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) drruth@doctorruthdubin.ca• 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 Guideline

http://nationalpaincentre.mcmaster.ca/opioid/

Opioid Manager(TM) for MDs and My Opioid Manager(TM) for patients

www.opioidmanager.com

Opioid Manager(TM) App for iPhone and iPad

https://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

• glyn@painsocietyofalberta.org

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, paincertificate@ualberta.ca 780-492-1587 www.rehabmed.ualberta.ca/painmanagement

•Online McGill School of Physical and Occupational Therapy, Daniel Ziemianski, Program coordinator, daniel.ziemianski@muhc.mcgill.ca, 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 Deptuck

Coordinator                                       Support Facilitator

613-888-5007                                   Tel: 613-542-2949 x1179

meghano@kchc.ca                           danielled@kchc.ca  

Kingston Community Health Centres400 Elliott Avenue

Kingston, Ontario K7K 6M9

www.livingwellseontario.cawww.facebook.com/LivingWellSouthEastOnt  

Self –Management Program of Southeastern Ontario

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: fabian@outlook.com.au

Canadian Family Physician Oct 2015; 61(10): 837-838http://www.cfp.ca/content/61/10/837.full • 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?