by Pamela Katz Ressler, MS, RN, HN-BC, faculty, Pain Research, Education and Policy Program (PREP), Tufts University School of Medicine
In 1964, the Declaration of Helsinki ushered in a new paradigm of thinking about medical ethics and research worldwide. Since that time there have been seven revisions of the original Declaration of Helsinki, the most recent one being released this week by the World Medical Association. In the past 50 years healthcare has undergone a myriad of changes, including additional checks and balances for patient protection, such as informed consent and hospital ethics committees: the Declaration of Helsinki has been instrumental in helping to increase awareness of the importance of ethic principles in relation to patients and human research participants. As a living document, there will undoubtedly be continued revisions of the Declaration of Helsinki in years to come. It is important to realize that as far as we have come in the past 50 years, building awareness of ethics in patient care and human subject research, there is still much work to be done locally, nationally and globally.
Click here to read the newly released 2013 Declaration of Helsinki. Are there additional areas that you would amend or revise ?
October 20th, 2013
By Pamela Katz Ressler, MS, RN, HN-BC, Pain Research, Education and Policy Program, Tufts University School of Medicine
As the burden of pain continues to weigh heavily on our public health and health care system, development of innovative ways of safe and effective pain management methods is imperative. The Pain Research, Education and Policy Program (PREP) is honored to have William Schmidt, PhD present the 2013 Sackler Lecture, entitled Building a Better Aspirin: The Frontiers of Pain Medicine Development on Tuesday, September 24 from 4-5 PM at the Tufts University Medical Campus, 145 Harrison Ave (Sackler Building) room 114. Dr. Schmidt is the past president of the Eastern Pain Association and an internationally-recognized expert on pain research and therapeutics. Of particular interest to Dr. Schmidt is the evolution of safer, more effective pharmaceuticals for the treatment of persistent or chronic pain. The Pain Research Forum interviewed Dr. Schmidt recently on his vision of the future of pain medicine development (click here for a link to the interview).
We hope you will be able to join us on Tuesday, September 24 for Dr. Schmidt’s lecture followed by audience discussion with Dr. Schmidt and members of the PREP program.
September 12th, 2013
by Pamela Katz Ressler, MS, RN, HN-BC, Faculty, Pain Research Education and Policy program, Tufts University School of Medicine
Dr. Dan Carr, founder and director of the Tufts Pain Research, Education and Policy program was recently featured in a video posted by PainWeek. Dr. Carr has passionately advocated for interprofessional pain education from the inception of the Tufts PREP program. His keynote address from 2012 PainWeek argues that pain is much more than a biophysical model. Watch Dr. Carr’s 2012 keynote address by clicking here.
Learn more about interprofessional team management of pain by participating in a new course offered by Tufts PREP program this summer (click here). Dan Carr, MD, FADM and Sharon Schwartzberg, EdD, will be co-directors of this relevant and innovative blended learning course. Learn from the leaders in the field of pain, connect and network with other professionals in Boston for one weekend and then return home to learn online. For more information about Tufts’ innovative blended learning courses in the Pain Research, Education and Policy Program, click here.
May 8th, 2013
by Anna Schlissel, Pain Research Education and Policy Program (PREP), Tufts University School of Medicine
The Pain Research, Education and Policy Program (PREP) is honored to present Judy Foreman, nationally syndicated Health Columnist and Author, on Thursday, March 14, 4:00-5:30 PM in the Merritt Auditorium at Tufts Dental School. Ms. Foreman is a nationally syndicated medical journalist with 37 years of experience. She has covered a variety of health issues including fitness, aging, cancer, heart disease, pain, nutrition, numerous specific diseases and basic biological science.
The Pain Research, Education, and Policy Program invites students, alumni, health care professionals, clinical staff and faculty, health communicators, public health advocates, and others to join us for Ms. Foreman’s informative and engaging lecture, immediately followed by a panel discussion.
For more information about the event, please click here
March 6th, 2013
Among MS-PREP alumni/ae, Hallie Greenberg is redesigning templates for patient-controlled IV and epidural analgesia at the Brigham and Women’s Hospital to enhance quality and safety of pain relief. Gretchen Kindstedt is working with the Massachusetts Pain Initiative in its legislative outreach, and is on track to earn a second Master’s degree from our department – an MPH — in 2014. Ian Koebner is employed at the Pain Treatment Center at University of California at Davis, dividing his time between clinical acupuncture and interprofessional pain education. Jessica Peck is growing her acupuncture practice in Maine. Along with her MS-PREP Capstone preceptor, Jessica will teach at the 7th Annual Palliative Care Conference at Maine Medical Center in Portland in June. Heather Thomson, working in Health Outcomes and Pharmacoeconomics at Endo, recently conducted a claims analysis with collaborators in New Mexico on the prevalence of chronic pain in patients with pulmonary disease, and will report the findings in 3 abstracts and 2 papers.
