There is no clear workflow or understanding of the use of MMA (multimodal analgesic) and it's role in orthopedic surgeries. Clinicians apply Enhanced Recovery After Surgery Protocol by utilizing multimodal pain management (MMA) approaches. Specifically  transition  from IV to oral  MMAs.  Providers will utilize the appropriate dose and medication.

Target Audience: Orthopedists

Learning Objectives: As a result of this activity, participants should be able to:

  1. Identify new Enhanced Recovery After Surgery protocols, orders and expected outcomes, and appropriately use MMA's for surgical patients.

  2. Utilize in-person or video conference interpreter to enhance patient communication

  3. Apply evidence based and consensus-based best practices for the diagnosis and managing of orthopedic conditions to maximize quality and minimize variation in practice.

Series Cultural and Linguistic Competency:

Patients who do not speak English may experience more pain and poor outcome peri-surgery. Language barriers makes it more difficult to assess pain and for patients to fully understand treatments plan to decrease pain.

References: 

ASSH American Society for Surgery of the Hand, https://jamanetwork.com/journals/jamasurgery/fullarticle/2625131, ERAS Metrics and Definitions December 2018, AAOS.org American Academy of Orthopaedic Surgeons

Discussants:
John Carbone, DPM
Lee Ann Clements, NP
Lynne Conners, DPM
Andrew S Fang, MD
Eugene G Galvin, MD
Tara Graupera, RN, MPA/HSA
Thomas Huang, MD
James E Johnson, MD
Lindsey Klassen, DPM
Sam Lee, PA
Christopher R Lehman, MD
Mohammed Moharrahmi, MD
Stephen Nagy, MD
Gregory Summerville, MD
Elizabeth M Watson, MD
Alfred C Yang, PA
David C Young, MD
David Zeltser, MD

Planning Committee:
Michael C MacAvoy, MD 
Department of Orthopedic Surgery 
Jie Zheng, MD
Chief of Medical Education
Tenisha Jones, MLIS
Library Services
J Fonseca, MSO Manager

Disclosure:
Kaiser Permanente South San Francisco has determined that the speakers and the planning committee for this activity do not have any relevant financial relationships. Kaiser Permanente South San Francisco takes responsibility for the content quality and scientific integrity of this CME Activity.

Kaiser Permanente does not endorse any brand-name products.

Kaiser Permanente South San Francisco designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Kaiser Permanente South San Francisco is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. 

Session date: 
Friday, March 8, 2019 - 8:15am to 9:15am
Location: 
Kaiser Permanente
1200 El Camino Real
Middle Cafe
South San Francisco, CA 94080
United States

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