Learning Objectives

Take a complete and accurate medication history, including drug allergies and associated reactions (1st & 2nd Yr Student Pharmacists)

Acquire pertinent patient medical history to assess pre/post-operative pain and effectiveness of treatment plans to manage nociceptive versus neuropathic pain (3rd & 4th Yr Medical Students)

Conduct an initial pain assessment (School of Nursing)

Perform a pain assessment using an appropriate pain assessment tool/scale (1st & 2nd Yr Student Pharmacists, School of Medicine, School of Nursing, Physical Therapy)

Perform a thorough pain evaluation (3rd & 4th Yr Student Pharmacists)

Perform a physical exam focused on pain assessment that helps distinguish pain of nociceptive versus neuropathic origins (3rd and 4th Yr Medical Students)

Evaluate the efficacy of a pain management regimen on an ongoing basis and determine when changes in the regimen need to be initiated (School of Nursing)

Assess the appropriateness of current pharmacological therapy (3rd and 4th Yr Student Pharmacists)

Review subjective and objective patient data relevant to analgesic drug therapy (3rd and 4th Yr Student Pharmacists)

Identify potential drug-drug interactions or other drug-related adverse events (3rd and 4th Yr Student Pharmacists)

Describe safe and appropriate use of medications and interventions such as PCAs (patient controlled analgesia) (3rd and 4th Yr Student Pharmacists)

Describe appropriate dosing, monitoring, risks and benefits of PCA (Patient Controlled Analgesia) for a opioid naïve patient (3rd & 4th Yr Medical Students, School of Pharmacy, School of Nursing)

Understand basic analgesic pharmacology of opioids and potential side effects of opioids including signs / symptoms of  opioid tolerance and opioid withdrawal. (All Learners)

Describe general risks, benefits, and contraindications of regional (epidural versus peripheral nerve) analgesia (3rd & 4th Yr Medical Students, School of Pharmacy)

Describe three principle intravenous opioid analgesics and their relative potency (3rd & 4th Yr Medical Students, School of Pharmacy)

Describe pain pathophysiology (acute vs. chronic) (All Learners)

Describe signs and symptoms of peripheral neuropathic pain (3rd & 4th Yr Medical Students)

Recommend appropriate non-pharmacological treatment modalities that may assist in this patient’s analgesia (All Learners)

Recommend general cardiovascular and conditioning exercises that do not exacerbate the pain (Physical Therapy, School of Nursing, School of Medicine)

Use mirror feedback for pain free recognition of the affected side (Physical Therapy)

Perform movement with visualization training (Physical Therapy)

Determine/recommend pacing of exercise and functional activities to avoid pain (Physical Therapy)

Perform desensitization to improve touch tolerance (Physical Therapy)

Provide counseling on changes to analgesic medication regimen (3rd & 4th Yr Student Pharmacists)

Recommend a patient-specific analgesic recommendation (3rd & 4th Year Student Pharmacists)

Recommend relevant patient monitoring parameters (3rd & 4th Year Student Pharmacists)

Identify at least two analgesic techniques that may improve postoperative analgesia in an opioid-tolerant patient (3rd & 4th Yr Medical Students)

Identify at least two pharmacologic and non-pharmacologic  techniques to help  manage peripheral neuropathic pain (3rd & 4th Yr Medical Students)

Recognize complex pain management situations and patients with  multiple pain conditions that require interdisciplinary collaboration (All Learners)

Identify at least three perioperative analgesic  techniques that could be used to reduce the patients postoperative pain and opioid requirements (3rd & 4th Yr Medical Students) 

University of California, San Francisco
University of California, San Francisco