printed brochure - CME

Harvard Medical School • Department of Continuing Education
✁
Harvard Medical School presents…
acute pain management symposium
Saturday, September 7 – Monday, September 9, 2013
The Fairmont Copley Plaza, 138 St. James Ave., Boston, MA
course Director: Padma Gulur, MD, Assistant in Anesthesia, Assistant Professor, Harvard Medical School
course administrators: Stacy Dube and Lisa Shriver
course Description
This Acute Pain Management course is designed for a primary target audience of
anesthesiologists. Primary care physicians, hospitalists, and other allied health
professionals who are responsible for the Pain Management of patients in Acute Pain that
are either in hospital or pre-hospital may also find the course of interest. The Acute Pain
Management Symposium will focus on a comprehensive review from Pharmacologic
Management, Adjuvant therapies to Advanced pain management techniques and
strategies. The course will include workshops on complementary medicine
(acupuncture, bio-feedback, relaxation techniques) as well as ultrasound guided blocks
in the upper and lower extremities.
Learning objectives
Upon completion of this course, participants will be able to:
• Evaluate the physiological and psychological effects of acute pain
• Determine how to maximize adjuvant techniques in acute pain medicine
• Utilize advanced pain management technologies such as Patient Controlled Analgesia
• Assess and measure pain and treatments of pain
• Critically evaluate the use of pharmacologic and non-pharmacological techniques
• Satisfy MA Board of Registration in Medicine (BORM) Pain Management and End-of-
Life Care training requirements, including counseling patients on the side effects and
additive nature of prescription medications.
target audience
Anesthesiologists, hospitalists, surgeons, primary care physicians responsible for acute
pain management in their settings. Nurses and nurse practitioners with a focus on acute
pain management.
accreditation
The Harvard Medical School is accredited by the Accreditation Council for Continuing
Medical Education to provide continuing medical education for physicians.
The Harvard Medical School designates this live activity for a maximum of 21.25 AMA
PRA Category 1 Credits. Course Only for a maximum of 13.50 AMA PRA Category
1 Credits. Physicians should claim only the credit commensurate with the extent of
their participation in the activity.
acgme competencies
This course is designed to meet one or more of the following Accreditation Council of
Graduate Medical Education competencies:
• Patient care • Medical knowledge • Interpersonal & communication skills
Registration information
Early Bird Registration—Postmarked on or before August 15, 2013:
Early Bird Physicians: Course Only $550 (USD)
Early Bird Physicians: Course w/ Ultrasound Workshop $750 (USD)
Early Bird Physicians: Course w/ Medicine Workshop $700 (USD)
Early Bird Other Professionals: Course Only $450 (USD)
Early Bird Other Professionals: Course w/ Ultrasound Workshop $650 (USD)
Early Bird Other Professionals: Course w/ Medicine Workshop $600 (USD)
Workshops Only:
Ultrasound Workshop Only $350 (USD)
Medicine Workshop Only $250 (USD)
Registration after August 15, 2013:
Physicians: Course Only $650 (USD)
Physicians: Course w/ Ultrasound Workshop $850 (USD)
Physicians: Course w/ Medicine Workshop $800 (USD)
Other Professionals: Course Only $500 (USD)
Other Professionals: Course w/ Ultrasound Workshop $700 (USD)
Other Professionals: Course w/ Medicine Workshop $650 (USD)
Registration by credit card (VISA or MasterCard) can be made at: www.cme.hms.
harvard.edu/courses/acutepain. Registration by check (draft on a United States
bank), please make payable to Harvard Medical School and mail with registration
form to Harvard Medical School–Department of Continuing Education, PO Box
417476, Boston, MA 02241-7476. Mail-in registration is permitted. Please download,
then mail the registration panel found on the online PDF. Telephone or fax registration is
not accepted. Registration with cash payment is not permitted. Upon receipt of your paid
registration an email confirmation from the HMS-DCE office will be sent to you. Be sure
to include an email address that you check frequently. Your email address is used for
critical information, including registration confirmation, evaluation, and certificate.
inquiries
By phone 617-384-8600, Monday–Friday, 10 am to 4 pm (EST) or by email at:
hms-cme@hms.harvard.edu.
online information
To register or view activity information online, visit: www.cme.hms.harvard.edu/courses/
acutepain.
