Pain Management:
Ideas That Heal
Featuring all day intensive tracks in the areas of:
Allopathic Medicine Track:
Regulatory Issues
Behavioral Medicine Track
Acupuncture Track:
Kiiko Matsumoto, L.Ac.
SPONSORED BY
PAIN SOCIETY OF OREGON
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APRIL 2-3, 2004
Lane Community College
EUGENE, OREGON
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The Pain Society of Oregon is accredited to provide continuing medical education for Physicians, Nurse Practitioners, Social Workers, Psychologists, Physical Therapists, Naturopathic Physicians Acupuncturists, Chiropractic Physicians, and more!
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Allopathic Medicine Track
Friday, April 2, 2004
1A.“How to be a Pain Doctor and Never Have to Say “Not Guilty Your Honor”
Dr. Roger Cicala, M.D.
This presentation will review the Federal Governments regulations and State Board rules for “proper prescribing of controlled substances.” We will discuss “red flags” that are likely to result in the investigation of a practice, and the things that doctors unknowingly do that can result in felony charges. We will also discuss the various prescribing pitfalls that have resulted in civil lawsuits for doctors. Additionally, we will discuss fairly simple plans to minimize the risks involved in prescribing for chronic pain.
1B. “A National Perspective on Legal and Ethical Issues in Treating Patients in Pain”
Sandra H. Johnson, J.D., LL.M.
The quality of care that health care professionals provide to patients in pain is influenced by law, including laws applying to the use of controlled substances in pain relief. This presentation will discuss the major areas where legal standards play a role in the treatment of patients in pain, including professional liability, state professional disciplinary systems and federal controlled substances regulation. We will also analyze the current conflict between the federal government and state governments in regulating the treatment of patients in pain, which is currently being litigated from California and Oregon. Finally, we will provide an ethical framework for dealing with the challenges of treating patients in the current legal environment.
1C “Intractable Pain Management-
3000 Patients Later”
Dr. Joel Hohman, M.D.
A universal sample of 206 consecutive intractable pain patients was studied from April 2001 to December 2004. This presentation reports the results of this 44-month longitudinal study. It provides data on the average length of titration to effective relief, the rate of sucess in achieving effective relief, the types of medications required, and their average, minimum and maximum doses and schedules. Patient reports on the effect of treatment were assessed and reccorded. Adverse effects were tracked, including abuse of medication, fradulent prescriptive behaviors, diversion and abuse of medication, and overdose and death. The presentation will review the accumulated data and conclusions and outline a plan for future study.
Saturday, April 3, 2004
1D. “Pain Management 101: The Art and Evidence of Pain Management”
Narinder Duggal, RPh, MD
Chronic pain affects as many as 75 million American’s, but despite extraordinary medical progress in recent years, victims of this condition range from simple headaches to accidental injuries to incurable cancer, crippling arthritis and a host of other degenerative disorders continue to suffer needlessly.
The Art and Evidence of Pain Management is a state of the art presentation on the laws and regulations regarding pain management and a thorough discussion on the requirements for documentations of a complete pain note. This presentation will focus on the human condition of pain as well as the medical necessity in treating pain aggressively. The presentation is an evidence-based presentation on the current pain management modalities available as well as the physiological and psychological impact of chronic pain on our patients when not treated adequately. This is a real world discussion on the art and evidence of chronic pain management and is a nationally recognized real world approach to managing our patients with chronic pain.
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Behavioral Medicine Track
Friday, April 2, 2004
2A. “If We Listen (without judgment)
They Will Sing”
Dr. Scott Pengelly, Ph.D.
This is a pragmatic presentation that will provide the tools for teaching those with chronic pain how to begin pacing their lives and reduce recurrent patterns of ignoring the obvious. For many folks who experience chronic pain, the repeated pattern of taking on more rather than taking good care of themselves becomes a way of life. This seminar offers a way for those in chronic pain to find their way out of that trap.
2B. “Multi-Disciplinary Teams and
Effective Treatments”
Dr. Greg Smith, Ph.D.
 This presentation will describe how multi-disciplinary, interdisciplinary and trans-disciplinary treatment models in a variety of settings can improve treatment effectiveness in rehabilitation and in producing oriented programs. Dr. Smith has directed multidisciplinary programs for many years as well as working as a CARF surveyor. He will discuss the many programs he has seen throughout the U.S., Canada, and Sweden.
