November 16-17, 2018
Pre-conference Workshop Nov. 15
Wyndham San Diego Bayside
San Diego, California



Why You Should Attend
As a primary care professional, you treat patients in pain every day. The information presented at this meeting will provide you with an opportunity to enhance your clinical care and acquire additional skills in treating patients who present with pain and pain-related symptoms. This meeting is intended to meet the clinical and educational needs of clinicians in the primary care setting and selected specialties, such as non-pain specialists who recognize the importance and challenges associated with treating patients in pain.

There are no prerequisites for the meeting.

Who Should Attend
The Pain Care for Primary Care meeting is intended for physicians in family practice, internal medicine, neurology, and rheumatology, as well as advanced practice nurses and physician assistants working in pain or primary care.

Educational Objectives
Upon completion of this meeting, participants will be able to:

  • Recognize the competencies and skill sets required to provide quality pain care.
  • Develop strategies for handling common and complex pain care situations.
  • Integrate best practices grounded on evidence-based guidelines and recommendations.
  • Assess changes in the care and outcomes of your patients with pain-related conditions.

Continuing Education
The Pain Care for Primary Care course will offer continuing education (CME/CNE) credit for physicians and nurses. Credit will be awarded for those sessions attended and evaluated. Successful completion requires that participants register for the meeting, attend and participate, and complete an online evaluation. Participants will receive their certificates immediately after they submit their evaluations online.

Family Physicians
This live activity has been reviewed and is acceptable for up to 19 prescribed credits by the American Academy of Family Physicians. Family physicians may receive a maximum of 12 AMA PRA CME Category 1 credits™ for completing this program, 3 AMA PRA CME Category 1 credits™ for completing REMS, and 4 AMA PRA CME Category 1 credits™ for completing the pre-conference workshop. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Pain Society and Global Academy for Medical Education. The American Pain Society is accredited by the ACCME to provide continuing medical education for physicians.

The American Pain Society designates this live activity for a maximum of 15 contact hours for completing this program and (1) 4-hour pre-conference workshop at 4.0 AMA PRA CME Category 1 credits

Physician Assistants
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits™ from organizations accredited by ACCME or a recognized state medical society.

This activity has been submitted to the American Association of Neuroscience Nurses for approval to award contact hours. The American Association of Neuroscience Nurses is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses may receive a maximum of 12 Contact Hours for completing this program, 3 Contact Hours for completing REMS, and 4 Contact Hours for completing the pre-conference workshop.


This course is co-sponsored by Amedco and the American Pain Society. Amedco is approved by the Accreditation Council for Continuing Pharmacy Education to sponsor continuing education for pharmacists. Amedco maintains responsibility and designates 12 credit hours for completing this program, 3 credit hours for completing REMS, and 4 credit hours for completing the pre-conference workshop.

There are no prerequisites required of this activity.

Course Objectives
The Patient’s Journey: New Advances in the Treatment of Pain
Robert M. McCarron, DO
1. Understand new advances in pain management.
2. Discuss barriers to optimal delivery of chronic pain management.

Complementary and Integrative Medicine Approaches to Treating Chronic Pain
Robert Bonakdar, MD, FAAFP, FACN
1. Review the prevalence and rationale for the use of complementary and integrative in pain care.
2. Examine the evidence for complementary and integrative therapies in the treatment of common pain conditions.
3. Evaluate effective models for incorporation of complementary and integrative therapies for optimizing pain care in primary care.

What to Do When You Don’t Know What to Do
Robert M. McCarron, DO
1. Discuss treatment approaches for unexplained physical complaints.
2. Review strategies for assessment of those with unexplained somatic complaints.

Fibromyalgia: New Treatment Options
David E.J. Bazzo, MD
1. Identify diagnostic criteria for fibromyalgia.
2. Discuss the various pharmacologic and non-pharmacologic treatments available for individuals with fibromyalgia.

Pathways in Pain Management: Osteoarthritis and Chronic Low Back Pain
Wendy L. Wright, DNP(c), ANP-BC, FNP-BC
Sponsored by the Nurse Practitioner Healthcare Foundation provided through an independent education grant funded by Pfizer Inc., in partnership with Lilly USA, LLC.
Develop practical strategies to manage pain and improve function for patients with osteoarthritis (OA) and chronic low back pain (CLBP) by:
1. Using appropriate assessment, management, and educational tools and resources to support the care of patients with OA and CLBP.
2. Assessing and implementing the nationally accepted guidelines and standards of care for OA and CLBP.
3. Describing pathophysiology so patients understand the etiology of their pain and treatment rationale.
4. Partnering with patients to establish positive and realistic goals of their care.

