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<h1 class="title"><span class="field field--name-title field--type-string field--label-hidden">NPS Oversight Panel and Working Groups</span> </h1> </div> </div> </section> <div class="row row-offcanvas row-offcanvas-left clearfix main-row"> <main class="main-content col-md-11 m-auto" id="content" role="main"> <section class="section"> <a id="main-content" tabindex="-1"></a> <div id="block-mainpagecontent" class="block block-system block-system-main-block"> <div class="content"> <article class="node node--type-page node--view-mode-full clearfix"> <header> </header> <div class="node__content clearfix"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2>Oversight Panel </h2> <p><a href="https://www.iprcc.nih.gov/nps-oversight-panel-and-working-groups/oversight-panel">Member Roster</a><br> <a data-entity-type="file" data-entity-uuid="d96d11b5-277d-4fee-80fc-33ef1d620e81" href="/sites/default/files/documents/NPS_1_Porter-Mackey_508C_0.pdf">Presentation - Advancing Research and Treatment for Pain Care Management</a><i class="far fa-file-pdf"></i><span>(pdf, 475 KB)</span><br> The IPRCC has developed a framework to address the IOM recommendation 2.2. To ensure the development of a progressive, integrated strategy with practical goals, the IPRCC plans to establish an Oversight Panel to coordinate and integrate the efforts of six focused working groups. The working groups will be structured to address the objectives outlined in the IOM report that relate to recommendation 2.2. These groups and the problems they will address are described below.</p> <p> </p> <div class="align-center image half_width drupal-media-object"> <div class="field field--name-field-media-image field--type-image field--label-visually_hidden"> <div class="field__label visually-hidden">Image</div> <div class="field__item"> <picture> <source srcset="/sites/default/files/styles/half_width_extra_large/public/2020-11/img_working_groups.png?itok=jKbeJQfB 1x" media="all and (min-width: 75em)" type="image/png" width="397" height="427"> <source srcset="/sites/default/files/styles/half_width_large/public/2020-11/img_working_groups.png?itok=A9Ku9JnY 1x" media="all and (min-width: 62em) and (max-width: 74.99em)" type="image/png" width="330" height="355"> <source srcset="/sites/default/files/styles/half_width_medium/public/2020-11/img_working_groups.png?itok=s8LHmu6J 1x" media="all and (min-width: 48em) and (max-width: 61.99em)" type="image/png" width="240" height="258"> <source srcset="/sites/default/files/styles/half_width_small/public/2020-11/img_working_groups.png?itok=DoiRaaIu 1x" media="all and (min-width: 34em) and (max-width: 47.99em)" type="image/png" width="220" height="237"> <img loading="eager" src="/sites/default/files/styles/half_width_small/public/2020-11/img_working_groups.png?itok=DoiRaaIu" width="220" height="237" alt="Names of the 6 NPS working groups arranged in shape of overlapping flower petals"> </picture> </div> </div> </div> <p> </p> <p><a href="https://www.iprcc.nih.gov/nps-oversight-panel-and-working-groups/nps-task-force-nomination-process-coi-disclosure">Learn about the NPS Task Force nomination process and conflict of interest disclosure requirements</a></p> <h2>Working Groups</h2> <h3>Professional Education and Training </h3> <h4>The problem</h4> <p>Curricula for health care professionals lack adequate materials on pain prevention and treatment. Despite the significant responsibility that health care professionals have for pain patients, many health professionals, especially physicians, are inadequately prepared and require greater knowledge and skills to contribute to the cultural transformation in the perception and treatment of people with pain.<br> <a data-entity-type="file" data-entity-uuid="fdaabb0b-926e-4668-bab1-303ff0f5aa5a" href="/sites/default/files/documents/NPS_2_Rathmell-Gallagher_508C_0.pdf">Presentation - Professional Education and Training</a><i class="far fa-file-pdf"></i><span>(pdf, 156 KB)</span></p> <h4>Objective 1</h4> <p>Develop, promulgate, and update core competencies for pain care education, licensure and certification at the undergraduate and graduate levels.