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Community of Practice in Family Medicine:
Chronic PainFMF 2015
http://www.cfpc.ca/ProjectAssets/Templates/Series.aspx?id=4238&terms=Chronic+pain
CFPC Chronic Pain Committee
• Ruth Dubin (Chair) [email protected]• Greg Chernish (Saskatchewan/Manitoba)• Lydia Hatcher (Canadian Opioid Guideline)• Bruce Hollett (Atlantic Canada)• Roman Jovey (Canadian Pain Society)• Lori Montgomery (BC/Alberta) • Mark Ware (Quebec) • Stacie King (Resident Member)• Victor Ng (CFPC Liaison support)• Maureen Desmarais (CFPC support)
Resources – for you(and some for your patients)
CFPC: Authorizing Dried Cannabis for Chronic Pain or Anxiety: Preliminary Guidance
Document Sept 2014.
http://www.cfpc.ca/Dried_Cannabis_Prelim_Guidance/http://www.cfpc.ca/cannabis_orientation_preliminaire/
Canadian Pain Societyhttp://www.canadianpainsociety.ca
• 2016: VANCOUVER, BC May 24-28, 2016
• 2017: HALIFAX, Nova Scotia (May 23–27)
GREAT myofascial pain app:Real Bodywork (Itunes)
Myofascial Pain Does Not Respond to OPIATES!You can use trigger point injections, acupuncture, TENS, stretching, Yoga,
And other Manual Therapies
Canadian Opioid Guideline-2010
Canadian Opioid Guidelinehttp://nationalpaincentre.mcmaster.ca/opioid/
Opioid Manager(TM) for MDs and My Opioid Manager(TM) for patientswww.opioidmanager.com
Opioid Manager(TM) App for iPhone and iPadhttps://itunes.apple.com/ca/app/opioid-manager/id527601780?mt=8
OPIOID MANAGER (UPDATED): • http://nationalpaincentre.mcmaster.ca/opioidmanager/opioid_manager_download.html
Undergraduate medical education 6 hours lecture time 6 hours small group teaching 1 day with NPs in hospital
Family medicine residency training 3 hours R1 academic teaching 4 days clinical rotation at Chronic Pain Centre 3 hours R2 academic teaching
Mandatory rotations Anesthesia PM&R Palliative medicine
Electives: psychiatry, neurology, O&G 120 learners at CPC annually
Pain Medicine Residency Application for accreditation pending (July 2016)
Calgary Pain Conference (1st Thurs-Fri in December)
Pain Society of Alberta Conference (Sept or Oct)
Pain Awareness Day (during NPAW) Chronic Pain Management for the Family Physician Mainpro C, 4-5 x per year
Managing Problem Opioid Use (upcoming) Pain Education Day acute and primary care teams, 4 x per year
Chronic Pain Symposia Series 4 times per year, formerly “grand rounds”
Primary Care Network team development seminars Series of 6 team learning seminars
Lunch and Learn Series Upon request, case-based discussion
ECHO ONTARIO: Chronic Pain
JOIN US AT QUEENS CPD OFFICETHURSDAYS 1230 to 230 PM
www.echoontario.ca
http://ocfp.on.ca/cpd/collaborative-networks/mmap
Mentorship network of HCPs sponsored by the OCFP and Atlantic Mentorship NetworkAnnual educational conferencesRegional group meetingsCase based blog hosted on the MacHealth Network1-day Mainpro-C MMAP Primer
Pain Management Primer• 12-hour Mainpro-C, small group, case-based program
provided to FDs or teams across Canada– Burden of illness– Pathophysiology– Assessment and diagnosis– Physical treatments– Psychological treatments– Non-opioid pharmacotherapy– Optimizing opioid therapy– Increasing efficiency of office-based pain management
• Funded by Purdue Pharma• Administered by the Pain Society of Alberta
http://www.cpd.utoronto.ca/opioidprescribing/
http://patch4patch.ca :Fentanyl patches must be returned to pharmacy to receive the next prescription
Atlantic Canada
• Atlantic Mentorship Network – Pain and Addiction– Education program development– Capacity development in the community
• The Prescribing Course – Safe Opioid Prescribing– Full day interactive based on Canadian Guidelines– MainPro – C credit– Handbook with course– Connection to experts in prescribing
Graduate Certificate in Chronic Pain Management; an online program from McGill University School of Physical and Occupational Therapy in collaboration with the Alan Edwards Centre for Research on Pain. This interdisciplinary and interactive online program provides healthcare professionals with in-depth evidence-based advanced knowledge about chronic pain management. This certificate is offered in French and in English.
The Canadian Consortium for the Investigation of CannabinoidsPromoting evidence-based education and research on the science of cannabinoids and the endocannabinoid system.
www.ccic.net
www.mcgill.ca/spot
Advanced credentials
• CANADIAN ACADEMY OF PAIN MANAGEMENT: http://www.canadianapm.com/credentialing.html
• University of Alberta Faculty of Rehabilitation Medicine, Shawn Drefs, Certificate Programs Coordinator, [email protected] 780-492-1587 www.rehabmed.ualberta.ca/painmanagement
• Online McGill School of Physical and Occupational Therapy, Daniel Ziemianski, Program coordinator, [email protected], http://www.mcgill.ca/spot/programs/online-graduate-certificates/chronic-pain-management
For patients and families • The Canadian Pain Coalition
http://www.canadianpaincoalition.ca/
Meghan O’Leary Danielle DeptuckCoordinator Support Facilitator613-888-5007 Tel: 613-542-2949 [email protected] [email protected]
Kingston Community Health Centres400 Elliott Avenue
Kingston, Ontario K7K 6M9
www.livingwellseontario.cawww.facebook.com/LivingWellSouthEastOnt
Self –Management Program of Southeastern Ontario
MINDFULNESS FOR CHRONIC PAIN
http://bloomberg.nursing.utoronto.ca/Assets/Nursing+Digital+Assets/CASPP/CPSMP/CPSMP+Master+Training+Registration+Form.pdf
www/neuronovacentre.com
Peer ConsultantsMissing link in the treatment of chronic pain
Dr Fabian Schwarz: [email protected]
Canadian Family Physician Oct 2015; 61(10): 837-838http://www.cfp.ca/content/61/10/837.full
“Peer Consultants are people with lived experience of chronic non-cancer pain who have gained a better quality of life and expressed an interest in helping others with similar challenges”
• What do YOU think about the role of peer support workers as part of the treatment team for chronic non-cancer pain?
• Would YOU refer to a peer consultant? • What training should peer support workers
receive? • Would YOU be interested in reading or contributing towards a medical journal (publication) ‘stories for life – the peer consultant’ which aims at providing an outlet for narrative medicine linking peer consultants with the general practice community?
