The Role of Nonpharmacological Approaches to Pain Management Proceedings of a Workshop (2019) / Chapter Skim
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6 Education and Training of Health Professionals in Pain Management
6 Education and Training of Health Professionals in Pain Management
Pages 51-62
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From page 51... ...
. • Many excellent models to promote collaborative practice exist in cluding those that involve interfaculty education, intra-agency col laborations and exchange programs.
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From page 52... ...
Benjamin Kligler concurred about the importance of interprofessional education and collaboration, noting that they are essential components of integrative medicine. Integrative medicine, he said, reaffirms the important relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and uses all appropriate therapeutic lifestyle approaches and disciplines to achieve optimal health and healing.1 One of the biggest barriers to interprofessional education and health care is physicians who resist the idea of working collaboratively with other practitioners, said Kligler.
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From page 53... ...
Learning health care systems that provide feedback to practitioners about successful and unsuccessful interventions may also help change behavior and practice, said David Shurtleff. INTERPROFESSIONAL EDUCATION MODELS Fishman advocated a competency-based education model that employs competencies as goals.
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From page 54... ...
Pain Consortium's Centers of Excellence in Pain Education (CoEPEs) 4 has also developed modules to promote prelicensure training on pain, according to the David Thomas, leader of the program and health scientist administrator in the Division of Epidemiology, Services, and Prevention Research at the National Institute on Drug Abuse (NIDA)
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From page 55... ...
To fill this gap, he and his colleagues at the University of California, Davis, have developed a fellowship program using telementoring for retraining primary care clinicians; and to make this training more widely accessible have also instituted a "train the trainer" primary care fellowship. Health professions with curricula that cover all these competency domains still face challenges in training students to synthesize this information into a comprehensive way to treat patients with chronic pain, said Nancy Baker, associate professor of occupational therapy at Tufts University.
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From page 56... ...
5 was getting starting with its 6 original members that has now expanded to 21, and includes the Association of Chiropractic Colleges, said Goldblatt. To create inclusive and collaborative team-based, patient-centered pain care, all mainstream/conventional health professionals are now required to receive training in interprofessional education and collaborative practice, according to Goldblatt.
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From page 57... ...
Evidence of the benefits gained from collaborative practice can help build bridges across disciplines, said Goldblatt, adding that successful teams require respect and trust for all practitioners on a team and a clear understanding of the strengths and limitations each one brings. The importance of collaborative practice in the treatment of pain and addressing the opioid epidemic mirrors what became evident in the early years of the HIV/AIDS epidemic, said Margaret Chesney, professor of medicine at the University of California, San Francisco.
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From page 58... ...
Other models immerse patients in a well-functioning social group to leverage the importance of social, cohort, and kinship functions in managing chronic pain. Daniel Carr, past president of the American Academy of Pain Medicine and professor of public health and community medicine at Tufts University, suggested that these programs might inadvertently be providing something akin to family therapy.
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From page 59... ...
The 20-hour program is completed over 3 days through a combination of online modules, large and small multiprofessional sessions, and concurrent clinically focused sessions that the students choose. Students are assigned to an interprofessional group of 30 people that is further divided into 10-person interprofessional teams to discuss several patient cases and develop appropriate patient-focused pain management plans.
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From page 60... ...
The SHOW/Crossroads clinic is expected to open in 2019 and will use an interdisciplinary team approach that focuses on holistic restoration. Other Innovative Programs to Promote Interprofessional Care Kligler described an exchange program between students from the Albert Einstein College of Medicine and the Pacific College of Oriental Medicine, which gives students the opportunity to learn about each other's practices and how they can be used in a complementary fashion to improve patient care (Anderson et al., 2012)
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From page 61... ...
Consequently, the treatment of pain is equally complex, with patients at the center requiring a collaborative approach from practitioners with a range of skills. Davidson said, implementing collaborative practice requires practitioners to con sider multiple aspects of a patient's pain experience.
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From page 62... ...
She added that it is essential that the care team understands and explores what situations or activities are most painful, and the patient's level of readiness to participate in a treatment plan. Davidson said, With this more complete understanding of the patient's pain experience a treatment plan can be devised, that may include occupational therapy, physical therapy, sleep hygiene, cogni tive behavioral therapy (CBT)
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