PAINWeek® - September 9-13, 2009 - Red Rock Casino, Resort, and Spa Las Vegas, NV - The national conference for frontline practitioner.

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Course Codes and Track Names

CAM - Complementary and Alternative Medicine
GER - Geriatric Pain Management
HCH - Health Coaching
HYP - Hypnosis
MAS - Master Class
MDL - Medical Legal
NAD - National Association of Drug Diversion
Investigators
NAR - Narcoterrorism
NRO - Neurology
PAL - Palliative Care
PCD - Pain and Chemical Dependency
PED - Pediatric Pain Management
PEF - Pain Educators Forum
PHM - Pharmacology
PHY - Physical Medicine & Rehabilitation
PTH - Product Theatre
POS - Poster Session
REG - Regional Pain Syndromes
RHM - Rheumatology
SIS - Special Interest Sessions
SYM - Symposium
TAI -Tai Chi and Meditation

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PAINWeek^® 2010 Courses

PAINWeek offers a diverse curriculum and multidisciplinary faculty who will present courses in the following areas: addiction, complementary & alternative medicine, geriatrics, health coaching, hypnosis, medical/legal, narcoterrorism, neurology, pain & chemical dependency, palliative care, pediatrics, pharmacology, physical medicine & rehabilitation, primary care, regional pain syndromes, and rheumatology.

Along with the annual Pain Educators Forum (PEF), PAINWeek 2010 presents a riveting 6-hour Narcoterrorism track and a unique, full-day program presented by the National Association of Drug Diversion Investigators (NADDI). Based on feedback from 2009 attendees, PAINWeek has added several new course concentrations in pediatrics, geriatrics, and regional pain syndromes.

100+ hours of continuing medical education will be presented by experts from 12 medical and patient advocacy organizations. There is only one national pain conference for frontline clinicians—and it is PAINWeek!

Please note that the course schedule is subject to change, as additional courses and commercially supported activities will be added over time.

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Course Code: PTH-03	Breakfast Product Symposium: A New Buprenorphine Transdermal System Martin E. Hale, MD Wednesday, September 08, 2010, 6:30 AM – 8:00 AM Location: Charleston Ballroom Sponsored by Purdue Pharma L.P. This activity is not certified for credit. View Course Information We are pleased to share with you our presentation on a NEW Buprenorphine Transdermal System—Now Approved in the US. We hope you enjoy this presentation and leave with information and insight on this new buprenorphine transdermal system. Please refer to the Full Prescribing Informationthat complements today’s program.To learn more about Purdue’s products, please visit booth #215.

Course Code: MDL-01	Legal/Regulatory Update: Taking Control of Your Prescribing Jennifer Bolen, JD Wednesday, September 08, 2010, 8:10 AM – 9:10 AM Location: Pavilion View Course Information In 2010, DEA published a key opinion in an administrative case that every pain practitioner should read. The administrative case focuses on the DEA registrant’s responsibilities: (1) to prescribe for a legitimate medical purpose, (2) while acting in the usual course of professional practice, and (3) while taking reasonable steps, as part of routine clinical practice, to prevent abuse and diversion. During this lecture, we will discuss in detail the facts of the Hassman and Iyer cases and focus on the underlying facts that reveal how practitioners can take control of their prescribing. Handouts will include the Hassman and Iyer cases, as well as a checklist that practitioners can use to facilitate a self-audit of their prescribing practices. UAN/UPN: 0530-0000-10-062-L03-P

Course Code: PED-02	Consequences of Not Treating Pain in Children Michelle A. Fortier, PhD Wednesday, September 08, 2010, 10:40 AM – 11:40 AM Location: Veranda AB View Course Information Learning Objectives Cite current literature on prevalence of children’s pain Review the short- and long-term physiological effects of untreated pain on children Describe the short- and long-term behavioral and psychological consequences of untreated pain Describe acute pain management interventions for children Explain future research directions and clinical implications Children are routinely subjected to painful experiences, from daily bumps and bruises to vaccinations, blood draws, and surgeries. Infants receiving intensive care are subjected to multiple, repeated painful procedures on a daily basis. Focus on pediatric pain management has increased as a result of the documentation of undertreatment of children’s pain. Although there has been significant improvement of children’s pain management in many hospital settings, pediatric pain continues to be undertreated in a variety of situations.The purpose of this presentation is to review current evidence of children’s pain management and impact of untreated pain on children’s physiological and psychosocial functioning. UAN/UPN: 0530-0000-10-053-L01-P

Course Code: SIS-12	Exorcising the Ghosts: Investigator and Industry Interactions R. Norman Harden, MD Steven Passik, PhD Mina Patel, PhD Elizabeth Wager, MA Wednesday, September 08, 2010, 11:50 AM – 12:50 PM Location: Veranda DE This activity is funded by Cephalon, Inc., and developed in collaboration with the program faculty. This activity is not certified for credit. View Course Information This program will focus on ethical interactions between investigators/authors and industry involved in developing publications arising from company-sponsored clinical studies. The program will address the criteria for authorship set forth by the Uniform Requirements for Manuscripts Submitted to Biomedical Journals of the International Committee of Medical Journal Editors (ICMJE; “Uniform Requirements”) and other best practice guidance sources. The program will use a “case-based” approach to bringing a publication to life; attendees will hear from an investigator, an industry representative, an industry consultant, and a journal editor. The objectives of this session are to define the role of authors in the development of company-sponsored research articles, the ethical and appropriate contribution of professional medical writers, and ghost and guest authorship.

Course Code: SYM-07	Lunch Symposium: American Geriatrics Society Guidelines on Pharmacologic Therapy for Persistent Pain: Applying Reccomendations to Practice Charles E. Argoff, MD, CPE Michael Brennan, MD Keela Herr, PhD Wednesday, September 08, 2010, 12:30 PM – 2:30 PM Location: Charleston Ballroom This activity is jointly sponsored by Global Education Group and Applied Clinical Education. This activity is supported by an educational grant from Mallinckrodt Inc., a Covidien Company. View Course Information Persistent pain is prevalent in older adults and often is under-identified and undertreated. Its assessment and safe and effective treatment are complex, and the rapid pace of change in the field of analgesic pharmacotherapy poses significant challenges in the consistent application of evidence-based research to the daily care of patients. A review of the most recent American Geriatric Society (AGS) guidelines for the treatment of persistent pain in elderly patients is warranted, as is discussion of further changes in the field since that publication was issued, and a case-based demonstration of the ways both the guidelines and the more recent data can be applied to clinical scenarios. The goal of this educational activity is to provide physicians and other health care practitioners with clinically useful information on the pharmacologic management of persistent pain in older adults.

Course Code: SYM-01	Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (premiere) Michael J. Brennan, MD Patricia Bruckenthal, PhD B. Todd Sitzman, MD Wednesday, September 08, 2010, 2:30 PM – 4:00 PM Location: Summerlin A This activity is sponsored by the Albert Einstein College of Medicine and Montefiore Medical Center and is supported by an educational grant from Cephalon, Inc. View Course Information The Interactive ShowCASE™ is comprised of 3 main sections. First, the program begins with a scientific poster gallery, hosted via iPod touch by Patricia Bruckenthal, PhD, RN, APRN-BC, Clinical Associate Professor at Stony Brook University School of Nursing, New York, who will discuss ethnic and gender disparities in the chronic pain experience and the rationale for a semi-structured and ongoing method to improve pain control. Next, in a live patient case study, Michael J. Brennan, MD, a board-certified physiatrist with a clinical position at Bridgeport Hospital in Bridgeport, Connecticut, will demonstrate patient interaction strategies for the appropriate assessment, diagnosis, and management of patients with persistent and breakthrough pain. Finally, participants will apply their clinical experience and acquired knowledge to an interactive case study conducted via iPod touch. B. Todd Sitzman, MD, MPH, Director of Advanced Pain Therapy in Hattiesburg, Mississippi, will guide participants through this virtual case, designed to improve decision-making skills in the assessment and long-term management of patients with persistent and breakthrough pain. At each decision point, participants will choose from several patient management options, each varying in their level of support from evidence-based guidelines and expert opinion.

Course Code: MAS-01	Hands-On Evaluation of Orofacial Pain Peter Foreman, DDS, DipAAPM Wednesday, September 08, 2010, 8:10 AM – 10:20 AM Location: Trails This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Orofacial and other head and neck pains are often seen by dental and medical practitioners, physical and massage therapists, chiropractors, and others. Treatment approaches have been varied and controversial. Muscles and their fascia as sources of pain have long been recognized by pioneers such as Travell and Simons, yet this is often overlooked. This Master Class will address these issues and treatment options. UAN/UPN: 0530-0000-10-051-L01-P

Course Code: SIS-01	Coaching Your Patient to Manage Their Medical Conditions Elizabeth F. Jackson, RN, BSN Wednesday, September 08, 2010, 8:10 AM – 9:10 AM Location: Veranda C This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Have you ever prescribed a comprehensive treatment plan for your patient only to have that patient return in the same or a similar state? When you ask why they failed to follow through with all the recommendations you made they have all kinds of reasons and excuses for not following through. This session is designed to teach practical coaching skills that can be applied when faced with patient resistance and excuses. You will be surprised how a few simple reflective statements and the right questions can quickly turn negative talk into change talk. You will learn coaching techniques that can motivate and empower your patient to connect with their deepest motivators, explore ambivalence, and overcome obstacles. UAN/UPN: 0530-0000-10-101-L01-P

Course Code: HYP-01	Mind/Body Techniques for Relief of Chronic Pain Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Wednesday, September 08, 2010, 8:10 AM – 9:10 AM Location: Veranda DE This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Mind/body approaches can be effective tools in addressing pain relief and healing. When you attend this program you will learn how to harness easy-to-use strategies and discover how to apply them in your practice. After participating in this activity participants will be able to discuss pain coping strategies with chronic pain patients and use basic mind/body pain relief techniques if desired. UAN/UPN: 0530-0000-10-086-L01-P

Course Code: PEF-01	Pain Mechanisms David M. Glick, DC, DAAPM, CPE Wednesday, September 08, 2010, 8:10 AM – 9:10 AM Location: Summerlin F This activity is sponsored by Global Education Group. This activity supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Management of pain begins with an understanding of the underlying mechanism responsible for its generation. Treatment not linked to mechanism of pain is not likely to succeed. With better knowledge about the reasons for pain, treatment can be rendered. UAN/UPN: 0530-0000-10-057-L01-P

Course Code: HYP-02	Effective Communication for Fear and Pain Reduction Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Wednesday, September 08, 2010, 9:20 AM – 10:20 AM Location: Veranda DE This activity is not scheduled to be presented as a post-conference Webinar. View Course Information You may be surprised to realize how quickly your patients can experience recognizable levels of relief from painful conditions through simple shifts in language and perspective. Learn how to use dissociation to promote comfort, increase compliance and create greater success for your patients today. UAN/UPN: 0530-0000-10-087-L01-P

Course Code: PEF-02	Chronic Pain Assessment Michael R. Clark, MD, MPH Wednesday, September 08, 2010, 9:20 AM – 10:20 AM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Effective clinical interviewing and pain assessment are critical to the appropriate diagnosis and management of pain. In this presentation, the clinician will learn how to apply principles of effective communication skills and evaluate available assessment tools. UAN/UPN: 0530-0000-10-072-L01-P

