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Implementation of the National Pain Strategy and Safer Opioid Prescribing: A Military Perspective (Archive)


Release Date: September 14, 2016
Valid Through: September 14, 2019
**CME Expired - Credit No Longer Provided** 
Format: Didactic, PowerPoint 

Pain is a widespread problem among service members and veterans. As a result the military health services (MHS) has recognized effective pain management and functional restoration as a priority. Both the MHS and Defense & Veterans Center for Integrative Pain Management (DVCIPM) were represented on the National Institutes of Health Interagency Pain Research Coordinating Committee, which developed the National Pain Strategy.

Dr. Buckenmaier will describe the efforts of the DVCIPM to develop tools, infrastucture, and strategies to synchronize quality pain care across the healthcare systems of both the Department of Defense and Veterans Administration. These include the Joint Pain Education Project, a standardized pain management curriculum, the Acupuncture Training Across Clinical Settings program, and the Defense & Veterans Pain Rating Scale (DVPRS), which provides insight into the impact of pain on critical indicators such as activity, sleep, mood, stress, and function, and serves as a screening instrument for the Pain Assessment Screening Tool and Outcomes Registry (PASTOR). PASTOR considers improvements in physical and emotional function and other critical factors when determining the success of treatment over time. Standardized use of PASTOR will provide a large, longitudinal outcomes registry to evaluate the effectiveness of pain treatment protocols and perform population-based research.

The application of military strategies and tools for pain management to the general population may improve the effectiveness of pain management and long-term patient outcomes at a critical time as the country struggles with opioid prescription misuse and abuse.


Chester 'Trip' Buckenmaier III, MD
COL (ret), MC, USA
Program Director,
Defense and Veterans Center for Integrative Pain Management,
Department of Defense Center of Excellence
Professor Anesthesiology,
Department of Military Emergency Medicine,
Uniformed Services University

Speaker Bio: Chester 'Trip' Buckenmaier III, MD, Colonel, U.S. Army (Retired) is the Program Director and Principal Investigator for the Uniformed Services University’s (USU) Defense & Veterans Center for Integrative Pain Management (DVCIPM) under the department of Military Emergency Medicine. He is Program Director Emeritus of the National Capital Consortium’s Regional Anesthesia Fellowship Program at Walter Reed National Military Medical Center (WRNMMC), Professor in Anesthesiology at the USU, and a Diplomat, with the American Board of Anesthesiology.

He attended Catawba College, on a Reserve Officers' Training Corps (ROTC) scholarship, graduating with a degree in Biology in 1986. He then attended East Carolina University in Greenville, NC, receiving a Master in Science in Biology in 1988. In 1992, he graduated from the Uniformed Services University of the Health Sciences in Bethesda, MD, completing his Anesthesia Residency at Walter Reed Army Medical Center. In addition, he completed a one year Fellowship in Regional Anesthesia at Duke University in 2002, resulting in the creation of the only Acute Pain Medicine Fellowship in the Department of Defense, based at Walter Reed.

In September 2003, he deployed with the 21st Combat Support Hospital to Balad, Iraq, and demonstrated that the use of advanced regional anesthesia can be accomplished in a forward deployed environment. He performed the first successful continuous peripheral nerve block for pain management in a combat support hospital. In April 2009, he deployed to Camp Bastion, Afghanistan, with the British military and organized the first acute pain service in a theatre of war.

Author and Co-Editor of the Acute and Perioperative Pain section in Pain Medicine, he is extensively published in pain medicine, particularly as it relates to combat wounded. He also serves as the Editor-in-Chief of US Medicine with a monthly column on topics of federal medicine interest.

Learning Objectives:
  1. Describe tools and strategies developed by the DVCIPM to improve and synchronize quality pain care across the healthcare systems of the Department of Defense and Veterans Administration
  2. Assess how tools and strategies developed by the MHS and DVCIPM address recommendations by the National Pain Strategy to strengthen the evidence base for pain prevention strategies, assessment tools, and outcome measures.
  3. Evaluate how military strategies and tools for pain management may be applied to the general population to improve the effectiveness of pain management and patient outcomes.

