printed brochure - CME
printed brochure - CME
printed brochure - CME
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Harvard Medical School • Department of Continuing Education<br />
✁<br />
Harvard Medical School presents…<br />
acute pain management symposium<br />
Saturday, September 7 – Monday, September 9, 2013<br />
The Fairmont Copley Plaza, 138 St. James Ave., Boston, MA<br />
course Director: Padma Gulur, MD, Assistant in Anesthesia, Assistant Professor, Harvard Medical School<br />
course administrators: Stacy Dube and Lisa Shriver<br />
course Description<br />
This Acute Pain Management course is designed for a primary target audience of<br />
anesthesiologists. Primary care physicians, hospitalists, and other allied health<br />
professionals who are responsible for the Pain Management of patients in Acute Pain that<br />
are either in hospital or pre-hospital may also find the course of interest. The Acute Pain<br />
Management Symposium will focus on a comprehensive review from Pharmacologic<br />
Management, Adjuvant therapies to Advanced pain management techniques and<br />
strategies. The course will include workshops on complementary medicine<br />
(acupuncture, bio-feedback, relaxation techniques) as well as ultrasound guided blocks<br />
in the upper and lower extremities.<br />
Learning objectives<br />
Upon completion of this course, participants will be able to:<br />
• Evaluate the physiological and psychological effects of acute pain<br />
• Determine how to maximize adjuvant techniques in acute pain medicine<br />
• Utilize advanced pain management technologies such as Patient Controlled Analgesia<br />
• Assess and measure pain and treatments of pain<br />
• Critically evaluate the use of pharmacologic and non-pharmacological techniques<br />
• Satisfy MA Board of Registration in Medicine (BORM) Pain Management and End-of-<br />
Life Care training requirements, including counseling patients on the side effects and<br />
additive nature of prescription medications.<br />
target audience<br />
Anesthesiologists, hospitalists, surgeons, primary care physicians responsible for acute<br />
pain management in their settings. Nurses and nurse practitioners with a focus on acute<br />
pain management.<br />
accreditation<br />
The Harvard Medical School is accredited by the Accreditation Council for Continuing<br />
Medical Education to provide continuing medical education for physicians.<br />
The Harvard Medical School designates this live activity for a maximum of 21.25 AMA<br />
PRA Category 1 Credits. Course Only for a maximum of 13.50 AMA PRA Category<br />
1 Credits. Physicians should claim only the credit commensurate with the extent of<br />
their participation in the activity.<br />
acgme competencies<br />
This course is designed to meet one or more of the following Accreditation Council of<br />
Graduate Medical Education competencies:<br />
• Patient care • Medical knowledge • Interpersonal & communication skills<br />
Registration information<br />
Early Bird Registration—Postmarked on or before August 15, 2013:<br />
Early Bird Physicians: Course Only $550 (USD)<br />
Early Bird Physicians: Course w/ Ultrasound Workshop $750 (USD)<br />
Early Bird Physicians: Course w/ Medicine Workshop $700 (USD)<br />
Early Bird Other Professionals: Course Only $450 (USD)<br />
Early Bird Other Professionals: Course w/ Ultrasound Workshop $650 (USD)<br />
Early Bird Other Professionals: Course w/ Medicine Workshop $600 (USD)<br />
Workshops Only:<br />
Ultrasound Workshop Only $350 (USD)<br />
Medicine Workshop Only $250 (USD)<br />
Registration after August 15, 2013:<br />
Physicians: Course Only $650 (USD)<br />
Physicians: Course w/ Ultrasound Workshop $850 (USD)<br />
Physicians: Course w/ Medicine Workshop $800 (USD)<br />
Other Professionals: Course Only $500 (USD)<br />
Other Professionals: Course w/ Ultrasound Workshop $700 (USD)<br />
Other Professionals: Course w/ Medicine Workshop $650 (USD)<br />
Registration by credit card (VISA or MasterCard) can be made at: www.cme.hms.<br />
