ECHO Ontario

ECHO Ontario at University Health Network Curriculum

#	Date	Topic
1	12-Jan-23	The 5 Pillars of Chronic Pain
2	19-Jan-23	Clinical Interview and Qualitative Sensory Exam
3	26-Jan-23	Screening for Psychosocial and Psychiatric Comorbidities
4	2-Feb-23	Patient Motivation and Goal Setting
5	9-Feb-23	Aberrant Behaviours/Urine Drug Screening
6	16-Feb-23	Sleep and Pain
7	23-Feb-23	Family Day – No Session
8	2-Mar-23	Back Pain & Spinal Stenosis Part 1
9	9-Mar-23	Back Pain & Spinal Stenosis Part 2
10	16-Mar-23	Spring Break – No Session
11	23-Mar-23	Special Populations – Chronic Pain in Pregnancy
12	30-Mar-23	Exercise and Pain
13	6-Apr-23	Headaches (Migraines & Cervicogenic Pain) in Primary Care
14	13-Apr-23	Easter – No Session
15	20-Apr-23	Myofascial Pain and Arthritis
16	27-Apr-23	Fibromyalgia
17	4-May-23	Pelvic Pain
18	11-May-23	Self-Management and Mindfulness
19	18-May-23	Manual Therapy
20	25-May-23	Victoria Day – No Session
21	1-Jun-23	Tapering and Stopping Opioids/Switching Opioids
22	8-June-23	Patient Education
23	15-Jun-23	Putting it all together: Creating a Comprehensive Plan

ECHO Ontario at University Health Network Website

Project ECHO: St. Joseph’s Care Group – Chronic Pain and Opioid Stewardship Curriculum

