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Release Date: May 22, 2009
Expiration Date: May 22, 2010

Program Overview

This educational activity is designed to bridge knowledge gained from the medical triage and care of military troops wounded in the battlefields of Iraq and Afghanistan with the medical management of civilian patients with traumatic and chronic pain. Novel methods of pain assessment, pain classification, recognition and treatment of comorbid conditions, and pain treatment have emerged that when applied in the community setting, may improve universal pain management.  

Intended Audience

This activity is designed for physicians, nurses and other allied health care professionals who have an interest in enhancing their knowledge and understanding of pain management.

Learning Objectives

At the conclusion of this educational activity, participants should be able to:

• Define pain as a progressive disease process, not simply a response to injury
• Demonstrate a patient-centered approach that will allow pain care practitioners to relate case examples by comparing and drawing parallels between the soldier or veteran patient and “typical” patients managed by pain medicine specialists
• Interpret the latest evidence in neuroscience and epidemiology that projects understanding of the basis for and impact of innovative treatment of pain in the battlefield, posttraumatic care setting, and longitudinal care as injured soldiers return to their communities in VA and non-VA clinical settings
• Consider the future state of patients with acute and chronic pain and outline the balance of risk and benefit in planning stratified multimodal treatment in this pain population
• Define consequences of unrelieved pain and summarize the importance of identifying and treating associated comorbidities in chronic pain and special populations

General Information

This activity is eligible for credit through May 22, 2010. After this date, this activity will expire and no further credit will be awarded.

Expected time to complete this activity as designed: 75 minutes

There are no fees for participating in this activity. All participants must complete the Activity Evaluation Form. Participants must receive a minimum score of 70% on the self-assessment portion of the form to qualify for CE credit. Certificates may be printed immediately after successfully completing the online self-assessment and evaluation

Faculty Biographies

Micke A. Brown, BSN, RN
Director of Communications
American Pain Foundation
Baltimore, Maryland

Micke Brown received her bachelor of science in degree in nursing from the University of Florida, Gainesville, along with advanced credentials in acute pain management from Schumpert Medical Center, Shreveport, Louisiana. As the Communications Director for the American Pain Foundation (APF), a national nonprofit organization serving people affected by pain through education, support, and advocacy, Ms. Brown’s role is to develop and guide communications services that includes policy, media and public awareness programming for APF.

Ms. Brown has more than 30 years experience in nursing, with 15 years in the specialty of pain management. Her work as a pain management nurse and pain advocate has focused on caring for patients with pain, and providing health care professionals with pain management training. In addition to clinical practice, Ms. Brown has extensive experience in establishing hospital-based pain programs, health care professional training, performance improvement projects, and has addressed issues that surround untreated pain, including ethical challenges, end-of-life care, cultural disparities, and care of special populations. Ms. Brown has served on the Board of Directors of both the Maryland Pain Initiative (MPI) and the Hospice of Washington County (Maryland), and is past president of the American Society for Pain Management Nursing (ASPMN), a professional organization dedicated to promoting the advancement of optimal nursing care for people affected by pain.

Derek McGinnis
Military/Veterans Team Member West
And Amputee Advocate
American Pain Foundation

Derek McGinnis joined the American Pain Foundation in April 2008 and serves as the military/veterans team member west and amputee advocate. His responsibilities include advocating for the pain management needs of veterans, military and their caregivers, and advocating for the military/veteran populations that have experienced disabilities. In these positions he provides information, education, outreach, resources and support to members of the military and veterans’ community that are affected by pain.

Derek previously had the honor of wearing our nation’s uniform in the Navy for 11 years. As a hospital corpsman, he provided administrative, clinical and emergent care to the Navy and Marine Corps populations. After being medically retired from the Navy from wounds sustained in Iraq, he worked for the Veterans Administration performing a variety of veteran benefit duties.

In addition to providing direct patient care to service members experiencing pain in clinical and field environments, Derek personally experienced the military and veteran health care system as a patient. Derek sustained multiple severe injuries including the loss of his leg above the knee, a traumatic brain injury and multiple shrapnel wounds.

He earned his bachelor of science, business health care administration degree from Wayland Baptist University in San Antonio, Texas and is currently working on earning his master’s degree in social work at California State University Stanislaus.

Derek actively participates in multiple running and endurance races around the country each year including 5k, 10k, open ocean swims, biathlons and triathlons.

Rollin M. Gallagher, MD, MPH
Clinical Professor
Departments of Psychiatry/Anesthesiology and Critical Care
Pennsylvania School of Medicine
Director of Pain Management
Philadelphia VA Medical Center
Director, Center for Pain Medicine, Research and Policy
University of Pennsylvania
Philadelphia, Pennsylvania

Dr. Rollin Gallagher received his medical degree from Boston University, his master of public health degree from Columbia University and completed a National Institutes of Health postdoctoral epidemiology fellowship. He practiced family medicine (Colorado), trained in psychiatry (Dartmouth), and held joint psychiatry/family practice professorships and directed pain training programs at University of Vermont (1976-1989) and SUNY/Stony Brook (1990-1997), and was professor of psychiatry/anesthesiology/public health and director of pain medicine at Drexel (1997-2003) before moving to Penn/VA in 2004.

Dr. Gallagher is editor-in-chief of Pain Medicine, former president of the American Board of Pain Medicine, and is a director of the American Pain Foundation and the American Academy of Pain Medicine where he is president-elect. He serves on several national VA committees related to pain and on a joint project with the VA and DoD to establish pain management guidelines. His present research includes patterns of opioid treatment, pain and depression in the elderly, fibromyalgia, and pain outcomes of traumatic battlefield injury.

