MULT110-0717: IVAPM Pain Management Core Review 2017
The lectures for this course will be presented as a combination of text and audio.
Enrollment is closed.
Presenters:
Mark Epstein, DVM, DABVP (Canine/Feline), CVA, CVPP, DAAPM
Bonnie Wright, DVM, DACVA
Douglas Stramel, DVM, CVPP, CVMA
Sheilah Robertson, DVM, DACVA (Anesthesiology), DECVA, MRCVS
Mary Ellen Goldberg, BS, LVT, CVT, SRA, CCRA
Tammy Grubb, DVM, MS, DACVA
Janice L Huntingford DVM, DACVSMR, CVA, CVPP, CCRT CAVCA
Laurie McCauley, DVM, CCRT, CVA, CVC, ACVSMR (Physical Rehabilitation 2015)
Course Open: July 2-September 6, 2017
Real Time Sessions (RTS): Sundays, July 9, 16, 23, 30 August 6, 13, 20, and 27, 2017; 8:00-10:00 pm ET (USA)
Course RTS Times in Your Area:
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Practice Sessions: In order to prepare you for a successful experience
in your CE course, we request you attend a Practice Session prior to the first
Real Time Session. Please arrive promptly at the start time; each Practice Session
is up to 1 hour in length.
For more information, please visit the
CE Practice Area.
*The presenters for this course will be using audio which will require you to have a headset or speakers to listen.
If you have any concerns regarding your computer's audio capabilities, please be sure to attend
one of the Practice Sessions.
Level and Prerequisites:
This
basic course will be open to veterinarians and veterinary technicians/technologists
actively interested in in pain management for dogs and cats.
VIN CE Course: Open to veterinarians and veterinary technicians/technologists.
This course is approved by RACE for veterinarians and veterinary technicians/technologists. (RACE 22-29871)
Course Information:
This course is a comprehensive review of the most contemporary concepts
of pain management in dogs and cats, from neurobiology to neuropharmacology
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.
Week 1 (Real Time Session July 9, 2017):
Neurophysiology of Pain
Presenter: Mark Epstein, DVM, DABVP (Canine/Feline), CVA, CVPP, DAAPM
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- describe the neurophysiology of pain perception via pain receptors,
pathways, and neurotransmitters.
- list the pharmacologic targets of pain modifying drugs.
- describe the difference in the pathophysiology of adaptive and maladaptive pain.
Week 2 (Real Time Session July 16, 2017):
Neuropharmacology I
Presenter: Mark Epstein, DVM, DABVP (Canine/Feline), CVA, CVPP, DAAPM
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- describe the neuropharmacologic aspects of ketamine as a pain-modifying agent.
- describe the clinical applications of sub-anesthetic ketamine constant rate infusion.
- describe the mechanism and clinical benefits of local anesthetics (LA).
- explain the proper and safe use of LA.
- discuss the common clinical applications of LA in the surgical setting.
Week 3 (Real Time Session July 23, 2017):
Neuropharmacology II
Presenter: Bonnie Wright, DVM, DACVA
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- discuss the benefits and proper use of adjunct medications (i.e., tramadol,
gabapentin, amantadine, SSRIs, TCAs, etc.).
- discuss the benefits and proper use of intrinsic/endogenous therapies
(i.e., acupuncture, massage, etc.).
Week 4 (Real Time Session July 30, 2017):
Neuropharmacology III
Presenters: Douglas Stramel, DVM, CVPP, CVMA
Sheilah Robertson, DVM, DACVA (Anesthesiology), DECVA, MRCVS
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- describe the mechanism and clinical benefits of opioids,
alpha-2 agonists, NSAIDs, and acetaminophen.
- describe the proper and safe use of opioids, alpha-2 agonists, NSAIDs, and acetaminophen.
Week 5 (Real Time Session August 6, 2017):
Clinical Applications I - Chronic Pain
Presenters: Mark Epstein, DVM, DABVP (Canine/Feline), CVA, CVPP, DAAPM
Mary Ellen Goldberg, BS, LVT, CVT, SRA, CCRA
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- describe how chronic pain develops.
- recognize chronic pain in their patients.
- describe appropriate treatment for the chronic pain conditions
discussed previously - pancreatitis, gastroenteritis, and ocular disease.
- recognize adverse effects of certain medications that are used for chronic pain.
- discuss the non-pharmacological modalities available for chronic pain patients.
- discuss the various modalities available for addressing pain resulting from cancer.
Week 6 (Real Time Session August 13, 2017):
Clinical Applications III - Acute Pain Management
Presenter: Tammy Grubb, DVM, MS, DACVA
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- discuss the proper treatment for peri-operative acute pain
(integrated approach with opioids, NSAIDs, alpha-2 agonists,
gabapentin, CRIs, and loco-regional)
- discuss the proper treatment for visceral medical pain resulting
from conditions such as pancreatitis, gastroenteritis, and ocular disease.
