Pain
Management Traineeship
Policies & Guidelines
I. Philosophy
Two of the objectives of the American Society of Consultant Pharmacists Foundation are (1) to design,
conduct, coordinate, and fund educational programs and initiatives
that enhance appropriate, effective, and safe medication use
in the senior population; and (2) to develop, support, and
promote the patient-centered principles and practice of senior
care pharmacy.
Accordingly,
the ASCP Foundation conducts a post-graduate traineeship
in pain management focusing on the geriatric population. The
traineeship offers unique opportunities for pharmacists to
learn new skills,
sharpen existing skills,
and
render new services.
The Pain Management Traineeship is supported by an educational
grant from Mallinckrodt
Pharmaceuticals and administered by
the ASCP Foundation, 1321 Duke Street,
Alexandria,
Virginia 22314.
II. Objectives
The
primary objectives of the ASCP Foundation
Pain Management Traineeship are to prepare pharmacists to provide
a high level of pharmaceutical care to geriatric patients
with
acute and chronic pain, including those suffering from malignant
and nonmalignant pain conditions; to create pharmacist
advocates
for appropriate care and treatment of persons with acute and
chronic pain in the settings where they practice; and
to positively
impact the way pharmacists and other health care professionals
perceive the pharmacists' role in the care and treatment
of
persons with acute and chronic pain.
The
full-time, five-day (Monday through Friday) traineeship
will
provide individualized, intensive, didactic and experiential
training for selected practicing pharmacists. It will
offer
the trainee an opportunity to observe and participate in the
development of pharmacologic and nonpharmacologic treatment
plans for persons suffering from acute and chronic pain conditions.
The trainee will gain considerable knowledge of the etiologies
and pathophysiology of pain, and the appropriate diagnosis
and assessment of acute and chronic pain. In addition,
the trainee
will gain considerable understanding of appropriate treatment
for pain symptomology, including both pharmacologic and
nonpharmacologic
interventions; management of medication side effects and
complications; barriers to appropriate care and treatment;
the significant
role of patients and caregivers as members of the treatment
team; and legal and regulatory issues. The traineeship
also offers the opportunity for pharmacists
to work with an interdisciplinary team consisting of pharmacists,
physicians, nurses, nurse aides, social workers, family
members,
other caregivers, and patients to positively impact the treatment
outcomes.
Upon
successful completion of the Pain Management Traineeship,
the
participant will be able to:
- Describe the etiology, pathophysiology, types, and presentation
of acute and chronic pain disorders.
- Adopt a vision of treatment for acute and chronic pain
as controllable, individualized, comprehensive, and team-oriented.
- Conduct comprehensive pain management assessments for older
adults who are cognitively intact and non-cognitively intact.
- Define appropriate goals and outcomes of nonpharmacologic
and pharmacologic treatments in various health care and
community-based
settings.
- Explain the complementary nature of pharmacologic
and nonpharmacologic treatments
(e.g., massage therapy, distraction, cognitive/behavioral
interventions, etc.)
- Define and differentiate the goals, tasks, and constraints
of other persons involved in the care of persons with acute
and chronic pain.
- Outline the numerous barriers impeding optimal pain management
(e.g., legal, educational, regulatory, ethical, and cultural)
on individuals, institutions, and society and identify strategies
to overcome these barriers.
- Apply the most appropriate pain management
guidelines in his/her practice setting(s) and track changes
in practice that lead to improved pain management outcomes.
- Investigate, identify and apply available resources, including
Internet sites, to continue to learn and educate others
about
acute and chronic pain.
III. Qualifications of the Traineeship Applicant
- The applicant will be a graduate of a school or college
of pharmacy accredited by the American Council on Pharmaceutical
Education. NOTE: Applicants from outside the United
States and Canada should contact the ASCP Foundation regarding
this qualification.
- The applicant will actively practice pharmacy and have
at least two years experience in pharmacy practice or comparable
qualifications.
- The applicant will demonstrate strong clinical knowledge
and skills by citing clinical practice experience.
- The applicant will have a demonstrated interest in the
pharmacotherapy and overall treatment of pain.
- The applicant will be affiliated with health care facilities
or organizations able and willing to implement the results
of the traineeship experience.
IV. Application Procedure
- The applicant must submit the completed application form
and the exhibits listed in item 2 below.
- The following items of information are to be appended to
the application form, each clearly labeled in the upper
right-hand
corner, as indicated (Exhibit A,
Exhibit B, Exhibit C):
Exhibit A. Curriculum vitae, which must include the
applicant's education, experience record in pharmacy practice
(in reverse chronological order, most recent first), and any
relevant publications, presentations, and community service.
