NDSU Distance & Continuing Education (DCE)

Program Goals
This pain management certificate program will provide pharmacists with necessary tools to help patients manage pain associated with injuries and illnesses. It contains valuable information that can benefit any healthcare practice setting.

The Program Objectives
After completing each portion of the program, the participant should be able to:

Introduction to Pain Management Certification Program 
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Recorded Sessions:

• Explain the impact pharmacists can have on managing the chronic pain patient
• Describe importance of pharmacist interventions in helping improve pain management
• Evaluate pain therapy patients and make recommendations for targeted intervention
• Identify the level of opiate prescribing for worker’s compensation patients in North Dakota.
• Describe the role of the pharmacist in pain management
• Review current treatment guidelines and goals
• Describe the About the Patient Pain Management Program

Home Study Resources
Module 1‐ Pathophysiology of Pain and Pain Assessment (1 CE) 
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• Describe the pathophysiology of pain and the underlying mechanisms
• Utilize the critical elements of the pain history, and evaluate characteristics of pain relevant to diagnosis and management
• Recognize the distinction between acute and persistent pain
• Describe tools used to assist in the assessment of pain to guide management options

Module 2‐ Overview of Management Options ( 1CE)
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• Compare and contrast pharmacologic and non‐pharmacologic options for the management of pain
• Recognize and manage the side effects of non‐opioid and opioid analgesics
• Utilize a rational approach to the selection, administration, and titration of analgesics used in pain management

Module 3‐ Barriers to Pain Management and Pain in Special Populations ( 1CE)
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• Recognize barriers to pain management and their causes
• Describe guidelines developed to help reduce barriers to pain management
• Describe additional barriers to pain management that affect special populations
• Recognize the racial and ethnic disparities in pain management
• Apply strategies to overcome barriers to treatment in this population

Module 4‐ Assessing and Treating Pain in Patients with Substance Abuse Concerns ( 1CE) 
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• Apply the principles for assessing and managing pain in patients with addictive disorders or a history of substance abuse
• Utilize strategies for effective pain management in patient with substance abuse problems.

Module 5‐ Assess and Treating Pain in Older Adults ( 1CE) 
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• Recognize age‐related physiologic changes in older adults, and how age‐related changes affect pain management
• Describe specific pharmacologic (i.e. opioids, non‐opioids, adjuvant agents) and non‐pharmacologic strategies (i.e. exercise, cognitive‐behavioral therapies) for managing pain, and age‐related considerations in the older patient.

Module 6‐ Pediatric Pain Management ( 1 CE) 
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• Describe developmentally appropriate strategies and tools for assessing pain in children
• Utilize pharmacologic and non‐pharmacologic treatments for pain in children

Module 7‐ Assess and Treating Persistent Nonmalignant Pain: An Overview (1 CE)
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• Utilize a basic approach to the evaluation and assessment of the patient with persistent nonmalignant pain
• Apply the basic non‐pharmacological and pharmacological approaches to the management of persistent pain.

Module 8‐ Assess and Treating Persistent Nonmalignant Pain: Common Persistent Pain Conditions (1 CE)
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• Describe assessment and management strategies for low back pain
• Utilize strategies to assess and manage osteoarthritis
• Explain the assessment and management of fibromyalgia and myofascial pain syndrome
• Apply the basic principles of the assessment and management of chronic daily headache.

Module 9‐ Assess and Treating Neuropathic Pain (1 CE)
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• Describe the common nonmalignant neuropathic pain syndromes
• Describe the pain assessment and management approaches for different nonmalignant neuropathic pain syndromes.

Module 10‐ Overview and Assessment of Cancer Pain (1 CE)
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• Evaluate and interpret the pain complaint in the patient with cancer.
• Integrate consideration of the impact of pain on quality of life in the management of cancer‐related pain.
• Describe the different cancer pain syndromes.

Module 11‐ Pharmacotherapy for Cancer Pain (1 CE)
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• Utilize a rational approach to the selection, administration, and titration of analgesics used in the treatment of cancer‐ related pain
• Describe the use of non‐opioid, opioid, and adjuvant analgesics in cancer pain management
• Describe the side effects of different analgesic agents and their management

Module 12‐ Management of Cancer Pain: Other Analgesic Approaches and End‐of‐Life Care (1 CE)
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• Describe non‐pharmacologic approaches to the management of persistent cancer pain
• Describe the issues of cancer pain management at the end of life.

Instructions for CPE Credit
Each participant will view the introductory program, read the module contents, complete and submit the module self-assessments and evaluation, and webinar evaluation.

Registration
https://epayment.ndus.nodak.edu/C22800_ustores/web/product_detail.jsp?PRODUCTID=3757&SINGLESTORE=true

Course Completion
The ND State Board of Pharmacy will grant each participant the authority to administer pain management upon completion of the following:

• Score at least 70% overall on the self-assessments
• View the introductory training via the previously-recorded webinars
• Submit a completed application  to the ND Board of Pharmacy

Certificate of Completion
A statement of credit will be available through the CPE Monitor system within 6 weeks of receipt of course requirements. Requirements include completion of a participation registration, evaluation forms, and the answer sheets. Upon completion of the webinars and 12 self-study modules, participants will receive a Certificate of Completion of the Pain Management Certification Program. Up to 16 hours of continuing pharmacy education credit will be issued for participation in this program. CPE credit can be given for any completed modules but the Certification will only be issued upon completion of the entire program.

The ND Pharmacists Association will set up a Pain Management group to decide the parameters, the renewal requirements and the performance standards to maintain certification.