- discuss the proper treatment for pain resulting from trauma.
Week 7 (Real Time Session August 20, 2017):
Clinical Applications II - Pain Assessment & Emerging Modalities
Presenters: Douglas Stramel, DVM, CVPP, CVMA
Sheilah Robertson, DVM, DACVA (Anesthesiology)
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- discuss how pain presents in dogs and cats.
- describe the different scales available for assessing pain.
- discuss what is new and what is on the horizon for pain management.
Week 8 (Real Time Session August 27, 2017):
Clinical Applications IV - Non-Pharmacologic Pain Management
Presenters: Janice L Huntingford DVM, DACVSMR, CVA, CVPP, CCRT CAVCA
Laurie McCauley, DVM, CCRT, CVA, CVC, ACVSMR (Physical Rehabilitation 2015)
Format: Text/Audio
Objectives: Upon completion of this session, the participant should be able to
- describe the goals and objectives of veterinary rehabilitation
as it relates to painful patients.
- discuss the use of adjunct modalities
(therapeutics, U/S, laser, TENS, shock wave, etc.) in veterinary rehabilitation.
- recognize how and when the basic modalities and therapeutics
for pain relief should be applied.
- discuss the basics of how acupuncture works to relieve pain.
- describe when acupuncture would be beneficial for pain relief.
- discuss the importance of body weight and its role in recovery and rehabilitation.
- describe how obesity affects pain.
- setup a successful weight loss program for obese patients.
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.
About the Presenter(s):
The instructors for this course reflect a topic-specific expertise and were assembled
for their ability to teach discipline-specific content in relationship to clinical cases.
Dr. Epstein is originally from Atlanta, GA, graduated with honors in
microbiology from N.C. State University in 1981, and received his DVM from the
University of Georgia in 1985. He came to Gastonia that year to work at Forestbook,
and has called it home ever since. He continued his training and became Board-certified
as a Diplomate of the American Board of Veterinary Practitioners (ABVP, specialist in
Canine and Feline Practice, still the only veterinarian so credentialed in Gaston County)
in 1993, and re-certified in 2003 and 2013. He is Medical Director at Total Bond Veterinary
Hospital's. He counts several interests in veterinary medicine and in addition to the sheer
joy of working with pets, their owners, and his team every day, chief among them would be
the field of pain management in animals. This has been a focus of continued learning, so
much so that he has been additionally Certified by one human and one veterinary organization
(American Academy of Pain Management, and as a Certified Veterinary Pain Practitioner, CVPP,
by the International Veterinary Academy of Pain Management, respectively). Having developed a
high level of expertise in this area, he has been called upon to author book chapters and
peer-reviewed veterinary journal articles, is a widely sought-after national and international
speaker on the recognition, prevention, and treatment of pain in dogs and cats. He has
participated in national and international veterinary professional leadership roles, including
serving as president of ABVP and IVAPM, and served as a Chairman of the American Animal Hospital
Association (AAHA) Senior Care Guidelines and Pain Management Guidelines Task Forces.
Dr. Bonnie Wright has been an emergency veterinarian since 2001. She graduated
from Colorado State University(CSU) with a Doctor of Veterinary Medicine in 1995. She completed
her post-doctorate work in anesthesia in 1996, also at CSU, and her anesthesia residency in 2000
at UC Davis. Dr. Wright also became credentialed in medical acupuncture in 2007, became a certified
Veterinary Pain Practitioner in 2011 and certified in canine rehabilitation in 2013. She was on the
faculty at CSU for many years before moving full time to FCVERH, where she is an emergency doctor,
anesthesiologist and pain medicine doctor. Dr. Wright teaches extensively nationally and internationally.
Dr. Wright is president-elect for the International Veterinary Academy of Pain Management (IVAPM),
a board member of the local rotary club, and a member of the WSAVA's global pain council.
Dr. Douglas Stramel received his Doctorate of Veterinary Medicine from Kansas
State University in 1991. Member of American Veterinary Medical Association, American Animal
Hospital Association, International Veterinary Academy of Pain Medicine (IVAPM), and International
Association for the Study of Pain and American Society of Regional Anesthesia and Pain Medicine.
Chair of 'Advisory Council of Pain Management' through IVAPM.
