IVAPM Pain Management Core Review (MULT110-0524)Bonnie Wright, DVM, CVMA, DACVAA, CVPP, CVMA, CCRP, CCRT
Sheilah Robertson, BVMS (Hons), CertVA, PhD, DACVAA, DECVAA, DACAW, DECAWBM (AWSEL), FRCVS
Mary Ellen Goldberg LVT, CVT, SRA-retired, CCRVN, CVPP, VTS-Lab Animal Medicine (Research Anesthesia-retired), VTS-Physical Rehabilitation-retired
Tamara Grubb, DVM, PhD, DACVAA
Janice L Huntingford DVM, DACVSMR, CVA, CVPP, CCRT CAVCA
Laurie McCauley, DVM, DACVSMR, CCRT, CVA, CVC
Lindsey Fry, DVM, cVMA, CCRP, CVPP, DACVSMR
Melina Zimmerman, DVM, DACVAA, CVPP, CVMA, CCRP
Course Open: May 3-August 7, 2024
Real Time Sessions (RTS): Sundays, May 12, 26, June 2, 9, 16, 23, July 14, 21, and 28, 2024; 8:00-10:00 pm ET (USA) World Clock Converter
Total CE Credit: 18
RACE Category: 18 hours Medical
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Tuition: Member $444 ($403 early bird special if enrolled by April 19, 2024) |
Course Information:
This course is a comprehensive review of the most contemporary concepts of pain management in dogs and cats, from neurobiology/physiology to pharmacology to physical modalities, and "pulling it all together" in applications across a broad spectrum of clinical presentations. The course may be used as a review and study tool for IVAPM's Certified Veterinary Pain Practitioner (CVPP) examination. However, not all topics covered in the exam are covered in this course and we encourage frequent referral to the CVPP Learning Outcomes Guidelines to ensure that you study all topics. The Guidelines are posted in the library section of the first class.
Learning Objectives: Upon completion of the course, the participant should be able to
- describe the neurophysiology of pain, including pain receptors, nerves, pathways, and neurotransmitters.
- describe the difference in the pathophysiology of adaptive (physiologic) and maladaptive (pathologic) pain.
- describe the mechanism of chronic (maladaptive) pain development.
- understand the effects and adverse effects of drugs used to treat both acute and chronic pain.
- describe the mechanisms and clinical benefits of opioids, NSAIDs, and acetaminophen.
- describe the proper and safe use of opioids, NSAIDs, and acetaminophen.
- describe the mechanism and clinical benefits of local anesthetics (LA).
- describe the proper and safe use of LA.
- discuss the common clinical applications of LA in the surgical setting.
- discuss the benefits and proper use of adjunct medications (i.e., tramadol, gabapentin, amantadine, SSRIs, TCAs, alpha-2 agonists etc.).
- describe the neuropharmacologic aspects of ketamine as a pain-modifying agent.
- describe the clinical applications of sub-anesthetic ketamine constant rate infusion.
- discuss the science behind, benefits from and proper use of intrinsic/endogenous therapies (i.e., acupuncture, massage, thermotherapy, etc.).
- explore the physiology of fascia, and techniques to modify pain via this organ system.
- describe the different scales available for assessing acute and chronic pain.
- utilize pain scales to identify acute and chronic pain in dogs and cats.
- develop balanced, multi-modal analgesic plans for a variety of acute pain sources (eg, surgery, trauma, medical pain).
- describe the goals and objectives of veterinary rehabilitation as it relates to painful patients.
- understand the multi-modal aspect of pain control and know when to apply physical medicine and modalities to painful patients.
- describe soft tissue pain in relation to injury.
- discuss methods to relieve pain associated with fascia, muscle, tendons and ligaments.
- describe the mechanism by which joint mobilization modulates pain and outline its use in rehabilitation.
- discuss indications for hot and cold therapy.
- discuss the mechanism of action of TENS and Therapeutic Ultrasound, set up of the machines and indications.
- discuss the difference between TENS and NMES.
- discuss the mechanism of action of laser and shockwave.
- discuss the use of shockwave therapy and laser for pain.
- explain the basis for the use of hyperbaric oxygen therapy to treat pain.
- discuss the principles of land exercise for pain relief.
- discuss common exercises used for different painful conditions.
- discuss the physiologic basis of aquatic therapy, when it is used.
- discuss body condition scores and how and why to perform one.
- understand the relationship between obesity and chronic pain.
- discuss management of arthritis pain with nutrition including relevant nutraceuticals and evidence for use.
- describe basic hospice care with respect to pain and potentially painful conditions.
- define the term ‘quality of life’ with respect to hospice care.
- discuss methods for assessment of quality of life.
- describe evidence-based management protocols for canine and feline osteoarthritis pain.
- describe appropriate treatment for some other chronic pain conditions.
Level and Prerequisites: This basic VIN CE course is open for enrollment to veterinarians and veterinary technicians/technologists interested in pain management for dogs and cats.
