Clinical Practice in the Post-COVID-19 Era

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COVID-19

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Overview

The global pandemic of COVID-19 has touched our lives in so many ways. It has significant impact on clinical practice. The exact timing for reopening elective surgery is unknown however practitioners and practices need to prepare now for when the first wave of this pandemic is behind us. This webinar unpacks the answers to these key questions.

  • What are the criteria that will be used to do elective cases as the restriction on elective surgery is lifted?
  • How will the clinical environment look at that time in the chronic pain practice and ambulatory surgery centers?
  • What is the economic impact of the COVID-19 pandemic on practitioners and practices and how should they deal with the impact?

Physician and practice readiness will be imperative to enable the resumption of care for patients with chronic and acute pain when restrictions are lifted.

This recording of the webinar with expert faculty will help physicians improve clinical outcomes by being prepared to meet patients' pent-up demand to resume their elective surgeries as the COVID-19 surge wanes. 


Faculty

Faculty disclosure

Scientific/Education Planning Committee 

Nabil Elkassabany, MD, MSCE; University of Pennsylvania, Philadelphia, PA,  Chair
Samer Narouze, MD, PhD; Western Reserve Hospital, Cuyahoga Falls,  OH
David Provenzano, MD; Pain Diagnostics and Interventional Care, Sewickley, PA

Faculty

Nabil Elkassabany, MD, MSCE; University of Pennsylvania, Philadelphia, PA,  Chair
Maged Guirguis, MD; Ochsner Health, New Orleans, LA 
Rajnish Gupta, MD; Vanderbilt University Medical Center, Nashville, TN
Sherif Mossad, MD; Cleveland Clinic, Cleveland, OH
Jennifer Noerenberg, MD; Southern California Permanente Medical Group, San Diego, CA
Judith O’Donnell, MD; University of Pennsylvania, Philadelphia, PA 
Ron Wasserman, MD, FRCPC; University of Michigan, Ann Arbor, MI


 

Elkassabany_Nabil

Nabil Elkassabany, MD, MSCE, is an assistant professor in the department of anesthesiology and critical care at the University of Pennsylvania in Philadelphia. He is the director of the section of Orthopedic and Regional Anesthesiology. Dr. Elkassabany completed his anesthesia residency training at Cleveland Clinic and did his regional anesthesia training at the University of Florida. He earned his master’s degree in clinical epidemiology and biostatistics in December 2012 from the Perelman School of Medicine at the University of Pennsylvania. His research interest focuses on patients’ outcomes after regional anesthesia. He is currently the editor of the ASRA News.


Guirguis_Maged

Maged Guirguis, MD, serves as the system chair of the pain management department at Ochsner Health System in New Orleans, LA. He is an assistant professor for the University of Queensland Ochsner Clinical School where he also serves as the pain medicine rotation director as well as serving as a clinical assistant professor in the Louisiana State University School of Medicine. After completing a residency in internal medicine in his home country, he joined the Cleveland Clinic Foundation for a research fellowship in pain medicine, after which he completed his residency in anesthesiology and clinical fellowship in pain management. Dr. Guirguis is triple board certified in anesthesiology, pain medicine, and headache management. Dr. Guirguis has published numerous papers and book chapters as well as presented various clinical studies and peer-reviewed abstracts on pain medicine at national and international meetings. He serves as faculty and member of the Pain Educational Committee for the American Society of Anesthesiologists and in both the research and education committees for the international neuromodulation and the North American neuromodulation societies. He has a special interest in neuromodulation, headache management, and ultrasound-guided interventions for acute and chronic pain.


Gupta_Raj LR

Rajnish Gupta, MD, is an associate professor of anesthesiology at Vanderbilt University Medical Center in Nashville, TN. In addition to clinical work in anesthesia and acute pain management, Dr. Gupta spends a significant amount of time teaching trainees. His research interests include work as co-Investigator on a National Institute of Health-funded study evaluating the impact of endogenous opioid activity on variable responses to morphine. Additionally, Dr. Gupta has a passion for innovation and has developed several smart-phone based apps for ASRA and other medical organizations.


