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- The Basics of Pain I: Anatomy and Applied Physiology Pertinent to Clinical Pain
- The Basics of Pain II: Types of Pain, Common Pain Syndromes
- Diagnostic Evaluation of Pain: History, Symptoms and Signs, Diagnostic Tests for Chronic Pain
- Clinical Pharmacology of Pain: Non-Opioid and Opioid Medication
- The Management of Non-malignant Pain by Non-Pain Specialists: Treatment Modalities at a Primary Care Setting
- The Management of Cancer Pain by Non-Pain Specialists: Diagnostic Evaluation and Evidence-Based Therapies at a Primary Care Setting
- Interactive Problem-Based Case Discussion Based on Chart-Review
- Pain of Spinal Origin. Focus on mechanical neck pain and low back pain.
- Neuropathic Pain.
- Musculoskeletal Pain (Myofascial pain and Fibromyalgia)
- Post-herpetic Neuralgia
- Complex Regional Pain Syndrome
- Chronic Pelvic Pain
- Interactive Problem-Based Case Discussion
- Describe and explain basic concepts of pain (acute; chronic; nociceptive; neuropathic; malignant or cancer-related) as pertinent to clinical decision making, when determining plans for management of pain in a primary care setting; determine mechanism-based therapies in cases wherein diagnosis of chronic pain is unclear. Describe the contribution of biological, psychological/emotional and social factors to the experience and behavior of pain.
- Describe and diagnose various distinct syndromes or types of pain; design multidisciplinary pain treatment plans, appropriate for each specific type of pain in a primary care setting. Apply suitable history taking techniques and carry out pertinent physical exams to evaluate patients who present with various manifestations of pain; order appropriate diagnostic tests and consultations (in the context of multidisciplinary approaches) in order to establish diagnoses and to develop reasonable comprehensive, patient-centered pain management plans.
- Apply evidence-based principles and guidelines in the rational use of opioids for malignant and non-malignant pain in a primary care setting; assess and stratify patients’ risk for aberrant drug behaviors; select patients suitable for safe opioid prescriptions; monitor patients for efficacy and adverse effects. Include non-opioid analgesics in a comprehensive, multi-disciplinary pain management plan based on evidence-based and mechanism-based approaches.
- Determine, design and carry out evidence-based, safe and patient-centered therapeutic plans suitable for individual patients in pain from non-malignant or non-terminal conditions.
- Describe and adhere to the recent recommendations from the IOM Report (Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. The National Academies Press, 2011 ) regarding:
- The moral imperative and professional responsibility of effective pain management for all patients
- The need for comprehensive approaches to prevention and management of pain
- The need for interdisciplinary approaches, assessment and treatment of pain
- The need for individualized pain care, tailored to each person’s experience
- The rational use of opioids in an evidence-based, safe and effective manner
- The value of clinicians, families and patients working together
- The value of a public health and community based approach, including targeting disparities in occurrence and treatment of pain, goal of prevention and public health education
- The need for a cultural transformation on the way pain is viewed and treated
- Design and carry out evidence-based, safe and patient-centered therapeutic plans suitable for individual patients in pain from malignant or terminal conditions, or conditions at the end-of-life.
- Describe and utilize therapies for cancer pain supported by the best available evidence and/or therapies that are mechanism-based.
- Practice skills pertinent to diagnostic analysis and to designing a comprehensive, multidisciplinary treatment plan in a problem-based discussion based on a real-life-case discussion.
- Define acute and chronic spine pain. Review clinical presentation, differential diagnosis, and evidence based treatment modalities for the management of mechanical spine pain.
- Describe neuropathic pain. Discuss pathophysiological mechanisms involved in neuropathic pain. Identify various types of neuropathic pain disorders and appraise their global and individual management.
- Review painful musculoskeletal disorders, mainly myofascial pain and fibromyalgia. Focus on history and physical examination findings as well as revise multidisciplinary management including pharmacological, physical, rehabilitative, and supportive therapeutic options.
- Appraise the pathophysiology of Herpes Zoster and Postherpetic Neuralgia (PHN). Identify risk factors affecting the development of postherpetic neuralgia. Understand the effects of PHN on sleep, mood and quality of life.
- Apply evidence based principles in the management of Zoster induced chronic pain.
- Define Complex Regional Pain Syndrome, Review the types and differences of this neuropathic condition.
- Establish the diagnostic criteria as suggested by the International Association for the Study of Pain (IASP). Identify para-clinical studies relevant in the diagnosis of this entity.
- Review multimodal management strategies recommended for the symptomatic and functional management of this disease.
- Establish the diagnostic criteria as suggested by the International Association for the Study of Pain (IASP). Identify para-clinical studies relevant in the diagnosis of this entity. Review multimodal management strategies recommended for the symptomatic and functional management of this disease.
- Distinguish the different anatomical, physiological and psychological causes of chronic pelvic pain in men and women. Discuss pharmacological and non pharmacological treatments available for the comprehensive management of distinct painful conditions.
- Present various clinical cases of painful conditions and promote discussion with focus on diagnosis and treatment.
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