Pain Management Best Practices During the COVID-19 Pandemic and Public Health Crises: A Discussion of the New Guidelines

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Description

Release Date: April 13, 2020; 6 p.m. CT
Valid Through: December 31, 2021
Format: Didactic, Q&A (75 minutes)
Please Note: Registration is nearing capacity for this live session. The recording for this event will be posted within 2-3 business days.

Target Audience:
This activity was developed to meet the needs of clinicians treating patients in pain while navigating the COVID-19 healthcare crisis.

Description:
The pandemic of COVID-19 infections is causing substantial disruptions to daily life around the world and pain practitioners across the globe are affected by these disruptions while care for their patients with chronic pain.

Pain is inherently subjective, and there is enormous variation in how patients react to pain and how it is treated, even between physicians who practice the same subspecialty. Patients with the same pathology can respond dramatically differently to treatment and react in very different ways to having anticipated treatment withheld including becoming socially withdrawn, functionally disabled, and suicidal. Large variations in practices can have long-standing consequences, such that practices that strictly interpret local recommendations to limit non-essential care to prevent disease spread can lose patients to less scrupulous practices that ignore regional ordinances intended to safeguard the community. For these reasons, there is a strong need for national guidance on pain management practices during epidemics.

In partnership with the journal Pain Medicine, this session will discuss new guidelines on interventional pain management in the wake of the COVID-19 healthcare crisis.

Learning Objectives:
1. Review general and specific risk mitigation procedures related to pain medicine and COVID-19
2. Discuss mechanisms for triaging pain procedures in the current healthcare environment.
3. Discuss mental health considerations and steps providers can take to protect their own health.

Continuing Education:
The American Academy of Pain Medicine (AAPM) provides a live webinar titled “Pain Management Best Practices during the COVID-19 Pandemic and Public Health Crises” and offers continuing medical education (CME) for physicians. Successful completion requires that participants view the live webinar presentation in full and complete an online evaluation. Participants receive their CME certificates after they submit their evaluations online.

Accreditation:
The American Academy of Pain Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:
The American Academy of Pain Medicine designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Instructions for Participants:

1) This activity will consist of a didactic presentation accompanied by Q&A; there is no fee to participate.
2) View the entire presentation.
3) An evaluation must be completed prior to receipt of your certificate. After completing the activity evaluation, a statement of credit will be generated and printed on your own at your convenience.
4) For additional assistance, please contact the American Academy of Pain Medicine, 8735 W. Higgins Road, Suite 300, Chicago, IL 60631, 847-375-4731.

Faculty/Planner Disclosures & Policy:
It is the policy of AAPM to plan and implement educational activities in accordance with the ACCME to ensure balance, independence, objectivity, and scientific rigor. As an ACCME-accredited provider, AAPM may receive commercial support from industry but does not receive guidance, either nuanced or direct, on the content of the activity or on who should deliver the content. All program faculty and planners are required to disclose all financial relationships they may have or have had within the last 12 months with commercial interests whose products or services are related to the subject matter of the presentation. Any real or apparent conflicts of interest must be resolved prior to the presentation. Faculty are expected to disclose this information to the audience both verbally and in print (slideshows) at the beginning of each presentation.

During this unprecedented public health emergency and because there are no current preventive or specific treatments for COVID-19, AAPM reasonably determines that there is no potential for relevant financial relationships and therefore no need to resolve or disclose conflicts.

Faculty:
Steven P. Cohen, MD
Session Director; Planner/Presenter
Johns Hopkins School of Medicine
Baltimore, MD

Emily H. Hill, PA
Hill and Associates
Wilmington, NC

W. Michael Hooten, MD
Planner/Presenter
Mayo Clinic
Rochester, MN

CDR C. Ryan Phillips, MD
Presenter
Naval Medical Center San Diego
San Diego, CA

Friedhelm Sandbrink, MD
Presenter
Washington VA Medical Center
Washington, DC

Milan P. Stojanovic, MD
Presenter
Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
VA Boston Healthcare System
Harvard Medical School
Boston, MA

Ajay D. Wasan, MD MSc
Session Moderator; Planner/Presenter
University of Pittsburgh Medical Center
Pittsburgh, PA

Expert Educational Design:
This educational activity was planned and facilitated by leaders from the American Academy of Pain Medicine (AAPM) working in conjunction with several other professional organizations and federal agencies, including the American Society of Anesthesiologists, American Society of Regional Anesthesia and Pain Medicine, North American Neuromodulation Society, Spine Intervention Society, and the World Institute of Pain, as well as the United States Department of Defense and the United States Department of Veterans Affairs. AAPM is the leading medical association representing physicians committed to advancing the emerging science and practice of pain medicine. This activity is designed to improve access to quality, evidenced- based multidisciplinary pain care across the healthcare continuum.