</p> <h4>Objective 2</h4> <p>Develop a pain education portal that contains a comprehensive set of materials to enhance curricula.</p> <h4 class="accordion-title">Membership Roster</h4> <p>Rollin Gallagher, MD, MPH – Co-Chair<br> National Program Director, Pain Management<br> Veterans Health Administration<br> Philadelphia Veteran Affairs Medical Center<br> Director, Pain Policy Research and Primary Care<br> University of Pennsylvania School of Medicine</p> <p>James Rathmell, MD – Co-Chair<br> Professor, Anaesthesia<br> Harvard Medical School<br> Executive Vice-Chair and Chief, Division of Pain Medicine<br> Massachusetts General Hospital</p> <p>Brian Berman, MD<br> Professor, Family and Community Medicine<br> Director, Center for Integrative Medicine<br> University of Maryland School of Medicine</p> <p>Chester Buckenmaier III, Colonel, MC for:<br> Major General Richard W. Thomas, MD, DDS, FACS<br> Director of Defense and Veterans Center for Integrative Pain Management<br> Fellowship Director of Acute Pain Medicine and Regional Anesthesia<br> Walter Reed National Military Center</p> <p>Daniel B. Carr, MD, MA<br> Professor, Public Health and Community Medicine, Anesthesiology and Medicine<br> Director, Pain Research, Education, and Policy Program<br> Tufts University School of Medicine<br> Steven P. Cohen, MD<br> Professor, Anesthesiology and Critical Care Medicine<br> Johns Hopkins School of Medicine and Uniformed Services University of the Health Sciences Director, Medical Education and Quality Assurance, Pain Management Division<br> Johns Hopkins School of Medicine<br> Director, Pain Research<br> Walter Reed National Military Medical Center</p> <p>Terrie Cowley, BA<br> President and Co-Founder<br> TMJ Association</p> <p>Margaret Faut-Callahan, CRNA, PhD, FNAP, FAAN<br> Interim Provost, Dean, and Professor, Nursing<br> Marquette University</p> <p>Scott M. Fishman, MD<br> Charles and Patricia Fullerton Endowed Chair of Pain Medicine<br> Executive Vice Chair and Professor, Anesthesiology and Pain Medicine<br> Chief, Division of Pain Medicine<br> University of California, Davis School of Medicine</p> <p>Francis Keefe, PhD – Liaison<br> Professor, Psychiatry and Behavioral Sciences<br> Director, Duke Pain Prevention and Treatment Research Program<br> Duke University Medical Center</p> <p>Bill McCarberg, MD<br> Founder<br> Chronic Pain Management Program for Kaiser Permanente (retired)<br> Physician<br> Neighborhood Healthcare in Escondido California</p> <p>Brian Schmidt, DDS, MD, PhD<br> Director, Bluestone Center for <a href="/glossary?title=Clinical+Research" class="glossary-tooltip" data-toggle="tooltip" title="Research with human subjects that is patient oriented research">Clinical Research</a><br> Professor, Oral and Maxillofacial Surgery and Physiology and Neuroscience<br> New York University</p> <p>Christina Spellman, PhD<br> Executive Director<br> The Mayday Fund</p> <p>David J. Tauben, MD<br> Interim Chief, Division of Pain Medicine<br> Medical Director, Center for Pain Relief<br> Director, Medical Student Education in Pain Medicine<br> Clinical Associate Professor, Medicine and Anesthesia and Pain Medicine<br> University of Washington</p> <p>David Thomas, PhD<br> Deputy Director, Division of Clinical Neuroscience and Behavioral Research<br> National Institute of Drug Abuse<br> National Institute of Health</p> <hr> <h3>Public Education and Communication </h3> <h4>The problem</h4> <p>Education is a central part of the necessary cultural transformation of the approach to pain. High quality, evidence based education programs for people with pain and the public that are designed to promote a transformation in their expectations, beliefs, and understanding about pain, its consequences, its management, and its prevention are needed to make the transformation.<br> <a data-entity-type="file" data-entity-uuid="c4f48a4d-18c1-4ab0-8a25-625b42361295" href="/sites/default/files/documents/NPS_3_Cowan-Harris_508C_0.pdf">Presentation - Professional Education and Communication</a><i class="far fa-file-pdf"></i><span>(pdf, 120 KB)</span></p> <h4>Objective 1</h4> <p>Develop and implement a public awareness campaign about the impact of chronic pain to counter stigma and misperceptions.