harvard.edu/courses/acutepain. Registration by check (draft on a United States<br />
bank), please make payable to Harvard Medical School and mail with registration<br />
form to Harvard Medical School–Department of Continuing Education, PO Box<br />
417476, Boston, MA 02241-7476. Mail-in registration is permitted. Please download,<br />
then mail the registration panel found on the online PDF. Telephone or fax registration is<br />
not accepted. Registration with cash payment is not permitted. Upon receipt of your paid<br />
registration an email confirmation from the HMS-DCE office will be sent to you. Be sure<br />
to include an email address that you check frequently. Your email address is used for<br />
critical information, including registration confirmation, evaluation, and certificate.<br />
inquiries<br />
By phone 617-384-8600, Monday–Friday, 10 am to 4 pm (EST) or by email at:<br />
hms-cme@hms.harvard.edu.<br />
online information<br />
To register or view activity information online, visit: www.cme.hms.harvard.edu/courses/<br />
acutepain.<br />
Disclosure policy<br />
Harvard Medical School (HMS) adheres to all AC<strong>CME</strong> Essential Areas, Standards, and<br />
Policies. It is HMS’s policy that those who have influenced the content of a <strong>CME</strong> activity<br />
(e.g., planners, faculty, authors, reviewers, and others) disclose all relevant financial<br />
relationships with commercial entities so that HMS may identify and resolve any conflicts<br />
of interest prior to the activity. These disclosures will be provided in the activity materials<br />
along with disclosure of any commercial support received for the activity. Additionally,<br />
faculty members have been instructed to disclose any limitations of data and unlabeled<br />
or investigational uses of products during their presentations.<br />
Refund policy<br />
A handling fee of $60 is deducted for cancellation. Refund requests must be received by<br />
postal mail, email, or fax one week prior to this activity. No refunds will be made thereafter.<br />
course Location<br />
All sessions for this activity will be held at The Fairmont Copley Plaza, 138 St. James Ave.,<br />
Boston, MA (Telephone: 617-267-5300).<br />
accommodations/travel<br />
A limited number of rooms have been reserved at The Fairmont Copley Plaza (Telephone:<br />
617-267-5300) until August 9, 2013. Please specify that you are enrolled in this course<br />
to receive a reduced room rate of $219 per night Single/Double. Hotel arrangements<br />
can also be made online at: http://www.fairmont.com/copley-plaza-boston. Please do not<br />
purchase non-refundable airline ticket(s) until you have received an email from our office<br />
confirming your paid registration. For airline reservations contact the HMS Travel Desk<br />
toll free 1-877-4-HARVMD (1-877-442-7863) Monday–Friday, 9 am–8 pm (EST). From<br />
outside the U.S., Canada, and Virgin Islands, please call 617-559-3764.<br />
Guest Faculty: DaviD EDwarDs, MD • MElissa stonE, Ma • stEvEn J. scrivani, DDs, DMedsc • EvE KEnnEDy-spaiEn,<br />
otr/l • lisa watt, rn, Msn, pnp • EugEnE viscusi, MD • wEi Zhang, licac<br />
HMs Faculty: charlEs BErDE, phD • Dustin BoonE, MD • KarEn BorEtsKy, MD • aDaM carinci, MD • Eva chittEn-<br />
DEn, MD • Darrin corrEll, MD • lucy chEn, MD • KatharinE FlEischMann, MD • JatinDEr gill, MD • christinE<br />
grEco, MD • paDMa gulur, MD • phil hEss, MD • DaviD JanFaZa, MD • Mihir KaMDar, MD • charlEs KElly, MD •<br />
KarstEn KuEppEnBEnDEr, MD • ronalD J. Kulich, phD, MD • alyssa lEBEl, MD • JianrEn Mao, MD • vicKi MoDEst, MD<br />
• Jyotsna nagDa, MD • JaMEs rathMEll, MD • navil sEthna, MD • lauriE shapiro, MD • pEtEr stEFanovich, MD<br />
• KaMEn vlassaKov, MD • ana Maria vrancEanu, phD • shanE volnEy, MD • luKE wang, MD • lisa warrEn, MD •<br />
alan witKowEr, EdD • lisa wollMan-KliMan, MD • yi Zhang, MD • JiE Zhou, MD<br />
acute pain management symposium Saturday, September 7 – Monday, September 9, 2013 class #3314501<br />
