REPORT: ESSENTIAL PAIN MANAGEMENT (EPM) LITE
WORKSHOPS IN UNIVERSITY OF SANTO TOMAS FACULTY
OF MEDICINE AND SURGERY (UST-FMS), MANILA & IASP
PAIN CAMP TAGAYTAY, PHILIPPINES.
7th March and 10th March 2015
Executive Summary
1. What is the problem?
Pain is an unrecognized and inadequately treated problem. EPM workshops have
been run since 2010 to help address these issues and EPM Lite workshops for
undergraduates run since 2013.
2. What did we do?
Professor Jocelyn Que requested that we conduct ‘EPM Lite’ workshops for the
medical undergraduates at UST and also at the IASP Pain Camp during the visit.
In total, we trained the following:
• EPM Lite Workshop 7th March:
• EPM Lite Workshop 10th March:
29 students
29 participants
3. What happens next?
It is proposed that EPM Lite should be embedded into the medical undergraduate
curriculum in UST-FMS if possible. There was interest from many people at the
IASP Pain Camp.
4. What help will be needed?
Support from the EPM committee and FPM ANZCA would be greatly appreciated
by Professor Jocelyn Que and her team.
Background
The Philippines has an estimated total population of 100 million. The capital city is
Manila which is part of Metro Manila with a population of around 21 million people.
The beautiful city of Tagaytay is 55km south of Manila with a small population of just
over 62,000. It is one of the country’s most population tourist destinations. The main
language in the Philippines is Tagalog but English is widely spoken.
EPM Workshops have been held in the Philippines since 2014. The IASP Pain Camp
was run for participants from around South-East Asia and was held just prior to the
ASEAPS (Association of South-East Asian Pain Societies) congress in Manila.
Local Organizers
Professor Jocelyn Que from UST Faculty of Medicine and Surgery fully organized the
EPM Lite workshops and arranged funding for printing and catering.
We were assisted at UST FMS by Professor Mary Jocylyn Bautista and Professor
Anniela Soliven.
At the Pain Camp Professor Que and I were assisted by Dr Mary Cardosa
(Malaysia), Associate Professor Pongparadee Chaudakshetrin (Thailand), Professor
Myint Thaung (Myanmar) and Professor Ramani Vijayan (Malaysia).
1. EPM Lite Workshop: UST Hospital, Manila Philippines. 7th March 2015
(Participants - See Appendix 1)
A total of 29 participants attended the half day EPM Lite Workshop. The local
instructors had all taught the whole day EPM workshop previously.
This is a half day workshop which has been developed specifically for
undergraduates. It has been piloted in NZ, India, UK, Fiji, Samoa, Malaysia and
Australia. This was the first EPM Lite to be held in the Philippines. The participants of
this workshop were Junior and Senior Interns (year 4 and 5 of medical school).
Venue, Catering and Teaching Materials
The workshop was held in the UST-FMS complex. The excellent catering and first
class printing was arranged by Professor Que and funded by a local pharmaceutical
company.
Assessment
Participants completed a 50-question test at the beginning and end of the workshop.
Scores showed good baseline knowledge and a good improvement in scores.
Chart – pre and post test results (UST course)
Number = 29
Pre mean =
Post mean =
55
45
Mean Pre- and Post-Test Scores
35
25
15
5
-5
EPM 1 (n=29)
Feedback
Feedback was very positive and the students (and lecturers) enjoyed the workshop
immensely. There was a good improvement in the MCQ test scores.
2. EPM Lite Workshop IASP Pain Camp, Tagaytay Philippines. 10th March
2015. (Participants – see appendix 2)
A total of 29 participants attended the half day workshop. The participants of this
workshop were attendees of the IASP Pain Camp and comprised of multi-disciplinary
healthcare professionals from South-East Asia. Many of these participants teach
undergraduates themselves.
Venue, Catering and Teaching Materials
The workshop was held in one of the conference rooms at the amazing Taal Vista
Hotel in Tagaytay.
A special thanks to IASP for funding the printed materials and catering for the
workshop via a grant that was given to run the Pain Camp.
Assessment
The “pre and post” EPM Lite test, which has a possible mark out of 40, was
completed by the participants. and the results are shown in the graph below. Many
questions were asked by the participants during the workshop and there were lively
discussions particularly about challenging pain cases that the participants had
recently been involved with.
Chart – pre and post test results (IASP Pain Management Camp 2015)
40
Mean Pre- and Post-Test Scores
30
20
10
0
EPM 1 (n=29)
Feedback
The participants completed an evaluation form provided by the Pain Camp
organizers. The IASP Pain Camp participants found the workshop helpful in
understanding some of the basic concepts in pain management and particularly
enjoyed the discussion of the cases. Some of the participants have applied the RAT
approach in their group case presentations in the succeeding days of the Pain Camp.
Visit Summary
Financial
Professor Que organized the workshops using a combination of different sources for
funding including local organizations and IASP grant for the Pain Camp.
I was funded by a combination of personal Continuing Medical Education (CME)
funds and from funding held at ANZCA for EPM workshops.
