Pain Treatment CME (Continuing Medical Education) Courses

Note: Online education courses generally may be viewed at no charge but there may be a fee to receive CME/CE credits. Pain Treatment Topics has no financial interest in any of these offerings; see also, Disclaimer below.

Courses are listed in chronological order of their end (expiration) dates; newer courses are toward the top and those soon expiring are toward the bottom. To find courses pertaining to specific disciplines, press Control(Ctrl)+F and enter "Physicians," "Pharmacists," "Nurses," etc. in the search box.

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Pain Physiology (CSA Pain Management Module 4)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=14&terms=show
Audience: Physicians
Start/End: Module updated January 10, 2008 / January 10, 2011
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Mark S. Wallace, MD
Description: This article reviews the physical and sensory aspects of pain, the neural pathways of nociceptive pain, ands pain that is neuropathic in nature. The physiology of acute, facilitated and neuropathic pain is described in enough detail to include the specific mechanisms of chemical, cellular, and molecular relationships that contribute to the pain experience. Access checked February 6, 2008.

Concepts in Opioid Tolerance (CSA Pain Management Module 3)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=15&terms=show
Audience: Physicians
Start/End: Reviewed/Reapproved September 30, 2007 / September 30, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Pamela Pierce Palmer, MD, PhD
Description: This module explains the theories of basic science regarding the mechanisms of opioid tolerance which, in turn, can create the need for opioid dose escalation for long-term pain management. The concept of cellular plasticity is explained in tandem with other variables that can become significant in the assessment of opioid escalation in the chronic pain patient. The author suggests that further understanding of these mechanisms may aid the development of therapies that could prolong opioid efficacy. Access checked February 27, 2008.

Is Untreated Pain a Disease? (CSA Pain Management Module 2)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=16&terms=show
Audience: Physicians
Start/End: Reviewed/Reapproved July 31, 2007 / July 31, 2010
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Joshua P. Prager, MD, MS
Description: This module examines experimental study results that show evidence of structural changes in the spinal cord with long-term symptoms of neuropathic pain or nerve injury. Additional studies of chronic pain show noticeable receptive field changes in the brain that have a more far-reaching effect on a person’s overall health. The author proposes that these changes signify disease and, therefore, clinicians should attempt to treat acute pain to prevent a chronic condition. Access checked February 25, 2008.

Understanding the Prevalence of Migraines: Diagnosis, Disease and Treatment

Access: http://apha.cecity.com/ce-bin/owa/pkg_test_details.show_details?...
Audience: Pharmacists
Start/End: April 1, 2007 / April 1, 2010
Credits: 3.0 ACPE Contact Hours (0.3 CEUs)
Price: Free
Program Format: 24-page APhA Special Report
Sponsor: American Pharmacists Association
Author(s): Advisory Board: Carrie Foust Koenigsfeld, PharmD; Fred Sheftell, MD; Randal L. Von Seggern, PharmD, BCPS, CPP, FAHS
Description: The pharmacist is in an excellent position to provide guidance for migraine patients who have questions or need migraine management assistance. One common concern is the high number of patients who self-medicate without the benefit of clinical recommendations. This report provides a detailed review of the epidemiology, pathophysiology, diagnosis, and current thinking regarding management strategies for acute and preventive therapy. The report includes a sample headache calendar and a 1-page comprehensive list of important questions to ask migraine patients. Access checked February 12, 2008.

Migraine Headache: The Pharmacist and the Role of OTC Medications

Access: https://secure.pharmacytimes.com/lessons/200703-01.asp
Audience: Pharmacists
Start/End: Unknown / March 1, 2010
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit (on left of screen at URL below).
Program Format: Article with case presentations
Sponsor: Pharmacy Times; (See https://secure.pharmacytimes.com/main.asp?orderby=&group=all )
Author(s): George DeMaagd, PharmD, BCPS
Description: Migraine headaches are the most common vascular headache and, consequently, many migraineurs attempt to self-medicate with over-the-counter medications. Pharmacists have a unique opportunity to provide education on the pathophysiology of the migraine, as well as guidance on the appropriate use of OTC pain relievers. This article reviews pathophysiology, preventive drug therapy, and the OTC options for abortive management of the migraine. Additionally, the medication overuse headache and nonpharmacologic treatments are examined. Access checked February 12, 2008.

Opioid Conversions in Acute Care

Access: http://www.pharmace.com/abstracts/conversions.html
Audience: Pharmacists
Start/End: Unknown / February 28, 2010
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Asad E. Patanwala; Jeremiah Duby; Dustin Waters; Brian L. Erstad
Description: This educational activity examines the results of a literature review of opioid conversion tables published in the February 2007 issue of the Annals of Pharmacotherapy. The researchers present the background history of conversion tables as well as the existing limitations in published dosing conversion tables. Based on a synthesis of the evidence-based data, a new equianalgesic dose ratio table is presented for use in the acute care setting. Access checked February 12, 2008.

Oregon: Pain and Pain Management (other states see ‘Pain and Its Management’)

Access: http://www.nursingceu.com/courses/220/index_nceu.html
Audience: Nurses, nurse practitioners
Start/End: December 13, 2007 / January 15, 2010
Credits: 6 Contact Hours
Price: $60 for credits; course and test may be viewed free
Program Format: Monograph
Sponsor: Wild Iris Medical Education
Author(s): Persis Hamilton, BSN, MS, EdD; Susan Schmid, BA, MA, PhD(candidate)
Description: This comprehensive course (41 pp) explains the nature of pain, its definitions, characteristics, types, and sources. It differentiates somatic, visceral, neuropathic, and psychogenic pain and discusses the diagnosis of pain and how to plan appropriate interventions in various patient groups. Pharmacologic, adjuvant, invasive, and nonpharmacologic interventions are explained. Access checked February 12, 2008.

Pain Management: The Online Series

Access: http://www.ama-cmeonline.com/pain_mgmt/
Audience: Physicians
Start/End: September 2007 / December 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit per module
Price: Free
Program Format: 12 individual monographs
Sponsor: American Medical Association
Description: This comprehensive 12-module program on pain management offers an opportunity to choose individual modules of interest. Topics covered include pathophysiology, overall pain management options, barriers to treatment, substance abuse concerns, treating elderly and pediatric patients, treating persistent nonmalignant pain, neuropathic pain, and 3 modules on the assessment and treatment of cancer pain. Access checked February 12, 2008.

Fentanyl HCl Patient-Controlled Iontophoretic Transdermal System for the Management of Acute Postoperative Pain

Access: http://www.pharmace.com/abstracts/fentanyl.html
Audience: Pharmacists
Start/End: Unknown / December 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Stacey Mayes; Marcus Ferrone
Description: This activity reviews the results of a systematic review of the literature on the efficacy of patient-controlled iontophoretic transdermal fentanyl (IONSYS) as published in the December 2006 issue of the Annals of Pharmacotherapy. IONSYS is a needle-free, patient-activated system that actively transports ionized fentanyl HCl through intact skin to manage postoperative pain. This article summarizes the evidence for efficacy, the data on adverse effects, and the applications for use as an alternative therapy in the management of acute postoperative pain. Access checked February 12, 2008.

Chronic Pain Management with Opioids: Prevention of Misuse, Abuse and Diversion of Opioids

Access: http://www.pain.com/sections/professional/cme_slide_presentations/Alpharma/aapmr/
Audience: Physicians, Nurses
Start/End: November 2007 / November 30, 2009
Credits: Up to 2.0 AMA PRA Cat. 1 credit; Up to 2.0 contact hours of California Board of Registered Nursing credit
Price: Free
Program Format: Web-based multimedia
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Joseph F. Audette, MA, MD; Gagan Mahajan, MD; Ben A. Rich, JD, PhD
Description: This program contains 3 presentations: 1) a review of a rational approach to opioid therapy for pain relief, 2) the legal considerations in controlled substances, and 3) future strategies for abuse and tamper resistant opioids. This material is presented to provide current and comprehensive information on the legal, ethical, and appropriate prescribing of opioids for chronic pain while minimizing the potential for abuse and misuse. Access checked February 27, 2008.

