discussion of the indications for imaging precedes guidance on appropriate diagnostic methods and neurological examinations. Treatment options, which focus on improving functional levels and reducing pain, are presented for conservative and surgical management. The program concludes with 2 case studies to further enhance the educational experience. Access checked July 15, 2008.

Concepts in Opioid Tolerance (CSA Pain Management Module 3)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=15&terms=show
Audience: Physicians
Start/End: Reviewed/Reapproved September 30, 2007 / September 30, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Pamela Pierce Palmer, MD, PhD
Description: This module explains the theories of basic science regarding the mechanisms of opioid tolerance which, in turn, can create the need for opioid dose escalation for long-term pain management. The concept of cellular plasticity is explained in tandem with other variables that can become significant in the assessment of opioid escalation in the chronic pain patient. The author suggests that further understanding of these mechanisms may aid the development of therapies that could prolong opioid efficacy. Access checked July 15, 2008.

Aspirin/NSAID Sensitivity

Access: http://www.pharmace.com/abstracts/sensitivity.html
Audience: Pharmacists
Start/End: Unknown / August 31, 2010
Credits: 1.5 ACPE CE (0.15 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Sandra R. Knowles, BScPhm; Aaron M. Drucker, BA; Elizabeth A. Weber, MD, FRCPC; Neil H. Shear, MD, FRCPC
Description: Patients with aspirin sensitivity frequently display cross-reactions to nonsteroidal anti-inflammatory drugs. This educational activity is based on a review of studies published during a 30-year period that addressed the clinical presentation or management of patients with aspirin/NSAID sensitivity. The mechanisms of pathogenesis involved in aspirin-induced respiratory and cutaneous reactions are discussed and strategies for management are provided. Access checked July 28, 2008.

Is Untreated Pain a Disease? (CSA Pain Management Module 2)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=16&terms=show
Audience: Physicians
Start/End: Reviewed/Reapproved July 31, 2007 / July 31, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Joshua P. Prager, MD, MS
Description: This module examines experimental study results that show evidence of structural changes in the spinal cord with long-term symptoms of neuropathic pain or nerve injury. Additional studies of chronic pain show noticeable receptive field changes in the brain that have a more far-reaching effect on a person’s overall health. The author proposes that these changes signify disease and, therefore, clinicians should attempt to treat acute pain to prevent a chronic condition. Access checked July 15, 2008.

Pain Assessment in People With Dementia

Access: http://www.nursingcenter.com/library/JournalArticle.asp?from=NC&Article_ID=800535
Audience: Nurses
Start/End: July, 2008 / July 31, 2010
Credits: 2.5 ANCC CE Contact Hours; also approved by AACCN (CERP category A), Texas CE Type 1, and the California Board of Registered Nursing
Price: $24.95 for credits; course and test may be viewed free
Program Format: Journal article
Sponsor: American Journal of Nursing
Author(s): Ann Horgas, PhD, RN, FGSA, FAAN; Lois Miller, PhD, RN, FGSA
Description: The prevalence of undertreated pain in the aged population may be higher in adults who have a deficit in verbal communication skills. A review of the Pain Assessment in Advanced Dementia (PAINAD) scale was published in the July 2008 issue of the American Journal of Nursing. The authors use a case study approach to explore the use of PAINAD which uses a compiled evaluation of breathing, vocalization, facial expression, body language, and consolability to assess a patient’s level of pain. The scale can be used alone or in combination with other assessment tools, is easy to learn, and simple to administer effectively. Reliability and validity were appraised; sensitivity was not evaluated. Access checked July 17, 2008.

Breakthrough Pain

Access: http://www.pain.com/sections/categories_of_pain/breakthrough/cme_modules/accreditation.cfm
Audience: Physicians, Nurses
Start/End: March 2007 / June 30, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.2 contact hours of California Board of Registered Nursing credit
Price: Free
Program Format: 10 abstracted journal articles
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Kenneth D. Candido, MD (Editor)
Description: This program is comprised of 10 abstracted journal articles on breakthrough pain from various authors and publications. Each abstract is paired with an associated objective and a test question related to the data presented in the article. Topics covered include the characteristics of breakthrough pain, efficacy and safety data of specific pain relievers, and the use of computer-integrated infusion systems. Course credit requires that all abstracts must be read and all test questions answered. Access checked July 11, 2008.

Opioid Addiction: No Reason to Withhold Pain Management

Access: http://www.uspharmacist.com/index.asp?page=ce/105745/default.htm
Audience: Pharmacists
Start/End: May 1, 2008 / May 31, 2010
Credits: 2.0 ACPE credit hours (0.20 CEUs)
Price: $6.50 fee is required during online course registration
Program Format: Monograph
Sponsor: U.S. Pharmacist (Professional journal)
Author(s): Dustin G. Zeigler, PharmD, BCPS; Hannah R. Howell, PharmD, BCPS
Description: The counseling services provided by the pharmacist, as a member of a multi-disciplinary pain management team, can help guide the selection of opioids, identify correct dosages/schedules, and monitor for adverse effects. While concerns about addiction are legitimate, surveys have shown that practitioners may have preconceived ideas regarding the prevalence of addictive behaviors or uncertainty over the terms related to addiction, dependence, and abuse. This activity begins with a thorough look at definitions and explores the confusion in substance dependence terminology. Opioid analgesics are reviewed and the challenges of pain management in a recovering opioid-dependent patient are explored. The knowledgeable pharmacist can provide recommendations for therapeutic options in patients with substance abuse issues or those in addiction maintenance therapy. Access checked July 25, 2008.

Pharmacist Pain Management: A Focus on Opioids and Conversion Issues

Access: https://www.cedrugstorenews.com/userapp/lessons/lesson_view_ui.cfm
?lessonuid=401%2D000%2D05%2D009%2DH01
Audience: Pharmacists
Start/End: May 1, 2005 / May 1, 2010
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: Free
Program Format: Brief article
Sponsor: Drug Store News Pharmacy Practice
Author(s): Joseph R. Ineck, PharmD; Carla Rubingh, PharmD
Description: The role of the pharmacist in the management and education of the patient with chronic pain is expanding. This activity, supported by a grant from COVIDIEN / Mallinckrodt, begins with a discussion of the barriers to effective pain management and continues with a discussion of the characteristics of acute and chronic pain. The value of ongoing pain assessment is examined as a tool for evaluating the effectiveness of any specific drug therapy. The WHO three-step analgesic ladder and opioid dosing conversion are explained through the use of patient scenario examples. As an aid to methadone therapy, five different titration models and a conversion table for converting a patient from another opioid analgesic are presented. Access checked July 15, 2008. COVIDIEN/Mallinckrodt is a Pain Treatment Topics sponsor.

Understanding the Prevalence of Migraines: Diagnosis, Disease and Treatment

Access: http://apha.cecity.com/ce-bin/owa/pkg_test_details.show_details?...
Audience: Pharmacists
Start/End: April 1, 2007 / April 1, 2010
Credits: 3.0 ACPE Contact Hours (0.3 CEUs)
Price: Free
Program Format: 24-page APhA Special Report
Sponsor: American Pharmacists Association
Author(s): Advisory Board: Carrie Foust Koenigsfeld, PharmD; Fred Sheftell, MD; Randal L. Von Seggern, PharmD, BCPS, CPP, FAHS
Description: The pharmacist is in an excellent position to provide guidance for migraine patients who have questions or need migraine management assistance. One common concern is the high number of patients who self-medicate without the benefit of clinical recommendations. This report provides a detailed review of the epidemiology, pathophysiology, diagnosis, and current thinking regarding management strategies for acute and preventive therapy. The report includes a sample headache calendar and a 1-page comprehensive list of important questions to ask migraine patients. Access checked July 15, 2008.

