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Pain Treatment CME (Continuing Medical Education) Courses
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 IMPORTANT: CME Courses are provided by the sponsoring organizations listed in the course descriptions; not by Pain-Topics.org. Questions regarding a particular course or credits should be directed to the sponsoring organization indicated in the course materials. Pain Treatment Topics has no financial interest in any of these offerings; see also, Disclaimer below.
 To the extent possible, and in accord with the Pain Treatment Topics Open Access Policy, only courses are listed that allow free viewing of the contents, although there may be a cost from the sponsor organization (not Pain-Topics.org) to receive CME/CEU credits. Registration at the site may be required.
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Fibromyalgia Assessment, Management & Education (FAME) Project
Access: http://www.fibromyalgia-cme.com/
Audience: Physicians, Physician's Assistants, Nurse Practitioners, Nurses, Health Educators, Physical Therapists, Counselors
Start/End: 2008 / Varies by accrediting organization from June 6, 2009 to April 30, 2013
Credits: Varies by accrediting organization
Price: Free after registration
Program Format: Web-based multimedia (Flash Player 9 required)
Sponsor: National Fibromyalgia Association (NFA); California State University, Fullerton
Author(s): Sarah Bates, MA, OTR/L, ERYT; Robert M. Bennett, MD, FRCP, FACP, MACR; Daniel J. Clauw, MD; Afton L. Hassett, PsyD; Archana J. McEligot, PhD; Daniel S. Rooks, ScD; David A. Williams, PhD; Patrick B. Wood, MD
Description: This comprehensive fibromyalgia program from the NFA contains 3 core course modules, 5 supporting modules, and additional published material that varies by course. Core program content includes the history of our understanding of fibromyalgia pathophysiology, strategies for assessment and differential diagnosis, and current approaches to pharmacological management. Supporting chapters provide nonpharmacologic strategies intended to provide up-to-date information on evidence-based complementary treatment modalities. Recommendations for therapy and patient education are presented in the areas of cognitive behavioral therapy, general exercise, biofeedback, nutrition, and yoga. Access checked January 19, 2009.
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, 2009 / March 31, 2012
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $30 per credit hour for non-members
Program Format: Monograph
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 April 13, 2009.
Rehabilitation in Pain Management (CSA Pain Management Module 8)
Access: http://www.csahq.org/cme2/course.module.php?course=3&module=10&terms=show
Audience: Physicians
Start/End: December 31, 2008 / December 31, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $30 per credit hour for non-members
Program Format: Monograph
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Quynh Pham, MD
Description: This program explains the benefits of a patient therapeutic exercise regimen in the management of musculoskeletal pain. Other physical modalities are discussed, including the indications and contraindications for superficial heat (packs, whirlpool), deep heat (ultrasound, diathermy), cryotherapy, transcutaneous electrical nerve stimulation (TENS), and traction. Access checked April 13, 2009.
Achieving Optimal Therapeutic Outcomes With Oral Over-the-Counter Analgesics: Assessing Benefit Versus Risk
Access: http://www.pharmacist.com/AM/template.cfm?section=Login1&template=/security/login.cfm
Audience: Pharmacists (and Physician Assistants - see note below)
Start/End: Unknown / December 15, 2011
Credits: 3.0 ACPE Contact Hours (0.3 CEUs)
Price: Free after completing online registration and/or entering login information
Program Format: 24-page Monograph
Sponsor: American Pharmacists Association (APA)
Author(s): Advisory Board: Stefanie P. Ferreri, PharmD, CDE, FAPhA, Kennon Heard, MD, and Maria Marzella Sulli, PharmD, CGP
Description: Recent surveys have demonstrated that most American adults frequently use over-the-counter (OTC) analgesics for pain relief. This educational activity addresses concerns regarding the risks that accompany these agents and the lack of patient education regarding proper use of analgesic medications. An in-depth discussion of the potential risks for acetaminophen, NSAIDs (ibuprofen, naproxen sodium), and aspirin includes evidence-based data on the incidence of gastrointestinal toxicity, liver toxicity, kidney damage, hypertension, and cardiovascular adverse events. A review of the potential for drug-drug interactions in people using common OTC pain-relievers includes a list of agents from several different drug classes as well as other OTC pain-relievers. Safety concerns for children are discussed in detail, and risks for special populations—pregnant or nursing women and older adults—are reviewed. Techniques for counseling patients, including the use of the QuEST process, includes a comprehensive list of important considerations during the analgesic selection process. Access checked May 16, 2009.
Additional Program Sponsor: This program is also available for physician assistants through a cooperative agreement with the APA and the American Association of Physician Assistants (AAPA). Up to 1.5 hours of AAPA Category I CME credit can be earned (the activity is free to all viewers, but non-members must pay $25 for educational credit - see last page of monograph) and the monograph can be downloaded at:
http://www.aapa.org/images/stories/education_and_certification/PSC-OTC-PA.pdf
Overcoming Race-Based Disparities in Pain Management
Access: http://www.pharmacist.com/AM/TemplateRedirect.cfm?template=/CM/ContentDisplay.cfm
&ContentID=17631
Audience: Pharmacists
Start/End: Unknown / October 1, 2011
Credits: 1.5 ACPE Contact Hours (0.15 CEUs)
Price: Free
Program Format: 12-page Monograph
Sponsor: American Pharmacists Association
Author(s): Advisory Board: Kathryn Hahn, PharmD, DAAPM; Mary Lynn McPherson, PharmD, BCPS, CDE; Magaly Rodriguez de Bittner, PharmD, BCPS, CDE; Carla Rubingh, PharmD
Description: The evidence of continued disparities in pain management is explored and strategies are presented to further eliminate inequities in treatment. Data showing evidence of disparity in emergency healthcare and veteran’s medical centers are reviewed; some reports show that treatment disparities are not limited to race differences. The subjective nature of pain is explored, techniques for improved pharmacist-patient communication are summarized, and recommendations for better use of objective criteria in pain assessment and prescription drug use are proposed. Access checked January 2, 2009.
Pharmacotherapy for Pain Management: New Treatment Approaches
Access: http://www.pharmacist.com/AM/TemplateRedirect.cfm?template=/CM/ContentDisplay.cfm
&ContentID=17286
Audience: Pharmacists
Start/End: Unknown / September 1, 2011
Credits: 1.5 ACPE Contact Hours (0.15 CEUs)
Price: Free
Program Format: 12-page Monograph
Sponsor: American Pharmacists Association
Author(s): Advisory Board: Kathryn Hahn, PharmD, DAAPM; Mary Lynn McPherson, PharmD, BCPS, CDE; Carla Rubingh, PharmD
Description: Pain assessment is crucial to the development of a successful treatment strategy and this educational activity examines the important elements in the evaluation of pain and functionality. A discussion of acute pain relief includes the importance of timely treatment and concerns of the risk of central sensitization and other negative effects of chronic pain. A thorough discussion of the risks and benefits of pharmacologic treatments, including emerging agents, emphasizes the need to select appropriate therapy for each patient. Access checked January 2, 2009.
Migraine-Preventive Medications: Ensuring Their Appropriate Use
Access: http://www.pharmacytoday.org/assets/pdf/Aug_CE_exam.pdf
Audience: Pharmacists
Start/End: August 2008 / August 1, 2011
Credits: 2.0 ACPE Contact Hours (0.2 CEUs)
Price: Content may be viewed free; exam is free for members, $15 for nonmembers
Program Format: 14-page monograph
Sponsor: American Pharmacists Association
Author(s): Richard G. Wenzel, PharmD
Description: The pharmacist is in an excellent position to provide guidance for patients who need migraine management assistance. The author focuses on the evidence of under-diagnosis of migraine and the under-utilization of migraine-preventive medications suggesting that improved understanding of preventive therapy could reduce disability and improve the quality of life in migraineurs. A review of existing studies helped to identify patient perceptions of migraine that highlight barriers to effective care; strategies are provided to improve patient education in these areas. A table of commonly used prophylactic drugs includes the mechanism of action, dosing instructions, adverse effects, and potential effectiveness in comorbid conditions. Access checked January 19, 2009.