eaRLy BiRD Registration—postmarked on or BeFoRe august 15, 2013:<br />
Physicians: Course Only ❏ $550 (USD)<br />
Physicians: Course w/ Ultrasound Workshop ❏ $750 (USD)<br />
Physicians: Course w/ Medicine Workshop ❏ $700 (USD)<br />
Other Professionals: Course Only ❏ $450 (USD)<br />
Other Professionals: Course w/ Ultrasound Workshop ❏ $650 (USD)<br />
Other Professionals: Course w/ Medicine Workshop ❏ $600 (USD)<br />
print name clearly – all Fields Required<br />
Full Name First Middle Initial Last<br />
Mailing Address Street City State Zip Code<br />
Daytime Phone ( ) Fax Number ( )<br />
pLease note: Your email address is used for critical information about the course including: registration confirmation, course<br />
evaluation, and certificate. Please be sure to include an email address you check daily or frequently.<br />
Email Address<br />
❏ Please check if you wish to be excluded from receiving email notices of future HMS-DCE programs.<br />
Workshops only:<br />
Ultrasound Workshop Only ❏ $350 (USD)<br />
Medicine Workshop Only ❏ $250 (USD)<br />
Register early for<br />
“course with workshop” and save $$$<br />
Profession Degree<br />
Primary Specialty (Physicians Only)<br />
Registration aFteR august 15, 2013:<br />
Physicians: Course Only ❏ $650 (USD)<br />
Physicians: Course w/ Ultrasound Workshop ❏ $850 (USD)<br />
Physicians: Course w/ Medicine Workshop ❏ $800 (USD)<br />
Other Professionals: Course Only ❏ $500 (USD)<br />
Other Professionals: Course w/ Ultrasound Workshop ❏ $700 (USD)<br />
Other Professionals: Course w/ Medicine Workshop ❏ $650 (USD)<br />
Board Certified: ❏ Yes ❏ No<br />
Professional School Attended (Physicians Only ❏ Harvard Medical School ❏ U.S. Medical School<br />
❏ International Year of Graduation<br />
Online registrants add the first three<br />
characters of the source code here ➞ Source Code: W E B
satuRDay, septemBeR 7, 2013<br />
WoRKsHop #1 ultrasound-guided Regional Blocks (Maximum attendance: 30)<br />
7:00–7:30 Registration and Continental Breakfast<br />
acute pain management symposium scHeDuLe<br />
7:00–7:10 Welcome and Introduction Director: Padma Gulur, MD<br />
7:30–16:00 Workshop on Ultrasound-Guided Regional Blocks<br />
• Supervised Hands-On Scanning on Live Models<br />
• Opportunity to Use a Variety of Ultrasound Machines<br />
• Hit-the-Target Practice on Phantoms<br />
• Knobology<br />
• Thorough Review of Sonoanatomy<br />
• Video Demonstration of Nerve Block Procedures<br />
• Practical Tips and Tricks for Ultrasound-Guided Blocks<br />
• Pain and Emergency Medicine Stations<br />
• Beginner and Advanced Practitioner Tracks<br />
Hands-on Workshop (Maximum 5 attendees per station)<br />
1. Ultrasound-Guided Upper Extremity Blocks (Human Volunteers)<br />
I. Interscalene Brachial Plexus Block<br />
II. Supraclavicular Brachial Plexus Block<br />
III. Infraclavicular Brachial Plexus Block<br />
IV. Axillary Block<br />
2. Ultrasound-Guided Lower Extremity Blocks (Human Volunteers)<br />
I. Femoral<br />
II. Sciatic Nerve<br />
III. Tibial Nerve<br />
IV. Peroneal Nerve<br />
3. Ultrasound-Guided Trunk Blocks<br />
I. TAP Block<br />
II. Paravertebral Block<br />
III. Neuraxial<br />
IV. Intercostal<br />
Moderators: Lisa Warren, MD; Kamen Vlassakov, MD<br />
Faculty: Laurie Shapiro, MD, MGH; Katherine Fleischmann, MD, MGH; Peter Stefanovich, MD, MGH;<br />
Jatinder Gill, MD, BI: Karen Boretsky, MD, CH; David Janfaza, MD, BWH; Lisa Wollman-Kliman, MD, MGH;<br />
Dustin Boone, MD, BI; Vicki Modest, MD, MGH; Charles Kelly, MD, MGH; David Edwards, MD, MGH<br />
Time Gp 1A Gp 1B Gp 2A Gp 2B Gp 3A Gp 3B<br />
7:30–9:45 UE A UE B LE A LE B Tr A Tr B<br />
9:45–10:00 Break Break Break Break Break Break<br />
10:00–12:15 LE A LE B Tr A Tr B UE A UE B<br />
12:15–13:00 Lunch Lunch Lunch Lunch Lunch Lunch<br />
13:00–15:30 Tr A Tr B UE A UE B LE A LE B<br />
15:30–16:00 Panel Panel Panel Panel Panel Panel<br />
Groups (5 members each) Gp1–6<br />
UE= Upper Extremity; LE=Lower Extremity; Tr=Trunk<br />
(Each with 2 stations A and B)<br />
satuRDay, septemBeR 7, 2013<br />