Migraine Headache: The Pharmacist and the Role of OTC Medications

Access: https://secure.pharmacytimes.com/lessons/200703-01.asp
Audience: Pharmacists
Start/End: Unknown / March 1, 2010
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit (on left of screen at URL below).
Program Format: Article with case presentations
Sponsor: Pharmacy Times; (See https://secure.pharmacytimes.com/main.asp?orderby=&group=all )
Author(s): George DeMaagd, PharmD, BCPS
Description: Migraine headaches are the most common vascular headache and, consequently, many migraineurs attempt to self-medicate with over-the-counter medications. Pharmacists have a unique opportunity to provide education on the pathophysiology of the migraine, as well as guidance on the appropriate use of OTC pain relievers. This article reviews pathophysiology, preventive drug therapy, and the OTC options for abortive management of the migraine. Additionally, the medication overuse headache and nonpharmacologic treatments are examined. Access checked July 15, 2008.

Opioid Conversions in Acute Care

Access: http://www.pharmace.com/abstracts/conversions.html
Audience: Pharmacists
Start/End: Unknown / February 28, 2010
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Asad E. Patanwala; Jeremiah Duby; Dustin Waters; Brian L. Erstad
Description: This educational activity examines the results of a literature review of opioid conversion tables published in the February 2007 issue of the Annals of Pharmacotherapy. The researchers present the background history of conversion tables as well as the existing limitations in published dosing conversion tables. Based on a synthesis of the evidence-based data, a new equianalgesic dose ratio table is presented for use in the acute care setting. Access checked July 15, 2008.

Oregon: Pain and Pain Management (other states see ‘Pain and Its Management’)

Access: http://www.nursingceu.com/courses/220/index_nceu.html
Audience: Nurses, nurse practitioners
Start/End: December 13, 2007 / January 15, 2010
Credits: 6 Contact Hours
Price: $60 for credits; course and test may be viewed free
Program Format: Monograph
Sponsor: Wild Iris Medical Education
Author(s): Persis Hamilton, BSN, MS, EdD; Susan Schmid, BA, MA, PhD(candidate)
Description: This comprehensive course (41 pp) explains the nature of pain, its definitions, characteristics, types, and sources. It differentiates somatic, visceral, neuropathic, and psychogenic pain and discusses the diagnosis of pain and how to plan appropriate interventions in various patient groups. Pharmacologic, adjuvant, invasive, and nonpharmacologic interventions are explained. Access checked July 15, 2008.

Pain Management: The American Medical Association Online Series

Access: http://www.ama-cmeonline.com/pain_mgmt/
Audience: Physicians
Start/End: September 2007 / December 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit per module
Price: Free
Program Format: 12 individual monographs
Sponsor: American Medical Association
Description: This comprehensive 12-module program on pain management offers an opportunity to choose individual modules of interest. Topics covered include pathophysiology, overall pain management options, barriers to treatment, substance abuse concerns, treating elderly and pediatric patients, treating persistent nonmalignant pain, neuropathic pain, and 3 modules on the assessment and treatment of cancer pain. Access checked July 15, 2008.

Fentanyl HCl Patient-Controlled Iontophoretic Transdermal System for the Management of Acute Postoperative Pain

Access: http://www.pharmace.com/abstracts/fentanyl.html
Audience: Pharmacists
Start/End: Unknown / December 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Stacey Mayes; Marcus Ferrone
Description: This activity reviews the results of a systematic review of the literature on the efficacy of patient-controlled iontophoretic transdermal fentanyl (IONSYS) as published in the December 2006 issue of the Annals of Pharmacotherapy. IONSYS is a needle-free, patient-activated system that actively transports ionized fentanyl HCl through intact skin to manage postoperative pain. This article summarizes the evidence for efficacy, the data on adverse effects, and the applications for use as an alternative therapy in the management of acute postoperative pain. Access checked July 15, 2008.

What Role Does Age Play in the Management of Chronic Pain in Adult Patients

Access: http://www.emergingsolutionsinpain.com/images/ceeducation/KnowledgeSeriesTwo/ series2_monograph_2007-12-21_mccarberg.pdf
Audience: Physicians, Pharmacists, Nurses
Start/End: December 4, 2006 / December 4, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Interview with Bill H. McCarberg, MD, FABPM
Description: This activity focuses on the importance of the clinician’s ability to identify differences in the overall health status and pain management needs of younger and older adults. The differences in how younger and older adults perceive pain and evaluate the quality of life are examined. The ability to work with varied patient needs can aid practitioners in choosing pain management therapies that help patients achieve their individual goals. Access checked July 28, 2008.

Chronic Pain Management with Opioids: Prevention of Misuse, Abuse and Diversion of Opioids

Access: http://www.pain.com/sections/professional/cme_slide_presentations/Alpharma/aapmr/
Audience: Physicians, Nurses
Start/End: November 2007 / November 30, 2009
Credits: Up to 2.0 AMA PRA Cat. 1 credit; Up to 2.0 contact hours of California Board of Registered Nursing credit
Price: Free
Program Format: Web-based multimedia
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Joseph F. Audette, MA, MD; Gagan Mahajan, MD; Ben A. Rich, JD, PhD
Description: This program contains 3 presentations: 1) a review of a rational approach to opioid therapy for pain relief, 2) the legal considerations in controlled substances, and 3) future strategies for abuse and tamper resistant opioids. This material is presented to provide current and comprehensive information on the legal, ethical, and appropriate prescribing of opioids for chronic pain while minimizing the potential for abuse and misuse. Access checked July 15, 2008.

Use of Non-Aspirin Nonsteroidal Anti-Inflammatory Drugs and the Risk of Cardiovascular Events

Access: http://www.pharmace.com/abstracts/cardio.html
Audience: Pharmacists
Start/End: Unknown / October 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Judy WM Cheng
Description: The FDA recommendation that all non-aspirin nonsteroidal anti-inflammatory drug (NANSAIDs) product information inserts carry a warning about cardiovascular risk prompted this literature review examining the basis for this decision. Published in a 2006 issue of the Annals of Pharmacotherapy, the article reports the data from 16 relevant studies, a summarization of the results, and the rationale for the justification of the decision. Access checked July 15, 2008.

Evaluating Interdisciplinary and Multidisciplinary Approaches to Chronic Pain Management

Access: http://www.emergingsolutionsinpain.com/images/ceeducation/KnowledgeSeriesTwo/ series2_monograph_2007-12-21_stanos.pdf
Audience: Physicians, Pharmacists, Nurses
Start/End: October 9, 2006 / October 9, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Steven Stanos, DO
Description: In light of a growing emphasis on biopsychosocial assessment for patients with chronic pain, this article addresses the need for team pain management. The similarities and differences in multidisciplinary and interdisciplinary therapeutic models of care are explored and the necessary steps for effective team communication are discussed. Access checked July 28, 2008.

A Closer Look at Racial/Ethnic Disparities in Pain Management

Access: http://www.emergingsolutionsinpain.com/images/ceeducation/KnowledgeSeriesTwo/ series2_monograph_2007-12-21_vallerand.pdf
Audience: Physicians, Pharmacists, Nurses
Start/End: August 31, 2006 / August 31, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): April Hazard Vallerand, PhD, RN, FAAN
Description: The author presents an evaluation of published evidence of the current ethnic disparities that exist in pain management in the United States. A discussion of the sources of disparity and the recent efforts that have been made to reduce disparity are included. Recommendations, including improved physician-patient communication and patient-centered care, are presented. Access checked July 25, 2008.