</p> <p><strong>Objective 2</strong><br> Develop and implement an educational campaign encouraging safer medication use, especially opioid use for patients with pain.</p> <h4 class="accordion-title">Member Roster</h4> <p>Penney Cowan – Co-Chair<br> Founder and Chief Executive Officer<br> American Chronic Pain Association (ACPA)</p> <p>Linda M. Harris, PhD – Co-Chair<br> Senior Health Communication and ehealth Advisor to the Deputy Assistant Secretary for Health, Disease Prevention and Health Promotion<br> Team Lead, Health Communication and ehealth<br> Office of Disease Prevention and Health Promotion<br> Office of the Secretary<br> Department of Health and Human Services</p> <p>Humayun J. Chaudhry, D.O., M.S., MACP, FACOI, FAODME<br> President and CEO<br> Federation of State Medical Boards (FSMB) of the United States</p> <p>Myra Christopher, BA<br> Kathleen M. Foley Chair in Pain and Palliative Care<br> Center for Practical Bioethics</p> <p>Lee Claassen, CAE<br> Executive Director<br> Interstitial Cystitis Association (ICA)</p> <p>Ronald Dubner, DDS, PhD<br> Professor, Neural and Pain Sciences<br> University of Maryland School of Dentistry</p> <p>Keith Humphreys, PhD<br> Professor, Psychiatry<br> Stanford University School of Medicine<br> Career Research Scientist<br> U.S. Department of Veterans Affairs</p> <p>Francis Keefe, PhD<br> Professor, Psychiatry and Behavioral Sciences<br> Director, Duke Pain Prevention and Treatment Research Program<br> Duke University Medical Center</p> <p>Rebecca Kirch, JD<br> Director, Quality of Life & Survivorship<br> American Cancer Society</p> <p>Julie Madden, MA<br> Associate Director, Policy for the Human Capital and Resources Management Office<br> Centers for Disease Control and Prevention</p> <p>Susan E. Maier, PhD<br> Deputy Director<br> Office of Research on Women’s Health<br> Office of the Director<br> National Institutes of Health</p> <p>John Piette, PhD<br> Professor, Health Behavior and Health Education<br> Co-Director, Center for Chronic Disease Management<br> University of Michigan School of Public Health</p> <p>Tina M. Tockarshewsky, BA<br> President and Chief Executive Officer<br> The Neuropathy Association</p> <p>Mary Vargas, JD<br> Founding Partner<br> Stein & Vargas, LLP</p> <p>Lynn Webster, MD, FACPM, FASAM<br> Vice President, Scientific Affairs<br> PRA</p> <hr> <h3>Disparities</h3> <h4>The problem</h4> <p>Cultural perspectives influence reports of pain in general and within specific racial/ethnic groups. Available data substantiate under-treatment and inappropriate treatment of pain among racial and ethnic minorities, those with mental health problems, and those perceived as inappropriately seeking drug prescriptions, for a wide range of settings, illness, or injury. These <a data-entity-type="file" data-entity-uuid="a5353ff6-22e6-43d0-af9e-a7032da83961" href="/sites/default/files/documents/NPS_4_Green-Gracia_508C_1.pdf">Presentation - Public Health: Care, Prevention, and Disparities Working Group</a><i class="far fa-file-pdf"></i><span>(pdf, 139 KB)</span></p> <h4>Objective 1</h4> <p>Reduce bias and its impact on care.</p> <h4>Objective 2</h4> <p>Improve access to high-quality care for vulnerable groups.</p> <h4>Objective 3</h4> <p>Facilitate communication among patients and providers.</p> <h4>Objective 4</h4> <p>Enhance data on the impact of pain on high risk population groups, their access to care, and costs of disparities in pain care.</p> <h4 class="accordion-title">Member Roster</h4> <p>J. Nadine Gracia, MD, MSCE – Co-Chair<br> Deputy Assistant Secretary for Minority Health<br> Director, Office of Minority Health<br> U.S. Department of Health and Human Services</p> <p>Carmen R. Green, MD – Co-Chair<br> Associate Vice President and Associate Dean for Health Equity and Inclusion<br> Professor, Anesthesiology, Obstetrics and Gynecology, and Health Management and Policy<br> University of Michigan</p> <p>Diana Burgess, PhD<br> Associate Professor, Medicine<br> University of Minnesota<br> Research Scientist, Center for Chronic Disease Outcomes Research<br> Veterans Affairs Health Services & Development (VA HSR&D) Center of Innovation (COIN).