#	Date	Topic	Speaker(s)	Learning Objectives
ABCs of Assessment & Management of Chronic Pain
1	05-Apr-23	The Approach to “Everything Hurts”	Stephanie Frisch, NP	Organize patient concerns to better prioritize care
2	12-Apr-23	Pharmacological Pain Management	Jana McNulty, RPh	Describe the appropriate use of evidence based chronic pain medications
3	19-Apr-23	Pain That Constantly Fluctuates	Stephanie Frisch, NP & Jana McNulty, RPh	Employ appropriate pharmacological & non-pharmacological tools to manage fluctuating pain Psychological family support Pharmacotherapy, pain ladder Vs first line pain medications (baseline down), acetaminophen/n-saids/etc., (rescue puffer)
4	26-Apr-23	Acceptance & Commitment Therapy	Hannah Marchand, C.Psych	Provide patients with a framework to utilize acceptance and commitment therapy to cope with a diagnosis of chronic pain How to cope with CP/new normal Patient not just pain in the butt, can get discouraged & where do you go?
Chronic Pain Care in Rural & Remote Communities (Becoming the Chronic Pain Allied Health Specialist)
5	10-May-23	Approach To Pain on the Frontlines	Dan James, MD	Develop an approach to an efficient yet comprehensive pain assessment & management in low resourced areas
6	17-May-23	How to be Your Patients’ Physiotherapist	Melissa Harvey, PT	Provide patients with guidance and tools regarding the use of physiotherapy in the management of chronic pain
7	24-May-23	How to be Your Patients’ Occupational Therapist	Jen Cano, OT	Develop an understanding of the use of assistive devices and the role occupational therapy has in the management of chronic pain
8	31-May-23	Non-Insured Health Benefit System Navigation	Sue Ward, SW	Navigate non-insured health benefits in Ontario
9	07-Jun-23	When it’s Time to Call a Friend: How to Access Specialist Care	Dan James, MD	Explore the role for e-consult and traveling for specialist assessment and care in the management of chronic pain
Top Chronic Pain Presentations
10	21-Jun-23	Approach to Lumbar Facet Pain	Dan James, MD	Use a multidisciplinary approach to diagnose & manage lumbar facet pain CEP Core Tool as page of talk
11	28-Jun-23	Diagnostic Approach to Common Presentations of Pelvic Pain	Innie Chen, MD	Develop a diagnostic approach to common presentations of pelvic pain Cramps, endometriosis, hernia, fibroids, scar tissue
12	5-Jul-23	This Talk is a Pain in the Neck	Jen McDonald, MD	TBD Desk jobs, ergonomics
13	12-Jul-23	Osteoarthritis: Movement is Medicine	TBD	Manage osteoarthritis pain using physical modalities? Diagnoses scope of practice? Everyday care, self-management
Headache, Migraine, & Concussion
14	16-Aug-23	Headache Diagnoses	TBD	TBD
15	23-Aug-23	Managing Post Concussion Headache	Sheri Wark, MD	Pain First & Rehab
16	30-Aug-23	Acute & Preventative Treatment of Migraine	Dan James, MD	TBD
17	06-Sept-23	Tension Headache	TBD	TBD
Neuropathic Pain
18	27-Sept-23	Post-Stroke Pain	TBD	TBD
19	4-Oct-23	Diabetic Pain	TBD	TBD
20	11-Oct-23	Peripheral & Central Sensitization	TBD	TBD
21	18-Oct-23	TBD	TBD	TBD
Chronic Pain in Long Term Care & Aging
22	15-Nov-23	TBD	TBD	TBD
23	22-Nov-23	TBD	TBD	TBD
24	29-Nov-23	TBD	TBD	TBD
25	06-Dec-23	TBD	TBD	TBD
26	13-Dec-23	TBD	TBD	TBD
Mental Health & Chronic Pain
27	10-Jan-24	Pain Management for Anxiety & Depression	TBD	TBD
28	17-Jan-24	Adverse Childhood Experiences & Pain	TBD	TBD
29	24-Jan-24	Cognitive Behavioural Therapy & Pain	TBD	TBD
30	31-Jan-24	TBD	TBD	TBD
31	07-Feb-24	TBD	TBD	TBD
Substance Use & Pain
32	21-Feb-24	Pain & Alcohol Usage	TBD	Medications to avoid TBD
33	28-Feb-24	Managing Pain in Patients with OUD	TBD	TBD
34	6-Mar-24	Pain & Cannabis	TBD	TBD
35	13-Mar-24	Stimulant Use	TBD	TBD
36	20-Mar-24	Polysubstance Abuse & Other Substances	TBD	Ketamine/hallucinogens (psilocybin/peyote/kratom/ayahuasca)
Chronic Pain for Residents (Evening)
37	02-May-24	Documenting Doesn’t Have to Be Painful	Virginia McEwan, BScN, BBA, MD, CCFP	Comprehensively document the assessment, plan, goals, and make the treatment plan appropriately accessible (e.g., to the patient, team members, emergency department, on-call doctors, pharmacy), prescription details
38	13-Jun-24	Taking over the care of a patient with chronic pain	Virginia McEwan, BScN, BBA, MD, CCFP	Establish an effective relationship, verify the diagnosis, & clarify goals of treatment and plans for management
39	7-Nov-24	Benefits & Pitfalls of Treatment Contracts	Virginia McEwan, BScN, BBA, MD, CCFP	Discuss the benefits and pitfalls to using a treatment contract Navigate and apply the use of a treatment contract in their practise
40	13-Feb-24	Patient With Chronic Pain Destabilizes	Virginia McEwan, BScN, BBA, MD, CCFP	Identify the etiology & contributing factors to adapt your management plan in a patient with chronic pain & addiction who presents with a destabilization of behaviour

ECHO North: Indigenous Chronic Pain & Substance Use Pilot (SJCG)

#	Date	Topic	Speaker(s)	Learning Objectives
1	17-Jan-22	Understanding Trauma Though an Indigenous Lens & Historical Context Part 1	Marinna Read, MSW, RSW & Valerie Shawinimash, HBSW, RSW	Describe how intergenerational trauma/colonization impacts Indigenous people   Explain how trauma experienced by Indigenous People is a precursor to chronic pain
2	24-Jan -22	Understanding Trauma Though an Indigenous Lens & Historical Context Part 2	Marinna Read, MSW, RSW & Valerie Shawinimash, HBSW, RSW	Describe how intergenerational trauma/colonization impacts Indigenous people   Explain how trauma experienced by Indigenous People is a precursor to chronic pain
3	31-Jan -22	Systemic Racism, Cultural Safety, & Pain	Marinna Read, MSW, RSW / Paul Francis, MSW	Discuss key concepts of systemic racism ingrained within the healthcare system
				Identify strategies for delivering culturally safe care to eliminate health inequalities among Indigenous people
				White fragility
4	07-Feb -22	How Psychological Pain Manifests as Physical Pain	Elaine Toombs, Ph.D., C.Psych	Discuss the correlation between psychological & physical pain   Identify preventative and interventional strategies for the treatment of psychological pain
5	14-Feb -22	Conducting an Assessment for Chronic Pain & Substance Use	Virginia McEwen, BScN, BBA, MD, CCFP	Identify challenges & barriers in completing holistic chronic pain assessments in indigenous patients
				Employ strategies applicable to practice to save time, & improve assessment, diagnosis, & management
6	21-Feb -22	Pharmacological Pain Management	Virginia McEwen, BScN, BBA, MD, CCFP	Identify common pain management medications & their advantages/disadvantages
				Discuss the proper/safe use of pain management medications & red flags for their misuse
7	28-Feb -22	Navigating the NIHB System	Tasha Toulouse / Jennifer Shisheesh, NIHB Navigators	Identify & access resources available through NIHB
8	07-Mar -22	Utilizing Traditional Approaches in Chronic Pain & Substance Use Management Part 1	Teresa Trudeau-Magiskan, Elder & Cultural Health Assoc.	Identify and explain Indigenous traditional approaches to wholistic healing
9	14-Mar -22	Utilizing Traditional Approaches in Chronic Pain & Substance Use Management Part 2	Teresa Trudeau-Magiskan, Elder & Cultural Health Assoc.	Identify and explain Indigenous traditional approaches to wholistic healing
10	21-Mar -22	Hot Topics & Burning Questions	Round Table Discussion	Discuss the practical application of the topics addressed in this series.