Overview of Oral Modified-Release Opioid Products for the Management of Chronic Pain

Access: http://www.pharmace.com/abstracts/opioid.html
Audience: Pharmacists
Start/End: Unknown / August 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Celene M. Amabile; Bill J. Bowman
Description: This educational activity reviews the results of a review of the literature on oral opioid modified-release drug formulations as published in the July 2006 issue of the Annals of Pharmacotherapy. The convenience of oral dosing can provide improved pain control, but it is important for clinicians to be aware of the opioid product differences in drug-release formulation, half-life, and cost. A discussion of adverse effects and considerations in special populations is included. Access checked July 15, 2008.

Symptom Management at End-of-Life: Pain Module

Access: (see course title near bottom of screen) http://www.stoppain.org/for_professionals/content/education/elearning.asp
Audience: Nurses
Start/End: June 2006 / August 2009
Credits: 2.4 ACCME Contact Hours
Price: $10 for credit; program and test may be viewed free
Program Format: Web-based interactive multimedia
Sponsor: Beth Israel Medical Center; Department of Pain Medicine and Palliative Care
Author(s): M. Bookbinder, RN, PhD; K. Richards, MS; R.K. Portenoy, MD
Description: Under-treatment of pain at the end-of-life is an important issue and this program provides multiple relevant patient scenarios within an interactive module. Pain assessment techniques, treatment and intervention, as well as outcomes assessment are all thoroughly addressed in each scenario. This problem-based learning activity is a good study guide for any nurse who needs a comprehensive review of pain and palliative care. Access checked July 15, 2008.

Multidimensional Approach Recommended for Fibromyalgia Treatment

Access: http://www.medscape.com/viewarticle/560409
Audience: Physicians, Nurses
Start/End: July 26, 2007 / July 24, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free course content available at link above; free registration required for course credit at link below
Program Format: Brief Article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MSEd
Description: Fibromyalgia is a multi-system syndrome that is characterized by widespread musculoskeletal pain and tenderness, with additional symptoms that can include disturbed sleep, fatigue, headache, morning stiffness, paresthesias, and anxiety. This activity reviews an analysis of the evidence for multi-modality treatment in patients with fibromyalgia who meet the American College of Rheumatology (ACR) classification criteria for this pain syndrome. The usefulness of the Fibromyalgia Impact Questionnaire to assess the functional impact of the disorder on the patient’s daily life is discussed briefly. Access checked July 29, 2008.

Pain Patients at Risk of Abuse and Those With Comorbid Psychopathology: A Guide to Identification and Treatment

Access: http://www.emergingsolutionsinpain.com/images/ceeducation/KnowledgeSeriesTwo/ series2_monograph_2007-12-21_miguel.pdf
Audience: Physicians, Pharmacists, Nurses
Start/End: July 19, 2006 / July 19, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Rafael V. Miguel, MD
Description: The ability to identify comorbid conditions in patients with chronic pain is essential to optimal therapeutic outcomes. The prevalence of concurrent psychopathologies is examined and assessment tools to aid their measurement—including the predictive risk of substance misuse and addiction—are reviewed briefly. Pain clinicians are encouraged to develop referral relationships with specialists in psychiatry and addiction management. Access checked July 28, 2008.

Neonates in Intensive Care Endure Painful Procedures, Mostly Without Analgesia

Access: http://www.medscape.com/viewarticle/577413
Audience: Physicians, Nurses
Start/End: July 11, 2008 / July 11, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME for physicians; 0.25 ANCC CE Contact Hours (no credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Marlene Busko; Penny Murata, MD
Description: This activity summarizes the methods and results of 2 studies reporting on the frequency of analgesic use for painful or stressful procedures performed on neonates. The summary shows that each neonate in the intensive care unit undergoes an average of 12 painful procedures per day while analgesia is only being administered in about 20% of cases. Additional data on specific procedures and the use of analgesic therapy is outlined. Access checked July 23, 2008.

Acute Pain Treatment in the Trauma Patient

Access: http://mynursingce.son.wisc.edu/index.pl?op=show;isa=Course;iid=4994
Audience: Nurses
Start/End: Unknown / July 1, 2009
Credits: 1.0 ANCC Contact hours
Price: $20 at program initiation
Program Format: Web-based multimedia
Sponsor: University of Wisconsin School of Nursing
Author(s): Michael Schurr, MD
Description: Pain assessment provides additional challenges in the trauma environment. The principles of analgesic treatment in the emergency room and pain management for postop-trauma patients is covered. Access checked July 15, 2008.

Managing Chronic Pain: The Interdisciplinary Approach

Access: http://mynursingce.son.wisc.edu/index.pl?op=show;isa=Course;iid=357929
Audience: Nurses
Start/End: Unknown / July 1, 2009
Credits: 1.5 ANCC CE contact hours
Price: $20 at program initiation
Program Format: Audio-visual slide program
Sponsor: University of Wisconsin School of Nursing
Author(s): Nathan J. Rudin, MD
Description: This activity includes a discussion of the advantages and disadvantages of the current “gold standard” protocol for managing chronic pain. Guidelines for patient selection and multidisciplinary treatment are presented. Access checked July 15, 2008.

Pain Management in the Opioid-Naïve Adult

Access: http://mynursingce.son.wisc.edu/index.pl?op=show;isa=Course;iid=4992
Audience: Nurses
Start/End: Unknown / July 1, 2009
Credits: 1.5 ANCC Contact hours
Price: $20 at program initiation
Program Format: Web-based multimedia
Sponsor: University of Wisconsin School of Nursing
Author(s): Scott Reuben, MD
Description: Pain of all types continues to go undertreated in spite of the availability of effective pharmacologic and other therapies. The key components of postoperative pain assessment and the factors that guide the postoperative pain management plan are described. The physiology of pain, the principles of analgesic treatment, and a multimodal approach to postoperative pain management are discussed. Access checked July 15, 2008.

The Role of Gastroprotection in Patients on NSAID Therapy

Access: https://secure.pharmacytimes.com/lessons/200607-01.asp
Audience: Pharmacists
Start/End: Unknown / July 1, 2009
Credits: 2.5 ACPE CE credits (0.25 CEUs)
Price: Free course content available at link above; free registration required for course credit on left of screen at link below.
Program Format: Brief Article
Sponsor: Pharmacy Times; (See https://secure.pharmacytimes.com/main.asp?orderby=&group=all )
Author(s): Randolph V. Fugit, PharmD, BCPS; A. Mark Fendrick, MD
Description: Due to the prevalence of gastrointestinal adverse effects for patients using nonsteroidal anti-inflammatory drugs (NSAIDS), this course provides guidelines for reducing gastric injury. In addition to providing techniques for the identification of patients at potential risk, the overall physiological impact of gastric injury is described and a range of treatment options are discussed. Access checked July 15, 2008.

Assessment and Treatment of Acute Pain in Patients with Chemical Dependencies

Access: http://mynursingce.son.wisc.edu/index.pl?op=show;isa=Course;iid=4993
Audience: Nurses
Start/End: Unknown / July 1, 2009
Credits: 1.5 ANCC Contact hours
Price: $20 at program initiation
Program Format: Web-based multimedia
Sponsor: University of Wisconsin School of Nursing
Author(s): W. Thomas Edwards, MD, PhD
Description: This program defines addiction terms and covers drug screening interviews. Specific principles of pain management, perioperative methadone maintenance, and treatment plans for postoperative pain management in patients with addictive disorders are addressed. Access checked July 15, 2008.

Acute Pain Management: Overcoming Barriers and Enhancing Treatment

Access: http://www.medscape.com/viewprogram/14826
Audience: Physicians, Pharmacists, Nurses
Start/End: June 30, 2008 / June 30, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE (0.1 CEUs) for pharmacists; 1.0 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with case management questions
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Bruce Nicholson, MD
Description: Acute pain is a common management challenge for primary care practitioners. This activity provides a review of the clinical characteristics of acute pain according to anatomical location and patient description. Case study examples are included to enhance the learning experience. An algorithm for oral analgesic therapy for acute nonspecific pain is provided; opioid therapy considerations are reviewed. Access checked July 18, 2008.

