Harvard Medical School presents…

acute pain management symposiumSaturday, September 7 – Monday, September 9, 2013The Fairmont Copley Plaza, 138 St. James Ave., Boston, MA

Ha

rv

ar

d M

edic

al

Sc

ho

ol

• D

epa

rt

men

t o

f C

on

tin

uin

g E

du

cat

ion

course Description This Acute Pain Management course is designed for a primary target audience of anesthesiologists. Primary care physicians, hospitalists, and other allied health professionals who are responsible for the Pain Management of patients in Acute Pain that are either in hospital or pre-hospital may also find the course of interest. The Acute Pain Management Symposium will focus on a comprehensive review from Pharmacologic Management, Adjuvant therapies to Advanced pain management techniques and strategies. The course will include workshops on complementary medicine (acupuncture, bio-feedback, relaxation techniques) as well as ultrasound guided blocks in the upper and lower extremities.

Learning objectivesUpon completion of this course, participants will be able to:• Evaluatethephysiologicalandpsychologicaleffectsofacutepain• Determinehowtomaximizeadjuvanttechniquesinacutepainmedicine• Utilize advancedpainmanagementtechnologiessuchasPatientControlledAnalgesia• Assessandmeasurepainandtreatmentsofpain• Criticallyevaluatetheuseofpharmacologicandnon-pharmacologicaltechniques• Satisfy MABoardofRegistrationinMedicine(BORM)PainManagementandEnd-of-

LifeCaretrainingrequirements,includingcounselingpatientsonthesideeffectsandadditive nature of prescription medications.

target audienceAnesthesiologists, hospitalists, surgeons, primary care physicians responsible for acute pain management in their settings. Nurses and nurse practitioners with a focus on acute pain management.

accreditationTheHarvardMedicalSchoolisaccreditedbytheAccreditationCouncilforContinuingMedicalEducationtoprovidecontinuingmedicaleducationforphysicians.

The Harvard Medical School designates this live activity for a maximum of 21.25 AMA PRA Category 1 Credits™.CourseOnlyforamaximumof13.50AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

acgme competenciesThiscourseisdesignedtomeetoneormoreofthefollowingAccreditationCouncilofGraduateMedicalEducationcompetencies: • Patientcare •Medicalknowledge •Interpersonal&communicationskills

Registration informationEarly Bird Registration—Postmarked on or before August 15, 2013: EarlyBirdPhysicians:CourseOnly $550(USD)EarlyBirdPhysicians:Coursew/UltrasoundWorkshop $750(USD)EarlyBirdPhysicians:Coursew/MedicineWorkshop $700(USD)

EarlyBirdOtherProfessionals:CourseOnly $450(USD)EarlyBirdOtherProfessionals:Coursew/UltrasoundWorkshop $650(USD)EarlyBirdOtherProfessionals:Coursew/MedicineWorkshop $600(USD)

Workshops Only: UltrasoundWorkshopOnly $350(USD)MedicineWorkshopOnly $250(USD)

Registration after August 15, 2013: Physicians:CourseOnly $650(USD)Physicians:Coursew/UltrasoundWorkshop $850(USD)Physicians:Coursew/MedicineWorkshop $800(USD)

OtherProfessionals:CourseOnly $500(USD)OtherProfessionals:Coursew/UltrasoundWorkshop $700(USD)OtherProfessionals:Coursew/MedicineWorkshop $650(USD)

Registrationbycreditcard(VISAorMasterCard)canbemadeat:www.cme.hms.harvard.edu/courses/acutepain.Registrationbycheck(draftonaUnitedStatesbank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School–Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Mail-in registration is permitted. Please download, thenmailtheregistrationpanelfoundontheonlinePDF.Telephoneorfaxregistrationisnotaccepted.Registrationwithcashpaymentisnotpermitted.UponreceiptofyourpaidregistrationanemailconfirmationfromtheHMS-DCEofficewillbesenttoyou.Besureto include an email address that you check frequently. Your email address is used for critical information, including registration confirmation, evaluation, and certificate.

inquiriesByphone617-384-8600,Monday–Friday,10amto4pm(EST)orbyemailat: hms-cme@hms.harvard.edu.

online informationToregisterorviewactivityinformationonline,visit:www.cme.hms.harvard.edu/courses/acutepain.