</p> <p>Vyjeyanthi Periyakoil, MD<br> Clinical Associate Professor, Medicine<br> Director, Stanford Palliative Care Education and Training Program<br> Stanford University School of Medicine</p> <p>Beverly Thorn, PhD, ABPP<br> Professor and Chair, Psychology<br> University of Alabama</p> <p>Elizabeth Unger, MD, PhD<br> Chief, Chronic Viral Diseases Branch<br> National Center for Emerging and Zoonotic Infectious Diseases<br> Centers for Disease Control and Prevention</p> <p>Salina Waddy, MD<br> Program Director, Health Disparities<br> National Institute of Neurological Disorders and Stroke<br> National Institutes of Health</p> <p>Diana Wilkie, PhD, RN, FAAN<br> Professor, Biobehavioral Health Science<br> Harriet H. Werley Endowed Chair for Nursing Research<br> University of Illinois at Chicago College of Nursing</p> <hr> <h3>Prevention and Care </h3> <h4>The problem</h4> <p>People's experience with pain touches the entire health care system and many aspects of life. Only a cultural transformation could increase substantially the accessibility and quality of pain care. Cultural perspectives influence reports of pain in general and within specific racial/ethnic groups. Available data substantiate under-treatment and inappropriate treatment of pain among racial and ethnic minorities, those with mental health problems, and those perceived as inappropriately seeking drug prescriptions, for a wide range of settings, illness, or injury. These disparities also are seen for women versus men and in different socio-economic strata.<br> <a data-entity-type="file" data-entity-uuid="485d871b-3258-4f06-b7ae-3d3397543a02" href="/sites/default/files/documents/NPS_4_Green-Gracia_508C_2.pdf">Presentation - Public Health: Care, Prevention, and Disparities Working Group</a><i class="far fa-file-pdf"></i><span>(pdf, 139 KB)</span></p> <h4>Objective 1</h4> <p>Characterize the benefits and costs of current prevention and treatment approaches</p> <h4>Objective 2</h4> <p>Develop nation-wide pain self-management programs.</p> <h4>Objective 3</h4> <p>Develop standardized, consistent, and comprehensive pain assessments and outcome measures across the continuum of pain.</p> <h4 class="accordion-title">Member Roster</h4> <p>Daniel B. Carr, MD, MA<br> Professor, Public Health and Community Medicine, Anesthesiology and Medicine<br> Director, Pain Research, Education, and Policy Program<br> Tufts University School of Medicine<br> Sean C. Mackey, MD, PhD – Co-Chair<br> Chief, Division of Pain Medicine<br> Redlich Professor of Anesthesiology, Perioperative and Pain Medicine; Neurosciences; and Neurology (by courtesy)<br> Stanford University School of Medicine</p> <p>Christine Branche, PhD, FACE<br> Principal Associate Director<br> National Institute for Occupational Safety and Health<br> Centers for Disease Control and Prevention</p> <p>Col. Chester Buckenmaier, III, MD<br> Director, Defense and Veterans Center for Integrative Pain Management<br> Fellowship Director, Acute Pain Medicine and Regional Anesthesia Program<br> Walter Reed National Military Medical Center<br> Department of Defense</p> <p>Kathleen M. Foley, MD<br> Attending Neurologist, Pain and Palliative Care Service<br> Memorial Sloan-Kettering Cancer Center<br> Professor, Neurology, Neuroscience, and Clinical Pharmacology<br> Weill Medical College of Cornell University</p> <p>Sharon Hertz, MD<br> Deputy Director, Division of Anesthesia, Analgesia, and Addiction Products<br> U.S. Food and Drug Administration</p> <p>Richard Ricciardi, PhD, NP<br> Health Scientist, Center for Primary Care, Prevention, and Clinical Partnerships<br> Agency for Healthcare Research and Quality</p> <p>Jackie Rowles, MBA, MA, CRNA, ANP, FAAPM, DPNAP, FAAN<br> Certified Registered Nurse Anesthetist and Adult Nurse Practitioner Pain Specialist<br> Meridian Pain Group</p> <p>Cindy Steinberg<br> National Director of Policy and Advocacy<br> U.S. Pain Foundation<br> Chair, Massachusetts Pain Initiative (MassPI) Policy Council</p> <hr> <h3>Services and Payment</h3> <h4>The problem</h4> <p>Public health entities have a role in pain care and prevention because of the high utilization of publicly funded service delivery programs (e.g. community service programs, public housing, rural and migrant health centers, services for the homeless, the IHS, and the Native Hawaiian Health Care Systems Program). Aside from its role in direct service delivery, the public health establishment reimburses for care in nonpublic settings, including hospitals, doctors' offices, and pharmacies.