Peripheral Opioid Antagonists: A Therapeutic Advance for Optimizing Opioid Gastrointestinal Tolerability

Access: http://www.cme.uwisc.org/index.pl?iid=293141&isa=Course&op=show
Audience: Physicians
Start/End: June 30, 2007 / June 30, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Journal of Family Practice journal article
Sponsor: University of Wisconsin School of Medicine and Public Health
Author(s): B. Eliot Cole, MD, MPA; Keri L. Fakata, PharmD
Description: This educational activity for family physicians and primary care practitioners covers the pathophysiology of opioid-induced adverse events and the mechanisms of action of opioid antagonists. The efficacy of traditional treatments and emerging treatments for opioid bowel dysfunction are evaluated and compared. Access checked July 15, 2008.

Pain Management With Opioids: Safe and Effective Use of Opioids in Long-Term Care

Access: http://www.medpagetoday.com/pdf/MEVH03/?mptts=20080725033300
Audience: Physicians, Nurses
Start/End: June 30, 2008 / June 29, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.2 contact hours for California Board of Registered Nursing credit
Price: Free
Program Format: Monograph with interactive case scenario questions
Sponsor: Interstate Postgraduate Medical Association and MEV Healthcom, Inc.
Author(s): Barbara L. Jones (Writer); Carolyn Lopez, MD (Reviewer)
Description: This educational activity reviews the use of opioids in the long-term care setting and begins with a discussion of the misconceptions related to pain and its management. Age-appropriate dosing and the management of opioid-induced side effects are both examined as a means to achieve effective treatment of moderate to severe pain while providing overall maximal long-term patient comfort. A variety of case studies are introduced to enhance the learning opportunity. Access checked July 25, 2008.

EULAR 2008: New Options With Biologics for RA: Recent Advances With Novel Therapeutic Agents

Access: http://www.medscape.com/viewprogram/14845
Audience: Physicians, Nurses
Start/End: June 27, 2008 / June 27, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credits; 0.5 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Web-based multimedia program
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Arthur Kavanaugh, MD; Vibeke Strand, MD; Joseph A. Markenson, MD
Description: This program includes a discussion of data on rheumatoid arthritis (RA) treatment presented at the EULAR 2008 conference held in Paris. Early and aggressive treatment is emphasized, as well as the evidence for achieving and measuring RA remission. The systemic manifestations associated with RA are explored in terms of the benefits and limitations of current biologic therapy. Newer treatment options and their contribution to managing comorbidity and achieving a holistic approach to treating patients with RA is discussed thoroughly by the 3-member expert panel. Access checked July 23, 2008.

Highlights of the American Pain Society 27th Annual Scientific Meeting

Access: http://www.medscape.com/viewprogram/14827
Audience: Physicians, Pharmacists, Nurses
Start/End: June 25, 2008 / June 25, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE (0.1 CEUs) for pharmacists; 1.0 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: 4 Brief articles (completion of all sections necessary for credit)
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Patricia Bruckenthal, PhD, RN, ANP; Jennifer M. Wagner, LPN, ASN, BS
Description: This program reviews the content of several presentations from the May 2008 American Pain Society Annual Meeting in Florida. The topics include: 1) factors related to the development of persistent pain, 2) effective evidence-based pain management for older adults, 3) acute pain treatment in the emergency department setting, and 4) emerging therapies in development for pain relief. Access checked July 25, 2008.

Post-MI Angina Common, Underappreciated, Undertreated in Registry Study

Access: http://www.medscape.com/viewarticle/576599
Audience: Physicians
Start/End: June 25, 2008 / June 25, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Steve Stiles; Desiree Lie, MD, MSEd
Description: An evaluation of the PREMIER registry data on almost 2000 patients during a 2-year period showed that 20% experienced angina within one year of hospitalization for myocardial infarction (MI). In addition to further data on the incidence of angina, this educational summary also reports on several behavioral factors as well as statistics on the administration of nitrates, beta blockers, and statin drugs. PREMIER is the Prospective Registry Evaluating Outcomes After Myocardial Infarction: Events and Recovery longitudinal study of post-MI patients from 19 U.S. hospitals. Access checked July 23, 2008.

Rheumatoid Arthritis Pain Management in Primary Care: A Patient Simulation Series for the Healthcare Team

Access: http://www.medscape.com/viewprogram/14738
Audience: Physicians, Nurses
Start/End: June 24, 2008 / June 24, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 1.0 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Nicole M. Furfaro, MSN, ARNP; Kevin D. Deane, MD
Description: This activity uses patient case studies to review the diagnosis of rheumatoid arthritis (RA) and the management of RA pain. Early identification of the disease is stressed and a variety of laboratory and radiographic testing approaches are explored. Early treatment and subsequent patient follow-up are encouraged to increase the potential remission of the disease process. Attention to possible comorbidities is stressed. Access checked July 23, 2008.

Clinical Challenges in RA Management: Addressing Treatment Failure

Access: http://www.medscape.com/viewprogram/14734
Audience: Physicians, Nurses
Start/End: June 23, 2008 / June 23, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credits; 0.5 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Stephen A. Paget, MD, FACP, FACR; Jonathan Kay, MD, FACP, FACR; Sergio Schwartzman, MD
Description: This educational activity begins with a review of the pathophysiology of rheumatoid arthritis (RA) and the efficacy of symptom management using biologic agents. Since RA is a complex immunological disease, emphasis is placed on patient assessment and the continual monitoring of disease progression along with treatment success or failure. The tools available for outcomes measurement—pain, inflammation, functionality, quality of life—are reviewed. Evidence-based literature on treatment is reviewed as an aid for clinicians to recognize suboptimal therapy, prescribe appropriate therapy, and adjust pharmacotherapy according to disease progression. Access checked July 17, 2008.

Controlled Substance Prescriptions and Pain Management: Striking a Balance

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / June 21, 2009
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: $10 fee for nonmember credit; course may be viewed free after completing online registration
Program Format: Three formats available: slide program with or without audio; pdf monograph
Sponsor: American Pharmacists Association
Author(s): David B. Brushwood, JD
Description: Pain management continues to be a high medical priority in the United States because, in spite of the many therapeutic options, studies show that pain continues to be under-treated. This program discusses the potential physiological and psychological effects on the patient who is not receiving effective pain management. National pain management guidelines and consensus statements for drug therapy are reviewed. Strategies are presented to assist pharmacists in assessing the validity of prescriptions and case examples are used to identify legal and ethical responsibilities. Access checked July 15, 2008.

Implementing Pain Management Services in Pharmacy Practice

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / June 21, 2009
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: $10 fee for nonmember credit; course may be viewed free after completing online registration
Program Format: Two formats available: HTML text with interactive questions; pdf monograph
Sponsor: American Pharmacists Association
Author(s): Advisory Board – Randy P. McDonough, PharmD (Chairperson); David B. Brushwood, RPh, JD; Kathryn Hahn, PharmD; Jaime White-Stetchock, PharmD
Description: The continued need for comprehensive pain management presents the pharmacist with a good opportunity to provide pain management services. The program begins with a discussion of the barriers to good pain management and the physiological effects of unrelieved pain. While patient education will always be a pharmacist’s key responsibility, the program defines specific value-added activities that can be developed as part of a more comprehensive program for patients with chronic pain. Program topics include 1) consultation to assess unmet patient needs, 2) disease-specific education, 3) manufacturer patient assistance programs, 4) communication techniques in nonjudgmental compassion, and 5) healthcare provider consultation on medication costs and controlled substance regulations. Promotion strategies for the healthcare community and the patient population are explored. Access checked July 15, 2008.

