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Dawn Visit 1: A 38-Year-Old Female Presenting with Chronic Pain


Dawn Visit 1: A 38-Year-Old Female Presenting with Chronic Pain

Topic: Pain Management
Relevant Terms: Depression, Fibromyalgia, Widespread Pain
Primary Audience: Primary Care Physicians
Launch Date: 25-Aug-10
Credits: 0.5 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Chronic Pain Conundrum: Primary Care Providers on the Front Lines Virtual Clinic

Learning Objectives

Upon completion of the activity, participants should be able to:

  1. Demonstrate improved confidence in managing patients with chronic pain through a better understanding of the pathophysiology of chronic pain pathways and pain perception, treatment selection and response.
  2. Apply strategies to diagnose common and frequently overlooked chronic pain syndromes/conditions in clinical practice by performing an appropriate history and diagnostic examination, including the use of validated diagnostic measures and validated pain severity scales.
  3. Implement safer and more effective long-term treatment strategies for patients with chronic pain.
  4. Associate the implications of gender in the diagnosis and management of chronic pain and leverage this insight into clinical practice.


    Bill McCarberg, MD
    Family Practitioner
    Southern California Permanente Medical Group
    Escondido, CA
    Adjunct Assistant Clinical Professor
    University of California at San Diego
    San Diego, CA
    Danielle Perret, MD
    Director, Fellowship Training Program in Pain Medicine
    Director, Resident Education in Pain Medicine
    Department of Anesthesiology and Perioperative Care
    Division of Pain Medicine / Department of Physical Medicine & Rehabilitation
    The University of California, Irvine Medical Center
    Orange, CA
    Brian P. McDonough, MD
    Clinical Professor of Family Medicine
    Temple University School of Medicine
    Philadelphia, PA
    Chairman, Department of Family Medicine
    St. Francis Hospital
    Wilmington, DE
    Initiative Description

    This activity is part of the Chronic Pain Conundrum: Primary Care Providers on the Front Line educational initiative. This innovative program includes a self-assessment survey and three live activities, along with the RealCME virtual patient clinics that will be available both prior to and after the live events. To learn more and participate in additional activities within this initiative, please visit

    Joint Sponsorship

    This activity has been planned and implemented in acordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of University of California, Irvine School of Medicine and Prova Education. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

    The University of California, Irvine School of Medicine designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

    It is estimated that participants will take 30 minutes to review the materials and participate in this activity.

    Target Audience

    This course is designed to meet the Continuing Medical Education needs of the practicing Primary Care Practioner including Family Physicians, Internal Medicine Physicians, Physician Assistants, and Clinical Nurse Practitioners.

    Disclosure of Conflicts of Interest

    To provide the highest quality of CME programming and in compliance with the ACCME Standards for Commercial Support, Prova Education requires that all faculty and planning committee members disclose relevant financial relationships with any commercial interest that produces, markets or distributes health care goods or services. Prova Education assesses conflict of interest with its faculty, planners, authors and reviewers of its CME activities. The content is thoroughly reviewed and any conflicts of interest are resolved by independent reviewers to ensure fair balance, scientific objectivity of studies utilized in the activity and unbiased patient care recommendations. Prova Education is committed to providing its learners with high quality, unbiased and state-of-the-art education.

    Acknowledgement of Commercial Support

    This activity is supported by an independent educational grant from Lilly USA, LLC.

    The following reviewers/planners/authors have reported real or apparent conflicts of interest:

    Aimée Cancelliere, Director, CME Operations (Prova Education) - Planner
    No relationship reported.

    Bonnie Carroll, The University of California, Irvine School of Medicine - Planner
    No relationship reported.

    Ann Early, Senior Project Manager, Activity Planning - Planner
    No relationship reported.

    Terry Logan, CCMEP, Director, CME Content and Curriculum (Prova Education) - Planner
    No relationship reported.

    Bill McCarberg, MD - Planner/Author
    Honorarium: Purdue, Pfizer, Mylan, Merck & Co. Inc, Abbott, Lilly

    Brian P. McDonough, MD, (Advisor: Omnia Education Medical Advisory Board) - Planner/Reviewer
    No relationship reported.

    Danellie Perret, MD - Planner/Reviewer
    No relationship reported.

    Sean T. Saunders, CCMEP, Director, CME Outcomes and Communications (Prova Education) - Planner
    No relationship reported.

    Lawrence Sherman, FACME, CCMEP, (Prova Education) - Planner
    No relationship reported.

    Contact Information

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