#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.

Watch the Refresher Courses Prep Material now
EDUCATING THE PATIENT WITH PAIN
EDUCATING THE PATIENT WITH PAIN: A SYSTEMATIC APPROACH TO ASSESSMENT, PLANNING, IMPLEMENTATION AND EVALUATION OF THE EDUCATIONAL EXPERIENCE
 
Patient-centered approach requires patients’ engagement in self-management of their pain. To do so, patients need to be educated on various aspects of pain. Therefore, health-care professionals need to design, implement, and evaluate tailor-made education, of multidimensional content. The first step is to assess patients educational needs and goals, their preparedness to learn and learning styles. The education plan focuses on the patient’s priorities and has to has to consider the individual health-literacy. The implemented measures have to use key learning strategies, which have to be SMART, e. i. Specific, Measurable, Attainable, Relevant, and Time-bound. Thereby, taxonomies of educational objectives could be used that take into account the different levels of functioning of the learner, and a patient-centered, engaging educational strategy has to be selected. The implemented education has to be evaluated by measuring the outcomes. The education has to be interactive, includes plain language, and focuses on behaviour and actions. Health-care professionals should understand that additional factors play a role, such as motivation and the patient´s self-efficacy, the patient’s belief in his or her ability to succeed in specific situations or the ability to accomplish a task. Participants will get the opportunity to practice their skills.
 
 
Learning Objectives
 
The objective of this refresher course is to provide participants with information, tools and skills in preparing and deliver patient education about pain and pain management.
COMPLEX PAIN CASES
COMPLEX PAIN CASES: NURSING MANAGEMENT AND LEADERSHIP
 

Learning Objectives

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
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.

Learning Objectives

 

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
PSYCHOLOGICALLY-INFORMED COLLABORATIVE CONVERSATIONS (PIC-C) TRAINING PROGRAMME: BACKGROUND, DEVELOPMENT AND EVALUATION OF A CO-PRODUCED TRAINING PACKAGE TO ENHANCE PSYCHOLOGICALLY INFORMED PRACTICE FOR HEALTHCARE PROFESSIONALS, USING PHYSIOTHERAPY AS A MODEL
 

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.

 
Participants will:
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
INTERDISCIPLINARY PAIN TREATMENT: EVIDENCE BASED OR BLACK BOX?
 
 
Treatment of chronic pain should target its multifaceted nature, comprising somatic factors alongside with psychological and social factors. Complex treatment approaches, called interdisciplinary or multidisciplinary, have been developed over time worldwide. Clinicians appreciate the integrated team approaches in a multi professional team, enabling them to help patients comprehensively to benefit not only regarding their pain relief but also in other life areas. Nevertheless, delivering complex treatment approaches to patients as well as conducting effectiveness studies challenges resources for both- health care structures and study performance, respectively. Recent evidence synthesis questions the effectiveness of interdisciplinary pain treatment, suggesting that such approaches might not be as effective as intended to be and therefore not justifying the considerable amount of financial, time and personal resources.
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.
 
 
Learning Objectives
 
  • 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
CHRONIC ABDOMINAL WALL PAIN: A COMMON CAUSE OF CHRONIC ABDOMINAL PAIN
 
 
Abdominal wall pain is a common pain syndrome and is often misdiagnosed as visceral abdominal pain. Often, patients get unnecessary and expensive diagnostic tests before a correct diagnosis of abdominal wall pain is made. Therefore, this educational session wants to raise awareness of this common pain condition. The first lecture will review the anatomy and pathophysiology of the abdominal wall. A second lecture will focus on the diagnostic process and extensive differential diagnosis. Finally, an overview of treatment modalities will be discussed from the perspective of the pain physician and will stress the value of an interdisciplinary approach.
 
Learning Objectives 
 
  • 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)
SINGLE-CASE EXPERIMENTAL DESIGNS IN PAIN SCIENCE (ONLINE)
 
Please note that this refresher course will be held fully online.
 
In this refresher course, participants will be updated on the state of the art of single-case experimental designs (SCEDs), and how they can be implemented in pain science. SCEDs are a viable alternative to group based RCT’s when one is interested in knowing the effectiveness of a pain treatment at the individual level. First, Johan W.S. Vlaeyen provides a brief history of these designs and highlight their basic assumptions and essential features, benefits and limitations. There are several ways data of SCEDs can be analyzed. Kimberly Vannest will demonstrate how based on graphical displays visual analyses can be performed, and what kind of effect size metrics be calculated. Finally, Patrick Onghena will dig into the inferential statistics: how do we reach conclusions that extend beyond the immediate data alone, and what does this mean in single-case data? The theoretical explanations will be interspersed with practical examples from the pain field.
BEHAVIOUR CHANGE

BEHAVIOUR CHANGE: AN INTRODUCTION OF CORE PRINCIPLES AND APPLICATIONS TO PAIN

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