 Collaborative Opioid Prescribing Education (COPE)
Access: http://depts.washington.edu/cme/online/course/EN0903
Audience: Physicians
Start/End: May 1, 2009 / April 30, 2011
Credits: Up to 3.0 AMA PRA Cat. 1 credits
Price: Course material viewing is free; CME test and processing fee is $45
Program Format: Web-based multimedia
Sponsor: University of Washington School of Medicine
Author(s): Mark Sullivan, MD, PhD; Barak Gaster, MD; Bill McCarberg, MD; Janis Leigh, PhD; and Brynn Hatton, BA
Description: This multifaceted educational program focuses primarily on the complexities of communicating with patients, particularly “problem patients,” regarding opioid analgesia for chronic pain management; less attention is given to treatment plans for specific opioid analgesics. Emphasis is placed on assessment and involving the patient in a care plan that focuses on restoring functionality while reducing pain. Techniques for interviewing patients and best serving the needs of difficult patients, including those with cooccurring depression, are demonstrated through insightful video case examples. Several other interactive features, as well as sample assessment and patient agreement forms, enhance the overall content. Good information is provided for all healthcare professionals, not just opioid prescribers for whom the program was intended. However, some of the external resources referenced in the program are not the most current that are available. Access checked June 20, 2009.
New Pain Management for the Elderly - Pain Report #11
Access: http://www.pain.com/sections/professional/cme_article/accreditation.cfm?id=300
Audience: Physicians, Nurse Practitioners, Nurses
Start/End: March 2009 / April 1, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; American Academy of Nurse Practitioners CE approval is pending; 1.2 contact hours from the California Board of Registered Nursing
Price: Free
Program Format: Monograph
Sponsor: Dannemiller Memorial Educational Foundation; supported by an educational grant from Purdue Pharma, L.P.
Author(s): Bruce Allen Ferrell, MD
Description: The number of older adults with complex healthcare needs is growing and pain-related complaints are common in ambulatory-care settings. This CME activity explores important differences in the management of pain in the elderly compared with younger populations. For example, the presentation of significant conditions, such as heart attack, can be atypical and painless in the elderly. Cognitive impairment, neuropathies, and other sensory impairments can complicate the perception and effective communication of pain symptoms by an older patient. A review of techniques for completing a thorough pain history and physical examination includes recommended methods of assessment in patients with cognitive impairment. This activity also reviews specific considerations for opioid use in older people, as well as non-opioid analgesic therapy considerations, in terms of dosing, routes of administration, and the potential for adverse effects. Access checked March 31, 2009.
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 January 2, 2009.
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, and 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 January 2, 2009.
Balancing Clinical and Risk Management Considerations for Chronic Pain Patients on Opioid Therapy
Access: http://www.aafp.org/online/en/home/publications/otherpubs/afpmonographs/painmono.html
Audience: Physicians
Start/End: October 15, 2008 / October 15, 2010
Credits: Up to 2.0 AMA PRA Cat. 1 credit; Up to 2.0 AAFP Prescribed CME credits
Price: Free
Program Format: Monograph
Sponsor: American Academy of Family Physicians
Author(s): Sarah Smiley Young; Jane C. Ballantyne, MD; Frank J. Domino, MD; Norman W. Wetterau, MD
Description: This educational activity begins by addressing important considerations for the family practitioner before the initiation of opioid therapy for the patient with chronic nonmalignant pain. To achieve lower-risk opioid prescribing, the authors encourage physician commitment to a thorough evaluation and long-term monitoring of each patient. Regular patient monitoring to measure treatment adherence and progress is emphasized throughout the monograph. The section discussing the components of a thorough assessment includes recommendations for evaluation tools that help physicians identify possible substance-use problems. Instructions for using the DIRE score, a beneficial technique for predicting the outcome of opioid prescribing for patients with 3 different levels of risk, are explained. An easy-to-use table includes dosing and titration information for selected opioids and a brief discussion addresses drug rotation and discontinuation. Concise definitions of program success — using the “Four A’s of Pain Management” — as well as an explanation of terms used for abuse and dependence are presented. Access checked April 13, 2009.
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 January 2, 2009.
Pharmacist’s Role in the Appropriate Selection of a Nonprescription Product for Pain Relief
Access: http://www.uspharmacist.com/continuing_education/ceviewtest/lessonid/105845/
Audience: Pharmacists; Pharmacist Technicians
Start/End: September 1, 2008 / September 30, 2010
Credits: 2.0 ACPE credit hours (0.20 CEUs)
Price: Free; registration is required for CE testing and credit
Program Format: Monograph
Sponsor: U.S. Pharmacist (Professional journal)
Author(s): W. Steven Pray, PhD, DPh
Description: Counseling opportunities are common in pharmacy practice and, as a member of a multi-disciplinary pain management team, it is important to be aware of nonprescription analgesic products that are currently available. Over-the-counter drugs and devices, including external analgesics, cryotherapy, and thermotherapy products, are discussed in terms of patient selection and guidelines for use. Techniques are recommended for assisting patients in weighing the pros and cons of products before purchase. Access checked June 23, 2009.
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 January 2, 2009.
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 January 2, 2009.
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 January 2, 2009.
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: Course free; $6.50 fee is required before CE testing
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 January 2, 2009.
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 January 2, 2009.
Optimal Pain Management in Fibromyalgia Syndrome: Current and Emerging Therapeutic Options
Access: http://cme.medscape.com/viewprogram/19286
Audience: Physicians
Start/End: April 28, 2009 / April 28, 2010
Credits: Up to 1.25 AMA PRA Cat. 1 credits
Price: Free after online registration
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: MedscapeCME
Author(s): Bill H. McCarberg, MD; David A. Williams, PhD; Steven P. Stanos, DO
Description: This activity, originally presented at a satellite symposium held in conjunction with the American Academy of Pain Medicine's Annual Meeting in January 2009, is intended for pain management specialists. The program is enhanced with patient case study video clips and focuses on the most challenging aspects of fibromyalgia and its accompanying comorbidities. A review of current knowledge on mechanisms underlying fibromyalgia pain precedes guidance on techniques for differentiating fibromyalgia syndrome from other similar forms of chronic musculoskeletal pain. Strategies are presented for identifying and implementing multi-modality treatments — incorporating neurobiologic, physiologic, psychologic, and behavioral factors — to relieve symptoms and achieve optimal pain relief. Access checked May 30, 2009.
Management of Gout: An Up-to-date Perspective
Access: http://cme.medscape.com/viewprogram/19279
Audience: Physicians, Pharmacists, Nurses
Start/End: April 27, 2009 / April 27, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 knowledge-based ACPE credit (0.10 CEUs) for pharmacists; 1.0 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free after online registration
Program Format: Monograph
Sponsor: MedscapeCME
Author(s): Robert Terkeltaub, MD
Description: Gout (or hyperuricemia) — caused by the deposition of monosodium urate crystals in tissues — is the most common form of inflammatory arthritis in men aged 40 years and older. This monograph explores risk factors for gout and the increasing prevalence of important comorbidities like cardiovascular disease, hypertension, renal insufficiency, and the metabolic syndrome. Reviews are provided of: 1) the diagnosis and course of gout, and 2) the significance of comorbid associations that exacerbate flares of gout. Strategies for tailoring treatment based on existing comorbidities and disease stage include nonpharmacologic therapy to manage diet and weight as well as pharmacologic treatment for the relief of pain and inflammation. Techniques for using potent urate-lowering agents for long-term management are explored. Access checked May 30, 2009.