Use of Non-Aspirin Nonsteroidal Anti-Inflammatory Drugs and the Risk of Cardiovascular Events

Access: http://www.pharmace.com/abstracts/cardio.html
Audience: Pharmacists
Start/End: Unknown / October 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Judy WM Cheng
Description: The FDA recommendation that all non-aspirin nonsteroidal anti-inflammatory drug (NANSAIDs) product information inserts carry a warning about cardiovascular risk prompted this literature review examining the basis for this decision. Published in a 2006 issue of the Annals of Pharmacotherapy, the article reports the data from 16 relevant studies, a summarization of the results, and the rationale for the justification of the decision. Access checked February 12, 2008.

Overview of Oral Modified-Release Opioid Products for the Management of Chronic Pain

Access: http://www.pharmace.com/abstracts/opioid.html
Audience: Pharmacists
Start/End: Unknown / August 31, 2009
Credits: 1.0 ACPE CE (0.10 CEUs)
Price: $10 purchase must be made in advance for the article and test
Program Format: Journal article
Sponsor: PharmaCE
Author(s): Celene M. Amabile; Bill J. Bowman
Description: This educational activity reviews the results of a review of the literature on oral opioid modified-release drug formulations as published in the July 2006 issue of the Annals of Pharmacotherapy. The convenience of oral dosing can provide improved pain control, but it is important for clinicians to be aware of the opioid product differences in drug-release formulation, half-life, and cost. A discussion of adverse effects and considerations in special populations is included. Access checked February 12, 2008.

Managing Chronic Pain: The Interdisciplinary Approach

Access: http://mynursingce.son.wisc.edu/index.pl?op=show;isa=Course;iid=357929
Audience: Nurses
Start/End: Unknown / July 1, 2009
Credits: 1.5 ANCC CE contact hours
Price: $20 at program initiation
Program Format: Audio-visual slide program
Sponsor: University of Wisconsin School of Nursing
Author(s): Nathan J. Rudin, MD
Description: This activity includes a discussion of the advantages and disadvantages of the current “gold standard” protocol for managing chronic pain. Guidelines for patient selection and multidisciplinary treatment are presented. Access checked February 12, 2008.

The Role of Gastroprotection in Patients on NSAID Therapy

Access: https://secure.pharmacytimes.com/lessons/200607-01.asp
Audience: Pharmacists
Start/End: Unknown / July 1, 2009
Credits: 2.5 ACPE CE credits (0.25 CEUs)
Price: Free course content available at link above; free registration required for course credit on left of screen at link below.
Program Format: Brief Article
Sponsor: Pharmacy Times; (See https://secure.pharmacytimes.com/main.asp?orderby=&group=all )
Author(s): Randolph V. Fugit, PharmD, BCPS; A. Mark Fendrick, MD
Description: Due to the prevalence of gastrointestinal adverse effects for patients using nonsteroidal anti-inflammatory drugs (NSAIDS), this course provides guidelines for reducing gastric injury. In addition to providing techniques for the identification of patients at potential risk, the overall physiological impact of gastric injury is described and a range of treatment options are discussed. Access checked February 12, 2008.

Peripheral Opioid Antagonists: A Therapeutic Advance for Optimizing Opioid Gastrointestinal Tolerability

Access: http://www.cme.uwisc.org/index.pl?iid=293141&isa=Course&op=show
Audience: Physicians
Start/End: June 30, 2007 / June 30, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Journal of Family Practice journal article
Sponsor: University of Wisconsin School of Medicine and Public Health
Author(s): B. Eliot Cole, MD, MPA; Keri L. Fakata, PharmD
Description: This educational activity for family physicians and primary care practitioners covers the pathophysiology of opioid-induced adverse events and the mechanisms of action of opioid antagonists. The efficacy of traditional treatments and emerging treatments for opioid bowel dysfunction are evaluated and compared. Access checked February 12, 2008.

Controlled Substance Prescriptions and Pain Management: Striking a Balance

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / June 21, 2009
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: $10 fee for nonmember credit; course may be viewed free after completing online registration
Program Format: Three formats available: slide program with or without audio; pdf monograph
Sponsor: American Pharmacists Association
Author(s): David B. Brushwood, JD
Description: Pain management continues to be a high medical priority in the United States because, in spite of the many therapeutic options, studies show that pain continues to be under-treated. This program discusses the potential physiological and psychological effects on the patient who is not receiving effective pain management. National pain management guidelines and consensus statements for drug therapy are reviewed. Strategies are presented to assist pharmacists in assessing the validity of prescriptions and case examples are used to identify legal and ethical responsibilities. Access checked February 12, 2008.

Implementing Pain Management Services in Pharmacy Practice

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / June 21, 2009
Credits: 2.0 ACPE CE credits (0.2 CEUs)
Price: $10 fee for nonmember credit; course may be viewed free after completing online registration
Program Format: Two formats available: HTML text with interactive questions; pdf monograph
Sponsor: American Pharmacists Association
Author(s): Advisory Board – Randy P. McDonough, PharmD (Chairperson); David B. Brushwood, RPh, JD; Kathryn Hahn, PharmD; Jaime White-Stetchock, PharmD
Description: The continued need for comprehensive pain management presents the pharmacist with a good opportunity to provide pain management services. The program begins with a discussion of the barriers to good pain management and the physiological effects of unrelieved pain. While patient education will always be a pharmacist’s key responsibility, the program defines specific value-added activities that can be developed as part of a more comprehensive program for patients with chronic pain. Program topics include 1) consultation to assess unmet patient needs, 2) disease-specific education, 3) manufacturer patient assistance programs, 4) communication techniques in nonjudgmental compassion, and 5) healthcare provider consultation on medication costs and controlled substance regulations. Promotion strategies for the healthcare community and the patient population are explored. Access checked February 12, 2008.

Opioid Pharmacology and Considerations in Pain Management

Access: http://www.uspharmacist.com/index.asp?page=ce/105473/default.htm
Audience: Pharmacists; Pharmacist Technicians
Start/End: May 31, 2007 / May 31, 2009
Credits: 2.0 ACPE credit hours (0.20 CEUs)
Price: $6.50 fee is required during online course registration
Program Format: Brief article
Sponsor: U.S. Pharmacist (Professional journal)
Author(s): Anne Zichterman, PharmD, BCPS
Description: The counseling services provided by the pharmacist, as a member of a multi-disciplinary pain management team, can help guide the selection of opioids, identify correct dosages/schedules, and monitor for adverse effects. As our understanding of the pharmacology of opioids becomes more sophisticated, clinicians may be more equipped to anticipate dosage-limiting adverse effects and variations in individual response. The pharmacist can provide physician support and patient counseling to help ensure adherence and overall treatment success. Access checked February 12, 2008.

Education in Palliative and End-of-Life Care for Oncology (EPEC™-O) Curriculum

Access: http://www.cancer.gov/aboutnci/epeco
Audience: Physicians, Nurses
Start/End: May 15, 2007 / May 14, 2009
Credits: Up to 32.5 AMA PRA Cat. 1 credits; Up to 31.0 nursing contact hours approved by the California Board of Registered Nursing
Price: The CD-ROM and companion DVD are free; NCI charges approximately $8 for shipping and handling.
Program Format: Monograph
Sponsor: National Cancer Institute (NCI)
Description: This is a comprehensive program in palliative and end-of-life care produced by the EPEC™ Project at Northwestern University’s Feinberg School of Medicine. It was developed to provide important care-giving strategies to practitioners caring for patients with end-stage cancer. The curriculum contains a total of 15 content modules and 2 teaching skills modules intended to cover the full scope of knowledge, attitudes, and skills needed for comprehensive palliative cancer care. The healthcare professional using this program can complete the entire program or just the modules of interest. Access checked February 27 2008.

Pain and the Brain — What We Have Learned From Functional Neuroimaging (CSA Pain Management Module 9)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=9&terms=show
Audience: Physicians
Start/End: March 31, 2006 / March 31, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Sean Mackey, MD, PhD
Description: The brain plays an integral role in pain perception. This program examines the ways in which neuroimaging has helped to advance an understanding of the mechanisms involved in pain perception and the mechanisms of neural plasticity. Imaging has increased knowledge of the complex multiple levels of the central nervous system, including emotional and cognitive factors that contribute to the pain experience. Access checked February 6, 2008.