Among Certificate alumni/ae, Elizabeth Carpino is now Program Coordinator for ChildKind International. Based at Boston Children’s Hospital and led by Neil Schechter (whose PREP lecture on ChildKind is viewable at our website), this program improves pediatric pain management worldwide by certifying healthcare institutions according to process and quality measures. Kathleen Norris is pursuing further studies to be credentialed as both an Adult and a Geriatric Nurse Practitioner, with the goal of positively impacting long-term care pain management practices and policies.
Among PREP faculty, Academic Director Libby Bradshaw has now overseen conversion of 4 PREP courses to a blended onsite/online format. Kudos to Libby, the Course Directors (Richard Glickman-Simon, Ewan McNicol, Pam Ressler and Steve Scrivani), their excellent TAs (Ali Carter, Kelly Murphy and Phuong Nguyen) and the students embarking on this new approach. Dan Carr recently testified on behalf of the American Society of Anesthesiologists at an FDA workshop on possible relabeling of opioid package inserts, and was elected VP for Scientific Affairs of the American Academy of Pain Medicine. Srdjan Nedeljkoviccontinues work on the BOLD (Back Pain Longitudinal Data) study evaluating outcomes of management of elderly patients with back pain. As Director of the Brigham and Women’s Pain Medicine fellowship, Serge will accept the Fellowship Excellence Award from the American Academy of Pain Medicine at its annual meeting in April. Pam Ressler attended the Narrative Medicine Workshop at Columbia University, led by Rita Charon, a national figure and pioneer in this area. Pam looks forward to using tools of narrative medicine to engage her students next summer in PREP232 (Ethical and Sociocultural Aspects of Pain).
February 14th, 2013
by Pamela Katz Ressler, MS, RN, HN-BC, adjunct faculty, Pain Research, Education and Policy (PREP), Tufts University School of Medicine
The Pain Research, Education and Policy Program (PREP) is honored to present the Annual Sackler Lecture with guest speaker, Scott M. Fishman, MD, chief, Division of Pain Medicine and Professor of Anesthesiology and Pain Medicine (School of Medicine, University of California-Davis), on Thursday, January 31, 4:00-5:00 PM in the Wolff Auditorium at Tufts Medical Center (800 Washington St, Boston).
Dr. Fishman, a world-renowned authority on pain management, will lecture on the subject of interprofessional and competency-based education for clinicians managing pain. Chronic, or persistent pain, is not only a personal health issue, but a public health and economic challenge for our country. It is estimated that chronic pain costs the United States economy over $635 billion annually due to medical care and lost productivity. Yet, we are not adequately addressing this societal burden. As pain management has evolved over the past decades, it has become apparent that a multi-modal and interprofessional approach to pain is necessary. However, interprofessional pain management is often underutilized for many factors, one being a paucity of interdisciplinary educational opportunities for clinicians. Training our health care professionals to manage pain in an interprofessional model will allow for our health care system to effectively care for the increasing numbers of individuals suffering from chronic or persistent pain. The need for increased interprofessional training in pain management was recently highlighted in the Institute of Medicine’s 2011 report: Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. In addition to his clinical work at UC-Davis, Dr. Fishman serves as a co-principal investigator of the Interprofessional Pain Management Competencies Working Group of the Mayday Fund.
The Pain Research Education and Policy Program invites students, alumni, health care professionals, clinical staff and faculty, health communicators, public health advocates, and others to join us for Dr. Fishman’s informative and engaging lecture, immediately followed by an interprofessional panel discussion.
For more information about the event, click here
January 21st, 2013
by Pamela Katz Ressler, MS, RN, HN-BC, adjunct faculty, Pain Research, Education and Policy program,Tufts University School of Medicine
Congratulations to Pain Research, Education and Policy Program (PREP) student, Amy Vaz for an innovative and informative capstone project and presentation, Chronic Pain: The Good Day Diary.
As a nurse and through her studies within the PREP program, Amy saw an unmet need for those living with chronic pain. For her capstone, Amy envisioned a Smartphone application that would enable individuals with chronic pain to chronicle and track their “good” days. Amy explained that there are currently a number of products on the market that track pain and negative symptoms for chronic pain patients, but none that focus on good days or days with less pain. Amy plans to take her capstone project to the next level, by pursuing market research and product development.
Stay tuned for more from Amy Vaz.