Current Treatment Landscape and Emerging Management Options for Breakthrough Pain in Cancer Patients
Access: http://cme.medscape.com/viewprogram/19151
Audience: Physicians, Pharmacists, Nurses
Start/End: April 1, 2009 / April 1, 2010
Credits: Up to 1.25 AAFP Prescribed CME credits for physicians; 1.25 ACPE CE Credit (0.125 CEUs) for pharmacists; 1.25 ANCC CE contact hours for nurses
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: MedscapeCME
Author(s): Bill H. McCarberg, MD; Bruce Nicholson, MD; Lynn R. Webster, FACPM, FASAM
Description: This CME activity is based on a satellite symposium presentation from the January 2009 American Academy of Pain Medicine (AAPM) Annual Meeting in Honolulu. Following a review of the prevalence and characteristics of breakthrough pain in cancer patients, the authors discuss the importance of treating breakthrough pain as a separate entity from baseline pain. In light of continued evidence of the undertreatment of breakthrough pain, the challenges of an accurate definition and the many barriers to treatment are explored. Techniques for evaluating its impact on patient quality of life, as well as the establishment of realistic treatment goals, are discussed. Treatment considerations include the potential benefits of multimodal strategies, the selection of the most appropriate pharmacologic agent and route of administration, plus the risks versus benefits of therapy for each individual patient. A breakthrough pain treatment algorithm — stratified by risk level — presents opioid options based on formulation and speed of action. Access checked April 13, 2009.
Michigan: Pain and Pain Management (other states see ‘Pain and Its Management’)
Access: http://www.wildirismedical.com/courses/232/index_mand.html
Audience: Nurses, nurse practitioners
Start/End: April 3, 2008 / April 1, 2010
Credits: 2 Contact Hours
Price: $20 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 18-page course begins with a review of the nature of pain, its definitions, characteristics, types, and sources. In addition to a discussion of nursing assessment techniques, factors that influence pain or its perception are reviewed. The American Academy of Pediatrics Guidelines for pain management and the Joint Commission pain management standards are summarized. Pharmacologic, adjuvant, and nonpharmacologic interventions are explained. This course meets continuing education requirements for Michigan nurses. Access checked January 2, 2009.
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 January 2, 2009.
Migraine Headache: The Pharmacist and the Role of OTC Medications
Access: https://secure.pharmacytimes.com/lessons/200703-01.asp
Audience: Pharmacists
Start/End: March 9, 2007 / 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
main CME listings page: https://secure.pharmacytimes.com/main.asp?orderby=&group=all).
Program Format: Article with case presentations
Sponsor: Pharmacy Times
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 January 2, 2009.
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 25, 2010
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 March 19, 2009.
Guidelines Updated on Palliative End-of-Life Care
Access: http://www.medscape.com/viewarticle/568751
Audience: Physicians, Nurses
Start/End: January 14, 2008 / February 12, 2010
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: Guidelines for the palliative care of pain, dyspnea, and depression at the end-of-life were updated by the American College of Physicians and published in January 2008 in the journal Annals of Internal Medicine. This educational activity reviews the strength of evidence on each recommendation for effective symptom control in all 3 health conditions and provides a working definition for end-of-life. Access checked February 23, 2009.
Specific Strength Training Helpful for Neck Muscle Pain
Access: http://www.medscape.com/viewarticle/568579
Audience: Physicians
Start/End: January 10, 2008 / February 11, 2010
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; Penny Murata, MD
Description: This educational activity reviews a randomized trial of 48 women engaged in computer-intensive work—with a clinical diagnosis of trapezius myalgia—who were assigned to receive one of 3 interventions: 10 weeks of specific strength training, general fitness training, or an intervention without physical activity. The results demonstrated that the participants in the neck muscle strength training group showed a significant decrease in pain that lasted throughout the training period and after study completion. The complete study details were published in the January 2008 issue of the journal Arthritis Care & Research. Access checked February 23, 2009.
Improving Long-Term Management of Osteoarthritis
Access: http://www.jfponline.com/supplements.asp?id=7348
Audience: Physicians
Start/End: February 1, 2009 / February 1, 2010
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: Journal article
Sponsor: American Academy of Family Physicians
Author(s): Roy D. Altman, MD; Louis Kuritzky, MD; Gary Ruoff, MD
Description: Using a case study approach, the authors of this article published in a February 2009 supplement to the Journal of Family Practice examine evidence for effective diagnosis, treatment, and long-term management of osteoarthritis (OA). In addition to pharmacologic interventions, lifestyle modifications and nonpharmacologic therapies are reviewed for their value in achieving specific treatment goals for pain control, increased functionality, improved mobility, and the reduction of physical disability. Results from studies of glucosamine/chondroitin for OA are reviewed and generally show a lack of significant symptomatic relief afforded by these supplements. The benefits of regular patient follow-up and a tailor-made treatment regimen that matches each patient's lifestyle are explored in terms of the potential for improved outcomes. Access checked March 31, 2009.
Balancing Opioid Prescribing
Access: http://www.pain.com/sections/professional/cme_slide_presentations/utah_Opioid/
Audience: Physicians, Pharmacists, Nurse Practitioners, Nurses
Start/End: January 2008 / January 31, 2010
Credits: Up to 3.0 AMA PRA Cat. 1 credit; 3.0 ACPE CE credits (0.3 CEUs) for pharmacists; 3.0 AANP contact hours for nurse practitioners; 3.6 contact hour of California Board of Registered Nursing credit;
Price: Free
Program Format: Web-based multimedia
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Perry G. Fine, Md; Scott M. Fishman, MD; Michael H. Moskowitz, MD, MPH
Description: Three separate multimedia presentations address controversial issues related to opioid therapy in chronic pain, including the increasing need for vigilance regarding the risk of non-medical consumer use. The presenters review existing effective strategies that can achieve pain relief in patients with moderate-to-severe chronic pain while minimizing the potential for abuse and misuse. The presenters also suggest that the lines between bad medicine and criminal activity need clarification and, to that end, they review legal issues in an effort to provide more comprehensive information that will help reduce reluctance to prescribe opioid therapy in appropriate patients. A discussion of the future of abuse-resistant opioid formulations reviews the status of products in the approval pipeline. Access checked February 25, 2009.
Pharmacologic Management of Chronic Pain: NSAIDs to Opioids
Access: http://www.pain.com/sections/professional/cme_slide_presentations/sanAntonio/
Audience: Physicians, Pharmacists, Nurse Practitioners, Nurses
Start/End: January 2008 / January 31, 2010
Credits: Up to 3.0 AMA PRA Cat. 1 credits; 3.0 ACPE CE Credit (0.3 CEU) for pharmacists; 3.0 contact hours (1.3 hours in pharmacology) by the AANP; 3.6 CNE contact hours for California nurses
Price: Free after completing online registration and/or entering login information
Program Format: Web-based multimedia
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Katherine E. Galluzzi, DO, CMD, FACOFP; Gagan Mahajan, MD; Ronald J. Rapoport, MD, FACR
Description: This program begins with information on the early history of nonsteroidal anti-inflammatory drugs (NSAIDs) and continues with an evidence-based discussion of the benefits and risks for most NSAID and opioid pharmaceuticals. Additionally, the basic principles of polypharmacy in the optimal management of chronic pain are explored in detail. Access checked January 2, 2009.
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. This course meets Oregon-mandated requirements. Access checked January 2, 2009.
Pain and Its Management
Access: http://www.nursingceu.com/courses/214/index_nceu.html
Audience: Nurses (nationwide), Respiratory Therapists (credits accepted in 9 states), Occupational Therapists
Start/End: December 1, 2007 / January 15, 2010
Credits: 6.0 ANCC Contact hours
Price: $60 for credits; course and test may be viewed free
Program Format: Monograph
Sponsor: Wild Iris Medical Education
Author(s): Persis Mary Hamilton, BSN, MS, EdD
Description: This course includes the material on the characteristics of pain from the course ‘Pain: Its Nature and Experience’ and develops the content to include assessment, diagnosis, treatment, ethical considerations and legal issues. Tools for assessment and treatment plans for special patient populations are presented. The pain management standards of care for JCAHO and the American Academy of Pediatrics are outlined and pharmacologic, adjuvant, invasive, and nonpharmacologic interventions are explained. This course is also available with information specific to pain management in Oregon (expires 1/15/10), Michigan (4/1/10), West Virginia; each program is listed in date order under the Pain-Topics heading for General Pain. Access checked January 2, 2009.