The Pharmacist’s Role in the Medication Therapy Management of Chronic Pain

Access: http://www.cecity.com/ncpa/mtm/disclaim.htm
Audience: Pharmacists
Start/End: March 29, 2006 / March 29, 2009
Credits: 2.0 ACPE CE (0.20 CEUs)
Price: Free after online registration
Program Format: Two formats available: web-based multimedia or print version
Sponsor: National Community Pharmacists Association
Author(s): Kathryn Hahn, PharmD
Description: The pharmacist has an opportunity to be a key member of the multidisciplinary pain management team and may be in a position to provide compliance counseling, assist with compliance monitoring, and augment patient education. This program provides the essential elements in the development of a pain management program within the community pharmacy. The need to balance effective pain management and prevent abuse and diversion are discussed. The format for a patient medication action plan is provided. Access checked February 12, 2008.

Common Over-the-Counter Analgesics May Increase Hypertension Risk in Older Men

Access: http://www.medscape.com/viewarticle/552850
Audience: Physicians, Nurses
Start/End: February 28, 2007 / March 1, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit, Up to 0.25 AAFP Prescribed CME for physicians; 0.25 ANCC CE Contact Hours (0.25 credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Sue Hughes; Charles Vega, MD, FAAFP
Description: The results of a study that evaluated the risk for hypertension in men who used over-the-counter analgesics were published in the February 2007 issue of the journal Archives of Internal Medicine, and forms the basis for this educational activity. Participants who used aspirin, acetaminophen, or NSAIDs and did not have a history of high blood pressure were recruited from the Health Professionals Follow-up Study. This report discusses the results, including the association between the frequency of use and the risk for incident hypertension during the 4-year study period. Access checked February 12, 2008.

AHA Updates NSAID Advice for Heart Disease Patients

Access: http://www.medscape.com/viewarticle/552845
Audience: Physicians, Nurses
Start/End: February 28, 2007 / February 28, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit, Up to 0.5 AAFP Prescribed CME for physicians; 0.5 ANCC CE Contact Hours (0.5 credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Sue Hughes; Charles Vega, MD, FAAFP
Description: This educational activity reports on the recent American Heart Association (AHA) scientific statement on the use of NSAIDs and COX-2 inhibitors that was published in the February 2007 issue of Circulation. Following a review of the evidence for increased cardiovascular risk for patients with heart disease, the article reviews the AHA recommendations for a stepwise approach to managing musculoskeletal pain in this patient population. The recommendations begin with nonpharmacologic treatments and, as needed, continues with a hierarchical protocol for analgesic treatment, including NSAID use at the lowest possible effective dose for the shortest timeframe. Access checked February 12, 2008.

PAIN Control: IV Opioid Range Orders for Acute Pain Management

Access: http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=692147
Audience: Nurses
Start/End: February, 2007 / February 28, 2009
Credits: 3.0 ANCC CE Contact Hours; also approved by AACCN (CERP category A), Texas CE Type 1, and the California Board of Registered Nursing
Price: $27.95 for credits; course and test may be viewed free
Program Format: Journal article
Sponsor: American Journal of Nursing
Author(s): Chris Pasero, MS, RN-BC, FAAN; Renee Manworren, MS, RN-BC, CNS; Margo McCaffery, MS, RN-BC, FAAN
Description: This activity is based on an article that proposes guidelines for the development of opioid range orders; published in the February 2007 issue of the American Journal of Nursing. The authors suggest that the concept and use of range orders requires flexibility based on the patient and the analgesic; therefore, goals for pain management rather than specific inflexible practices should be developed. The learning experience is enhanced with the presentation of case studies that include recommendations for opioid range orders specific to each case. Access checked February 12, 2008.

Swimming Pool Exercises May Offer Cost-Effective Help in Fibromyalgia

Access: http://www.medpagetoday.com/Rheumatology/Fibromyalgia/tb/8469
Audience: Nurses
Start/End: February 22, 2008 / February 22, 2009
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Charles Bankhead (MedPage Today); Robert Jasmer, MD (Reviewer)
Description: This educational activity reviews the outcomes of several studies that evaluate physical exercise in warm water for pain relief in fibromyalgia syndrome. The benefits of water exercise (while minimizing the impact associated with other forms of exercise) as cost-effective adjunctive therapy for patients with fibromyalgia are discussed. Access checked February 27, 2008.

Acute Onset of Abdominal Pain in a 76-Year-Old Man

Access: http://www.medscape.com/viewprogram/8779
Audience: Physicians
Start/End: February 20, 2008 / February 20, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Brief article
Sponsor: Medscape and eMedicine
Author(s): Gautam Dehadrai, MD
Description: This single case of an elderly man with acute abdominal pain presents the history, symptoms, laboratory test results and radiographic films of the abdomen. There is a single interactive question related to your diagnosis and a discussion of the factors related to the correct diagnosis. The author presents this case to improve awareness of the usual presentation of a common medical condition that can result in significant morbidity and mortality if misdiagnosed. Access checked February 23, 2008.

Management of Chronic Shoulder Disorders Reviewed

Access: http://www.medscape.com/viewarticle/570356?src=mp
Audience: Physicians, Nurses
Start/End: February 19, 2008 / February 19, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Charles Vega, MD
Description: Shoulder pain is second to low back pain as the most common musculoskeletal complaint evaluated and treated in physician offices. This article summarizes the content of 2 articles published in February 2008 in the journal American Family Physician. Potential causes of shoulder pain according to typical ages of presentation are discussed and evidence-based recommendations for diagnostic testing and the management of chronic shoulder pain are reviewed. Access checked February 27, 2008.

Topical Anesthetics in Children

Access: http://www.medscape.com/viewprogram/8767
Audience: Physicians, Nurses
Start/End: February 19, 2008 / February 19, 2009
Credits: Up to 0.5 AMA PRA Cat. 1 credit; 0.5 ANCC CE contact hours (0.5 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Amy L. Baxter, MD
Description: As the number of options for reducing procedural pain in children increases, the need to be familiar with the methods available becomes more important. This educational activity reviews the evidence for topical and local pain relievers, including: 1) the physiology behind using topical anesthetics to reduce needle pain, 2) the use of local anesthesia on open wounds, 3) lidocaine delivery by iontophoresis and intradermal injection, as well as 4) cold spray use prior to a needle stick. Study results and economic considerations, as available, are included in the discussion. Access checked February 22, 2008.

Oxcarbazepine Not Effective for Migraine Prevention

Access: http://www.medscape.com/viewarticle/570256
Audience: Physicians
Start/End: February 15, 2008 / February 15, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Caroline Cassels (News); Desiree Lie, MD, MSEd (CME)
Description: A randomized, placebo-controlled trial published in a February issue of Neurology has found no significant difference in the reduction of migraine attacks with the administration of the antiepileptic drug oxcarbazepine (Trileptil®) when compared with placebo. This activity reviews the methodology, results and adverse effects of oxcarbazepine therapy in this study population. The results failed to support an earlier trial that suggested that the drug may be an effective agent for preventing migraine episodes. Access checked February 23, 2008.

Strategies for the Prevention and Management of Herpes Zoster and Associated Pain in Older Adults

Access: http://www.medscape.com/viewprogram/8554?src=mp
Audience: Physicians
Start/End: February 12, 2008 / February 12, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Interactive Web Conference
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Katherine E. Galluzzi, DO, CMD, FACOFP; Kenneth E. Schmader, MD
Description: This educational activity utilizes an interactive “Virtual Office” to evaluate one patient case involving an acute episode of herpes zoster in an elderly male and also presents a case of postherpetic neuralgia. The patient’s history is presented and the user has an opportunity to learn additional facts, ask the patient questions, and add notes. After a review of the patient’s current tests and treatment, the educational user has the option to order additional tests and pharmacological treatment; feedback is provided according to the choices made. The “Virtual Office” offers a real-world environment that includes patient interaction, decision-making, assessment, and treatment. Access checked February 19, 2008.

Ketofol Works Well for Procedural Sedation and Analgesia in the ED

Access: http://www.medscape.com/viewarticle/551955
Audience: Physicians
Start/End: February 9, 2007 / February 8, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Will Boggs, MD; Laurie Barclay, MD
Description: Ketofol, a novel combination of 2 commonly used medications, ketamine and propofol, is evaluated for effectiveness and safety in a study of 114 patients who required emergency room procedures. This activity summarizes the methods and results of this study as reported in the January issue of the Annals of Emergency Medicine. Access checked February 12, 2008.

Sucrose Effective as an Analgesic During Infant Immunizations

Access: http://www.medscape.com/viewarticle/569798
Audience: Physicians, Nurses
Start/End: February 6, 2008 / February 6, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: A randomized, placebo-controlled trial published in February 2008 in the journal Pediatrics reports on the study methods and outcomes of the administration of oral sucrose as an analgesic for routine immunizations. This activity reviews a summary of the study on infants 2 to 4 months of age and reports on the efficacy of oral sucrose for pain relief during immunizations at 2, 5, 7, and 9 minutes post-treatment. Access checked February 27, 2008.