Disclosure policyHarvardMedicalSchool(HMS)adherestoallACCMEEssentialAreas,Standards,andPolicies.ItisHMS’spolicythatthosewhohaveinfluencedthecontentofaCMEactivity(e.g., planners, faculty, authors, reviewers, and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Refund policyAhandlingfeeof$60isdeductedforcancellation.Refundrequestsmustbereceivedbypostal mail, email, or fax one week prior to this activity. No refunds will be made thereafter.

course LocationAllsessionsforthisactivitywillbeheldatTheFairmontCopleyPlaza,138St.JamesAve.,Boston,MA(Telephone:617-267-5300).

accommodations/travelAlimitednumberofroomshavebeenreservedatTheFairmontCopleyPlaza(Telephone:617-267-5300)untilAugust 9, 2013. Please specify that you are enrolled in this course toreceiveareducedroomrateof$329pernightSingle/Double.Hotelarrangementscanalsobemadeonlineat:http://www.fairmont.com/copley-plaza-boston.Pleasedonotpurchase non-refundable airline ticket(s) until you have received an email from our office confirmingyourpaidregistration.ForairlinereservationscontacttheHMSTravelDesktollfree1-877-4-HARVMD(1-877-442-7863)Monday–Friday,9am–8pm(EST).FromoutsidetheU.S.,Canada,andVirginIslands,pleasecall617-559-3764.

Guest Faculty: DaviD EDwarDs, MD • MElissa stonE, Ma • stEvEn J. scrivani, DDs, DMedsc • EvE KEnnEDy-spaiEn, otr/l • lisa watt, rn, Msn, pnp • EugEnE viscusi, MD • wEi Zhang, licacHMs Faculty: charlEs BErDE, phD • Dustin BoonE, MD • KarEn BorEtsKy, MD • aDaM carinci, MD • Eva chittEn-DEn, MD • Darrin corrEll, MD • lucy chEn, MD • KatharinE FlEischMann, MD • JatinDEr gill, MD • christinE grEco, MD • paDMa gulur, MD • phil hEss, MD • DaviD JanFaZa, MD • Mihir KaMDar, MD • charlEs KElly, MD • KarstEn KuEppEnBEnDEr, MD • ronalD J. Kulich, phD, MD • alyssa lEBEl, MD • JianrEn Mao, MD • vicKi MoDEst, MD • Jyotsna nagDa, MD • JaMEs rathMEll, MD • navil sEthna, MD • lauriE shapiro, MD • pEtEr stEFanovich, MD • KaMEn vlassaKov, MD • ana Maria vrancEanu, phD • shanE volnEy, MD • luKE wang, MD • lisa warrEn, MD • alan witKowEr, EdD • lisa wollMan-KliMan, MD • yi Zhang, MD • JiE Zhou, MD

course Director: Padma Gulur, MD, Assistant in Anesthesia, Assistant Professor, Harvard Medical School

course administrators: Stacy Dube and Lisa Shriver

print name clearly – all Fields Required

Full Name First Middle Initial Last

Mailing Address Street City State Zip Code

Daytime Phone ( ) Fax Number ( )

pLease note: Your email address is used for critical information about the course including: registration confirmation, course evaluation, and certificate. Please be sure to include an email address you check daily or frequently.

Email Address ❏ Please check if you wish to be excluded from receiving email notices of future HMS-DCE programs.

Profession Degree

Primary Specialty (Physicians Only)

Board Certified: ❏ Yes ❏ No

Professional School Attended (Physicians Only ❏ Harvard Medical School ❏ U.S. Medical School

❏ International Year of Graduation

Online registrants add the first three characters of the source code here ➞ Source Code: W E B

acute pain management symposium Saturday, September 7 – Monday, September 9, 2013 class #3314501

eaRLy BiRD Registration—postmarked on or BeFoRe august 15, 2013:

Physicians: Course Only ❏ $550 (USD)Physicians: Course w/ Ultrasound Workshop ❏ $750 (USD)Physicians: Course w/ Medicine Workshop ❏ $700 (USD)

