for Pain Medicine Board Preparation, & for Primary Care...

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Madison, WisconsinPermit No. 658

University of Wisconsin School of Medicine and Public HealthOffice of Continuing Professional Development in Medicine and Public Health8010 Excelsior Drive, Suite 100Madison, WI 53717-1951

UNIVERSITY OF WISCONSIN–MADISON

School of Medicineand Public Health

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AUGUST 18-22, 2014

The Fluno Center for Executive Education Madison, Wisconsin

Course Director: Nalini Sehgal, MD

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Comprehensive Review of Pain Medicine

Provided byUniversity of Wisconsin School of Medicine and Public Health Department of Orthopedics and Rehabilitation Department of Anesthesiology Department of Neurology Office of Continuing Professional Development in Medicine and Public Health



Comprehensive Review of Pain Medicine for Pain Medicine Board Preparation, & for Primary Care Physicians & Other Health Care Providers August 18-22, 2014 • Madison, WI Multiple brochures? We use multiple mailing lists and cannot always eliminate duplicates. Please post or share with colleagues.

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The Fluno Center for Executive Education Madison, Wisconsin

Course Director: Nalini Sehgal, MD

Provided by

University of Wisconsin School of Medicine and Public Health Department of Orthopedics and Rehabilitation Department of Anesthesiology Department of Neurology Office of Continuing Professional Development in Medicine and Public Health



Comprehensive Review of Pain Medicine

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e Statement of NeedPain afflicts more than 100 million Americans, its prevalence is greater than that of diabetes, heart disease, and cancer combined. Chronic pain is a national challenge; the cost of treating pain is estimated at $635 billion each year in medical treatment and lost productivity. According to the Institute of Medicine (IOM, June 2011), there is a need for cultural transformation to better prevent, assess, treat and understand pain of all types. Across health care, there are major gaps in pain education. Undergraduate and graduate training programs do not offer standardized pain education and include experiences in pain treatment in interprofessional settings. In addition, pain fellowship programs (accredited and non-accredited) do not uniformly provide standardized and balanced clinical training in pain medicine. The field of pain medicine draws expertise from a large number of basic science and clinical disciplines, besides the four core disciplines (anesthesiology, neurology, physical medicine and rehabilitation, and psychiatry). Thus the knowledge base required for pain medicine board certification and practice is vast and overwhelming for a time constrained physician. In its report on improving pain care, the IOM recommends improving education for primary care physicians who play a key role in pain management, and that all health care providers should keep their knowledge current by engaging in continuing education programs. Most scientific meetings however are not geared towards a comprehensive review of the entire field. To fulfill this unmet need, the pain medicine faculty at the University of Wisconsin School of Medicine and Public Health has been offering for the past 11 years a comprehensive pain review course in collaboration with nationally recognized multidisciplinary expert faculty. The 2014 Comprehensive Review of Pain Medicine improves on previous symposia and will be an intensive and up-to-date review of the field of Pain Medicine, both for those seeking pain board certification or recertification in Pain Medicine and for those physicians and health care providers who attend to update their knowledge of pain medicine and enhance their pain assessment and management skills.

Target AudienceAny physician or health care provider seeking board certification in pain medicine, recertification, or who practice/incorporate pain management in their practice and are interested in expanding their knowledge and skills in the field of pain medicine.

Elements of CompetenceThis CME activity has been designed to change learner competence and focuses on the American Board of Medical Specialties areas of medical knowledge, patient care and procedural skills, interpersonal and communications skills, and professionalism.

Program Highlights � Only course that provides a comprehensive review of Pain

Medicine � Content and issues are relevant to Pain Medicine Boards and

pain practice � Multidisciplinary, nationally and internationally recognized

basic science and clinical faculty of 25 experts � 42 evidence based didactic lectures on Pain Medicine � 38.25 AMA PRA Category 1 Credits™

Other Highlights � Strategies on improving test performance and scores � Use of audience response system for interactive teaching

Objectives � Review the anatomy and physiology of pain pathways in the

peripheral and central nervous system � Gain an understanding of the peripheral and central pain

mechanisms underlying acute pain, and chronic nociceptive and neuropathic pain states