Aromatase Inhibitors May Relieve Endometriosis-Associated Pain: Review

Access: http://www.medscape.com/viewarticle/576356
Audience: Physicians
Start/End: June 20, 2008 / June 20, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Reuters Health Information
Author(s): Megan Rauscher, Desiree Lie, MD, MSEd
Description: This activity provides a summary of a systematic review of aromatase inhibitor therapy for the primary symptoms of endometriosis as reported in the June 2008 issue of BJOG: An International Journal of Obstetrics and Gynecology. Predominantly, the authors report that a majority of studies were of poor quality and recommend future randomized controlled trials. Further, the summary reviews the findings that support aromatase inhibitor efficacy in reducing pain and endometriosis-related symptoms. Access checked July 24, 2008.

Cymbalta Approved for Fibromyalgia

Access: http://www.medscape.com/viewarticle/576320
Audience: Physicians
Start/End: June 19, 2008 / June 19, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Yael Waknine
Description: The drug duloxetine HCl (Cymbalta®) received FDA-approval for use in the management of fibromyalgia in adults. This educational activity reviews the results of 2 double-blind, randomized phase-3 clinical trials of Cymbalta delayed-release capsules in the treatment of male and female patients who met the American College of Rheumatology criteria for primary fibromyalgia. Access checked July 16, 2008.

How to Stop the Hurt—Sucrose Prior to Infant Vaccinations: A Best Evidence Review

Access: http://www.medscape.com/viewprogram/14748
Audience: Physicians, Nurses
Start/End: June 16, 2008 / June 16, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credits; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Charles P. Vega, MD
Description: This Medscape Best Evidence review begins with a reminder that in spite of data that suggest potential long-term complications from neonatal pain, the use of analgesia prior to infant injections and vaccinations does not meet current recommendations. The evidence for providing sucrose to reduce pain is reviewed and recommendations are made for future studies. The authors conclude that the intervention is effective, inexpensive, safe, and could involve parents who want to assist in the reduction of their infant’s discomfort. Access checked July 18, 2008.

American College of Rheumatology Updates Rheumatoid Arthritis Guidelines

Access: http://www.medscape.com/viewarticle/575597
Audience: Physicians
Start/End: June 5, 2008 / June 5, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This program briefly reviews the American College of Rheumatology (ACR) 2008 update of their evidence-based guidelines for evaluating and treating rheumatoid arthritis based on evidence published since the release of the 2002 recommendations. Five specific topics are examined: 1) treatment indications, 2) tuberculosis screening with biologic DMARDs, 3) adverse effects, 4) efficacy, and 5) treatment selection based on patient preferences and cost. Recommendations for both nonbiologic and biologic DMARDs, based on disease duration, are described here (the complete ACR guidelines include 3 treatment algorithms and 2 tables outlining contraindications which are not included in this activity). Access checked July 21, 2008.

Methylnaltrexone Appears Effective for Severely Ill Patients With Opioid-Induced Constipation

Access: http://www.medscape.com/viewarticle/575536
Audience: Physicians
Start/End: June 4, 2008 / June 4, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Marlene Busko; Desiree Lie, MD, MSEd
Description: Methylnaltrexone was approved by the FDA in April 2008 for the treatment of opioid-induced constipation in terminally ill patients. This educational activity reports on the results—including laxation responses and adverse effects—of a phase 3 trial reported in a May 2008 issue of the New England Journal of Medicine. The study reported that methylnaltrexone did not compromise the central analgesic effect of the opioid therapy in this study population. Access checked July 24, 2008.

Management of Chronic Pelvic Pain in Women Reviewed

Access: http://www.medscape.com/viewarticle/575464
Audience: Physicians, Nurses
Start/End: June 3, 2008 / June 3, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME for physicians; 0.25 ANCC CE Contact Hours (no credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This activity summarizes a review of the evaluation and management of chronic pelvic pain in women that was published in the June 2008 issue of the journal American Family Physician. The clinical definition and causes of pelvic pain are reviewed and the evidence is summarized for the few treatment modalities that have demonstrated effectiveness. Access checked July 22, 2008.

Early Surgery for Severe Sciatica Relieves Pain Faster Than Conservative Treatment

Access: http://www.medscape.com/viewarticle/557590
Audience: Physicians
Start/End: June 1, 2007 / June 2, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit for physicians, Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This activity reviews the results of a randomized trial evaluating the outcomes of back treatment for severe sciatica, as published in the New England Journal of Medicine. The study compared conservative treatment with surgery and looked at short-term and 1-year results. Access checked July 15, 2008.

Opioid Pharmacology and Considerations in Pain Management

Access: http://www.uspharmacist.com/index.asp?page=ce/105473/default.htm
Audience: Pharmacists; Pharmacist Technicians
Start/End: May 31, 2007 / May 31, 2009
Credits: 2.0 ACPE credit hours (0.20 CEUs)
Price: $6.50 fee is required during online course registration
Program Format: Brief article
Sponsor: U.S. Pharmacist (Professional journal)
Author(s): Anne Zichterman, PharmD, BCPS
Description: The counseling services provided by the pharmacist, as a member of a multi-disciplinary pain management team, can help guide the selection of opioids, identify correct dosages/schedules, and monitor for adverse effects. As our understanding of the pharmacology of opioids becomes more sophisticated, clinicians may be more equipped to anticipate dosage-limiting adverse effects and variations in individual response. The pharmacist can provide physician support and patient counseling to help ensure adherence and overall treatment success. Access checked July 15, 2008.

Uncovering Rheumatoid Arthritis: A Diagnosis and Co-Management Case in Primary Care

Access: http://www.medscape.com/viewprogram/12670
Audience: Physicians, Nurses
Start/End: May 30, 2008 / May 30, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 1.0 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Michael H. Schiff, MD, FACR
Description: This test-and-teach educational program uses an interactive grand rounds approach designed to test the clinician’s current knowledge and to review diagnostic considerations and treatment options for rheumatoid arthritis (RA). Emphasis is placed on early diagnosis and evidence-based treatment strategies. Cardiovascular, infectious disease, and musculoskeletal comorbidities are examined in terms of RA multimodal treatment and consultation. Access checked July 18, 2008.

Fibromyalgia: A Label for Chronic, Widespread Pain

Access: http://www.medscape.com/viewprogram/14645
Audience: Physicians, Nurses
Start/End: May 29, 2008 / May 29, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 1.0 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Daniel J. Clauw, MD
Description: This educational program uses an interactive grand rounds approach designed to test the clinician’s current knowledge on the symptoms and clinical presentation of fibromyalgia syndrome. A review of diagnostic considerations includes common comorbidities, “stressors” associated with flares of fibromyalgia pain, and the limitations of the American College of Rheumatology criteria for the classification of fibromyalgia. A section on the need for appropriate management to achieve optimal outcomes includes a discussion of the common treatment challenges for the patient and clinician. Access checked July 22, 2008.

The Many Faces of Ankylosing Spondylitis: Evidence-Based Approach to Diagnosis and Management

Access: http://www.medscape.com/viewprogram/12637
Audience: Physicians, Nurses
Start/End: May 27, 2008 / May 27, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 1.0 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Muhammad A. Khan, MD, FRCP, MACP; Mazen Elyan, MD
Description: Using an interactive grand rounds approach, this test-and-teach educational program is designed to test current knowledge in addition to providing a review of existing guidelines for the evaluation and treatment of ankylosing spondylitis (AS). The importance of disease classification, early diagnosis, and aggressive management is emphasized. Recent data on antitumor necrosis factor-alpha and other newer therapies in the long-term management of AS are reviewed. Access checked July 18, 2008.

