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Pain Treatment CME (Continuing Medical Education) Courses

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

IMPORTANT: 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 to view documents may be required.

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Assessment and Management of Chronic Pain in the Older Adult

Access: http://japha.metapress.com/link.asp?id=010038un0713m80v

(link to the full-text PDF is on the right-hand side of the web page)

Audience: Pharmacists
Start/End: May 1, 2010 / May 1, 2013
Credits: 2.0 ACPE contact hours (0.2 CEUs)
Price: Free access to article; testing is free to APA members, $15 for nonmembers
Program Format: Review article
Sponsor: American Pharmacists Association
Author(s): James W. Cooper, BPharm, PhD; Allison H. Burfield, RN, PhD
Description: This educational activity begins with a discussion of the causes of chronic pain in the older adult, including common comorbidities, and continues with a review of assessment techniques in the cognitively intact and impaired elder. The latest American Geriatrics Society guidelines are used as an outline for the selection of appropriate pharmacologic treatments — including agent and dosing schedule — for chronic pain older adults. The authors evaluate issues of risk and adverse drug reactions as well as inappropriate drugs and drug combinations of concern for older patients. Access checked July 9, 2010.

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.

Fibromyalgia: The Patient Who Hurts Too Much

Access: http://www.fcmcme.org/fm_pres_081809/fm_pages_081809/fm_page_webinst.htm
Audience: Physicians, Pharmacists, Nurses
Start/End: September 1, 2009 / August 29, 2012
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE (0.10 CEUs) for pharmacists; 1.0 ANCC CE contact hours for nurses (nursing credit expires 6/30/2012)
Price: Free
Program Format: Web-based multimedia
Sponsor: Foundation for Care Management
Author(s): Kathleen Davis, MD
Description: A discussion of the most recent understanding of the underlying mechanisms of fibromyalgia are incorporated into the diagnostic assessment of a new patient with suspected fibromyalgia. The origins of pain are reviewed and evidence-based pain management is explored for patients with chronic diffuse pain who are resistant to standard therapies. Best practice strategies for the treatment and long-term care of patients with symptoms of depression, fatigue, and sleep problems are also reviewed. Treatment approaches for patients with overlap syndromes and common comorbidities are examined. Access checked November 9, 2009.

Optimizing Disease Control to Manage RA-Associated Pain in Adults

Access: http://www.uspharmacist.com/continuing_education/ceviewtest/lessonid/106742/
Audience: Pharmacists, Pharmacy Technicians
Start/End: May 1, 2010 / May 31, 2012
Credits: Up to 2.0 ACPE CE credit (0.20 CEUs)
Price: Free to view; $6.50 fee for testing
Program Format: Monograph
Sponsor: U.S. Pharmacist
Author(s): Lori C. Dupree, PharmD, BCPS
Description: This educational activity begins with a review of the pathophysiology of rheumatoid arthritis (RA), including a discussion of patient evaluation and disease presentation. Biologic and non-biologic disease-modifying antirheumatic drugs (DMARDs) are explored in terms of risk-benefit considerations and the evidence for biologic-non-biologic drug combinations. The monograph includes an easy-to-read table of DMARDs that includes indications for use, dosing, and special considerations, as well as initial and continued monitoring recommendations. This drug therapy list and a discussion of nonpharmacologic interventions could also make the article useful for patient education. The authors stress the need for collaborative, multi-disciplinary RA management that includes combination therapies designed to induce disease remission or halt disease progression and provide optimal pain control. Access checked June 4, 2010.

