Intensive Update in Pain Management

Cleveland Clinic Specialty Review

In-depth review of recent advances in pain medicine, regional anesthesia/analgesia, and the tremendous changes affecting the practice of pain management.

Explore Key Topics in Pain Management

With in-depth reviews and analyses of recent advances in pain medicine and regional anesthesia/analgesia, this CME program also addresses the tremendous changes affecting the practice of pain management. Intensive Update in Pain Management's internationally renowned faculty will provide insightful assessment and clinical evaluation of topics to help you better:

• Understand the pathophysiology of acute and chronic pain
• Identify various chronic neuropathic pain conditions
• Recognize the impact of health care reform on pain medicine practice
• Review novel state-of-the-art interventional and non-interventional techniques in diagnosis and management of chronic pain, cancer pain, and headaches

The Fundamentals

• Higher Centre and Pain: From Basic Science to Clinical Perspective - Philip Peng, MBBS

• Mechanism of Action of Spinal Cord Stimulation - Ricardo Vallejo, MD, PhD

• Mechanistic Approaches to Treating Chronic Pain - Daniel Clauw, MD

• Neurophysiological Basis for Multimodal Therapy in Postoperative Pain - Philip Peng, MBBS

• Anatomic Imaging for Pain Evaluation - John Carrino, MD, MPH

• Cannabinoids for Chronic Pain - Daniel Clauw, MD

Rheumatologic Conditions

• Autoimmune Disorders and Pain - Carmen Gota, MD

• Fibromyalgia – Current Understanding - Daniel Clauw, MD

• ANA, RF, ENA: Making Sense of Rheumatologic Alphabet Soup - Carmen Gota, MD

• Contemporary Guidelines for Managing Fibromyalgia - Benjamin Abraham, MD

• Comprehensive Evaluation of the Fibromyalgia Patient - Robert Bolash, MD

Advanced Technology and New Targets

• High Density Stimulation - Aaron Calodney, MD

• Peripheral Nerve Stimulation - Timothy R. Deer, MD

• Burst Stimulation - Timothy R. Deer, MD

• High Frequency Stimulation - Ricardo Vallejo, MD, PhD

Addressing the National Opioid Epidemic

• Opioid Crisis in America – How Did We Get Here? - Richard Rosenquist, MD

• Should Opioids Be Used for Chronic Pain? – Pro - Aaron Calodney, MD

• Should Opioids Be Used for Chronic Pain? – Con - Richard Rosenquist, MD

• CDC and FDA Opioid Guidelines – Blessing or Curse? - Anita Gupta, DO, PharmD

• Drug – Drug Interactions in Pain Management - Elizabeth Casserly, PharmD, RPh

• Managing the Difficult Patient Before They Manage You - Daniel Doleys, PhD

• Beyond Opioids for Cancer Pain - Oscar Deleon-Casasola, MD

Surgical Approaches to Painful Spine Conditions

• A Surgeon’s Appraisal of Spine Pain Complaints - Sean Nagel, MD

• Long Term Outcomes from Lumbar Spinal Fusion - Ajit Krishnaney, MD

• Imaging the Cervical Spine - John Carrino, MD, MPH

• Surgical Approaches to Cervical Spine Disease - Ajit Krishnaney, MD

• Psychological Evaluation of the Failed Back Surgery Patient: Could This Have Been Predicted/Prevented Preoperatively? - Daniel Doleys, PhD

Transitioning from Pain Care to Pain Wellness

• Diet and Chronic Pain - Teresa Dews, MD

• Exercise as Medical Treatment - Richard Rosenquist, MD

• Hormonal Effects of Chronic Pain and Its Treatments - Robert Bolash, MD

• Complementary and Alternative Treatments - Michael Amster, MD

• Smoking and Chronic Pain - Benjamin Abraham, MD

• Physician Heal Thyself – Addressing and Preventing Burnout - Michael Amster, MD

Innovations in Pain Medicine

• Sodium Nitrite for Peripheral Neuropathy - Amol Soin, MD

• Intradural Spinal Cord Stimulation - Sean Nagel, MD

• Future Trends in Determining the Mechanism of Action for SCS - Ramsin Benyamin, MD

• 5HT Agonist for Neuropathic Pain - Amol Soin, MD

• PILD for Lumbar Spinal Stenosis - Ramsin Benyamin, MD

Economics of Pain Medicine

• Transitioning from Fee for Service to Bundled Payments and Population Health - Robert Bolash, MD

• Measuring Pain Outcomes – Time for a Change? - Teresa Dews, MD

• Is Targeted Drug Delivery Economically Viable in 2017? - Robert Bolash, MD

• Midas Encore RCT - Ramsin Benyamin, MD

• Cost Effectiveness of Neuro Stimulation - Robert Bolash, MD

• Team-based Healthcare Delivery - Lynn Gaddis, RN, MSN, CFNP - BC

Physician Assistants & Advanced Registered Nurse Practitioner Session

• Current Opioid Guidelines and Maintenance of the Chronic Pain Patient - Lynn Gaddis, RN, MSN, CFNP - BC

• Managing the Flood of Patient Messages - Kathryn Kraus, PA-C, MPAS

• Polypharmacy, Pain, and Drug Interactions: Strategies to Balance Risk and Benefits - Anita Gupta, DO, PharmD

• Improving Documentation to Reduce Denials and Preauthorizations - Kathryn Kraus, PA-C, MPAS

• Spine Pain – Neurological Evaluation and Differential Diagnosis - Sean Nagel, MD

• How to Manage the "Aggressive" Patient - Lynn Gaddis, RN, MSN, CFNP - BC and Daniel Doleys, PhD

Learning Objectives

Upon completion of this activity, the participant will be able to:

• Define the role of DRG stimulation within the spectrum of neuromodulation therapies
• Identify patient selection criteria for neuromodulation therapies
• Develop strategies to provide affordable pain care that addresses the economic impact of health care reform
• Recognize pain conditions and symptoms that would trigger patient referral for surgical treatment
• Summarize the role of rheumatologic conditions in chronic pain development and treatment
• List the technical skills needed to perform interventional pain procedures
• Use multidisciplinary and multimodal pain treatments to treat chronic pain conditions
• Apply CDC guidelines to chronic opioid treatment to improve safety and reduce adverse effects associated with their use

Intended Audience

This educational activity was designed for anesthesia providers, interventional pain specialists, physical medicine and rehabilitation specialists, orthopaedic and spine surgeons, neurologists, neurosurgeons, headache specialists, palliative care specialists, primary care physicians, physical therapists, physician assistants, nurse practitioners and residents and fellows in training.