� Improve your communication with pain patients � Demonstrate competence in assessment and management of

patients with acute and postoperative pain, chronic pain, cancer pain and end of life pain

� Develop an understanding of pain management in children, elderly, pregnant & lactating women, substance abusers, and in palliative care settings

� Describe the classification, assessment, and management of headache disorders, complex regional pain syndrome, and peripheral and central neuropathic pain states

� Describe the clinical pharmacology and applications of opioid and non-opioid analgesics and other drug therapies in acute and chronic pain states and be able to modify treatment in different patient populations

� Review the anatomy, indications, and contraindications for regional anesthetic blocks, cranial nerve and spinal injections, sympathetic blocks, and other advanced pain treatments

� Discuss management of patients with spinal cord stimulators and pain pumps

� Evaluate the role of electro-diagnostic and imaging techniques in pain assessment

� Devise a multimodality treatment plan incorporating rehabilitation and behavioral/ psychological, interventional treatments

� Recognize ethical and medico-legal issues related to pain medicine

� Familiarize with current DEA regulations pertaining to prescribing schedule II and III drugs, and record keeping

Madison At A GlanceA progressive, cosmopolitan city of 200,000, Madison is home to the world-class University of Wisconsin, the seat of state government, and an eclectic, electric atmosphere that energizes any visitor’s stay. Built on a narrow isthmus between Lakes Monona and Mendota, Madison is one of the nation’s most scenic cities. Five area lakes and more than 200 parks provide countless recreational activities, from swimming, sailing and fishing to biking, hiking, inline skating and more. Madison offers both small town charm and a range of cultural and recreational opportunities usually found in much larger cities.

Conference VenueThe Fluno Center for Executive Education combines state-of-the-art technology with the ambiance of a comfortable, relaxed residential setting. The center includes an auditorium, classrooms, meeting and conference space, overnight guest rooms, dining, fitness room and study pub. The interior captures the simplicity and elegance of the Arts and Crafts era, featuring quality craftsmanship, prairie style furnishings and original lithographs of designs by Frank Lloyd Wright.

Other local attractions include: State of Wisconsin Capitol, University of Wisconsin Madison campus, Chazen Museum of Art, shopping on State Street with numerous restaurants, theaters, art galleries, and the Monona Terrace Community and Convention Center inspired by Frank Lloyd Wright.

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Form

(Please Print Clearly)

Comprehensive Review of Pain Medicine 4011; ame-pain

August 18-22, 2014

Please complete Steps 1-3 below in BLOCK letters

Step 1. Participant Information:

Name First MI Last

Professional Degree (for credit and name badge): MD, DO, OTHER

Specialty: Anesthesiology, PM&R, Neurology, Psychiatry, OTHER

Company Name

Department Name

Work Address

City, State, Zip

Day Phone FAX

E-mail

**Audio or Video recording is strictly prohibited

Step 2. Registration Fees (Check One):

$1195.00 – Physicians $895.00 – Fellows, Residents, Others (PA/NP/RN, etc.) $85.00 – Paper copy of the electronic syllabus (see COURSE MATERIALS)

TOTAL FEE REMITTED: ___________________________

PO or check enclosed (payable to University of Wisconsin)

Please bill my company

Credit Card: ___ MasterCard; ___ VISA; ___ American Express

Cardholder’s Name

Card Number Expiration Date

Where did you hear about this conference? Journal Flyer Other

Step 3. Please Return Your Payment With This Form To:

CME Specialist, The Pyle Center, Department 101, 702 Langdon Street, Madison, WI 53706 or Fax 1-800-741-7416 (in Madison Fax 265-3163).

The University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirement.

The University of Wisconsin School of Medicine and Public Health fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations,

please notify Terese Bailey in order to receive service. Please call 608-828-1754.

We are not able to accept credit card payments on the day of the activity.

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le MONDAY, AUGUST 18, 2014

AM

6:45 Registration and Breakfast

7:30 Welcome

7:45 Acute Pain: Assessment and Management Overview – 2014 Oscar A. de Leon-Casasola, MD

8:45 Postoperative Pain Management: PCA and Intraspinal Analgesics Oscar A. de Leon-Casasola, MD

9:45 Refreshment Break

10:00 Epidural Procedures and Catheters: What are the Side Effects and Complications?