Dr. Sherif Mossad

Sherif Beniameen Mossad, MD, graduated from Cairo University school of medicine in 1987. He completed internal medicine residency followed by infectious diseases fellowship at Cleveland Clinic in 1996. He has since served on the faculty of Cleveland Clinic, and is currently a staff physician in the department of Infectious Diseases, section of transplant infectious diseases, Respiratory Institute & Transplant Center, and a Professor of Medicine at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He is a fellow of the American College of Physicians, a fellow of the Infectious Diseases Society of America, a fellow of the American Society of Transplantation; serving on its Infectious Diseases Community of Practice Executive Committee 2015 – 2017, a founding member of the Infectious Diseases Special Interest Group of the American Society of Blood and Marrow Transplantation, and a member of the Transplantation Society, Infectious Diseases section. He authored or co-authored 121 published manuscripts, 12 book chapters, 3 online educational programs, and presented 159 lectures at local, national, and international venues. His current research interests focus on infectious complications and vaccinations in bone marrow and solid organ transplant recipients.


Dr. Samer Narouze

Samer Narouze, MD, PhD, is clinical professor of anesthesiology and neurological surgery at Ohio University in Athens and Ohio State University in Columbus. He is board certified in anesthesiology and pain medicine, as well as neurology headache medicine. He is the chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, OH. Dr. Narouze is on the board of directors for ASRA. He recently founded the American Interventional Headache Society (AIHS) and serves in many committees for national and international headache and pain organizations. He has published about 200 research papers, review articles, book chapters, and abstracts. He frequently speaks and serves as a visiting professor both nationally and internationally. 


Dr. Jennifer Noerenberg

Jennifer Noerenberg, MD, is a board-certified anesthesiologist who completed a fellowship in regional anesthesia and perioperative pain management at Washington University in St. Louis in 2014. She completed residency at the University of California, Davis. She is an associate physician with the Southern California Permanente Medical Group and works for the San Diego region. Her interests include working to develop perioperative pain protocols for several types of surgical applications and developing tools to educate both patients and physicians of resources for multimodal and regional anesthesia techniques. 


Dr. Judith O'Donnell

Judith O’Donnell, MD, FIDSA, is a professor of clinical medicine in the Division of Infectious Diseases at the Perelman School of Medicine at the University of Pennsylvania. She serves as the Chief of the Division of Infectious Diseases at Penn Presbyterian Medical Center where she is also the hospital epidemiologist and director, Department of Infection Prevention and Control and Healthcare Epidemiology. She completed her Doctor of Medicine degree in 1989 at Temple University School of Medicine. Her internal medicine residency training and infectious diseases fellowship training were both completed at Temple University Hospital. She has continuously served as a steering committee member and lecturer for the regional STD/HIV Prevention Training Center at Johns Hopkins University and the Baltimore Department of Public Health since 1995. She has been recognized as a Fellow in the Infectious Diseases Society of America (IDSA), and in the Society of Healthcare Epidemiology of America (SHEA). Dr. O’Donnell has won several teaching awards over her career. Since joining Penn Medicine in 2007, Dr. O’Donnell has won several quality awards around a variety of aspects of prevention of healthcare-associated infections, including the Delaware Valley Healthcare Association’s Quality and Safety Award in 2010. 


Dr. David Provenzano

David Provenzano, MD, is the President of Pain Diagnostics and Interventional Care. He received his undergraduate degree from Colgate University, In New York, where he graduated Magna Cum Laude and became a Phi Beta Kappa member. He received his medical degree from the University of Rochester School of Medicine and Dentistry. He completed a surgical internship at Thomas Jefferson University Hospital and a residency in anesthesiology at The Western Pennsylvania Hospital. He completed a pain management fellowship at the Dartmouth Hitchcock Medical Center. He serves on the Board of Directors of ASRA. He has extensive interests and expertise in the conservative treatment of pain originating from the cervical and lumbar spine, neuromodulation, and the use of ultrasound for interventional pain management procedures. 


