Addiction from a Pain Management Perspective

Presented by: Mark Weiner, MD, DFASAM

Dr. Mark Weiner will identify obstacles and areas of frustration regarding pain management in primary care and determine practical strategies to help these patients.

After attending this session attendees will be able to:

1. Discuss changing pain management paradigms over the last few decades and address the impact of this on primary care patients.
2. Identify pain management strategy breakdown due to medication failure or addiction.
3. Identify practical strategies to manage patients who have pain, addiction, or both and who are dependent on opiates and/or benzodiazepines.

Healthcare for All, A Moral Imperative NOW!

Presented by: John Cavacee, DO

In this presentation, Dr. Cavacee will present information on the history of health insurance and our health care industry over the past 80 years. We will discuss the 3 legs of the health care system, Cost, Access, and Quality and discuss the ways our health care system has failed in all 3 areas. We will discuss how the medical/insurance/pharmaceutical industry perpetuates misinformation about singly payer health care systems and we will compare the Canadian system and how it would be an improvement in all areas of our health care system. We will also emphasize what must be done in the future and how a single payer system is much more in line with our professional oath of service.

After attending this session attendees will be able to:

1. Describe the evolution of our health care system over the past century.
2. Understand the three areas common to all health care systems and how they are dysfunctional in US system.
3. Discuss why a singly payer, universal health insurance fulfills the 3 goals of a functional system and be able to defend/discuss why it is our professional obligation to support single pay system.

Human Trafficking

Presented by: Jodi Flanders, DO, FACOFP

This presentation on Human Trafficking focuses on definitions of trafficking for adults and minors, identification of victims based on physical and social signs, risk factors for trafficking, and mandates for reporting suspected human trafficking. Local, national and international contacts for education and assistance are provided. The session concludes with an interview with a survivor of a long life of human trafficking.

After attending this session attendees will be able to:

1. To present the types and venues of human trafficking.
2. To recognize common presenting signs and symptoms of victims of trafficking in the healthcare setting.
3. To understand the differences in presentations of adults and minors.
4. How to access resources for assistance for suspected victims of human trafficking.
5. How and when reporting of suspected human trafficking is mandated.
6. How and when reporting of suspected human trafficking is not mandated but requested.

OMM for Pain Mangement-Headaches and Neck Pain

Presented by: Victoria Torgler, DO

Dr. Victoria Torgler will be discussing the burden of headache and neck pain in America and how OMM can be an alternative to pain medication for treatment. We will look at the evidence that exists as well as receive a refresher of techniques used to treat the head and neck.

After attending this session attendees will be able to:

1. State the evidence behind OMM for headaches and neck pain.
2. Recommend OMM treatment for management of chronic pain.
3. Practice OMM techniques for treating the head and neck.

Opioid & Controlled Substance Awareness

Presented by: Susan Miller, B.S., PHARM.D, AE-C

This presentation meets the requirement of R 338.3135 Opioids and other controlled substances awareness training standards for prescribers and dispensers of controlled substances.

After attending this session attendees will be able to:

1. Discuss the use of opioids and other controlled substances, integration of treatment including alternative treatments for pain management. The stigma of addiction Utilization of the Michigan Automated Prescription System (MAPS).
2. Explain Counseling points on the effects and risks associated with using opioids and other controlled substances State and federal laws regarding prescribing and dispensing controlled substances.
3. Explain security features and proper disposal requirement for prescriptions.

Pain Management

Presented by: Nadia Aneese, PharmaD, BCACP and Adam Shammami, DO

Primary care physicians are often faced with the complexity of pain assessment and management. This presentation highlights key considerations of the multimodal approach to pain management, with a focus on opioid treatment in the primary care setting.

After attending this session attendees will be able to:

1. Identify various classification approaches to pain syndromes.
2. Discuss the assessment and monitoring of pain management.
3. Review options for chronic pain management.
4. Practice equianalgesic opioid conversions.
5. Design opioid taper plans.

CME Credit Statement: The Michigan Osteopathic Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The Michigan Osteopathic Association designates this program for a maximum of 6.25 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation in this activity.

Disclosure Statement: All MAOFP Education Committee members and MAOFP staff participating in planning and content development have no relevant financial relationships with commercial interests to disclose. The following speakers have relationships to disclose:

• Dr. Emily Hurst is a consultant for Avera eCARE ICU. This relationship does not have an influence on today's presentation.
• Dr. Mark Weiner is a consultant for Domain Therapeutics. This relationship doesn not have an influence on today's presentation.