<br> <a data-entity-type="file" data-entity-uuid="a01ffa8f-ff2e-416c-a672-ab080b577050" href="/sites/default/files/documents/NPS_5_Kerns-Wallace_508C_0.pdf">Presentation - Public Health: Service Delivery and Reimbursement</a><i class="far fa-file-pdf"></i><span>(pdf, 102 KB)</span></p> <h4>Objective 1</h4> <p>Define and evaluate integrated, multimodal, and interdisciplinary pain care.</p> <h4>Objective 2</h4> <p>Enhance evidence for care.</p> <h4>Objective 3</h4> <p>Incentivize payments for quality care based on a biopsychosocial model of pain: integrated, cost-effective, and comprehensive.</p> <h4 class="accordion-title">Member Roster</h4> <p>Robert D. Kerns, PhD – Co-Chair<br> Special Advisor for Pain Research, Pain Management, and<br> Director, Pain Research, Informatics, Multi-morbidities, and Education (PRIME) Center,<br> Veterans Health Administration, Department of Veterans Affairs<br> Professor, Psychiatry, Neurology, and Psychology, Yale University</p> <p>Mark Wallace, MD – Co-Chair<br> Chief, Division of Pain Medicine, Anesthesiology<br> Director, Division of <a href="/glossary?title=Clinical+Research" class="glossary-tooltip" data-toggle="tooltip" title="Research with human subjects that is patient oriented research">Clinical Research</a>, UCSD Clinical and Translational Institute<br> University of California, San Diego</p> <p>Paul Arnstein, PhD, RN, FAAN<br> Pain Relief Specialist<br> Certified Family Nurse Practitioner, Clinical Nurse Specialist and Pain Management Nurse Massachusetts General Hospital</p> <p>Sean Cavanaugh<br> Deputy Administrator and Director, Centers for Medicare<br> Centers for Medicare & Medicaid Services</p> <p>Jan Favero Chambers<br> President and Founder<br> National Fibromyalgia and Chronic Pain Association (NFMCPA)<br> Editor-in-Chief<br> Fibromyalgia & Chronic Pain LIFE magazine</p> <p>Jack Conway, JD<br> 49th Attorney General<br> Commonwealth of Kentucky<br> Elizabeth B. Gilbertson, MA<br> Chief of Strategy<br> Unite Here Health</p> <p>Karl Lorenz, MD, MSHS<br> General Internist and Palliative Care Physician<br> Director, VA palliative care Quality Improvement Resource Center (QuIRC)<br> VA Greater Los Angeles<br> Associate Professor, Medicine<br> University of California, Los Angeles<br> Professor, RAND</p> <p>Brook I. Martin, MPH, PhD<br> Assistant Professor, Orthopaedic Surgery and The Dartmouth Institute for Health Policy and Clinical Practice<br> Dartmouth Hitchcock Medical Center<br> Dartmouth College</p> <p>Judith Paice, PhD, RN, FAAN<br> Director, Cancer Pain Program, Division of Hematology-Oncology<br> Research Professor, Medicine<br> Northwestern University Feinberg School of Medicine</p> <p>Patricia Sinnott, PT, MPH, PhD<br> Health Economist<br> VA Health Economics Resource Center (HERC)<br> Department of Veterans Affairs</p> <p>Steven P. Stanos, Jr, DO<br> Director, Corporate Pain Services<br> Rehabilitation Institute of Chicago (RIC)</p> <p>Marianne Udow-Phillips<br> Director, Center for Healthcare Research & Transformation<br> University of Michigan</p> <p>Catherine H. Underwood, MBS, CAE<br> Chief Executive Officer<br> American Pain Society</p> <p>CAPT Sherri Yoder, PharmD, BCPS<br> Director, Pharmacy Services<br> Crow Service Unit in Crow Agency, Montana</p> <hr> <h3>Population Research </h3> <h4>The problem</h4> <p>Improvements in state and national data are needed to (1) monitor changes in the incidence and prevalence of acute and chronic pain; (2) document rates of treatment or under-treatment of pain and restrictions to treatment options; (3) assess the health and societal consequences of pain; and (4) evaluate the impact of related changes in public policy, payment, and care.<br> <a data-entity-type="file" data-entity-uuid="7504b8d3-2e27-42fd-b6af-eda4d7b57be9" href="/sites/default/files/documents/NPS_6_Scher-VonKorff_508C_0.pdf">Presentation - Population Research</a><i class="far fa-file-pdf"></i><span>(pdf, 88 KB)</span></p> <h4>Objective 1</h4> <p>Estimate the prevalence of chronic pain and high-impact chronic pain.