ECHO Quebec

ECHO Chum Douleur Chronique Curriculum

#DateTopicLearning ObjectivesSpeaker(s)
126-Sept-22Introduction to the ECHO Chronic Pain Program   The different types of pain.Discover the ECHO Program and how it works: Presentation of the HUB and the participants. Identify and differentiate the 3 main types of pain and categories of treatment plansAline Boulanger, anesthesiologist CHUM, director of the ECHO program and Jocelyne Parent, coordinator of the ECHO clinic
23-Oct-22Case discussion* and   Neuropathic pain: algorithmIdentify and know how to use the algorithm for neuropathic pain. Understand and compare the recommendations from different guidelines (Quebec, Canadian, IASP, NICE and EFNS)Aline Boulanger, anesthesiologist CHUM
317-Oct-22Case discussion and   Low Back Pain Algorithm  Identify and understand the low back pain algorithm. Differentiate between the Canadian and Quebec recommendations Use the algorithm to choose the best treatment for clients with low back painBrigitte Migneault, anesthesiologist CHUM
424-Oct-22Case discussion and   L’Association québécoise de la douleur chronique (AQDC)Name the objectives of the Association. Discover the services offered to patients (self-help group) and how they work. Establish modalities to accessing services in order to refer clientsJulie Aspiro and Alice Wagenaar, representatives of the Association québécoise de la douleur chronique (AQDC) (Quebec Chronic Pain Association)
531-Oct-22Medical interventional methods for chronic pain  Establish the different types of interventional methods generally used in chronic pain. Identify and choose the intervention according to the indication, according to the patient’s health problems.Grisell Vargas, anesthesiologist CHUM
67-Nov-22Case Discussion* and   Primary steps and work-up in the assessment of chronic painUnderstand the steps and identify the basic assessments in the evaluation of chronic pain. Use and interpret assessment tools (BPI, EVA). Improve assessment by knowing how to ask key questions.Grisell Vargas, anesthesiologist CHUM
714-Nov-22Physiotherapy First: Diagnostic Expertise and its Preventive Impact in the Musculoskeletal Care PathwayDescribe the musculoskeletal care and services corridor recommended at the Azur GMF Recognize the added value of this innovative model, including prevention of chronicity, based on the evidence and existing models outside QuebecMarjorie Gingras Fellow pht D.É.P.A. advanced neuro-musculoskeletal physiotherapy CISSS Montérégie Centre / GMF Azur clinic
821-Nov-22Management of difficult patientsBetter identify difficult patients. Recognize the challenges of managing this clientele in the clinic on a daily basis. Determine and select the key elements of the intervention framework to be put in place.Natali Sanlian, psychologist CHUM
928-Nov-22Case Discussion* and   Walking aids – underestimated, underused?Know how to recognize the misuse of a technical aid in a patient. Be able to adjust the technical aid (height) to promote optimal use by the patientJonathan Brunette and Claude Hétu, physiotherapists CHUM
105-Dec-22FibromyalgiaDetermine the diagnostic evaluation process for a patient with suspected fibromyalgia. Determine and initiate a treatment and follow-up plan for patients with fibromyalgia.Allen Steverman, family physician CHUM
1112-Dec-22Case Discussion* and   Interprofessional Collaboration in Primary Care: The Role of the Community Pharmacist in pain managementIdentify the role of the pharmacist in the context of the proposed legislation amending the Pharmacy Act. Consider the possibilities for interprofessional collaboration in this new framework.Philippe DeGrandpré, private practice pharmacist and GMF
1219-Dec-22Cannabinoids in the treatment of chronic painIdentify the mode of action of cannabinoids. Prescribe medical cannabis according to current rules Recognize the limitations and potential negative effectsAline Boulanger, anesthesiologist CHUM
1316-Jan-23Impact of COVID-19 infection on painList the pain manifestations of COVID-19. Discover the prevalence of pain complications with COVID-19. Determine therapeutic avenues for the management of patients afflicted by post COVID-19 pain.Grisell Vargas, anesthesiologist CHUM
1423-Jan-23Case discussion* and   The pain adaptation curveEstablish and understand the adaptation process to a chronic pain condition Identify adjustments to be made in the approach/interventions based on the patient’s adaptive pathwayCaroline Janelle, psychologist Centre de réadaptation Lucie Bruneau
1530-Jan-23Occupation-based interventions: current trends in occupational therapyLearn about the principles and developments in occupation-based interventions for chronic pain management. Identify issues associated with chronic pain for which occupational therapy management is indicated.Julie Masse, OT(c), M.Sc. Clinical Associate Professor Occupational Therapy Program School of Rehabilitation Université de Montréal