Oscar A. de Leon-Casasola, MD

11:00 Pain Pathways for Acute Nociception Tony L. Yaksh, PhD

PM

12:30 Lunch

1:30 Treating Chronic Pain with Neuraxial Analgesics and Implantable Pumps

Oscar A. de Leon-Casasola, MD

2:30 Physiology and Pharmacology of Post Tissue Injury Processing Tony L. Yaksh, PhD


3:45 Mechanisms of Neuropathic Pain: What do we Know? Tony L. Yaksh, PhD

4:45 Electrophysiologic Testing: What is its Role in Pain Assessment? Nathan J. Rudin, MD, MA

5:30 Adjourn

TUESDAY, AUGUST 19, 2014

AM

7:00 Registration and Breakfast

7:30 Pain Boards: Strategies to Improve Performance Michael Moninger, PhD

8:00 Psychological Assessment in Chronic Pain: Why and How? Shilagh A. Mirgain, PhD and Norann Richard, PhD

8:45 Managing Patients with Chronic Pain: Behavioral and Psychotherapeutic Interventions are Essential

Shilagh A. Mirgain, PhD


10:00 Challenging Pain Patients: Recognizing Patients with Somatoform Disorders, Factitious and Malingering Conditions

Norann Richard, PhD

10:45 Older Adult with Chronic Pain: Differences in Assessment & Management

Nathan J. Rudin, MD, MA

11:45 Opioid Analgesics: Know the Pharmacology June L. Dahl, PhD

PM

12:30 Lunch

1:30 Non-Opioid Analgesics: NSAIDs, Corticosteroids, Antispasmodics June L. Dahl, PhD

2:15 Musculoskeletal Pain: Common Cause of Pain James W. Leonard, DO, PT

2:45 Rehabilitation Modalities and Exercises in Pain Management James W. Leonard, DO, PT


3:30 Cancer Pain: What Pain Specialists Should Know about Cancer Pain and Palliative Care

Toby C. Campbell, MD

4:30 Myofascial Pain and Fibromyalgia Syndrome: An Update Nathan J. Rudin, MD, MA

5:30 Adjourn

WEDNESDAY, AUGUST 20, 2014

AM

7:00 Breakfast

7:45 Diagnostic Imaging in Patients with Pain: What do you see? Donna G. Blankenbaker, MD

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le8:45 Autonomic Nervous System & Sympathetic Blocks: the Basics Nalini Sehgal, MD

9:15 Primary Headache Disorders: Diagnosis, Treatment and Prevention Susanne Seeger, MD


10:30 Classification and Pathophysiology of Headaches & Common Secondary Headache Disorders

Susanne Seeger, MD

11:30 Pregnancy and Nursing: Pain Management Cynthia A. Wong, MD

PM

12:30 Lunch

1:30 Local Anesthetics Mark E. Schroeder, MD

2:15 How Drugs Work? Receptor Neurochemistry and Mechanisms of Action

Thomas S. McDowell, MD, PhD


3:45 Injection Procedures in Diagnosis & Treatment of Spinal Pain Nalini Sehgal, MD

4:30 Pharmacology of Adjuvant Drugs June L. Dahl, PhD

5:15 Adjourn

THURSDAY, AUGUST 21, 2014

AM

7:00 Breakfast

7:30 Peripheral & Regional Nerve Blocks Thomas P. Broderick, MD

8:30 Neurolytic Blocks: Is there a Role in Cancer Pain Treatment? Nalini Sehgal, MD

9:15 The Trigeminal & Other Cranial Nerves Brian K. Bevacqua, MD


10:15 Facial Pain Syndromes Brian K. Bevacqua, MD

11:00 Neuropathy, Neuralgia and other Peripheral Neuropathic Pain States Miroslav "Misha" Backonja, MD

11:45 Assessment of Neuropathic Pain & Central Neuropathic Pain Disorders

Miroslav "Misha" Backonja, MD

PM

12:30 Lunch

1:30 Chronic Pain and Common Comorbid Psychiatric Disease Michael Clark, MD, MPH

2:30 Substance Abusers: Pain Assessment and Management Aleksandra Zgierska, MD, PhD