</p> <h4>Objective 2</h4> <p>Refine and employ standardized electronic health care data methods to determine use and costs of care.</p> <h4>Objective 3</h4> <p>Develop a system of metrics to track changes in prevalence, impact, treatment, and costs.</p> <h4 class="accordion-title">Member Roster</h4> <p>Ann Scher, PhD – Co-Chair<br> Associate Professor of Epidemiology<br> Uniformed Services University of the Health Sciences</p> <p>Michael Von Korff, ScD Co-Chair<br> Senior Investigator, Group Health Research Institute<br> Group Health Cooperative<br> Olivia Carter-Pokras, PhD<br> Associate Professor, Epidemiology<br> University of Maryland College Park School of Public Health</p> <p>David W. Dodick, MD<br> Professor, Neurology<br> Program Director, Neurology Residency Program and Headache Medicine Fellowship Program<br> Mayo Clinic College of Medicine</p> <p>Joseph L. Goulet, MS, PhD<br> Director, Statistics and Methodology Core<br> Pain Research, Informatics, Multi-morbidities, and Education (PRIME) Center<br> VA Connecticut Healthcare System<br> Assistant Professor, Psychiatry<br> Yale University</p> <p>Scott R. Griffith, MD, LTC, MC, USA<br> Director, NCC Pain Management Fellowship<br> Walter Reed National Military Medical Center</p> <p>Robin J. Hamill-Ruth, MD<br> Associate Professor, Anesthesiology, Critical Care Medicine, and Pain Medicine<br> Co-Director, Pain Management Center<br> University of Virginia Health System</p> <p>John Kusiak, PhD<br> Director, Molecular and Cellular Neuroscience Program<br> Center for Integrative Biology and Infectious Diseases<br> National Institute of Dental and Craniofacial Research<br> National Institutes of Health</p> <p>Linda LeResche, ScD<br> Professor, Oral Medicine<br> Adjunct Professor, Oral Health Sciences<br> Associate Dean for Research<br> University of Washington School of Dentistry</p> <p>Walter F. Stewart, MPH, PhD<br> Vice President and Chief <a href="/glossary?title=Research+%26+Development" class="glossary-tooltip" data-toggle="tooltip" title="All research activities, both basic and applied, and all development activities that are performed by HHS award recipients. ">Research & Development</a> Officer<br> Sutter Health<br> Raymond C. Tait, PhD<br> Vice President for Research<br> Professor, Neurology and Psychiatry<br> Saint Louis University</p> <p>Gregory Terman, MD, PhD<br> Professor, Anesthesiology and Pain Medicine<br> University of Washington</p> <p>Christin Veasley, BSc<br> Co-Founder<br> Chronic Pain Research Alliance</p> <hr> <p> </p></div> </div> </article> </div> </div> <div id="block-webform" class="block block-webform block-webform-block"> <div class="content"> <span id="webform-submission-was-this-page-helpful-node-6-form-ajax-content"></span><div id="webform-submission-was-this-page-helpful-node-6-form-ajax" class="webform-ajax-form-wrapper" data-effect="fade" data-progress-type="throbber"> <form class="webform-submission-form webform-submission-add-form webform-submission-was-this-page-helpful-form webform-submission-was-this-page-helpful-add-form webform-submission-was-this-page-helpful-node-6-form webform-submission-was-this-page-helpful-node-6-add-form js-webform-details-toggle 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</main> </div> </div> <div class="text-right small container last-updated" role="complementary"> Last reviewed on July 11, 2022 </div> </div> <footer class="site-footer"> <div class="footer-spotlight"> <div class="container"> <div class="row"> <div class="col"> <h2>You Might Also Be Interested In </h2> <section class="region region-footer-spotlight"> <div id="block-footerinteragencypainresearchportfolio" class="block block-block-content block-block-content4b328f81-8270-42b6-8476-b687a3f3c95b"> <div class="content"> <div class="field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div class="image default drupal-media-object"> <div class="field field--name-field-media-image field--type-image field--label-visually_hidden"> <div class="field__label visually-hidden">Image</div> <div class="field__item"> <picture> <source srcset="/sites/default/files/styles/full_width_extra_large/public/2020-12/IPRP.png?itok=jstkU1th 1x" media="all and (min-width: 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