#EFIC2022 Refresher Courses
Refresher courses are complimentary, containing something for everyone interested in the field of pain, for registered participants. Each course covers important fundamentals of pain science ranging from molecular and systems biology to clinical sciences and psychology. The lectures not only provide state of the art material, they are also designed to provide a true refreshing of understanding for the non-expert in the field under review.
The format of the course is designed to be informal enough to allow time for questions and answers. This to ensure maximum benefit from your interaction with lecturers selected not only for their status in the field but also for their proven record of teaching and audience interaction. So seize this chance to learn from –and engage in discussions with – true specialists in their fields of expertise!
PREP MATERIAL FOR REFRESHER COURSES AVAILABLE NOW!
For the Refresher Courses at #EFIC2022, EFIC will be following the “flipped classroom” concept: Prep and pre-reading materials are provided in advance for delegates to study on our virtual platform: http://efic-congress.org/virtual. The onsite refresher courses are designed to be interactive, building on the prep material.
EDUCATING THE PATIENT WITH PAIN
COMPLEX PAIN CASES
In this workshop, participants will be able to:
- Critically discuss the nursing management of pain in people of with sickle cell disease in an hospital setting
- Identify the priorities and management of pain in people who have been victims of torture or abuse
- Critically discuss the management of pain at end of life in the community setting
ICD-11 DEFINITION OF CHRONIC PAIN AND ITS IMPLICATIONS FOR CLINICAL PRACTICE
Chronic pain is now introduced into the ICD-11 for diagnostic code assignment, appropriate allocation of health care services and collection of epidemiological data. Furthermore, cross-referencing to other conditions in “parent” chapters facilitates coding within the most fitting treatment-relevant category. In this workshop, three disciplines (psychology, anaesthesiology, neurology), demonstrate the impact of this new definition on clinical practice. For the first time, all types of chronic pain are conceptualized in terms of the biopsychosocial model, reflecting current scientific evidence. In addition to the categorical diagnosis, the ICD-11 allows to express the dimensional severity of chronic pain, including not only pain intensity, but also pain-related distress and pain-related interference with functioning. Chronic postsurgical pain is defined as pain, which influences quality of life. However, how can we measure this outcome? Previous studies only referred to pain scores. In contrast, pain-related patient-reported outcomes considering pain and its functional physical and affective interference, gives a more global measure.
In the past, conditions of chronic neuropathic pain were insufficiently defined or missing. A precise classification, however, is necessary to document public health burden and therapeutic challenges. This will facilitate patient identification for enrolment in clinical trials and promote translation of research into clinical practice.
By the end of the session, participants will learn:
- How to apply the ICD-11 in practice and research
- About implementation of the biopsychosocial model
- About measures of patient-reported outcomes for chronic postsurgical pain and unsolved diagnostic issues
- About diagnosis and classification of several neuropathic pain conditions using case vignettes
PSYCHOLOGICALLY-INFORMED COLLABORATIVE CONVERSATIONS (PIC-C) TRAINING PROGRAMME
This workshop will explore the development and evaluation of the ‘Psychologically Informed Collaborative Conversations’ (PIC-C) training and supervision package. Practice guidelines, including NICE, recommend delivery of combined physical and psychological approaches for management of persistent pain. Research suggests that non-psychologists, including physiotherapists, while well placed to deliver psychologically informed approaches, would benefit from additional training and supervision to increase confidence and embed clinical skills (Keefe et al 2018, Parker et al, 2020, Denneny et al, 2020).
The PIC-C training and supervision programme was designed by pain management clinicians from the UK and USA, including clinical psychologists and physiotherapists, in partnership with people with lived experience of persistent pain. PIC-C was developed with the dual intention of increasing physiotherapists confidence in integrating psychologically informed approaches within their practice and, subsequently, increasing quality of care.
Pre-recorded material to support this refresher course will include:
Professor F Keefe discussing the theoretical underpinnings and development of psychological skills training for non-psychologists at Duke University Hospitals, USA.
Rebecca McLoughlin introducing the PIC-C training and supervision package.
Additional reports and videos relating to the development and analysis of the PIC-C training package will also available, along with videos from patient representatives discussing the importance of co-production within development of training for health care professionals.
The refresher course workshop will include the opportunity to:
Review and discuss content and outcomes from the PIC-C training programme
Participate in an example exercise from the PIC-C training programme
Discuss attendees experience supervision and specifically post-training supervision
Discuss potential barriers and facilitators to implementation of similar training within non NHS healthcare systems
Participate in Q&A relating to the PIC-C training and psychology skills training for non-psychologists.
1. Gain increased understanding of psychologically informed approaches and application
2. Gain insight into the content and preliminary outcomes of the PIC-C training programme
3. Gain insight into the value of psychologically informed approaches from the perspective of PIC-C training programme participants
INTERDISCIPLINARY PAIN TREATMENT
Questioning the evidence at this stage ignores potential limitations in conducting evidence syntheses regarding interdisciplinary pain treatment. Crucial limitations refer to the delivery of this treatment as well as to the outcome assessment- characterized by an almost unmanageable variability of applied constructs, interventions and outcome measurement. For reliable conclusions out of evidence syntheses it is required to investigate clinical trials more carefully, always taking into account the multifaceted nature of interdisciplinary treatment, patients variability and referring clinical trials.
- Introduction to IASP definition of multimodal, multidisciplinary and interdisciplinary pain treatment
- Discussion of challenges in conducting clinical trials and evidence synthesis
- Presenting state-of-the-art of assessing heterogeneity, selecting measurement instruments and preventing underreporting
- Presenting new approaches in evidence synthesis for effectiveness studies in interdisciplinary pain treatment
CHRONIC ABDOMINAL WALL PAIN
- Review the anatomy and neurobiology of the Anterior Abdominal Wall
- Discuss the clinical evaluation and differential diagnosis of Abdominal Wall Pain
- Review current guidelines and algorithms for the management of abdominal wall pain
- Review the evidence
- Discuss the interdisciplinary approach
SINGLE-CASE EXPERIMENTAL DESIGNS IN PAIN SCIENCE (ONLINE)
BEHAVIOUR CHANGE: AN INTRODUCTION OF CORE PRINCIPLES AND APPLICATIONS TO PAIN