Credit Approval: This course has been submitted (but not yet approved) for 18 hours of continuing education credit for veterinarians and veterinary technicians/technologists in jurisdictions that recognize RACE approval.
Course Agenda: Week 1 (Real Time Session May 12, 2024): Basic Science: Pathophysiology of Pain
Presenter: Mark Epstein, DVM, DABVP (Canine/Feline), CVPP
**** BREAK - May 19, 2024 ****
Week 2 (Real Time Session May 26, 2024): Basic Science: Neuropharmacology I
Presenter: Melina Zimmerman, DVM, DACVAA, CVPP, CVMA, CCRP
Week 3 (Real Time Session June 2, 2024): Basic Science: Neuropharmacology II
Presenters: Lindsey Fry, DVM, cVMA, CCRP, CVPP, DACVSMR;
Melina Zimmerman, DVM, DACVAA, CVPP, CVMA, CCRP
Week 4 (Real Time Session June 9, 2024): Basic Science: Neurophysiology
Presenter: Bonnie Wright, DVM, CVMA, DACVAA, CVPP, CVMA, CCRP, CCRT
Week 5 (Real Time Session June 16, 2024): Clinical Application: Acute Pain Management
Presenter: Tamara Grubb, DVM, PhD, CVMA, DACVAA
Week 6 (Real Time Session June 23, 2024): Clinical Application: Pain Identification
Presenter: Sheilah Robertson, BVMS (Hons), CertVA, PhD, DACVAA, DECVAA, DACAW, DECAWBM (AWSEL), FRCVS
**** BREAK - June 30 and July 7, 2024 ****
Week 7 (Real Time Session July 14, 2024): Clinical Application: Non-Pharmacologic Pain Management I
Presenters: Janice L Huntingford DVM, DACVSMR, CVA, CVPP, CCRT CAVCA
Laurie McCauley, DVM, DACVSMR, CCRT, CVA, CVC
Week 8 (Real Time Session July 21, 2024): Part 1 Clinical Application: Non-Pharmacologic Pain Management II with Nutrition;
Part 2 Clinical Application: Pain Relief in Palliative and Hospice Care
Presenters: Janice L Huntingford DVM, DACVSMR, CVA, CVPP, CCRT CAVCA
Laurie McCauley, DVM, DACVSMR, CCRT, CVA, CVC
Sheilah Robertson, BVMS (Hons), CertVA, PhD, DACVAA, DECVAA, DACAW, DECAWBM (AWSEL), FRCVS
Week 9 (Real Time Session July 28, 2024): Clinical Application: Chronic Pain Management
Presenters: Mark Epstein, DVM, DABVP (Canine/Feline), CVPP
Mary Ellen Goldberg, LVT, CVT, SRA-retired, CCRVN, CVPP, VTS-Lab Animal Medicine (Research Anesthesia-retired), VTS-Physical Rehabilitation-retired
Successful completion (scoring 80% or better) on the end-of-course test is required to earn a certificate of completion for the course. To learn more about the requirements for earning a CE certificate, please refer to Receiving Your CE Credit and Course Completion Certificate. Course Materials: Course materials will be available in the course library prior to each Real Time Session.
Required Textbook(s): There is no required textbook for this course.
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Tuition: Member $444 ($403 early bird special if enrolled by April 19, 2024) |
*To ensure participants are ready and prepared for classes, enrollment will close on May 10, 2024 at 5 pm ET (USA) or when the maximum number of participants is reached. *For more information on how online CE works, see the Participant Resource Center.
Enrollment qualifications:
- VIN CE Courses:
- VIN CE courses are open to VIN member, VIN student member, and non-member veterinarians.
- Veterinary support staff must be VSPN members in order to enroll in a VIN CE course open to VSPN member enrollment.
- VSPN CE Courses:
- VSPN CE courses are open to veterinary support staff and veterinarians.
- Only VIN and VSPN members can enroll in a VSPN CE course.
- Veterinarians will only receive credit for those VSPN CE courses that specify in the Accreditation statement that the course is accredited for veterinarians.
- Please check the course Level and Prerequisites, Accreditation, and Tuition before enrolling.
- Each enrollee must be able to receive emails from @vspn.org
and @vin.com addresses.
- Email is our major form of communication with participants; personal emails are highly recommended rather than clinic/hospital email addresses.
- For further assistance call 800-846-0028 ext. 797 or email CEonVIN@vin.com. Please include the course title, your full name, and contact information in your correspondence.
Course withdrawal and refund policy: A complete refund of the paid course price will be issued when your withdrawal request is received prior to the listed start date of the course. If you wish to withdraw after the start date please contact the VIN office 800-846-0028 ext. 797 to discuss eligibility for a pro-rated refund. *For more information on VIN's upcoming CE courses, check the VIN Course Catalog. Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Director VIN CE Services: CEonVIN@vin.com
800-846-0028 or 530-756-4881; ext. 797
or direct line to VIN/VSPN from the United Kingdom: 01 45 222 6154
or direct line to VIN/VSPN from Australia: 02 6145 2357