Success of the Visit
There is ongoing commitment from Professor Que and her colleagues to run EPM
and EPM Lite workshops. She hopes to introduce EPM Lite into the medical
undergraduate curriculum if at all possible.
Many of the participants, and IASP Faculty members, expressed interest in using
EPM Lite for their undergraduates in a number of countries in South-East Asia.
Recommendations
1. Run EPM Lite workshops for medical undergraduates.
This half day workshop could be embedded into medical school curriculums of a
number of countries/facilities if at all possible. Members of the EPM committee,
including Dr Mary Cardosa and myself, are happy to support any initiatives.
2. Run EPM Lite workshops for other, including nursing, undergraduates.
3. Continue to run EPM whole-day workshops for healthcare professionals.
Acknowledgements
I am very grateful to the amazing Professor Que for organizing these workshops. I
have never attended such well-organized workshops before!
A special thank you to all of the other instructors who taught with us – I had a very
enjoyable time and intend to keep in touch to hear how things are going.
Also thank you to IASP, the local organizations who provided funding to help run the
workshops, and to the Australian and New Zealand College of Anaesthetists for its
support in the development of EPM.
Dr Linda Huggins. March 2015
(With helpful contribution from Professor Que!)
Appendix 1: Participants, EPM Lite Workshop, Physiology hall, UST Faculty of
Medicine and Surgery, Manila Philippines. 7th March 2015
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
NAME
JERAMIE C. CHUA
EDWIN MARK I. CHIONG
PHILIP LEE S. CHUA
MILANIE CLAIRE D. SAN JUAN
JENIKA GRACIA P. SIMBILLO
IVAN BENEDICT A. SANTOS
JAN ARIS P. SABILI
JOSE OSCAR SALVACION
PATRICK MICHAEL L. ROSLYN
RODERICK O. TORIO
MAE ANNE MERCEDES U.
TAPISPISAN
JUBILYN P. TAN
GELLINA ANN R. SUDERIO
LEE-BOYD D. VALENCIA
MARIEL ENVERGA
DAVE CARDONA GABRIEL
MARIA ELIZA SENIEGO
REINA SASAKI
DEAN XYRUS SEARES
ANNA MARGARITA G. SONICO
PAULO SARMIENTO
FRANCIS SIMEON
ADDISON SAMOC
JOEL LATIMER B. SMITH III
EDWARD S. UY MAGADIA
DIANE DIAMANTE
KERVIN DELLOSA
ERVIN DY
MIGUEL DIMAANO
DESIGNATION
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
Trainee intern
3. Appendix 2: Participants, EPM Lite Workshop IASP Pain Camp, Tagaytay
Philippines. 10th March 2015
1
2
3
4
5
6
7
8
9
10
11
12
13
NAME
Md. Saiful Islam Azad
Kazi Maksoda Akter
Seiha Suth
Houth Chantheng
Phone Kheuabphaphone
Vanvilay Keomahavong
Prineeta Thapa
Bui Hanh Tam
Thi Ngoc Truong Tran
Maya Suyata
Tiara Aninditha
Aidah Abdul Hassan Chin
Munira Moghammed Izat
DESIGNATION
Anesthesiology
Palliative Care
Physical Therapy
Physical Therapy
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Neurology
Anesthesiology
Anesthesiology
Pharmacy
Pharmacy
PLACE
Bangladesh
Bangladesh
Cambodia
Cambodia
Laos
Laos
Nepal
Vietnam
Vietnam
Indonesia
Indonesia
Malaysia
Malaysia
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Soe Soe Khaing
Wah Wah Myint Zu
Rehab Medicine
Radiation
Oncologist
Lawrence N Sembrano
Family Medicine
Mary Antoinette Martinez Anesthesiology
Toquilar
Harry Capili
Anesthesiology
Jong-Chie Claudia Tien
Anesthesiology
Manaporn Chatchumni
Registered Nurse
Chayanin Vejabhuti
Anesthesiology
Weerasake
Anesthesiology
Poopiuangpairoj
Rajesh Kumar Muniandy
Anesthesiology
Rosario Mendoza-Cloma Anesthesiology
Andoracion
Navarro Anesthesiology
Santos
Renato A. Maranan
Anesthesiology
Antonita M. De Pano
Anesthesiology
Woo Chio Tay
Anesthesiology
Marie Tsen
Registered Nurse
Myanmar
Myanmar
Philippines
Philippines
Philippines
Singapore
Thailand
Thailand
Thailand
Malaysia
Philippines
Philippines
Philippines
Philippines
Singapore
Singapore
Photos:
Dr. Linda Huggins with the Senior Medical Students at the
University of Santo Tomas Faculty of Medicine and Surgery on March 7, 2015
Prof. Anniela Yu-Soliven with the Senior medical students during an interactive
discussion of the RAT Approach to pain management – UST, March 7, 2015
Participants of the 1st EPM Lite Workshop in the Philippines
University of Santo Tomas, Manila, Philippines, March 7, 2015
Small group discussions of the IASP Pain Camp 2015 participants with the Faculty
The “FREEDOM (from pain) fighters” presented their group’s proposed solutions
to barriers in the practice of pain management during the IASP Pain
Management Camp 2015 at Tagaytay City, Philippines.