Other Professionals: Course Only ❏ $450 (USD)Other Professionals: Course w/ Ultrasound Workshop ❏ $650 (USD)Other Professionals: Course w/ Medicine Workshop ❏ $600 (USD)

Workshops only: Ultrasound Workshop Only ❏ $350 (USD)Medicine Workshop Only ❏ $250 (USD)

Registration aFteR august 15, 2013:

Physicians: Course Only ❏ $650 (USD)Physicians: Course w/ Ultrasound Workshop ❏ $850 (USD)Physicians: Course w/ Medicine Workshop ❏ $800 (USD)

Other Professionals: Course Only ❏ $500 (USD)Other Professionals: Course w/ Ultrasound Workshop ❏ $700 (USD)Other Professionals: Course w/ Medicine Workshop ❏ $650 (USD)

Register early for “course with workshop” and save $$$

✁

acute pain management symposium scHeDuLesatuRDay, septemBeR 7, 2013WoRKsHop #1 ultrasound-guided Regional Blocks (Maximum attendance: 30)

7:00–7:30 RegistrationandContinentalBreakfast

7:00–7:10 Welcome and Introduction Director:PadmaGulur,MD

7:30–16:00 Workshop on Ultrasound-Guided Regional Blocks •SupervisedHands-OnScanningonLiveModels•OpportunitytoUseaVarietyofUltrasoundMachines•Hit-the-TargetPracticeonPhantoms•Knobology•ThoroughReviewofSonoanatomy• VideoDemonstrationofNerveBlockProcedures•PracticalTipsandTricksforUltrasound-GuidedBlocks•PainandEmergencyMedicineStations•BeginnerandAdvancedPractitionerTracks

Hands-on Workshop (Maximum 5 attendees per station)

1. Ultrasound-Guided Upper Extremity Blocks (HumanVolunteers)I. InterscaleneBrachialPlexusBlockII. SupraclavicularBrachialPlexusBlockIII.InfraclavicularBrachialPlexusBlockIV.AxillaryBlock

2. Ultrasound-Guided Lower Extremity Blocks (HumanVolunteers)I. FemoralII.SciaticNerveIII.TibialNerveIV.PeronealNerve

3. Ultrasound-Guided Trunk BlocksI. TAPBlockII. ParavertebralBlockIII.NeuraxialIV. Intercostal

Moderators:LisaWarren,MD;KamenVlassakov,MD

Faculty:LaurieShapiro,MD,MGH;KatherineFleischmann,MD,MGH;PeterStefanovich,MD,MGH; JatinderGill,MD,BI:KarenBoretsky,MD,CH;DavidJanfaza,MD,BWH;LisaWollman-Kliman,MD,MGH;DustinBoone,MD,BI;VickiModest,MD,MGH;CharlesKelly,MD,MGH;DavidEdwards,MD,MGH

Time Gp 1A Gp 1B Gp 2A Gp 2B Gp 3A Gp 3B

7:30–9:45 UEA UEB LEA LEB TrA TrB

9:45–10:00 Break Break Break Break Break Break

10:00–12:15 LEA LEB TrA TrB UEA UEB

12:15–13:00 Lunch Lunch Lunch Lunch Lunch Lunch

13:00–15:30 TrA TrB UEA UEB LEA LEB

15:30–16:00 Panel Panel Panel Panel Panel Panel

Groups(5memberseach)Gp1–6UE=UpperExtremity;LE=LowerExtremity;Tr=Trunk

(Eachwith2stationsAandB)

satuRDay, septemBeR 7, 2013WoRKsHop #2 (Maximum attendance: 30)

7:30–16:30 Complementary and Non-Pharmacologic Approaches to Pain Management Moderator:RonaldJ.Kulich,PhD

SESSION I:

7:30–8:00 Introduction to Complementary and Non-Pharmacologic Approaches to Pain Management Moderator:RonaldJ.Kulich,PhD

8:00–9:15 Mindfulness and Pain Melissa Stone, MA

9:15–10:15 Cognitive Behavioral Therapy AnaMariaVranceanu,PhD

10:15–10:30Break

10:30–12:00 Acupressure LucyChen,MD,withWeiZhang,LicAc

12:00–13:00Poster and Abstract Session (Lunch)

