Weekly outline

  • INTRODUCTION

    Anesthesia  250  is  a  1-week  rotation  for  YL  V  (Integrated  Clinical  Clerks) medical students.

    The course is an introduction to pain management with emphasis on the basics such as definition, anatomy, and pathophysiology of pain. It also includes classification of pain based on chronicity and mechanism, pain assessment, and modalities of treatment, including pharmacologic, non-pharmacologic, and interventional procedures.

    The course will be taught through a combination of online, self-paced study and face-to-face interactions between the students and faculty members by way of lectures, preceptorships, small group discussions, and student-reports.  Students will be given opportunities to assess pain patients in the Pain Clinic, Cancer Institute, and the PGH Wards.  The students will be able to observe the conduct of peripheral nerve blocks for analgesia in the PGH Operating Rooms, and assess acute pain patients in the PGH Post Anesthesia Care Unit and PGH OPD-Recovery Room.

  • Module 1 : Definition of Pain

    Pain is one of the basic human experiences that knows no cultural boundaries.  From birth to near death, pain can be felt, each person defining it on his own terms.

    • Assigned video to watch - Teal Swan URL
      Restricted Not available unless: The activity CLICK here to view Video 1. is marked complete
    • QUIZ MODULE 1: Definition of Pain (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
  • Module 2 : Anatomy of Pain

    The human anatomy has been a fascination of scholars, academicians, and medical students throughout history.  How we are wired to feel pain has been mapped out, yet there are still a lot of mysteries.

    • Assigned video to watch - PAIN! Physiology URL
      Restricted Not available unless: The activity CLICK here to view Video 2 is marked complete
    • Assigned video to watch - Nociceptors URL
      Restricted Not available unless: The activity Assigned video to watch - PAIN! Physiology is marked complete
    • QUIZ MODULE 2: Anatomy of Pain (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity CLICK here to view Video 2 is marked complete
      • The activity Assigned video to watch - PAIN! Physiology is marked complete
      • The activity Assigned video to watch - Nociceptors is marked complete
  • Module 3 : Physiology of Nociception and Modulation

    How each part of the nervous system works to allow us to feel pain can be identified, manipulated, and controlled to some degree to modulate our perception of pain.

    • Assigned video to watch - Gate Control Theory of Pain URL
      Restricted Not available unless: The activity CLICK here to view Video 3 is marked complete
    • QUIZ MODULE 3: Physiology of Nociception and Modulation (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity CLICK here to view Video 3 is marked complete
      • The activity Assigned video to watch - Gate Control Theory of Pain is marked complete
  • Module 4 : Acute versus Chronic Pain

    Can acute pain become chronic pain?  When does pain become a disease in itself?

    • Assigned video to watch - Chronic Pain URL
      Restricted Not available unless: The activity CLICK here to view Video 4 is marked complete
    • Assigned video to watch - Understanding Pain in less than 5 minutes URL
      Restricted Not available unless: The activity Assigned video to watch - Chronic Pain is marked complete
    • QUIZ MODULE 4: Acute vs Chronic Pain (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity Assigned video to watch - Chronic Pain is marked complete
      • The activity CLICK here to view Video 4 is marked complete
      • The activity Assigned video to watch - Understanding Pain in less than 5 minutes is marked complete
  • Module 5 : Pathophysiologic Mechanisms of Pain

    Pain can be broken down into components and as to its primary source even though a lot of times, the exact pathophysiological mechanism has blurred outlines.

    • Assigned video to watch - Abdominal Pain URL
      Restricted Not available unless: The activity CLICK here to view Video 5 is marked complete
    • Assigned video to watch - Neuropathic Pain URL
      Restricted Not available unless: The activity Assigned video to watch - Abdominal Pain is marked complete
    • QUIZ MODULE 5: Pathophysiologic Mechanisms of Pain (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity CLICK here to view Video 5 is marked complete
      • The activity Assigned video to watch - Abdominal Pain is marked complete
      • The activity Assigned video to watch - Neuropathic Pain is marked complete
  • Module 6 : Pain Assessment

    Good pain treatment starts with an excellent pain assessment.