Scott Fishman, MD
Chief, Division of Pain Medicine
Professor of Anesthesiology
Department of Anesthesiology and Pain Medicine
University of California, Davis
Davis, California

Dr. Scott M. Fishman is chief of the Division of Pain Medicine and professor of anesthesiology and pain medicine at the University of California, Davis. He was formerly medical director of the Massachusetts General Hospital Pain Center at Harvard Medical School. Dr. Fishman received his medical degree from the University of Massachusetts Medical School, and his formal clinical training in internal medicine (Greenwich/Yale University School of Medicine) and psychiatry (Massachusetts General/Harvard Medical School). He completed pain medicine fellowship training through the Department of Anesthesia and Critical Care at Massachusetts General Hospital. Dr. Fishman has received board certification in internal medicine, psychiatry, pain medicine, and palliative medicine.

Dr. Fishman lectures throughout the US on pain and its treatment. He has authored Responsible Opioid Prescribing; The War on Pain; Listening to Pain; and has co-authored The Massachusetts General Hospital Handbook of Pain Management; and Essentials of Pain Medicine and Regional Anesthesia. He has also authored many peer reviewed articles, book chapters and other scholarly reviews. Dr. Fishman is senior editor of Pain Medicine and serves on the editorial boards of numerous medical journals. He has spoken about pain in the TV media and has been quoted in The New York Times, The Wall Street Journal, Time, and Newsweek.

President and chairman of the board for the American Pain Foundation, Dr. Fishman is also past president of the American Academy of Pain Medicine and previously served on the board of directors for the American Pain Society. He has recently been honored with the University of California, Davis Dean’s Award for Excellence in Mentoring, along with numerous other awards.

Dr. Fishman's clinical interests include cancer related pain management, peripheral and central neuropathic pain, chronic opioid usage, and spinal injection therapies. His major research interests include models for functional assessment and pharmacovigilance in chronic opioid therapy; legal issues and regulatory policy on pain care; novel analgesic therapies; models of visceral pain, hyperalgesia and central sensitization; and brain imaging in pain, among others.

Accreditation

CME Credit
Accreditation Statement: MediCom Worldwide, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement: MediCom Worldwide, Inc. designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

NURSING Credit
Accreditation Statement: MediCom Worldwide, Inc., 101 Washington St., Morrisville, PA 19067 is approved by the California Board of Registered Nursing, Provider Number CEP11380. MediCom designates this CNE activity for 1.25 contact hour(s).
Program Number: 09-230-223

Disclosure

In accordance with the Accreditation Council for Continuing Medical Education (ACCME), ACPE and California Board of Nursing, MediCom Worldwide, Inc. requires that all program planners, faculty, and providers who are in a position to control the content of a CE activity are required to disclose any relevant financial relationships they may have or have had within the last 12 months with the commercial supporter or the manufacturer(s) of any commercial device(s) discussed in this educational activity. Accordingly, the following disclosures were made:

Faculty Disclosures

The presenting faculty reported the following: Micke Brown, Derek McGinnis, and Dr. Rollin Gallagher have disclosed that they have no significant relationships with the grantor Forest Laboratories, Inc. or any other commercial company whose products and services may be related to their presentations.

Dr. Scott Fishman has received consultant fees from Cephalon, Inc. and Eli Lilly and Company, as well as consultant fees, honoraria related to speakers’ bureau activities, and grant support related to research activities from Elan Pharmaceuticals, Inc.; Endo Pharmaceuticals; Janssen (Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc.); Merck & Co., Inc.; Pfizer Inc.; and Purdue Pharma L.P.

Provider Disclosures

The MediCom Worldwide, Inc. education staff who were involved in the development of this activity have no financial relationships with any commercial interests that are relevant to this activity.

Off-Label Disclosures/Investigational Disclosures

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or devise mentioned in this program.

Ms. Brown and Mr. McGinnis indicated that their presentations would not include the discussion of unlabeled uses of commercial products or investigational products not yet approved by the FDA for any use.

Dr. Gallagher indicated that his presentation would include the discussion of antidepressants and anticonvulsants for pain. Antidepressants and anticonvulsants drugs are not approved by the FDA for this use in the United States. Dr. Gallagher indicated that his presentation would not include the discussion of products that have not been approved by the FDA for any use in the United States

Dr. Fishman indicated that his presentation would include the discussion of unlabeled/investigational uses of drugs that are not approved by the FDA for certain uses in the United States.

Conflict of Interest Resolution

To resolve identified conflicts of interest, the educational content was fully peer reviewed. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.

Hardware/Software Requirements

MediCom Worldwide, Inc. requires Internet Explorer^® version 7.0 or higher, or Firefox 3.0 or higher, a computer running Windows^® XP, Windows^® Vista, or Mac OS X, 512MB of RAM or greater, 1.5 GHZ or faster processor, and a screen resolution of 1024x768 or higher. Certain educational activities may require additional software to view. These activities will be marked with the information and/or links to the required software. That software may be Adobe^® Flash^® Player, Adobe^® Acrobat^®, or Windows Media^® Player.

This online activity is provided and supported by MediCom Worldwide, Inc.

The original live program that this online activity was derived from was supported by Forest Laboratories, Inc.

©2009 MediCom Worldwide, Inc., 101 Washington St., Morrisville, PA 19067.

No portion of this material may be copied or duplicated without the expressed permission of MediCom.

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