Continuing Education: The American Academy of Pain Medicine (AAPM) provides an enduring webinar titled “Implementation of the National Pain Strategy and Safer Opioid Prescribing: A Military Perspective” and offers continuing medical education (CME) for physicians. Successful completion requires that participants register for the webinar and complete a pre-test, attend and participate, and complete an online post-test and 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. The American Academy of Pain Medicine was awarded Accreditation with Commendation for a term of six years as a provider of continuing medical education for physicians by the Accreditation Council of Continuing Medical Education. The six-year accreditation is the highest accreditation awarded by the ACCME.

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

Funding: Funding for this initiative was made possible (in part) by Providers’ Clinical Support System for Opioid Therapies (grant no. 5H79TI025595) from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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Disclaimer: The material presented in this activity represents the opinion of the authors/faculty and not necessarily the view of the American Academy of Pain Medicine.

Instructions for Course Participants:
This activity will consist of a didactic presentation accompanied by PowerPoint slides. There is no fee to participate.
The learner is required to respond to the pre-test question(s) before beginning the presentation. Since it is not possible to fail a pre-test, upon submission, "passed" will appear on your screen. This is not an indication that questions were answered correctly.
You are required to view the entire presentation.
Learners must answer all post-test questions and receive a passing score (minimum 80%) to proceed to the activity evaluation. Learners will be allowed a maximum of three opportunities to successfully receive a passing score.
An evaluation must be completed prior to receipt of your certificate.
After completing the post-test and activity evaluation(s), a statement of credit will be generated which can be printed on your own at your convenience.
For additional assistance, please contact the American Academy of Pain Medicine, 8735 W. Higgins Road, Suite 300, Chicago, IL 60631, 847-375-4731.
If you need further assistance with software requirements please contact

Internet CME Policy
In regard to its CME programming and initiatives, The American Academy of Pain Medicine is committed to protecting the privacy of its members and customers. AAPM maintains its website as an information resource and service for physicians and other health care professionals. AAPM will ensure that all personal and credit card information be kept confidential when participating in any Internet CME activity and that personal information will not be shared with any person/entity outside of AAPM. AAPM will ask for only that information necessary to provide the service(s) requested.

Faculty/Planner Disclosures & Policy: It is the policy of AAPM to plan and implement educational activities in accordance with ACCME’s Essential Areas and Elements to ensure balance, independence, objectivity, and scientific rigor. 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 will be resolved prior to the presentation. All confirmed faculty disclosure information will be made available to participants prior to the activity. Faculty will also be expected to disclose this information to the audience both verbally and in print (slide presentation) at the beginning of each presentation. Faculty members are also required to inform program participants if any unlabeled uses of products regulated by the U.S. Food and Drug Administration will be discussed.

Disclosure information appears below.

Larry C. Driver, MD
Chair, AAPM Professional Education and CME Oversight Committee
No relevant financial relationships

Lynn R. Webster, MD
Vice President of Scientific Affairs
PRA Health Sciences
AstraZeneca (consultant)
Cara Therapeutics (consultant)
Charleston Labs (advisory board)
Egalet (advisory board)
Depomed (travel expenses)
Insys Therapeutics (consultant)
Jazz Pharmaceuticals (advisory board)
Kaleo Pharmaceuticals (advisory board)
Marathon Pharmaceuticals (consultant)
Merck (consultant)
Orexo Pharmaceuticals (advisory board)
Pfizer (advisory board)
Proove Biosciences(advisory board)
Trevena (advisory board)
Shionogi (advisory board)
Zogenix (consultant)

Jennifer Westlund, MSW
Director of Education, American Academy of Pain Medicine
No relevant financial relationships

Angela Casey
VP, Medical Director, PharmaCom Group
No relevant financial relationships

Chester 'Trip' Buckenmaier III, MD
COL (ret), MC, USA
Program Director, Defense and Veterans Center for Integrative Pain Management
No relevant financial relationships

Disclosure Disclaimer:
Please note: The disclosure information stated above were relevant financial relationships based upon the 12-month reporting period prior to the live education activity date of August 24, 2016.

Expert Educational Design: This education initiative was planned and facilitated by leaders from the American Academy of Pain Medicine (AAPM). AAPM is the leading medical association representing physicians committed to advancing the emerging science and practice of pain medicine. This comprehensive pain medicine curriculum is designed to improve access to quality, evidenced- based multidisciplinary pain care across the healthcare continuum.

Provider: Presented by the American Academy of Pain Medicine in partnership with PharmaCom Group, Inc. and hosted by Blue Sky eLearn.