2C. “The Psychologists Role in the
Treatment of Pain”
Dr. Arthur Edelmann, Ph.D.
This presentation will discuss the role of psychology in the treatment of pain. We will outline what a psychologists contribution to treatment can be and what psychologist’s should know when they choose to treat patient’s suffering with chronic pain. Additionally, the Oregon State Pain Management Commission is developing curriculum for psychologists in Oregon. A rationale for this process and an outline of the proposed curriculum for psychologists will be presented.
Saturday, April 3, 2004
2D.“Spiritual and Philosophical Issues
in the Assessment and Treatment of
Patients with Chronic Pain”
Dr. Jay Skidmore, Ph.D.
Many thousands of people live with chronic pain of various types. Some are severely disabled by their on-going pain, emotionally distressed, socially disconnected, and with very few meaningful activities. Whereas other people live full and abundant lives, even with chronic pain and (in a number of cases) even with significant physical impairment. The difference between disabled life and abundant life has almost nothing to do with the type of medical illness or the severity of injury, and almost nothing to do with the various medical treatments received. Instead, as documented in the published literature, it has repeatedly been shown that psychosocial factors are the best predictors of an individual’s response to treatment as well as long-term outcomes in coping with chronic pain. Behind the important psychosocial factors– fearfulness, overattention to symptoms, catastrophic thinking, despair – are often problems with the “meaning of pain.” These are spiritual and philosophical issues, which doctors and therapists, nurses and family members, and patients themselves tend to ignore. How might we better address the “meaning of pain” with our patients? In this presentation, Dr. Skidmore will draw upon the research about these topics and his clinical experience to offer practical suggestions for healthcare professionals who wish to treat their patients more holistically.
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Acupuncture Track
Friday-Saturday April 2 & 3, 2004
3A. “Japanese Acupuncture Strategies for Chronic Pain Syndromes”
Kiiko Matsumoto, L.Ac.
The Pain Society of Oregon is proud to host Kiiko Matsumoto for our first intensive two-day acupuncture track. Renowned for her groundbreaking scholarship and her innovative treatment strategies, Kiiko Matsumoto is one of the world’s most sought-after teachers of acupuncture. In this workshop, she will use treatment demonstrations to teach a palpation-based approach to commonly encountered chronic pain conditions, such as fibromyalgia, migraine headaches, spinal pain, rheumatic arthritis and TMJ pain.
Kiiko’s unique treatment style integrates her mastery of three critical knowledge bases: The internal trajectories of the meridians, including the extraordinary vessels; the functions–and dysfunctions–of the endocrine and autonomic nervous systems; and finally, the continuities and compensations of the myofascial system. While her breadth of knowledge is remarkable, her ability to teach what she does–transparently and logically–has made her one of the most influential acupuncturists of our time.
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In this presentation, Kiiko will demonstrate a palpation technique to determine the effectiveness of various acupuncture points before they are needled. This technique allows the practitioner to quickly complete a trial-and-error process that might otherwise take place over several office visits. Many acupuncturists are familiar with Kiiko’s discovery that gynecological problems, depression and neck and shoulder pain can be resolved by needling seemingly unrelated scars and abdominal adhesions. Her palpation technique allows the practitioner to determine not only which scars are troublemakers, but also the precise location and needle angle indicated for immediate and dramatic results. She incorporates this palpation technique into virtually all of her treatments, and it will be discussed and demonstrated throughout the weekend.
Please note: The actual material presented in this workshop will be determined by the unique nature of the individuals selected for treatment demonstrations and the direction taken by the presenter’s spontaneous teaching style! Conference attendees may recommend patients with chronic pain conditions for treatment demonstrations by submitting a synopsis of the patient’s history and condition, excluding their name or other identifying information, by March 15th by Fax (541) 345-7301.
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Friday Keynote Speaker
Senator Joan Dukes
“Pain Management: The Role of Legislature”
Senator Joan Dukes was first elected to the Oregon State Senate in 1986, and successfully ran for re-election in 1990, 1994, 1998, and 2002. She represents District 16, which consists of Clatsop, Tillamook, and Columbia counties, and portions of Washington and Multnomah Counties.
Senator Dukes has a strong interest and continuing dedication to Oregonians living with chronic pain.