3:45 Complex Regional Pain Syndrome Brett R. Stacey, MD

4:45 Treating Chronic Pain: What is the Role of Opioids? Brett R. Stacey, MD

5:45 Adjourn

FRIDAY, AUGUST 22, 2014

AM

7:00 Breakfast

7:30 Spinal Cord Stimulation Review Brett R. Stacey, MD

8:30 Acute and Chronic Pain in the Pediatric Population Gary A. Walco, PhD, ABPP

9:30 Pelvic and Visceral Pain Frank Tu, MD, MPH


10:45 DEA Regulations, Lawful Prescribing, Monitoring for Abuse and Diversion

Aaron M. Gilson, MS, MSSW, PhD

11:45 Ethical and Legal Concerns in Pain Medicine Arthur R. Derse, MD, JD

PM

12:30 Box Lunch

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n Conference Dates and FeesAUGUST 18-22, 2014

$1195 Physicians

$895 Fellows, Residents, Others (PA/NP/RN, etc.)

The conference fee includes the cost of tuition, course materials on a USB drive, breakfasts, refreshment breaks, and lunches.

Conference Location and AccommodationsThe Fluno Center for Executive Education 601 University Avenue Madison, WI 53715 Call: 877-77-FLUNO or direct at 608-441-7117 Fax: 608-441-7133

A block of rooms has been reserved at the Fluno Center. Please call or write to the hotel directly to reserve your accommodation. The room rate is $149. The Fluno Center will release the room block on Thursday, July 18, 2014.

Madison, Wisconsin has one major airport (MSN), the Dane County Regional Airport. The Fluno Center is approximately 20 minutes from the airport.

Four Easy Ways To RegisterOn Line: www.ocpd.wisc.edu/course_catalog

By Mail: Return your completed registration form and payment

By Phone: 608-262-1397. Please call and give your billing information or pay by MasterCard, VISA, or American Express

By Fax: 1-800-741-7416 (in Madison Fax 265-3163)

Program ChangesEmergency situations occasionally occur and may necessitate topic or speaker change. The University of Wisconsin School of Medicine and Public Health reserves the right to alter or substitute a topic or speaker without prior notification.

Course MaterialsAll registered participants will receive an electronic copy (USB drive) of the syllabus at registration on August 18, 2014. Please bring your laptop to view the presentations.

Participants may purchase a paper copy of the syllabus for an additional fee of $85. Requests must be received by July 21, 2014.

If there are any concerns regarding the electronic syllabus, please contact Terese Bailey or Cheryl Kaltenberg prior to the Symposium.

Cancellations/Refund PolicyAll cancellations must be received by August 15, 2014 to receive a refund. No refunds will be honored for no shows. All cancellations will be charged a processing fee of $50.

ExhibitsRepresentatives from pharmaceutical and equipment companies will display their products and will be available on Tuesday, August 19; Wednesday, August 20; and Thursday, August 21.

Conference AttireSince meeting room temperatures and personal comfort levels vary, it is recommended that you bring a sweater or jacket.

For Further InformationTerese M. Bailey, Office of Continuing Professional Development in Medicine and Public Health, 8010 Excelsior Drive, Suite 100, Madison, Wisconsin 53717-1951; telephone 608-828-1754; [email protected]

Cheryl J. Kaltenberg, Consultant, [email protected]

CreditAccreditation Statement

The University of Wisconsin School of Medicine and Public Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

The University of Wisconsin School of Medicine and Public Health designates this live activity for a maximum of 38.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Education Units

The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for 3.825 continuing education units (CEUs) or 38.25 hours.

Policy On DisclosureIt is the policy of the University of Wisconsin School of Medicine and Public Health that the faculty, authors, planners, and other persons who may influence content of this CME activity disclose all relevant financial relationships with commercial interests in order to allow CME staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation(s). Detailed disclosures will be made in the activity materials.

Impressions from 2013 Symposium Attendees"I really like the quality of the program. Overall, it is excellent and a good value for the cost of the programming and lodging. I love the Fluno Center. It is very quiet and relaxing. The food is excellent and it is located close to lots of fun things to do in the evening."

"Extremely knowledgeable speakers. Nice conference facility. Excellent food."

"Good scope of educational topics. Very worthwhile activity."

"Really enjoy the facility and the faculty. Top notch."