Course Code: PED-01	Assessment and Diagnosis of Pediatric Pain Michelle A. Fortier, PhD Wednesday, September 08, 2010, 9:20 AM – 10:20 AM Location: Veranda AB View Course Information Pain is one of the most common adverse events experienced by children. Despite the prevalence of pediatric pain and the availability of guidelines for pediatric pain management, treatment of children’s pain remains suboptimal. Part of the reason stems from difficulties translating guidelines to practice. For example, it takes an average of 5 years for published guidelines to be incorporated into routine clinical practice. Moreover, even accepted guidelines are not always followed. The purpose of the presentation, therefore, is to review prevalence and theories of pediatric pain and cover evidence-based assessment of both acute and chronic pain in children. UAN/UPN: 0530-0000-10-052-L01-P

Course Code: RHM-01	Crystal-Induced Arthritis (Gout and Pseudogout) Ronald J. Rapoport, MD, FACR Wednesday, September 08, 2010, 9:20 AM – 10:20 AM Location: Pavilion View Course Information The two most common types of crystal-induced arthropathies are gout and pseudogout. Pain and joint inflammation are caused by the formation of crystals within the joint space, making it an incapacitating illness. Gout is inflammation caused by monosodium urate monohydrate (MSU) crystals. Pseudogout is inflammation caused by calcium pyrophosphate (CPP) crystals and is sometimes referred to as calcium pyrophosphate disease (CPPD). This presentation will review the pathophysiology, explain the risk factors and comorbidities of crystal-induced arthritis, and treatment options for acute and chronic flare-ups. UAN/UPN: 0530-0000-10-029-L01-P

Course Code: RHM-02	Osteoarthritis Ronald J. Rapoport, MD, FACR Wednesday, September 08, 2010, 10:40 AM – 11:40 AM Location: Pavilion View Course Information Osteoarthritis (OA) is recognized to be more than a simple deterioration of joint surfaces through time. OA alters activities of daily living, interferes with ability for pleasure, and impacts quality of relationships with others. This presentation will describe OA as more than just a degenerative condition, putting it into context as a process radically changing quality of life for sufferers. UAN/UPN: 0530-0000-10-030-L01-P

Course Code: SIS-08	Postoperative Pain Management (premiere) Lynn Cintron, MD Wednesday, September 08, 2010, 10:40 AM – 11:40 AM Location: Veranda C View Course Information Chronic pain after surgery is a significant problem that reduces patients’ quality of life. It is important to identify patients at risk of developing this syndrome. Iatrogenic neuropathic pain is a common cause of persistent postoperative pain (PPP). Treatment should be targeted at the progression of mechanisms leading to neurodegeneration. Improving the management of acute postoperative pain and good surgical technique are some helpful strategies. Furthermore, we need to educate patients wanting surgery for reasons other than illness or disability about the risk of persistent pain.

Course Code: HYP-03	Reducing Presurgery Fears and Postsurgery Pain Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Wednesday, September 08, 2010, 10:40 AM – 11:40 AM Location: Veranda DE This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Patients who feel better heal better. Help your patients regain a sense of control in the seeming chaos of pre-op situations and watch them relax away fears and anxiety. You may even notice quicker recovery and improved results when your patient feels greater comfort, confidence and ease with the whole surgical process. Join us and discover ways that work. UAN/UPN: 0530-0000-10-088-L01-P

Course Code: PEF-03	Pain Diagnostic Methods David M. Glick, DC, DAAPM, CPE Wednesday, September 08, 2010, 10:40 AM – 11:40 AM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Diagnostic testing is an integral component for differential diagnosis. In routine clinical practice there has been a tendency for clinical examinations to become more cursory, largely influenced by increasing demands of time and patient expectations of technological advances. The end result may arguably lead to an over-reliance upon technology for basic clinical diagnosis. The purpose of this session is twofold. It is meant to provide a review, and for some, an introduction to basic structural and functional studies used for the diagnosis of pain-related problems. Attention will also be given to the limitations of such studies and the importance of establishing clinical relevance, including enhancing best practices when utilizing such studies, which may otherwise adversely affect clinical management, potentially resulting in failed treatment. UAN/UPN: 0530-0000-10-058-L01

Course Code: PEF-04	Pain Syndromes Chris J. Kottenstette, PA-C, CPE Wednesday, September 08, 2010, 11:50 AM – 12:50 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information This presentation will provide the clinician with an overview of common chronic pain syndromes seen in the primary care setting. Discussion will include prevalence, underlying mechanisms, evaluation, management, and patient education. UAN/UPN: 0530-0000-10-107-L01-P

Course Code: SIS-10	Chronic Pain and Depression Michael R. Clark, MD, MPH Wednesday, September 08, 2010, 11:50 AM – 12:50 PM Location: Pavilion Presented by Current Psychiatry View Course Information In this session, Dr. Clark, the director of chronic pain treatment programs at The Johns Hopkins Medical Institutions,will explore topics such as the epidemiology of comorbid pain and depression states (including chronic daily headache, back pain, chest pain, fibromyalgia, numerous neuropathies, etc.) and the rationales, ranges, and results of various pharmacologic treatments. UAN/UPN: 0530-0000-10-073-L01-P

Course Code: MAS-05	Fall Prevention for Osteoporosis Patients Ellen Smulders, MSc Wednesday, September 08, 2010, 2:30 PM – 4:40 PM Location: Veranda C This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Falling is a major health problem. Persons with osteoporosis are particularly at risk for fall-related fractures, because of decreased bone strength. Hence, fall prevention is very important in this target group. It has been shown that exercise programs can prevent falls and fall-related injuries in the elderly, but only little attention is given to persons with osteoporosis. Therefore, the Nijmegen Falls Prevention Program (NFPP) for persons with osteoporosis has been developed. Unique in this program is that participants not only learn to prevent falls but also learn fall techniques, based on martial arts, to fall as safely as possible. The NFPP for persons with osteoporosis was evaluated for its efficacy in a randomized, controlled trial. The participants showed a significant decrease in fall incidence rate and an increase in balance confidence. In this presentation the development of the NFPP for persons with osteoporosis will be described, as well as the RCT to evaluate its efficacy. Furthermore, the training of fall techniques will be demonstrated in a workshop that follows the lecture. UAN/UPN: 0530-0000-10-037-L01-P

Course Code: RHM-03	Fibromyalgia Ronald J. Rapoport, MD, FACR Wednesday, September 08, 2010, 2:30 PM – 3:30 PM Location: Pavilion View Course Information With the availability of prescription medications for the management of fibromyalgia (FMS) and fMRI data suggesting that there is loss of cortical grey matter associated with it, many clinicians are better able to understand the presumed pathophysiology of the condition. The absence of abnormality in commonly used laboratory and imaging methods has created confusion about the condition. This presentation will focus on the known changes seen with fibromyalgia and describe current best practices for management. UAN/UPN: 0530-0000-10-031-L01-P

Course Code: PEF-05	Therapeutics: Pharmacologic Mary Lynn McPherson, PharmD, BCPS, CPE Wednesday, September 08, 2010, 2:30 PM – 3:30 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information This course will review the pharmacology of pain management, highlighting the treatment options of simple analgesics, opioid analgesics, and adjuvant therapies, with a focus on balancing use of appropriate therapy to the appropriate patient. UAN/UPN: 0530-0000-10-018-L01-P

Course Code: SIS-02	Pain Clinical Trials Joseph V. Pergolizzi, MD Wednesday, September 08, 2010, 2:30 PM – 4:40 PM Location: Veranda DE This activity has not been certified for CME/CE credit and is not scheduled to be presented as a post-conference Webinar. View Course Information PAINWeek’s Scientific Poster and Abstracts Committee chairman, Joseph V. Pergolizzi, MD, will be joined by Joseph W. Stauffer, DO, Robert Raffa, PhD, Douglas Y. Shapiro, MD, PhD, Sue Ellen Kline, PhD, and Errol Gould, PhD, for a two-hour plenary session on pain clinical trials. The expert panel will speak to FDA regulations and testing for pain products, analgesic preclinical testing, designing components of analgesic clinical trials, HOPE studies in analgesic drug development, and investigator-initiated trials along with a concluding panel discussion. UAN/UPN: 0530-0000-10-028-L01-P

Course Code: PED-03	Management of Chronic Daily Headache in Children Daniel J. Lacey, MD, PhD Wednesday, September 08, 2010, 2:30 PM – 3:30 PM Location: Veranda AB View Course Information Chronic daily headache (CDH) is defined as headaches that occur on at least 15 days per month. This condition is now being seen in more children and adolescents. In these patients, chronic pain is often present in other body regions. Significant comorbidities of anxiety, depression, sleep disorders and poor school performance and attendance are often disruptive of their activities of daily living. Medication overuse and mild head trauma can also exacerbate headache frequency, severity and intractability, at times necessitating inpatient treatment. In order for children and teens with CDH to restore and preserve normal functionality, combined medication and nondrug modalities are usually required. These regimens will be discussed in more detail in the course. UAN/UPN: 0530-0000-10-110-L01-P

Course Code: PED-04	Idiopathic Chronic Pain Syndromes in Children Daniel J. Lacey, MD, PhD Wednesday, September 08, 2010, 3:40 PM – 4:40 PM Location: Veranda AB View Course Information An idiopathic chronic pain syndrome is defined as long-lasting pain of unidentifiable etiology that is associated with a reliable constellation of other clinical signs and/or symptoms. These syndromes are common in children as well as adults, and include headaches, abdominal pain, musculoskeletal pain and others. We will discuss each of these in detail, focusing on diagnosis, treatment and the comorbid conditions that frequently accompany chronic pain in children. It will be emphasized that aggressive recognition and treatment are essential to prevent pain-related disability and disruption of activities of daily living. Differences between adults and children with chronic pain disorders will be noted where applicable. UAN/UPN: 0530-0000-10-111-L01-P

Course Code: RHM-04	Rheumatoid Arthritis Ronald J. Rapoport, MD, FACR Wednesday, September 08, 2010, 3:40 PM – 4:40 PM Location: Pavilion View Course Information Rheumatoid arthritis (RA) is the most common of the inflammatory arthritides. Our current approach toward treatment is far more aggressive than treatments of the past. Practitioners need to be aware of the clinical presentation and options available in caring for these challenging patients. UAN/UPN: 0530-0000-10-032-L01-P

Course Code: PEF-06	Interventional Pain Management Chris J. Kottenstette, PA-C, CPE Wednesday, September 08, 2010, 3:40 PM – 4:40 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information This presentation will describe the uses of – and help attendees identify their patients who may be candidates for – basic pain management procedures such as epidurals, vertebroplasty, percutaneous facet fusion, percutaneous lumbar decompression, neurostimulation techniques, and intrathecal drug delivery. UAN/UPN: 0530-0000-10-108-L01-P

Course Code: SIS-09	Postoperative Pain Management (Encore) Lynn Cintron, MD Wednesday, September 08, 2010, 4:50 PM – 6:00 PM Location: Veranda UAN/UPN: 0530-0000-10-071-L01-P

Course Code: SIS-11	Leveraging Your Pain Management Expertise to Grow Your Practice: A Review of Innovative Marketing Models Bill Paquin Wednesday, September 08, 2010, 4:50 PM – 5:50 PM Location: Veranda AB Presented by SpineUniverse (part of the Vertical Health family of websites). This activity is not certified for credit. View Course Information Bill Paquin, CEO of Vertical Health, investigates the benefits and flaws of standard models in practice marketing, including Yellow Pages, referring physician networks, your facility, and practice Web site. He will also demonstrate how leading practices are evolving their marketing techniques, not just to attract new patients, but the RIGHT patients. Learn innovative strategies on how to both improve the patient experience and patient referral marketing.