Use of Multiple NSAIDs Reduces Arthritis Pain but May Increase Complications

Access: http://www.medscape.com/viewarticle/569797
Audience: Physicians, Nurses
Start/End: February 6, 2008 / February 6, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This activity reviews a study published in Arthritis Care & Research highlighting the fact that many consumers are unaware of the increased risk of side effects when taking 2 drugs from the same therapeutic class. Patients from a managed-care organization who filled at least one prescription for a nonsteroidal anti-inflammatory drug (NSAID) were recruited to participate in a telephone interview regarding NSAID use for arthritis or joint pain. Results showed that 26% of participants reported taking at least 2 NSAIDs (prescription, over-the-counter, or both) during the month prior to the survey. Patients taking dual NSAIDs reported lower scores in health-related quality of life than participants who reported taking only a single NSAID medication. Access checked February 20, 2008.

Nurse-Administered Anticipatory Guidance May Reduce ED Visits for Ear Pain in Toddlers

Access: http://www.medscape.com/viewarticle/569720
Audience: Physicians, Nurses
Start/End: February 5, 2008 / February 5, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (none in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: Ear pain in pediatric acute otitis media is a common cause of emergency department visits. A study published in February 2008 in the journal Archives of Pediatrics & Adolescent Medicine tested whether standardized anticipatory guidance during a well-child visit and a prescription for analgesic ear drops would alleviate parental concerns about future ear pain and, ultimately, decrease the use of emergency department services. The 10-minute slide program included education related to ear pain relief, recognition of symptoms that would require urgent attention, a reminder regarding the availability of 24-hour access to telephone advice, and the appropriate use of medications. The results of the intervention demonstrated significant reductions in emergency care visits as well as regular primary care appointments for ear pain. Access checked February 19, 2008.

No Clear Evidence to Support Use of Antidepressants for Chronic Low Back Pain

Access: http://www.medscape.com/viewarticle/569659
Audience: Physicians
Start/End: February 4, 2008 / February 4, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Susan Jeffrey; Penny Murata, MD
Description: A review published in the Cochrane Database of Systematic Reviews evaluated 10 studies for evidence of efficacy with antidepressant therapy for pain relief and depression in the management of chronic low back pain. Some antidepressants have previously demonstrated analgesic efficacy in low dose formulations. In this evaluation, however, only a minor number of studies showed evidence for pain relief with antidepressants in general. This activity reviews the treatment results for depression, pain relief, and functional status in patients with nonspecific low back pain. Access checked February 20, 2008.

Overcoming Barriers to Pain Relief: An Interactive Patient Case Symposium

Access: http://www.medscape.com/viewprogram/8445
Audience: Physicians
Start/End: February 4, 2008 / February 4, 2009
Credits: Up to 1.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Leslie M. Arnold, MD; Scott M. Fishman, MD; Lee S. Simon, MD
Description: This 4-part educational program is based on a symposium of the same name and completion of all 4 activities is required for course completion. The program on fibromyalgia examines the complexities of the physical, psychosocial and functional evaluation of the patient and includes a discussion with the audience to examine options for pharmacologic and adjunctive therapy. Additional programs include the current management of arthritis pain and neuropathic pain. The final program addresses the costs and treatment modalities for chronic back pain. All programs use a case-study approach, audience questions, and video clips of patient interactions to enhance the educational experience. Access checked February 20, 2008.

Intensive Patient Education May Be Effective for Acute or Subacute Low Back Pain

Access: http://www.medscape.com/viewarticle/569528
Audience: Physicians, Nurses
Start/End: January 31, 2008 / January 31, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD
Description: This activity summarizes a systematic review of the effectiveness of patient education for low back pain published online in a January issue of the Cochrane Database of Systematic Reviews. The results of 14 high quality studies included strong evidence—measured by time from intervention to return-to-work—that one individual 2.5 hour educational session for acute and subacute low back pain was more effective than no intervention. Additionally, intensive interventions—spinal stabilization, yoga, exercises, back school—appeared to be more effective than education for chronic low back pain. Access checked February 27, 2008.

Persistent, Not Permanent: Alleviating Symptoms in Chronic Knee Pain

Access: http://www.cmepain.com/cme_ce_activities/accred.cfm?id=3
Audience: Physicians, Pharmacists, Nurses, Physician Assistants
Start/End: January 2008 / January 31, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE credits (0.10 CEUs) for pharmacists; Varied CE credit options for nurses and physician assistants
Price: Free
Program Format: Interactive Case Presentation
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Steven P. Stanos, DO
Description: The format of this educational activity is an interactive program that offers clinicians current information on a patient who presents with knee pain. The patient’s history and the characteristics of acute or chronic knee pain are presented along with potential treatment strategies. The learner will have an opportunity to answer questions regarding a treatment plan based on the patient’s symptoms. Nonpharmacologic and lifestyle modification strategies are explored for pain management, as well as methods for managing breakthrough pain. There is a heavy emphasis on interactive learning in this program. Access checked February 27, 2008.

Tendinopathy – From Basic Science to Treatment

Access: http://www.medscape.com/viewprogram/8606
Audience: Physicians
Start/End: January 28, 2008 / January 28, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Monograph
Sponsor: Medscape and Nature Clinical Practice Rheumatology
Author(s): Graham Riley, PhD; Desiree Lie, MD, MSEd
Description: The terms “tendinosis” and “tendinitis” have been increasingly replaced by “tendinopathies”, a term that reflects a chronic condition in which the tendon is affected by microscopic tears or rupture, causing symptoms of pain, tenderness, and weakness. A detailed discussion of the musculoskeletal and cellular structure of tendons is presented, as well as a brief look at the current research being done to further understand the mechanisms of tendon repair. A summary of conservative treatments includes the evidence for efficacy of new therapies in development. Access checked February 22, 2008.

Herbal Medicine May Be Effective for Low Back Pain

Access: http://www.medscape.com/viewarticle/550811
Audience: Physicians, Nurses
Start/End: January 16, 2007 / January 15, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit for physicians; 0.25 ANCC CE Contact Hours (0.25 credits in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: A Cochrane Review paper, as reported in the January issue of Spine, reviewed the literature for evidence of acute low back pain relief with herbal medicines. This summary reports on the 3 herbs that demonstrate a quality level of evidence for short-term relief of nonspecific low back pain. The grade of evidence and dosage information is summarized for these herbal medicines. Access checked February 12, 2008.

ACR 2007: Advances in Arthritis and Related Conditions

Access: http://www.medscape.com/viewprogram/8518
Audience: Physicians
Start/End: January 14, 2008 / January 14, 2009
Credits: Up to 1.5 AMA PRA Cat. 1 credit
Price: Free
Program Format: 3 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Doruk Erkan; Robert Terkeltaub, MD; Robert I. Fox, MD, PhD
Description: This 3-part educational activity on arthritic conditions was originally presented at the November 2007 American College of Rheumatology Annual Meeting. The limitations of current modalities of treatment for patients with systemic lupus erythematosus, Sjogren’s Syndrome, and gout are reviewed in preparation for a discussion of new therapeutic approaches to these inflammatory diseases. Recent advances and novel therapies now in clinical trials are examined for their potential benefits in clinical practice. Access checked February 25, 2008.

Guidelines Updated on Palliative End-of-Life Care

Access: http://www.medscape.com/viewarticle/568751
Audience: Physicians, Nurses
Start/End: January 14, 2008 / January 14, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Charles Vega, MD
Description: Guidelines for the palliative care of pain, dyspnea, and depression at the end-of-life were updated by the American College of Physicians and published in January 2008 in the journal Annals of Internal Medicine. This educational activity reviews the strength of evidence on each recommendation for effective symptom control in all 3 health conditions and provides a working definition for end-of-life. Access checked February 27, 2008.

Sickle Cell Pain More Pervasive than Generally Recognized

Access: http://www.medpagetoday.com/HematologyOncology/Hematology/tb/7966
Audience: Nurses
Start/End: January 14, 2008 / January 14, 2009
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Charles Bankhead (MedPage Today); Robert Jasmer, MD (Reviewer)
Description: A prospective study of 232 patients with sickle cell disease were followed for 6 months and asked to keep a daily diary related to their sickle cell-related pain. This activity summarizes the methods and findings of the study which shows that the pain of sickle cell disease is far more prevalent that has been reflected in previous studies. In addition, the data showed that patients were attempting to manage their pain at home rather than seek healthcare assistance. Access checked February 27, 2008.

