Chronic Pain & Opioid

Management

TeleECHO™ Clinic

(ECHO Pain)

CURRICULUM

July 1, 2017— June 30, 2018

How to participate in

ECHO Pain

Present patient cases via video or telephone.

Participate in brief lectures and presentations.

Participants complete periodic surveys evaluating practice style, knowledge, and self-

efficacy related to treating chronic pain.

For information on how to

connect to ECHO Pain please

email: painecho@salud.unm.edu

ECHO Pain Facilitators

Ronald Andrews, PT, PhD, OCS, Physical Therapy

Tom Arnold, DC, Chiropractic Medicine

Snehal Bhatt, MD, Addiction Psychiatry

George Comerci, MD, Internal Medicine

Joanna G. Katzman, MD, MSPH, Neurology

Meg Shuttleworth, MA, LMHC, Behavioral Health

Additional Contributors Benson Daitz, MD, Myofascial Pain/Family Medicine

Ernest Dole, PharmD, College of Pharmacy

Brian M. Shelley, MD, Myofascial Pain/Family Medicine

Lucy Whyte Ferguson, DC, Myofascial Pain

Christine Zampach, MEd, DPT, Physical Therapy

ECHO Institute™

Sanjeev Arora, MD - Director

1650 University Blvd. NE

Albuquerque, New Mexico 87102

ph (505) 750-ECHO (3246) - f (505) 272-6906

web echo.unm.edu

E-mail painecho@salud.unm.edu

ECHO PainPain management is a significant issue in healthcare

today with upwards of 70% of emergency room visits

related to pain concerns. In addition, community

clinicians oftentimes require support with pain

management adherence to guidelines, and patient

counseling.

ECHO Pain facilitates a multifaceted approach to

chronic pain by incorporating a team of specialists that

support primary care clinicians in rural communities in

the management of chronic pain and opioids.

The ECHO Pain program includes brief lectures and presentations by specialists on specific topics of

interest and in-depth case-based presentations by

community clinicians for feedback and

recommendations. Clinicians are given access to

evidence-based educational resources and are

encouraged to express any suggestions or comments

that they have regarding the ECHO Pain session. An

environment of group learning and best practice

protocols is established to reduce variation in care and

improve outcomes for patients experiencing chronic

pain.

GOALS OF THE ECHO PAIN

CURRICULUM

Participants will be enabled to:

1. Meet individual goals fortaking care of patientswith chronic pain

2. Increase access toevidence-based chronicpain care

3. Improve pain care for all

patients

Who is Eligible to

Participate in the

ECHO Pain

Curriculum?

Any clinician with an

interest in chronic

pain can attend the

teleECHO program.

Course Schedule:

Weekly, Thursdays

from 12:00-2:00

pm (MT)

click on the link https://echoevaluation.health.unm.edu/evals/rws5.pl?FORM=ECHORollCall

Provide session feedback and receive your CME/CPE

credits

How to Receive CME/CPE Credits?

After attending an ECHO Pain session:

Chronic Pain & Opioid Management TeleECHO™ Curriculum

2017-2018 Schedule—Weekly, Thursdays from 12 to 2 pm (MT)

