This activity will be ending on September 30, 2012.
If you need assistance in completing the activity, please contact Jessica Hill at


Earn up to 23.5 AMA PRA Category 1 CreditsTM at your own pace by
completing all 3 stages successively.


Much of the burden of caring for patients with chronic pain falls to primary care physicians (PCPs) and many, by their own admission, lack the necessary training and competence to manage them. The types of chronic pain are numerous and are typically categorized as nociceptive, inflammatory, neuropathic, or functional. As a result of current limitations in pain assessment and management in the primary care setting, patients with chronic pain often are underdiagnosed and undertreated. As research provides increased understanding of the pathophysiology of chronic pain and as new options for treating patients with chronic pain emerge, clinical knowledge in the community must keep pace. As a result, PCPs are challenged to keep up with new developments and advancements.

This unique Continuing Medical Education (CME) initiative is designed to improve the identification and management of patients with chronic pain. This innovative platform will give PCPs the opportunity to participate in actual patient “rounds” with a pain specialist in the local community. This Practice-Based Rounds format exposes the physicians to the decision-making thought processes of a specialist and is designed to foster an information exchange between community clinicians

The goals of our intervention would be to give the primary care provider a better understanding of the physiology of chronic pain; the skills and tools to better screen patients for pain and complications of mismanaged pain and when properly identified, know how to safely and effectively treat their pain.

Enjoy in a unique opportunity to round with a pain specialists in your area!



Performance Improvement CME was developed to help healthcare clinicians assess their current clinical practice and improve their clinical care. To do this, participants A) identify areas that need improvement; B) implement interventions; C)and re-evaluate your clinical practice to assess the improvements made.

The Johns Hopkins University certified PI-CME initiative follows the AMA standardized PI-CME process.
Stage A: Chart Pulls and Goal Setting

Stage B: Webcast and One-on-One rounding with a pain specialist in your community.
Each pain specialist is limited to only 10 participants per location. Register now!

Stage C: Final chart pull and confirmation of/if goals were met.

Estimated time to complete: 23.5 hours.



After completing these rounds, participants will demonstrate the ability to:

  • DESCRIBE evidence-based guidelines, assessment techniques, and management strategies for the treatment of patients with MS according to therapeutic discipline.

  • USE validated clinical questioning and screening tools to identify patients with chronic pain.

  • DEVELOP an evidence-based comprehensive treatment plan for patients with chronic pain.

  • APPLY shared decision-making and other validated communication techniques shown to improve the satisfaction and outcomes in patients with chronic pain.

  • ASSESS the latest research about the underlying pathophysiology of chronic pain to identify the most appropriate treatments.

The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.



Michael R. Clark, MD, MPH, MBA (Co-Chair)
Associate Professor and Director
Chronic Pain Treatment Programs
Department of Psychiatry and Behavioral Sciences
The Johns Hopkins Medical Institutions
Baltimore, Maryland

Jaya Trivedi, MD (Co-Chair)
Associate Professor of Neurology
Director, Clinical Neurophysiology Fellowship
University of Texas Southwestern
Medical School
Dallas, Texas

Perry G. Fine, MD
Professor of Anesthesiology
Pain Research Center
Department of Anesthesiology
University of Utah
Salt Lake City, Utah

Todd D. Levine, MD
Phoenix Neurological Associates, Ltd.
Assistant Professor of Clinical Neurology
University of Arizona
Phoenix, Arizona


Oscar A. de Leon-Casasola, MD

R. Norman Harden, MD

Mellar P. Davis, MD, FCCP

Jaya Trivedi, MD

Rony Dev, DO

Benjamin H. Natelson, MD

Mitchell J.M. Cohen, MD

Todd D. Levine, MD

Laurence Kinsella, MD, FAAN

May L. Chin, MD



Intended Audience
This activity is designed for primary care physicians. No prerequisites required.

The goal of this Performance Improvement-CME initiative is to enable PCPs to measurably improve their knowledge, competence, and performance in the recognition, diagnosis, treatment, and management of patients with chronic pain.

Accreditation Statement
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 23.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Policy on Faculty and Provider Disclosure
It is the policy of the Johns Hopkins University School of Medicine that the faculty and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosures will be made in the course handout materials.

I certify that I am attending a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes.

I understand that while I am attending in this capacity, I may be exposed to “protected health information,” as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the “Privacy Regulations”). Protected health information is information about a person’s health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail:

“The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only.”

For CME Questions, please contact the CME Office (410) 955-2959 or e-mail For CME Certificates, please call (410) 502-9634.

Johns Hopkins University School of Medicine
Office of Continuing Medical Education
Turner 20/720 Rutland Avenue
Baltimore, Maryland 21205-2195
Reviewed & Approved by: General Counsel, Johns Hopkins Medicine (Updated 4/09)

Americans with Disabilities Act (ADA)
The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

Fee Information
There is no fee for this educational activity.