Lidocaine Eardrops May Ease Pain Related to Acute Otitis Media

Access: http://www.medscape.com/viewarticle/568651
Audience: Physicians, Nurses
Start/End: January 11, 2008 / January 11, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): David Douglas; Hien T. Nghiem, MD
Description: The optimal treatment of ear pain in pediatric acute otitis media (AOM) has not been well-studied. Researchers in Australia conducted a double-blind study of 63 children with AOM and earache who were treated with 2% lidocaine eardrops or to a saline solution. Results demonstrated a significant 50% reduction in pain scores from baseline at 10 minutes and 30 minutes post-treatment. Evidence regarding the use of antibiotics for pain relief in AOM is also reviewed. The full study can be found in the January 2008 issue of the journal Archives of Disease in Childhood. Access checked February 19, 2008.

Sciatica and Low Back Pain: Does Physical Therapy Provide Long-Term Benefits? A Best Evidence Review

Access: http://www.medscape.com/viewprogram/8525
Audience: Physicians, Nurses
Start/End: January 11, 2008 / January 11, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Jacqueline A. Hart, MD
Description: This activity reviews the methods and results of a randomized study from the Netherlands evaluating the effectiveness and costs associated with physical therapy for patients with symptoms of sciatica. The study, published in 2007 in the journal Spine, measured the patients global perceived effects during a 52 week period. Study limitations are discussed as well as the potential limitations of physical therapy for improving low back pain. Access checked February 22, 2008.

Specific Strength Training Helpful for Neck Muscle Pain

Access: http://www.medscape.com/viewarticle/568579
Audience: Physicians
Start/End: January 10, 2008 / January 10, 2009
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: This educational activity reviews a randomized trial of 48 women engaged in computer-intensive work—with a clinical diagnosis of trapezius myalgia—who were assigned to receive one of 3 interventions: 10 weeks of specific strength training, general fitness training, or an intervention without physical activity. The results demonstrated that the participants in the neck muscle strength training group showed a significant decrease in pain that lasted throughout the training period and after study completion. The complete study details were published in the January 2008 issue of the journal Arthritis Care & Research. Access checked February 19, 2008.

Pain and Its Management

Access: http://www.nursingceu.com/courses/214/index_nceu.html
Audience: Nurses (nationwide), Respiratory Therapists (credits accepted in 9 states)
Start/End: December 1, 2007 / January 6, 2009
Credits: 6.0 ANCC Contact hours
Price: $60 for credits; course and test may be viewed free
Program Format: Monograph
Sponsor: Wild Iris Medical Education
Author(s): Persis Mary Hamilton, BSN, MS, EdD
Description: This course includes the material on the characteristics of pain from the course ‘Pain: Its Nature and Experience’ and develops the content to include assessment, diagnosis, treatment, ethical considerations and legal issues. Tools for assessment and treatment plans for special patient populations are presented. The pain management standards of care for JCAHO and the American Academy of Pediatrics are outlined and pharmacologic, adjuvant, invasive, and nonpharmacologic interventions are explained. This course is also available specifically for Oregon nurses; it is entitled ‘Oregon: Pain and Pain Management’ and is listed in date order under the Pain-Topics heading for General Pain (expires February 1, 2008). Access checked February 12, 2008.

Signal Transduction of Pain: Implications for Opioid Therapy

Access: http://www.medscape.com/viewprogram/8437
Audience: Physicians
Start/End: January 3, 2008 / January 3, 2009
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: 4 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Gavril W. Pasternak, MD, PhD; Charles E. Inturrisi, PhD; Frank Porreca, PhD; Michael C. Rowbotham, MD
Description: This 4-part educational program is based on information originally presented at a Satellite Symposium held in conjunction with the 2007 Annual Meeting of the American Pain Society. Current knowledge regarding the peripheral and central mechanisms of pain as well as the molecular mechanisms of opioid-induced analgesia are both examined. The last two segments of the program discuss the recent findings in NMDA receptor research plus information aimed at assisting the integration of ongoing research into clinical pain management practices. Access checked February 22, 2008.

Medication Therapy Management Services: Pain Management Issues in the MTM Patient

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / December 31, 2008
Credits: 2.0 Contact Hours (0.2 CEUs)
Price: $10 fee for credit; course be viewed free after completing online registration
Program Format: Monograph
Sponsor: American Pharmacists Association
Author(s): Stephen H. Erickson, PharmD, BCPS; Kathryn L. Hahn, PharmD; Mary Lynn McPherson, PharmD, BCPS, CDE (Advisory Board)
Description: The growth of Medical Therapy Management (MTM) services allows more pharmacists to work closely with patients to optimize therapeutic outcomes in individual situations. This program describes the core elements of MTM service, demonstrates the completion of a medication review and action plan, and identifies drug-related problems in chronic pain patients.  Access checked February 12, 2008.

Rehabilitation in Pain Management (CSA Pain Management Module 8)

Access: http://www.csahq.org/cme2/course.module.php?course=3&module=10&terms=show
Audience: Physicians
Start/End: December 31, 2005 / December 31, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free for CSA members, $25 per credit hour for non-members
Program Format: Brief article
Sponsor: California Society of Anesthesiologists (CSA)
Author(s): Quynh Pham, MD
Description: This program explains the benefits of a patient therapeutic exercise regimen in the management of musculoskeletal pain. Other physical modalities are discussed, including the indications and contraindications for superficial heat (packs, whirlpool), deep heat (ultrasound, diathermy), cryotherapy, transcutaneous electrical nerve stimulation (TENS), and traction. Access checked February 12, 2008.

Multidisciplinary Treatment May Benefit Patients With Chronic Low Back Pain

Access: http://www.medscape.com/viewarticle/567981
Audience: Physicians
Start/End: December 27, 2007 / December 27, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Hien T. Nghiem, MD
Description: A research study from Germany evaluated the effectiveness of multidisciplinary treatment—biologic, social, and psychologic—for patients with chronic low back pain. The 6-month prospective study demonstrated that patients with chronic low back pain in high and low grades of chronicity derived significant benefits in pain levels and functional capacity through the use of a standardized multidisciplinary treatment strategy. Complete study details were published in the December 2007 issue of the journal Spine. Access checked February 20, 2008.

ACR 2007: Fibromyalgia

Access: http://www.medscape.com/viewprogram/8449
Audience: Physicians
Start/End: December 21, 2007 / December 21, 2008
Credits: Up to 0.75 AMA PRA Cat. 1 credit
Price: Free
Program Format: 3 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Philip J. Mease, MD; Richard E. Harris, PhD; Katherine Kahn, DVM; Lee S. Simons, MD
Description: This 3-part educational activity on fibromyalgia was originally presented at the November 2007 American College of Rheumatology Annual Meeting. Recent research has provided new insights related to fibromyalgia central nervous system pathophysiology which can, in turn, provide guidance to the best approach to pharmacologic interventions. Information on recent genetic work, including the potential identification of a specific biomarker, and imaging studies in fibromyalgia is reviewed and presented as an aid toward developing a better understanding of the abnormalities associated with fibromyalgia. Access checked February 25, 2008.

ACR 2007: Updates on Current and Emerging Biologic Response Modifiers for RA

Access: http://www.medscape.com/viewprogram/8407
Audience: Physicians
Start/End: December 18, 2007 / December 18, 2008
Credits: Up to 0.75 AMA PRA Cat. 1 credit
Price: Free
Program Format: 3 brief articles
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Yusuf Yazici, MD; Martin J. Bergman, MD, FACR, FACP; Robert I. Fox, MD, PhD
Description: This 3-part educational activity on rheumatoid arthritis was originally presented at the November 2007 American College of Rheumatology Annual Meeting. The recent development of more effective therapeutic products for the treatment of the symptoms of rheumatoid arthritis has resulted in more aggressive therapy. This summary of the information covered in conference presentations includes a review of recent studies on the safety and efficacy of these newer agents. A review of available disease measurement tools and an update of the emerging therapies in the pipeline are two additional topics discussed. Access checked February 25, 2008.