St.Joseph’s Care Group Website

SickKids Paediatric Project ECHO Curriculum

#	Date	Topic
1	9-Sept-2022	Overview of Pain & How to Explain Pain
2	16-Sept-2022	Overview of Physical Pain Assessment
3	23-Sept-2022	Cultural Safety and Pain Management
4	30-Sept-2022	Psychosocial Pain Assessment
5	14-Oct-2022	Physical Approaches to Pain Treatment
6	21-Oct-2022	Child Life Interventions
7	28-Oct-2022	Cognitive Behavioural Therapy
8	4-Nov-2022	Intensive Pain Treatment Programs
9	8-Nov-2022	Pain and Complex Care
10	16-Nov-2022	Pain at the End of Life
11	25-Nov-2022	Pelvic Pain
12	2-Dec-2022	Concussion
13	9-Dec-2022	Procedural Pain
14	16-Dec-2022	Neonatal Pain
15	13-Jan-2023	Depression & Anxiety in Paediatric Pain Management
16	20-Jan-2023	Transition From Acute to Chronic Pain
17	27-Jan-2023	Signs of Opioid Use Disorder
18	3-Feb-2023	Abdominal Pain
19	10-Feb-2023	Pelvic Pain
20	24-Feb-2023	How to Optimize Clinician/Patient Communication During Virtual Visits
21	3-Mar-2023	The Development & Implementation of the Power Over Pain Portal for Youth with Chronic Pain
22	10-Mar-2023	ACNES
23	24-Mar-2023	Adolescent Considerations including Transition from Paediatrics to Adulthood
24	31-Mar-2023	Patient Partner Panel

SickKids Paediatric Project ECHO Website

SickKids Paediatric Project ECHO: Opioids and Substance Use in the Management of Pain in Children and Youth Curriculum

#	Date	Speaker	Topic
1	14-Apr-23	Dr. Fiona Campbell	Opioids in Paediatric Pain Management
2	21-Apr-23	Ashley Harvey, Jacqueline Hanley	Acute Pain Management
3	28-Apr-23	Dr. Marco Battaglia	Chronic Pain, Substance Use and Mental Health
4	5-May-23	Deepa Kattail	Cannabis
5	12-May-23	Dr. Genevieve D’Souza	Methadone
6	26-May-23	Jennifer Tyrrell, Dr. Lisa Isaac	Transition from Acute to Chronic Pain
7	2-Jun-23	Dr. Karen Leslie	Screening for Risks for Development of Substance Use Disorder
8	9-Jun-23	Dr. Karen Leslie	Substance Use Disorder (Signs & Treatment)
9	16-Jun-23	Jennifer Keis, Sheila Gandhi	Cancer pain
10	23-Jun-23	Dr. Kathryn DeKoven	Sickle Cell Pain

SickKids Paediatric Project ECHO: Opioids and Substance Use in the Management of Pain in Children and Youth – Website

Project ECHO Pain in Pregnancy – Curriculum

#	Date	Topic
1	21-Sept-23	Preconception counselling
2	28-Sept-23	Pharmacotherapy during pregnancy/breastfeeding
3	5-Oct-23	Cannabis
4	12-Oct-23	Opioid therapy during pregnancy/breastfeeding
5	19-Oct-23	Nonpharmacological pain management
6	26-Oct-23	Musculoskeletal complications of pregnancy
7	2-Nov-23	Headache management during pregnancy
8	9-Nov-23	Labour and delivery/postpartum pain management considerations

Project ECHO Pain in Pregnancy – Website