Course Code: HYP-04	Functional Pain Relief with Hypnosis and Self-Hypnosis Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Wednesday, September 08, 2010, 4:50 PM – 5:50 PM Location: Veranda DE This activity is not scheduled to be presented as a post-conference Webinar. View Course Information The mind/body connection may be the single most effective influence in relieving the suffering associated with irritable bowel syndrome (IBS), fibromyalgia syndrome (FMS) and chronic fatigue syndrome (CFS). After all, it helps create the symptomology. Discover ways to assist a change in your patients\' relationships with their bodies that produces a feeling of relief. UAN/UPN: 0530-0000-10-089-L01-P

Course Code: KEY-01	Keynote Address Melanie Thernstrom Wednesday, September 08, 2010, 6:00 PM – 7:00 PM Location: Charleston Ballroom UAN/UPN: 121545641231

Course Code: SYM-05	Breakfast Symposium: Understanding the Toxicology of Compliance Marketing (Part 1) Joshua Gunn, PhD Thursday, September 09, 2010, 6:45 AM – 8:00 AM Location: Charleston Ballroom Sponsored by AIT Laboratories. This activity is not certified for credit. View Course Information This interactive presentation will provide updates on prescription drug diversion, abuse and misuse, while explaining the ways in which compliance monitoring can be an important resource for providers. Learn how the sensitivity and selectivity of screening and confirmation methods can affect the outcome of test results as we review a comparative analysis of instant and laboratory testing. Case studies will provide real-world examples of utilizing toxicology reports to better identify risky behavior including drug diversion, self medicating, pill scraping and illicit drug use masked by instant testing devices.

Course Code: SYM-12	Interactive Symposium: Challenges in Managing Pain While Mitigating Risk John F. Peppin, DO Paul Arnstein, RN Kenneth Kirsh, PhD Christopher Herndon, PharmD Thursday, September 09, 2010, 7:00 AM – 6:00 PM Location: Summerlin DC This activity is sponsored by the University of Cincinnati. This activity is co-provided by Global Education Group and Educational Awareness Solutions. This activity is supported by educational grants from Purdue Pharma L.P. and Mallinckrodt Inc., a Covidien Company View Course Information This novel interactive activity begins with technologically advanced visual and auditory education that culminates in a live patient practice session in an exam room with an expert facilitator and small group of your colleagues. The goal of this CME/CE activity is to improve your knowledge of pain management and increase your comfort level in appropriately prescribing controlled substances while mitigating risk. This CME activity will take 1 hour--please come at your convenience anytime during our hours of operation.

Course Code: MDL-02	Physician Dispensing: Can I? Should I? Jennifer Bolen, JD Thursday, September 09, 2010, 8:10 AM – 9:10 AM Location: Pavilion View Course Information When a healthcare practitioner receives his/her DEA Registration, federal law permits that practitioner to administer, dispense, and prescribe controlled medications. Federal law then defers to state law, allowing state law enforcement and professional licensing agencies to decide whether the practitioner needs to obtain additional registrations to fulfill state laws relating to the administration, dispensing, and prescribing of controlled medications. Some states permit physicians to “dispense” controlled medications from their medical office setting; others do not. For states that do allow physician dispensing, there are often several state laws that apply to the nature of the physician office dispensary and the actual steps in physician dispensing, including physician final review of the dispensed medication. With the continued reports of increasing prescription drug abuse and diversion, as well as the recent changes in state laws governing pain clinics, physicians should take care to learn about the applicable federal and state laws and regulations governing physician dispensing. During this session, attendees will be provided with a survey of state positions on physician dispensing and learn about common state requirements for practitioner dispensing. In addition, attendees will learn about the important distinctions between dispensing bulk and repackaged medications and about the documentation required to comply with common physician dispensing laws. UAN/UPN: 0530-0000-10-063-L03-P

Course Code: SIS-13	Fibromyalgia and Sleep Scientific Assembly I. Jon Russell, MD, PhD Victor Rosenfeld, MD Thursday, September 09, 2010, 8:10 AM – 10:20 AM Location: Summerlin E This activity is jointly sponsored by Global Education Group and the National Fibromyalgia Association. View Course Information The first hour, Dr. Russell will cover diagnosis and pathogenesis of fibromyalgia syndrome. In the second hour, Dr. Rosenfeld will speak to testing and treatment of sleep disorders related to fibromyalgia syndrome. UAN/UPN: 0530-0000-10-124-L01-P

Course Code: SIS-15	Pain Care Advocacy: Be Part of the Solution Will Rowe Thursday, September 09, 2010, 9:20 AM – 10:20 AM Location: Siena This activity is not certified for credit. View Course Information This will be a presentation and discussion of the pain policy issues that immediately affect the practice of pain management. Most important will be concrete advice and motivation to get involved and take action to improve pain policy at the state and federal levels. Participants will gain an understanding of critical policy issues and will leave the room with simple advice about taking concrete advocacy actions. BE PART OF THE SOLUTION!

Course Code: SYM-02	Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (encore) Michael J. Brennan, MD Patricia Bruckenthal, PhD B. Todd Sitzman, MD Thursday, September 09, 2010, 10:30 AM – 12:30 PM Location: Summerlin A This activity is sponsored by the Albert Einstein College of Medicine and Montefiore Medical Center and is supported by an educational grant from Cephalon, Inc. View Course Information The Interactive ShowCASE™ is comprised of 3 main sections. First, the program begins with a scientific poster gallery, hosted via iPod touch by Patricia Bruckenthal, PhD, RN, APRN-BC, Clinical Associate Professor at Stony Brook University School of Nursing, New York, who will discuss ethnic and gender disparities in the chronic pain experience and the rationale for a semi-structured and ongoing method to improve pain control. Next, in a live patient case study, Michael J. Brennan, MD, a board-certified physiatrist with a clinical position at Bridgeport Hospital in Bridgeport, Connecticut, will demonstrate patient interaction strategies for the appropriate assessment, diagnosis, and management of patients with persistent and breakthrough pain. Finally, participants will apply their clinical experience and acquired knowledge to an interactive case study conducted via iPod touch. B. Todd Sitzman, MD, MPH, Director of Advanced Pain Therapy in Hattiesburg, Mississippi, will guide participants through this virtual case, designed to improve decision-making skills in the assessment and long-term management of patients with persistent and breakthrough pain. At each decision point, participants will choose from several patient management options, each varying in their level of support from evidence-based guidelines and expert opinion.

Course Code: NAD-05	Teen Abuse of Prescription Drugs A Cause for Concern John J. Burke Thursday, September 09, 2010, 11:50 AM – 12:50 PM Location: Veranda DE UAN/UPN: 0530-0000-10-129-L01-P

Course Code: SIS-03	Pain and Sickle Cell Disease Thomas B. Gregory, PharmD, BCPS, CGP, CPE Thursday, September 09, 2010, 11:50 AM – 12:50 PM Location: Summerlin E This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Sickle cell disease affects 72,000 Americans and 30,000,000 worldwide. It’s the most commonly inherited blood disorder, causing excruciating pain in the arms, legs and back. Management of sickle cell disease involves not only medications (opioids, nonsteroidal antiinflammatory agents, etc.) but also psychosocial interventions in order to address the acute or chronic multifactorial pain presentation. Opioid use is common within this patient population along with the risk of tolerance, pseudoaddiction, and aberrant drug behaviors. This program will provide the learner with an appreciation for sickle cell disease and its management. UAN/UPN: 0530-0000-10-095-L01-P

Course Code: SYM-08	Lunch Symposium: Community Rx Crisis: Balance and Perspective on Prescription Drug Abuse John J. Burke Michelle Lipinski, Principal Of Northshore Recovery High School Lynn Webster, MD Thursday, September 09, 2010, 12:50 PM – 2:20 PM Location: Charleston Ballroom Sponsored by the National Association of Drug Diversion Investigators (NADDI) and King Pharmaceuticals. This activity is not certified for credit. View Course Information This session begins with an overview of the extent of prescription opioid abuse and diversion in the United States, followed by a description of a high school recovery program by Principal Michelle Lipinski with students\' discussion of how and why they began abusing prescription drugs, their access to the medications, how their drugs of choice evolved over time, and their trajectory of drug/alcohol use to addiction. Commander Burke and Ms. Lipinski conclude the presentation by reviewing best practices healthcare professionals can use to minimize prescription opioid abuse and diversion while maintaining therapeutic access to these medications. Attendees have the opportunity to ask questions at the end of the presentation.

Course Code: SYM-03	Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (encore) Michael J. Brennan, MD Patricia Bruckenthal, PhD B. Todd Sitzman, MD Thursday, September 09, 2010, 2:30 PM – 4:00 PM Location: Summerlin A This activity is sponsored by the Albert Einstein College of Medicine and Montefiore and is supported by an educational grant from Cephalon, Inc.

Course Code: MDL-03	Self-Audit Workshop Jennifer Bolen, JD Thursday, September 09, 2010, 2:30 PM – 4:40 PM Location: Trails This workshop is limited to 20 participants and requires pre-registration. This activity is not scheduled to be presented as a post-conference Webinar. View Course Information The American Medical Association (AMA) makes clear that physicians often find themselves entangled in the legal system, whether it is licensing board, civil, or criminal cases, when they are (1) Dated, (2) Duped, (3) Dishonest, and (4) Disabled. The AMA also makes clear that a physician’s documentation is critical to demonstrating treatment in accordance with generally accepted standards of care and federal and state laws. Similarly, published legal opinions in administrative, civil, and criminal cases prove that poor documentation often contributes to the judgment against the practitioner for inappropriate prescribing. During this session, attendees will learn about the critical documentation requirements associated with the treatment of chronic pain and the prescribing of controlled medications. Attendees should bring copies of blank office forms that they use to document patient records and a redacted example of an initial patient evaluation and patient follow-up. The presenter will redact and use attendee examples to illustrate critical documentation areas. Using a hypothetical case file, attendees will learn how to assess and improve documentation and will receive a checklist to facilitate their self-audit sessions. UAN/UPN: 0530-0000-10-064-L03-P

Course Code: SIS-14	Fibromyalgia and Sleep Scientific Assembly Charles E. Argoff, MD, CPE I. Jon Russell, MD Thursday, September 09, 2010, 3:40 PM – 5:50 PM Location: Summerlin E This activity is jointly sponsored by Global Education Group and the National Fibromyalgia Association. View Course Information In the first hour of this segment, Dr. Russell will address medication used to treat fibromyalgia syndrome and in the second hour Dr. Argoff will present case profiles. UAN/UPN: 0530-0000-10-125-L01-P

Course Code: SYM-04	Dinner Symposium: Chronic Opioid Therapy: Understanding Risk While Maximizing Analgesia Keela A. Herr, PhD, RN Bill McCarberg, MD Thursday, September 09, 2010, 6:30 PM – 9:00 PM Location: Charleston Ballroom Sponsored by the American Pain Foundation and the National Initiative on Pain Control® (NIPC®) and supported by an educational grant from Endo Pharmaceuticals. This activity is not certified for credit. View Course Information The American Pain Foundation (APF) is sponsoring this innovative National Initiative on Pain Control® (NIPC®) dinner symposium, entitled Chronic Opioid Therapy: Understanding Risk While Maximizing Analgesia, during PAINWeek 2010. The symposium will feature Keela A. Herr, PhD, RN, FAAN, AGSF, and Bill H. McCarberg, MD, who will provide an interactive, case-based approach to learning that will integrate the patient perspective into the pain treatment paradigm. The symposium will also utilize audience response technology, which will encourage ongoing interaction between you, the expert faculty, and your colleagues. This independent medical education activity is sponsored by the APF and supported through an educational grant from Endo Pharmaceuticals. Although this activity is not certified for continuing medical education credit, it will meet the same high-quality educational standards that have always been associated with the NIPC, and provide content that is evidence-based, fair-balanced, unbiased, and not influenced by commercial interests.

