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Ethical and Regulatory Aspects of Managing Patients With Pain

An Educational Teaching Program prepared for the Internet by the Texas Medical Association Committee on Physician Health and Rehabilitation

Release Date
September 2003. Review date: 5/06, 5/09.  AMA PRA Cat. 1 CME credit expires May 20, 2012.  (After expiration date, call (800) 880-1300 ext. 1342 or 1447, to verify CME status.)

Disclosure of Commercial Affiliations
Policies and standards of the Texas Medical Association, the Accreditation Council for Continuing Medical Education, and the American Medical Association require that speakers and planners for continuing medical education activities disclose any relevant financial relationships they may have with commercial entities whose products, devices or services may be discussed in the content of the CME activity. 

The authors and activity planners have no financial arrangements or affiliations with any commercial entities whose products, research, or services may be discussed in this study. 

Authors

Members, Regional Education Team of the TMA Committee of Physician Health and Rehabilitation

• Lloyd M. Garland, MD
• Robert L. Gee III, EdD
• Judy C. Googins, MD
• Anand W. Mehendale, MD
• Edgar P. Nace, MD
• Kenneth N. Vogtsberger, MD

The TMA Committee on Physician Health and Rehabilitation initiates and provides oversight to the development of numerous modules that supports its efforts to (1) promote physician health and well being and (2) encourage early intervention and care of physicians who are impaired.

Activity Planners

• Lloyg M. Garland, MD
• Robert L. Gee III, EdD
• Judy C. Googins, MD
• Anand W. Mehendale, MD
• Edgar P. Nace, MD
• Kenneth N. Vogtsberger, MD
• V.O. Speights Jr, DO
• Linda Kuhn
• Haleh Pedram

Instructions for Completion

• Read and study the module text located in the Table of Contents at the bottom of this page.
• Complete the provided self-assessment – for your own records, no need to return to TMA. 
• Print out and complete the provided TMA identification return page. 
• Print out and complete the provided CME activity evaluation.
• Return the (a) TMA identification return page, (b) CME activity evaluation, and (c) administration fee to the TMA Knowledge Center, 401 West 15th Street, Austin, TX 78701-1680 or via fax to (512) 370-1693.
• Your CME credit will be processed and a transcript mailed to you approximately two weeks from the date of receipt.  Click here to print out your CME transcript 24/7!

Table of Contents

	Letter to the Physician
	Committee on Physician Health and Rehabilitation
	Definition, Prevalence, and Burden of Pain
	Underassessment and Consequences of Pain
	Classifications of Pain
	Pain Standards
	Pain Treatment Guidelines
	Psychiological Dependence and Addiction
	Assessment Strategies for Drug Requests
	Case Vignette
	Texas Medical Board Rule
	Pain Management Treatment Agreement
	Informed Consent, Avoid Abandonment, Documentation
	Self-Assessment
	TMA Identification Return Page
	CME Activity Evaluation
	Bibliography
	Patient's Bill of Rights for Pain Management
	Sample Release of Information Form
	Resources: Appropriate Management of Chronic Pain

© 2003-2009 Texas Medical Association.  All rights reserved.

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Last Published: 6/9/2009