She has sponsored numerous legislative bills. In 1997 a Legislative Taskforce was established to study the issue of pain management. In 1999, the position of Pain Management Coordinator was created, along with the Pain Patients Bill of Rights. In 2001 Senator Dukes sponsored Senate Bill 885, which created the multidisciplinary Oregon Pain Management Commission and mandatory pain management continuing education for a broad spectrum of health care professionals-making it the first of it’s kind in the nation. Most recently Senator Dukes sponsored Senate Bill 436, which removed the mandatory second opinion requirement in the Oregon Intractable Pain Act. “Pain Management: The Role of Legislature” will focus on Oregon’s legislative history, the role of the Oregon Pain Management Commission, and Senator Dukes hopes for the future of pain management.
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Saturday Keynote Speaker
Arthur Rosenfeld
"The Real Challenge of Pain Management"
Arthur Rosenfeld has written for Vogue, House and Garden and Vanity Fair. He is the author of eight books, including the critically acclaimed novel “A Cure for Gravity”, and the award-winning novel “The Truth About Chronic Pain”.
“I spent years working in the pharmaceutical industry, years studying human nature to give life and insight to my novels, years engaging the mind-body connection as part of my training in the martial arts, and years talking to a broad cross-section of the pain community as research for my book “The Truth About Chronic Pain”. I have concluded that our healthcare system is a plague upon the population of chronic pain patients because it is based on an “us and them” mentality that extends downward from religious leaders to politicians to regulators to physicians to suffering people. I will explore how our values became twisted the way they did, and suggest how we might achieve a more compassionate and competent approach to pain management by turning to values that reflect a deeper understanding of how the world really works.
"To a person in chronic pain, nothing matters more than relief. This exceptional new book enlightens patients and doctors alike, and will help create solutions to this challenging health problem.”
—Steven A. Rosenberg, M.D., Ph.D.,
Chief of Surgery at the National Cancer Institute,
National Institutes of Health
“Perhaps the best book on chronic pain I have ever read…
(The Truth About Chronic Pain) illustrates the diversity of approaches available to patients today, and the diversity of views on how to deal with chronic pain. Most of all, it is a brilliant discourse on pain itself…It reads like a novel and has the impact of a text book.”
—Vincent T. Devita, M.D.
Director, Yale University Cancer Center
Former Director, National Cancer Institute
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| SCHEDULE |
Friday, April 2, 2004
8:00-8:30 a.m. Registration & Continental Breakfast
8:30-9:30 a.m. “Pain Management:
The Role of Legislature”
Senator Joan Dukes
9:30-10:00 Break/Vendor Tables
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Saturday, April 3, 2004
8:00-8:30 a.m. Registration & Continental Breakfast
8:30-9:30 a.m. “The Real Challenge of
Pain Management”
Arthur Rosenfield
9:30-10:00 a.m. Break/Vendor Tables
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CONFERENCE OBJECTIVES
Participants will understand:
- The problems surrounding misuse, abuse, and diversion of pain medication.
- The history of narcotics laws; with an emphasis on the Controlled Substances Act of 1970.
- The DEA’s position on prescribing pain medication.
- The legal do's and don'ts of opioid prescribing.
- How to facilitate an effective patient-pharmacist-physician relationship in pain management.
- Highly effective acupuncture treatment strategies for difficult chronic pain conditions such as fibromyalgia, TMJ pain, and migraine headaches.
- The role of psychology in the treatment of pain.
- What every psychologist dealing with pain should know.
- What patient’s dealing with pain should expect from a psychologist.
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TARGET AUDIENCE
Physicians, Nurse Practitioners, Pharmacists, Physician Assistants, Acupuncturists, Nurses, Psychologists, Licensed Clinical Social Workers, and Health Care Providers involved in pain management.
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ACCREDITATION
Acupuncturists:
This program meets NCCAOM requirements for 14.5 acupuncture continuing education hours.
Clinical Social Workers:
The Oregon State Board of Clinical Social Workers has approved this program for 9 continuing education hours.
Naturopathic Physicians:
The Oregon State Board of Naturopathic Examiners has approved this program for 7 General continuing education hours and 2 Pharmacy continuing education hours.
Nurses:
This program meets the Oregon State Board of Nursing’s requirements for 9 pain management continuing education hours.