Privacy:
To view the AAPM Privacy Policy, visit: https://painmed.org/privacy-policy

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Contributors

Steven P. Cohen, MD

Session Director
Johns Hopkins School of Medicine
Baltimore, MD

Dr. Cohen obtained his medical degree at Mount Sinai, completed an anesthesiology residency at Columbia, and a pain fellowship at Massachusetts General Hospital. He is a professor of anesthesiology neurology and physical medicine and rehabilitation at the Johns Hopkins School of Medicine and Uniformed Services University. He is also chief of pain medicine and director of the Blaustein Pain Treatment Center at Johns Hopkins. Dr. Cohen has been active in teaching and pain research, having published over 300 peer-reviewed articles and book chapters. Among his major contributions are the development of an FDA-approved denervation technique for treating sacroiliac joint pain, helping set up the first pain clinic in a war zone, performing the first studies evaluating the epidural administration of biological agents for pain, serving as the Senior Investigator on the Congressionally-mandated study evaluating compounded topical creams for chronic pain, serving as committee chair for the ASRA/AAPM/ASA ketamine guidelines for pain management, and conducting research on facet arthropathy and epidural steroid injections that has changed the way the conditions are viewed and treated.
Coding Expert - Emily Hill, PA

Hill and Associates
Wilmington, NC

President of Hill & Associates, Inc., Emily has a broad professional background in the health care industry. Her clinical, administrative, and consulting experience gives her a unique perspective in advising health care providers and their staff in medical practice management. With more than twenty years of experience as a health care consultant, she has worked with numerous academic and private practices on coding reimbursement, compliance, and practice management issues.

Ms. Hill has taught coding seminars for a number of medical specialty societies including the American Academy of Pain Medicine, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, and the American Academy of Physician Assistants. She is an advisor to the American Academy of Pain Medicine on coding and reimbursement issues. She is a frequent speaker for state associations, national health systems, and numerous medical practices.

She currently serves as a representative on the Health Care Professionals Advisory Committee Review Board for the Relative Value Update Committee (RUC). Ms. Hill was also selected to participate on the American Medical Association's CPT-5 Project, the National Uniform Claim Committee, and on a Clinical Practice Expert Panel for the Health Care Financing Administration's (HCFA) Practice Expense Study. She has served on various workgroups for the RUC and CPT processes.

Ms. Hill provided direct patient care as a certified Physician Assistant for a family practice group, served as Chief Executive Officer of a behavioral health facility, and was Vice President of Operations for a psychiatric management company.

Ms. Hill is a graduate of the Bowman Gray School of Medicine Physician Assistant Program and received her BA in Education from the University of North Carolina at Chapel Hill.
W. Michael Hooten, MD

Mayo Clinic
Rochester, MN

Dr. Michael Hooten, Professor, Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, is a pain medicine specialist with a particular interest in unintended prolonged opioid use, mitigating the risks of suicide during opioid tapering, and the use of ketamine infusions for chronic pain syndromes. He is AAPM President-Elect and serves on the Annual Meeting Program Committee.
CDR C. Ryan Phillips, MD

Naval Medical Center San Diego
San Diego, CA

CDR Ryan Phillips is a native of Scottsburg, Indiana and received his Bachelor of Arts in Biochemistry from Asbury College in 2002. Commissioned in 2001, he earned his Doctor of Medicine degree from the University of Kentucky in 2006 through the Health Professions Scholarship Program (HPSP). He completed a general surgery internship at Naval Medical Center Portsmouth, Virginia. He was designated a Naval Flight Surgeon in 2008 and reported for duty at Carrier Air Wing THREE at Naval Air Station Oceana where he deployed in support of Operations Enduring Freedom and New Dawn aboard the USS HARRY S. TRUMAN in 2010 and earned his Surface Warfare Medical Department Officer device.

Phillips returned to Naval Medical Center Portsmouth for anesthesiology residency in 2011 and was selected as chief resident his final year prior to graduating in 2014. He served a utilization tour as Department Head of Anesthesiology at Naval Hospital Yokosuka, Japan. He was then selected for fellowship training in pain medicine at Naval Medical Center San Diego. Upon completion of fellowship in 2017, he assumed duties as the Director, Pain Medicine Clinic, Naval Medical Center San Diego. In 2018, he deployed as an anesthesiologist in support of the NATO Role 3 Multinational Medical Unit in Kandahar, Afghanistan and served as Director for Surgical Services. Following his return from deployment, he was selected as Pain Medicine Fellowship Program Director. He is also a graduate of the Isenberg School of Management at the University of Massachusetts Amherst where he earned his Master of Business Administration with a Focus in Health Care Administration and the Air Force Command and Staff College Distance Learning Program where he earned Joint Professional Military Education Phase 1. In addition to unit and campaign awards, Phillips’ personal awards include the Meritorious Service Medal, Navy Commendation Medal (two awards), Navy Achievement Medal (two awards), and Military Outstanding Volunteer Service Medal.
Friedhelm Sandbrink, MD