"This is an excellent review course which has improved a lot in covering a lot of pain material succinctly since I attended it in 2003. My congratulations to Drs. Sehgal, Leonard, Rudin, and the great contributors to put together such an excellent program. Please do know that I truly appreciate all the work and time you all put into the course, as do I am sure, most of the other pain physicians who attended. Thank you again for an excellent course."

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y Course DirectorNalini Sehgal, MD, Associate Professor of Orthopedics

and Rehabilitation; Pain Fellowship Program Director, Medical Director of UW Interventional Pain Program

Visiting FacultyOscar A. de Leon-Casasola, MD, Professor of

Anesthesiology and Medicine; Vice-Chair for Clinical Affairs, Department of Anesthesiology, University at Buffalo, School of Medicine; Chief, Division of Pain Medicine and Professor of Oncology, Roswell Park Cancer Institute, Buffalo, NY

Michael R. Clark, MD, MPH, MBA, Vice Chair, Clinical Affairs, Director, Pain Treatment Program, Department of Psychiatry & Behavioral Sciences, Johns Hopkins Medicine, Baltimore, MD

Arthur R. Derse, MD, JD, Director, Center for Bioethics and Medical Humanities; Julia and David Uihlein Professor of Medical Humanities and Professor of Bioethics and Emergency Medicine, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI

Michael Moninger, PhD, Saint George's University, Grenada

Brett R. Stacey, MD, Medical Director, Comprehensive Pain Center, Division Chief, Pain Medicine Professor, Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Portland, OR

Frank Tu, MD, MPH, Division Director of Gynecological Pain and Minimally Invasive Surgery, NorthShore University Health System; Clinical Associate Professor of Ob/Gyn, University of Chicago Pritzker School of Medicine, Chicago, IL

Gary A. Walco, PhD, ABPP, Director of Pain Medicine, Seattle Children's Hospital, Professor of Anesthesiology, Adjunct Professor of Pediatrics and Psychiatry University of Washington School of Medicine, Seattle, WA

Cynthia A. Wong, MD, Professor and Vice Chair, Section Chief Obstetric Anesthesiology, Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL

Tony L. Yaksh, PhD, Professor and Vice Chairman for Research, Department of Anesthesiology and Professor of Pharmacology, University of California, San Diego, La Jolla, CA

University of Wisconsin Faculty*=Planning Committee member

Miroslav "Misha" Backonja, MD,* Emeritus Clinical Professor of Neurology and Director, Neuroscience, CRILifetree

Brian K. Bevacqua, MD, Clinical Adjunct Professor of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Staff Anesthesiologist, Madison VAMC

Donna G. Blankenbaker, MD, Professor of Radiology

Thomas P. Broderick, MD, Associate Professor of Anesthesiology

Toby C. Campbell, MD, Assistant Professor of Medicine

June L. Dahl, PhD, Professor of Neuroscience

Aaron M. Gilson, MS, MSSW, PhD, Research Program Manager/Senior Scientist, Pain & Policy Studies Group, Carbone Cancer Center

James W. Leonard, DO, PT,* Associate Professor and Division Chair of Rehabilitation Medicine, Department of Orthopedics and Rehabilitation, Medical Director of UW Pain Treatment and Research Center

Thomas S. McDowell, MD, PhD, Associate Professor of Anesthesiology

Shilagh A. Mirgain, PhD, Senior Psychologist, Clinical Adjunct Assistant Professor, Department of Orthopedics and Rehabilitation

Norann Richard, PhD, Clinical Psychologist, Clinical Adjunct Assistant Professor, Department of Orthopedics and Rehabilitation

Nathan J. Rudin, MD, MA,* Associate Professor of Orthopedics and Rehabilitation

Mark E. Schroeder, MD,* Associate Professor of Anesthesiology

Susanne Seeger, MD, Clinical Assistant Professor of Neurology

Nalini Sehgal, MD,* Associate Professor of Orthopedics and Rehabilitation, Medical Director of UW Interventional Pain Program

Aleksandra E. Zgierska, MD, PhD, Assistant Professor, Department of Family Medicine

Cheryl J. Kaltenberg,* Consultant

Terese M. Bailey,* Senior Outreach Specialist, Office of Continuing Professional Development in Medicine and Public Health

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