Interventional Approaches:
Nerve Blocks, Injections, and Neuromodulation for Pain

Paul J. Christo, MD, MBA
1. Identify patients who may benefit from interventional procedures.
2. Recognize procedural interventions for spinal/ non-spinal pain.
3. Describe patients who may benefit from neuromodulation therapies.

Chronic Daily Headaches and Migraines
David E.J. Bazzo, MD
1. Describe International Headache Society criteria for primary headache.
2. Describe criteria for chronic daily headache.
3. Compare and contrast currently available, acute pharmacologic treatment for headache.
4. Classify commonly utilized medications for migraine prophylaxis.

A Deeper Dive into the Pain Psychology Treatment Toolbox
Mark A. Lumley, PhD
1. Examine leading psychological treatments for chronic pain and their limitations.
2. Understand emerging psychological models and treatments.
3. Identify behaviors for primary care clinicians to use for patients with chronic pain.

Pain Management and Opioids: Balancing Risks and Benefits
(Collaboration for REMS Education): Part 1 and Part 2
David E.J. Bazzo, MD
Wendy L. Wright, DNP(c), ANP-BC, FNP-BC
1. Accurately assess patients with pain for consideration of an opioid trial.
2. Establish realistic goals for pain management and restoration of function.
3. Initiate opioid treatment (IR and ER/LA) safely and judiciously, maximizing efficacy while minimizing risks.
4. Monitor and re-evaluate treatment continuously; discontinue safely when appropriate.
5. Counsel patients and caregivers about use, misuse, abuse, diversion, and overdose.
6. Educate patients about safe storage and ability to access general and specific information about opioids, especially those used in your practice.

Unexpected Urine Drug Test Results: What to Do?
Edwin Salsitz, MD
1. Discuss the rationale for drug toxicology testing.
2. Describe the pros and cons of IA screening tests and GC/MS confirmatory testing.
3. Review the criteria for specimen integrity.
4. Understand the role of drug testing in the context of clinical care of the patient.

Assessment and Management of Neuropathic Pain:
Advances, Challenges, and Opportunities

Srinivasa N. Raja, MD
1. Recognize the prevalence of neuropathic pain, and assess and differentiate neuropathic pain from nociceptive pain.
2. Discuss evidence-based pharmacologic and interventional treatment options for neuropathic pain with your patients.
3. Recognize the limitations in effectiveness of present pharmacological therapies and develop multi-modal strategies for personalizing the treatment in a given patient.

Medicinal Cannabis: An Alternative to Opioids?
Timothy J. Furnish, MD
1. Discuss the evidence regarding cannabis and pain with patients.
2. Educate patients regarding adverse effects of cannabis use.
3. Educate patients regarding the onset and duration for oral vs. inhaled delivery of cannabis. 

The Future: Nanomedicine and Pain
Krishnan Chakravarthy, MD, PhD
1. Learn what is nanomedicine.
2. Learn about current field of nanomedicine being applied to pain management.
3. Learn about future applications of this technology in creating new diagnostic and therapeutic platforms in pain management.

Managing Chronic Pain in Rheumatic Diseases
Kim Dupree Jones, PhD, FNP, FAAN
1. Differentiate types of chronic pain by mechanism and response to treatment.
2. Identify levels of evidence to support pharmacologic and non-pharmacologic treatment for chronic pain/fibromyalgia.
3. Debate cannabis’ role in chronic pain.
4. Integrate a rational stepwise approach to non-pharmacologic therapies in the long-term treatment of chronic pain/fibromyalgia.

Debate: Should We Be Prescribing Opioids for Pain Management?
Moderator: David E.J. Bazzo, MD
Panel: Paul J. Christo, MD, MBA
 Edwin Salsitz, MD
1. Identify patients who may benefit from interventional procedures.
2. Recognize procedural interventions for spinal/ non-spinal pain.
3. Describe patients who may benefit from neuromodulation therapies.
4. Decide if prescribing chronic opioids for chronic pain meets your criteria for effectiveness and safety.
5. Explain whether benefits outweigh risks.


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