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Lifestyle Medicine: Acute Low Back Pain

Course Description | Faculty | Accreditation | General Information

Course Description

This course will help physicians manage acute episodes of back pain. The content provides simple tools to use to help influence patient recovery. By reviewing lifestyle factors that influence back pain, the course enables physicians to provide advice and recommendations that will allow patients to recover from their acute back pain episode and to make informed decisions about their behaviors and lifestyle factors related to back pain.

Original Release: 8/1/2012
Most Recent Update: 12/18/2013
Termination Date: 12/18/2016

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

COST: COST: $25.00

OVERALL LEARNING OBJECTIVES:

  1. Manage acute back pain episodes and thus improve patient care with increased confidence and competence
  2. Explain the role of lifestyle -- physical activity, BMI, smoking, recreational sports, and heavy lifting -- on back pain to their patients
  3. Provide effective recommendations to patients that will impact their recovery from an episode of acute back pain

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
JAMES RAINVILLE, MD
Course Director
Dr. James Rainville is an Assistant Clinical Professor of Physical Medicine and Rehabilitation at Harvard Medical School. His clinical appointment is Chief, Physical Medicine & Rehabilitation at the New England Baptist Hospital where he is the Director of the Spine Center, the PM&R Spine Fellowship program and the Outpatient Spine Rotation for Harvard PM&R residents. In addition to an active clinical practice and commitments to medical education, Dr. Rainville is an active researcher in multiple aspects of the spine medicine. These include the clinical assessment of spine patients, the natural history of spine disorders, physician’s attitudes about pain and disability and exercise as a treatment for back pain.

He has published 40 peer review articles and 12 chapters on spine disorders, and lectured at scores of local, national and international forums. He is an Associate Editor of The Spine Journal and PM&R, and recipient of two national awards for work on spine pain. He is a member of the NIH Research Planning Committee for Chronic Low Back Pain. He is an active member of North American Spine Society, International Society for the Study of the Lumbar Spine, American Academy of Physical Medicine and Rehabilitation.

Dr. Rainville graduated from the University of Massachusetts Medical School, and completed a residence in Family Practice at Brown University Medical School. Following six years of practicing primary care medicine in a seaside Massachusetts community, he completed a second residency in PM&R at Tufts University Medical School in Boston. His prior experience in primary care has resulted in a strong commitment to medical education that focuses on practical methods for evaluating and treating spinal disorders in outpatient settings.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ELIZABETH PEGG FRATES, MD
Course Co-Director
Elizabeth Pegg Frates, MD, is a Clinical Assistant Professor in the Department of Physical Medicine and Rehabilitation at Harvard Medical School and Assistant Director of Medical Education of the Institute of Lifestyle Medicine. Dr. Frates received her BA degree from Harvard University and medical degree from Stanford University School of Medicine. Her focus is on the academic side of medicine, teaching the Human Central Nervous System, Musculoskeletal System, and Introduction to the Professions at Harvard Medical School. She is also a writer, stroke educator and researcher. Beth completed her internship in Internal Medicine at Massachusetts General Hospital and her residency in Physical Medicine and Rehabilitation at Spaulding Rehabilitation Hospital, where she served as Chief Resident.

Dr. Frates educates the public about stroke basics including risk factors, warning signs, what to do if someone is having a stroke and how to prevent a second stroke. Much of the prevention requires behavior modification. She is the co-author of the book Life After Stroke: The Guide to Recovery and Preventing Another Stroke published by Johns Hopkins University Press. In residency, Dr. Frates worked on a study examining the exercise habits of physicians and comparing that to their counseling. She found that physicians who exercise themselves are more likely to counsel patients about exercise.

Dr. Frates is an avid runner, completing her first race, a 10-mile course on Nantucket Island, when she was in 7th grade. More recently, in May 2006, she completed the Vermont Half Marathon as a member of the Train to End Stroke team with the American Heart Association.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Reviewers
JAMES HEFFERNAN, MD, MPH
Reviewer
Dr. James Heffernan is the Medical Director of Healthcare Associates (HCA), the hospital-based academic primary care practice at the Beth Israel Deaconess Medical Center and an Associate Professor of Medicine at Harvard Medical School. He has worked as a primary care physician for the past 30 years with an enhanced clinical skill set related to his core primary care practice but also continued engagement delivering inpatient care and medical consultations and service as an emergency department physician earlier in his professional life. He plays important teaching roles as a comanagement preceptor in HCA and as a Firm Chief in the Department of Medicine at BIDMC.

Special clinical interests include alcohol withdrawal, back pain and clinical decision support tools. He has had an abiding interest in care innovation and quality improvement and has used HCA as a test bed for innovation. He participated in creating and sustaining the Innovations in Practice Management initiative at the Society of General Internal Medicine and served as the Chairman of the Review Subcommittee for National Meeting of SGIM in its first two years of existence. More recently, he has served on the Innovations Council of the Harvard Medical School Primary Care Center and co-chaired the inaugural Innovations in Primary Care Conference held at HMS on 10/13/11. Both at Boston City Hospital and Beth Israel Deaconess Medical Center he has held board and leadership positions on physician organizations and provider-hospital organizations.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



PRADEEP SURIYAARACHCHI, MD
Reviewer
Dr. Suri is a physiatrist and clinical epidemiologist with clinical and research experience in low back pain, spinal disorders, and musculoskeletal disorders. Following his physical medicine and rehabilitation residency at the University of Washington, Dr. Suri completed a fellowship in Spine and Musculoskeletal Medicine at New England Baptist Hospital. He conducts clinical care at the VA Boston Healthcare System and is an Assistant Professor of Physical Medicine and Rehabilitation at Harvard. Dr Suri has previously led cohort studies of patients with low back pain, lumbar disk herniations, and other spinal disorders. He is currently conducting a large study of cross-sectional lumbar spinal imaging in subjects from the Framingham Heart Study. His area of research interest is in the development of effective rehabilitative interventions for improving outcomes in musculoskeletal care.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



LAURIE LARUSSO, MS, ELS
Planner
Ms. LaRusso is the Principal of Chestnut Medical Communications, where she works with continuing medical education providers to ensure that the content and planning of their CME programming is comprehensive and adheres to Accreditation Council for Continuing Medical Education requirements. She has worked in planning, designing, and critically reviewing CME activities since 2005 and has more than 15 years of experience in developing materials for continuing medical education, scientific publication, and biomedical communications.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 1 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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