Dr. Ronald Wasserman

Ronald Wasserman, MD, FRCPC, is a clinical associate professor at the University of Michigan. He currently serves as the associate chief clinical officer (Neuroscience), chief of pain services for the department of anesthesiology, as well as the Medical Director for the Back and Pain Center. He earned his medical degree from the University of Manitoba School of Medicine and completed his residency in anesthesiology at the University of Calgary in Canada. He subsequently went on to complete a regional fellowship at Virginia Mason in Seattle, followed by a pain medicine fellowship at the Cleveland Clinic. Dr. Wasserman is board certified in anesthesiology with subspecialty certification in pain medicine through the American Board of Anesthesiology. 



CME-CPD

CME Certificates

Educational objectives

After participating in this educational activity, participants should be able to:

  • Identify the criteria that will be used to do elective cases as the restriction on elective surgery is lifted.
  • Describe how the clinical environment in chronic pain practice and ambulatory surgery centers (ASCs) will look like at that time.
  • Discuss the guidelines for practice of general or regional anesthesia during and after the COVID pandemic.
  • Explain the economic impact of the COVID pandemic on practitioners and practices and how to deal it.

Target audience

The educational activity is designed for the physician learner in the specialties of anesthesia, acute and chronic pain management physicians. The webinar (internet live course) is designed for the physician learner wanting to gain a comprehensive understanding of  the economic impact of the COVID-19 pandemic on clinical practice and how the clinical environment will look like in the post-COVID-19 era.

Accreditation and credit designation statements

 Access the online system via the CME Certificate button above before May 7, 2021. 

Credits

Maximum

Recording - 00:76

1.25

Total Credits:

1.25

Physicians

The American Society of Regional Anesthesia and Pain Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The American Society of Regional Anesthesia and Pain Medicine designates this "internet activity enduring material" for a maximum of 1.25 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PAs (Physicians Assistants): AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.25 hours of Category 1 credit for completing this program.

Nurse Practitioners: The American Association of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. This activity has been approved for a maximum of 1.25 AMA PRA Category 1 Credits.

Registered Nurses: Regulations dictate that only physicians may earn CME credits, however, many state Boards of Registered Nursing accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. Attendees are responsible for confirming their specific board’s acceptance of ASRA-provided credits. This activity has been approved for a maximum of 1.25 AMA PRA Category 1 Credits.

The American Board of Anesthesiology® MOCA®1

This activity contributes to the CME requirements for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0.TM Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements. Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology.®

ASRA is an ABA-approved provider and, as a service to ASRA members and participants, CME credits are reported to the ABA. Participants must include their correctly formatted ABA ID number (34567890) during the online evaluation and credit claim process available at the conclusion of the activity. Once the online evaluation and credit claim process is closed, certificates will be issued and credits reported to the ABA. After this time, participants may request their CME certificate by contacting  asrameetings@asra.com, but ASRA will no longer report credits to the ABA, which will then be the individual participant’s responsibility.

International credits

Royal College of Physicians and Surgeons of Canada: The Royal College of Physicians and Surgeons of Canada has agreements based on the mutual recognition of credit points with the American Medical Association for live and web-based (synchronous or asynchronous) educational events.  You may submit your CME certificate directly for credit recognition of this accredited group learning activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada. For more information, visit: www.royalcollege.ca

European Accreditation Council for Continuing Medical Education (UEMS-EACCME): The UEMS-EACCME has agreements based on the mutual recognition of credit points with the American Medical Association for live and e-learning educational events.  Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS): www.uems.net

Commercial support disclosure

No industry support has been received for this educational activity.

Disclosure and resolution of personal conflicts of interest

Click here to view faculty disclosures.In accordance with the ACCME’s Standards for Commercial Support and related policies, ASRA is committed to ensuring balance, independence, objectivity, and scientific rigor in its CME/CPD activities. Those in control of the educational content disclose all relevant relationships (financial or other) with any commercial interest that they or their spouse/partner have had within the past 12 months. If an individual refuses to disclose, they are disqualified from participating. Disclosure information is evaluated and conflicts of interest resolved. Disclosure is made to participants prior to the activity. Participants are asked to evaluate the objectivity and independence. Off-label or investigational use of a therapeutic product is also disclosed.

1Maintenance of Certification in Anesthesiology™ program and MOCA® are registered trademarks of The American Board of Anesthesiology.