Abuse, Addiction, and Pain Relief: Time for Change

Access: http://www.medscape.com/viewprogram/12508
Audience: Physicians, Pharmacists
Start/End: May 22, 2008 / May 22, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE (0.1 CEUs) for pharmacists
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Jonathan Kamien, MD; Rollin M. Gallagher, MD, MPH; Herbert D. Kleber, MD; Eugene Viscusi, MD.
Description: This program is a recording of a February 2008 symposium that was jointly sponsored by several organizations, including the National Institute on Drug Abuse. The inadequate treatment of chronic pain and key issues related to scheduled and nonscheduled opioid analgesics are reviewed. The roles of the primary care physician and the pain specialist in the management of pain—as well as evidence of physician reluctance to prescribe analgesic medications—are reviewed. A discussion of the risk/benefit ratios of current drugs and analgesic agents on the horizon concludes the program. Access checked July 21, 2008.

Management of Opioid-Induced Side Effects

Access: http://www.medscape.com/viewprogram/9146
Audience: Physicians, Nurses
Start/End: May 20, 2008 / May 20, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 0.9 ANCC CE contact hours for nurses
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Michael H. Levy, MD, PhD; Robert A. Swarm, MD
Description: The material in this program was originally presented at the NCCN 13th Annual Conference entitled Clinical Practice Guidelines & Quality Cancer Care in March 2008. Opioid-induced side effects commonly experienced by patients with cancer are reviewed. Techniques and effective treatment approaches for reducing many well-known adverse and undesirable effects—including opioid toxicity, tolerance, and hyperalgesia—are explored. The reduction and management of constipation is discussed in great detail. Practitioners are encouraged to select treatments for cancer-related opioid-induced side effects that consider the patient’s disease process and offer opportunities to preserve quality of life. Access checked July 18, 2008.

Education in Palliative and End-of-Life Care for Oncology (EPEC™-O) Curriculum

Access: http://www.cancer.gov/aboutnci/epeco
Audience: Physicians, Nurses
Start/End: May 15, 2007 / May 14, 2009
Credits: Up to 32.5 AMA PRA Cat. 1 credits; Up to 31.0 nursing contact hours approved by the California Board of Registered Nursing
Price: The CD-ROM and companion DVD are free; NCI charges approximately $8 for shipping and handling.
Program Format: Monograph
Sponsor: National Cancer Institute (NCI)
Description: This is a comprehensive program in palliative and end-of-life care produced by the EPEC™ Project at Northwestern University’s Feinberg School of Medicine. It was developed to provide important care-giving strategies to practitioners caring for patients with end-stage cancer. The curriculum contains a total of 15 content modules and 2 teaching skills modules intended to cover the full scope of knowledge, attitudes, and skills needed for comprehensive palliative cancer care. The healthcare professional using this program can complete the entire program or just the modules of interest. Access checked July 15, 2008.

A Multidisciplinary Approach to the Medical Management of Sleep, Chronic Pain, and Driving

Access: http://www.emergingsolutionsinpain.com/index.php?option=com_content&task=view&id=313&Itemid=42
Audience: Physicians, Pharmacists, Nurses
Start/End: May 7, 2008 / May 7, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Bradley J. Schnierow, MD, MS; Joseph Shurman, MD
Description: The relationship between chronic pain and sleep disorders is explored in terms of the potential negative consequences associated with sleep apnea and opioid therapy. This article explores the role of the sleep specialist in assessing and treating chronic pain patients, the multidisciplinary approach needed in the management of chronic pain, and possible pharmacologic strategies to address sleep disorders in this population of patients. Access checked July 28, 2008.

Fibromyalgia: Real-life Clinical Challenges

Access: http://www.medscape.com/viewprogram/12528
Audience: Physicians
Start/End: May 2, 2008 / May 2, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Stuart L. Silverman, MD, FACP, FACR
Description: This educational program uses a test-and-teach approach to allow the learner to test current knowledge while reviewing symptoms that distinguish fibromyalgia from clinically overlapping musculoskeletal conditions. The effective use of multimodality therapy is explored and the benefits and adverse effects of pharmacologic and nonpharmacologic therapies are evaluated. Access checked July 21, 2008.

Managing Joint Pain and Swelling in Primary Care: A Patient Simulation Series for the Healthcare Team

Access: http://www.medscape.com/viewprogram/12519
Audience: Physicians, Nurses
Start/End: April 30, 2008 / April 30, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits; 1.0 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive question format
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Nicole M. Furfaro, MSN, ARNP; Kevin D. Deane, MD
Description: This activity uses 2 patient case studies to review the diagnosis of rheumatoid arthritis (RA) and the management of RA pain. Emphasis is placed on screening for risks of cardiovascular disease (CVD) as well as appropriate collaborative evaluation and treatment between primary care providers and the rheumatologist. RA therapy should reflect patient risks; multimodality approaches should be used to reduce CVD risks. Access checked July 23, 2008.

Evaluation of Acute Abdominal Pain Reviewed

Access: http://www.medscape.com/viewarticle/573206
Audience: Physicians, Nurses
Start/End: April 18, 2008 / April 18, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: The guidelines for the evaluation of acute abdominal pain in adults presenting to primary care practitioners are reviewed in the April 2008 issue of American Family Physician. This educational activity summarizes that review and focuses on the need for a thorough patient history, physical examination, laboratory tests, and appropriate imaging studies. Laboratory tests and imaging studies are listed according to the location of the abdominal pain. Symptom variations and specific conditions in special populations, such as women and the elderly, are mentioned. Access checked July 22, 2008.

FDA Approval: Orencia® [for Polyarticular Juvenile Idiopathic Arthritis]

Access: http://www.medscape.com/viewarticle/573145
Audience: Physicians
Start/End: April 17, 2008 / April 17, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Yael Waknine
Description: In this activity, the FDA approval of the new indication for abatacept injection (Orencia®) for polyarticular juvenile ideopathic arthritis (JIA) is announced and the 3-part AWAKEN study data, upon which the approval was based, is summarized. The appropriate use of abatacept is described for pediatric patients (6 years and older) according to the signs and symptoms of moderately to severely active polyarticular JIA. Dosing recommendations and a brief summary of adverse event data are provided. Access checked July 22, 2008.

Patient With Pain and Joint Swelling

Access: http://www.legdisorders.org/ondemand/default.aspx (scroll the list for CME title)
Audience: Physicians
Start/End: April 16, 2008 / April 16, 2009
Credits: Up to 0.75 AMA PRA Cat. 1 credits
Price: Free
Program Format: Monograph slides with interactive question format and case presentation
Sponsor: Biology of Leg Disorders (BOLD)
Author(s): Allan Gibofsky, MD, JD
Description: This easy-to-read report on a patient who presents with pain and swelling in the joints is explored using a virtual case study approach. Laboratory and radiographic test results are presented and the learner is invited to submit a diagnosis. Additionally, initial and follow-up treatment plans invite an interactive response that provides instant feedback. Access checked July 16, 2008.

Persistent Pain and the Older Patient

Access: http://www.medscape.com/viewprogram/8918
Audience: Physicians
Start/End: April 4, 2008 / April 4, 2009
Credits: Up to 1.25 AMA PRA Cat. 1 credits
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Penny Tenzer, MD
Description: Chronic pain can affect all aspects of a patient’s life, including their functional, psychological, social, and socioeconomic status. For older adults, there can be additional treatment challenges due to communication barriers, comorbidities, and changing pharmacokinetics. This activity reviews the need to consider these challenges during the pain assessment and explores typical vs. atypical physical pathologies and functional limitations of the aged patient. Access checked July 21, 2008.