Pain Report #12 - Optimizing Chronic Pain Management in Elderly Persons: Integrating Pharmacokinetics & Pharmacodynamics

Access: http://cme.pain.com/sections/professional/cme_article/accreditation.cfm?id=309
Audience: Physicians, Pharmacists, Nurse Practitioners, Nurses
Start/End: March 2010 / March 31, 2012
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEUs) for pharmacists; 1.0 AANP contact hours (0.6 hour in pharmacology) for nurse practitioners; 1.2 contact hours from the California Board of Registered Nursing
Price: Free
Program Format: Monograph
Sponsor: Pain.com; supported by an educational grant from Purdue Pharma, L.P.
Author(s): Bernard M. Abrams, MD; John Kriak, PharmD
Description: This activity focuses on analgesic therapy in the rapidly growing population of senior adults. In addition to the challenges of pain assessment in some elderly patients, effective treatment due to altered pharmacokinetics can be a test of prescriber skills. The article reviews physiological changes in the older adult and includes a helpful summary table of common, relevant age-related changes. Practitioners are cautioned to perform a full health assessment and not treat patients primarily according to chronological age because overall health status varies greatly in this population. Two additional tables aid the selection of the most appropriate pharmacological agent according to etiology, physiology, and patient-specific areas of vulnerability. The authors compare and contrast different types of pain relief drugs and include information on the mechanisms of action, adverse effects, dosing recommendations, and special considerations. Access checked March 4, 2010.

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.

Responsible Opioid Prescribing: A Physician’s Guide

Access: http://aspi.wisc.edu/rop.html
Audience: Physicians (but applicable to all healthcare providers)
Start/End: March 1, 2009 / March 1, 2012
Credits: Up to 7.25 AMA PRA Cat. 1 credits
Price: Book purchase is $12.95 (order through URL above); CME testing fee is $30
Program Format: Book: “Responsible Opioid Prescribing: A Physician’s Guide”
CME Sponsor: University of Wisconsin School of Medicine and Public Health
Author(s): Scott M. Fishman, MD; book sponsored by a consortium of organizations, including the Federation of State Medical Boards
Description: This brief and authoritative book on opioid prescribing, written by a pain medicine specialist, contains 7 chapters and provides a good review of patient evaluation, treatment plans, patient agreements, monitoring, and referral, as well as compliance with regulatory policies. Beginning with the patient assessment, strategies are offered for reducing the risk of addiction, abuse, or diversion of opioids prescribed for pain. A useful 4-page summary provides concise steps that healthcare providers can immediately incorporate into daily practice to comply with the guidelines—known as the Model Policy for the Use of Controlled Substances for the Treatment of Pain—developed by the Federation of State Medical Boards. The CME portion of the activity requires a simple online registration and an exam designed to test knowledge acquired from reading the book. Access checked December 2, 2009.

NOTE: As standard practice we do not list CME/CE courses for which there is a fee to view the material. However, this book is of such importance for all healthcare providers that we have decided to list this item. Also see our more complete review of the book at: http://pain-topics.org/education_CME_locator/indexbkrv.php#ROP

Pain Management: The American Medical Association Online Series

Access: http://www.ama-cmeonline.com/pain_mgmt/
Audience: Physicians
Start/End: September 2007 / March 2012
Credits: Up to 1.0 AMA PRA Cat. 1 credit per module
Price: Free
Program Format: 12 individual monographs
Sponsor: American Medical Association (supported by a grant from Purdue Pharma L.P.)
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 May 22, 2010.

Breakthrough Pain

Access: http://cme.pain.com/sections/...moduleid=308 
Audience: Physicians, Pharmacists, Nurses
Start/End: January 2010 / January 30, 2012
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEU) for pharmacists; 1.2 contact hours of California Board of Registered Nursing credit
Price: Free
Program Format: 10 abstracted journal articles
Sponsor: Pain.com; 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 include: treatment of breakthrough pain for chronic pain patients, efficacy and safety data for several specific pain relievers, and chronic pain therapy in patients with diabetes. Course credit requires that all abstracts must be read and all test questions answered. Access checked March 4, 2010.

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.