West Virginia: End of Life Transition Including Pain Management
Access: http://www.wildirismedical.com/courses/210/index_mand.html
Audience: Nurses, Nurse practitioners
Start/End: December 13, 2007 / January 15, 2010
Credits: 2 Contact Hours
Price: $20 for credits; course and test may be viewed free
Program Format: Monograph
Sponsor: Wild Iris Medical Education
Author(s): Nancy Evans, BS; Susan Schmid, BA, MA, PhD(candidate)
Description: This 17-page course covers all aspects of palliative care, including a section devoted to pain management. Primarily, pain topics include assessment and a review of the World Health Organization (WHO) 3-step ladder of analgesic therapy. Additional topics of interest to the palliative care nurse would include end-of-life directives and communication techniques for discussing care decisions with the patient and family members. This course meets continuing education requirements for West Virginia nurses. Access checked January 2, 2009.
Managing Persistent Pain in the Older Patient: Effective Strategies for Clinical Practice
Access: http://www.painknowledge.org/ondemand/cmeinfo.aspx
Audience: Physicians, Pharmacists, Nurse Practitioners
Start/End: January 6, 2009 / January 6, 2010
Credits: Up to 1.75 AMA PRA Cat. 1 credit; Up to 1.75 AAFP prescribed CME credits; 1.75 ACPE CE credits (1.75 CEUs) for pharmacists; 1.5 AANP contact hours for nurse practitioners
Price: Free
Program Format: Web-based multimedia
Sponsor: Professional Postgraduate Services and the National Initiative on Pain Control (NIPC)
Author(s): Bruce D. Nicholson, MD
Description: This program addresses chronic pain in older patients, an age-group that frequently suffers from comorbid conditions. Assessment and diagnostic considerations are examined briefly in advance of a more thorough discussion of the vast differences in physical, functional, and cognitive impairments that exist in this population. In addition to a discussion of safe and effective pain treatment strategies, the issues surrounding the variable manner in which pain is approached by practitioners who treat elderly patients is explored. Case study discussions enhance this learning activity. Access checked February 24, 2009.
Highlights of the 8th International Conference on Pain and Chemical Dependency
Access: http://cme.medscape.com/viewprogram/18757
Audience: Physicians, Pharmacists, Nurses
Start/End: January 2, 2009 / January 2, 2010
Credits: Up to 1.5 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1.5 ANCC CE contact hours (1.5 hours in pharmacology) for nurses
Price: Free
Program Format: 3 brief articles (all 3 sections must be completed for credit)
Sponsor: MedscapeCME
Author(s): Larry Beresford, Lara K. Dhingra, PhD
Description: The information presented in this 3-part educational activity on risk reduction for controlled drugs in pain management was originally part of the 8th International Conference on Pain and Chemical Dependency program held in Philadelphia in late 2008. The program reviews recent data on nonmedical use of prescription drugs and explores the healthcare impact of the United States drug control policies. A brief discussion of drug types and dosages that offer greater “rewards” for nonmedical use provides the reasons for increased rates of misuse in these agents and, further, recommends important considerations when prescribing. Tools and techniques for the assessment of potential opioid abuse, misuse, or diversion are briefly outlined; practitioners are also urged to review 3 post-marketing abuse surveillance programs. Access checked February 24, 2009.
War on Pain
Access: http://www.ucdmc.ucdavis.edu/cme/distance_education/webevents/2006-pain-cd/pay-pain/order.html
Audience: Physicians
Start/End: January 12, 2006 / Renewed until January 1, 2010
Credits: Up to 12.0 AMA PRA Cat. 1 credits
Price: Fees for credit are $15 per module or $150 for all 12 modules; course material is available without charge
Program Format: Web-based multimedia
Sponsor: University of California, Davis, Health System
Author(s): Scott M. Fishman, MD; Paul Kreis, MD; Gagan Mahajan, MD; Kenneth T. Furukawa, MD; Ingela Symreng, PsyD; Ben A. Rich, JD, PhD; John MacMillan, MD
Description: This 12-module program can be completed one module at a time and credit can be given for single modules. Topics include: an overview of the current challenges in pain management, neuropathic pain physiology, NSAID and opioid therapies, pediatric pain, palliative care, psychological aspects of pain, and addiction issues. Two modules address the complex topics of ethical and legal treatment considerations. Access checked January 2, 2009.
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 January 2, 2009.
Multidisciplinary Treatment May Benefit Patients With Chronic Low Back Pain
Access: http://www.medscape.com/viewarticle/567981
Audience: Physicians
Start/End: December 27, 2007 / December 26, 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; Hien T. Nghiem, MD
Description: A research study from Germany evaluated the effectiveness of multidisciplinary treatment—biologic, social, and psychologic—for patients with chronic low back pain. The 6-month prospective study demonstrated that patients with chronic low back pain in high and low grades of chronicity derived significant benefits in pain levels and functional capacity through the use of a standardized multidisciplinary treatment strategy. Complete study details were published in the December 2007 issue of the journal Spine. Access checked January 2, 2009.
Individualizing Rheumatoid Arthritis Management: A Practice-Based Approach
Access: http://www.medscape.com/viewprogram/17866
Audience: Physicians
Start/End: December 17, 2008 / December 17, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Elena M. Massarotti, MD; Philip J. Mease, MD; Michael H. Schiff, MD
Description: This 3-part educational program is based on a symposium of the same name and completion of all 3 activities is required for course credit. The first session begins with a review of the evolution of the American College of Rheumatology criteria for rheumatoid arthritis (RA), and explores the diagnosis and treatment of undifferentiated arthritis. Additional sessions examine early aggressive treatment in cases of moderate to severe RA and recommendations for patients experiencing anti-TNF treatment failure. Access checked January 2, 2009.
Rheumatoid Arthritis: Treatment Selection for the Complex Patient
Access: http://cme.medscape.com/viewprogram/18716
Audience: Physicians, Pharmacists, Nurses
Start/End: December 16, 2008 / December 16, 2009
Credits: Up to 1.25 AMA PRA Cat. 1 credit; 1.25 ACPE CE (0.125 CEUs) for pharmacists; 1.25 ANCC CE contact hours (1.25 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with case management questions
Sponsor: Medscape Rheumatology
Author(s): Vibeke Strand, MD, FACP
Description: Using an interactive case study format, pharmacologic options for early aggressive treatment of rheumatoid arthritis are explored. Emphasis is placed on patient selection and the continued monitoring of disease progression, including potential risk for cardiovascular disease and the impact of comorbidities on patient outcomes. Access checked January 2, 2009.
ACR 2008: Optimizing the Management of Chronic Gout: New Treatment Advances
Access: http://www.medscape.com/viewprogram/18695
Audience: Physicians, Nurses
Start/End: December 15, 2008 / December 15, 2009
Credits: Up to 1.5 AMA PRA Cat. 1 credit; 1.5 ANCC CE contact hours (0.75 hours in pharmacology) for nurses
Price: Free
Program Format: 3 brief articles (completion of all 3 sections necessary for credit)
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Alan K. Matsumoto, MD, FACR; Herbert S. Baraf, MD; Becky McCall, Msc; Helen Fosam, PhD
Description: This educational activity includes 3 presentations, originally delivered at the October 2008 American College of Rheumatology Annual Meeting, that address current treatment challenges for gout, recent pharmacological advances, and promising agents on the horizon. The program includes an evidence-based discussion on treatment approaches for patients with treatment-failure gout, as well as patients with associated comorbid conditions, high risk factors, and adherence issues. Access checked January 2, 2009.
ACR 2008: Rheumatoid Arthritis and Biologics: Lipids and Cardiovascular Disease, Managing Adverse Events, and Impact on Patient Outcomes
Access: http://www.medscape.com/viewprogram/18695
Audience: Physicians
Start/End: December 12, 2008 / December 12, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: 3 brief articles (completion of all 3 sections necessary for credit)
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Yusuf Yazici, MD; Marc C. Levesque, MD, PhD; Lee S. Simon, MD
Description: This 3-part educational activity on important considerations when prescribing biologics for symptom management of rheumatoid arthritis (RA) was originally presented at the October 2008 American College of Rheumatology Annual Meeting. The limitations of biologic agents, highlighting systemic manifestations and individual patient levels of risk, are examined in a review of recently published evidence. Additionally, evidence-based positive outcomes of biologic therapies in RA, psoriatic arthritis, ankylosing spondylitis, or juvenile idiopathic arthritis, alone or in combination, are reviewed. Access checked January 2, 2009.