Pharmacists’ Responsibilities in Managing Opioids: 2005 Update

Access: http://www.pharmacist.com/AM/Template.cfm?Section=Quick_List_Search
Audience: Pharmacists
Start/End: Unknown / December 15, 2008
Credits: 4.0 Contact Hours (0.2 CEUs)
Price: $10 fee for credit; course may be viewed free after completing online registration
Program Format: Monograph
Sponsor: American Pharmacists Association
Author(s): David B. Brushwood, RPh, JD (Advisory Board Chairperson)
Description: The pharmacist plays an important role in the management of controlled substances by helping to identify potential abusers and diverters in addition to helping patients achieve their pain management goals. This program covers guidelines for managing pain with opioids, barriers to effective pain management, and strategies for the assessment of valid controlled substance prescriptions.  Access checked February 12, 2008.

Strength and Endurance Exercises Decrease Chronic Neck Pain

Access: http://www.medscape.com/viewarticle/549433
Audience: Physicians
Start/End: December 15, 2006 / December 14, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Charles Vega, MD, FAAFP
Description: The results of a study that evaluated the effectiveness of exercise in decreasing chronic neck pain were published in the December issue of the journal Medicine & Science in Sports & Exercise, and forms the basis for this educational activity. Women with neck pain of at least 6 months duration were assigned to 1 of 3 treatment groups: 1) a control group who performed aerobic and general strengthening exercises 3 times each week, 2) a treatment group who did the same exercises as the control group plus a set of neck muscle exercises using light resistance (for endurance training), and 3) a treatment group who did the exercises of the control group plus a series of neck muscle exercises with heavy resistance (for strength training). The reported decreases in neck pain were positively related to the amount of strength and endurance training done in the two treatment groups. Access checked February 12, 2008.

Assessment, Diagnosis and Treatment of Breakthrough Pain: Breaking the Pain Cycle

Access: http://www.medscape.com/viewprogram/8253
Audience: Nurses
Start/End: December 12, 2007 / December 12, 2008
Credits: 1.5 ANCC CE contact hours
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Candace C. Coggins, MS, MA, RN-C, ACHPN; Steven Stanos, DO; April Hazard Vallerand, PhD, RN, FAAN
Description: This 3-part educational program begins with an examination of the definitions used for breakthrough pain in cancer and noncancer patient populations. Pain assessment includes a discussion of the characteristics of the types—somatic, visceral, neuropathic, or mixed—and subtypes—incident, idiopathic, end-of-dose—common to breakthrough pain. After baseline pain control is reviewed, two useful tools are presented: 1) an algorithm for breakthrough pain management, and 2) a table of opioids known to be effective for breakthrough pain, including combination products and long-acting formulations. Using a patient case example, the challenge of identifying meaningful pain reduction is explored. Access checked February 26, 2008.

Low Back Pain: Evaluating Presenting Symptoms in Elderly Patients

Access: http://www.medscape.com/viewprogram/8343
Audience: Physicians, Nurses
Start/End: December 12, 2007 / December 12, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Monograph
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Mark E. Williams, MD
Description: Low back pain in an aging population is common and can have many causes including uncomplicated mechanical back pain, sciatica, spinal stenosis, spinal infection, metastatic spinal disease, and vertebral compression fractures. This monograph provides a thorough review of the important components of the history and physical examination. The guidance for range of motion and neurologic evaluation includes a good review of motor and sensory testing procedures to identify pathology and sensory loss due to specific locations of lumbosacral lesions. Access checked February 27, 2008.

Making Sense of the Complex: A Point of Care Approach to Managing Chronic Pelvic Pain/Interstitial Cystitis

Access: http://www.medscape.com/viewprogram/8032
Audience: Physicians
Start/End: December 7, 2007 / December 7, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Kristene E. Whitmore, MD; Curtis Nickel, MD; Otto Ratz, MD
Description: The presenters begin the program with a review of the prevalence, etiology, and differential diagnosis of chronic pelvic pain and interstitial cystitis. A discussion of the pathophysiology includes several helpful graphic representations of inflammation and pain at the cellular level; laboratory and other diagnostic tests are explored in detail. Several useful slides contribute to a very thorough examination of the complexities of the diagnosis; chronic pelvic pain syndrome in men is also reviewed. Multimodal therapy is recommended; the evidence and rationale are presented. Access checked February 23, 2008.

Therapeutic Advances for Fibromyalgia and Implications for Clinical Practice

Access: http://www.medscape.com/viewprogram/8307
Audience: Physicians
Start/End: November 30, 2007 / November 30, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Daniel J. Clauw, MD; Don L. Goldenberg, MD; Hartej Sandhu, MD
Description: This educational activity on the advances in treatment for symptoms of fibromyalgia was originally presented at the November 2007 American College of Rheumatology Annual Meeting. In a panel discussion format, the presenters briefly review the biology and neurobiology behind the symptoms of pain, the need for a multidisciplinary approach to fibromyalgia management, and the controversies regarding disability in fibromyalgia syndrome. Access checked February 25, 2008.

Recommendations Issued for Treatment of Nonspecific Low Back Pain

Access: http://www.medscape.com/viewarticle/566561
Audience: Physicians, Nurses
Start/End: November 28, 2007 / November 28, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME; 0.25 ANCC CE contact hours (no hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: Existing research shows that nonspecific low back pain is common and is the cause of high rates of temporary disability. An article published in November 2007 in the journal American Family Physician provides recommendations for conservative treatment with high levels of evidence for pain relief in low back pain. Specific recommendations are outlined and include non-opioid drugs, focusing on personal and occupational barriers for work absenteeism, as well as the multidisciplinary options for reducing pain and increasing functional levels. Within the context of patient assessment, a list of “red flag” warnings is provided that should alert clinicians to consider diagnostic testing beyond the basic physical examination. Access checked February 26, 2008.

ACR: Early Therapy for Inflammatory Arthritis Yields High Remission Rates

Access: http://www.medpagetoday.com/MeetingCoverage/ACRMeeting/tb/7325
Audience: Nurses
Start/End: November 11, 2007 / November 11, 2008
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Neil Osterweil (MedPage Today); Robert Jasmer, MD (Reviewer)
Description: This educational activity summarizes the methods and results of a study of aggressive therapy for patients with early inflammatory arthritis as reported at the 2007 American College of Rheumatology annual meeting. The patients were started on a regimen of disease-modifying antirheumatic drug (DMARD) therapy plus methotrexate or high-dose methotrexate in divided doses, with or without steroids. To achieve remission, therapies could be changed every 3 months. Results showed that about half of patients on an individualized DMARD program were able to achieve remission within 12 months. Access checked February 27, 2008.

Osteoarthritis Pain: The Role of Clinical Practice Guidelines in Evolving Treatment

Access: https://secure.pharmacytimes.com/lessons/200511-01.asp
Audience: Pharmacists
Start/End: Unknown / November 1, 2008
Credits: 2.0 ACPE CE (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit at link below
Program Format: Brief article
Sponsor: Pharmacy Times (See: https://secure.pharmacytimes.com/main.asp?orderby=&group=all)
Author(s): Mary McHughes, PharmD, MS; Arthur G. Lipman, PharmD
Description: There is a new emphasis on systematic, evidence-based Clinical Practice Guidelines (CPG) and this program can help clinicians attain a composite view of current best evidence. The different types of CPG are examined and their use to improve pharmacotherapy in the management of osteoarthritis is described. Access checked February 12, 2008.

Urine Drug Testing in Clinical Practice: Dispelling the Myths & Designing Strategies

Access: http://www.familydocs.org/assets/171_UDT%202006.pdf
Audience: Physicians
Start/End: November 1, 2007 / November 1, 2008
Credits: Up to 1.5 AMA PRA Cat. 1 credits; Up to 1.5 AAFP prescribed credits for family physicians
Price: Free
Program Format: Monograph
Sponsor: California Academy of Family Physicians
Author(s): Douglas L. Gourlay, MD, FRCPC, FASAM; Howard A. Heil, MD, FACP, FASAM; Yale H. Caplan, PhD, D-ABFT
Description: Urine drug testing (UDT) in clinical practice should be a consensual diagnostic test, which is done for the benefit of the patient with pain. This educational activity helps physicians (1) understand the purpose of UDT and identify a clear testing strategy, (2) distinguish between UDT for detection of illicit drug use and for monitoring adherence to an analgesic treatment regimen, (3) appreciate drug-testing methodology, instrumentation, and sensitivity/specificity of results, (4) identify strategies to improve analysis and interpretation of results, and (5) understand the limitations of UDT. Access checked February 12, 2008.