Cardiovascular Disease in Inflammatory Arthritis: Getting to the Heart of the Matter

Access: http://www.clevelandclinicmeded.com/online/monograph/heart-of-the-matter/
Audience: Physicians
Start/End: December 15, 2009/ December 15, 2011
Credits: Up to 0.75 AMA PRA Cat. 1 credit; Up to 0.75 American Osteopathic Association category 2 credit for osteopathic physicians
Price: Free
Program Format: 5 Brief Monographs (all required for course credit)
Sponsor: Cleveland Clinic Center for Continuing Education
Author(s): Leonard H. Calabrese, DO; Elaine Husni, MD, MPH; Joan M. Bathon, MD; Stanley Hazen, MD, PhD; Steven Nissen, MD; Josef Smolen, MD
Description: A primary cause of death in patients with inflammatory arthritis is cardiovascular (CV) disease and this educational activity includes 5 articles that explore the potential factors related to increased CV risk and therapeutic considerations in this patient population. Discussions include a review of the epidemiology of CV morbidity and mortality associated with inflammatory arthritis plus the use of noninvasive imaging to identify early CV disease. The full program includes an examination of the biologic mechanisms of inflammatory arthritis, potential patient-specific therapeutic options, and the risk-benefit ratios for each regimen. Because treatment for inflammatory conditions can complicate cardiovascular risk, this program provides broad evidence-based data on the advances in cytokine inhibition and their effects in several subgroups of patients. Access checked January 6, 2010.

Appropriate Candidates for Opioid Therapy

Access: http://www.emergingsolutionsinpain.com...course=59
Audience: Physicians, Pharmacists, Nurses
Start/End: September 2, 2008 / September 2, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEUs) for pharmacists; 1.0 contact hours from the California Board of Registered Nursing
Price: Free; registration is required to access program content
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Lynn R. Webster, MD
Description: The selection of appropriate patients for opioid therapy can be as important as identifying the ideal pain management drug(s) for each individual patient. Because patient suitability for opioid therapy is dependent on several factors, proper patient assessment and a risk-benefit analysis help improve the potential for a successful treatment outcome. The author of this educational monograph discusses the importance of opioid type, administration route, and monitoring techniques for improving efficacy and tolerability. A brief exploration into strategies for the discontinuation of opioid therapy and the use of complementary treatment modalities adds to the overall focus of appropriate treatment approaches. Reviews of 2 case studies enhance the learning experience. Access checked April 9, 2010.

Comprehensive Assessment of Fibromyalgia and Overlapping Conditions

Access: http://cme.medscape.com/viewarticle/722159?src=cmemp&uac=10445BV (free Medscape registration required)
Audience: Physicians, Nurses
Start/End: May 28, 2010 / May 28, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ANCC contact hour for nurses
Price: Free
Program Format: Monograph (the “print” feature under the course title allows a full monograph print-out, including all graphic components)
Sponsor: MedscapeCME Rheumatology
Author(s): Don L. Goldenberg, MD
Description: Diagnosing fibromyalgia can be challenging because the symptoms of this complex disease can vary widely from one individual to another. This educational activity reviews the key presenting features of fibromyalgia as well as the recently-proposed changes in the diagnostic criteria developed by the American College of Rheumatology (ACR). The new approach to assessment focuses on the location and persistence of the patient's chronic widespread pain and symptoms — reflecting current understanding of altered central nervous system pain perception — rather than specific tender points. Recommendations for an initial work-up include tests and assessment techniques that help to exclude alternative or comorbid disease; and, screening instruments to assess mood, sleep disturbances, and quality of life are suggested. Access checked July 9, 2010.

To read the Pain-Topics.org UPDATES posting on the new ACR criteria;
see http://updates.pain-topics.org/2010/06/better-way-to-diagnose-fibromyalgia.html.

Management of Chronic Pain in the Setting of Medical and Psychiatric Comorbidities

Access: http://cme.medscape.com/viewarticle/721656
(free Medscape registration required)
Audience: Physicians
Start/End: May 18, 2010 / May 18, 2011
Credits: Up to 1.5 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph (see the “Print This” link under course title, which allows a print-out of the document, including all graphs and case studies)
Sponsor: MedscapeCME Family Medicine
Author(s): Bill H. McCarberg, MD
Description: Modeled on an interactive grand rounds approach, this educational program uses case studies and participant non-graded testing to enhance learning potential. The program focuses on the functional impact and patient quality-of-life issues that result when chronic pain is coupled with medical and psychological comorbidities. The complex relationships in these comorbidities are discussed in terms of identifying the most appropriate multimodal treatment options, including pharmacologic and nonpharmacologic approaches to managing pain and disability. In addition to 3 individual patient cases, the program closes with a discussion of the results of studies that evaluate differing approaches to effective multidisciplinary care for patients. Access checked June 10, 2010.

