1. Arthritis and Low Back Pain
MSK Train the Trainer 1
Arthritis and Low Back Pain
Wireless: Westin-Meeting
Code: bcma2013
Westin Wall Centre
April 4-5, 2013

2. Faculty/Presenter Disclosure
Speaker’s Name: Speaker’s Name
Relationships with commercial interests:
Grants/Research Support: PharmaCorp ABC
Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd
Consulting Fees: MedX Group Inc.
Other: Employee of XYZ Hospital Group
Please fill out all applicable areas (highlighted in red). One slide per speaker.

3. Disclosure of Commercial Support
This program has received financial support from [organization name] in the form
of [describe support here – e.g. educational grant].
This program has received in-kind support from [organization name] in the form
of [describe the support here – e.g. logistical support].
Potential for conflict(s) of interest:
[Speaker/Faculty name] has received [payment/funding, etc.] from
[organization supporting this program AND/OR organization whose product(s) are
being discussed in this program].
[Supporting organization name] [developed/licenses/distributes/benefits from
the sale of, etc.] a product that will be discussed in this program: [enter generic
and brand name here].
Please fill out all applicable areas (highlighted in red).

4. Mitigating Potential Bias
[Explain how potential sources of bias identified in slides 1 and 2 have been
mitigated].
Refer to “Quick Tips” document
Please fill out all applicable areas (highlighted in red).

5. Certification
Up to 21 Mainpro+ Certified credits for GPs awarded upon completion of:
All 3 Learning Sessions (NOTE: Credits and payment will be based on the exact number of hours in session)
At least 1 Action Period
The Post-Activity Reflective Questionnaire (2 months after LS3)
Up to 10.5 Section 1 credits for Specialists

6. Learning Session & Action Period Workflow
Pre-Module Visit
Opportunity for in-practice visit to introduce applicable EMR-enabled tools & templates prior to LS1
Learning Session 1
Interactive group learning Create Action Plan (using template)
Action Period 1
Planning & initial implementation in practice; review of Action Plan & improvements attempted in practice + AP1 requirements
Learning Session 2
Interactive group learning Update/revise Action Plan Report of AP1 experiences & successes
Payment for:
PMV (optional)
LS1
Action Period 2
Refine implementation; embed & sustain improvements attempted in practice via Action Plan + AP2 requirements
Learning Session 3
Interactive group learning Finalize Action Plan Report of AP2 experiences & successes
LS2
LS3
Reflection
Reinforce & validate practice improvements - GPs & Specialists complete Post-Activity Reflective Questionnaire (PARQ) 2 months after LS3 & submit to PSP Central

7. Payment Stream 1 (ideal)
Current Rates:
GPs
Specialists
MOAs
Hourly Rate
$125.73
$148.31
$20.00
Action Period 1
$880.10
$1,038.16
N/A
Action Period 2
$660.07
$778.62
Payment made after attending LS2
GPs:
PMV
= $125.73
LS1
= $ ($ x 3.5hrs max.)
AP1
= $880.10
TOTAL
$1,445.88
Specialists
= $ ($ x 3.5hrs max.)
= $1,038.16
$1,557.24
MOAs
= $20.00
= $80.00 ($20.00 x 4hrs max.)
$100.00
Payment made after attending LS3
GPs:
LS2
= $ ($ x 3.5hrs max.)
AP2
= $660.08
LS3
TOTAL
$1,540.18
Specialists
= $ ($ x 3.5hrs max.)
= $778.62
$1,816.78
MOAs
= $80.00 ($20.00 x 4hrs max.)
$160.00

8. Reflection on Key Learnings
Megan Smaha is from Kelowna, British Columbia. She is an RN, has worked in northern BC, then worked in Kelowna’s BC Cancer centre as the pain nurse . Megan has been diagnosed with OA,Ehlers-Danlos and Psoriatic Arthritis. She has had a hip replacement, multiple C-spine injections and recent foot surgery. She has had to learn to live with arthritis even though it has meant leaving the work she loved and having to share the responsibility for family with others. We appreciate Megan’s time, her insights and I know that she will leave a lasting impression on you as we share her journey.
Dr. Garey Mazowita

9. Patient Journey Ms. Mary Beth Wells
Megan Smaha is from Kelowna, British Columbia. She is an RN, has worked in northern BC, then worked in Kelowna’s BC Cancer centre as the pain nurse . Megan has been diagnosed with OA,Ehlers-Danlos and Psoriatic Arthritis. She has had a hip replacement, multiple C-spine injections and recent foot surgery. She has had to learn to live with arthritis even though it has meant leaving the work she loved and having to share the responsibility for family with others. We appreciate Megan’s time, her insights and I know that she will leave a lasting impression on you as we share her journey.
Ms. Mary Beth Wells

10. First Episode – Acute Low Back Pain
Sept 2011 , flight to Ontario, severe pain and physical limitation requiring pain management , treatment and interfered with vacation and caused fear and concern
Emphasize Low back (waist, hips, buttock) versus occasional Leg Pain
Medications – what was taken, was it effective, were you clear about goals of pain management
Chiropractic Treatment – what were you told, what was done and what were you asked to do, was it helpful
Length of episode in total was 4-6 weeks, how you progressed and what you learned.

11. Recurrent episodes and what type of Medication you have tried
Topicals, analgesics, anti-inflammatory
Opioids – Tylenol #3 and Hydromorphs
What was their effect and side effects
How do you manage medications now

12. Recurrent episodes and what type of Treatment you have tried.
Type of treatment – chiro, massage, physio, acupuncture
What helped, what was confusing, did you know which one to try or what had evidence to support it
What did you learn from Rehab professionals that you did not learn from medical professionals

13. Recurrent episodes and what type of Treatment you have tried.
Type of treatment – chiro, massage, physio, acupuncture
What helped, what was confusing, did you know which one to try or what had evidence to support it
What did you learn from Rehab professionals that you did not learn from medical professionals