Qigong, Exercise Therapy Effective for Long-Term Nonspecific Neck Pain

Access: http://www.medscape.com/viewarticle/565090
Audience: Physicians
Start/End: October 30, 2007 / October 30, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD
Description: Qigong – a Chinese movement therapy incorporating breathing exercises and meditation – was evaluated in a population of patients with long-term, nonspecific neck pain. Based on the October 2007 report in the journal Spine, this learning activity provides a summary of the methods and results of a study of 122 adults randomized to either exercise therapy or qigong. Early in therapy, both groups demonstrated significant improvement which was maintained in several outcome measures over a 12-month period. Access checked February 12, 2008.

Use of Opiates in Children With Suspected Appendicitis Not Contraindicated

Access: http://www.medscape.com/viewarticle/564993
Audience: Physicians
Start/End: October 29, 2007 / October 29, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: Children with acute abdominal pain oftentimes do not receive analgesia due to the concern of masking symptoms during evaluation for surgery. This article summarizes the methods and results of an emergency center study comparing morphine and placebo for children aged 8 to 18 years with suspected appendicitis. This randomized, double-blind study appeared in the October 2007 issue of the Annals of Emergency Medicine and showed that while there were no differences in pain at 30 minutes post-treatment between the 2 groups, there were also no significant differences in the length of time to surgical decision. Access checked February 12, 2008.

Pain Measurement in Patients With Low Back Pain

Access: http://www.medscape.com/viewprogram/7993
Audience: Physicians
Start/End: October 23, 2007 / October 23, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Brief article
Sponsor: Nature Clinical Practice Rheumatology/Medscape
Author(s): Anne F. Mannion, MD; Federico Balague, MD; Ferran Pellise, MD; et al.
Description: The challenges of pain assessment in low back pain are reviewed and emphasis is placed on the multidimensional aspect of evaluation. Several rating scales are evaluated and emphasis is placed on the importance of using additional tools to measure functionality and quality of life. Techniques for use, including inherent strengths and weaknesses, are presented for the visual analog scale, the numeric rating scale, and the verbal rating scales. A recommendation is made for the separate assessment of leg and back pain in patients with sciatica. Clinicians are reminded that effective pain management is dependent upon proper evaluation. Access checked February 12, 2008.

Chronic Low Back Pain

Access: http://www.alabamacme.uab.edu/courses/BackPain/IJ0227.html
Audience: Physicians
Start/End: March 4, 2005 / October 19, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Web-based interactive case studies
Sponsor: University of Alabama School of Medicine and the Alabama Quality Assurance Foundation
Author(s): William T. O’Byrne, MD
Description: This activity involves the presentation of case examples with an interactive question and answer hierarchy that begins with assessment and diagnostic tests. The program continues with cases that require treatment decisions, including the appropriate use of adjunctive medications and complimentary treatment modalities. Access checked May 15, 2008.

Opioids May be Useful for Chronic Noncancer Pain Management in Primary Care

Access: http://www.medscape.com/viewarticle/564197
Audience: Physicians, Nurses
Start/End: October 12, 2007 / October 12, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 0.25 ANCC CE contact hours (0.25 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Penny Murata, MD
Description: This educational activity summarizes the results of a review article published for primary care practitioners in the October 2007 issue of the Southern Medicine Journal. The review discusses the need to carefully evaluate patients for the risk of potential dependence, abuse, or addiction. It continues with a discussion of the benefits of controlled-release long-acting opioid products for sustained pain relief and improved quality of life; immediate-release formulations are recommended for episodes of breakthrough pain. This literature review summarizes the risk factors for addiction as well as risk management issues and the requirements for healthcare provider knowledge. Access checked February 12, 2008.

Principles of Effective Pain Management at the End of Life

Access: http://www.medscape.com/viewprogram/6079
Audience: Physicians, Nurses
Start/End: October 5, 2006 / October 11, 2008
Credits: Up to 2.0 AMA PRA Cat. 1 credit, 2.4 ANCC CE Contact Hours for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Perry G. Fine, MD; Clarinda Mac Low
Description: End-of-life pain, which is often under-treated, is a primary fear of patients. This activity uses 3 case studies to demonstrate the need for individuality in patient assessment and management. The complexities of assessment include a patient’s inability to provide verbal reports of pain, comorbidity, and simultaneous mechanisms of pain. The therapeutic advantages and adverse effects of opioid and nonopioid drugs are discussed within the context of the case study presentation. The benefits of nonpharmacologic therapy are discussed and a comprehensive list of resources for pain scales is provided. Access checked February 12, 2008.

Pain Management Portfolio of Case Vignettes

Access: http://www.painknowledge.org/ondemand/cmeinfo.aspx
Audience: Physicians
Start/End: October 11, 2007 / October 10, 2008
Credits: Up to 0.5 AMA PRA Cat. 1 credit
Price: Free
Program Format: Web-based slide and audio presentation
Sponsor: PainKnowledge.org
Author(s): Bill H. McCarberg, MD
Description: This educational activity presents case vignettes as a way to examine the optimization of pain relief with chronic opioid therapy. The patient case studies include the use of titration, rotation, and conversion of opioids to achieve maximal efficacy. Access checked February 12, 2008.

Chest Pain in Healthy Teens May Spell Heart Attack

Access: http://www.medpagetoday.com/Cardiology/MyocardialInfarction/tb2/6865
Audience: Nurses
Start/End: October 3, 2007 / October 3, 2008
Credits: 0.5 AACN contact hour Category A CERP credits
Price: Free
Program Format: Brief article
Sponsor: MedPage Today
Author(s): Crystal Phend (MedPage Today); Zalman S. Agus, MD (Reviewer)
Description: This activity contains a summary of a small case series of adolescents aged 12 to 20 who met established criteria for acute myocardial infarction in one children’s hospital emergency department. The report, published in the October 2007 issue of Pediatrics, describes the diagnostic and treatment aspects of the patient cases. A link to the original journal article is provided on this website. Access checked February 12, 2008.

Guidelines Issued for Management of Low Back Pain

Access: http://www.medscape.com/viewarticle/563639
Audience: Physicians, Nurses
Start/End: October 2, 2007 / October 2, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 0.25 ANCC CE contact hours (0 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD
Description: This articles provides a summary of the new clinical practice guideline for the diagnosis and treatment of low back pain issued by the American College of Physicians and the American Pain Society. Descriptions of the back pain subgroups are provided along with a summary of the key evidence-based recommendations presented in the guideline. Emphasis is placed on appropriate diagnostic practices and, while a full range of treatment options are included in the guideline recommendations, this Medscape summary only provides some of the highlights. Access checked February 12, 2008.

Optimizing Opioid Treatment for Breakthrough Pain

Access: http://www.medscape.com/viewprogram/7869
Audience: Physicians, Pharmacists, Nurses
Start/End: September 28, 2007 / September 28, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE (0.1 CEUs) for pharmacists; 1.0 ANCC CE contact hours (1.0 hours in pharmacology) for nurses
Price: Free
Program Format: Monograph with interactive case management questions
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Lynn R. Webster, MD, FACPM, FASAM; M. Beth Dove
Description: Because breakthrough pain can affect patients with chronic cancer or noncancer pain, it is important to match therapy to the subtype of pain, the patient’s risk for medication abuse, and the clinician’s ability to monitor the patient appropriately. This interactive program weaves case management questions into the educational content. Subtypes of breakthrough pain are defined and several treatment approaches are evaluated according to the needs of the patient and the potential for efficacy and safety. Access checked February 12, 2008.

Reaching New Heights: Evolving Treatment Outcomes in Rheumatoid Arthritis

Access: http://www.medscape.com/viewprogram/7765
Audience: Physicians
Start/End: September 26, 2007 / September 26, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Claire Bombardier, MD; Paul Emery, MA, MD; Josef Smolen, MD
Description: This 5-part educational program is based on a symposium of the same name held during the EULAR 2007 Satellite Symposia in June 2007. In addition to discussions of the current status of biologic therapies, outcome data from European registries is presented. These registry studies show the results of the risks and efficacy of biologics and, additionally, explain that anti-TNF therapy has demonstrated some mortality benefits for patients. The topic of improved functionality is highlighted in one portion of the program and the final part consists of a panel discussion with all presenters. Access checked February 12, 2008.

