EPM: August 2019 Newsletter

chris@csa.co.za
By chris@csa.co.za August 17, 2019 05:38
 

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Welcome to the August 2019 Essential Pain Management Newsletter.

We have been running EPM for close to 10 years. Over this time, we have collected quite a lot of data on pre/post testing and participant feedback. As many of you know we have modified the slides and case discussions in response to this feedback.

While we are reasonably confident that transfer of knowledge occurs during the workshops we are less confident that this (often new) knowledge gets put into action.

The barrier sessions often bring out reasons why this is difficult (no medications, no time, no support, no protocols, patient resistance/misunderstanding etc.).

To explore how EPM can change practice at the ward or patient level we would encourage EPM champions to consider running small audits in the areas where EPM has been run.

Audits could look at: are pain scores being documented, is pain being documented, are non-drug or drug treatments being offered (documented and dispensed or delivered), have any of the barriers identified at the EPM workshops been overcome?

There will be many other simple audits that could be run. So if any readers do perform any audits or Quality Improvement projects in their areas please send us a copy of your findings to 

It’s now time to show that we are making a difference!

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EPM Trademark

After a long process, the Essential Pain Management logo and name are now a registered trademark. This will ensure that the EPM name and logo is not used for anything other that the intended purposes. This will help to protect and build EPM brand recognition throughout the word to progress our efforts to improve the management of pain.

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EPM around the world

Mexico

EPM in Mexico has now trained 27 instructors. With the support of FMCA (Mexican Federation of College of Anaesthesiologists), ANZCA and WFSA, these instructors have been very active running several courses throughout Mexico. The last activity was in June 2019, where four Mexican instructors ran an EPM course in Delicias City, Chihuahua, Mexico, led by Dr. David Garcia. There were 52 participants: Anaesthesiologists (50%), Paediatricians (10%), Residents of Anaesthesiology (20%), Nurses (16%), Physicians (4%) participated. The Mexican instructors aim to run more EPM courses throughout the country (Mexico), with a plan already in place to do so.

– Carolina Haylock-Loor

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Africa (RCoA)

The RCoA have recently completed a 12 month partnership project with St Mary’s Hospital, Lacor and Kumi Hospital in Uganda, and the WFSA, funded by the Tropical Health Education Trust. The work involved rolling out EPM across two sites, training new local instructors and evaluating the project with both qualitative and quantitative data.

With the aim of improving sustainability and sharing of experiences of running EPM an EPM Africa WhatsApp group has been set up for regional champions across several countries.

RcoA also continue to work with Mercy Ships running yearly EPM workshops – the next being held in Senegal.

If you would like any more information regarding these projects please contact the UK team at 

Fiji

This year, Fiji National University included EPM training for fifth year medical students. The workshop took place prior to student’s final semester of clinical rotations and exams. The knowledge gained will help students in assessing and managing patients during their final rotation. The program on the day was split into two workshops, with 31 participants in the first and 32 in the second. The workshops were well received by the students, with group discussions and case studies a highlight.

Dr Liliviwa Waqa reports that EPM Lite has recently been run at the main hospital in Suva (CWMH). The workshop was carried out through the Matron In-Service who organised the participants from various wards in the hospital and four participants from the rural hospitals Navua and Lami and Raiwaqa and Nasese Health Centre. There was a total of 20 participants who were all registered nurses in CWMH, 4 were intern nurses. The RAT approach was easy to understand and apply in the group discussion.

The general feedback from the participants was very positive. Some commented that refreshers need to be done from time to time.

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Hong Kong

Since its introduction in 2017, EPM has become a popular workshop among frontline healthcare workers in Hong Kong public hospitals. We have run over 40 workshops by now with nearly 1000 participants from medical, nursing and allied health sectors. The feedback has been very positive with a 99% satisfaction rate. We have also conducted several train-the-trainer workshops, producing a total of 82 instructors to keep EPM workshops running.

One special feature of EPM in Hong Kong is the introduction of role play scenarios to enhance the case discussions. During a case scenario, participants take turns to become “attending doctor / nurse / allied health staff”, “patient with pain” and “patient’s relative”. This has become one of the learners’ favourite parts, as they get the chance to see from a patient’s perspective and relate this to real-life work experience.

In the future we are looking to develop complementary e-learning modules for EPM HK.

– Dr Fiona Tsui

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EPM workshops

EPM workshops reported in the last six months

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Please note, only programs reported using the online tool are acknowledged .

The online reporting tool is available here. We encourage all instructors to use the easy-to-complete online reporting tool.

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EPM in the ANZCA Bulletin

There were three articles featuring EPM in the March 2019 ANZCA bulletin.

– Spotlight on Essential Pain Management in Hong Kong

– What is Essential Pain Management?

– Spotlight on Essential Pain Management in Papua New Guinea

To access these articles please click 

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EPM resources

The EPM team have recently developed new certificates. If you are an instructor and would like a copy of the new certificates please email 

Other course materials available on request –

• 1-day course instructor manual (English, Spanish, French)

• EPM Lite course instructor manual

• EPM Pre and post-test sheets

• EPM evaluation spreadsheet

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For a printable copy of this or past newsletters please visit the ANZCA website 

Collaboration EPM is fortunate to receive ongoing financial support from ANZCA, the ASA, the Ronald Geoffrey Arnott Foundation, WFSA, RACS and the ANZCA Research Foundation

Courses delivered by the EPM UK Working Group have been funded by Association of Anaesthetists of Great Britain and Ireland Foundation and The Royal College of Anaesthetists.

If you know anyone who would be interested in this newsletter please feel free to pass it along.

If you would like to be added to or removed from our mailing list please contact us at 

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ANZCA: The Australian and New Zealand College of Anaesthetists (ANZCA) is the professional medical body in Australia and New Zealand that conducts the education, training, and continuing professional development of anaesthetists and specialist pain medicine physicians.

Disclaimer: The Australian and New Zealand College of Anaesthetists (“College”) cannot be held responsible for any errors or omissions or any consequences from the use of information contained in this newsletter. The views and opinions expressed do not necessarily reflect those of the College, neither does the publication of announcements or advertisements necessarily constitute endorsement by the College of the matters referred to in these announcements or advertisements.

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chris@csa.co.za
By chris@csa.co.za August 17, 2019 05:38

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