Consensus-Based Recommendations for an Emergency Medicine Pain Management Curriculum

Poon, Sabrina J.; Nelson, Lewis S.; Hoppe, Jason; Perrone, Jeanmarie; Sande, Margaret; Yealy, Donald M.; Beeson, Michael S.; Todd, Knox H.; Motov, Sergey; Weiner, Scott G.

doi:10.1016/j.jemermed.2016.05.009

Cited by 7 publications

(5 citation statements)

References 34 publications

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“…Interactive workshops and courses in controlling pain in ED patients improved after training EM residents [ 19 ]. This is in line with consensus-based recommendations for a broad and modular pain management curriculum in EM programs [ 23 ]. When evaluating resident competency in pain medicine knowledge and skills, tests and quizzes are not able to fully evaluate the procedural technique required for modalities, such as regional anesthesia.…”

Section: Discussionsupporting

confidence: 77%

“…Although the 2019 Model of the Clinical Practice of Emergency Medicine lists pain management as a core learning topic during residency, there are no recommendations regarding how the curriculum should be taught and what clinical principles to generally cover [ 22 ]. In response, an EM pain education curriculum was defined, which recommended the creation of pain management modules mixed with short didactics and cases, incorporating pain management concepts into current EM milestones, safe prescribing measures, and communication skills when interacting with patients in significant pain [ 23 ]. Furthermore, no described curriculum exists for ED chronic pain management.…”

Section: Introductionmentioning

confidence: 99%

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Pain Medicine Education in Emergency Medicine Residency Programs

Bang¹,

Kong²,

Obadeyi³

et al. 2023

Cureus

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BackgroundPain is a common complaint in the emergency department (ED), yet there is a lack of robust pain curricula in emergency medicine (EM) residency programs. In this study, we investigated pain education in EM residencies and various factors related to educational development. MethodologyThis was a prospective study collecting online survey results sent to Program Directors, Associate Program Directors, and Assistant Program Directors of EM residencies in the United States. Descriptive analyses with nonparametric tests were performed to investigate relationships between these factors, including educational hours, level of educational collaboration with pain medicine specialists, and multimodal therapy utilization. ResultsThe overall individual response rate was 39.8% (252 out of 634 potential respondents), representing 164 out of 220 identified EM residencies with 110 (50%) Program Directors responding. Traditional classroom lectures were the most common modality for the delivery of pain medicine content. EM textbooks were the most common resource utilized for curriculum development. An average of 5.7 hours per year was devoted to pain education. Up to 46.8% of respondents reported poor or absent educational collaboration with pain medicine specialists. Greater collaboration levels were associated with greater hours devoted to pain education (p = 0.01), perceived resident interest in acute and chronic pain management education (p < 0.001), and resident utilization of regional anesthesia (p = <0.01). Faculty and resident interest in acute and chronic pain management education were similar to each other and high on the Likert scale, with higher scores correlating to greater hours devoted to pain education (p = 0.02 and 0.01, respectively). Faculty expertise in pain medicine was rated the most important factor in improving pain education in their programs. ConclusionsPain education is a necessity for residents to adequately treat pain in the ED, but remains challenging and undervalued. Faculty expertise was identified as a factor limiting pain education among EM residents. Collaboration with pain medicine specialists and recruitment of EM faculty with expertise in pain medicine are ways to improve pain education of EM residents.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Pain Medicine Education in Emergency Medicine Residency Programs

Bang¹,

Kong²,

Obadeyi³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…This survey complements other recently published work [21][22][23] and leads the way for future research that might include broadening the data pool and considering such responses at other institutions. More in-depth queries moving forward in this content area might also explore why the differences we found existed.…”

Section: Discussionsupporting

confidence: 53%

Perception and Practice Among Emergency Medicine Health Care Providers Regarding Discharging Patients After Opioid Administration

Surmaitis

Amaducci

Henry

et al. 2018

Clinical Therapeutics

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Most study participants believed that developing a policy or guideline for safe discharge after administration opioids in the ED is important to clinical practice. Only a few physicians reported that they did not prescribe intramuscular hydromorphone or morphine. Most participants believed the discharge decision after administration of opioids in the ED should be primarily determined by both the emergency medicine provider and the RN.

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“…16,17 Given the complexity of the current state of flux in both our knowledge and regulatory policies, curricula must be developed to help physicians to avoid both over-and underprescribing opioids in acute non-postoperative pain. 18 The American College of Physicians published evidence-based guidelines for the treatment of back pain that can inform curriculum development in this important area. 19 Based on our findings, we plan to augment our current residency and faculty development curriculum to include more content on acute pain management and opioid prescribing.…”

Section: Discussionmentioning

confidence: 99%