Disclosure policy
Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and
Policies. It is HMS’s policy that those who have influenced the content of a CME activity
(e.g., planners, faculty, authors, reviewers, and others) disclose all relevant financial
relationships with commercial entities so that HMS may identify and resolve any conflicts
of interest prior to the activity. These disclosures will be provided in the activity materials
along with disclosure of any commercial support received for the activity. Additionally,
faculty members have been instructed to disclose any limitations of data and unlabeled
or investigational uses of products during their presentations.
Refund policy
A handling fee of $60 is deducted for cancellation. Refund requests must be received by
postal mail, email, or fax one week prior to this activity. No refunds will be made thereafter.
course Location
All sessions for this activity will be held at The Fairmont Copley Plaza, 138 St. James Ave.,
Boston, MA (Telephone: 617-267-5300).
accommodations/travel
A limited number of rooms have been reserved at The Fairmont Copley Plaza (Telephone:
617-267-5300) until August 9, 2013. Please specify that you are enrolled in this course
to receive a reduced room rate of $219 per night Single/Double. Hotel arrangements
can also be made online at: http://www.fairmont.com/copley-plaza-boston. Please do not
purchase non-refundable airline ticket(s) until you have received an email from our office
confirming your paid registration. For airline reservations contact the HMS Travel Desk
toll free 1-877-4-HARVMD (1-877-442-7863) Monday–Friday, 9 am–8 pm (EST). From
outside the U.S., Canada, and Virgin Islands, please call 617-559-3764.
Guest Faculty: DaviD EDwarDs, MD • MElissa stonE, Ma • stEvEn J. scrivani, DDs, DMedsc • EvE KEnnEDy-spaiEn,
otr/l • lisa watt, rn, Msn, pnp • EugEnE viscusi, MD • wEi Zhang, licac
HMs Faculty: charlEs BErDE, phD • Dustin BoonE, MD • KarEn BorEtsKy, MD • aDaM carinci, MD • Eva chittEn-
DEn, MD • Darrin corrEll, MD • lucy chEn, MD • KatharinE FlEischMann, MD • JatinDEr gill, MD • christinE
grEco, MD • paDMa gulur, MD • phil hEss, MD • DaviD JanFaZa, MD • Mihir KaMDar, MD • charlEs KElly, MD •
KarstEn KuEppEnBEnDEr, MD • ronalD J. Kulich, phD, MD • alyssa lEBEl, MD • JianrEn Mao, MD • vicKi MoDEst, MD
• Jyotsna nagDa, MD • JaMEs rathMEll, MD • navil sEthna, MD • lauriE shapiro, MD • pEtEr stEFanovich, MD
• KaMEn vlassaKov, MD • ana Maria vrancEanu, phD • shanE volnEy, MD • luKE wang, MD • lisa warrEn, MD •
alan witKowEr, EdD • lisa wollMan-KliMan, MD • yi Zhang, MD • JiE Zhou, MD
acute pain management symposium Saturday, September 7 – Monday, September 9, 2013 class #3314501
eaRLy BiRD Registration—postmarked on or BeFoRe august 15, 2013:
Physicians: Course Only ❏ $550 (USD)
Physicians: Course w/ Ultrasound Workshop ❏ $750 (USD)
Physicians: Course w/ Medicine Workshop ❏ $700 (USD)
Other Professionals: Course Only ❏ $450 (USD)
Other Professionals: Course w/ Ultrasound Workshop ❏ $650 (USD)
Other Professionals: Course w/ Medicine Workshop ❏ $600 (USD)
print name clearly – all Fields Required
Full Name First Middle Initial Last
Mailing Address Street City State Zip Code
Daytime Phone ( ) Fax Number ( )
pLease note: Your email address is used for critical information about the course including: registration confirmation, course
evaluation, and certificate. Please be sure to include an email address you check daily or frequently.
Email Address
❏ Please check if you wish to be excluded from receiving email notices of future HMS-DCE programs.
