Saturday, April 28 (19)

 

7:30 am - 5 pm Registration Open

10 - 11:30 am Resource Center Open

4:45–5:45 pm

Pearls of Multidisciplinary Treatment of Chronic Pain the Veteran’s Health Administration, Medicaid, and Adolescent Populations (314)

This session provides pearls in the multidisciplinary treatment of chronic pain in three distinct populations. The Veterans Health Administration (V/A) presentation discusses the challenges of effectively and efficiently coordinating care between pain specialty and primary care teams, sharing lessons learned from the VA’s team-based pain care model at all levels, posting potential solutions informed by best practices for the community. The Medicaid presentation describes how an innovative data driven transformative culture can become a catalyst for significant improvements in patient care while reducing healthcare costs. The Adolescent presentation discusses the biopsychosocialspiritual impact that chronic pain has on adolescents, presenting case-based scenarios.

Team Care Everywhere: Translational Lessons from the VA’s Stepped Care Model for Pain

Friedhelm Sandbrink, MD

Lessons Learned from Clinical and Insurer Perspectives in Treating the Medicaid Population

Tobias Moeller Bertram, MD PhD

A Snippet into the Life of Adolescent Chronic Pain

Melissa Geraghty, PsyD

Learning Objectives:

  • Describe essential elements of the Stepped Care Model of Pain to deliver interdisciplinary pain care that is patient-centered and efficient.
  • Review at least two strategies to coordinate care between Pain specialty and Primary Care in a Stepped Care Model of Pain.
  • Describe how interdisciplinary/multidisciplinary programs can significantly improve patient care for Medicaid population while being cost-effective for insurance plans.
  • Explain the key components that compose how adolescents in chronic pain are impacted on a biological level, psychological level, social level, and spiritual level.
  • Communicate how and why adolescents should be clinically treated differently than adult and pediatric populations.
  • Identify a baseline to clinically conceptualize adolescents in chronic pain on a biopsychosocialspiritual level.
Moderator:

Friedhelm Sandbrink, MD

Speakers:

Friedhelm Sandbrink, MD

Tobias Moeller Bertram, MD PhD

Melissa Geraghty, PsyD

4:45–5:45 pm

Challenging Neuropathic Pain Syndromes: Small Fiber Neuropathy, Erythromelalgia, and Central Neuropathic Pain (315)

Small fiber neuropathy, erythromelalgia, and central neuropathic pain syndromes are frequently misidentified neuropathic pain syndromes. This session focuses on the accurate diagnosis of these unique neuropathic pain syndromes, limitations of traditional neuropathic pain treatment algorithms in their successful management, and the role of non-traditional interventions in their management.

Unique Treatments for Small Fiber Neuropathy, Erythromelalgia, and Central Neuropathic Pain Syndromes

James C. Watson, MD

Small Fiber Neuropathy, Erythromelalgia, and Central Neuropathic Pain: Unique Treatments

Paola Sandroni, MD PhD

Learning Objectives:

  • Describe the diagnostic an evidence-based pharmacologic and interventional treatment approach to clinically suspected small fiber neuropathy.
  • Recognize the clinical features of erythromelalgia and its unique treatment considerations.
  • Review the unique mechanisms necessary to develop a central neuropathic pain state and how to differentiate a central neuropathic pain state from other pain types in a neurologically devastated patient.
  • Review an evidence-based treatment approach for central neuropathic pain utilizing traditional neuropathic pain agents, cannabinoids, spinal cord stimulation, deep brain and motor cortex stimulation, and transcranial magnetic stimulation.
3:30-4:30 pm

Walking the Line in Pain and the Law: Organized Medicine, Pain Physicians, and AAPM’s Work to Support Providers and Patients (312)

How do the regulatory and legal system risk infringing upon the very practice of medicine? This session will discuss how broad-based legislation in a “one size fits all” capacity impacts individualized and personalized practice—and how this approach has changed physician practice even when opioids aren’t part of the picture.

One Physician’s Story

Lynn R. Webster, MD

AAPM and the AMA: Organized Medicine’s Response to Protect Physicians and Patients

Robert E. Wailes, MD

How the State of Washington Applies the Law: The Frank Li Case. How Does This Apply to Me?

Micah T. Matthews, MPA CPM

Learning Objectives:

  • Review reasons why prosecutors will bring charges against a physician.
  • Examine processes that will mitigate the possibility of prosecution.
  • Discuss the steps a clinician should take if they are being investigated.
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