Pharmacists:
The Oregon Board of Pharmacy has approved this conference for 7.5 Therapeutic continuing education hours and 1.5 hour of Law.
Physicians:
Sacred Heart Medical Center is accredited by the Oregon Medical Association to sponsor continuing medical education for physicians. Sacred Heart Medical Center designates this continuing medical education activity for 9 credits of Category 1 of the Physician’s Recognition Award of the American Medical Association.
This activity has been reviewed and is acceptable for up to 9.0 credits by the American Academy of Family Physicians. This includes 8.5 Prescribed and .5 Elective credits. Because some sessions run concurrently, no more than 9.0 credits may be reported.
Psychologists:
This program meets the Oregon Board of Psychologist Examiners requirements for 9 continuing education hours.
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EXHIBITS
A product fair will be held throughout the conference in the lobby..
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FACULTY
Roger Cicala, M.D.
Associate Professor of Anesthesiology, University of Tennessee College of Medicine
Pain Management Physician, Semmes-Murphey Clinics
Assistant Medical Director, Tennessee Physicians Health Program
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Narinder Duggal, R.Ph, M.D
Medical Director - Liberty Bay Internal Medicine
Clinical Associate Professor, University o Washington
Certified Geriatric Pharmacist
Board Certified Psychiatric Pharmacist
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Art Edelmann, Ph.D
Program Director, Progressive Rehabilitation Associates
Eugene, Oregon
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Malvin Finkelstein, L.Ac., D.O.M
Licensed Acupuncturistt
Past President, National QiGong Association,
Private Practice,
Eugene, Oregon
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Joel Hochman, M.D.
Clinical Psychiatrist
Founder, National Foundation for the Treatment of Pain
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Sandra H. Johnson, J.D., LL.M.
Tenet Chair in Health Care Law and Ethics
Saint Louis University School of Law
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Kiiko Matsumoto, L.Ac
Licensed Acupuncturist
CME Instructor & Co-Director of Acupuncture
Harvard Medical School
Department of Continuing Education
Private Practice, Natick & Newton, Massachusetts
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Scot Pengelly, Ph.D
Clinical Medical Psychologist,
Chair, Oregon Psychological Association Ethics
Committee
Eugene, Oregon
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Jay Skidmore, Ph.D
Professor & Chairman Department of Graduate
Psychology Seattle Pacific University
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Greg Smith, Ph.D
Director, Progressive Rehabilitation Associates
Portland, Oregon
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HOTEL ACCOMMODATIONS
Overnight accommodations for conference participants are available at the following hotels:
Valley River Inn, 1000 Valley River Way, Eugene, Oregon 1-800-543-8266, at a reduced rate of $89/night. To guarantee the conference rate, please make your reservation by March 7, 2004 and be sure to mention you are attending the "Pain Management: Ideas That Heal" conference.
Courtyard Marriott, 3443 Hutton St. (off I-5) Springfield, Oregon (541) 726-2121, at a reduced rate of $89/night. To guarantee the conference rate, be sure to mention you are attending the "Pain Management: Ideas That Heal" conference.
Clarion Hotell, 3280 Gateway Road (off I-5), Springfield, Oregon (541)726-8181, at a reduced rate of $70/night. To guarantee the conference rate, be sure to mention you are attending the "Pain Management: Ideas That Heal" conference.
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Local Events
The Hult Center for Performing Arts presents “Twelfth Night” on April 2-3, 2004. Twelfth Night is considered by many to be Shakespeare's best comedy. Ticket Office: (541) 682-5000.
WEB SITE
Both patients and healthcare providers can download valuable information from this website:
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REGISTRATION:
Please complete a registration form by clicking the link below, printing the form completing the form and mailing to the address listed below:
Please click below for printable registration form.
HTML Format
PDF Format
Please mail registration information and check payable to:
Pain Society of Oregon
Attn: Jennifer Wagner, Program Coordinator
2852 Willamette St., PMB 158
Eugene, OR 97405
(541) 345-7300 phone
(541) 345-7301 fax
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FEES:
$250 Physicians
$195 Allied Health
$300 Acupuncturists (14.5 CE hours)
Registration fees include attendance at conference for both days, including conference materials, continental breakfasts and lunch.
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If you wish to pay by credit card please provide the following:
Visa/Mastercard # Expiration Date Authorized Signature
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