Course Code: PAL-01	The Multifaceted Nature of Grief and Bereavement E. Alessandra Strada, PhD Thursday, September 09, 2010, 8:10 AM – 10:20 AM Location: Veranda C This activity is not scheduled to be presented as a post-conference Webinar. View Course Information In this course, Dr. Strada will review the core aspects of normative and complicated grief and bereavement in the palliative care setting.She will help attendees understand individual grieving styles and implications for treatment, describe risk factors for complicated grief reactions, review the main treatment approaches, and examine the effects of grief and its treatment on those who deal with and treat grief. UAN/UPN: 0530-0000-10-041-L01-P

Course Code: NAD-01	Drug Diversion vs Pain Management: Finding a Balance John J. Burke Thursday, September 09, 2010, 8:10 AM – 10:20 AM Location: Veranda DE View Course Information This presentation will explore prescription drug abuse and is designed to assist prescribers and their employees in recognizing and dealing with the prescription drug seeker. In addition to giving an overview of this issue in America today, common sense solutions are offered for prescribers to effectively deal with drug seekers and to protect their practice. The program is designed to make the vast majority of prescribers more comfortable in their prescribing to legitimate patients, with the ultimate hope of increasing quality care to those in pain. Several examples of egregious prescriber behavior are reviewed, with the insight that these examples represent prescribers who are significantly out of the scope of anyone’s idea of legitimate medical practice. UAN/UPN: 0530-0000-10-011-L03-P

Course Code: PEF-07	Instructional Design Marcia J. Jackson, PhD, FACME Thursday, September 09, 2010, 8:10 AM – 10:20 AM Location: Veranda This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Are you sometimes “stumped” on how to plan an educational session or meeting? Following the steps in a systematic design process will help you get over this hurdle. In this session you will learn about a standard instructional design model—ADDIE. This acronym references each stage in the model: Analyze, Design, Develop, Implement, and Evaluate. The session will include case examples to illustrate practical situations that you encounter as a pain educator. UAN/UPN: 0530-0000-10-102-L04-P

Course Code: REG-01	Regional Pain Syndromes: Neck and Upper Extremities David M. Glick, DC, DAAPM, CPE Thursday, September 09, 2010, 9:20 AM – 10:20 AM Location: Pavilion View Course Information There are many potential underlying causes for neck and upper-extremity pain. All too often, only the most common working clinical diagnoses are provided. While this may lead to successful treatments and resolution of the pain pathology, it would be clinically prudent to alter the working clinical diagnosis. The purpose of this program is to review other common and not-so-common pain syndromes that can affect the neck and upper extremities. Attention will be given to clinical pearls and case presentations that may prove helpful when differentially diagnosing and treating various neck and upper-extremity pain syndromes. UAN/UPN: 0530-0000-10-059-L01-P

Course Code: SIS-07	Person-to-Person Penney Cowan Thursday, September 09, 2010, 10:40 AM – 11:40 AM Location: Trails View Course Information Penney Cowan, Executive Director of the American Chronic Pain Association, tells what the organization offers to people with pain. She discusses ways in which the healthcare community can help a person with chronic pain understand their role in the ongoing recovery process, and how to deal with and manage their pain to live a full life in spite of it. She offers the ten steps to achieving coping skills that can help a person move from the mind-set of being a patient, back to that of being a person. UAN/UPN: 0530-0000-10-074-L01-P

Course Code: PAL-02	Acceptance and Commitment Therapy Skills E. Alessandra Strada, PhD Thursday, September 09, 2010, 10:40 AM – 11:40 AM Location: Veranda C This activity is not scheduled to be presented as a post-conference Webinar. View Course Information The therapeutic applications of acceptance and commitment therapy (ACT) include anxiety disorders, depression, posttraumatic stress disorder, chronic pain, and advanced illness. ACT can be used to counteract the psychological inflexibility that results in an inability to make the necessary changes that can improve and enrich one’s life. Through six core processes, patients can increase their psychological flexibility, allowing them to effectively deal with painful thoughts and feelings and clarify important personal values. UAN/UPN: 0530-0000-10-042-L01-P

Course Code: NAD-02	A Law Enforcement Perspective to Drug Abuse Lisa McElhaney Thursday, September 09, 2010, 10:40 AM – 11:40 AM Location: Veranda DE View Course Information Learning Objectives Review history of diversion and prescription drug abuse Explain drug regulation and the Federal law regarding prescribing Describe methods of diversion Identify why Florida has become problematic Summarize the law enforcement “Red Flags” regarding diversion and trafficking Law enforcement has a long history of fighting diversion and prescription drug abuse. The present drug regulations and federal laws focus on physician prescribing and fail to cover the many methods of pharmaceutical drug diversion. This presentation will provide an analysis of the influencing factors that have enabled the explosion of pharmaceutical diversion, and a summary of the “flags” that alert law enforcement to the activities of diversion and drug trafficking. UAN/UPN: 0530-0000-10-114-L03-P

Course Code: REG-02	Regional Pain Syndromes: Chest John F. Peppin, DO Thursday, September 09, 2010, 10:40 AM – 11:40 AM Location: Pavilion View Course Information This course will explore the epidemiology and treatment of chest pain, helping attendees recognize the complexities involved in evaluating chronic pain patients with chest pain, reviewing how one approaches the diagnosis and treatment of various types of chest pain (both of the emergency and benign varieties), and showing how to apply the concepts discussed can be applied in treating patients who have various types of chest pain. UAN/UPN: 0530-0000-10-026-L01-P

Course Code: PEF-08	Using Games as Educational Tools Mary Lynn McPherson, PharmD, BCPS, CPE Thursday, September 09, 2010, 10:40 AM – 11:40 AM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information There are major differences in the effectiveness of active learning vs. passive learning. In this session, the use of games such as those modeled after TV game shows demonstrates how active learning engages students in much more useful ways than just taking notes. Pen and paper, electronic games, PowerPoint, case studies, and team challenges can all promote active learning. UAN/UPN: 0530-0000-10-019-L01-P

Course Code: SIS-06	The Complexity Model of Chronic Pain Management John F. Peppin, DO Thursday, September 09, 2010, 11:50 AM – 12:50 PM Location: Pavilion View Course Information Dr. Peppin discusses how current medical education in pain management has fallen short of success, and proposes that a new model is necessary, one that must change goals and take complexity into account. Instead of “focused examination” and “linear treatment," he calls for a coordinated system that will return patients to a complex equilibrium. UAN/UPN: 0530-0000-10-027-L01-P

Course Code: PAL-03	Progressive Muscle Relaxation E. Alessandra Strada, PhD Thursday, September 09, 2010, 11:50 AM – 12:50 PM Location: Veranda C This activity is not scheduled to be presented as a post-conference Webinar. View Course Information This session will include a review of the development and application of progressive muscle relaxation (PMR), discussion of the indications and contraindications for PMR in pain and palliative care patients, and a description of each phase of the process, in detail, with audience participation. UAN/UPN: 0530-0000-10-043-L01-P

Course Code: PEF-09	Principles of Adult Learning Marcia J. Jackson, PhD, FACME Thursday, September 09, 2010, 11:50 AM – 12:50 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Adults learn differently than children. The art and science of helping adults learn is called “andragogy.” Adults bring their own prior experience into the education setting, and these experiences can serve as a powerful resource for learning. Adults are independent and typically interested in learning that relates to problem-centered issues that they encounter in their daily lives. This session will highlight what we know about adult learners, present information about instructional strategies that are best suited to meet the learning needs of adults, ask participants to reflect on their own learning as adults and share examples of activities each has planned for adult learners in their own setting. UAN/UPN: 0530-0000-10-103-L04-P

Course Code: TAI-01	Harmony in Motion: The Science of Tai Chi (Premiere) Arthur Rosenfeld Thursday, September 09, 2010, 2:30 PM – 3:30 PM Location: Regal Cinema, Auditorium #5 Sponsored by Purdue Pharma L.P. This activity is not certified for credit. View Course Information This educational resource is part of a series of DVDs developed to inform healthcare professionals about the health benefits of integrative therapies (in this case, tai chi) as presented from a scientific medical perspective.The physical health benefits found in the ancient martial art of tai chi have been evident for centuries. Only recently, however, have the medical underpinnings, rationale and particular techniques of the practice been subjected to the clear lens of science. This DVD offers a practical, evidence-based bridge between Eastern and Western therapeutic approaches. It is not the intent of this DVD to suggest that tai chi is a substitute for medical care. It is recommended that patients consult with a licensed medical doctor before starting any exercise program.

Course Code: REG-03	Regional Pain Syndromes: Abdominal and Pelvic Pain Frank J. Nemec, MD Thursday, September 09, 2010, 2:30 PM – 3:30 PM Location: Pavilion View Course Information Chronic abdominal and pelvic pain is a common problem for both primary care physicians and pain specialists. The spectrum of diseases is broad, and therapies varied. Many of these patients have pain that is functional in nature, presenting considerable therapeutic challenges. This presentation will focus on the differential diagnosis of chronic abdominal and pelvic pain and the diagnostic workup, and offer therapeutic options for these patients. UAN/UPN: 0530-0000-10-023-L01-P

Course Code: NAD-03	Rx Fraud, Doctor Shoppers, and Pill Mills Lisa McElhaney Thursday, September 09, 2010, 2:30 PM – 4:40 PM Location: Veranda DE View Course Information Pharmaceutical diversion is a widespread epidemic across the nation. In any effort to combat the numerous facets of this problem, one must be able to clearly understand the basic elements of diversion and the cycle of fraudulent activities. This presentation will identify the elements of a basic Rx fraud case to a detailed “pill mill” operation and explain the variety of codependent relationships that exist in each area. This will provide the legitimate medical practitioner with the ability to recognize the many tricks and trends of diverters and to prevent their criminal activity from entering the medical office. UAN/UPN: 0530-0000-10-115-L03-P

Course Code: MAS-03	Malingering and Deception Blake H. Tearnan, PhD Sylvia Ross, PhD Thursday, September 09, 2010, 2:30 PM – 4:40 PM Location: Veranda AB View Course Information For the most part, patients are motivated to convey accurate information. But a host of factors can distort the true nature of a patient’s pain problem, leading to wrong and sometimes potentially harmful treatment decisions. Therefore, it is crucial for the clinician to understand what can affect an accurate patient self-report and be able to detect when symptom presentation veers from the truth. In reaching conclusions about the trustworthiness of a patient’s presenting complaints, it is also essential that the clinician address the possibility of deception and malingering, since this problem is prevalent enough to warrant serious consideration. This presentation is devoted to discussing fundamental issues regarding deception and malingering, especially as they relate to assessing chronic pain. Methods of assessment will be discussed, including the use of various deception detection strategies germane to the domain of medical complaints/chronic pain. The use of objective testing in deception detection will be included. UAN/UPN: 0530-0000-10-123-L03-P

Course Code: PEF-10	Pain Educators: Agents of Behavioral Change Mary Lynn McPherson, PharmD, BCPS, CPE Thursday, September 09, 2010, 2:30 PM – 3:30 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Learning Objectives Describe the difference between teaching and learning List the ten educational points that should be included when teaching patients about their pain medications List five important self-management behaviors for patients with chronic pain Describe the impact pain education has on clinical outcomes List the eligibility criteria for the Certified Pain Educator exam Pain educators are a relatively new group of practitioners who have embraced pain education as an important mission. Pain educators can actually catalyze changes in behavior for both patients and healthcare providers. This session answers the who, what, where, when, why, and how of pain educators. Participants will also learn about the Certified Pain Educator (CPE) examination including eligibility criteria and how to maintain the credential. UAN/UPN: 0530-0000-10-020-L01-P

