Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach
Introduction Acute pain is one of the most common complaints that presents to the emergency department. Despite its ubiquity, oligoanalgesia, or the undertreatment of pain, remains a problem in medicine, possibly due to minimal dedicated pain teaching for senior medical students transitioning to res...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2023-08-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11339 |
| _version_ | 1797739324555395072 |
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| author | Morgan Sehdev Jason Lewis Antje Barreveld |
| author_facet | Morgan Sehdev Jason Lewis Antje Barreveld |
| author_sort | Morgan Sehdev |
| collection | DOAJ |
| description | Introduction Acute pain is one of the most common complaints that presents to the emergency department. Despite its ubiquity, oligoanalgesia, or the undertreatment of pain, remains a problem in medicine, possibly due to minimal dedicated pain teaching for senior medical students transitioning to residency. Methods We designed a 2.5-hour interactive seminar for senior medical students transitioning into residency. The seminar included a chalk talk and case-based discussion, reviewed pain physiology, revisited pain assessment, and introduced pain management strategies using a novel acute pain plan to organize an analgesic approach from presentation through disposition from the emergency department. The didactic chalk talk was interwoven with a case of acute pain. Seminar materials promoted a near-peer teaching opportunity for future facilitators. Learners completed open-ended pre-/postsession knowledge assessments. Results Data were obtained from 19 fourth-year medical students enrolled in three iterations of a preinternship course at Harvard Medical School. Prior to the seminar, learners scored an average of 23.0 out of 53.0 points (SD = 9.0) on the knowledge assessment, which improved to 36.6 out of 53.0 points (SD = 6.7) following the seminar (paired t test p < .001). Learner satisfaction data revealed a positive response to the seminar: Learners felt more confident managing pain and highly recommended the seminar's continuation in the future. Discussion Initial data from this seminar suggest a need for and benefit of targeted pain education for senior medical students. Seminar materials can easily be adapted for learners in other departments or in early graduate medical education. |
| first_indexed | 2024-03-12T13:55:48Z |
| format | Article |
| id | doaj.art-578d08c4982e4e8dbd853a0e87ab5886 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-12T13:55:48Z |
| publishDate | 2023-08-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-578d08c4982e4e8dbd853a0e87ab58862023-08-22T14:20:07ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-08-011910.15766/mep_2374-8265.11339Demystifying Acute Pain Management in the Emergency Department: A Case-Based ApproachMorgan Sehdev0Jason Lewis1Antje Barreveld2Third-Year Resident, Department of Emergency Medicine, Massachusetts General HospitalAssistant Professor, Department of Emergency Medicine, Beth Israel Deaconess Medical CenterAssistant Professor, Department of Anesthesiology, Newton-Wellesley HospitalIntroduction Acute pain is one of the most common complaints that presents to the emergency department. Despite its ubiquity, oligoanalgesia, or the undertreatment of pain, remains a problem in medicine, possibly due to minimal dedicated pain teaching for senior medical students transitioning to residency. Methods We designed a 2.5-hour interactive seminar for senior medical students transitioning into residency. The seminar included a chalk talk and case-based discussion, reviewed pain physiology, revisited pain assessment, and introduced pain management strategies using a novel acute pain plan to organize an analgesic approach from presentation through disposition from the emergency department. The didactic chalk talk was interwoven with a case of acute pain. Seminar materials promoted a near-peer teaching opportunity for future facilitators. Learners completed open-ended pre-/postsession knowledge assessments. Results Data were obtained from 19 fourth-year medical students enrolled in three iterations of a preinternship course at Harvard Medical School. Prior to the seminar, learners scored an average of 23.0 out of 53.0 points (SD = 9.0) on the knowledge assessment, which improved to 36.6 out of 53.0 points (SD = 6.7) following the seminar (paired t test p < .001). Learner satisfaction data revealed a positive response to the seminar: Learners felt more confident managing pain and highly recommended the seminar's continuation in the future. Discussion Initial data from this seminar suggest a need for and benefit of targeted pain education for senior medical students. Seminar materials can easily be adapted for learners in other departments or in early graduate medical education.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11339Acute PainAnalgesiaChalk TalkCase-Based LearningClinical Teaching/Bedside TeachingEmergency Medicine |
| spellingShingle | Morgan Sehdev Jason Lewis Antje Barreveld Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach MedEdPORTAL Acute Pain Analgesia Chalk Talk Case-Based Learning Clinical Teaching/Bedside Teaching Emergency Medicine |
| title | Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach |
| title_full | Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach |
| title_fullStr | Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach |
| title_full_unstemmed | Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach |
| title_short | Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach |
| title_sort | demystifying acute pain management in the emergency department a case based approach |
| topic | Acute Pain Analgesia Chalk Talk Case-Based Learning Clinical Teaching/Bedside Teaching Emergency Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11339 |
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