New Data Will Help Guide Prescribing of Celecoxib

Access: http://www.medscape.com/viewarticle/572407
Audience: Physicians, Nurses
Start/End: April 2, 2008 / April 2, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Lisa Nainggolan, Desiree Lie, MD, MSEd
Description: This article summarizes a meta-analysis of 6 randomized trials of celecoxib based on the review published March 2008 in Circulation online [ahead of print]. Following evidence of an increased cardiovascular risk for patients taking cyclooxygenase-2 inhibitors (celecoxib), recent studies have attempted to further assess the cardiovascular risk associated with celecoxib for 3 different dosing regimens. This educational activity summarizes the review findings and focuses on the need for a thorough evaluation of patient cardiovascular risk at baseline and further attention to potential dose-related risks with celecoxib treatment. Access checked July 25, 2008.

When Should Opioids Be Discontinued? Assessing Aberrant Medication-Use Behaviors in Patients with Chronic Pain

Access: http://www.emergingsolutionsinpain.com/images/ceeducation/monographs/monograph_2008-04-01_ziegler.pdf
Audience: Physicians, Pharmacists, Nurses
Start/End: April 1, 2008 / April 1, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1 CNE contact hour for California nurses
Price: Free after completing online registration (select course title at address above and a registration link will be provided)
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Penelope P. Ziegler, MD, FASAM
Description: This monograph begins with a discussion of patient behaviors that may be indicative of addictive disease or signify the possibility of drug diversion. A behavior evaluation must include consideration of all possible conditions in the differential diagnosis: pseudoaddiction, undiagnosed comorbid psychiatric illness, somatization, chemical coping, and diversion. Case studies help enhance the educational experience and recommendations are made to assist practitioners in the identification of patients who have a moderate to high risk for abuse. Access checked July 28, 2008.

Pain and the Brain — What We Have Learned From Functional Neuroimaging (CSA Pain Management Module 9)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=9&terms=show
Audience: Physicians
Start/End: March 31, 2006 / March 31, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Sean Mackey, MD, PhD
Description: The brain plays an integral role in pain perception. This program examines the ways in which neuroimaging has helped to advance an understanding of the mechanisms involved in pain perception and the mechanisms of neural plasticity. Imaging has increased knowledge of the complex multiple levels of the central nervous system, including emotional and cognitive factors that contribute to the pain experience. Access checked July 15, 2008.

The Pharmacist’s Role in the Medication Therapy Management of Chronic Pain

Access: http://www.cecity.com/ncpa/mtm/disclaim.htm
Audience: Pharmacists
Start/End: March 29, 2006 / March 29, 2009
Credits: 2.0 ACPE CE (0.20 CEUs)
Price: Free after online registration
Program Format: Two formats available: web-based multimedia or print version
Sponsor: National Community Pharmacists Association
Author(s): Kathryn Hahn, PharmD
Description: The pharmacist has an opportunity to be a key member of the multidisciplinary pain management team and may be in a position to provide compliance counseling, assist with compliance monitoring, and augment patient education. This program provides the essential elements in the development of a pain management program within the community pharmacy. The need to balance effective pain management and prevent abuse and diversion are discussed. The format for a patient medication action plan is provided. Access checked July 15, 2008.

Ibuprofen Effective for Acute Musculoskeletal Pain Relief in Children

Access: http://www.medscape.com/viewarticle/553522
Audience: Physicians
Start/End: March 13, 2007 / March 13, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Charles Vega, MD, FAAFP
Description: A study of children who presented with musculoskeletal injuries to the emergency department, as reported in the March issue of Pediatrics, compared the efficacy and safety of ibuprofen, acetaminophen, or codeine for the treatment of acute pain. This report summarizes the results of the study which demonstrated that initial treatment with ibuprofen showed a significantly greater reduction in pain scores at 60 minutes postanalgesia. Access checked July 25, 2008.

Common Over-the-Counter Analgesics May Increase Hypertension Risk in Older Men

Access: http://www.medscape.com/viewarticle/552850
Audience: Physicians, Nurses
Start/End: February 28, 2007 / March 1, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME for physicians; 0.25 ANCC CE Contact Hours (0.25 credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Sue Hughes; Charles Vega, MD, FAAFP
Description: The results of a study that evaluated the risk for hypertension in men who used over-the-counter analgesics were published in the February 2007 issue of the journal Archives of Internal Medicine, and forms the basis for this educational activity. Participants who used aspirin, acetaminophen, or NSAIDs and did not have a history of high blood pressure were recruited from the Health Professionals Follow-up Study. This report discusses the results, including the association between the frequency of use and the risk for incident hypertension during the 4-year study period. Access checked July 15, 2008.

AHA Updates NSAID Advice for Heart Disease Patients

Access: http://www.medscape.com/viewarticle/552845
Audience: Physicians, Nurses
Start/End: February 28, 2007 / February 28, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit, Up to 0.5 AAFP Prescribed CME for physicians; 0.5 ANCC CE Contact Hours (0.5 credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Sue Hughes; Charles Vega, MD, FAAFP
Description: This educational activity reports on the recent American Heart Association (AHA) scientific statement on the use of NSAIDs and COX-2 inhibitors that was published in the February 2007 issue of Circulation. Following a review of the evidence for increased cardiovascular risk for patients with heart disease, the article reviews the AHA recommendations for a stepwise approach to managing musculoskeletal pain in this patient population. The recommendations begin with nonpharmacologic treatments and, as needed, continues with a hierarchical protocol for analgesic treatment, including NSAID use at the lowest possible effective dose for the shortest timeframe. Access checked July 15, 2008.

PAIN Control: IV Opioid Range Orders for Acute Pain Management

Access: http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=692147
Audience: Nurses
Start/End: February, 2007 / February 28, 2009
Credits: 3.0 ANCC CE Contact Hours; also approved by AACCN (CERP category A), Texas CE Type 1, and the California Board of Registered Nursing
Price: $27.95 for credits; course and test may be viewed free
Program Format: Journal article
Sponsor: American Journal of Nursing
Author(s): Chris Pasero, MS, RN-BC, FAAN; Renee Manworren, MS, RN-BC, CNS; Margo McCaffery, MS, RN-BC, FAAN
Description: This activity is based on an article that proposes guidelines for the development of opioid range orders; published in the February 2007 issue of the American Journal of Nursing. The authors suggest that the concept and use of range orders requires flexibility based on the patient and the analgesic; therefore, goals for pain management rather than specific inflexible practices should be developed. The learning experience is enhanced with the presentation of case studies that include recommendations for opioid range orders specific to each case. Access checked July 15, 2008.

Swimming Pool Exercises May Offer Cost-Effective Help in Fibromyalgia

Access: http://www.medpagetoday.com/Rheumatology/Fibromyalgia/tb/8469
Audience: Nurses
Start/End: February 22, 2008 / February 22, 2009
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Charles Bankhead (MedPage Today); Robert Jasmer, MD (Reviewer)
Description: This educational activity reviews the outcomes of several studies that evaluate physical exercise in warm water for pain relief in fibromyalgia syndrome. The benefits of water exercise (while minimizing the impact associated with other forms of exercise) as cost-effective adjunctive therapy for patients with fibromyalgia are discussed. Access checked July 15, 2008.

Acute Onset of Abdominal Pain in a 76-Year-Old Man

Access: http://www.medscape.com/viewprogram/8779
Audience: Physicians
Start/End: February 20, 2008 / February 20, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Brief article
Sponsor: Medscape and eMedicine
Author(s): Gautam Dehadrai, MD
Description: This single case of an elderly man with acute abdominal pain presents the history, symptoms, laboratory test results and radiographic films of the abdomen. There is a single interactive question related to your diagnosis and a discussion of the factors related to the correct diagnosis. The author presents this case to improve awareness of the usual presentation of a common medical condition that can result in significant morbidity and mortality if misdiagnosed. Access checked July 15, 2008.

