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Consensus-Based Recommendations for an Emergency Medicine Pain Management Curriculum
Sabrina J Poon1, Lewis S Nelson2, Jason A Hoppe3
1Harvard Affiliated Emergency Medicine Residency, Brigham and Women's Hospital, Boston, Massachusetts.
Emergency medicine (EM) residents need a balanced pain management curriculum focusing on opioid and non-opioid analgesics, plus nonpharmacologic strategies. This approach aims to improve pain control while mitigating risks associated with the opioid crisis.
Area of Science:
- Medical Education
- Pain Management
- Emergency Medicine
Background:
- Rising opioid prescriptions correlate with increased overdose deaths.
- Emergency medicine (EM) requires a specialized pain management curriculum.
- Balancing pain control with reduced side effects is critical.
Purpose of the Study:
- Define essential components of an EM pain management curriculum.
- Address the opioid crisis through targeted education.
- Improve pain management practices in emergency settings.
Main Methods:
- Convened a symposium of experts to discuss EM pain management education.
- Identified key topics and defined curriculum needs through consensus.
- Prioritized research for curriculum evaluation.
Main Results:
- Recommended curriculum include opioid/non-opioid analgesics and nonpharmacologic methods.
- Advocated for a modular, multimodal, case-based curriculum linked to milestones.
- Stressed the need for surveys to identify knowledge gaps.
Conclusions:
- A consensus path forward to improve emergency analgesia.
- Enhancing evidence, knowledge, and practice transformation is key.
- Curricular reform should focus on learner knowledge and patient outcomes.
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