1 | 26-Sept-22 | Introduction 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 plans | Aline Boulanger, anesthesiologist CHUM, director of the ECHO program and Jocelyne Parent, coordinator of the ECHO clinic |
2 | 3-Oct-22 | Case discussion* and Neuropathic pain: algorithm | Identify 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 |
3 | 17-Oct-22 | Case 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 pain | Brigitte Migneault, anesthesiologist CHUM |
4 | 24-Oct-22 | Case 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 clients | Julie Aspiro and Alice Wagenaar, representatives of the Association québécoise de la douleur chronique (AQDC) (Quebec Chronic Pain Association) |
5 | 31-Oct-22 | Medical 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 |
6 | 7-Nov-22 | Case Discussion* and Primary steps and work-up in the assessment of chronic pain | Understand 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 |
7 | 14-Nov-22 | Physiotherapy First: Diagnostic Expertise and its Preventive Impact in the Musculoskeletal Care Pathway | Describe 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 Quebec | Marjorie Gingras Fellow pht D.É.P.A. advanced neuro-musculoskeletal physiotherapy CISSS Montérégie Centre / GMF Azur clinic |
8 | 21-Nov-22 | Management of difficult patients | Better 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 |
9 | 28-Nov-22 | Case 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 patient | Jonathan Brunette and Claude Hétu, physiotherapists CHUM |
10 | 5-Dec-22 | Fibromyalgia | Determine 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 |
11 | 12-Dec-22 | Case Discussion* and Interprofessional Collaboration in Primary Care: The Role of the Community Pharmacist in pain management | Identify 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 |
12 | 19-Dec-22 | Cannabinoids in the treatment of chronic pain | Identify the mode of action of cannabinoids. Prescribe medical cannabis according to current rules Recognize the limitations and potential negative effects | Aline Boulanger, anesthesiologist CHUM |
13 | 16-Jan-23 | Impact of COVID-19 infection on pain | List 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 |
14 | 23-Jan-23 | Case discussion* and The pain adaptation curve | Establish 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 pathway | Caroline Janelle, psychologist Centre de réadaptation Lucie Bruneau |
15 | 30-Jan-23 | Occupation-based interventions: current trends in occupational therapy | Learn 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 |
16 | 6-Feb-23 | Case 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 |
17 | 13-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 |
18 | 20-Feb-23 | Monitoring pharmacological treatment in patients with chronic non-cancer pain | Discover 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 patients | Grisell Vargas, anesthesiologist CHUM |
19 | 6-Mar-23 | Hypnosis 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 |
20 | 13-Mar-23 | Case Discussion* and Opioids. Atypical opioids: tramadol and tapentadol | Identify the mode of action of atypical opioids. Recognize indications and contraindications Choose the most appropriate one according to the diagnosis | Marie-Christine Houde, family physician CHUM |
21 | 20-Mar-23 | Topical treatments for chronic pain | Discover the broad categories of topical treatments and their uses. Determine a framework for success in selecting the appropriate treatment option | Philippe DeGrandpré, private practice pharmacist and GMF |
22 | 27-Mar-23 | Case Discussion* and Impact of disability issues and payer litigation on the management of patients with chronic pain | Identify 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 care | Caroline Janelle, psychologist Centre de réadaptation Lucie Bruneau |
23 | 3-Apr-21 | Case 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 specialist | Heather Pim, neurologist CHUM |
24 | 17-Apr-23 | Diagnostic approach to migraine and therapeutic modalities | Differentiate between primary headaches and their associated symptoms Identify risk factors for chronicity Integrate looking for trigeminal autonomic cephalalgias into the headache questionnaire | Marzieh Eghtesadi, family physician CHUM |
25 | 24-Apr-23 | Pain, 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 general | Vincent Jobin MD Pneumologist CHUM Sleep Laboratory |
26 | 1-May-23 | Case Discussion* and Transitional Service for Chronic Pain Management | Name 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 |
27 | 8-May-23 | Mindfulness in Chronic Pain Management – An Introduction | Become 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 management | Allen Steverman, family physician CHUM |
28 | 15-May-23 | Case Discussion* and The Sensory-Motor Approach to Chronic Pain Management-an Introduction | Become 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 patients | Aïcha Nora Dembri Ph.D. Psychologist, Neuropsychologist Psychotherapist(acc) Pain Management Consultative Clinic, Pierre Boucher Hospital |
29 | 29-May-23 | Microbiota nutrition and pain | Clarify 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 axis | Dr. Hala Lahlou, MD. CCFP(MS). DIP. ABOM GMF-U of Verdun |
30 | 5-Jun-23 | Complex regional pain syndrome (CRPS) | Define CRPS Determine treatment modalities and a follow-up plan for patients with CRPS | Grisell Vargas, anesthesiologist CHUM |