Pain Medicine

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Nurse anesthesia training and licensure or other non-physician educational courses are insufficient to meet competencies for the independent practice of Pain Medicine. The licensure, training and clinical experience of non-physicians is insufficient to provide the medical expertise required for the evaluation, diagnosis and management of complex pain, especially, advanced invasive interventional procedures.</p> <p style="margin-bottom:16px;">In preserving patients’ best interests, the ASA maintains an ongoing commitment to the delivery of safe, multidisciplinary, physician-led pain care.</p> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <h2 style="margin:16px 0px 18px 0px;">What You Should Know</h2> <p style="margin-bottom:28px;">Advocacy efforts continue to focus on increasing patient access to multimodal and multidisciplinary pain management, as well as insurance coverage of non-opioid therapies; enhancing physician education, including safe and effective opioid prescribing; encouraging safe storage and disposal of opioid medications; and increased research on pain and non-opioid alternatives. </p> </div> <div class="rt-container external-links"> <h2 style="margin:24px 0px 18px 0px;">What ASA is Doing For You</h2> <p style="margin-bottom:16px;">ASA has hosted <a href="https://www.asahq.org/about-asa/newsroom/news-releases/2022/03/15-medical-societies-develop-best-practices-to-manage-acute-pain-in-complex-surgical-patients">two landmark Pain Summits</a> with 15 medical specialty organizations. The summits’ focus were on acute surgical pain principles, many of which are rooted in techniques to reduce opioids, like multimodal analgesia, as well as managing complex surgical patients. The complex populations addressed include individuals with substance use disorders, chronic pain or on long-term opioid therapy.</p> <p style="margin-bottom:16px;">ASA collaborated with the American Academy of Orthopedic Surgeons (AAOS) on the development of a <a href="/advocacy-and-asapac/advocacy-topics/pain-medicine-talking-points/the-pain-toolkit">Pain Alleviation Toolkit</a>. This encompasses strategies for safe and effective alleviation of postoperative pain and optimal opioid stewardship, including resources for clinicians and patients to help patients get as comfortable as possible, as safely as possible. We hope this unique partnership between two specialty societies can spread to other disciplines.</p> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <h2 style="margin:16px 0px 18px 0px;">What You Can Do Now</h2> <ul> <li style="margin-bottom:20px;"><a href="https://education.asahq.org/totara/mod/page/view.php?id=18339">Earn CME on the Pain Medicine issue</a> </li> <li style="margin-bottom:20px;">Share ASA Resources: <a href="https://www.asahq.org/madeforthismoment/pain-management/">Made for This Moment, Pain Management</a></li> <li style="margin-bottom:20px;">Read the <a href="https://rapm.bmj.com/content/early/2021/09/22/rapm-2021-103083">publication</a> with the consensus pain principles from the February 2021 Pain Summit.</li> <li style="margin-bottom:20px;">Read the <a href="https://rapm.bmj.com/content/early/2023/07/28/rapm-2023-104435">publication</a> with the consensus pain principles from the February 2022 Pain Summit.</li> </ul> <p style="line-height:14px;margin:0px;padding:0px;"> </p> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <h3 style="margin-bottom:0px;margin-top:20px;">Explore Additional Resources</h3> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="membersubmenu"> <div class="row"> <div class="col-md-3"> <a href="/standards-and-practice-parameters/statement-on-practice-of-pain-medicine" onclick="window.navigationClickAnalytics(event, 'event', 'Secondary Nav', 'Click', 'Statement on Practice of Pain Medicine ');" > <div class="submenu-item"> <div class="col-md-10 px-0 ">Statement on Practice of Pain Medicine </div> <div class="affordancesymbol">› </div> </div> </a> </div> <div class="col-md-3"> <a href="/standards-and-practice-parameters/statement-on-ketamine-for-the-treatment-of-chronic-pain" onclick="window.navigationClickAnalytics(event, 'event', 'Secondary Nav', 'Click', 'Statement on Ketamine Treatment of Chronic Pain');" > <div class="submenu-item"> <div class="col-md-10 px-0 ">Statement on Ketamine Treatment of Chronic Pain </div> <div class="affordancesymbol">› </div> </div> </a> </div> <div class="col-md-3"> <a href="/standards-and-practice-parameters/statement-on-practice-recommendations-for-pediatric-anesthesia" onclick="window.navigationClickAnalytics(event, 'event', 'Secondary Nav', 'Click', 'Statement on the Practice of Pediatric Pain Medicine');" > <div class="submenu-item"> <div class="col-md-10 px-0 ">Statement on the Practice of Pediatric Pain Medicine </div> <div class="affordancesymbol">› </div> </div> </a> </div> <div class="col-md-3"> <a href="/advocacy-and-asapac/advocacy-topics/improving-access-to-high-quality-pain-care" onclick="window.navigationClickAnalytics(event, 'event', 'Secondary Nav', 'Click', 'Improving Access to High Quality Pain Care');" > <div class="submenu-item"> <div class="col-md-10 px-0 ">Improving Access to High Quality Pain Care </div> <div class="affordancesymbol">› </div> </div> </a> </div> </div> </div> <div class="rt-container external-links"> <h2 style="margin:24px 0px 18px 0px;">Improving Access to High Quality Pain Care</h2> <p style="margin-bottom:24px;">ASA supports policies that promote access to safe and effective pain care and has a significant interest in reducing the misuse, abuse, and diversion of opioid medications that have led to unintended deaths. ASA collaborates with other societies and government entities to further these efforts.</p> <h3 style="margin:20px 0px 18px 0px;">Latest ASA Actions Supporting Safe and Effective Pain Care</h3> <ul> <li style="margin-bottom:20px;"><a href="https://www.asahq.org/about-asa/newsroom/news-releases/2024/03/anesthesia-medical-societies-announce-launch-of-national-pain-medicine-coalition">Anesthesia Medical Societies Announce Launch of National Pain Medicine Coalition</a> </li> <li style="margin-bottom:20px;">ASA Offers <a href="/-/media/images/afy/asa_letter_nih_heal_07_2024.pdf">Formal Input on the Future Direction of the NIH HEAL Initiative</a> (PDF)</li> <li style="margin-bottom:20px;"><a href="https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2024/03/asa-pushes-for-changes-to-restrictive-humana-peripheral-nerve-stimulators-pns-policy">ASA Pushes for Changes to Restrictive Humana Peripheral Nerve Stimulators (PNS) Policy</a></li> <li style="margin-bottom:20px;"><a href="https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2024/05/washington-state-approves-spinal-cord-stimulation-for-certain-pain-conditions>Washington State Approves Spinal Cord Stimulation for Certain Pain Conditions</a></li> <li style="></a><a href=" https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2024/02/hhs-finalizes-expanded-access-to-opioid-use-disorder-treatment">HHS Finalizes Expanded Access to Opioid Use Disorder Treatment</a></li> <li style="margin-bottom:20px;"><a href="https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2024/09/asa-opposes-payment-cuts-proposed-by-cms-for-2025">ASA Opposes Payment Cuts Proposed by CMS for 2025</a></li> </ul> <p style="margin:2px;padding:0px;"> </p> <p><a class="btn-default" href="/advocacy-and-asapac/advocacy-topics/improving-access-to-high-quality-pain-care">See all ASA actions →</a></p> </div> </div> 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