Recommendations Issued for Treatment of Nonspecific Low Back Pain
Access: http://www.medscape.com/viewarticle/566561
Audience: Physicians, Nurses
Start/End: November 28, 2007 / December 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 (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: Existing research shows that nonspecific low back pain is common and is the cause of high rates of temporary disability. An article published in November 2007 in the journal American Family Physician provides recommendations for conservative treatment with high levels of evidence for pain relief in low back pain. Specific recommendations are outlined and include non-opioid drugs, focusing on personal and occupational barriers for work absenteeism, as well as the multidisciplinary options for reducing pain and increasing functional levels. Within the context of patient assessment, a list of “red flag” warnings is provided that should alert clinicians to consider diagnostic testing beyond the basic physical examination. Access checked January 2, 2009.
Appropriate Exercise, Patient Education May be Helpful for Fibromyalgia
Access: http://cme.medscape.com/viewarticle/566106
Audience: Physicians
Start/End: November 19, 2007 / December 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 Ob/Gyn & Women’s Health
Author(s): Laurie Barclay, MD; Hien T. Nghiem, MD
Description: This educational activity reviews the results of a study, published in the Archives of Internal Medicine, of 207 women with confirmed fibromyalgia randomized to 2 different exercise regimens, self-education, or a combination of exercise and education. Key fibromyalgia symptoms, functionality, and self-efficacy were improved for patients in a structured exercise program; results were even better with the addition of self-management education. Access checked January 2, 2009.
Barbiturates and Opiates Increase Risk for Chronic Migraine
Access: http://cme.medscape.com/viewarticle/584733
Audience: Physicians, Nurses
Start/End: December 4, 2008 / December 4, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 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): Allison Gandey (News); Hien T. Nghiem, MD (CME)
Description: The results of a recent survey, published in the journal Headache, of more than 8200 patients with episodic migraine are reviewed in this activity. Patients were surveyed annually for 5 years and results showed that barbiturates and opiates were associated with an increased risk of transformed (or chronic) migraine. Triptans and NSAIDs were not associated with the prospective risk of chronic migraine. Transformed (or chronic) migraines are those occurring on 15 or more days per month. Access checked January 2, 2009.
Primary Care Management of Nonmalignant Pain Reviewed
Access: http://cme.medscape.com/viewarticle/584508
Audience: Physicians, Nurses
Start/End: December 2, 2008 / December 2, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 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; Hien T. Nghiem, MD
Description: This activity summarizes a recent review article for primary care practitioners, published in American Family Physician, on the recommendations for the evaluation, diagnosis, and treatment of chronic nonmaligant pain. Emphasis is placed on preparing a written individual patient care plan to establish objectives that would demonstrate treatment success. The value of using the six A’s of controlled substance monitoring are reviewed: analgesia, affect, activities, adjuncts, adverse effects, and aberrant behavior. Access checked January 2, 2009.
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 January 2, 2009.
Diagnostic and Therapeutic Challenges of Acute Migraine
Access: http://cme.medscape.com/viewprogram/17808
Audience: Physicians
Start/End: November 26, 2008 / November 26, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Frederick Freitag, DO; Joel Saper, MD; Stephen D. Silberstein, MD, FACP
Description: The stages of migraine attack progression are reviewed and discussed in the context of early treatment. Peripheral sensitization, central sensitization, and cutaneous allodynia (nonpainful stimuli perceived as painful) of the head are differentiated as they relate to treatment. Triptans, ergot derivatives, and other analgesic options are examined for evidence of rapid relief and the prevention of migraine progression. The presenters enhance the program with discussions of 2 specific patient cases that involve treatment challenges. Access checked January 2, 2009.
Recommendations Issued for Use of Methotrexate for Rheumatic Disorders
Access: http://cme.medscape.com/viewarticle/584275
Audience: Physicians
Start/End: November 26, 2008 / November 26, 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; Penny Murata, MD
Description: This educational activity reviews 10 evidence-based guidelines, developed by an international group of rheumatologists, for methotrexate therapy in patients with rheumatoid arthritis. Dosing recommendations for all patients with rheumatic disease, including those who are pregnant or facing surgery, contain information on folic acid supplementation and safety monitoring. January 2, 2009.
Evaluating Foot Pain in Elderly Patients
Access: http://www.medscape.com/viewprogram/17725
Audience: Physicians, Nurses
Start/End: November 21, 2008 / November 21, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit; 0.5 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): Mark E. Williams, MD
Description: Foot pain and functional problems in the feet of geriatric patients can be complicated with concerns of neurological and cardiovascular disease. This activity provides a protocol for a complete orthopedic and neuromuscular assessment by recording specific dermatologic, vascular, and neurologic observations of each foot. Access checked January 2, 2009.
Advances in Pain Management: Emerging Strategies and Clinical Innovations
Access: http://cme.medscape.com/viewprogram/17318
Audience: Physicians
Start/End: November 12, 2008 / November 12, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit
Price: Free
Program Format: Interactive panel discussion on web-based multimedia
Sponsor: MedscapeCME
Author(s): Perry G. Fine, MD; Rollin M. Gallagher, MD; Eugene R. Viscusi, MD
Description: Panel participants review pain management data presented at several recent symposia. The program begins with a discussion of the continuing challenge of pain undertreatment and continues with strategies to reduce barriers associated with provider reluctance to treat pain aggressively. Recent advances in analgesic therapy, including emerging pharmacologic modalities, are reviewed for safety and efficacy in pain management. Access checked January 2, 2009.
Vertebral Compression Fractures Due to Metastatic Disease
Access: http://www.rxengage.com/arthrocare/arthrocare_main.html
Audience: Physicians, Nurses
Start/End: October 2008 / October 31, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; Up to 1.2 contact hours of California Board of Registered Nursing credit
Price: Free
Program Format: Web-based multimedia
Sponsor: HealthInfo Direct and ArthroCare Corporation
Author(s): Kevin Duwe, MD
Description: Usual conventional therapy for vertebral compression fracture pain is chemotherapy, radiation therapy, or surgery. This activity explains the epidemiology of spinal compression fractures of metastatic disease and discusses the limitations of conventional treatment. Coblation technology—a low temperature radio-frequency probe used to gently vaporize tissue—is described in detail and is reported to provide near-immediate relief of symptoms. The benefits of this minimally-invasive procedure as a complementary therapy are explained. Access checked January 2, 2009.
Opioids May be Useful for Chronic Noncancer Pain Management in Primary Care
Access: http://www.medscape.com/viewarticle/564197
Audience: Physicians, Nurses
Start/End: October 12, 2007 / October 30, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 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; Penny Murata, MD
Description: This educational activity summarizes the results of a review article published for primary care practitioners in the October 2007 issue of the Southern Medicine Journal. The review discusses the need to carefully evaluate patients for the risk of potential dependence, abuse, or addiction. It continues with a discussion of the benefits of controlled-release long-acting opioid products for sustained pain relief and improved quality of life; immediate-release formulations are recommended for episodes of breakthrough pain. This literature review summarizes the risk factors for addiction as well as risk management issues and the requirements for healthcare provider knowledge. Access checked January 2, 2009.
Guidelines Issued for Management of Psoriatic Arthritis
Access: http://cme.medscape.com/viewprogram/18716
Audience: Physicians, Nurses
Start/End: October 28, 2008 / October 28, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 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
Description: Psoriatic arthritis (PsA) can be a disabling disease for the patient who experiences dramatic flares of joint pain, stiffness, and swelling. An international group of rheumatologists, dermatologists, and patient advocates have developed guidelines for the assessment and treatment of PsA. The evidence-based treatment recommendations are comprehensive for various clinical manifestations experienced by patients with PsA. Access checked January 2, 2009.