WoRKsHop #2 (Maximum attendance: 30)<br />
7:30–16:30 Complementary and Non-Pharmacologic<br />
Approaches to Pain Management Moderator: Ronald J. Kulich, PhD<br />
SESSION I:<br />
7:30–8:00 Introduction to Complementary and Non-Pharmacologic<br />
Approaches to Pain Management Moderator: Ronald J. Kulich, PhD<br />
8:00–9:15 Mindfulness and Pain Melissa Stone, MA<br />
9:15–10:15 Cognitive Behavioral Therapy Ana Maria Vranceanu, PhD<br />
10:15–10:30 Break<br />
10:30–12:00 Acupressure<br />
12:00–13:00 Poster and Abstract Session (Lunch)<br />
Lucy Chen, MD, with Wei Zhang, LicAc<br />
SESSION II: Moderator: Lisa Watt, RN, MSN, PNP<br />
13:00–14:00 Biofeedback Eve Kennedy-Spaien, OTR/L<br />
14:00–15:00 Functional Restoration Ronald J. Kulich, PhD<br />
15:00–16:00 Integrative Medicine for Pain Steven J. Scrivani, DDS, DMedSc<br />
16:00–16:30 Q & A Panel Lucy Chen, MD; Ana Maria Vranceanu, PhD;<br />
Eve Kennedy-Spaien, OTR/L; Wei Zhang, LicAc;<br />
Melissa Stone, MA; Steven J. Scrivani, DDS, DMedSc<br />
sunDay, septemBeR 8, 2013<br />
7:00–7:30 Registration and Continental Breakfast<br />
7:15–7:30 Welcome Padma Gulur, MD<br />
SESSION I: PHySIOLOGy AND PSyCHOLOGy OF PAIN Moderator: Darin Correll, MD<br />
7:30–8:00 Brain Imaging and the Spectrum of Acute to Chronic Pain<br />
Luke Wang, MD<br />
8:00–8:30 Pain Assessment from VAS to QSTs Jie Zhou, MD<br />
8:30–9:00 Pain and Psychiatric Co-Morbidities Ronald J. Kulich, PhD<br />
9:00–9:30 Non Pharmacologic Approaches to Pain Management<br />
Alan Witkower, EdD<br />
9:30–10:00 Panel Discussion<br />
10:00–10:15 Break<br />
10:15–11:00 KEyNOTE ADDRESS<br />
“Acute Pain Management and the Outcomes-Based Healthcare Model”<br />
Eugene Viscusi, MD<br />
SESSION II: PBLD Moderator: Peter Stefanovich, MD<br />
11:00–11:30 The Patient with Persistent Post-Surgical Pain Jyotsna Nadga, MD<br />
11:30–12:00 Pre-Emptive and Preventative Analgesia<br />
12:00–12:15 Panel Discussion<br />
12:15–13:00 Poster Session (Lunch)<br />
James Rathmell, MD<br />
SESSION III: Panel Session – APS ORGANIzATIONAL AND EDUCATIONAL MODELS<br />
13:00–14:00 Organizational Models of Acute Pain Services Padma Gulur, MD<br />
SESSION IV: ANALGESICS – SAFE AND EFFECTIVE USE Moderator: Adam Carinci, MD<br />
14:00–14:30 Opioids Jianren Mao, MD<br />
14:30–15:00 Adjuvants<br />
15:00–15:30 Panel Discussion<br />
15:30–15:45 Break<br />
Shane Volney, MD<br />
SESSION V: REGIONAL AND NEURAxIAL ANALGESIA Moderator: Kamen Vlassakov, MD<br />
15:45–16:15 Neuraxial and Regional Techniques – Ultrasound Guidance and More<br />
Phil Hess, MD<br />
16:15–16:45 Local Anesthetics – From Liposomal Bupivacaine to LAST<br />
Lisa Warren, MD<br />
16:45–17:15 Regional Analgesia and Concurrent Anticoagulant Medications<br />
Katharine Fleischmann, MD<br />
17:15–17:30 Panel Discussion<br />
monDay, septemBeR 9, 2013<br />
SESSION I: SPECIAL POPULATIONS: PEDIATRICS Moderator: Navil Sethna, MD<br />
7:00–7:15 Pain Assessment in Children and Infants Christine Greco, MD<br />
7:15–7:30 Pediatric Pain Neurobiology Charles Berde, MD; Laura Cornelissen<br />
7:30–8:00 Headaches in Pediatric Pain Patients Alyssa LeBel, MD<br />
8:00–8:30 Regional Anesthesia Karen Boretsky, MD<br />
8:30–9:00 Acute Pain Management Navil Sethna, MD<br />
9:00–9:15 Panel Discussion<br />
9:15–9:30 Break<br />
SESSION II: Panel – SPECIAL POPULATIONS Moderator: Yi Zhang, MD<br />
9:30–10:00 Addictions Karsten Kueppenbender, MD<br />
10:00–10:30 The Opioid-Tolerant Patient<br />
10:30–10:45 Panel Discussion<br />
Darin Correll, MD<br />
SESSION III: Panel – END OF LIFE CARE Moderator: Padma Gulur, MD<br />
10:45–11:15 Acute Pain Management of the End of Life Patient Mihir Kamdar, MD<br />
11:15–11:45 Symptom Management in the End of Life Patient Eva Chittenden, MD<br />
11:45–12:00 Closing Remarks<br />
OPTIONAL:<br />
Padma Gulur, MD<br />
13:00–14:00 ETHER DOME TOUR – The Birthplace of Anesthesia – Complimentary<br />
(On-site registration on Sunday, September 8, 2013, required)<br />
Program changes/substitutes may be made without notice.