Verum or Sham Acupuncture Nearly Twice as Effective as Usual Therapy for Back Pain

Access: http://www.medscape.com/viewarticle/563382
Audience: Physicians
Start/End: September 26, 2007 / September 26, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: This article summarizes the methods and results of a multicenter acupuncture study that was published in the Archives of Internal Medicine in September 2007. Nearly 1200 patients were randomized to either verum acupuncture (according to the principles of traditional Chinese medicine), sham acupuncture, or conventional therapy (drugs, physical therapy, and exercise). Verum and sham acupuncture were both shown to be superior to conventional treatment of chronic low back pain in this population of adults. Access checked February 12, 2008.

EULAR Issues Guidelines for the Treatment of Fibromyalgia Syndrome

Access: http://www.medscape.com/viewarticle/563161
Audience: Physicians
Start/End: September 21, 2007 / September 21, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP Prescribed CME
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD
Description: The European League Against Rheumatism (EULAR) evaluated evidence-based literature and issued the first guidelines for the treatment of fibromyalgia syndrome. The criteria for study inclusion is reviewed and recommendations for multidisciplinary care are based on specific symptoms which vary from patient-to-patient. The guidelines include 9 evidence-based pharmacological and nonpharmacological recommendations by the expert panel as reported in the October 2007 issue of the Annals of the Rheumatic Diseases. Access checked February 27, 2008.

Sleep Apnea Often Seen With Chronic Opioid Use

Access: http://www.medscape.com/viewarticle/563149
Audience: Physicians
Start/End: September 21, 2007 / September 21, 2008
Credits: Up to .25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians
Price: Free
Program Format: Brief article
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Anthony J Brown, MD; Desiree Lie, MD, MSEd
Description: This learning activity reviews the results of a polysomnographic evaluation of nearly 400 patients who had been receiving around-the-clock opioids for 6 months or longer. The Utah study, reported in the journal Pain Medicine in September 2007, attempted to identify the prevalence of central and obstructive sleep apnea with chronic use of opioids and benzodiazepines. The methods and results of the study are summarized and show that sleep apnea is common in this population. Additional results show 2 specific dose-response associations. Access checked February 12, 2008.

Pain Numeric Rating Scale May Be Only Moderately Accurate for Pain Screening

Access: http://www.medscape.com/viewarticle/563080
Audience: Physicians, Nurses
Start/End: September 20, 2007 / September 20, 2008
Credits: Up to 0.25 AMA PRA Cat. 1 credit; Up to 0.25 AAFP prescribed credit for family physicians; 0.25 ANCC CE contact hours (0 hours in pharmacology) for nurses
Price: Free
Program Format: Brief article
Sponsor: Medscape Medical News
Author(s): Laurie Barclay, MD; Desiree Lie, MD, MSEd
Description: The results of a study on the use of the numeric rating scale in primary care, published in the October 2007 issue of the Journal of General Internal Medicine, are summarized in this educational activity. The design of the study and definitions used for clinically important pain are discussed. The numeric rating scale screenings were compared with 2 functional measures of pain—the Brief Pain Inventory interference scale and a question regarding whether the pain was a motivator to seek healthcare assistance. Access checked February 12, 2008.

Treatment-Failure Gout: Recent Insights and Advances in Definition, Diagnosis, and Treatment

Access: http://www.medscape.com/viewprogram/7366
Audience: Physicians
Start/End: September 13, 2007 / September 13, 2008
Credits: Up to 2.0 AMA PRA Cat. 1 credits
Price: Free
Program Format: Two formats available: web-based multimedia (archived) conference or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): John S. Sundy, MD, PhD; Hyon Choi, MD, DrPH; Michael A. Becker, MD; et al.
Description: This 6-part educational activity is based on a symposium of the same name held in November 2006 following the Annual Scientific Meeting of the American College of Rheumatology. The contents of the program include new insights into the pathophysiological mechanisms of gout, the importance of accurate diagnosis, and new strategies for the effective management of treatment-failure gout. Access checked February 12, 2008.

The NSAID Debate: Balancing Gastro-Protective Effects with Cardiovascular Risk [Arthritis Focus]

Access: http://www.medscape.com/viewprogram/7327
Audience: Physicians
Start/End: September 6, 2007 / September 6, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit
Price: Free
Program Format: Two formats available: web-based multimedia presentation or text with slides
Sponsor: Medscape Ob/Gyn & Women’s Health
Author(s): Joan M. Bathon, MD; Christopher P. Cannon, MD; Loren A. Laine, MD
Description: This 3-part educational activity presented by the Johns Hopkins University School of Medicine begins with a discussion of the prevalence of arthritic conditions and the current status of treatment challenges. The program continues with an evaluation of the data on the impact of clinically important gastrointestinal problems with the use of NSAIDs and criteria for preventive therapies. The final segment examines ways to balance the benefits and risks of NSAIDs and Cox-2 inhibitors in the treatment of arthritis. Access checked February 12, 2008.

Neuropathic Pain: Diagnosis, Treatment, and the Pharmacist's Role in Patient Care

Access: https://secure.pharmacytimes.com/lessons/200509-02.asp
Audience: Pharmacists
Start/End: Unknown / September 1, 2008
Credits: 2.0 ACPE CE (0.2 CEUs)
Price: Free course content available at link above; free registration required for course credit at link below
Program Format: Brief article
Sponsor: Pharmacy Times (See: https://secure.pharmacytimes.com/main.asp?orderby=&group=all)
Author(s): Hildegarde J. Berdine, BS, PharmD, BCPS
Description: Neuropathic pain afflicts an estimated 4 million people nationwide and originates from an injury to the peripheral or central nervous system (or both) and develops into a chronic disorder. Neuropathic pain differs from acute nociceptive pain which is caused in response to a pain-initiating stimulus. This program covers major causes of neuropathic pain, the role of the pharmacist in diagnosis, pharmacologic agents, a treatment algorithm, and new/emerging treatments. Access checked February 12, 2008.

Pain and Addiction 101

Access: http://www.emergingsolutionsinpain.com/index.php?option=com_content&task=view&id=157&Itemid=108
Audience: Physicians, Pharmacists, Nurses
Start/End: Varies, beginning May 2007 / Varies, ending August 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit per module for physicians; 1.0 ACPE contact hour per module for pharmacists; 1.0 CNE contact hour per module for nurses
Price: Free
Program Format: Two options - 5 separate web-based multimedia presentations or text
Sponsor: Emerging Solutions in Pain
Description: This 5-module program on pain management focuses on the balance between effective treatment and addiction concerns. The modules cover the understanding of the neurobiology of pain, nondrug approaches to pain management, and rational pharmacotherapy. Access checked February 12, 2008.

Pain Report #6: An Update on Issues, Research, and Treatment Trends

Access: http://www.pain.com/sections/professional/cme_article/accreditation.cfm?id=224
Audience: Physicians, Nurses
Start/End: Renewed June 2006 / August 31, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1 Contact hour of California Board of Registered Nursing credit
Price: Free
Program Format: 4 Brief articles
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Veerainder Goli, MD, FAAPM; Rebecca S. Finley, PharmD, MS, FASHP
Description: This educational activity examines the status of 4 separate issues related to pain management. The first section reviews the American Geriatrics Society guidelines for the management of persistent pain in older persons; the second section encourages clinicians to become aware of the issues related to the current state of disparities in pain management. The 3rd and 4th parts of the program review non-pharmacologic approaches to pain relief and discuss current legal and ethical issues that impact the delivery of effective pain relief drugs to patients. All 4 articles and the complete exam are required for course completion. Access checked February 12, 2008.

Pain Report #9: Update on the Pharmacologic Management of Cancer Pain

Access: http://www.pain.com/sections/professional/cme_article/accreditation.cfm?id=255
Audience: Physicians, pharmacists, nurses
Start/End: September 2005 / August 31, 2008
Credits: Up to 1.0 AMA PRA Cat. 1 credit; 1.0 ACPE CE for pharmacists; 1.2 Contact Hours for CBRN nurses in California
Price: Free
Program Format: Brief article
Sponsor: Dannemiller Memorial Educational Foundation
Author(s): Neil M. Ellison, MD; Karen Stanley, RN, MSN
Description: Based on an increased understanding of cancer at the cellular level, the current barriers to pain management are explored. Pharmaceutical options for severe, chronic, and breakthrough cancer pain are discussed. Common errors in the use of opioids are covered briefly. Access checked February 12