EPM: December Newsletter

EPM: December Newsletter

Essential Pain Medicine (EPM) symposium at the World Congress of Anaesthesiologists in Hong Kong report

Approximately 150 people attended an EPM symposium on the last day of the World Congress of Anaesthesiologists in Hong Kong in September. Roger Goucke and Wayne Morriss welcomed participants to the symposium and gave a brief overview of the first six years of EPM. EPM has expanded rapidly and the course has been taught in 47 countries worldwide. Many, but not all, of these countries are now delivering their own EPM programs.

At this session, Murali Joshi discussed the activities of the Travelling Pain School (TPS) in India and Paulin Banguti briefly reviewed the activities of EPM in Rwanda where the course is delivered in English, French and Kinyarwandan.

The second edition of the EPM slides, EPM Workshop Manual and EPM Instructor Manual were launched and an outline was given of the revisions. A number of other topics were discussed, including trade marking and copywriting of the materials. It is anticipated that trademarking the materials will not restrict access and that these will remain freely available from the EPM website. It was noted that providing Certificates of Training is seen as being very important.

The symposium was short but successful, with much valuable networking and discussion at the completion of the session. It was great to see so many participants from all over the world.

Facebook
The EPM Facebook page regularly has EPM updates and articles of interest, photos and course reports. Please follow, like and encourage EPM participants to take a look at the Essential Pain Management Facebook page.

Android App
The EPM app for iPhone has had numerous downloads and we are pleased that the Android App is near completion. Search for <essential pain management> in the App Store or Google play.

Online EPM reporting tool
To simplify and improve our EPM data collection, an easy-to-complete online reporting tool now tracks all of the great EPM activities happening around the world. If you include your email address when asked in the report template, you will receive a copy of the report for your records. The tool is available here.

EPM manuals – second edition
As mentioned above, the second edition of the EPM manual, slides and instructor manual were launched at the WFSA World Congress of Anaesthesia in Hong Kong on September 2. Changes include:

  • Integration of the RAT structure into the slides.
  • Re-writing of the pharmacology material.
  • Changes to the text (e.g. non-pharmacological and pharmacological treatments instead of non-drug and drug treatments).
  • The multiple true-false (MTF) questions have been revised.
    Translations into French, Indonesian, Mongolian, Indonesian, Spanish and Portuguese are currently underway.

Available on EPM website:

  • EPM Workshop Manual (second edition).
  • PDF of EPM Slides (second edition).

Please contact epm@anzca.edu.au to obtain the:

  • EPM Instructor Manual (second edition).
  • PowerPoint version of EPM slides (second edition).

Our new logo has been incorporated into the certificates of training and can be obtained by emailing epm@anzca.edu.au.

EPM Evaluation working group
Over the past year, further discussions about the most efficient (and easiest!) way to evaluate EPM as a global program have been under way. A small UK/Australasian working group is meeting by teleconference this month and hope to share their ideas in the next newsletter. Information on the numbers of courses, trainers and participants is relatively easy to collect, especially if course organisers use the online tool. Short-term knowledge transfer is also relatively easy to assess by using pre and post testing, however behaviour change and the barriers to this will be harder to evaluate.

EPM around the world

EPM in Indonesia
Since EPM was introduced to Surabaya in 2013, 300 local general practitioners and nurses have completed the course. EPM has recently been expanded and will now also be taught in Solo, West Java.

EPM Lite in Auckland
EPM Lite in Auckland has been run since 2013; since then 690 Year 4 students have participated in the EPM Lite workshop. Groups of around 20 students are taught at a time, with courses running up to 12 times per year.
Some of the benefits of EPM Lite noted by the team in Auckland are:

  • EPM Lite covers a large gap in the medical school program.
  • The format lends itself to small group work and “competition” between small groups.
  • The students take away at least one important learning point from each workshop.

The EPM Lite team would like to thank Professor Alan Merry (Head, Auckland University School of Medicine) for supporting the initiative.

EPM in Africa (UK)

  • The UK Essential Pain Management Working Party is now known as the Essential PainManagement Advisory Group.
  • A USB containing the presentation slides is provided to delegates upon completion of the course.

EPM reports can be found here

EPM Lite in the UK

  • 11 medical schools have established or are in the process of piloting EPM Liteduring the 2016/2017 academic year.
  • EPM Lite is being delivered beyond the medical school setting with GPs, nurses and physiotherapists as potential audiences.
  • Dr Michael O’Connor and Dr Helen Makins have been appointed as EPM Lite Lead and EPM Lite Deputy Lead, respectively.
  • New EPM Lite evaluation forms will soon be piloted.

EPM in the Philippines
The EPM program is very much alive in the Philippines. Since our initial workshop inManila in August 2014, approximately 30 EPM workshops have been conducted all over the country, run separately by the University of Santo Tomas (UST) Center for Pain Medicine and the Pain Society of the Philippines. EPM Lite has been incorporated into the undergraduate medical curriculum of the UST Faculty of Medicine and Surgery and since August 2015 has been taught to the fourth year (graduating) medical students. This has enriched the learning experience of the students who have expressed their high level of satisfaction with the program.

EPM in Serbia
The Head of the Pain Medicine Department at the University of Belgrade School of Medicine has shown an interest in the EPM program and manual and these may be recommended in the official list of literature for a Pain fellowship practicum for medical students.

EPM in India
The poster below shows some of the great things that our partner the Travelling PainSchool has achieved over the past three years. The poster recently won the Education SIG Scholarship at the IASP, World Congress in Yokohama, Japan. We offer our congratulations on this well-deserved achievement.

EPM in Canada
The pain community in Vancouver are jumping on board the EPM train, with EPM workshops currently being planned for medical students, nurses and allied health practitioners. In Victoria, there is a plan to introduce EPM Lite to the medical students during their surgery rotation. This is a direct result of attendances at the EPM session at the World Congress in Hong Kong earlier this year.
EPM workshops during the last six months
Summary acknowledging the programs and instructors involved in EPM workshops during the last six months:


EPM workshops in the planning stage

  • Philippines March 2017.
  • Hong Kong March 2017.
  • Vietnam April 2017.
  • Cambodia November 2017.
  • Papua New Guinea 2017.Collaboration
    EPM is fortunate to receive ongoing financial support from ANZCA, the ASA, the Ronald Geoffrey Arnott Foundation, WFSA, Interplast Australia and New Zealand and the ANZCA Research Foundation.

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

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