Pain Education in Graduate Medical Education Questionnaire
Please begin by providing some basic background information about yourself.
What is your gender?
Male
Female
Nonbinary
Two Spirit
Prefer not to say
What is your age?
21 - 30 years
31 - 40 years
41 - 50 years
51 - 60 years
Prefer not to answer
What is your current training program? (If you are not in Residency please choose "None of the Above")
Please Select
Anesthesiology
Clinical psychology internship
Critical care pharmacy
Dermatology
Emergency medicine
General surgery
Internal medicine
Internal medicine/ pediatrics
Medical physics
Neurology
Neurosurgery
OB/GYN
Oncology pharmacy
Ophthalmology
Oral & maxillofacial surgery Orthopaedics
Otolaryngology
Pathology
Pediatrics
Pediatric dentistry
Pharmacy (GMC)
Plastic surgery
Psychiatry
Radiology
Urology
None of the above
What is your current training program (If you are not in Fellowship please choose "None of the Above")
Please Select
Adult reconstruction
Bariatric & minimally invasive surgery Cardiology & interventional cardiology Clinical cardiac electrophysiology Clinical informatics
Clinical psychology & behavioral medicine
Critical care
Cytopathology
Dermatopathology
Gastroenterology
Hematology & medical oncology
Hospice & palliative medicine
Interventional radiology/diagnostic radiology (IR/DR) – independent radiology
Maternal-fetal medicine
Micrographic surgery & dermatologic oncology
Nephrology
Neuroendovascular surgery Neuropsychology
Pulmonary & critical care
Rheumatology
Sports medicine
Vascular Neurology
Vascular surgery
None of the above
What is your current postgraduate year in training?
Please Select
1
2
3
4
5
6
7
8
Do you receive formal education in pain management (assessment and treatment) during your residency/fellowship?
Yes
No
Not sure
How many hours of pain education do you receive per year in your current training program?
< 1 hour
1 - 5 hours
6 - 10 hours
10 - 15 hours
Other
If you chose "Other" in the previous question, please describe how many hours of pain education you receive per year in your current training program. If you didn't chose "Other" please write "N/A"
Next, we would like to identify what curricula are in place to teach about pain management concepts in your residency or fellowship program.
Does your current training program provide a curriculum on pain management (assessment and treatment)?
Yes
No
Not Sure
Are the following content areas part of the pain management curriculum in your current training program?
Yes
No
Not Sure
Definitions of pain
Mechanisms of pain
Assessing patients in pain
Components of an effective treatment plan
General Principles of nonpharmacologic approaches
General Principles of pharmacologic analgesic therapy (nonopioids and opioids)
Managing patients on opioid analgesics
Addiction Medicine
Treatment guidelines for pain
Please describe any content areas of the pain management curriculum in your current training program that was not mentioned. If you have none, please write "N/A"
What are the pain assessment methods taught in your current training program?
Yes
No
Not Sure
Numerical Scale
Visual Analog Scale
Faces Pain Scale
FLACC (Faces, legs, activity, cry consolability) scale
Validated pain assessment questionnaire (ex: Brief Pain Inventory)
Please describe any pain assessment methods taught in your current training program that was not mentioned. If you have none, please write "N/A"
What are the instructional methods used to deliver the pain management curriculum in your current training program?
Yes
No
Not Sure
Didactic lecture(s)
Bedside teaching
Online modules
Group Activity
Please describe any instructional methods used to deliver the pain management curriculum in your current training program that was not mentioned. If you have none, please write "N/A"
What are the PREFERRED instructional methods YOU WOULD LIKE TO BE USED to deliver the pain management curriculum in your current training program?
Yes
No
Not Sure
Didactic lecture(s)
Bedside teaching
Online modules
Group Activity
Please describe any PREFERRED instructional methods YOU WOULD LIKE TO BE USED to deliver the pain management curriculum in your current training program that was not mentioned. If you have none, please write "N/A"
Next, we would like to learn about your perspectives about pain education in graduate medical education.
In your current specialty, how important TO YOU is education about pain?
Very Important
Somewhat Important
Not at all
Is your current educationin pain adequate preparation for your professional work?
Yes
No
Not sure
In my opinion, an ideal pain management curriculum would include:
On a a scale of 1 (low) to 10(high), I am confident in my ability to:
1
2
3
4
5
6
7
8
9
10
Assess Pain
Determine when to initiate opioids
Select an opioid analgesic for treatment
Assess risk of opioid use
Manage dosage of opioids
Determine when to continue opioids for chronic pain
Determine follow up interval for patients using an opioid
Manage discontinuation of an opioid
Address harms of opioid use
Manage duration of opioid treatment
Next, we would like to quiz you concerning your knowledge relating to pain and pain management. Please answer the following true/false and multiple choice questions.
Vital signs are always reliable indicators of the intensity of a patient’s pain.
True
False
Because their nervous system is underdeveloped, children under two years of age have decreased pain sensitivity and limited memory of painful experiences.
True
False
Patients who can be distracted from pain usually do not have severe pain.
True
False
Patients may sleep in spite of severe pain.
True
False
Aspirin and other nonsteroidal anti-inflammatory agents are NOT effective analgesics for painful bone metastases.
True
False
Combining analgesics that work by different mechanisms (e.g., combining an NSAID with an opioid) may result in better pain control with fewer side effects than using a single analgesic agent.
True
False
The usual duration of analgesia of 1-2 mg morphine IV is 4-5 hours.
True
False
Opioids should not be used inpatients with a history of substance abuse.
True
False
Elderly patients cannot tolerate opioids for pain relief.
True
False
Patients should be encouraged to endure as much pain as possible before using an opioid.
True
False
Children less than 11 years old cannot reliably report pain so clinicians should rely solely on the parent’s assessment of the child’s pain intensity.
True
False
Patients’ spiritual beliefs may lead them to think pain and suffering are necessary.
True
False
After an initial dose of opioid analgesic is given, subsequent doses should be adjusted in accordance with the individual patient’s response.
True
False
Giving patients sterile water by injection (placebo) is a useful test to determine if the pain is real.
True
False
Vicodin (hydrocodone 5 mg + acetaminophen 300 mg) PO is approximately equal to 5-10 mg of morphine PO.
True
False
If the source of the patient’s pain is unknown, opioids should not be used during the pain evaluation period, as this could mask the ability to correctly diagnose the cause of pain.
True
False
Anticonvulsant drugs such as gabapentin (Neurontin) produce optimal pain relief after a single dose.
True
False
Benzodiazepines are not effective pain relievers and are rarely recommended as part of an analgesic regiment.
True
False
Narcotic/opioid addiction is defined as a chronic neurobiologic disease, characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.
True
False
The term ‘equianalgesia’ means approximately equal analgesia and is used when referring to the doses of various analgesics that provide approximately the same amount of pain relief.
True
False
Please provide an overall assessment of your confidence for responses to the questions above.
How confident were you in selecting responses to the questions about pain assessment and management?
I know the correct answers
I think I know the correct answers
I’m not sure I know the correct answers
I’m just guessing
Are there any additional thoughts that you would like to share?
Submit
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