    • Assigned video to watch - Pain Assessment using FLACC URL
      Restricted Not available unless: The activity CLICK here to watch Video 6 is marked complete
    • QUIZ MODULE 6: Pain Assessment (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity CLICK here to watch Video 6 is marked complete
      • The activity Assigned video to watch - Pain Assessment using FLACC is marked complete
  • Module 7 : Treatment of Pain

    Pain with its multidimensional character can be managed most effectively with multimodal and multi-disciplinary approach.

    • Assigned Video to Watch - NSAID'S URL
      Restricted Not available unless: The activity CLICK here to view Video 7 is marked complete
    • Assigned Video to Watch - Aspirin and Prostaglandins URL
      Restricted Not available unless: The activity Assigned Video to Watch - NSAID'S is marked complete
    • Assigned Video to Watch - Opioids (MOA) URL
      Restricted Not available unless: The activity Assigned Video to Watch - Aspirin and Prostaglandins is marked complete
    • Assigned Video to Watch - Opioids (Addiction) URL
      Restricted Not available unless: The activity Assigned Video to Watch - Opioids (MOA) is marked complete
    • Assigned Video to Watch - Pharmacogenomics URL
      Restricted Not available unless: The activity Assigned Video to Watch - Opioids (Addiction) is marked complete
    • Assigned Video to Watch - Acupuncture URL
      Restricted Not available unless: The activity Assigned Video to Watch - Pharmacogenomics is marked complete
    • Assigned Video to Watch - Acupuncture (MOA) URL
      Restricted Not available unless: The activity Assigned Video to Watch - Acupuncture is marked complete
    • Assigned Video to Watch - CBT URL
      Restricted Not available unless: The activity Assigned Video to Watch - Acupuncture (MOA) is marked complete
    • Assigned Video to Watch - Meditation URL
      Restricted Not available unless: The activity Assigned Video to Watch - CBT is marked complete
    • Assigned Video to Watch - Understanding Pain URL
      Restricted Not available unless: The activity Assigned Video to Watch - Meditation is marked complete
    • QUIZ MODULE 7: Treatment of Pain (15)
      Opened: Monday, 3 June 2024, 8:00 AM
      Closed: Friday, 7 June 2024, 12:00 PM
      Restricted Not available unless:
      • The activity CLICK here to view Video 7 is marked complete
      • The activity Assigned Video to Watch - NSAID'S is marked complete
      • The activity Assigned Video to Watch - Aspirin and Prostaglandins is marked complete
      • The activity Assigned Video to Watch - Opioids (MOA) is marked complete
      • The activity Assigned Video to Watch - Opioids (Addiction) is marked complete
      • The activity Assigned Video to Watch - Pharmacogenomics is marked complete
      • The activity Assigned Video to Watch - Acupuncture is marked complete
      • The activity Assigned Video to Watch - Acupuncture (MOA) is marked complete
      • The activity Assigned Video to Watch - CBT is marked complete
      • The activity Assigned Video to Watch - Meditation is marked complete
      • The activity Assigned Video to Watch - Understanding Pain is marked complete
  • Grading System

    GRADING SYSTEM:

    Quizzes:                              20%

    Group Report:                     20%

    SGD:                                   10%

    Attendance:                         10%

    Final Exam                           30%

    Comprehensive Exam         10%

    Total                                     100%

    Grade Equivalent:
    Numerical
    grade
    Range
    1.00
    96.0 - 100
    1.25
    92.0 - 95.9
    1.50
    88.0 - 91.9
    1.75
    85.0 - 87.9
    2.00
    82.0 - 84.9
    2.25
    79.0 - 81.9
    2.50
    76.0 - 78.9
    2.75
    73.0 - 75.9
    3.00
    70.0 - 72.9
    4.00
    60.0 - 69.9
    5.00
    < 60.0