SESSION II: Moderator:LisaWatt,RN,MSN,PNP

13:00–14:00Biofeedback EveKennedy-Spaien,OTR/L

14:00–15:00Functional Restoration RonaldJ.Kulich,PhD

15:00–16:00Integrative Medicine for Pain StevenJ.Scrivani,DDS,DMedSc

16:00–16:30 Q & A Panel LucyChen,MD;AnaMariaVranceanu,PhD; EveKennedy-Spaien,OTR/L;WeiZhang,LicAc; MelissaStone,MA;StevenJ.Scrivani,DDS,DMedSc

sunDay, septemBeR 8, 20137:00–7:30 RegistrationandContinentalBreakfast

7:15–7:30 Welcome PadmaGulur,MD

SESSION I: PHySIOLOGy AND PSyCHOLOGy OF PAIN Moderator:DarinCorrell,MD

7:30–8:00 Brain Imaging and the Spectrum of Acute to Chronic Pain LukeWang,MD

8:00–8:30 Pain Assessment from VAS to QSTs JieZhou,MD

8:30–9:00 Pain and Psychiatric Co-Morbidities RonaldJ.Kulich,PhD

9:00–9:30 Non Pharmacologic Approaches to Pain Management AlanWitkower,EdD

9:30–10:00 Panel Discussion

10:00–10:15Break

10:15–11:00 KEyNOTE ADDRESS “Acute Pain Management and the Outcomes-Based Healthcare Model” EugeneViscusi,MD

SESSION II: PBLD Moderator:PeterStefanovich,MD

11:00–11:30 The Patient with Persistent Post-Surgical Pain JyotsnaNadga,MD

11:30–12:00 Pre-Emptive and Preventative Analgesia JamesRathmell,MD

12:00–12:15Panel Discussion

12:15–13:00Poster Session (Lunch)

SESSION III: Panel Session – APS ORGANIzATIONAL AND EDUCATIONAL MODELS

13:00–14:00 Organizational Models of Acute Pain Services PadmaGulur,MD

SESSION IV: ANALGESICS – SAFE AND EFFECTIVE USE Moderator:AdamCarinci,MD

14:00–14:30 Opioids JianrenMao,MD

14:30–15:00 Adjuvants ShaneVolney,MD

15:00–15:30 Panel Discussion

15:30–15:45 Break

SESSION V: REGIONAL AND NEURAxIAL ANALGESIA Moderator:KamenVlassakov,MD

15:45–16:15 Neuraxial and Regional Techniques – Ultrasound Guidance and More PhilHess,MD

16:15–16:45 Local Anesthetics – From Liposomal Bupivacaine to LAST LisaWarren,MD

16:45–17:15 Regional Analgesia and Concurrent Anticoagulant Medications KatharineFleischmann,MD

17:15–17:30 Panel Discussion

monDay, septemBeR 9, 2013SESSION I: SPECIAL POPULATIONS: PEDIATRICS Moderator:NavilSethna,MD

7:00–7:15 Pain Assessment in Children and Infants ChristineGreco,MD

7:15–7:30 Pediatric Pain Neurobiology CharlesBerde,MD;LauraCornelissen

7:30–8:00 Headaches in Pediatric Pain Patients AlyssaLeBel,MD

8:00–8:30 Regional Anesthesia KarenBoretsky,MD

8:30–9:00 Acute Pain Management NavilSethna,MD

9:00–9:15 Panel Discussion

9:15–9:30 Break

SESSION II: Panel – SPECIAL POPULATIONS Moderator:YiZhang,MD

9:30–10:00 Addictions KarstenKueppenbender,MD

10:00–10:30The Opioid-Tolerant Patient DarinCorrell,MD

10:30–10:45Panel Discussion

SESSION III: Panel – END OF LIFE CARE Moderator:PadmaGulur,MD

10:45–11:15Acute Pain Management of the End of Life Patient MihirKamdar,MD

11:15–11:45Symptom Management in the End of Life Patient EvaChittenden,MD

11:45–12:00Closing Remarks PadmaGulur,MD

OPTIONAL:

13:00–14:00 ETHER DOME TOUR–The Birthplace of Anesthesia–Complimentary

(On-siteregistrationonSunday,September8,2013,required)

Program changes/substitutes may be made without notice.