Workshops only:
Ultrasound Workshop Only ❏ $350 (USD)
Medicine Workshop Only ❏ $250 (USD)
Register early for
“course with workshop” and save $$$
Profession Degree
Primary Specialty (Physicians Only)
Registration aFteR august 15, 2013:
Physicians: Course Only ❏ $650 (USD)
Physicians: Course w/ Ultrasound Workshop ❏ $850 (USD)
Physicians: Course w/ Medicine Workshop ❏ $800 (USD)
Other Professionals: Course Only ❏ $500 (USD)
Other Professionals: Course w/ Ultrasound Workshop ❏ $700 (USD)
Other Professionals: Course w/ Medicine Workshop ❏ $650 (USD)
Board Certified: ❏ Yes ❏ No
Professional School Attended (Physicians Only ❏ Harvard Medical School ❏ U.S. Medical School
❏ International Year of Graduation
Online registrants add the first three
characters of the source code here ➞ Source Code: W E B

satuRDay, septemBeR 7, 2013
WoRKsHop #1 ultrasound-guided Regional Blocks (Maximum attendance: 30)
7:00–7:30 Registration and Continental Breakfast
acute pain management symposium scHeDuLe
7:00–7:10 Welcome and Introduction Director: Padma Gulur, MD
7:30–16:00 Workshop on Ultrasound-Guided Regional Blocks
• Supervised Hands-On Scanning on Live Models
• Opportunity to Use a Variety of Ultrasound Machines
• Hit-the-Target Practice on Phantoms
• Knobology
• Thorough Review of Sonoanatomy
• Video Demonstration of Nerve Block Procedures
• Practical Tips and Tricks for Ultrasound-Guided Blocks
• Pain and Emergency Medicine Stations
• Beginner and Advanced Practitioner Tracks
Hands-on Workshop (Maximum 5 attendees per station)
1. Ultrasound-Guided Upper Extremity Blocks (Human Volunteers)
I. Interscalene Brachial Plexus Block
II. Supraclavicular Brachial Plexus Block
III. Infraclavicular Brachial Plexus Block
IV. Axillary Block
2. Ultrasound-Guided Lower Extremity Blocks (Human Volunteers)
I. Femoral
II. Sciatic Nerve
III. Tibial Nerve
IV. Peroneal Nerve
3. Ultrasound-Guided Trunk Blocks
I. TAP Block
II. Paravertebral Block
III. Neuraxial
IV. Intercostal
Moderators: Lisa Warren, MD; Kamen Vlassakov, MD
Faculty: Laurie Shapiro, MD, MGH; Katherine Fleischmann, MD, MGH; Peter Stefanovich, MD, MGH;
Jatinder Gill, MD, BI: Karen Boretsky, MD, CH; David Janfaza, MD, BWH; Lisa Wollman-Kliman, MD, MGH;
Dustin Boone, MD, BI; Vicki Modest, MD, MGH; Charles Kelly, MD, MGH; David Edwards, MD, MGH
Time Gp 1A Gp 1B Gp 2A Gp 2B Gp 3A Gp 3B
7:30–9:45 UE A UE B LE A LE B Tr A Tr B
9:45–10:00 Break Break Break Break Break Break
10:00–12:15 LE A LE B Tr A Tr B UE A UE B
12:15–13:00 Lunch Lunch Lunch Lunch Lunch Lunch
13:00–15:30 Tr A Tr B UE A UE B LE A LE B
15:30–16:00 Panel Panel Panel Panel Panel Panel
Groups (5 members each) Gp1–6
UE= Upper Extremity; LE=Lower Extremity; Tr=Trunk
(Each with 2 stations A and B)
satuRDay, septemBeR 7, 2013
WoRKsHop #2 (Maximum attendance: 30)
7:30–16:30 Complementary and Non-Pharmacologic
Approaches to Pain Management Moderator: Ronald J. Kulich, PhD
SESSION I:
7:30–8:00 Introduction to Complementary and Non-Pharmacologic
Approaches to Pain Management Moderator: Ronald J. Kulich, PhD
8:00–9:15 Mindfulness and Pain Melissa Stone, MA
9:15–10:15 Cognitive Behavioral Therapy Ana Maria Vranceanu, PhD
10:15–10:30 Break
10:30–12:00 Acupressure