166-Feb-23Case Discussion* and   Resuming an active lifestyle in the context of chronic pain is possible!Determine the role of the kinesiologist in the context of chronic pain Identify suggested progressions towards an active lifestyle  Hélène Nadeau B.Sc. Kinesiologist Dolbeau-Mistassini Hospital and CLSC CIUSSS of Saguenay-Lac-Saint-Jean
1713-Feb-23“Follow-up to the Ministerial Plan on Chronic Pain and Research Projects” and lecture: The chronic pain adaptation clinic  Name 3 elements that characterize interdisciplinary work. Identify the services offered by the clinic and present the referral criteria.Caroline Janelle, psychologist Centre de réadaptation Lucie Bruneau
1820-Feb-23Monitoring pharmacological treatment in patients with chronic non-cancer painDiscover the literature review presenting an approach to monitoring potential side effects of medications used in the long-term treatment of patients with CNCP Determine the most important factors to monitor from a pharmacological perspective in these patientsGrisell Vargas, anesthesiologist CHUM
196-Mar-23Hypnosis in chronic pain management  Understand how hypnosis works for chronic pain. Recognize an altered state of consciousness Use conversational hypnosis type communication tools in daily practice.Hogedez Benoît Ph.D. Candidate PHT M.A. Philosophy of medicine University Degree in Medicine Meditation and neurosciences MKDE
2013-Mar-23Case Discussion* and   Opioids. Atypical opioids: tramadol and tapentadolIdentify the mode of action of atypical opioids. Recognize indications and contraindications Choose the most appropriate one according to the diagnosisMarie-Christine Houde, family physician CHUM
2120-Mar-23Topical treatments for chronic painDiscover the broad categories of topical treatments and their uses. Determine a framework for success in selecting the appropriate treatment optionPhilippe DeGrandpré, private practice pharmacist and GMF
2227-Mar-23Case Discussion* and   Impact of disability issues and payer litigation on the management of patients with chronic painIdentify and illustrate the impacts of disability issues and payor litigation on the management of patients with chronic pain Share and determine ways to think about/solve how to mitigate the impact of these issues on careCaroline Janelle, psychologist Centre de réadaptation Lucie Bruneau
233-Apr-21Case Discussion* and   Facial neuralgia (trigeminal)Establish the diagnostic criteria for trigeminal neuralgia and be able to make a differential diagnosis of facial pain Identify a 1st or 2nd line pharmaceutical treatment for trigeminal neuralgia and know when to refer to another specialistHeather Pim, neurologist CHUM
2417-Apr-23Diagnostic approach to migraine and therapeutic modalitiesDifferentiate between primary headaches and their associated symptoms Identify risk factors for chronicity Integrate looking for trigeminal autonomic cephalalgias into the headache questionnaireMarzieh Eghtesadi, family physician CHUM
2524-Apr-23Pain, insomnia, and quality of sleep  Identify the effects of pain and its treatment on sleep quality Utilize resources available for the treatment of insomnia in generalVincent Jobin MD Pneumologist CHUM Sleep Laboratory
261-May-23Case Discussion* and   Transitional Service for Chronic Pain ManagementName the clinic’s objectives for prevention of unintended prolonged opioid use in the post-hospitalization setting after surgery. Identify risk factors for prolonged unintended use. Know how to screen and intervene with clients.Brigitte Migneault, anesthésiologiste CHUM
278-May-23Mindfulness in Chronic Pain Management – An IntroductionBecome familiar with what mindfulness and meditation is (and what it is not) Discover how mindfulness can be an important tool in the management of chronic pain Discuss some of the evidence for mindfulness and meditation in  chronic pain managementAllen Steverman, family physician CHUM
2815-May-23Case Discussion* and   The Sensory-Motor Approach to Chronic Pain Management-an IntroductionBecome familiar with the sensory-motor approach and the links between: body, pain and trauma. Discover how sensory-motor psychotherapy can be an important tool for complex patientsAïcha Nora Dembri Ph.D. Psychologist, Neuropsychologist Psychotherapist(acc) Pain Management Consultative Clinic, Pierre Boucher Hospital
2929-May-23Microbiota nutrition and painClarify the links between the gut microbiota and the brain Understand the role of gut dysbiosis in chronic pain Explore therapeutic avenues in chronic pain based on our current understanding of the microbiota-gut-brain axisDr. Hala Lahlou, MD. CCFP(MS). DIP. ABOM GMF-U of Verdun
305-Jun-23Complex regional pain syndrome (CRPS)Define CRPS Determine treatment modalities and a follow-up plan for patients with CRPSGrisell Vargas, anesthesiologist CHUM

