10:30AM   

Registration and Brunch Buffet

Faculty:
Quynh Pham, MD
Program Director
Greater LA VAHS Pain Medicine Fellowship training program
Professor, Dept of Medicine, Div of PM&R David Geffen School of Medicine at UCLA

Purpose:
While taken for granted, the assessment of patients with pain is an area that requires careful attention, including the diagnostic evaluation of patients, characterizing the severity of their pain problem(s), communication skills, and development of a multimodal treatment plan. Particular challenges exist in the field of chronic pain. This lecture will address issues in pain assessment and the development of a treatment plan.

Objectives: 

• Distinguish the unique pain assessment and management needs of special populations
• Perform a comprehensive assessment of a patient with pain, pain history, physical examination and pain diagnosis
• Assess patient ratings of pain with valid and reliable tools
• Use operational high impact questions for chronic pain (National Pain Strategy Appendices D and E)
• Incorporate patient preferences and values to determine pain related goals and treatment

Presentation Title:
"Common Musculoskeletal Pain Syndromes "

Faculty:
Paul Lee, MD
Diplomate of the American Board of Physical Medicine and Rehabilitation
Subspecialty in Interventional Pain Medicine
Purpose:
Improve diagnosis and treatment of commonly encountered musculoskeletal pain syndromes such as low back pain, hip pain, and knee pain.

Objectives:

• Diagnose and differentiate types of musculoskeletal pain
• Differentiate fibromyalgia from musculoskeletal pain
• Develop a multimodal treatment plan for patients with musculoskeletal pain
• Employ NSAIDs and other medications for musculoskeletal pain

Presentation Title:
"Neuropathic Pain"

Faculty:
George Pan, MD
Clinical Instructor, Pain Management
UCLA Comprehensive Pain Center
David Geffen School of Medicine, University of California, Los Angeles

Purpose:
Diabetic neuropathy and post herpetic neuralgia are commonly encountered by primary care providers. Treatment of these conditions often uses a different category of medications, the adjuvant analgesics. The goal of this lecture is to review the recognition, evaluation of commonly encountered syndromes, and review medications (adjuvant analgesics) for neuropathic pain.

Objective:

• Diagnose common neuropathic pain syndromes by history and physical
• Evaluate patients for herpes zoster vaccine (pain prevention)
• Select medications for specific syndromes 
     

3:30 PM

Presentation Title:
"Opioid Prescribing"

Faculty:
Eric Hsu, MD
Clinical Professor, Pain Management
UCLA Comprehensive Pain Center
David Geffen School of Medicine, University of California, Los Angeles
Editorial Board Member of the "Journal of Medicinal Acupuncture"

Purpose:

The rise in opioid related deaths has led to the formulation of clinical guidelines by the Centers for Disease Control (Dowell), and uncovered concerns about when to start opioids, how to follow patients, and how to stop opioids. This lecture will review the guidelines and practice management advice to improve the treatment of pain with opioids.

Objectives:

• Summarize CDC guidelines for opioid use in patients with chronic pain
• Educate patients about risks and benefits of opioids
• Perform opioid risk stratification on potential opioid patients with validated tools
• Prepare patients on chronic opioids with naloxone rescue kits
• Manage patients with opioid medications

Presentation Title:
"Cancer and End of Life Pain"

Faculty:
Michael Ma, MD
Internal Medicine
Kaiser Permanente, Fontana/Ontario Medical Centers

Purpose:
Pain management at the end of life is challenging because this is one area where the use of opioids is unquestioned, and assessment can become difficult because of the complex clinical situation. The purpose of this lecture is to review how the principles of pain assessment and management in patients can be applied to patients with advanced cancer.

Objectives:

• Summarize causes of pain at the end of life
• Relate how delirium can affect pain assessment
• Diagnose common cancer pain syndromes, including epidural cord compression, and manage
• Prescribe and titrate opioids in patients with advanced cancer