Guidelines Issued for Management of Low Back Pain
Access: http://www.medscape.com/viewarticle/563639
Audience: Physicians, Nurses
Start/End: October 2, 2007 / October 23, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 0.25 ANCC CE contact hours (0 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD
Description: This articles provides a summary of the new clinical practice guideline for the diagnosis and treatment of low back pain issued by the American College of Physicians and the American Pain Society. Descriptions of the back pain subgroups are provided along with a summary of the key evidence-based recommendations presented in the guideline. Emphasis is placed on appropriate diagnostic practices and, while a full range of treatment options are included in the guideline recommendations, this Medscape summary only provides some of the highlights. Access checked January 2, 2009.
Verum or Sham Acupuncture Nearly Twice as Effective as Usual Therapy for Back Pain
Access: http://www.medscape.com/viewarticle/563382
Audience: Physicians
Start/End: September 26, 2007 / October 21, 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 article summarizes the methods and results of a multicenter acupuncture study that was published in the Archives of Internal Medicine in September 2007. Nearly 1200 patients were randomized to either verum acupuncture (according to the principles of traditional Chinese medicine), sham acupuncture, or conventional therapy (drugs, physical therapy, and exercise). Verum and sham acupuncture were both shown to be superior to conventional treatment of chronic low back pain in this population of adults. Access checked January 2, 2009.
EULAR Issues Guidelines for the Treatment of Fibromyalgia Syndrome
Access: http://www.medscape.com/viewarticle/563161
Audience: Physicians
Start/End: September 21, 2007 / October 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): Laurie Barclay, MD
Description: The European League Against Rheumatism (EULAR) evaluated evidence-based literature and issued the first guidelines for the treatment of fibromyalgia syndrome. The criteria for study inclusion is reviewed and recommendations for multidisciplinary care are based on specific symptoms which vary from patient-to-patient. The guidelines include 9 evidence-based pharmacological and nonpharmacological recommendations by the expert panel as reported in the October 2007 issue of the Annals of the Rheumatic Diseases. Access checked January 2, 2009.
Pain Numeric Rating Scale May Be Only Moderately Accurate for Pain Screening
Access: http://www.medscape.com/viewarticle/563080
Audience: Physicians, Nurses
Start/End: September 20, 2007 / October 17, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 0.25 ANCC CE contact hours (0 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: The results of a study on the use of the numeric rating scale in primary care, published in the October 2007 issue of the Journal of General Internal Medicine, are summarized in this educational activity. The design of the study and definitions used for clinically important pain are discussed. The numeric rating scale screenings were compared with 2 functional measures of pain—the Brief Pain Inventory interference scale and a question regarding whether the pain was a motivator to seek healthcare assistance. Access checked January 2, 2009.
Highlights from the American Society for Pain Management Nursing 18th Annual National Conference
Access: http://www.medscape.com/viewprogram/17497
Audience: Nurses
Start/End: October 15, 2008 / October 15, 2009
Credits: 1.0 ANCC CE contact hours (0.5 hours in pharmacology)
Price: Free
Program Format: 3 brief articles (completion of all 3 sections are required for credit)
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Donna L. Jarzyna, RN-C, MS, CNS-BC; Debra B. Gordon, RN, MS, FAAN; Lois J. Pizzi, BSN, RN-BC
Description: This activity reviews program content from 3 nursing conference presentations on acute care pain treatment and techniques in interventional pain management. Two successful models of nurse-led pain management in the acute care setting are outlined, techniques for managing acute pain in the opioid-tolerant patient are presented, and factors that enhance the success of interventional analgesia therapy in the cancer patient are explored. Access checked January 2, 2009.
Dispelling Myths: Evidence-Based Treatment of Fibromyalgia: A Collaborative Approach to Optimal Care
Access: http://cme.medscape.com/viewprogram/17278
Audience: Physicians
Start/End: September 26, 2008 / September 26, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Don L. Goldenberg, MD
Description: Following a review of the current thinking on fibromyalgia pathophysiology and considerations for differential diagnosis, this educational activity presents evidence-based multidisciplinary pain management techniques. In addition to a review of drug therapy, the roles of increased patient education and nonpharmacologic therapy (specifically the benefits of aerobic exercise programs) are emphasized. Access checked January 2, 2009.
Evolution of the Diagnosis and Management of Painful Diabetic Peripheral Neuropathy
Access: http://cme.medscape.com/viewprogram/17385
Audience: Physicians, Pharmacists, Nurses
Start/End: September 26, 2008 / September 26, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 ACPE CE Credit (0.1 CEU) for pharmacists; 1.0 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: MedscapeCME
Author(s): Aaron I. Vinik, MD, PhD, FCP, FACP; David M. Simpson, MD
Description: The results of studies that have evaluated multiple risk factors for the development of neuropathic pain and polyneuropathies are described. This activity provides an explanation of the differentiation of the characteristics of small and large fiber neuropathies and discusses conditions that masquerade as neuropathies. The slide program includes several good depictions of pain pathways, peripheral sensitization, and central sensitization. Pain management is discussed to a lesser degree. Access checked January 2, 2009.
Differential Diagnosis and Management of Fibromyalgia Syndrome
Access: http://cme.medscape.com/viewprogram/17289
Audience: Physicians, Nurses
Start/End: September 19, 2008 / September 19, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit; 0.5 ANCC CE contact hours (0.25 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): Lee Simon, MD
Description: This program provides a thorough review of fibromyalgia etiology, pathogenesis, and the criteria for differential diagnosis. Pharmacologic therapy and the potential for pain control, based on specific pain pathways, includes a discussion of the evidence for and against each class of drugs. Access checked January 2, 2009.
Putting Together the Fibromyalgia Puzzle: New Understandings in Pathophysiology and Management
Access: http://www.medscape.com/viewprogram/17238
Audience: Physicians
Start/End: September 18, 2008 / September 18, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Philip J. Mease, MD
Description: Using an interactive case study approach, this activity reviews current theories on the pathophysiology of fibromyalgia and challenges existing misconceptions. Results of recent clinical trials on pharmacologic management are presented and the need for a multifaceted approach to overall symptom management is explored. Access checked January 2, 2009.
Radiographic Lumbar Spondylosis is Highly Prevalent in Elderly Patients
Access: http://www.medscape.com/viewarticle/579543
Audience: Physicians
Start/End: August 25, 2008 / August 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): Laurie Barclay, MD
Description: Lumbar spondylosis (a degenerative process that can cause vertebral bony overgrowths and a narrowing of disc space) is a major cause of low back pain and disability in the aging population. This educational activity summarizes the results of a radiographic study of the prevalence of lumbar spondylosis in 2288 patients aged 60 years and older. The risk factors for lumbar spondylosis with radiographic evidence are described. The complete study was published in an August 2008 online issue of the journal, Annals of the Rheumatic Diseases. Access checked January 2, 2009.
Alexander Educational Technique May Effectively Reduce Low Back Pain
Access: http://www.medscape.com/viewarticle/579321
Audience: Physicians
Start/End: August 20, 2008 / August 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: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: This activity contains a brief summary of the results of a randomized trial comparing conventional treatment with the Alexander Technique (a method of releasing unwanted muscular tension) and massage therapy for patients experiencing low back pain. Half of participants in each group were also assigned to an exercise regimen and behavioral counseling. The study reports on the efficacy of each regimen according to final measures of disability and the number of painful days. A full report of the study was published in an online issue of the British Medical Journal in August 2008. Access checked January 2, 2009.
Headache in Adolescents: Prevention and Complementary Therapies
Access: http://www.medscape.com/viewprogram/17068
Audience: Physicians, Nurses
Start/End: August 15, 2008 / August 15, 2009
Credits: Up to 0.75 AMA PRA Cat. 1 credit; 0.75 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Kathi J. Kemper, MD, MPH
Description: This program uses a case study approach to explore both modifiable and nonmodifiable risk factors for adolescent headache. A discussion of modifiable behavioral issues includes nutrition, sleep, stress, and allergies. An examination of therapeutic options includes the safety and efficacy of complementary therapies, including dietary supplementation, for the prevention and treatment of teen headache. Access checked January 2, 2009.
