Fibromyalgia 2: Tailoring Therapy and Implementing a Multi-Disciplinary Team Approach

Title:	Fibromyalgia 2: Tailoring Therapy and Implementing a Multi-Disciplinary Team Approach
Topic:	Pain Management
Relevant Terms:	Depression, Fibromyalgia, Pain, Rheumatology, Systemic Lupus Erythematosus
Primary Audience:	Primary Care Physicians; Rheumatologists; Neurologists; Pain Physicians; Nurse Practitioners; Physician Assistants; and Psychiatrists
Launch Date:	25-Nov-09
Credits:	0.5 AMA PRA Category 1 Credit™
Expiration Date:	24-Nov-10

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Learning Objectives

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

Recognize fibromyalgia syndrome (FMS) from other disorders though better understanding of diagnostic criteria.
Apply current clinical practice guidelines to diagnose and treat FMS patients.
Properly identify and address behavioral, psychological, and social factors affecting patients with FMS.
Develop appropriate pharmacological and behavioral treatment interventions tailored to the individual needs of patients with FMS to better manage pain and improve quality of life.
Implement a multi-disciplinary team approach to improve pain management and patient compliance.

Faculty

Michael R. Clark, MD, MPH
Associate Professor
The Johns Hopkins University School of Medicine
Director
Adolph Meyer Chronic Pain Treatment Programs
Department of Psychiatry and Behavioral Sciences
Baltimore, Maryland

Michael R. Clark, MD, MPH Michael R. Clark, MD, MPH, is an Associate Professor at The Johns Hopkins University School of Medicine in Baltimore, MD. He is the Director of the Adolf Meyer Chronic Pain Treatment Programs in the Department of Psychiatry and Behavioral Medicine and has joint appointments in the Departments of Otolaryngology-Head & Neck Surgery in the School of Medicine and of Mental Hygiene in the Bloomberg School of Hygiene and Public Health.

Dr. Clark is consultation-liaison psychiatrist who specializes in the care of patients with chronic medical illnesses. He is a member of the Blaustein Pain Treatment Center, the Addiction Treatment Services program, and the Vestibular & Balance Disorders Center at The Johns Hopkins Medical Institutions. These interdisciplinary efforts deliver comprehensive medical care to patients with disabling conditions that are particularly refractory to diagnosis and treatment.

A fellow of the Academy of Psychosomatic Medicine, Dr. Clark currently devotes his research work to psychiatric aspects of somatic symptoms such as chronic pain, including studies on neuropathic pain, substance abuse, and the phenomenology of depression in patients with chronic pain. He serves on the National Institutes of Health Division of Research Grants Risk Prevention and Health Behavior Study Section, and he has participated as an expert for in the design of Gulf War Specialized Health Care Centers with the U.S. Department of Defense.

Dr. Clark currently serves as an editorial reviewer for the Journal of General Internal Medicine, Psychosomatics, Archives of Family Medicine, Journal of Psychosomatic Research, General Hospital Psychiatry, and The Johns Hopkins University Press. He is a member of the International Association of the Study of Pain, the American Pain Society, the American Psychosomatic Society, and the American Psychiatric Association.

Dr. Clark received his MPH from the Department of Epidemiology at the University of Washington School of Public Health in Seattle and his MD from Washington University School of Medicine in St. Louis, MO. He completed his internship and residency in psychiatry and behavioral sciences at The Johns Hopkins Medical Institutions and his fellowship in consultation-liaison psychiatry at the University of Washington School of Medicine. Dr. Clark completed his MBA from The Johns Hopkins University School of Professional Studies in Business and Education.

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

Perry G. Fine, MD

Perry G. Fine, MD, completed medical school in 1981 at the Medical College of Virginia in Richmond. He served an internship in 1982 at the Community Hospital of Sonoma County in Santa Rosa, California, and completed his residency in 1984 at the University of Utah Health Sciences Center in Salt Lake City. In addition, Dr. Fine completed a fellowship in 1985 at the Smythe Pain Clinic of the University of Toronto in Ontario, Canada.

Dr. Fine is a Professor in the Department of Anesthesiology of the School of Medicine at the University of Utah, where he serves on the faculty in the Pain Research Center, and is an attending physician in the Pain Management Center. He teaches the first- and second-year medical school courses in social medicine and the fourth-year medical school course in medical ethics. Currently, he serves on the Board of Directors of the American Academy of Pain Medicine, the Society for Arts in Healthcare, and the American Pain Foundation. Dr. Fine serves as the External Strategic Advisor for Capital Hospice, Washington, DC and is a consultant to the Center for Advanced Illness Coordinated Care, based in Albany, New York, developing and educationally supporting self-sustaining models of prehospice palliative care in community settings, as an integrative component of disease management and advanced illness coordinated care. He is very pleased to have been selected to serve as the Chair of the National Initiative on Pain Control for 2003 to 2008.

Dr. Fine is widely published in the fields of pain management and end-of-life care. He serves on the editorial boards of several peer-reviewed medical journals. As a medical avocation, he has worked as a team physician for the University of Utah football team for the last 18 years and was a medical officer for the 2002 Winter Olympics in Salt Lake City. He is the recipient of the 2007 American Academy of Hospice and Palliative Medicine Distinguished Hospice Physician Award, and the 2008 American Pain Society John and Emma Bonica Public Service Award.

PREREQUISITES There are no prerequisites for participation.

ESTIMATED TIME TO COMPLETE ACTIVITY 0.5 hours of participation.

STATEMENT of NEED Since patients with FMS are now more commonly seen in primary care settings, we have identified a significant need for the education of primary care physicians regarding the proper diagnosis and optimal management of patients with FMS, and specifically, to increase awareness of the needs of patients with FMS, to encourage a more multi-disciplinary approach in managing and treating pain, and to better identify and treat the various subtypes of patients with FMS. Neurologists and rheumatologists currently treating patients with FMS would also benefit from participating and collaborating in more continuing education programs highlighting the more recent advances on the diagnosis and management of the disease.

SPONSORSHIP STATEMENT
Presented by The Johns Hopkins University School of Medicine.

FULL DISCLOSURE POLICY AFFECTING CME ACTIVITIES As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member or a sponsor has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. The presenting faculty reported the following:
Michael R. Clark, MD, MPH reports being a consultant to and is on the speaker's bureau for Eli Lilly and Company.
Perry G. Fine, MD has nothing to disclose.

Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

OFF LABEL PRODUCT DISCUSSION No speaker has indicated that their presentation will include information on off-label products.

DISCLAIMER The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. Use of Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

CREDIT DESIGNATION STATEMENT The Johns Hopkins University 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.

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.

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

ACKNOWLEDGEMENT This activity is supported by an educational grant from Pfizer Inc.

INTERNET CME POLICY The Office of Continuing Medical Education (CME) at the Johns Hopkins University School of Medicine is committed to protect the privacy of its members and customers. Johns Hopkins University SOM CME maintains its Internet site as an information resource and service for physicians, other health professionals and the public. Continuing Medical Education at the Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CME Internet based program. Your information will never be given to anyone outside of the Johns Hopkins University School of Medicine's CME program. CME collects only the information necessary to provide you with the services that you request.

To Obtain CME Credits This activity includes text, graphics, and may include multi-media features. Click on all of the medical education activity links and review the content presented.

Read, complete, and submit answers to the examination and evaluation questions online.
You must pass the examination with a score of 70% or higher in order to receive credit for this activity.
Once you have successfully completed the examination & evaluation, a certificate will be automatically generated.

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Release Date: November 25, 2009
Expiration Date: November 24, 2010

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