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

Access: http://www.emergingsolutionsinpain.com...course=60
Audience: Physicians, Pharmacists, Nurses
Start/End: May 7, 2008 / May 7, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEUs) for pharmacists; 1.0 contact hours from the California Board of Registered Nursing
Price: Free; registration is required to access program content
Program Format: Monograph
Sponsor: Emerging Solutions in Pain
Author(s): Bradley Schnierow, MD and Joseph Shurman, MD
Description: The management of chronic pain can be compromised or challenged by sleep disorders and, similarly, chronic pain can impact sleep quality or quantity. This educational activity reviews the relationship between chronic pain and sleep disorders and describes a multidisciplinary approach that could result in better outcomes in the management of both. Dr. Shurman's “Share the Risk Model of Care” is described and 3 case examples help to explain the benefits of collaborating with a sleep specialist in assessing and treating chronic pain patients at high risk for sleep disorders. Finally, the use of screening tools is discussed as an aid to the assessment of driving functionality in patients on opioid therapy. Access checked April 9, 2010.

Stemming the Tide of Opioid Abuse & Diversion With Abuse-Deterrent Choices

Access: http://primeinc.org/cme/online/262/Stemming_the_Tide_of_Opioid_Abuse
Audience: Physicians, Pharmacists, Nurse Practitioners, Physicians Assistants, Case Managers
Start/End: May 1, 2010 / May 1, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEUs) for pharmacists; 1.0 AANP contact hour (0.75 hour in pharmacology) for nurse practitioners; 1.0 hour of AAPA Category I CME credit for physician assistants; 1.0 CCMC contact hour for certified case managers
Price: Free
Program Format: Web-based multimedia
Sponsor: Prime CME
Author(s): David A. Fishbain, MD
Description: Practitioners have an important responsibility in the effective assessment of a patient with chronic pain before prescribing opioid therapy, while the pharmacist plays a role in monitoring the opioid dispensing. This educational activity provides updated information on opioid use and abuse, with a focus on current and developing abuse-deterrent medication options. The presenter reviews the differing formulations of abuse-deterrent products and the issues related to the integration of these treatment forms into patient pain management. The Clinical Guideline for Reducing Opioid Abuse Risk and the Federation of State Medical Boards Model Policy are each reviewed briefly; a pharmacist’s list of red flags for abuse or diversion is summarized. The program is enhanced with a case presentation that includes a discussion of the factors that appear during the patient's initial screening and assessment. Access checked May 5, 2010.

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://cme.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.

Strategies for Opioid Rotation: Decision Support in Chronic Pain Management

Access: http://cme.medscape.com/viewarticle/717832 (free Medscape registration required)
Audience: Physicians
Start/End: March 30, 2010 / March 30, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: MedscapeCME; supported by an educational grant from Endo Pharmaceuticals
Author(s): Perry G. Fine, MD; Russell K. Portenoy, MD
Description: This activity provides a review of the evidence for effective opioid rotation strategies in patients with chronic pain who are appropriate candidates for opioid therapy but have demonstrated unacceptable adverse effects or ineffective analgesic responses. A summary of the 2009 guidelines developed jointly by the American Pain Society and the American Academy of Pain Medicine provides a review before an in-depth examination of considerations for managing poor opioid responsiveness. An algorithm is provided for modifying opioid therapy and a case study discussion elucidates necessary cautions and considerations when using equianalgesic dose tables. For maximum efficacy and safety, the authors emphasize that dosing adjustments require ongoing reassessments and may entail a 2-step modification based on individual patient characteristics. This approach also minimizes specific risks like overdose or acute withdrawal. Access checked April 19, 2010.

