ECHO is an interactive online medical education program, connecting health care providers with the interprofessional team the the Alan Edwards Pain Management Unit at the Montreal General Hospital to advance learning and enhance clinical skills.
Supporting primary care providers in diagnosis and management of their chronic pain patients.
All sessions are from 12pm - 1pm. For questions contact Rebecca Binik - Program Manager: rebecca.binik [at] mcgill.ca
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Date
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Topic
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Learning Objectives
By the end of this session, participants will be able to:
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Sept 25
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Chronic Pain 101
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- Employ a comprehensive approach to assessing and helping patients manage chronic pain and risk
- Understand the burden of chronic pain in our society
- Differentiate between neuropathic and nociceptive pain
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Oct 23
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Pain History, Assessment, and Qualitative Sensory Exam
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- Perform a pain assessment integrating the relevant components from the history and physical exam (and measures/scales)
- Recall the different types of pain (nociceptive, neuropathic and nociplastic)
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Nov 20
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Patient Motivation and Goal Setting
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- Develop an approach to goal setting when discussing pain treatments / strategies with patients
- Develop an approach to helping patients set SMART (specific, measurable, attainable, relevant, time-bound) goals
- Develop an approach to understand and motivate the patient into action
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Dec 18
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Opioids Tapering |
- Discuss the benefits and risks of tapering
- Address common barriers to tapering opioids
- Manage opioid withdrawal symptoms
- Facilitate safe opioid tapering for patients
- Switch opioids
- Calculate morphine equivalent dose (MED) per day for prescribed opioids in Canada
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Jan 22
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Screening for Psychosocial & Psychiatric Co-morbidities
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- Recognize the psychosocial risk factors for chronicityÌý
- Engage in brief screening strategies for psychiatric co-morbidities, maladaptive attitudes, and beliefsÌý
- Utilize office-based strategies and referral options to follow-up on positive screens
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Feb 19
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Cannabis 101
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- Appreciate the evidence base behind cannabinoids
- Develop an approach for authorizing cannabis for chronic pain
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Mar 19
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Back Pain & Spinal Stenosis
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- Recognize yellow and red flags in acute and chronic low back pain
- Intervene appropriately to prevent evolution into Chronic Low-Back Pain
- Manage: chronic non-specific low-back pain, spinal stenosis, radicular syndromes using guideline-based treatments
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April 30
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Headaches (Migraines)
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- Diagnose migraine headache
- Identify 3 risk factors for headache chronicity
- Be familiar with headache guidelines
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May 28
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Fibromyalgia
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- Be aware of the 2012 Canadian Fibromyalgia Guidelines and the updated 2019 FM Diagnostic Criteria
- Recall and describe the maladaptive neuroplasticity underlying FM
- Confident and able to promote active management strategies for patients with FM
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