Use of Muscle Relaxants for Musculoskeletal Conditions Reviewed
Access: http://www.medscape.com/viewarticle/578583
Audience: Physicians
Start/End: August 5, 2008 / August 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
Description: The treatment goal for musculoskeletal pain in conditions like low back pain, fibromyalgia, tension headaches, and myofascial pain is pain reduction and improvement in functional ability. This activity summarizes the results of a review of the efficacy of muscle relaxant therapy for musculoskeletal pain as published in the August 2008 issue of American Family Physician. The 2 main classes of skeletal muscle relaxants are described and recommendations for their appropriate use are offered. Access checked January 2, 2009.
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 January 2, 2009.
Treating Fibromyalgia Pain and Beyond: Pathophysiology and Management of Multiple Symptom Domains
Access: http://www.medscape.com/viewprogram/15761
Audience: Physicians, Nurses
Start/End: July 31, 2008 / July 31, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Philip J. Mease, MD
Description: Due to the fact that fibromyalgia is only one of several syndromes that are characterized by chronic pain and fatigue, diagnosis and treatment can be challenging. The material presented in this activity includes a review of the current level of knowledge of the pathophysiology of fibromyalgia, including a discussion of the role of neurotransmitters and potential abnormalities in central nervous system sensory processing. A discussion of treatment includes a recognition of the multiple symptom domains involved and current advances in the management of fibromyalgia. A case study approach enhances this learning activity. Access checked January 2, 2009.
NSAIDs May Be Effective for Modest, Short-Term Improvements in Low Back Pain
Access: http://www.medscape.com/viewarticle/578129
Audience: Physicians
Start/End: July 28, 2008 / July 28, 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; Charles Vega, MD
Description: The findings of a Cochrane Systematic Review of 65 trials of nonsteroidal anti-inflammatory drug (NSAID) treatment for nonspecific low back pain is summarized in this activity. The evidence for efficacy and tolerability of NSAIDs in low back pain, with and without sciatica, is examined. Recommendations are made for the use of NSAIDs in acute low back pain. The complete review was published in the July 2008 issue of the journal, Spine. Access checked January 2, 2009.
Pain May Be Undertreated in Nearly Half of All Cancer Patients
Access: http://www.medscape.com/viewarticle/578041
Audience: Physicians
Start/End: July 25, 2008 / July 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): Laurie Barclay, MD
Description: This educational activity summarizes the results of a review of 44 studies on pain management in cancer patients published in the Annals of Oncology in July 2008. The frequency of undertreatment of pain in patients with cancer, including the predictors of undertreatment identified in these studies, is explored. Access checked January 2, 2009.
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 January 2, 2009.
EULAR 2008: Advances in New-Generation Biologics for Rheumatoid Arthritis (RA)
Access: http://www.medscape.com/viewprogram/15690
Audience: Physicians
Start/End: July 18, 2008 / July 18, 2009
Credits: Up to 1.5 AMA PRA Cat. 1 credit
Price: Free
Program Format: 4 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Monika Schoels, MD; Yusuf Yazici, MD; Ronald van Vollenhoven, MD, PhD
Description: This program includes a discussion of advances in rheumatoid arthritis (RA) treatment presented at the EULAR 2008 conference held in Paris. The systemic manifestations associated with RA, including the increased risk for cardiovascular disease, are explored in relationship to appropriate disease management. The benefits and limitations of newer biologic treatment options and their contribution to managing comorbidity and the systemic manifestations of the disease are explored in 4 separate articles (all 4 are required for course credit). Access checked January 2, 2009.
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 January 2, 2009.
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 June 30, 2009.
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Expired Courses, Still Accessible
Online education courses of interest often are accessible beyond their expiration dates; however, credits may not be available. Courses are listed in chronological order of their end (expiration) dates; recently expired courses are listed toward the top and those with the oldest expiration date are toward the bottom.
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 May 30, 2009.
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 may charge $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 May 30, 2009.
Patient With Pain and Joint Swelling
Access: http://www.legdisorders.org/ondemand/cmeinfo.aspx
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 May 30, 2009.
Presidential Symposium: How Pain Becomes Chronic
Access: http://www.americanheadachesociety.org/cme/course/info.asp?CID=18
Audience: Pharmacists, Psychologists
Start/End: April 12, 2008 / April 12, 2009
Credits: Up to 1 AMA PRA Cat. 1 credit; 1.0 American Psychologists Association CE Credit for psychologists
Price: Free for AHS members; $15 for non-members after completing online registration
Program Format: Web-based multimedia
Sponsor: American Headache Society (AHS)
Author(s): Howard Fields, MD; Frank Porreca, MD
Description: This program was designed for healthcare practitioners interested in understanding how the brain processes information about pain signals. Central nervous system mechanisms, including central sensitization and descending facilitation, are explained for general pain as well as pain associated with headache. Access checked April 13, 2009.
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 April 13, 2009.
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 March 31, 2009.
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 March 31, 2009.
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 March 31, 2009.
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 March 1, 2009.
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 February 23, 2009.
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 February 23, 2009.
Burning Leg Pain in a Patient With Type 2 Diabetes
Access: http://www.legdisorders.org/ondemand/cmeinfo.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 February 23, 2009.
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 1.0 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 February 23, 2009.
Tendinopathy – From Basic Science to Treatment
Access: http://www.medscape.com/viewprogram/8606
Audience: Physicians
Start/End: January 28, 2008 / January 28, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: Medscape and Nature Clinical Practice Rheumatology
Author(s): Graham Riley, PhD; Desiree Lie, MD, MSEd
Description: The terms “tendinosis” and “tendinitis” have been increasingly replaced by “tendinopathies”, a term that reflects a chronic condition in which the tendon is affected by microscopic tears or rupture, causing symptoms of pain, tenderness, and weakness. A detailed discussion of the musculoskeletal and cellular structure of tendons is presented, as well as a brief look at the current research being done to further understand the mechanisms of tendon repair. A summary of conservative treatments includes the evidence for efficacy of new therapies in development. Access checked February 23, 2009.
Herbal Medicine May Be Effective for Low Back Pain
Access: http://www.medscape.com/viewarticle/550811
Audience: Physicians, Nurses
Start/End: January 16, 2007 / January 15, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit 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): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: A Cochrane Review paper, as reported in the January issue of Spine, reviewed the literature for evidence of acute low back pain relief with herbal medicines. This summary reports on the 3 herbs that demonstrate a quality level of evidence for short-term relief of nonspecific low back pain. The grade of evidence and dosage information is summarized for these herbal medicines. Access checked February 23, 2009.
Signal Transduction of Pain: Implications for Opioid Therapy
Access: http://www.medscape.com/viewprogram/8437
Audience: Physicians
Start/End: January 3, 2008 / January 3, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: 4 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Gavril W. Pasternak, MD, PhD; Charles E. Inturrisi, PhD; Frank Porreca, PhD; Michael C. Rowbotham, MD
Description: This 4-part educational program is based on information originally presented at a Satellite Symposium held in conjunction with the 2007 Annual Meeting of the American Pain Society. Current knowledge regarding the peripheral and central mechanisms of pain as well as the molecular mechanisms of opioid-induced analgesia are both examined. The last two segments of the program discuss the recent findings in NMDA receptor research plus information aimed at assisting the integration of ongoing research into clinical pain management practices. Access checked February 23, 2009.