Course Code: PEF-11	Common Problems and Solutions in Prescribing Opioids Chris J. Kottenstette, PA-C, CPE Thursday, September 09, 2010, 3:40 PM – 4:40 PM Location: Summerlin F Presented by Clinician Reviews. This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit View Course Information This session will describe problems with opioid prescribing; help attendees identify and distinguish among patients who may be misusing, abusing, or diverting opioid medications; and suggest various ways to handle several scenarios in such situations. Prescribing practices and alternatives will be offered. UAN/UPN: 0530-0000-10-109-L01-P

Course Code: REG-04	Regional Pain Syndromes: Hip and Lower Extremity Pain Owen D. Williamson, MBBS, FRACS, FRACS Pam Squire, MD Thursday, September 09, 2010, 3:40 PM – 5:50 PM Location: Siena View Course Information Hip and lower-limb regional pain syndromes can arise locally, be referred from the lower back, or be due to nerve compression in the back, buttock, or lower limb. This interactive workshop will involve a brief discussion of valid and reliable symptoms, signs, and investigations for differentiating the causes of hip and lower-limb regional pain syndromes and hands-on exercises practicing and interpreting a time-efficient examination sequence. Participants should dress to be examined by others during the workshop! UAN/UPN: 0530-0000-10-050-L01-P

Course Code: NAD-04	Organized Diversion Rings Lisa McElhaney Thursday, September 09, 2010, 4:50 PM – 5:50 PM Location: Veranda DE Please note that this course is approved for AAFP elective (not prescribed) credit. View Course Information Organized Rx fraud rings are becoming commonplace in our society. This block of instruction will provide an overview of the structure of an organized fraud ring and the steps that law enforcement followed to dismantle the operation. UAN/UPN: 0530-0000-10-017-L01-P

Course Code: PEF-12	Pharmacists and Pain Teams Thomas B. Gregory, PharmD, BCPS, CGP, CPE Thursday, September 09, 2010, 4:50 PM – 5:50 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Cephalon, Inc., Lilly USA, LLC, and Purdue Pharma L.P. For further information concerning Lilly grant funding visit www.lillygrantoffice.com View Course Information Pharmacists are the gatekeepers of the medications, compounds, salves, and drugs. That role has held true for hundreds of years. With the ever-changing and expanding roles of other healthcare providers, pharmacists are also stepping into a role away from the traditional dispensing and compounding functions and into a more clinically based approach to patient care. The utility of a pharmacist to a provider managing the health of the pain patient relates back to the pharmacist\'s function as the drug expert. Being able to bridge the knowledge gap has been a role that pharmacists have filled since the profession\'s inception. Having knowledge regarding drug interactions, optimal routes of administration, appropriateness of drug therapy, and the laws that surround prescribing medications are but some of the benefits to working with a pharmacist. Pharmacists can also provide analgesic dosage conversions, monitor patients for refill habits and inconsistencies, and relay all that to providers. Pharmacists and pain teams will provide learners with more information regarding the utility of pharmacists in optimizing patient care. UAN/UPN: 0530-0000-10-094-L01-P

Course Code: POS-01	Poster Session and Reception Joseph V. Pergolizzi, MD Thursday, September 09, 2010, 6:00 PM – 7:30 PM Location: Charleston Foyer View Course Information Authors will be available next to their posters for questions and feedback during the reception.

Course Code: SYM-06	Breakfast Symposium: Comparative Interpretation of Urine and Blood Toxicology for Compliance Monitoring (Part 2) Joshua Gunn, PhD Friday, September 10, 2010, 6:45 AM – 8:00 AM Location: Charleston Ballroom Sponsored by AIT Laboratories. This activitiy is not certified for credit. View Course Information This interactive presentation will cover the pros and cons of utilizing urine as the ultimate compliance monitoring tool, including addressing common frustrations with urine drug testing. Blood will be introduced as a new tool for monitoring based on pharmacokinetics along with a comparative analysis of blood and urine matrices. Case studies will demonstrate how blood analysis in high-dose opioid patients can be utilized to help determine crucial steady-state blood levels.

Course Code: SYM-13	Interactive Symposium: Challenges in Managing Pain While Mitigating Risk John F. Peppin, DO Paul Arnstein, RN Kenneth Kirsh, PhD Christopher Herndon, PharmD Friday, September 10, 2010, 7:00 AM – 6:00 PM Location: Summerlin D This activity is sponsored by the University of Cincinnati. This activity is co-provided by Global Education Group and Educational Awareness Solutions. This activity is supported by educational grants from Purdue Pharma L.P. and Mallinckrodt Inc., a Covidien Company. View Course Information This novel interactive activity begins with technologically advanced visual and auditory education that culminates in a live patient practice session in an exam room with an expert facilitator and small group of your colleagues. The goal of this CME/CE activity is to improve your knowledge of pain management and increase your comfort level in appropriately prescribing controlled substances while mitigating risk. This CME activity will take 1 hour--please come at your convenience anytime during our hours of operation.

Course Code: NRO-01	Migraine Headache: Differential Diagnosis and Prophylactic Treatment Charles E. Argoff, MD, CPE Friday, September 10, 2010, 8:10 AM – 10:20 AM Location: Pavilion Presented by Neurology Reviews View Course Information Migraine is often mistaken for sinus or tension headache. This session will detail diagnosis of this difficult disease, its acute treatment, and prophylactic measures that can reduce patients\' suffering. A case study is included. UAN/UPN: 0530-0000-10-061-L01-P

Course Code: HYP-05	Patient Compliance: Conversational Techniques to Improve Participation Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Friday, September 10, 2010, 10:40 AM – 11:40 AM Location: Summerlin F This activity is not scheduled as a post-conference Webinar. View Course Information The mind/body connection is simply a fact of life. More and more medical practitioners are recognizing and using the amazing power of this resource in their practice. These practitioners are seeing rapid healing, improved attitudes among patients and greater compliance with treatment protocols. Michael Ellner and Daniel Cleary share with you effective language and techniques to utilize the natural connections for amazing outcomes. UAN/UPN: 0530-0000-10-090-L01-P

Course Code: HCH-04	Essential Ingredients of Self-Management Rebecca Curtis, ACC Friday, September 10, 2010, 11:50 AM – 12:50 PM Location: Veranda DE View Course Information Certain key elements have been shown to help decrease the experience of pain and lead to a better overall quality of life for chronic pain patients. In this final segment Becky Curtis will identify some ingredients essential to an effective self-management strategy and suggest ways to motivate patients to implement these changes in their lives. UAN/UPN: 0530-0000-10-079-L01-P

Course Code: PTH-02	Lunch Product Theatre: Pathophysiology of Pain: Mechanisms and Manifestations Charles E. Argoff, MD, CPE Friday, September 10, 2010, 12:50 PM – 2:20 PM Location: Charleston Ballroom Sponsored by Lilly USA, LLC. This activity is not certified for credit. View Course Information Pain transmission and processing occurs in the peripheral and central nervous system. Acute pain serves as a warning to prevent damage. Chronic pain is defined as pain that persists beyond acute pain or beyond the expected time of normal healing. This presentation will review pain pathways in the peripheral and central nervous system and the mechanisms leading to the development of chronic pain.This medical presentation is intended only for invited healthcare professionals for whom the information to be presented is relevant to their practice. We regret that spouses or other guests cannot be accommodated. As a result of enacted state regulations food, beverage and/or meals will not be provided by Lilly USA, LLC for healthcare professionals from the states of Minnesota, Massachusetts and Vermont.

Course Code: PTH-01	Lunch Product Theatre: New Dimensions in Pain Dialogues Romanth Waghmarae, MD, DABA Friday, September 10, 2010, 1:00 PM – 2:20 PM Location: Veranda Sponsored by Cephalon Inc. This activity is not certified for credit. View Course Information Despite the high prevalence and broad impact of breakthrough cancer pain on the lives of cancer patients today, critical pain discussions that could help identify and lead to more specific therapy often do not take place. This promotional program is designed specifically to help increase the dimension of pain discussions and optimize treatment of patients with breakthrough cancer pain. The presentation will be followed by an interactive question-and-answer segment.

Course Code: MAS-02	Clinical Examination of Neuropathic Pain: A Hands-On Approach Pam Squire, MD, CCFP, CPE Owen Williamson, MBBS, FRACS Charles Argoff, MD Friday, September 10, 2010, 2:30 PM – 4:40 PM Location: Siena This activity is not scheduled to be presented as a post-conference Webinar. View Course Information This Master Class will begin with a didactic and interactive lecture reviewing the diagnosis of neuropathic pain. It will briefly describe the physiologic basis for Quantitative Sensory Pain Testing (QSPT), provide compelling reasons for adoption of this technique into daily practice as well as focus on actual examination techniques. The second hour will involve small-group hands-on sessions to allow demonstration and practice of new skills. UAN/UPN: 0530-0000-10-038-L01-P

Course Code: SYM-10	Practical Approaches to Recognizing and Managing Breakthrough Cancer Pain (premiere) Lynn R. Webster, MD, FACPM, FASAM Steven Passik, PhD Friday, September 10, 2010, 2:30 PM – 4:00 PM Location: Summerlin F This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Archimedes Pharma US. View Course Information This activity will address key behaviors and actions that prescribers and support staff can implement to recognize and diagnose breakthrough cancer pain (BTCP), conduct proper patient selection (risk stratification, triage, and exit strategies), and identify appropriate treatment. This program will impart concrete recommendations on behaviors and tools clinicians can employ in their practice immediately.

Course Code: POS-02	Oral/Podium Presentations Joseph V. Pergolizzi, MD Friday, September 10, 2010, 7:00 AM – 9:10 AM Location: Veranda C View Course Information This session will present selected posters for oral presentations.

Course Code: TAI-02	Tai Chi Class Arthur Rosenfeld Friday, September 10, 2010, 7:00 AM – 8:00 AM Location: Pool Area Sponsored by Purdue Pharma L.P. This activity is not certified for credit. Loose, comfortable pants and top, with flat-soled shoes is recommended to participate.