ECHO Chum Douleur Chronique Website

ECHO Chronic Pain and Opioid Use Disorder: McGill University Curriculum

#Date     Topic Presenter(s) Learning Objectives    
    128-Sept -22 Chronic Pain 101 Yoram Shir  Employ a comprehensive approach to assessing and helping patients manage chronic pain and risk  Understand the burden of chronic pain in our society  Differentiate between neuropathic and nociceptive pain 
  226-Oct -22Pain History, Assessment, and Qualitative Sensory Exam Jordi Perez  Perform a pain assessment integrating the relevant components from the history and physical exam (and measures/scales)  Recall the different types of pain (nociceptive, neuropathic and nociplastic) 
  323-Nov -22 Screening for Psychosocial and Psychiatric Comorbidities Leon Tourian  Recognize the psychosocial risk factors for chronicity  Engage in brief screening strategies for psychiatric co-morbidities, maladaptive attitudes, and beliefs  Utilize office-based strategies and referral options to follow-up on positive screens 
  421-Dec -22Patient Motivation and Goal Setting  Christina GentileDevelop an approach to goal setting when discussing pain treatments / strategies with patients   Develop an approach to helping patients set SMART (specific, measurable, attainable, relevant, time-bound) goals  Develop an approach to understand and motivate the patient into action 
  525-Jan-23Aberrant BehavioursJonathan Yen  Define aberrant drug related behaviours and opioid use disorder Describe at least three elements of treatment Outline an approach to managing aberrant drug related behaviours
622-Feb-23Opioids TaperingIrina Kudrina CancelledDiscuss the benefits and risks of tapering Address common barriers to tapering opioids Manage opioid withdrawal symptoms Facilitate safe opioid tapering for patients Switch opioids Calculate morphine equivalent dose (MED) per day for commonly prescribed opioids in Canada
722-Mar- -23Back Pain & Spinal StenosisJordi PerezRecognize yellow and red flags in acute and chronic low back pain Intervene appropriately to prevent evolution into Chronic Low-Back Pain Manage: chronic non-specific low-back pain, spinal stenosis, radicular syndromes using guideline-based treatments
826-Apr-23Headaches (Migraines)Jonathan HudonDiagnose migraine headache Identify 3 risk factors for headache chronicity Be familiar with headache guidelines
924-May-23FibromyalgiaMary-Ann Fitzcharles  Be aware of the 2012 Canadian Fibromyalgia Guidelines and the updated 2019 FM Diagnostic Criteria Recall and describe the maladaptive neuroplasticity underlying FM Confident and able to promote active management strategies for patients with FM

ECHO Chronic Pain and Opioid Use Disorder: McGill University Website

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