Assessment, Diagnosis and Treatment of Breakthrough Pain: Breaking the Pain Cycle
Access: http://www.medscape.com/viewprogram/8253
Audience: Nurses
Start/End: December 12, 2007 / December 12, 2008
Credits: 1.5 ANCC CE contact hours
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Candace C. Coggins, MS, MA, RN-C, ACHPN; Steven Stanos, DO; April Hazard Vallerand, PhD, RN, FAAN
Description: This 3-part educational program begins with an examination of the definitions used for breakthrough pain in cancer and noncancer patient populations. Pain assessment includes a discussion of the characteristics of the types—somatic, visceral, neuropathic, or mixed—and subtypes—incident, idiopathic, end-of-dose—common to breakthrough pain. After baseline pain control is reviewed, two useful tools are presented: 1) an algorithm for breakthrough pain management, and 2) a table of opioids known to be effective for breakthrough pain, including combination products and long-acting formulations. Using a patient case example, the challenge of identifying meaningful pain reduction is explored. Access checked January 2, 2009.
Low Back Pain: Evaluating Presenting Symptoms in Elderly Patients
Access: http://www.medscape.com/viewprogram/8343
Audience: Physicians, Nurses
Start/End: December 12, 2007 / December 12, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Monograph
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Mark E. Williams, MD
Description: Low back pain in an aging population is common and can have many causes including uncomplicated mechanical back pain, sciatica, spinal stenosis, spinal infection, metastatic spinal disease, and vertebral compression fractures. This monograph provides a thorough review of the important components of the history and physical examination. The guidance for range of motion and neurologic evaluation includes a good review of motor and sensory testing procedures to identify pathology and sensory loss due to specific locations of lumbosacral lesions. Access checked January 2, 2009.
Making Sense of the Complex: A Point of Care Approach to Managing Chronic Pelvic Pain/Interstitial Cystitis
Access: http://www.medscape.com/viewprogram/8032
Audience: Physicians
Start/End: December 7, 2007 / December 7, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Kristene E. Whitmore, MD; Curtis Nickel, MD; Otto Ratz, MD
Description: The presenters begin the program with a review of the prevalence, etiology, and differential diagnosis of chronic pelvic pain and interstitial cystitis. A discussion of the pathophysiology includes several helpful graphic representations of inflammation and pain at the cellular level; laboratory and other diagnostic tests are explored in detail. Several useful slides contribute to a very thorough examination of the complexities of the diagnosis; chronic pelvic pain syndrome in men is also reviewed. Multimodal therapy is recommended; the evidence and rationale are presented. Access checked January 2, 2009.
Osteoarthritis Pain: The Role of Clinical Practice Guidelines in Evolving Treatment
Access: https://secure.pharmacytimes.com/lessons/200511-01.asp
Audience: Pharmacists
Start/End: Unknown / November 1, 2008
Credits: 2.0 ACPE CE (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit at link below
Program Format: Brief article
Sponsor: Pharmacy Times (See: https://secure.pharmacytimes.com/main.asp?orderby=&group=all)
Author(s): Mary McHughes, PharmD, MS; Arthur G. Lipman, PharmD
Description: There is a new emphasis on systematic, evidence-based Clinical Practice Guidelines (CPG) and this program can help clinicians attain a composite view of current best evidence. The different types of CPG are examined and their use to improve pharmacotherapy in the management of osteoarthritis is described. Access checked January 2, 2009.
Urine Drug Testing in Clinical Practice: Dispelling the Myths & Designing Strategies
Access: http://www.familydocs.org/assets/171_UDT%202006.pdf
Audience: Physicians
Start/End: November 1, 2007 / November 1, 2008
Credits: Up to 1.5 AMA PRA Cat. 1 credits; Up to 1.5 AAFP prescribed credits for family physicians
Price: Free
Program Format: Monograph
Sponsor: California Academy of Family Physicians
Author(s): Douglas L. Gourlay, MD, FRCPC, FASAM; Howard A. Heil, MD, FACP, FASAM; Yale H. Caplan, PhD, D-ABFT
Description: Urine drug testing (UDT) in clinical practice should be a consensual diagnostic test, which is done for the benefit of the patient with pain. This educational activity helps physicians (1) understand the purpose of UDT and identify a clear testing strategy, (2) distinguish between UDT for detection of illicit drug use and for monitoring adherence to an analgesic treatment regimen, (3) appreciate drug-testing methodology, instrumentation, and sensitivity/specificity of results, (4) identify strategies to improve analysis and interpretation of results, and (5) understand the limitations of UDT. Access checked January 2, 2009.
Use of Opiates in Children With Suspected Appendicitis Not Contraindicated
Access: http://www.medscape.com/viewarticle/564993
Audience: Physicians
Start/End: October 29, 2007 / October 29, 2008
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; Penny Murata, MD
Description: Children with acute abdominal pain oftentimes do not receive analgesia due to the concern of masking symptoms during evaluation for surgery. This article summarizes the methods and results of an emergency center study comparing morphine and placebo for children aged 8 to 18 years with suspected appendicitis. This randomized, double-blind study appeared in the October 2007 issue of the Annals of Emergency Medicine and showed that while there were no differences in pain at 30 minutes post-treatment between the 2 groups, there were also no significant differences in the length of time to surgical decision. Access checked January 2, 2009.
Principles of Effective Pain Management at the End of Life
Access: http://www.medscape.com/viewprogram/6079
Audience: Physicians, Nurses
Start/End: October 5, 2006 / October 11, 2008
Credits: Up to 2.0 AMA PRA Cat. 1 credit, 2.4 ANCC CE Contact Hours for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Perry G. Fine, MD; Clarinda Mac Low
Description: End-of-life pain, which is often under-treated, is a primary fear of patients. This activity uses 3 case studies to demonstrate the need for individuality in patient assessment and management. The complexities of assessment include a patient’s inability to provide verbal reports of pain, comorbidity, and simultaneous mechanisms of pain. The therapeutic advantages and adverse effects of opioid and nonopioid drugs are discussed within the context of the case study presentation. The benefits of nonpharmacologic therapy are discussed and a comprehensive list of resources for pain scales is provided. Access checked January 2, 2009.
Chest Pain in Healthy Teens May Spell Heart Attack
Access: http://www.medpagetoday.com/Cardiology/MyocardialInfarction/tb2/6865
Audience: Nurses
Start/End: October 3, 2007 / October 3, 2008
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Crystal Phend (MedPage Today); Zalman S. Agus, MD (Reviewer)
Description: This activity contains a summary of a small case series of adolescents aged 12 to 20 who met established criteria for acute myocardial infarction in one children’s hospital emergency department. The report, published in the October 2007 issue of Pediatrics, describes the diagnostic and treatment aspects of the patient cases. A link to the original journal article is provided on this website. Access checked January 2, 2009.
The NSAID Debate: Balancing Gastro-Protective Effects with Cardiovascular Risk [Arthritis Focus]
Access: http://www.medscape.com/viewprogram/7327
Audience: Physicians
Start/End: September 6, 2007 / September 6, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia presentation or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Joan M. Bathon, MD; Christopher P. Cannon, MD; Loren A. Laine, MD
Description: This 3-part educational activity presented by the Johns Hopkins University School of Medicine begins with a discussion of the prevalence of arthritic conditions and the current status of treatment challenges. The program continues with an evaluation of the data on the impact of clinically important gastrointestinal problems with the use of NSAIDs and criteria for preventive therapies. The final segment examines ways to balance the benefits and risks of NSAIDs and Cox-2 inhibitors in the treatment of arthritis. Access checked January 2, 2009.
Neuropathic Pain: Diagnosis, Treatment, and the Pharmacist's Role in Patient Care
Access: https://secure.pharmacytimes.com/lessons/200509-02.asp
Audience: Pharmacists
Start/End: Unknown / September 1, 2008
Credits: 2.0 ACPE CE (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit at link below
Program Format: Brief article
Sponsor: Pharmacy Times (See: https://secure.pharmacytimes.com/main.asp?orderby=&group=all)
Author(s): Hildegarde J. Berdine, BS, PharmD, BCPS
Description: Neuropathic pain afflicts an estimated 4 million people nationwide and originates from an injury to the peripheral or central nervous system (or both) and develops into a chronic disorder. Neuropathic pain differs from acute nociceptive pain which is caused in response to a pain-initiating stimulus. This program covers major causes of neuropathic pain, the role of the pharmacist in diagnosis, pharmacologic agents, a treatment algorithm, and new/emerging treatments. Access checked January 2, 2009.
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