Course Code: HCH-01	“Cure Me, or I Give Up!” The Role of Acceptance in Patient Self-Management Rebecca Curtis, ACC Friday, September 10, 2010, 8:10 AM – 9:10 AM Location: Veranda DE View Course Information The clinician’s dilemma is helping chronic pain patients move beyond a “cure me” mentality toward self-management. Becky Curtis shares her own story and that of others she has coached, focusing on the role acceptance has in moving chronic pain patients from victim to pain manager. Included are tips on how using the coach approach can move a patient toward acceptance. UAN/UPN: 0530-0000-10-076-L01-P

Course Code: PHM-01	Methadone Mary Lynn McPherson, PharmD, BCPS, CPE Friday, September 10, 2010, 8:10 AM – 9:10 AM Location: Summerlin E View Course Information Magic, mystical, mysterious methadone is an excellent opioid that requires special handling. Participants in this program will learn about the unique pharmacokinetic and pharmacodynamic properties of methadone, how to initiate methadone therapy in an opioid-naïve patient, and how to switch patients from other opioids to methadone. Participants will also learn about how to monitor a patient converted to methadone and appropriate titration strategies. UAN/UPN: 0530-0000-10-021-L01-P

Course Code: PHM-02	NSAIDs and COX-2 Toxicities Wayne T. Nicholson, MD, PharmD Friday, September 10, 2010, 9:20 AM – 10:20 AM Location: Summerlin E This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Adverse drug events (ADRs) are one of the leading causes of mortality in the United States. Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with several toxicities that include renal, GI and cardiovascular effects. Risks and pharmacologic mechanisms will be considered, to identify issues with the use of these agents. UAN/UPN: 0530-0000-10-024-L01-P

Course Code: HCH-02	Application of the Transtheoretical Model of Change in Coaching Chronic Pain Patients Rebecca Curtis, ACC Friday, September 10, 2010, 9:20 AM – 10:20 AM Location: Veranda DE View Course Information Lack of patient adherence to prescribed pain management modalities can result in an endless cycle of pain flares and hopelessness. Becky Curtis will discuss how coaches and chronic pain professionals can use the transtheoretical model to assess a patient\'s readiness to make the changes necessary to reduce his or her experience of pain. UAN/UPN: 0530-0000-10-077-L01-P

Course Code: SIS-04	Unconscious Processes and the Undertreatment of Pain: Illustrations from Clinical Narratives and Poetry Nance K. Cunningham, PhD Howard Stein, PhD Friday, September 10, 2010, 9:20 AM – 10:20 AM Location: Trails This activity is not scheduled to be presented as a post-conference Webinar. View Course Information The presenters discuss some of the recent research on empathy as a possible physician or nurse barrier to good pain assessment and management. They make use of this attention to empathy by explaining how medical culture and psychodynamic processes can influence professionals’ responses to the distress of witnessing patients in pain. Examples from clinical narratives and poetry are used as illustrations. UAN/UPN: 0530-0000-10-075-L01-P

Course Code: NRO-02	Complex Regional Pain Syndrome (CRPS) Philip Getson, DO Friday, September 10, 2010, 10:40 AM – 12:50 PM Location: Pavilion View Course Information Complex regional pain synrome (CRPS) is an old problem with a new name. In the past, type 1 was termed reflex sympathetic dystrophy (RSD) and type 2 was termed causalgia in older literature. This lecture will discuss the fundamentals of CRPS, its clinical manifestations and basic treatment. It will be followed by an hour of case studies and more in-depth discussion of treatment options. UAN/UPN: 0530-0000-10-054-L01-P

Course Code: HCH-03	Courage to Change: Tools for Helping Patients Embrace Self-Management and Identify Strengths for Change Rebecca Curtis, ACC Friday, September 10, 2010, 10:40 AM – 11:40 AM Location: Veranda DE View Course Information Evidence suggests that coaching methods can help patients move from an unhealthy dependence on healthcare professionals to ownership of their own pain management strategy. Becky Curtis will discuss ways to empower the patient by using motivational interviewing (MI) to increase a patient\'s readiness to change, and appreciative inquiry (AI) to identify the strengths they can use to succeed. UAN/UPN: 0530-0000-10-078-L01-P

Course Code: MAS-06	Optimizing Medical Adherence in Your Practice Geralyn Datz, PhD Friday, September 10, 2010, 10:40 AM – 12:50 PM Location: Veranda C View Course Information All of us have endured the frustration of non-compliant patients. Be it over medicating, under medicating or simply erratic medication taking, medical non-adherence is a major public health problem in this country, that incurs billions of dollars of healthcare spending each year. The ways in which we choose to address, or not address, medical non-adherence also has major implications for healthcare reform. This master class will explore the scope, causes, and evidence-based techniques for addressing these problematic behaviors. Unique factors that arise from both patients and prescribers will be highlighted. Issues unique to pain patients, including medication misuse and the use of treatment agreements, will also be shared. This course is of vital importance to all professionals involved in the care of pain patients and will provide practical, meaningful, and empirical understanding of this challenging healthcare topic. UAN/UPN: 0530-0000-10-080-L01-P

Course Code: MDL-04	Mock Medical Board Hearing: Licensing Board vs Dr. Pain Jennifer Bolen, JD Susan Daffron, FNP-BC Ted Jones, PhD Arthur Thexton, JD Friday, September 10, 2010, 10:40 AM – 12:50 PM Location: Summerlin A View Course Information Using snippets from cases these lawyers have been involved with, Ms. Bolen and Mr. Thexton will work with their faculty and present a mock medical board hearing involving allegations of inappropriate documentation and prescribing of controlled medications. At the end of the mock hearing, faculty will discuss critical learning points, including: (1) the role of the medical board in overseeing its licensees, (2) procedural aspects of medical board hearings, (3) the importance of involving legal counsel, (4) production of documentation, (5) strategy decisions, including the selection of medical and legal experts, and (6) a list of reading materials to facilitate understanding of the licensee\'s responsibilities when treating pain with controlled medications. UAN/UPN: 0530-0000-10-065-L03-P

Course Code: SIS-05	How Simple Pain Pathophysiology Can Transform Patient Care Pam Squire, MD, CCFP, CPE Friday, September 10, 2010, 11:50 AM – 12:50 PM Location: Siena This activity is not scheduled to be presented as a post-conference Webinar. View Course Information In the last 20 years, new concepts to explain chronic pain have changed our therapeutic focus from simply diagnosing and treating "pain, the symptom" to defining and managing the more complex phenomena associated with chronic pain, sometimes encapsulated as “pain, the disease.” This changing paradigm has engendered many new insights that now direct all aspects of modern pain practice. Emerging research indicates that knowledge can provide significant mitigation against the many fears our patients experience as a result of their relationship with chronic pain. This interactive session will share tools and techniques for implementing knowledge translation into practice. UAN/UPN: 0530-0000-10-039-L01-P

Course Code: HYP-06	Mind/Body Medicine: Expanding the Scope of Your Practice Michael B. Ellner, CHt, MSH Daniel Cleary, CHt Friday, September 10, 2010, 11:50 AM – 12:50 PM Location: Summerlin F This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Medications and other treatments all share one aspect in order to be effective: the patient has to use them! Compliance has always been a challenge and this program demonstrates simple conversational approaches that will have surprising results in your practice. Returning for their fourth year at PAINWeek, Dan Cleary and Michael Ellner will reveal entrancing language patterns and shifting perspectives to create better rapport and greater compliance with your patients. UAN/UPN: 0530-0000-10-091-L01-P

Course Code: NRO-03	Posttraumatic Headache: Pathophysiology and Treatment Gary W. Jay, MD, FAAPM, DAAPM Friday, September 10, 2010, 11:50 AM – 12:50 PM Location: Veranda View Course Information As posttraumatic headache is a difficult problem to deal with, this activity will address the pathophysiology of the most typical of posttraumatic headaches. Also discussed will be other issues that may accompany posttraumatic headaches: minor traumatic brain injury as well as postconcussion syndrome. The timing of treatment, the type of treatment, and the express need for interdisciplinary treatment will also be discussed. UAN/UPN: 0530-0000-10-104-L01-P

Course Code: MDL-05	Drug Testing Legal and Reimbursement Issues: Myths and Realities Jennifer Bolen, JD Friday, September 10, 2010, 2:30 PM – 3:30 PM Location: Summerlin A View Course Information In 2010, it is clear that the pain practitioner is obligated to assess and monitor patient risk potential for the abuse and diversion of controlled medications, including both illicit and licit drugs. One method of assessing and monitoring risk is the use of a drug testing program that allows the practitioner to objectively assess new and established patients. During this session, attendees will learn about (1) the medico-legal reasons for drug testing, (2) drug testing platforms, and (3) critical legal and reimbursement issues associated with drug testing, laboratory structure, and relationships with outside laboratories. Attendees will receive copies of example Medicare carrier coverage determinations for qualitative drug screening. At the end of the session, attendees will be able to distinguish between the myths and realities of drug testing legal and reimbursement issues and plan for improved physician office laboratory structure and the selection of a proper laboratory testing partner. The overall goal of the session is to provide attendees with the tools they need to take control of their drug testing and to make it a proper tool to not only assess and monitor risk, but also to support their patients\' legitimate ongoing use of controlled medications. UAN/UPN: 0530-0000-10-066-L03-P

Course Code: PHM-03	Opioid Conversions Mary Lynn McPherson, PharmD, BCPS, CPE Friday, September 10, 2010, 2:30 PM – 3:30 PM Location: Summerlin E View Course Information Learning Objectives Describe reasons why clinicians must rotate patients from one opioid to another Explain the development of the Equianalgesic Opioid Dosing chart, and limitations with the data Perform opioid dose conversions from one oral dosage formulation to another of the same opioid Perform conversions between opioids, and between routes of administration Perform conversions to and from fentanyl dosage formulations Many patients receiving opioids will need to switch from one opioid to another during therapy, or at least from one dosage formulation or route of administration to another. During this session, practitioners will learn to recognize clinical situations where opioid switching would be appropriate, and will work on a problem set designed to sharpen skills in opioid conversion calculation. UAN/UPN: 0530-0000-10-022-L01-P

Course Code: PHM-04	Understanding Pharmacologic Metabolism and Using CYP450 Charts Wayne T. Nicholson, MD, PharmD Friday, September 10, 2010, 3:40 PM – 4:40 PM Location: Summerlin E This activity is not scheduled to be presented as a post-conference Webinar. View Course Information Pharmacokinetic problems related to drug metabolism are commonplace in clinical practice. Many drug-drug interactions and the cytochrome P450 (CYP450) are well described in the literature. More recently, genetic polymorphisms resulting in altered metabolism via CYP450 have gained interest within the practice of medicine. Pharmacokinetic and pharmacogenomic considerations will be identified to better predict metabolic issues. UAN/UPN: 0530-0000-10-025-L01-P

Course Code: NRO-04	Autonomic Aspects of Soft-Tissue Pain Gary W. Jay, MD, FAAPM, DAAPM Friday, September 10, 2010, 3:40 PM – 4:40 PM Location: Veranda View Course Information The autonomic nervous system anatomy and physiology will be reviewed, along with the pertinent issues of myofascial pain syndrome. Sympathetically maintained pain and a case presentation will be discussed. Finally, we will discuss how selective tissue conductance can help the clinician in determining the presence or absence of these clinical issues. UAN/UPN: 0530-0000-10-105-L01-P

Course Code: TAI-03	Harmony in Motion: The Science of Tai Chi (Encore) Arthur Rosenfeld Friday, September 10, 2010, 3:40 PM – 4:40 PM Location: Charleston Ballroom Sponsored by Purdue Pharma L.P. This activity is not certified for credit.

Course Code: TAI-04	Meditation Class Arthur Rosenfeld Friday, September 10, 2010, 6:00 PM – 7:00 PM Location: Pool Area Sponsored by Purdue Pharma L.P. This activity is not certified for credit.

Course Code: NAR-03	Targets of Opportunity David G. Reist, (BGen, USMC, Retired) Saturday, September 11, 2010, 10:40 AM – 11:40 AM Location: Summerlin A This course is not approved for AAFP credit. View Course Information Narcoterrorism is one of many threats to US national security. Insurgent groups do not possess the ability to challenge the US militarily, but they are attempting to affect US national infrastructure (economics, public health, military and government, etc.) via indirect measures. The disruption and weakening of the US writ large is the end state of our enemies, and the wars being fought within our borders are potentially crippling. The medication (more accurately over-medication) of soldiers portends problems and the impact upon military readiness is slowly becoming more apparent. UAN/UPN: 0530-0000-10-014-L03-P

Course Code: NAR-04	Balancing Patient Care and Government Regulation: The Influence of Narcoterrorism John K. Hall, MD, JD Saturday, September 11, 2010, 11:50 AM – 12:50 PM Location: Summerlin A View Course Information Physicians incur protean responsibilities to myriad individuals, groups, and organizations and must carefully balance complex issues of patient care with tolerable levels of personal and professional risk when regulatory or statutory mandates subvert their ethical principles. This collision of ethics and law is currently exemplified by two specific therapies. The first is the increasing use of marijuana for medical purposes. The second is the use of narcotics, particularly schedule II narcotics, for the relief of pain. This presentation will address these issues in relation to increased scrutiny of prescribing practices by state and federal agencies and how these events relate to a narcoterrorism-based dilemma. UAN/UPN: 0530-0000-10-098-L03-P

Course Code: SYM-11	Lunch Symposium: Practical Approaches to Recognizing and Managing Breakthrough Cancer Pain Lynn R. Webster, MD, FACPM, FASAM Thomas Strouse, MD Saturday, September 11, 2010, 12:50 PM – 2:20 PM Location: Charleston Ballroom This activity is sponsored by Global Education Group. This activity is supported by an educational grant from Archimedes Pharma US. View Course Information This activity will address key behaviors and actions that prescribers and support staff can implement to recognize and diagnose breakthrough cancer pain (BTCP), conduct proper patient selection (risk stratification, triage, and exit strategies), and identify appropriate treatment. This program will impart concrete recommendations on behaviors and tools clinicians can employ in their practice immediately.