Washington VA Medical Center
Washington, DC

Dr. Sandbrink is the National Program Director for Pain Management for the Veterans Health Administration and leads the comprehensive Pain Program at the Washington DC VA Medical Center. He completed his Neurology residency at Georgetown University and fellowship in Clinical Neurophysiology at the NIH. He is Clinical Associate Professor at the Uniformed Services University in Bethesda, MD, and Assistant Clinical Professor at George Washington University. He participated in the VA/DoD Clinical Practice Guidelines workgroups for Opioid Therapy for Chronic Pain (2017) and for Diagnosis and Treatment of Low Back Pain (2017), and in the Pain Management Best Practices Inter-Agency Task Force established by the Department of Health and Human Services. His interests include collaborative pain care, interdisciplinary pain management, opioid safety, neuropathic pain, and the study of neuroplasticity and placebo/nocebo effects related to pain.
Milan P. Stojanovich, MD

Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
VA Boston Healthcare System
Harvard Medical School Boston, MA

Dr. Stojanovic has been dedicated to the field of Pain Medicine for over 26 years, starting as principal founder of the Interventional Pain Program at Massachusetts General Hospital, Harvard Medical School where he served as its Director for 12 years and introduced several interventional treatment options and had the opportunity to train and mentor many current leaders in the field of Interventional Pain Medicine. He held many national and international leadership positions and currently serves on Spine Intervention Society’s Board of Directors and is Chair of its Standards Division. He is Co-Editor, Spine Section for Pain Medicine journal and current Chair, Educational Committee for the World Institute of Pain. Dr. Stojanovic also served as a Director at Large for the American Society of Interventional Pain Physicians and was co-founder of the Spine and Pain Institute of New England. He is the current Section Editor for the "Interventional Techniques and Pain Management" section for Pain Practice journal. Dr. Stojanovic is Director of Interventional Pain Medicine at Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA and he served as Chief, Pain Medicine, Anesthesiology, Critical Care and Pain Medicine Service, VA Boston Healthcare System, Harvard Medical School where he still teaches fellows and practices. He lectures internationally and nationally and is credited with more than 60 publications. His post-doctoral residency education consisted of internal medicine, pediatrics, anesthesiology and pain management training completed at Massachusetts General Hospital, Harvard Medical School. Dr. Stojanovic has dedicated his career to setting the highest standards and excellence in clinical care including diagnosis and interventional treatment options for chronic pain conditions, innovations, outcome measurement, teaching and clinical research.
Ajay D. Wasan, MD MSc

AAPM President; Session Moderator
University of Pittsburgh Medical Center
Pittsburgh, PA

Dr. Wasan is the Vice Chair for Pain Medicine in the Department of Anesthesiology at the University of Pittsburgh Medical Center (UPMC) and a Professor of Anesthesiology and Psychiatry in the University of Pittsburgh School of Medicine. He is board certified in pain medicine and completed fellowship training in pain medicine in the Anesthesiology Department at Brigham and Women’s Hospital and Harvard Medical School. He is also board certified in Psychiatry and completed a residency in Psychiatry at Johns Hopkins. Dr. Wasan has supervisory responsibility for clinical care across seven pain clinics in the UPMC system, pain medicine clinical faculty, and research within the Pain Medicine Division. He is also Co-Chair of a system-wide committee to improve pain care across UPMC.
COVID-19 Best Practices Pain Management - YouTube

A Resource for Viewing Later:
https://www.youtube.com/watch?v=m_P17TvZQNA
Dr. Steven P. Cohen of Johns Hopkins and Dr. Friedhelm Sandbrink of the Veterans Health Administration discuss new COVID-19 guidelines for pain management with Johns Hopkins' Dr. Shravani Durbhakula. PAIN MEDICINE published "Pain Management Best Practices during the COVID-19 Pandemic and Public Health Crises" on April 7, 2020. Drs. Cohen and Sandbrink are among the authors of the new COVID-19 guidelines available here: https://academic.oup.com/painmedicine

Thank you

Description

Contributors

Steven P. Cohen, MD

Coding Expert - Emily Hill, PA

W. Michael Hooten, MD

CDR C. Ryan Phillips, MD

Friedhelm Sandbrink, MD

Milan P. Stojanovich, MD

Ajay D. Wasan, MD MSc

COVID-19 Best Practices Pain Management - YouTube