12:00–13:00 Poster and Abstract Session (Lunch)
Lucy Chen, MD, with Wei Zhang, LicAc
SESSION II: Moderator: Lisa Watt, RN, MSN, PNP
13:00–14:00 Biofeedback Eve Kennedy-Spaien, OTR/L
14:00–15:00 Functional Restoration Ronald J. Kulich, PhD
15:00–16:00 Integrative Medicine for Pain Steven J. Scrivani, DDS, DMedSc
16:00–16:30 Q & A Panel Lucy Chen, MD; Ana Maria Vranceanu, PhD;
Eve Kennedy-Spaien, OTR/L; Wei Zhang, LicAc;
Melissa Stone, MA; Steven J. Scrivani, DDS, DMedSc
sunDay, septemBeR 8, 2013
7:00–7:30 Registration and Continental Breakfast
7:15–7:30 Welcome Padma Gulur, MD
SESSION I: PHySIOLOGy AND PSyCHOLOGy OF PAIN Moderator: Darin Correll, MD
7:30–8:00 Brain Imaging and the Spectrum of Acute to Chronic Pain
Luke Wang, MD
8:00–8:30 Pain Assessment from VAS to QSTs Jie Zhou, MD
8:30–9:00 Pain and Psychiatric Co-Morbidities Ronald J. Kulich, PhD
9:00–9:30 Non Pharmacologic Approaches to Pain Management
Alan Witkower, EdD
9:30–10:00 Panel Discussion
10:00–10:15 Break
10:15–11:00 KEyNOTE ADDRESS
“Acute Pain Management and the Outcomes-Based Healthcare Model”
Eugene Viscusi, MD
SESSION II: PBLD Moderator: Peter Stefanovich, MD
11:00–11:30 The Patient with Persistent Post-Surgical Pain Jyotsna Nadga, MD
11:30–12:00 Pre-Emptive and Preventative Analgesia
12:00–12:15 Panel Discussion
12:15–13:00 Poster Session (Lunch)
James Rathmell, MD
SESSION III: Panel Session – APS ORGANIzATIONAL AND EDUCATIONAL MODELS
13:00–14:00 Organizational Models of Acute Pain Services Padma Gulur, MD
SESSION IV: ANALGESICS – SAFE AND EFFECTIVE USE Moderator: Adam Carinci, MD
14:00–14:30 Opioids Jianren Mao, MD
14:30–15:00 Adjuvants
15:00–15:30 Panel Discussion
15:30–15:45 Break
Shane Volney, MD
SESSION V: REGIONAL AND NEURAxIAL ANALGESIA Moderator: Kamen Vlassakov, MD
15:45–16:15 Neuraxial and Regional Techniques – Ultrasound Guidance and More
Phil Hess, MD
16:15–16:45 Local Anesthetics – From Liposomal Bupivacaine to LAST
Lisa Warren, MD
16:45–17:15 Regional Analgesia and Concurrent Anticoagulant Medications
Katharine Fleischmann, MD
17:15–17:30 Panel Discussion
monDay, septemBeR 9, 2013
SESSION I: SPECIAL POPULATIONS: PEDIATRICS Moderator: Navil Sethna, MD
7:00–7:15 Pain Assessment in Children and Infants Christine Greco, MD
7:15–7:30 Pediatric Pain Neurobiology Charles Berde, MD; Laura Cornelissen
7:30–8:00 Headaches in Pediatric Pain Patients Alyssa LeBel, MD
8:00–8:30 Regional Anesthesia Karen Boretsky, MD
8:30–9:00 Acute Pain Management Navil Sethna, MD
9:00–9:15 Panel Discussion
9:15–9:30 Break
SESSION II: Panel – SPECIAL POPULATIONS Moderator: Yi Zhang, MD
9:30–10:00 Addictions Karsten Kueppenbender, MD
10:00–10:30 The Opioid-Tolerant Patient
10:30–10:45 Panel Discussion
Darin Correll, MD
SESSION III: Panel – END OF LIFE CARE Moderator: Padma Gulur, MD
10:45–11:15 Acute Pain Management of the End of Life Patient Mihir Kamdar, MD
11:15–11:45 Symptom Management in the End of Life Patient Eva Chittenden, MD
11:45–12:00 Closing Remarks
OPTIONAL:
Padma Gulur, MD
13:00–14:00 ETHER DOME TOUR – The Birthplace of Anesthesia – Complimentary
(On-site registration on Sunday, September 8, 2013, required)
Program changes/substitutes may be made without notice.