Exhibit B. A statement of not more than three typed,
double-spaced pages describing: (1) why the applicant wants
to participate in the traineeship and the applicant's expectations
of the traineeship experience; (2) nature and extent of professional
or personal involvement with persons with acute or chronic
pain conditions; (3) current level of clinical services provided
by the applicant, including total number of patients served,
geographic distribution (urban, rural, suburban), and ethnic
distribution (Black, White, Hispanic, Asian/Pacific Islander,
American Indian/Eskimo/Aleut); (4) special services or programs
provided by the applicant; (5) how the traineeship will enhance
the pharmacy services currently provided; and (6) how the
results
of the traineeship experience will be incorporated into the
applicant's practice.
Exhibit C*. A letter from the applicant's employer
or affiliated institution or organization confirming support
for
the applicant's participation in the traineeship and willingness
to implement the results of the traineeship experience. The
letter should be addressed to the applicant and signed by the
chief executive officer, director of pharmacy, clinical coordinator,
or other appropriate manager/supervisor in the institution
or organization.
*If the applicant is self-employed, this exhibit may be omitted.
V. Selection Procedure
- Applications will be reviewed and ranked by a selection
panel appointed by the ASCP Foundation. Decisions of the
selection panel will be final and without appeal.
- Selection will be based solely on information submitted
to the ASCP Foundation by the traineeship applicant.
- The ASCP Foundation will notify all
traineeship applicants of the outcome of their applications.
VI. Conduct and Administration of the Traineeship
- The ASCP Foundation is the administrator of the traineeship.
- The traineeship is awarded to an individual applicant.
- The trainee is responsible for expenses related to travel
to the traineeship site, accommodations, meals, and incidentals.
- The ASCP Foundation will coordinate hotel accommodations
for the trainee, but the trainee is responsible for payment.
- The trainee may be required to sign a waiver of liability
and a confidentiality agreement appropriate to the specific
training sites.
- Prior to the traineeship each traineeship participant is
expected to prepare one case study for discussion during the
traineeship. The case study should describe a typical, challenging
patient being cared for by the trainee.
- The trainee will be required to participate in all sessions
of the program, complete a program evaluation, and submit
two case consults (see section VII, item 1, below).
VII. Requirements of the Trainee
In order to ensure the traineeship participants use the skills
and knowledge gained in some measurable way, the following
post-traineeship
requirements must be met:
- Traineeship participants are expected to write up and
submit to the ASCP Foundation two case
consults for which
they made recommendations for treatment or interventions
to improve care of patients with acute or chronic
pain. The case
consults will include: (1) description of the problem;
(2) treatment/intervention recommended and why; (3) goals
of
treatment/intervention
plan; (4) how staff, caregivers, family members,
and patients were involved in treatment decisions and monitoring;
(5)
expected
outcomes; (6) how outcomes were measured; and (7)
actual outcomes and how and why they differed from the expected
outcomes.
The format for the case consults will be distributed
after
the traineeship.
- Traineeship participants are expected
to become involved with state or local organizations, such
as State Pain Initiatives,
Pain Management Board, Partners Against Pain, Arthritis Foundation,
Fibromyalgia Association, or participate in
other ways to
meet a specific need within their community.
- Traineeship
participants will have the opportunity to participate in
the ASCP Foundation Traineeship Network by attending
meetings
and educational programs at the ASCP Midyear
Conference and Annual Meeting and by subscribing to the
Foundation's Traineeship
Network E-Mail List Server. Traineeship participants may
be asked to participate in educational programs
at ASCP meetings
and assist the ASCP Foundation in promoting
the traineeship.
VIII. Continuing Education
Trainees will earn 3.5 CEUs (35 contact hours) for successful
completion of the Pain Management Traineeship. To receive
continuing
education credit, trainees must participate in all sessions
of the program and complete an evaluation at the conclusion
of the traineeship. Certificates of continuing education credit
will be mailed to all trainees within one month after successful
completion of the program and receipt of evaluation.
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The
American Society of Consultant Pharmacists is accredited
by the
Accreditation Council for Pharmacy Education as a provider
of continuing
pharmacy education. This is program number 203-000-08-104-L01.
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ASCP Foundation
The
ASCP Foundation is the research and education affiliate
of the
American Society of Consultant Pharmacists. The mission of
the ASCP Foundation is to improve the health and well-being
of older
persons through appropriate, effective, and safe medication
use. The ASCP Foundation provides leadership, innovation,
and
expertise in medicines and aging to seniors and those who care
for them. The unique focus of the ASCP Foundation is the
development,
integration, and application of knowledge regarding medication
use in the senior population and the practice of senior
care
pharmacy to optimize health care outcomes.
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