Dr. Robertson graduated from the University of Glasgow with a BVMS degree in 1980,
she worked for a time in a mixed animal practice in northern England before joining Bristol
University as a fellow in large and small animal surgery. The university awarded her a doctorate
in 1985 for her research on the stress response to anesthesia and surgery in horses. At Bristol,
Dr. Robertson developed a passion for anesthesia and pain management, and she would go on to achieve
diplomate status in both the American College of Veterinary Anesthesiologists and the European
College of Veterinary Anaesthesia and Analgesia. She was a professor in the Section of Anesthesia
and Pain Management in the College of Veterinary Medicine. She has also held teaching and research
positions at the University of Saskatoon and Michigan State University. Her research interests
include developing nociceptive testing equipment for several animal species; assessing analgesic
agents in cats, horses, and iguanas; and creating clinical tools to assess acute pain in cats.
She has worked to improve anesthesia and analgesic protocols in a variety of settings and across species.
Dr. Tammy Grubb earned Doctor Veterinary Medicine in 1989 from A & M University, Texas.
MS University of Illionios in 1996 and Diplomate ACVAA 1996. PhD from Sweedish Agricultural University in 2013.
Dr. Grubb's research interests include cardiovascular and respiratory physiology and the effects
on anesthetic drugs on the cardiovascular and respiratory systems. Dr. Grubb is also very active
in the relief of animal pain through the development of new analgesic drugs and through the education
of colleagues, students and pet owners regarding treatment options for animals.
Dr. McCauley is a 1992 graduate of the Colorado State University School of Veterinary
Medicine. After spending six years in general private practice, she began to study and conduct research
in the field of veterinary rehabilitation. Laurie was the Medical Director of TOPS Veterinary Rehabilitation
in Illinois, the first rehabilitation-only practice for 18 years. Dr. McCauley helped design the first
underwater treadmill and carpal brace for dogs, and continues to work with companies to create innovative
rehabilitative equipment. She is a contributing author to Canine Rehabilitation and Physical Therapy,
Clinical Textbook for Veterinary Technicians, and Canine Sports Medicine and Rehabilitation. In 2007,
Dr. McCauley and Dr. Chris Zink released Building the Canine Athlete, a therapeutic exercise DVD for
canine rehabilitation therapists. She received the 2011 Iams AARV Award for Excellence in the Field
of Rehabilitation and the 2015 AHVMA COE Holistic Practitioner of the Year Award. Dr. McCauley teaches
Introduction to Canine Rehabilitation and
The Canine Rehabilitation Assistant.
Dr. Janice Huntingford received her Doctor of Veterinary Medicine from the Ontario
Veterinary College, University of Guelph in 1984. She has studied extensively in both conventional
and holistic modalities (Certified in CAVCA, CVA, CVPP, CCRT, Certified Veterinary Chinese Herbalist,
Certified Veterinary Tui-na Practitioner, Certified Traditional Chinese Veterinary Medical Practitioner.
In January 2015 she became a Diplomate of the American College of Veterinary Sports Medicine and Rehabilitation
(DACVSMR). She has lectured nationally and internationally on herbal therapy, nutraceuticals, acupuncture,
rehabilitation and pain management to veterinarians and veterinary technicians. She has co-authored 2
textbook chapters-one on neurological rehabilitation and one on therapeutic exercises for veterinary technicians.
She has published 3 peer-reviewed manuscripts on sporting dog nutrition and exercise physiology.
She continues to be involved in clinical research projects and further her training in herbs and natural
therapies, medicine, and rehabilitation.
Total CE Credit: 16
Tuition: Member $368 ($331 early bird special if enrolled by June 18, 2017)
Non-Member $519 ($467 early bird special if enrolled by June 18, 2017)
Prices are listed in US dollars.
*To ensure participants are ready and prepared for classes,
enrollment will close on July 9, 2017 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.
To Enroll:
Enrollment is closed.
- Enrollment qualifications: VIN CE courses are open to
VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course
must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a
VSPN CE or a VIN CE course open to VSPN member enrollment.
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and @vin.com addresses. Email is our major form of communication with participants;
personal emails are highly recommended rather than clinic/hospital email addresses.
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Please include the course title, your full name, and contact information in your correspondence.
"This program (22-29871) is approved by the AAVSB RACE to offer a
total of 16 CE Credits, with a maximum of 16 CE Credits being available to any individual
veterinarian or veterinary technician/technologist.
This RACE approval is for the subject matter categories of:
Scientific,
using the delivery method of Interactive-Distance: (Web-based, Teleconference or Audio-Conference).
This approval is valid in jurisdictions which recognize AAVSB RACE; however, participants are
responsible for ascertaining each board's CE requirements."
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.
* Note: To ensure rapid handling of your request for withdrawal, we recommend that you
call the VIN office at 800-846-0028 ext. 797.
*For more information on VIN's upcoming CE courses, check the
VIN Course Catalog.
Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Coordinator
VIN CE Services:
CEonVIN@vin.com
800-846-0028 or 530-756-4881; ext. 797
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