Management of Chronic Shoulder Disorders Reviewed

Access: http://www.medscape.com/viewarticle/570356?src=mp
Audience: Physicians, Nurses
Start/End: February 19, 2008 / February 19, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Charles Vega, MD
Description: Shoulder pain is second to low back pain as the most common musculoskeletal complaint evaluated and treated in physician offices. This article summarizes the content of 2 articles published in February 2008 in the journal American Family Physician. Potential causes of shoulder pain according to typical ages of presentation are discussed and evidence-based recommendations for diagnostic testing and the management of chronic shoulder pain are reviewed. Access checked July 15, 2008.

Topical Anesthetics in Children

Access: http://www.medscape.com/viewprogram/8767
Audience: Physicians, Nurses
Start/End: February 19, 2008 / February 19, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit; 0.5 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Amy L. Baxter, MD
Description: As the number of options for reducing procedural pain in children increases, the need to be familiar with the methods available becomes more important. This educational activity reviews the evidence for topical and local pain relievers, including: 1) the physiology behind using topical anesthetics to reduce needle pain, 2) the use of local anesthesia on open wounds, 3) lidocaine delivery by iontophoresis and intradermal injection, as well as 4) cold spray use prior to a needle stick. Study results and economic considerations, as available, are included in the discussion. Access checked July 15, 2008.

Oxcarbazepine Not Effective for Migraine Prevention

Access: http://www.medscape.com/viewarticle/570256
Audience: Physicians
Start/End: February 15, 2008 / February 15, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Caroline Cassels (News); Desiree Lie, MD, MSEd (CME)
Description: A randomized, placebo-controlled trial published in a February issue of Neurology has found no significant difference in the reduction of migraine attacks with the administration of the antiepileptic drug oxcarbazepine (Trileptil®) when compared with placebo. This activity reviews the methodology, results and adverse effects of oxcarbazepine therapy in this study population. The results failed to support an earlier trial that suggested that the drug may be an effective agent for preventing migraine episodes. Access checked July 15, 2008.

Burning Leg Pain in a Patient With Type 2 Diabetes

Access: http://www.legdisorders.org/ondemand/default.aspx (scroll the list for CME title)
Audience: Physicians
Start/End: February 13, 2008 / February 13, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credits
Price: Free
Program Format: Monograph slides with interactive question format and case presentation
Sponsor: Biology of Leg Disorders (BOLD)
Author(s): Grace Forde, MD
Description: This easy-to-read case study of a patient who presents with burning leg pain and type 2 diabetes was designed to reinforce knowledge on the diagnosis and management of a patient with diabetic peripheral neuropathy (DPN). The learner is provided with neurologic symptoms and test results and invited to order additional testing for the virtual patient. With added test results and considerations for differential diagnosis, a patient diagnosis is requested of the learner (immediate feedback is provided). Evidence-based pharmacologic treatment options plus nonpharmacologic treatments and lifestyle modifications are reviewed for the management of DPN. Access checked July 16, 2008.

Strategies for the Prevention and Management of Herpes Zoster and Associated Pain in Older Adults

Access: http://www.medscape.com/viewprogram/8554?src=mp
Audience: Physicians
Start/End: February 12, 2008 / February 12, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Interactive Web Conference
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Katherine E. Galluzzi, DO, CMD, FACOFP; Kenneth E. Schmader, MD
Description: This educational activity utilizes an interactive “Virtual Office” to evaluate one patient case involving an acute episode of herpes zoster in an elderly male and also presents a case of postherpetic neuralgia. The patient’s history is presented and the user has an opportunity to learn additional facts, ask the patient questions, and add notes. After a review of the patient’s current tests and treatment, the educational user has the option to order additional tests and pharmacological treatment; feedback is provided according to the choices made. The “Virtual Office” offers a real-world environment that includes patient interaction, decision-making, assessment, and treatment. Access checked July 15, 2008.

Ketofol Works Well for Procedural Sedation and Analgesia in the ED

Access: http://www.medscape.com/viewarticle/551955
Audience: Physicians
Start/End: February 9, 2007 / February 8, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Will Boggs, MD; Laurie Barclay, MD
Description: Ketofol, a novel combination of 2 commonly used medications, ketamine and propofol, is evaluated for effectiveness and safety in a study of 114 patients who required emergency room procedures. This activity summarizes the methods and results of this study as reported in the January issue of the Annals of Emergency Medicine. Access checked July 15, 2008.

Sucrose Effective as an Analgesic During Infant Immunizations

Access: http://www.medscape.com/viewarticle/569798
Audience: Physicians, Nurses
Start/End: February 6, 2008 / February 6, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: A randomized, placebo-controlled trial published in February 2008 in the journal Pediatrics reports on the study methods and outcomes of the administration of oral sucrose as an analgesic for routine immunizations. This activity reviews a summary of the study on infants 2 to 4 months of age and reports on the efficacy of oral sucrose for pain relief during immunizations at 2, 5, 7, and 9 minutes post-treatment. Access checked July 15, 2008.

Use of Multiple NSAIDs Reduces Arthritis Pain but May Increase Complications

Access: http://www.medscape.com/viewarticle/569797
Audience: Physicians, Nurses
Start/End: February 6, 2008 / February 6, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This activity reviews a study published in Arthritis Care & Research highlighting the fact that many consumers are unaware of the increased risk of side effects when taking 2 drugs from the same therapeutic class. Patients from a managed-care organization who filled at least one prescription for a nonsteroidal anti-inflammatory drug (NSAID) were recruited to participate in a telephone interview regarding NSAID use for arthritis or joint pain. Results showed that 26% of participants reported taking at least 2 NSAIDs (prescription, over-the-counter, or both) during the month prior to the survey. Patients taking dual NSAIDs reported lower scores in health-related quality of life than participants who reported taking only a single NSAID medication. Access checked July 15, 2008.

Nurse-Administered Anticipatory Guidance May Reduce ED Visits for Ear Pain in Toddlers

Access: http://www.medscape.com/viewarticle/569720
Audience: Physicians, Nurses
Start/End: February 5, 2008 / February 5, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (none in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: Ear pain in pediatric acute otitis media is a common cause of emergency department visits. A study published in February 2008 in the journal Archives of Pediatrics & Adolescent Medicine tested whether standardized anticipatory guidance during a well-child visit and a prescription for analgesic ear drops would alleviate parental concerns about future ear pain and, ultimately, decrease the use of emergency department services. The 10-minute slide program included education related to ear pain relief, recognition of symptoms that would require urgent attention, a reminder regarding the availability of 24-hour access to telephone advice, and the appropriate use of medications. The results of the intervention demonstrated significant reductions in emergency care visits as well as regular primary care appointments for ear pain. Access checked July 15, 2008.

No Clear Evidence to Support Use of Antidepressants for Chronic Low Back Pain

Access: http://www.medscape.com/viewarticle/569659
Audience: Physicians
Start/End: February 4, 2008 / February 4, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Susan Jeffrey; Penny Murata, MD
Description: A review published in the Cochrane Database of Systematic Reviews evaluated 10 studies for evidence of efficacy with antidepressant therapy for pain relief and depression in the management of chronic low back pain. Some antidepressants have previously demonstrated analgesic efficacy in low dose formulations. In this evaluation, however, only a minor number of studies showed evidence for pain relief with antidepressants in general. This activity reviews the treatment results for depression, pain relief, and functional status in patients with nonspecific low back pain. Access checked July 15, 2008.

Overcoming