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Chairman
Family Physician
Clinical Assistant Professor
Department of Community Health and Family Medicine
University of Florida
Gainesville, Florida
Professor and Chief, Division of Pain Medicine
Vice Chair, Anesthesiology and Pain Medicine
Department of Anesthesiology and Pain Medicine
University of California, Davis School of Medicine
Sacramento, California
| Credit Types: | CME |
| Credit Amount: | 1.0 Credits |
| Release Date: | 2011-Aug-08 |
| Expiration Date: | 2012-Aug-08 |
| Estimated Time for Completion: | 60 minutes |
| Registration Required: | No |
| Cost: | Free |
Mechanism for the learner to contact PIM
information@pimed.com

Jointly sponsored by the Postgraduate Institute for Medicine and ACCELMED.
This activity is supported by an educational grant from Lilly USA, LLC.
Despite many available pharmaceuticals, chronic pain remains a poorly controlled condition. The major barriers include insufficient recognition and evaluation of pain, lack of understanding of its complicated pathophysiology, and lack of familiarity with mechanism-based neuromodulatory treatments. This is further exacerbated by the lack of appropriate training specifically designed for pain management among many clinicians. Accordingly, this activity will discuss practical strategies for pain severity evaluation and current understanding of pain pathophysiology. Furthermore, this activity will highlight potential neuromodulatory targets for treatment as they relate to the underlying neurobiological pathways, particularly during the transition from acute to chronic pain. Recent clinical trial data demonstrating the effectiveness of neuromodulatory analgesics in managing chronic pain will also be discussed.
At the conclusion of this activity, participants should be better able to:
This activity is designed for internal medicine clinicians and other healthcare professionals interested in the management of chronic pain.
| 20 minutes | Overview of Chronic Pain as a Disease in Its Own Right Louis Kuritzky, MD |
| 25 minutes | Science Behind Pain Sensation: Current Understanding of Chronic Pain Neurobiology Scott M. Fishman, MD |
| 10 minutes | From Symptom Control to Mechanism-specific Treatment: How to Adequately Assess Pain and Rationally Select Neuromodulatory Analgesics Scott M. Fishman, MD Louis Kuritzky, MD |
| 5 minutes | Question and Answer Session All Faculty |
Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Postgraduate Institute for Medicine and ACCELMED. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Postgraduate Institute for Medicine (PIM) assesses conflict of interest with its instructors, planners, managers and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by the PIM for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. The PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
| Name of Faculty or Presenter | Reported Financial Relationship |
| Scott M. Fishman, MD | Has no relationships with commercial interests |
| Louis Kuritzky, MD | Consultant Fees: Lilly USA, LLC; PriCara®, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. |
The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
The following PIM planners and managers, Jan Hixon, RN, BSN, MA, Trace Hutchison, PharmD, Julia Kimball, RN, BSN, Samantha Mattiucci, PharmD, Patricia Staples, MSN, NP-C, CCRN, and Jan Schultz, RN, MSN, CCMEP hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.
The following ACCELMED planner and manager, Jason Xu, MD, PhD, hereby states he or his spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The Postgraduate Institute for Medicine (PIM), ACCELMED, and Lilly USA, LLC do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the PIM, ACCELMED, and Lilly USA, LLC. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
There are no fees for participating and receiving CME credit for this activity. During the period August 8, 2011 through August 8, 2012 , participants must read the learning objectives and faculty disclosures and study the educational activity.
PIM supports Green CME by offering your Request for Credit online. If you wish to receive acknowledgment for completing this activity, please complete the posttest and evaluation on www.cmeuniversity.com. On the navigation menu, click on “Find Post-test/Evaluation by Course” and search by project ID 7791. Upon registering and successfully completing the posttest with a score of 70% or better and the activity evaluation, your certificate will be made available immediately. Processing credit requests online will reduce the amount of paper used by nearly 100,000 sheets per year.
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Which of the following is considered a clinically meaningful reduction in pain for most patients with chronic pain?
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