Long-Term Safety and Efficacy of DMARDs and Biologics in the Treatment of Rheumatoid Arthritis

Access: http://www.clevelandclinicmeded.com/... long-term-safety-DMARDs-and-biologics/
Audience: Physicians
Start/End: March 22, 2010 / March 22, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 CME Category 2 credit from the American Osteopathic Association Council for osteopathic physicians
Price: Free
Program Format: Web-based multimedia
Sponsor: Cleveland Clinic Foundation Center for Continuing Education
Author(s): Leonard H. Calabrese, DO and Roy Fleischmann, MD
Description: Using a case-based approach, this program takes a comprehensive look at the evidence for the efficacy and safety of therapy with disease-modifying antirheumatic drugs (DMARDs) and biologics for patients with rheumatoid arthritis (RA). The authors examine definitions of the goals of therapy from the American College of Rheumatology and the European League Against Rheumatism. Published studies demonstrating evidence that a protocol of early and aggressive treatment of RA achieves better symptom control and reduced long-term disability are reviewed. The program also reviews factors influencing the choice of therapy, follow-up monitoring for efficacy and toxicity, and the usefulness of several disease activity measures. Access checked April 9, 2010.

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.

War on Pain

Access: http://www.ucdmc.ucdavis.edu/cme/.../2008pain-view-modules.html
Audience: Physicians
Start/End: January 12, 2006 / Renewed until January 17, 2011
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 November 4, 2009.

Preventing Abuse in Pain Management: Strategies for Appropriate Use of Opioid Therapies

Access: http://cme.medscape.com/viewprogram/30563 (free Medscape registration required)
Audience: Physicians, Pharmacists, Nurses
Start/End: January 13, 2010 / January 13, 2011
Credits: Up to 0.5 AMA PRA Cat. 1 credit; 1.0 ACPE CE credit (0.1 CEUs) for pharmacists; 1.0 ANCC contact hour (1.0 hour in pharmacology) for nurses
Price: Free
Program Format: 2 Brief Monographs (both required for course credit)
Sponsor: MedscapeCME Family Medicine; supported by an educational grant from Purdue Pharma, L.P.
Author(s): Maria A. Sullivan, MD, PhD; Margaret Emerson, PhD, RN; Herbert D. Kleber, MD
Description: This 2-part educational activity includes a review of the challenges of patient risk-assessment plus an individual case study. The program emphasizes clinician-patient communications and screening tools for more effective assessment of the risk of abuse and diversion in patients who require opioid pain management. The authors emphasize the need to conduct risk stratification — low, medium, or high — before initiating therapy. Several patient screening instruments are described and the strengths and weaknesses of each are presented. The importance of adequate pain management using an interdisciplinary approach and the use of pain assessment questionnaires are discussed. Access checked February 3, 2010.

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.

Update on Gout: New Therapeutic Strategies and Options

Access: http://cme.medscape.com/viewarticle/713753 (free Medscape registration required)
Audience: Physicians
Start/End: January 4, 2010 / January 4, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: MedscapeCME and Nature Reviews Rheumatology
Author(s): Robert Terkeltaub, MD
Description: In recent years, the prevalence of gout and the complexities of effective management have both increased. This program reviews the changing epidemiology of gout, the pathophysiology of gouty inflammation, and characteristics of the new generation of patients who present with treatment-refractory disease. Recent research and advances in treatment approaches have produced new strategies using established and new therapeutic agents. The 'treat to target' strategy for lowering patient serum urate levels is examined and therapeutic modalities for patients with comorbidities and treatment-refractory gout are discussed. Access checked February 3, 2010.

Advances in Osteoarthritis Management

Access: http://cme.medscape.com/viewprogram/30599 (free Medscape registration required)
Audience: Physicians, Nurses
Start/End: December 18, 2009 / December 18, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ANCC contact hour (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: 3 Brief Monographs (all required for course credit)
Sponsor: MedscapeCME Rheumatology
Author(s): Antonios O. Aliprantis, MD, PhD; Louis Kuritzky, MD
Description: This educational activity is a review of information presented at the American College of Rheumatology (ACR) 2009 annual meeting and was developed for primary care physicians, rheumatologists, and nurses. A review of recent therapeutic advances in osteoarthritis pain management includes pharmacologic and nonpharmacologic options, including biomechanical interventions. Suboptimal management can result in long-term consequences for the patient; therefore, this program encourages practitioners to become familiar with current guidelines and provides an evidence-based discussion of the advantages and limitations of current therapies. The third monograph is presented in question & answer format and explores the management of gastrointestinal adverse effects associated with many analgesic products as well as the status of osteoarthritis therapy overall. Access checked January 6, 2010.