Course Code: GER-03	Dilemmas Encountered When Treating Geriatric Pain: Case Studies Kathryn L. Hahn, PharmD, DAAPM, CPE Saturday, September 11, 2010, 2:30 PM – 3:30 PM Location: Pavilion View Course Information Poorly controlled pain in older patients can have a negative impact on the quality of life, resulting in depression, mood disturbance, social isolation, sleep disturbance, cognitive impairment, and reduced activities of daily living. A recent large national survey suggests that inadequate analgesia and undertreatment of pain are common, particularly among older patients in the United States. In this presentation, possible barriers that contribute to this undertreatment will be discussed, as well as the dilemmas encountered during geriatric patient care. Cases illustrating co-morbid conditions, drug-drug interactions, adverse drug effects, and patient fears will be presented. UAN/UPN: 0530-0000-10-096-L01-P

Course Code: NAR-05	Physician Roles and Responsibilities in Profession and Practice James J. Giordano, PhD Saturday, September 11, 2010, 2:30 PM – 3:30 PM Location: Summerlin AB UAN/UPN: 0530-0000-10-056-L01-P

Course Code: NAR-06	Profile of Narcoterrorism: Economic Considerations Chris Brown Saturday, September 11, 2010, 3:40 PM – 4:40 PM Location: Summerlin AB View Course Information This course will describe the current magnitude of the drug threat by regions of the US, and the proportion of the types of illicit drugs first used by those aged 12 years and older. The history of international drug trafficking will be illuminated, starting with the Chinese Opium Wars of the 19th century, through the Communist nations’ involvements, to the first “War on Drugs” in the Nixon-era, to the present. The changing nature of the narcotics market; the prices of various drugs involved; and the types, names, and motivations of the major players will be described. UAN/UPN: 0530-0000-10-069-L03-P

Course Code: CAM-06	Translating CAM Research Into Clinical Practice Richard Glickman-Simon, MD Saturday, September 11, 2010, 4:50 PM – 5:50 PM Location: Veranda AB View Course Information This session is devoted to the practical application of research into the analgesic effects of complementary and alternative therapies. We begin by identifying the most popular and well-studied CAM therapies used for the treatment of chronic pain. We then consider the unusual challenges researchers face in this area of investigation and summarize the general state of the evidence given these limitations. Finally, we develop a strategy for safely using selected CAM therapies in the context of an allopathic pain medicine practice. UAN/UPN: 0530-0000-10-092-L01-P

Course Code: TAI-05	Tai Chi Class Arthur Rosenfeld Saturday, September 11, 2010, 7:00 AM – 8:00 AM Location: Pool Area Sponsored by Purdue Pharma L.P. This activity is not certified for credit. Loose, comfortable pants and top, with flat-soled shoes is recommended to participate.

Course Code: PCD-01	The 5 Pillars of Pain Management Douglas L. Gourlay, MD, FRCPC, FASAM Saturday, September 11, 2010, 8:10 AM – 9:10 AM Location: Summerlin E View Course Information In this course, Dr. Gourlay will discuss such topics as the nature of addiction, pseudoaddiction, and physical dependence; the use of treatment agreements; the importance of universal precautions; and will elucidate the 5 pillars of pain management, the 7 stages of opioid prescribing, and the triage of patients with pain. UAN/UPN: 0530-0000-10-097-L01-P

Course Code: PHY-01	The Role of Modalities for Pain Control: Overview Larry Kopelman, PhD, DPT, ND Saturday, September 11, 2010, 8:10 AM – 10:20 AM Location: Summerlin F View Course Information Learning Objectives Differentiate acute, chronic, referred pain Describe peripheral and central mechanisms of nociceptor and pain transmission Review appropriate methods and tools to quantify and qualify pain Explain medical methods and physical modalities /interventions to control pain Cite 3 non-pharmacological treatment options for pain management Studies have shown that physical therapy is an effective intervention for patients with pain. Many patients have difficulty with pharmaceuticals for the management of pain, and physical therapy is an effective intervention as well as a cost-effective one. The first hour of this activity will identify various pain syndromes and effective physical therapy interventions. The second hour will cover physical agents (modalities) in clinical use for the management of pain that are more prevalent than ever. The American Physical Therapy Association’s Guide to Physical Therapy Practice, 2nd edition (the Guide) is widely recognized and used by physical therapists to categorize patients according to preferred practice patterns. These findings include typical findings and descriptive norms of types of ranges of interventions currently available and evidence-based. UAN/UPN: 0530-0000-10-106-L01-P

Course Code: CAM-01	Prolotherapy for the Management of Musculoskeletal Pain Rick Marinelli, ND, MAcOM Saturday, September 11, 2010, 8:10 AM – 9:10 AM Location: Veranda AB View Course Information This presentation will survey the historical and present clinical use of prolotherapy and injection of platelet-rich plasma for musculoskeletal pain and dysfunction. Current research on prolotherapy and platelet-rich plasma injection will be reviewed and critiqued. UAN/UPN: 0530-0000-10-112-L01-P

Course Code: NAR-01	Defining the Problem, Process, and Needs for Policy James J. Giordano, PhD Saturday, September 11, 2010, 8:10 AM – 9:10 AM Location: Summerlin A View Course Information The ongoing War on Pain as advanced by the Decade of Pain Control and Research, and the War on Drugs as politically - and legally - advocated and enacted have incurred somewhat overlapping agendas. In the main, this would imply a rectification of guidelines, policies and laws to 1) develop and sustain patient-centered pain care - enabling pain physicians to treat pain through the apt use of narcotic analgesics, and thus empowering patients to afford and receive therapeutics based upon both right and good use; and at the same time 2) mitigate deleterious effects of inapt use and/or frank misuse of prescription pharmaceuticals by unscrupulous providers, and those who seek to purloin the healthcare system via the illicit diversion or provision of narcotics. UAN/UPN: 0530-0000-10-055-L01-P

Course Code: PCD-02	Rules of the Game: Federal Regulations for Prescribing a Controlled Substance Howard A. Heit, MD, FACP, FASAM Saturday, September 11, 2010, 9:20 AM – 10:20 AM Location: Summerlin E View Course Information Pain is among the most common complaints for which people seek medical care; yet pain is also among the most undertreated patient complaints. Reasons for this include reluctance by clinicians to prescribe and support the use of opioids, often due to a fear of the regulatory agencies in prescribing a controlled substance, especially an opioid. To address this issue, the prescriber must know the federal regulations for prescribing a controlled substance. This lecture will present the “Rules of the Game” so the prescriber will have a greater comfort level in prescribing rational pharmacotherapy to their patients. UAN/UPN: 0530-0000-10-099-L03-P

Course Code: CAM-02	Natural Supplements for Joint Health Rick Marinelli, ND, MAcOM Saturday, September 11, 2010, 9:20 AM – 10:20 AM Location: Veranda AB View Course Information This presentation will survey the research and clinical use of natural supplements for joint health. The concepts of disease modifying osteoarthritis drugs will be reviewed. The current research on natural supplements for joint health will be discussed and critiqued. UAN/UPN: 0530-0000-10-113-L01-P

Course Code: NAR-02	Caught in the Crossfire: Narcoterrorism’s Impact on Patient Care James J. Giordano, PhD Saturday, September 11, 2010, 9:20 AM – 10:20 AM Location: Summerlin A View Course Information The threat of narcoterrorism on patient care in the US is significant, as its goals include funding terrorist activities and destabilizing governments and societies. It is within this last realm that narcoterrorism affects pain care, both by creating drug dependencies that divert national focus and resources, and by shifting the control, cost, availability, and quality of narcotics provided to physicians and patients, from legitimate agencies to illicit organizations. Recent legal prosecutions or “diversion investigations” of physicians deemed to be inappropriately prescribing lend to restricting access to pain medications for chronic pain patients and risk medical providers’ careers, freedom, and professional standing. It is imperative to understand the problem and potential solutions from the perspectives of the physician, patient, addict, law enforcement personnel, policy maker, military operator, and narcoterrorist. This presentation will address the medico-legal and economic impact of narcoterrorism on pain care, examine key focal issues, and posit potential approaches toward resolving questions and problems that arise in a two-front War on Pain and War on Drugs. UAN/UPN: 0530-0000-10-013-L03-P

Course Code: CAM-03	Acupuncture and Biostimulation Robert A. Bonakdar, MD Saturday, September 11, 2010, 10:40 AM – 11:40 AM Location: Veranda AB View Course Information Pain is one of the most common reasons why patients visit a physician. When pain becomes chronic there are often musculoskeletal and generalized sequelae (myofascial pain, depression, anxiety, insomnia, fatigue) which may develop and require a multi-disciplinary approaches for optimal treatments. On average, 40% or more of chronic pain patients seek non-pharmacological approaches for their pain with one of the most often utilized approaches being biostimulation which may include electrostimulation, acupuncture, massage, and manipulation. It is imperative for clinicians to be informed on safety and efficacy of these approaches as well as how they may be utilized in the multi-disciplinary treatment of chronic pain. This session with review the historical and scientific basis for biostimulation in the treatment of pain and its sequelae. Additionally it will review recent clinical trials to provide guidance on the adjunctive incorporation of biostimulation in the multidisciplinary treatment of pain. UAN/UPN: 0530-0000-10-067-L02-P

Course Code: MAS-08	Pain as a Part of Trauma Spectrum Disorder in Military Populations Kathleen S. Brown, PhD, CPE Saturday, September 11, 2010, 10:40 AM – 12:50 PM Location: Veranda C Presented by Federal Practitioner View Course Information This Master Class addresses pain as part of trauma spectrum disorder among returning service members. Specifically, this material will examine how the warrior ethos impacts pain management. The National Defense Authorization Act of 2010 will be discussed in relation to the fragmentation of pain management care across the US. Also covered will be understanding military values (loyalty, duty, respect, honor, etc), opioid abuse in the military, the relationship of prescription pain medication to suicide, and the linkage of well-being to neurobiology. UAN/UPN: 0530-0000-10-010-L01-P

Course Code: GER-01	Common Pain Syndromes of Older Adults Paul J. Christo, MD, MBA Saturday, September 11, 2010, 10:40 AM – 11:40 AM Location: Pavilion Presented by The Journal of Family Practice View Course Information By 2050, the number of older persons globally will exceed the number of younger people for the first time in history. Chronic conditions, especially pain, will escalate in prevalence as the population ages. Chronic pain is not a normal part of aging, but persistent pain ranges from 25% to 50% in older adults and even increases with age. Osteoarthritis, low back pain, postherpetic neuralgia, and postoperative pain represent common pain conditions from which older adults suffer. Clinicians should consult recent guidelines and best practices for effective treatment strategies in each of these pain syndromes. This course will address four common pain syndromes in older adults and treatment options that provide optimal health outcomes. UAN/UPN: 0530-0000-10-012-L01-P