TOPIC PRESENTER Date

1. Chronic Pain Basics

7/6/17

7/13/17

7/20/17

7/27/17

8/3/17

8/10/17

Holiday

Best Practices Pain Management and Safe Opioid

Prescribing

Interprofessional and Integrative Pain Management

Interpreting Radiology Results

Self-Management Strategies

Eliciting the Pain Story

No ECHO Pain Session

Joanna Katzman, MD

Joanna Katzman, MD

Brian M Shelley, MD Ruth

Dubin, MD George

Comerci, MD

2. Pain, Psychiatry, and Substance Use Disorders

8/17/17

8/24/17

8/31/17

9/7/17

9/14/17

Introduction to Addiction

Office Based Screening Tools for Depression, Anxiety,

and Substance Use Disorder in the Chronic Pain

Patient Depression, Anxiety, and Chronic Pain

Opioid Substance Use Disorder

META ECHO — Session Cancelled

Snehal Bhatt, MD

Snehal Bhatt, MD

Snehal Bhatt, MD Paul

Romo, MD

No ECHO Pain Session3. Hands — On Skills

9/21/17

9/28/17

10/5/17

10/12/17

10/19/17

10/26/17

11/2/17

11/9/17

Chiropractic Exam

Neurological Exam

Myofascial Exam # 1

Myofascial Exam # 2

Academy of Integrative Pain Management Week

Taping Methods #1

Taping Methods #2

Physical Therapy Exam

Tom Arnold, DC

Joanna Katzman, MD

Benson Daitz, MD

Benson Daitz, MD

No ECHO Pain Session Kenzo Kase, DC

TBDRonald Andrews, PT, PhD

4. Native American Health and Wellness

11/16/17

11/23/17

11/30/17

12/7/17

12/14/17

12/21/17

12/28/17

Pain and Native American Culture

Holiday

Historical Trauma and Chronic Pain

Native American Healing

Substance Use Disorder in Native American Communities

Native American Palliative Pain Care

Holiday

Chris Fore, PhD

No ECHO Pain Session

Olivia McLendon, BA

Olivia McLendon, BA & Aisha Baloo, BS

Kamilla Venner, PhD

Emily Haozous, PhD, RN

No ECHO Pain Session

Date TOPIC PRESENTER

5. Chronic Pain and Substance Use Disorders Across the Lifespan

Sarah Gopman, MD

Denise Taylor, MD

Bellelizabeth Foster, MD

Devon A. Neale, MD

Vanessa Jacobsohn, MD

1/4/18 Pain and Addiction During Pregnancy

1/11/18 Pediatric Pain

1/18/18 Adolescent Addictions

1/25/18 Geriatric Pain

2/1/18 Medication Assisted Treatments

6. Challenges in Opioid Management—Case Vignettes

2/8/18 Appropriate Use of Opioids for Chronic Pain George Comerci, MD

2/15/18 Buprenorphine and Benzodiazepines in a Primary Care Session

Snehal Bhatt, MD

2/22/18 The Patient on Very High Doses of Opioids with Medical Comorbidities

George Comerci, MD

3/1/18 Dangers of Opioids Combined with CNS Depressants George Comerci, MD

3/8/18 Substance Opioid Management in Session of Depression and Suicidality

Snehal Bhatt, MD

7. Pharmacotherapy of Medications for Pain, Psychiatry, and Substance Use Disorders

George Comerci, MD

George Comerci, MD

No ECHO Pain SessionJoanna Katzman, MD

Chris Camarata, MD

Ernest Dole, PharmD

Eugene Koshkin, MD

3/15/18 Medical Comorbidities

3/22/18 Non-Opioid Pain Medications

3/29/18 Spring Break Week

4/5/18 Naloxone Co-Prescribing with Opioids

4/12/18 Use of Opioids for Palliative Pain Care

4/19/18 Pharmacotherapy of Psychotropics: What to Watch For!

4/26/18 Interventional Pain Management

8. Integrative Pain Care

Brant Hager, MD

Ben Daitz, MD & Spike Lynch, MD

Nityamo Lian, DOM Kenzo Kase, DC

5/3/18 What is Best Practices for Integrated Pain Care?

5/10/18 Trigger Point Injection Workshop

5/17/18 Acupuncture Best Practices

5/24/18 Pathophysiology of Taping

9. Emerging Treatments

5/31/18 Medical Cannabis Brant Hager, MD

6/7/18 Buprenorphine for Pain Treatment George Comerci, MD

6/14/18 New Migraine Treatments Joanna Katzman MD

6/21/18 Botox for Chronic Pain Joanna Katzman, MD

6/28/18 Herbal Medications Mikiko Yamada-Takeda, PharmD

10/17/2017