January 15th, 2013
When one thinks of chronic or persistent pain one often thinks in terms of the biologic pathways of pain perception. However, an important component of pain involves of the psychosocial aspects of coping with a chronic illness. Disciplines across the health professions, including medicine, nursing, psychology, social work, and sociology, are actively engaged in understanding the psychosocial and emotional consequences of chronic pain and illness: Yet few studies have addressed the use of web-based tools, such as blogs, in the patient experience of living with chronic pain or illness.
Four Tufts University School of Medicine faculty members, Pamela Katz Ressler (Pain Research, Education and Policy Program), Libby Bradshaw (Pain Research, Education and Policy Program), Lisa Gualtieri (Health Communications Program), and Kenneth Chui (Public Health and Community Medicine) from the Tufts University School of Medicine in the Department of Public Health and Community Medicine recently published the results from a formative research study, Communicating the Experience of Chronic Pain and Illness through Blogging, in the Journal of Medical Internet Research.
The goal of this research was to explore the use of patient illness blogs as a means of communicating the experience of chronic pain and illness and to articulate the unique set of benefits and barriers of blogging. Qualitative data from 230 current illness bloggers were collected and analyzed to better understand the self-perceived psychosocial and health effects associated with the blogging activity. Results suggest that blogging about chronic pain and illness may decrease a sense of isolation through the establishment of online connections with others and increases a sense of purpose to help others in similar situations. While the authors’ acknowledge the study limitations, they are hopeful that further research will be conducted to explore the observed associations between communicating the experience of chronic pain through blogging and patients’ coping and self-efficacy when living with chronic pain or illness.
To read the full paper, Ressler, PK; Bradshaw, YS; Gualtieri, L ; Chui, KKH: Communicating the Experience of Chronic Pain and Illness through Blogging, in the Journal of Medical Internet Research, please click here.
December 11th, 2012
By Pamela Katz Ressler, MS, RN, HN-BC, adjunct faculty, Pain Research, Educationand Policy Program, Tufts University School of Medicine
The National Institutes of Health (NIH) recently announced a new multidisciplinary pain program that will be focused on the role of the brain in perceiving, modifying, and managing pain. The program, lead by internationally recognized pain researcher and neuroscientist, Catherine Bushnell, PhD, will be based in the National Center for Complementary and Alternative Medicine (NCCAM), a part of the National Institutes of Health.
“Dr. Bushnell’s work has profoundly changed the ways in which we understand and study this very important problem,” said NCCAM Director Josephine P. Briggs, M.D. “Under her leadership, this program will continue to work toward the development of better ways to safely and more effectively treat chronic pain, and advance research on the intersection and integration of pharmacological and non-pharmacological approaches.”
The NIH announcement of the pain program comes at a critical time in the growing burden of chronic pain in our society. The Institute of Medicine reports that more than 100 million people suffer from chronic pain conditions and nearly $635 billion is spent annually for treatment and lost productivity.
Research projects for the new program will include investigating how chronic pain produces changes in the brain that may modify how the brain reacts to pain medications, such as opioids; as well as exploring factors such as emotion, environment and genetics in pain perception.
The Tufts Pain Research, Education and Policy program faculty and students will look forward to future collaboration with this innovative new program.
Read the July NCCAM Clinical Digest on Chronic Pain and Complementary Health Practices
July 17th, 2012
by Pamela Katz Ressler, RN, MS-PREP, HN-BC, adjunct faculty Pain Research, Education and Policy (PREP) program at the Tufts University School of Medicine, and moderator of the PREP-Aired Blog
Can diet be a tool in our pain management arsenal? According to McGill professor and researcher, Dr. Yoram Shir the answer is yes. The Pain Research, Education and Policy Program (PREP) was honored to host Dr. Shir on February 9, 2012 and hear about his fascinating research on the association of pain and diet. Dr. Shir, director of the Alan Edwards Pain Management Unit at McGill University Health Centre, related that moving his lab from Israel to the United States created an unexpected opportunity to study the effect of different standard diets on pain in animal models (lab rats). The combination of type of protein as well as type of fat suggested an influence on pain in the animals studied.
Exploring the observation of a correlation between diet and pain, Dr. Shir began testing various combinations of protein and fat. Interestingly, a diet high in soy protein and omega-3 fatty acids appeared to inhibit pain, while a diet rich in canola oil appeared to increase the pain response. Small pilot studies with human subjects, those suffering from neuropathic pain, have been promising, but larger studies will be needed to further generalize the findings.
The Pain Research, Education and Policy program thanks Dr. Shir for sharing with us his exciting research in diet and pain.
February 27th, 2012