Course Code: GER-02	Assessment Challenges of the Cognitively Impaired Patient Michael E. Schatman, PhD, CPE Saturday, September 11, 2010, 11:50 AM – 12:50 PM Location: Pavilion View Course Information Greater cognitive impairment has been empirically related to poorer pain assessment by physicians among nursing home residents. Additionally, the literature tells us that pain exacerbates the behavioral manifestations of dementia to a greater degree among those with severe dementia than those with mild and moderate dementia. Thus, patients with cognitive deficits are more likely to receive delayed or incorrect diagnoses. This session examines appropriate assessment tools (visual analogue vs numerical rating), validity of pain behaviors in the cognitively impaired, and complex assessment strategies that are often required when dealing with this patient population. UAN/UPN: 0530-0000-10-035-L01-P

Course Code: CAM-04	The Nature of Placebo Analgesia Richard Glickman-Simon, MD Saturday, September 11, 2010, 11:50 AM – 12:50 PM Location: Veranda AB View Course Information Learning Objectives Identify four explanations for the observed analgesic effect of a single therapeutic event in an individual patient Describe two psychological mechanisms most likely underlying the placebo response Name one feature that distinguishes research placebos from clinical placebos Explain how the open-hidden methodology can be used to document a placebo response Identify three characteristics of complementary and alternative medicine that would tend to enhance the placebo response This session is devoted to the role of the placebo response in the practice of pain medicine. After reviewing the defining characteristics, known psychophysiology and experimental evidence for placebo analgesia, we consider how clinicians knowingly and unknowingly manipulate the probability of a placebo response in the care of virtually all of their patients. We then examine the claim that non-allopathic practitioners are more likely to generate placebo responses than their allopathic colleagues. Finally, we debate the ethics of practicing placebo medicine. UAN/UPN: 0530-0000-10-060-L01-P

Course Code: PHY-02	Muscle Pain Syndromes: Pathophysiology, Evaluation, and Treatment Sridhar V. Vasudevan, MD, CPE Saturday, September 11, 2010, 11:50 AM – 12:50 PM Location: Summerlin F Presented by SpineUniverse (part of the Vertical Health family of websites). View Course Information This course deals with the most frequent cause of pain visits: muscle pain syndromes. Attendees will glean valuable insight into the pathophysiology of myofascial pain syndrome and fibromyalgia, and the use of appropriate pharmacological, physical and psychological treatments for these conditions. UAN/UPN: 0530-0000-10-048-L01-P

Course Code: PHY-03	Prognostic Factors (FLAGS) in Rehabilitation of Patients with Lower Back Pain Sridhar V. Vasudevan, MD, CPE Saturday, September 11, 2010, 2:30 PM – 3:30 PM Location: Summerlin F Presented by SpineUniverse (part of the Vertical Health family of websites). View Course Information This course will discuss the multiple causes of lower back pain—arising from bones, joints, facets, discs, nerves, muscles. Attendees will learn to identify the “red flags,” “yellow flags,” and “other prognostic flags” that affect a patient\'s recovery process. The benefits of a multidisciplinary evaluation and treatment program for individuals with low back pain problems will be discussed. UAN/UPN: 0530-0000-10-049-L01-P

Course Code: PCD-03	A Simple Approach to Pain and Chemical Dependency: The Dual Role of Methadone in Pain and Addiction Douglas L. Gourlay, MD, FRCPC, FASAM Saturday, September 11, 2010, 2:30 PM – 3:30 PM Location: Summerlin E View Course Information In the current regulatory framework, the uses of methadone for pain management and addiction treatment are complex. Patients do well with methadone for a variety of reasons, but rarely is it simply because of the molecule. This course will review methadone’s history and mechanism of action for pain relief, explain the regulatory framework for the use of methadone in pain management, describe how to differentiate between a patient with pain and one with an addictive disorder, and suggest strategies for treating a variety of patients. UAN/UPN: 0530-0000-10-093-L01-P

Course Code: MAS-07	Mastering the Biopsychosocial Approach to Chronic Pain Management Michael E. Schatman, PhD, CPE Saturday, September 11, 2010, 2:30 PM – 4:40 PM Location: Veranda C View Course Information The biopsychosocial approach to chronic pain management has been encouraged and practiced for almost 30 years. Despite the great clinical efficacy and cost-efficiency of interdisciplinary chronic pain management programs, such programs are currently available to very few chronic pain sufferers, due primarily to economic factors. In addition, there are very few board-certified pain “specialists” practicing, relative to the growing chronic pain population. As a result, chronic pain is treated primarily in primary care. This class will provide strategies for physicians and other healthcare professionals (especially in primary care) for provision of the most biopsychosocial treatment possible within the confines of our current medicoeconomic system. Recommendations will be made regarding utilization of physician extenders and brief counseling tools that will enhance the biopsychosocial quality of the treatment that is provided. Finally, future directions for more biopsychosocial models will be discussed. UAN/UPN: 0530-0000-10-036-L01-P

Course Code: GER-04	Treatment Considerations in Relation to Concurrent Pharmacology Paul J. Christo, MD, MBA Saturday, September 11, 2010, 3:40 PM – 4:40 PM Location: Pavilion View Course Information Learning Objectives Describe physiological changes associated with older adulthood Identify pharmacokinetic changes in older adults Recognize pharmacodynamic alterations in older adults Recognize pharmackinetic alterations in older adults Review the elements of the American Geriatrics Society (AGS) Panel’s pharmacological recommendations In older adults, disease can present earlier due to impaired physiological reserve, and medications can cause adverse effects that would not occur in younger people. Both hepatic and renal function decline, leading to slower drug metabolism and a decrease in creatinine clearance, respectively. Pharmacokinetic changes cause more substantial drug concentrations, and pharmacodynamic changes result in unpredictable medication effects. Consequently, older adults typically require lower drug doses with expanded intervals and practitioners should know which drugs are both recommended and contraindicated according to recent guidelines. Interventional procedures can offer pain control while limiting the risks associated with polypharmacy. This presentation addresses physiological changes and pharmacodynamic alterations associated with older adults, and will cover typical procedural interventions that may be useful for controlling pain in older adults. UAN/UPN: 0530-0000-10-070-L01-P

Course Code: PCD-04	Buprenorphine: New Tricks with an Old Molecule for Pain Management Howard A. Heit, MD, FACP, FASAM Saturday, September 11, 2010, 3:40 PM – 4:40 PM Location: Summerlin E View Course Information S/L buphrenorphine is a unique opioid medication based on its pharmacokinetics and pharmacodynamic properties. It may be used “on label” as an alternative choice to methadone for the treatment of opioid addiction or “off label” for the treatment of both acute and chronic pain. Because of high µ receptor affinity and resultant blockade, it has been suggested that this might interfere with the management of moderate to severe pain in patients on opioid agonist treatment (OAT). This course will offer strategies and approaches to address some of these real and perceived challenges. UAN/UPN: 0530-0000-10-100-L01-P

Course Code: CAM-05	Nutrition in Pain and Headache Management Robert A. Bonakdar, MD Saturday, September 11, 2010, 3:40 PM – 4:40 PM Location: Veranda AB View Course Information This session will provide an overview of how diet, dietary supplements, and exercise are utilized in the setting of pain. This will include review of their scientific basis and clinical efficacy. Additionally, the session will summarize the rationale and guidelines for incorporation of diet, dietary supplements, and exercise for optimal pain management. UAN/UPN: 0530-0000-10-068-L01-P

PAINWeek® - September 9-13, 2009 - Red Rock Casino, Resort, and Spa Las Vegas, NV - The national conference for frontline practitioner.

Online Registration Now Open

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Course Codes and Track Names

PAINWeek® 2008 Highlights

PAINWeek® 2010 Courses

Breakfast Product Symposium: A New Buprenorphine Transdermal System

Legal/Regulatory Update: Taking Control of Your Prescribing

Consequences of Not Treating Pain in Children

Exorcising the Ghosts: Investigator and Industry Interactions

Lunch Symposium: American Geriatrics Society Guidelines on Pharmacologic Therapy for Persistent Pain: Applying Reccomendations to Practice

Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (premiere)

Hands-On Evaluation of Orofacial Pain

Coaching Your Patient to Manage Their Medical Conditions

Mind/Body Techniques for Relief of Chronic Pain

Pain Mechanisms

Effective Communication for Fear and Pain Reduction

Chronic Pain Assessment

Assessment and Diagnosis of Pediatric Pain

Crystal-Induced Arthritis (Gout and Pseudogout)

Osteoarthritis

Postoperative Pain Management (premiere)

Reducing Presurgery Fears and Postsurgery Pain

Pain Diagnostic Methods

Pain Syndromes

Chronic Pain and Depression

Fall Prevention for Osteoporosis Patients

Fibromyalgia

Therapeutics: Pharmacologic

Pain Clinical Trials

Management of Chronic Daily Headache in Children

Idiopathic Chronic Pain Syndromes in Children

Rheumatoid Arthritis

Interventional Pain Management

Postoperative Pain Management (Encore)

Leveraging Your Pain Management Expertise to Grow Your Practice: A Review of Innovative Marketing Models

Functional Pain Relief with Hypnosis and Self-Hypnosis

Keynote Address

Breakfast Symposium: Understanding the Toxicology of Compliance Marketing (Part 1)

Interactive Symposium: Challenges in Managing Pain While Mitigating Risk

Physician Dispensing: Can I? Should I?

Fibromyalgia and Sleep Scientific Assembly

Pain Care Advocacy: Be Part of the Solution

Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (encore)

Teen Abuse of Prescription Drugs A Cause for Concern

Pain and Sickle Cell Disease

Lunch Symposium: Community Rx Crisis: Balance and Perspective on Prescription Drug Abuse

Interactive ShowCASE: Persistent and Breakthrough Pain: Continual, Semi-Structured Assessment for Improved Opioid-Based Therapy (encore)

Self-Audit Workshop

Fibromyalgia and Sleep Scientific Assembly

Dinner Symposium: Chronic Opioid Therapy: Understanding Risk While Maximizing Analgesia

The Multifaceted Nature of Grief and Bereavement

Drug Diversion vs Pain Management: Finding a Balance

Instructional Design

Regional Pain Syndromes: Neck and Upper Extremities

Person-to-Person

Acceptance and Commitment Therapy Skills

A Law Enforcement Perspective to Drug Abuse

Regional Pain Syndromes: Chest

Using Games as Educational Tools

The Complexity Model of Chronic Pain Management

Progressive Muscle Relaxation

Principles of Adult Learning

Harmony in Motion: The Science of Tai Chi (Premiere)

Regional Pain Syndromes: Abdominal and Pelvic Pain

Rx Fraud, Doctor Shoppers, and Pill Mills

Malingering and Deception

Pain Educators: Agents of Behavioral Change

Common Problems and Solutions in Prescribing Opioids

Regional Pain Syndromes: Hip and Lower Extremity Pain

Organized Diversion Rings

Pharmacists and Pain Teams

Poster Session and Reception

Breakfast Symposium: Comparative Interpretation of Urine and Blood Toxicology for Compliance Monitoring (Part 2)

Interactive Symposium: Challenges in Managing Pain While Mitigating Risk

Migraine Headache: Differential Diagnosis and Prophylactic Treatment

Patient Compliance: Conversational Techniques to Improve Participation

Essential Ingredients of Self-Management

Lunch Product Theatre: Pathophysiology of Pain: Mechanisms and Manifestations

Lunch Product Theatre: New Dimensions in Pain Dialogues

PAINWeek^® 2008 Highlights

PAINWeek^® 2010 Courses