Employing Multi-Modal Pain Management in a Low-Resource Setting


Johnathan H. Goree, MD
Service Line Director - Neurosciences
Director of Chronic Pain Division
Associate Professor of Anesthesiology University of Arkansas for Medical Sciences (UAMS)
Little Rock, AR
Stephanie G. Vanterpool, MD, MBA, FASA
Associate Professor of Anesthesiology
Director, Comprehensive Pain Services
University of Tennessee Graduate School of Medicine
Knoxville, TN

Statement of Need

The management of pain is challenging for providers, added to that the challenges of communicating with patients affected by pain in compassionate, non-stigmatizing ways that facilitate shared decision-making and individualized care. Multimodal approaches that minimize risks and maximize benefits are available, but equitable access and availability is a barrier to effective multimodal pain treatment. Providers need education on individualizing multimodal pain management strategies to develop plans that fit the needs, priorities, and histories of individual patients and populations served.  

This CMEO BriefCase entitled, Employing Multi-Modal Pain Management in a Low-Resource Setting, will review start-to-finish patient assessment and plan development for a patient with pain with consideration for their individual barriers to healthcare access. 

Learning Objectives

At the conclusion of this activity, learners will be able to better:

  • Implement best practices to educate patients about their pain and treatment options to optimize safe and effective, multimodal treatment plans

Supported by

​​This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.
Please click here for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the U.S. Food and Drug Administration (FDA).

Target Audience

Physicians, dentists, physician associates (PAs), nurse practitioners (NPs), nurses, psychologists, and optometrists

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.5

This activity was planned by and for the healthcare team, and learners will receive 0.50 Interprofessional Continuing Education Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.5

This activity is designated for 0.50 contact hours.

Pharmacists (ACPE) 0.5

This application-based activity is approved for 0.50 contact hours ( 0.05 CEUs) of continuing pharmacy credit ( JA0007185-0000-23-096-H01-P ).

PAs (AAPA) 0.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.50 AAPA Category 1 CME credits. Approval is valid until 11/30/2024. PAs should only claim credit commensurate with the extent of their participation.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 medical knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Family Physicians (AAFP) 0.5

The AAFP has reviewed this activity and deemed it acceptable for up to 0.50 Enduring Material AAFP Prescribed credits. Term of approval is from 11/30/2023 to 11/30/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Disclosure Declaration

Dr. Goree reports the following financial relationships:

Consultant: Abbott; Saluda Medical; and Stratus Medical, LLC
Research Support: Mainstay Medical (to UAMS) and SPR Therapeutics (to UAMS)

Dr. Vanterpool reports the following financial relationships:

Advisory Board: Sure Med Compliance

The following individuals have no financial relationships to disclose: 

Jeffrey Helfand, DO (Peer Reviewer)
Karla E. Crews, MSN, RN (Peer Reviewer)
Thomas Heinrich, MD (Planning Committee)
Mary Gleason, PhD (Planning Committee)
Kellie Busby, PharmD, BCPP (Planning Committee)
Kasey Brandt, PharmD (Planning Committee)
Susan H. Yarbrough, CHCP (Planning Committee)
Sandra Caballero, PharmD (Planning Committee)
Sharon Tordoff (Planning Committee)

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).


Employing Multi-Modal Pain Management in a Low-Resource Setting
Event Date: 11/30/2023 at 4:00 am EST