Achieving Optimal Therapeutic Outcomes With Oral Over-the-Counter Analgesics: Assessing Benefit Versus Risk

Access: http://www.aapa.org/images/stories/education_and_certification/PSC-OTC-PA.pdf
Audience: Physician Assistants
Start/End: Unknown / December 15, 2010
Credits: Up to 1.5 hours of AAPA Category 1 credit
Price: Program free for all viewers; educational credit free for members, $25 for non-members
Program Format: 24-page Monograph
Sponsor: American Pharmacists Association (APA); American Association of Physician Assistants (AAPA)
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 July 21, 2010.

Tackling the Challenges and Consequences of Pain: New Thinking, New Choices

Access: http://cme.medscape.com/viewarticle/707183
Audience: Physicians
Start/End: October 29, 2009 / October 29, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Web-based multimedia
Sponsor: MedscapeCME
Author(s): Perry G. Fine, MD; Michael Stanton-Hicks, MD
Description: This educational activity was originally presented as a satellite symposium panel discussion held in conjunction with the 5th World Institute of Pain Congress held in New York in 2009. The program opens with a review of the February 2009 decision by the FDA to require drug-makers to develop Risk Evaluation and Mitigation Strategies (REMS) for generic and brand-name opioid products to help ensure that the benefits of a drug always outweigh its risks. The presenters discuss the consequences of inadequate acute pain management as well as the physiological and social effects of suboptimal or excessive analgesia. Recent changes in drug delivery systems are briefly reviewed. These novel systems are also examined as potential vehicles for more effective extended-release products, abuse deterrent formulations, and drugs that maximize analgesia while minimizing adverse effects. Access checked November 24, 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.

Treatment of Rheumatoid Arthritis: State of the Art 2009

Access: http://cme.medscape.com/viewarticle/709260
Audience: Physicians
Start/End: September 29, 2009 / September 29, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: Medscape CME/Nature Reviews Rheumatology
Author(s): Ronald F. van Vollenhoven, MD, PhD
Description: This educational activity was developed for primary care physicians and rheumatologists and explores unmet needs and controversies in the management of rheumatoid arthritis. The monograph begins with a review of the basic principles of RA treatment and the notable manner in which guidelines have changed in recent years. While the current arsenal of available pharmacological and biologic therapeutic agents is known to have improved symptom relief and curtailed progression, the search for better therapies continues to be an elusive goal. This author provides evidence to further clarify several controversial therapy issues, from methotrexate in combination therapy to switching biologic therapies. The program ends with a brief statement regarding targeted areas for future prospects in rheumatology therapeutics. Access checked November 9, 2009.

An Individualized Approach to Management of Patients With Rheumatoid Arthritis With Suboptimal Response to Anti-TNF Therapy

Access: http://cme.medscape.com/viewarticle/707546
Audience: Physicians
Start/End: August 17, 2009 / August 17, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph with case management questions
Sponsor: Medscape Rheumatology
Author(s): Marc C. Levesque, MD; Helen Fosam, PhD
Description: Using an interactive case study format, this program takes a grand rounds approach to the management of a patient with a suboptimal response to anti-tumor necrosis factor therapy for rheumatoid arthritis (RA). Clarification is provided for the concept of “early RA” as it relates to initiating therapy to achieve the best potential for remission. Advantages and disadvantages of the benefits of using guideline-driven, patient-centered, evidence-based approaches and critical decision-making in therapy choices are evaluated as a means to achieving tight RA disease control. The interactive component within the activity includes questions that are designed to challenge — without penalizing — the learner. Access checked November 10, 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.

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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.

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